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Rehabilitation after total shoulder arthroplasty

Publication at First Faculty of Medicine |
2015

Abstract

Rehabilitation after total shoulder arthroplasty is a process that starts early after surgery and must continue in the long term. A properly designed rehabilitation programme with expert oversight is a key factor, which has to be primarily defined by the surgeon who performed the arthroplasty.

It is an integral part of the overall treatment of joint damage and it is a prerequisite for achieving a good result. The process of rehabilitation in cases of using a prosthetic joint differs for various indications and for reverse prosthetic, especially in how active exercise is scheduled.

The physiotherapist who performs each exercise must be specifically trained in this area. Errors in intensity and detail of the technique of the exercises can lead to dislocation of the reverse implant, to instability or failure of the reconstruction of the rotator cuff.

Throughout the exercises, it is necessary to emphasize control and healthy movement patterns in the implementation of each exercise.