Poster Sessions - 2018 Research Day

Event Title

Physical Therapy Management of a 68 Year Old Male Who Underwent Reverse Shoulder Arthroplasty Following a Comminuted Proximal Humeral Neck Fracture: A Case Report

Location

Hall of Governors

Start Date

4-6-2018 4:00 PM

End Date

4-6-2018 5:30 PM

Abstract

Background and Purpose: Reverse shoulder arthroplasty is indicated for an increasing number of conditions, but evidence is limited regarding a post-operative physical therapy protocol for these individuals. The purpose of this retrospective case report is to describe the physical therapy intervention provided for treatment of a patient who received a reverse total shoulder arthroplasty following a proximal humerus fracture.

Case Description: The patient was a 68-year-old male who underwent a right reverse total shoulder arthroplasty after sustaining a comminuted right humeral neck fracture during a fall. The patient presented with limitations in range of motion, strength, upper extremity function and disability.

Outcomes: Patient completed 16 outpatient physical therapy treatment sessions and showed improvements in range of motion, strength, and shoulder function and disability, as demonstrated by improved scores on the QuickDASH.

Discussion: There is limited data supporting the use of any rehabilitation protocol following a reverse total shoulder arthroplasty. The outcomes of this case report suggest that the implementation of a structured physical therapy protocol may be beneficial in improving function for these patients. Further research is warranted with larger sample sizes to evaluate the efficacy of implementing any particular physical therapy protocol for patients following RSA.

Identify Grant

Research was supported by GSU Office of Student Life

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Apr 6th, 4:00 PM Apr 6th, 5:30 PM

Physical Therapy Management of a 68 Year Old Male Who Underwent Reverse Shoulder Arthroplasty Following a Comminuted Proximal Humeral Neck Fracture: A Case Report

Hall of Governors

Background and Purpose: Reverse shoulder arthroplasty is indicated for an increasing number of conditions, but evidence is limited regarding a post-operative physical therapy protocol for these individuals. The purpose of this retrospective case report is to describe the physical therapy intervention provided for treatment of a patient who received a reverse total shoulder arthroplasty following a proximal humerus fracture.

Case Description: The patient was a 68-year-old male who underwent a right reverse total shoulder arthroplasty after sustaining a comminuted right humeral neck fracture during a fall. The patient presented with limitations in range of motion, strength, upper extremity function and disability.

Outcomes: Patient completed 16 outpatient physical therapy treatment sessions and showed improvements in range of motion, strength, and shoulder function and disability, as demonstrated by improved scores on the QuickDASH.

Discussion: There is limited data supporting the use of any rehabilitation protocol following a reverse total shoulder arthroplasty. The outcomes of this case report suggest that the implementation of a structured physical therapy protocol may be beneficial in improving function for these patients. Further research is warranted with larger sample sizes to evaluate the efficacy of implementing any particular physical therapy protocol for patients following RSA.