Effectiveness of formal physical therapy following total shoulder arthroplasty: A systematic review
Background: Physical therapy is considered routine practice following total shoulder arthroplasty. To date, current regimens are based on clinical opinion, with evidence-based recommendations. The aim of this systematic review was to evaluate the effectiveness of total shoulder arthroplasty physical...
| Main Authors: | , , , , |
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| Format: | Journal Article |
| Published: |
2018
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| Online Access: | http://hdl.handle.net/20.500.11937/77588 |
| _version_ | 1848763869079535616 |
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| author | Edwards, Peter Ebert, Jay Littlewood, Chris Ackland, Tim Wang, Allan |
| author_facet | Edwards, Peter Ebert, Jay Littlewood, Chris Ackland, Tim Wang, Allan |
| author_sort | Edwards, Peter |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background: Physical therapy is considered routine practice following total shoulder arthroplasty. To date, current regimens are based on clinical opinion, with evidence-based recommendations. The aim of this systematic review was to evaluate the effectiveness of total shoulder arthroplasty physical therapy programmes with a view to inform current clinical practice, as well as to develop a platform upon which future research might be conducted. Methods: An electronic search of MEDLINE, EMBASE, CINAHL and Cochrane Library to March 2018 was complemented by hand and citation-searching. Studies were selected in relation to pre-defined criteria. A narrative synthesis was undertaken. Results: A total of 506 papers were identified in the electronic database search, with only one study showing moderate evidence of early physical therapy promoting a more rapid return of short-term improvement in function and pain. No studies evaluated the effectiveness of physical therapy programmes in reverse total shoulder arthroplasty procedures. Discussion: Restoring range of motion and strength following total shoulder arthroplasty is considered important for patients to obtain a good outcome post-surgery and, when applied early, may offer more rapid recovery. Given the rising incidence of total shoulder arthroplasties, especially reverse total shoulder arthroplasty, there is an urgent need for high-quality, adequately powered randomised controlled trials to determine the effectiveness of rehabilitation programmes following these surgeries. |
| first_indexed | 2025-11-14T11:10:18Z |
| format | Journal Article |
| id | curtin-20.500.11937-77588 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T11:10:18Z |
| publishDate | 2018 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-775882020-04-07T08:14:06Z Effectiveness of formal physical therapy following total shoulder arthroplasty: A systematic review Edwards, Peter Ebert, Jay Littlewood, Chris Ackland, Tim Wang, Allan Background: Physical therapy is considered routine practice following total shoulder arthroplasty. To date, current regimens are based on clinical opinion, with evidence-based recommendations. The aim of this systematic review was to evaluate the effectiveness of total shoulder arthroplasty physical therapy programmes with a view to inform current clinical practice, as well as to develop a platform upon which future research might be conducted. Methods: An electronic search of MEDLINE, EMBASE, CINAHL and Cochrane Library to March 2018 was complemented by hand and citation-searching. Studies were selected in relation to pre-defined criteria. A narrative synthesis was undertaken. Results: A total of 506 papers were identified in the electronic database search, with only one study showing moderate evidence of early physical therapy promoting a more rapid return of short-term improvement in function and pain. No studies evaluated the effectiveness of physical therapy programmes in reverse total shoulder arthroplasty procedures. Discussion: Restoring range of motion and strength following total shoulder arthroplasty is considered important for patients to obtain a good outcome post-surgery and, when applied early, may offer more rapid recovery. Given the rising incidence of total shoulder arthroplasties, especially reverse total shoulder arthroplasty, there is an urgent need for high-quality, adequately powered randomised controlled trials to determine the effectiveness of rehabilitation programmes following these surgeries. 2018 Journal Article http://hdl.handle.net/20.500.11937/77588 10.1177/1758573218812038 restricted |
| spellingShingle | Edwards, Peter Ebert, Jay Littlewood, Chris Ackland, Tim Wang, Allan Effectiveness of formal physical therapy following total shoulder arthroplasty: A systematic review |
| title | Effectiveness of formal physical therapy following total shoulder arthroplasty: A systematic review |
| title_full | Effectiveness of formal physical therapy following total shoulder arthroplasty: A systematic review |
| title_fullStr | Effectiveness of formal physical therapy following total shoulder arthroplasty: A systematic review |
| title_full_unstemmed | Effectiveness of formal physical therapy following total shoulder arthroplasty: A systematic review |
| title_short | Effectiveness of formal physical therapy following total shoulder arthroplasty: A systematic review |
| title_sort | effectiveness of formal physical therapy following total shoulder arthroplasty: a systematic review |
| url | http://hdl.handle.net/20.500.11937/77588 |