Clinical Trial Finder

Inclusion Criteria:

• - > 55 years of age.

• - Candidate for a primary reverse total shoulder arthroplasty.

• - Capable of completing self-administered questionnaires.

• - Be willing and able to return for all study-related follow-up procedures.

• - Able and willing to give informed consent.

• - Proficient in the English language.

Exclusion Criteria:

In-Clinic:

• - Patients planning on undergoing a Primary Reverse Shoulder Total Arthroplasty due to proximal humeral fracture.

• - Previous shoulder surgery including previous total shoulder arthroplasty or reverse total shoulder arthroplasty or hemiarthroplasty, or instability repairs.

• - Active bacterial infection of the shoulder.

• - Any concomitant shoulder procedure.

• - Additional ipsilateral or contralateral upper limb pathology that requires active treatment (i.e. surgery or brace).

• - Inflammatory arthropathy.

• - Diagnosed with Rheumatoid arthritis.

• - Diagnosed with gout.

• - Subject is on chronic anticoagulation due to a bleeding disorder or has taken anticoagulants within 10 days prior to surgery.

• - Peripheral vascular disease or other vascular disorders that would impair healing.

• - Peripheral neuropathy or other neurological disorders that may impair the patient to ambulate.

• - Patient is on workers compensation.

• - Any condition requiring chemotherapy.

• - Active tobacco user or former tobacco user who is not free of using tobacco for 8 weeks.

• - Uncontrolled Diabetes Mellitus with an HbA1C > 7.5%.

• - Current drug or alcohol abuse.

• - Major medical illness (life expectancy less then 2 years or unacceptably high operative risk) - Suspicion of cervical radiculopathy or myelopathy.

• - Deltoid insufficiency on physical examination.

Intra-operative: • Iatrogenic glenoid fracture. Post-operative:

• - Neurological injury of the upper extremity.

• - Complications from Primary Reverse Shoulder Total Arthroplasty (i.e. post-operative infection, bleeding, hardware failure).

Arms

Experimental: Immediate Active Shoulder Rehabilitation

Active Comparator: Traditional Should Rehabilitation

Interventions

Other: - Rehabilitiation

This study will be a non-blinded randomized controlled outcomes study evaluating outcomes at baseline, 2 weeks, 6 weeks, 3 months, 6 months, and 1 year post-operatively from a primary reverse total shoulder arthroplasty with two different post-operative physical rehabilitation protocols. There will be 2 groups, one undergoing the immediate active shoulder physical therapy protocol consisting of four quadrant stretches and full active motion of the shoulder from post op day 1 in the hospital. The second group will follow the traditional TRIA physical therapy protocol consisting of PT (standard of care) followed by a gradual return to active range of motion of the shoulder beginning by week 6, calling for 18 physical therapy visits. The physical therapy will occur where the patient is most comfortable receiving it.