Home Exercise vs PT for Reverse Total Shoulder Arthroplasty

Completed · Not applicable

Conditions studied: Shoulder Arthritis, Rotator Cuff Tear Arthropathy

In brief

The primary objective of this study is to compare outcomes between formal clinic based physical therapy (PT) rehabilitation and surgeon directed home therapy (HT) after reverse total shoulder arthroplasty (RSA) as measured by pain, range of motion, Single Assessment Numerical Evaluation (SANE), and American Shoulder and Elbow Surgery (ASES) scores at 6 weeks, 3, 6, 12, and 24 months postoperatively. The secondary objective of this study is to determine if PT rehabilitation following RSA is associated with a higher level of postoperative complications, specifically acromial stress fractures or dislocation. This information will be useful to discern if PT is effective in providing pain relief more quickly, as well as improved motion and self-reported functional outcomes following RSA, which can assist surgeons and rehabilitation specialists in designing optimal care plans for this patient population. The project will also help to clarify if PT services place patients who have RSA at higher risk for acromial stress fractures or dislocation.

Key facts

Study ID

NCT03719859

Run by

Rush University Medical Center

People needed

100

Starts

2019-01-22

Expected to finish

2025-12-12

Last updated by the study team

2025-12-22

Who can join

Age: any. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Subjects who have RSA for cuff tear arthropathy, massive irreparable rotator cuff tear with pseudoparalysis, or primary osteoarthritis.

You may not qualify if…

• Subjects who have a non-reverse total shoulder arthroplasty, RSA for fracture, tendon transfers as part of RSA, and revision RSA
• Subjects who had RSA and require discharge to skilled nursing facility, in-patient rehabilitation placement, or use of home health therapy prior to progressing in recovery
• Subjects who cannot speak, read, or write the English language
• Subjects who have cognitive deficits limiting ability to follow directions
• Subjects who have inability to attend physical therapy (i.e. transportation or financial limitations)

Where it is running

• Western Orthopaedics — Denver, Colorado, United States
• Medstar Georgetown University Hospital — Washington D.C., District of Columbia, United States
• Rush University Medical Center — Chicago, Illinois, United States
• Centers for Advanced Orthopaedics — Leonardtown, Maryland, United States
• New England Baptist Hospital — Dedham, Massachusetts, United States
• University Hospitals Cleveland Medical Center — Cleveland, Ohio, United States
• Anderson Orthopedic Clinic — Arlington, Virginia, United States

Full record on ClinicalTrials.gov

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