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See Latest ArticlesIs a formal physical therapy program necessary after total shoulder arthroplasty for osteoarthritis
Journal of Shoulder and Elbow Surgery, 10/07/09
Mulieri PJ et al. –A home-based, physician-guided therapy program may provide adequate rehabilitation after TSA, allowing for a reduction in cost for the overall procedure.
Methods- Group A (43 patients) had standard PT program
- Group B (38 patients) had home-based, physician-guided PT program
- Clinical outcomes (preoperatively, 3, 6, and 12 months and most recent follow-up) analyzed
- Minimum sample size of 31 patients gives power to detect 10-point American Shoulder and Elbow Surgeons (ASES) score
- ASES and Simple Shoulder Test (SST) scores significantly improved in both groups at all follow-up periods
- Forward flexion and abduction significantly improved in group B all time points, whereas an initial improvement in forward flexion and abduction in group A lost at final follow-up
- No significant differences in final ASES or SST
- Forward flexion, abduction, and the Short Form-36 physical component summary in group B significantly better than group A at final follow-up
- No significant improvements in internal rotation or SF-36 mental component summary seen within or between the groups at final follow-up
- No difference in patient satisfaction, with 88% satisfaction in group A and 95% satisfaction in group B
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