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Related Experiment Video

Updated: Mar 9, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

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Patient-Reported and Objectively Measured Function Before and After Reverse Shoulder Arthroplasty.

Wendy J Hurd1, Melissa M Morrow, Emily J Miller

  • 1Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.

Journal of Geriatric Physical Therapy (2001)
|January 7, 2017
PubMed
Summary

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Reverse shoulder arthroplasty (RSA) improves patient-reported pain and function. However, objectively measured upper extremity limb activity did not change one year post-surgery, indicating a disconnect in outcomes after RSA.

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Rehabilitation Medicine

Background:

  • Assessing functional outcomes after reverse shoulder arthroplasty (RSA) is crucial for patient care.
  • The relationship between self-reported and objectively measured outcomes after RSA requires further investigation.
  • Wearable devices offer a novel method for objectively quantifying upper extremity limb activity post-surgery.

Purpose of the Study:

  • To evaluate changes in pain, self-reported function, and objectively measured limb activity following RSA.
  • To assess the influence of pain on self-reported function and objectively measured limb activity after RSA.

Main Methods:

  • Prospective, repeated-measures design with 14 patients undergoing RSA.
  • Data collection at pre-surgery, 2 months, and 12 months post-surgery.

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Last Updated: Mar 9, 2026

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  • Utilized patient-reported outcomes (pain, DASH, PCS) and triaxial accelerometer data for limb activity.

    • Main Results:

    • Significant improvements in patient-reported pain, DASH, and PCS scores post-surgery (P < .01).
    • No significant changes in objectively measured limb activity (mean, inactivity, low, high) at 1 year compared to pre-surgery.
    • A correlation between pain and DASH scores was observed at 1 year post-surgery (P = .04), but not pre-surgery or at 2 months.

    Conclusions:

    • RSA effectively reduces pain and improves patient-perceived function.
    • Objectively measured upper extremity limb activity remains unchanged one year after RSA compared to preoperative levels.
    • Pain influences self-reported function at one year, but not objectively measured limb activity.