Rehabilitation after Shoulder Arthroplasty

Substantial variation exists in total shoulder arthroplasty rehabilitation protocols. Considerations for rehabilitation should include the surgical setting, type of instrumentation used, and the need for protection of a subscapularis repair postoperatively. In general, 4 phases, including (1) initial postoperative immobilization and soft tissue protection, (2) initiation of range of motion exercises at 6 weeks postoperatively, (3) progressive strengthening exercises at 3 months postoperatively, and (4) progressive return to activities following 3 months postoperatively, are employed. Future studies directed at refining the optimal protocols for immobilization, subscapularis repair protection, and range of motion and strengthening are warranted.