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    Effectiveness of formal physical therapy following total shoulder arthroplasty: A systematic review

    Access Status
    Fulltext not available
    Authors
    Edwards, Peter
    Ebert, Jay
    Littlewood, Chris
    Ackland, Tim
    Wang, Allan
    Date
    2018
    Type
    Journal Article
    
    Metadata
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    Citation
    Edwards, P. and Ebert, J. and Littlewood, C. and Ackland, T. and Wang, A. 2018. Effectiveness of formal physical therapy following total shoulder arthroplasty: A systematic review. Shoulder & Elbow.
    Source Title
    Shoulder & Elbow
    DOI
    10.1177/1758573218812038
    Faculty
    Faculty of Health Sciences
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/77588
    Collection
    • Curtin Research Publications
    Abstract

    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.

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