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Updated: Jan 17, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Challenges with sling use following shoulder surgery: the patients' perspective
Tom C Galetti1, Mihir M Sheth2, George C Branche2
1University of California, Berkeley, Berkeley, CA, USA.
Patients undergoing shoulder surgery face significant challenges with daily activities like sleeping, bathing, and dressing while immobilized in a sling. Most patients require assistance for approximately two weeks to regain independence in these essential activities.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Patient Outcomes
Background:
- Shoulder surgery often necessitates immobilization in a sling.
- Post-operative challenges impact patient quality of life and recovery.
Purpose of the Study:
- To survey patients after shoulder surgery about challenges faced during sling immobilization.
- To identify coping mechanisms and improve future patient care and satisfaction.
Main Methods:
- Retrospective survey administered 3 months post-surgery.
- Patients detailed difficulties with activities of daily living (ADLs) and assistance needs.
- Quantitative and qualitative data analyzed with unpaired, two-tailed T-test.
Main Results:
- Sleeping, bathing, and dressing were the most challenging ADLs.
- 84.5% experienced sleep difficulties for an average of 6.5 weeks.
- Significant assistance was required for bathing (51.8%), drying (47.5%), and dressing (71.1%), with recovery taking 10.5-14.8 days.
Conclusions:
- Immobilization significantly impacts ADLs, particularly sleep and personal hygiene.
- An adaptation period of approximately 2 weeks is needed for patients to regain independence in bathing, drying, and dressing.
- Informing patients about post-operative challenges can manage expectations and potentially improve outcomes.
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