Edwards, PK, Ebert, JR, Littlewood, C, Ackland, T and Wang, A (2018) Effectiveness of formal physical therapy following total shoulder arthroplasty: a systematic review. Shoulder and Elbow. ISSN 1758-5732 (In Press)

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Abstract

Background: Physical therapy is considered routine practice following total shoulder arthroplasty (TSA). 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 TSA physical therapy programmes with a view to inform current clinical practice, as well 31 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 TSA procedures.

Discussion: Restoring ROM and strength following TSA 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 TSAs, especially reverse TSA, there is an urgent need for high-quality, adequately powered RCTs to determine the effectiveness of rehabilitation programmes following these surgeries.

Item Type: Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine and Health Sciences > Primary Care Health Sciences
Depositing User: Symplectic
Date Deposited: 11 Oct 2018 14:03
Last Modified: 11 Oct 2018 14:05
URI: http://eprints.keele.ac.uk/id/eprint/5421

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