Samenvatting

Introduction: the purpose of this study was to examine wath the best evidence-based physical therapy treatment following reversed total shoulder arthroplasty is.
Method: A systematic search to relevant scientific articles has been held in Pubmed, Cinahl and PEDro to articles concerning rTSA with the mention of a physiotherapeutic postoperative protocol and articles concerning physiotherapeutic rehabilitation following TSA or hemiartroplasty.
Results: 9 articles on rTSA were found and the protocol found in these articles shows a build up from passive range of motion typically starting with pendulum exercises in week 2 or 6 to active range of motion from week 12. On TSA 4 articles were found which follow a protocol consistent of four phases. Starting with passive range of motion followed by active-assisted range of motion and isometric exercises to active range of motion and strength exercises.
Conclusion: The best evidence-based rehabilitation protocol seems to be a program divided in phases starting with passive range of motion on to active-assisted range of motion to active range of motion and in the last step strength-training. Mostly this protocol starts in the first week postoperatively but it might be started as late as week 6.
Search terms: arthritis; shoulder; arthroplasty; prothesis; replacement; inverse; reverse; physical therapy; rehabilitation