| Author |
Procedure type |
Phase |
Comments |
| 1 |
2 |
3 |
4 |
| Boudreau et al. [3] |
rTSA |
1.day post-surgery to week 6 – PROM FLEX & ELEV to 90°-120°, ER 20°-30°, AROM/ AAROM elbow, wrist, hand |
Week 6 to 12 – continue PROM and start AAROM, isometric IR/ER exercises, shoulder stabilization, end of phase II: AROM FLEX and ELEV with low weights |
From week 12 on – AROM, strengthening, full PROM |
4 month post-surgery – home program: return to functional and recreational activities |
Sling for 4 weeks, cryotherapy for ca. 10 weeks |
| Brown, Friedman [11] |
TSA |
passive ELEV & ER, after a few days active-assisted training, pendulum, active hand, elbow and finger exercises From day 10 on - IR active-assisted |
Week 3 to 6 - isotonic FLEX, EXT, ABD & IR exercises, scapular strengthening, assisted ER at 90° ABD |
Week 6 to 10 – additionally active FLEX and ABD in a sitting position and resisted IR and ER |
Week 12 to 6 month - resisted FLEX, EXT &ABD, strengthening bilateral push-up against the wall, a concentering strengthening with isokinetic equipment |
|
| Mulieri et al. [10] |
TSA for primary osteoarthritis |
A: 1.day post-surgery to 3 weeks – immobilizer/ sling, AROM elbow, wrist, hand; shoulder PROM max. 20° ER & 120° ELEV in scapular plane
B: for 8 weeks – immobilizer and pendulum |
A: week 4 to 6 - sling; resisted elbow, wrist, hand exercises, AAROM 35° ER, 135° scaption; shoulder exercises with a wand, isometric shoulder exercises, kinetic exercises (closed chain)
B: ADLs |
A: week 7 to 9 – continue AAROM shoulder and start AROM shoulder in supine; isometric exercises all motion at various angles
B: week 8 to 14 - ROM exercises, supine forward elevation |
A: week 9 to 12 – shoulder AROM in standing position, strengthening exercises with theraband, ADLs
B: week 14+ any ADLs and activities the patient chooses |
2 groups – A: formal physical therapy – diagonal patterns, B: home-based program |
| Wilcox et al. [13] |
TSA or HHR |
1.day post-surgery – sling for 3-4 weeks, PROM forward flexion in supine, ER 30°, IR to chest, pendulum, AROM elbow, hand, wrist, cryotherapy |
Week 4 to 6 – continue PROM, AAROM pulleys flex &abd if PROM >90°, AROM flex, IR, ER & ABD pain-free ROM, scapular strengthening, distal isometric exercises with resistance, cryotherapy |
Week 6 to 12 – AROM, PROM to maintain ROM, resisted IR &ER in scapular plane, light functional activities |
From week 12 on – strengthening, weight-bearing exercises |
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|
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 |
