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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
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Europa Medicophysica 1998 June;34(2):65-73

Copyright © 1998 EDIZIONI MINERVA MEDICA

lingua: Inglese

Rehabilitation after shoulder arthroplasty

Caniggia M. 1, Fornara P. 1, Franci M. 1, Picinotti A. 1, Popolizio A. 2

1 Orthopaedics and Traumatology Institute, University of Siena, Italy;
2 Orthopaedic Rehabilitation “C. Gnocchi” Foundation, Pozzolatico, Firenze, Italy


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Shoulder replacement is one of the most important surgical advance in the treatment of degenerative or traumatic diseases to be made over the last fifty years. The choice of prosthesis is based on the condition of the articular surfaces and the anatomical and functional status of the rotator cuff. Endoprosthesis is indicated when the glenoid surface is not involved in the disease process, or when the bone stock is too severely depleted to support the prosthesic component. Total shoulder arthroplasty is indicated in patients with degeneration of the articular surfaces, adequate osseous support of the glenoid, and an undamaged functional rotator cuff. Shoulder arthroplasty must be followed by a correctly implemented rehabilitation programme that can be adapted to suit the type of surgical intervention and the underlying disease. Range of motion is increased by gradual mobilization; beginning with passive exercise, then progressing to assisted and finally active exercises. Thereafter, strengthening exercises are initiated. Neuromuscular coordination is re-established through proprioceptive exercises. Physical therapy in water and isokinetic assessment complete the programme.

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