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Does Undergoing a Prehabilitation Protocol Aimed at Optimizing Scapulothoracic Mobility and Strengthening Improve Internal Rotation After Reverse Shoulder Arthroplasty?

Recruitingn/aAges 40 Years - 80 YearsAllUniversity of Florida
NCT07145957 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Difficulty with internal rotation (IR) after reverse shoulder arthroplasty (RSA) is common. Current rehabilitation protocols may not optimize IR. The investigator's objective is to assess the impact of prehabilitation focused on IR strengthening and mobility on RSA outcomes. The investigators will perform a prospective, randomized control trial to achieve the specific aim: assessing range of motion, strength, patient-reported outcomes, and activities of daily living requiring internal rotation between control and prehabilitation cohorts, with the prehabilitation patients receiving 6 weeks of treatment.

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📋 Eligibility rules (as published)
Inclusion Criteria: • Patients aged 40-80 * Undergoing primary RSA for glenohumeral osteoarthritis or rotator cuff arthropathy * Must be able to read and speak English * Willing and able to attend a monthly therapy session and perform exercises at home for a minimum of 6 weeks before surgery * Willing and able to participate in postoperative monitoring for a minimum of 2 years Exclusion Criteria: * Patients under the age of 40 and over the age of 80. * Diagnosis of septic shoulder, fracture, or fracture sequelae, or tumor pathology of the ipsilateral shoulder * Pre-existing hand, wrist, or elbow pathology that limits elbow flexion or extension, or forearm pronation or supination * Planned to undergo synchronous procedure of the involved extremity (e.g., synchronous RSA and carpal tunnel release) * Tendon transfer (e.g., Latissimus dorsi transfer) performed intraoperatively * Patients without access to phone or email communication for at least 2 years after treatment * Revision shoulder arthroplasty
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What it tests

  • Prehabilitation
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Where

1 site
University of Florida Department of Orthopaedics and Rehabilitation
Gainesville, United States
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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