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    Rehabilitation following shoulder arthroplasty in the United Kingdom National Health Service: A survey of publicly facing information

    Access Status
    Fulltext not available
    Authors
    Littlewood, Chris
    Morgan, Marie
    Pitt, Lisa
    Moffat, Maria
    Edwards, Peter
    Davies, Ronnie
    Peach, Chris
    Date
    2020
    Type
    Journal Article
    
    Metadata
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    Citation
    Littlewood, C. and Morgan, M. and Pitt, L. and Moffat, M. and Edwards, P. and Davies, R. and Peach, C. 2020. Rehabilitation following shoulder arthroplasty in the United Kingdom National Health Service: A survey of publicly facing information. Musculoskeletal care.
    Source Title
    Musculoskeletal care
    DOI
    10.1002/msc.1468
    ISSN
    1478-2189
    Faculty
    Faculty of Health Sciences
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/78865
    Collection
    • Curtin Research Publications
    Abstract

    Introduction: The prevalence of shoulder arthroplasty (SA) is rising, but there is limited research evaluating rehabilitation following SA and whether there is an optimal approach remains unknown. The aim of this study was to understand current National Health Service (NHS) practice for rehabilitation following SA as a platform for conducting much needed further research. Methods: Two reviewers independently undertook electronic searches for publicly available information sheets (PIS) from websites of NHS Trusts that included detail about rehabilitation following SA, for example, duration of immobilisation. One reviewer extracted data, and a second reviewer verified this. Ethical approval: Not required. Results: Forty‐three PIS from 40 Trusts were identified. Twenty‐four referred to more than one type of arthroplasty (anatomic, reverse and hemiarthroplasty) but did not describe different approaches to rehabilitation based on prosthesis type. Twenty‐five PIS provided some instruction regarding movement restrictions, which varied considerably. All PIS referred to postoperative immobilisation, typically with a sling, with median duration of 4 weeks (range 0 to 8). Thirty‐four PIS reported commencing passive exercise immediately. Median time to commencing active exercise was 4 weeks (range 1 to 6) and 5 weeks (range 1 to 16) for resisted exercise. Median time expected to return to driving was 6 weeks (range 3 to 12) and general work 12 weeks (range 3 to 26). Conclusion: This study has highlighted significant heterogeneity between rehabilitation approaches following SA, not previously reported in the United Kingdom, with a lack of specific rehabilitation PIS for different prosthesis types. Our results will facilitate evaluation of rehabilitation strategies in future research.

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