[Physical therapy after shoulder arthroplasty.]

A properly conducted rehabilitation of the shoulder after arthroplasty is an inseparable part of the total treatment and is a prerequisite for the achievement of a good functional result. It is suitable to begin with the exercises within 48 hours after the surgery. The initial mobilization of the joint and decompression of the subacromial space the passive motion of the shoulder is exercised. Later the passive exercise is followed by active training aimed at the strengthening of the muscles of the shoulder girdle.The rehabilitation programme has to be tailored to individual patients and controlled by the surgeon who is the only one who can evaluate the condition of the musculoskeletal apparatus of the shoulder, the stability of the fixation of fragments or suture of the rotator cuff. During the whole period of exercising it is necessary to emphasize and check the proper movement stereotype during each exercise session. The same rehabilitation programme may be applied not only in after shoulder arthroplasty but also after anatomical or non-anatomical reconstruction of proximal humerus. Key words: rehabilitation, shoulder arthroplasty.