| Author |
Procedure type |
Phase |
Comments |
| 1 |
2 |
3 |
| Agorastides et al. [6] |
Hemiarthroplasty for 3/4-part humerus fracture |
A: sling for 2 weeks, pendulum, elbow exercises
B: sling for 6 weeks in neutral rotation, elbow exercises |
A: week 3-6 – progress AAROM exercises
B: week 7-12 – pendulum to AAROM |
A: from week 7 on – active exercises
B: from week 13 on – active exercises |
Early (group A) vs. late (group B) start |
| Amirfeyz, Sarangi [7] |
Hemiarthroplasty 3/4-part prox. Humerus fracture |
Sling – shoulder in IR & 90° elbow FLEX
Finger and wrist movement allowed |
Week 5-10 – pendulum to active-assisted exercises |
Form week 11 on – active exercises & strengthening rotator cuff |
4 weeks sling before physiotherapy commences |
| Boardman et al. [11] |
Primary TSA Cofield components |
1.day post-surgery: AROM hand, wrist, forearm & elbow; PROM shoulder (depending on stability) |
At week 3 – assisted pulley exercises for evel.
Week 5 – AAROM & stretching with a wand for FLEX-EXT, ELEV – ADD; IR-ER at 90° ABD |
From 8-10 weeks on: elastic strap strengthening |
Shoulder immobilizer:
1 week during the day and 4 weeks during night, then: 4 weeks sling |
| Brems [5] |
TSA |
1.day post-surgery - pendulum, assisted spine ELEV, assisted ER, assisted ELEV with pulley and assisted ABD |
Ca. 2 weeks after surgery - assisted IR, assisted ELEV, assisted ER |
assisted ELEV, assisted ER with elbow 90° ABD, assisted IR and assisted ADD |
After phase III strengthening program starts, full PROM should be reached by then |
| Babhulker et al. [9] |
Hemiarthroplasty for 3/4-part prox. humerus fracture |
1.day post-surgery – pendulum, PROM exercises |
Week 3 to 6 – AAROM elev., ER, full elbow ROM exercises |
Week 6 to 8 – stretching and strengthening with theraband |
Sling pouch for 4 weeks |
| Wicker et al. [13]
|
Prosthesis upper extremity
|
Aim: freedom of pain, sling, pendulum, PROM |
Aim: increasing ROM, no sling; AAROM to AROM, strengthening the trunk, cardiovascular training |
Aim: stabilization, all ADLs, torso- and shoulder-stabilization, plyometric exercises |
sensomotoric function of the shoulder has to be focused on |
| |
|
|
ROM: range of motion
AROM: active range of motion
AAROM: active assisted range of motion
PROM: passive range of motion
ELEV: elevation
IR: internal rotation
ER: external rotation
ADL: activity of daily living
FLEX: flexion
EXT: extension
ADD: adduction
ABD: abduction
TSA: total shoulder arthroplasty |
