post op TSA

Question 1

purpose of glenohumeral arthroplasty

Answer 1

relieve pain

improve shoulder mob and stab

restore or improve strength and function

Question 2

total shoulder arthroplasty

Answer 2

TSA - glenoid labrum and HH replaced

Question 3

hemireplacement arthroplasty

Answer 3

humeral head replaced

Question 4

reversed total shoulder arthroplasty

Answer 4

rTSA - rot cuff integrity is compromised

Question 5

poss of immob post TSA in supine

Answer 5

immob in sling
- elbow flex 90°
- FA and hand on abdomen

arm supp at elbow on pillow or folded blanket
- shoulder flexion 10-20°
- slight abd
- IR
- head of bed elevated about 30°

Question 6

poss of immob post TSA in sitting

Answer 6

arm in sling resting on pillow, lap or arm rest

Question 7

poss of immob post TSA in rot cuff repair

Answer 7

abduction splint

Question 8

management in max prot phase for TSA

Answer 8

sling or splint
cryo

AROM of spine and scap, hand, wrist and elbow
shoulder roll

muscle setting except IR
postpone isom until 4-6 wks post
scap stab in NWB

PROM - AAROm
- ER < 30-45°
- pendulum
- self rom
- AROM at 4 wks

functional activity c elbow at waist level

maintain correct posture

Question 9

criteria to progress to mod prot phase for TSA

Answer 9

PROM
- 90° elevation
- at least 45° ER
- 70* IR

no pain on resisted isom of subscap

can perform most wait level activities

tolerance of AARO and isoms

Question 10

management in mod prot phase for TSA

Answer 10

low intensity pain free strentching

gentle PJM

AROM in anti gravity
scap and GH stab in minimal WB

dynamic resistance - 0-90° shoulder elevation

Question 11

criteria to progress to min prot phase for TSA

Answer 11

full PROM-AAROM
- 130-140° flexion
- 120° abd
- 60° ER
- 70° IR
- 100° scaption

4/5 rott cuff and deltoid

Question 12

management in min prot phase for TSA

Answer 12

starts 12-16 wks

end range stretching - gr 3
self mob

PRE - closed chain, resisted
FA - lifting, carrying, pusing and pulling

specificty drills