AAOS2017: Early rehabilitation safe and effective following reverse TSA

Study Type: Randomized Trial
OE Level of Evidence: N/A
Journal Level of Evidence: N/A
CONFERENCE ACE REPORTS
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Synopsis
89 patients who had undergone reverse total shoulder arthroplasty were included in this randomized clinical trial to compare immediate and delayed rehabilitation protocols postoperatively. Range of motion, American Shoulder & Elbow Surgeons (ASES) score, and adverse events were scheduled to be evaluated over a 12-month period. Patients in both Please login to view the rest of this report. Please login to view the rest of this report.
Why was this study needed now?
A standardized rehabilitation protocol has not been established for the management of patients following reverse total shoulder arthroplasty. A randomized clinical trial was needed to assess if there were significant differences in range of motion and clinical outcomes between immediate and delayed rehabilitation.
What was the principal research question?
Following reverse total shoulder arthroplasty, were there significant differences in range of motion and clinical outcomes between immediate and delayed rehabilitation protocols, when assessed over a 12-month period?
Population: 89 patients who underwent total shoulder arthroplasty; 49 had completed 6-month follow-up (24 delayed and 25 immediate) and 36 had completed 12-month follow-up at the time of presentation.
Intervention: Delayed Rehabilitation Group: Patients were immobilized using a sling for 6 weeks following the procedure prior to starting physical therapy
Comparison: Immediate Rehabilitation Group: Patients underwent sling immobilization for 1 week then physical therapy focused on active and passive range of motion
Outcomes: Outcomes included the American Shoulder & Elbow Surgeon (ASES) score, range of motion, and adverse events.
Methods: RCT: Double Blind
Time: Follow-up planned for 6 weeks and 3, 6, and 12 months
What were the important findings?
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What should I remember most?
How will this affect the care of my patients?
The authors responsible for this critical appraisal and ACE Report indicate no potential conflicts of interest relating to the content in the original publication.