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reverse shoulder arthroplasty (RSA) primarily due to rotator cuff arthropathy. Deltoid function and periscapular strength become primary sources of shoulder mobility and stability.
Reverse or Inverse Total Shoulder Arthroplasty (rTSA) is designed primarily for the treatment of glenohumeral (GH) arthritis when associated with an irreparable rotator cuff.
Reverse total shoulder arthroplasty is indicated for patients who have continued pain and loss of function in the presence of advanced joint pathology and have failed conservative measures. The procedure involves replacing the head of the humerus and resurfacing the glenoid fossa while switching their positions in the shoulder.
Reverse Total Shoulder Arthroplasty Rehabilitation Protocol . Physical therapy after a reverse total shoulder arthroplasty (R-TSA) should begin within the first week following surgery. Physical therapy should be 23 time per week through 12 weeks post- -operatively. Phase 1: (post-operative-2 weeks) Goals
PHYSICAL THERAPY PROTOCOL AFTER REVERSE TOTAL SHOULDER ARTHROPLASTY: The intent of this protocol is to provide our patients with a guideline for their postoperative rehabilitation program following a reverse shoulder arthroplasty. This guideline offers a supplement to formal physical therapy.
For the reverse total shoulder arthroplasty, two unique precautions should be carefully observed: » Extension with an axial load (pushing up from a chair) — lifetime restriction. » End range IR and adduction with extension (tucking in a shirt, toilet hygiene) for 12 weeks.
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