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radial head post op

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Post-Operative Therapy Total Shoulder Arthroplasty

Note: This pathway is designed to serve as a guide to rehabilitation. Indications for progression should be based on patient’s complete operative procedure, functional capacity and response to treatment.

Rehabilitation Phase | Phase 1 – Protective | Post-Operative Weeks 0-6

Goals: Decrease pain and inflammation, gradually increase PROM, prevention of muscular inhibition and associated suite atrophy.

General Precautions

Range of Motion

Therapeutic Exercises

Modalities

Criteria for Progression: Non-painful PROM, within prescribed guidelines.

Rehabilitation Phase | Phase 2-Early Strengthening | Post-Operative Weeks 6-12

Goals: Decrease pain and inflammation and avoid overuse injuries, normalize strength and AROM, increase function capacity for daily activities. At 6 weeks, PROM should be equal to pre-op level.

Range of Motion

Therapeutic Exercises

Modalities: continue PRN to control pain and inflammation

Criteria for Progression: Non-painful PROM, within prescribed guidelines.

Rehabilitation Phase | Phase 3 | Post-Operative Weeks 12+

Goals: facilitate continued gradual return to functional activity, normalized shoulder strength and AROM, control localized pain and inflammation, enhance neuromuscular control.

Therapeutic Exercise:

Discharge Criteria

If shoulder is RC deficient, focus on increased stability and decreased mobility

Return to Functional Activity – use as a guide, as progress allows: