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dc.contributor.authorEdwards, Peter
dc.contributor.authorEbert, Jay
dc.contributor.authorLittlewood, Chris
dc.contributor.authorAckland, Tim
dc.contributor.authorWang, Allan
dc.date.accessioned2020-01-13T07:05:01Z
dc.date.available2020-01-13T07:05:01Z
dc.date.issued2018
dc.identifier.citationEdwards, 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.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/77588
dc.identifier.doi10.1177/1758573218812038
dc.description.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.

dc.titleEffectiveness of formal physical therapy following total shoulder arthroplasty: A systematic review
dc.typeJournal Article
dcterms.source.titleShoulder & Elbow
dc.date.updated2020-01-13T07:05:01Z
curtin.departmentSchool of Physiotherapy and Exercise Science
curtin.accessStatusFulltext not available
curtin.facultyFaculty of Health Sciences
curtin.contributor.orcidEdwards, Peter [0000-0003-4032-1346]
curtin.contributor.scopusauthoridEdwards, Peter [55762062100]


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