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Updated: Feb 5, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Rehabilitation Strategies After Shoulder Arthroplasty in Young and Active Patients
Devon T Brameier1, Alicia Hirscht2, Marc S Kowalsky1
1The ONS Sports and Shoulder Service, Orthopaedic and Neurosurgery Specialists (ONS), The ONS Foundation for Clinical Research and Education (ONSF), 6 Greenwich Office Park, 40 Valley Drive, Greenwich, CT 06831, USA.
Abstract:
A well-designed and sensibly progressed rehabilitation program is vital to successful shoulder arthroplasty outcomes. This article describes the protocol suggested by ONS clinicians to treat the growing young, active patient population undergoing anatomic shoulder arthroplasty. This protocol includes an immediate postoperative phase, early strengthening phase, resistance strengthening and proprioception phase, and advanced sport-specific and goal-specific strengthening and proprioception phase. These patients may progress more quickly than older patients and require more challenging exercises aimed at regaining strength and mobility for activity, thus this protocol emphasizes incorporating full-body training to prevent undue stress on the repair on return to activity.
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