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Postop Rehabilitation in rTSA

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Reverse Shoulder Arthroplasty

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Abstract

This paper is focused on the explanation of the key points for a reasoned postop rehabilitation of the shoulders treated with a reverse total shoulder prosthesis (rTSA).

Initially, focus is done on the indications for this type of surgery, on one hand pointing the attention to the clinical motivation that compels the surgeon to offer this solution to his patient and on the other hand the motivation for the patients to accept such radical surgery proposed by the surgeon.

Specific attention is paid to explaining the relevance of a deep, thorough, and correct information for the patient about the postop functionality of the arm to match the expectations with the obtainable goals.

Subsequently, focus is on the biomechanical constraints of a rTSA, that on one hand can limit the use of the, representing a reason of dissatisfaction of the patient, and on the other hand and that can shape the rehabilitation process.

The third and final part of the chapter is dedicated to the guidelines for a reasoned rehabilitation process, dividing the approach in between acute, post-acute, intermediate, and final phase depending on a time scale from the surgery, tissues healing, based on tissue healing.

This part of the chapter is devoted to explaining to therapists not each specific exercise but the strategic line for a safe and effective rehabilitation depending from the timeline of the surgery.

The paper is aimed at soliciting the therapist for a deep interchange of information with the surgeon as well as for a deep comprehension of the key points of the rTSA surgery. These elements are crucial to be able to adopt the correct rehabilitation strategies for each patient in order to provide the most safe and effective guidance of the rehabilitation process.

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Author information

Authors and Affiliations

  1. HumanPerformance & Rehabilitation Lab, MedSport, Como, Varese, Italy

    Marco Conti

  2. Private Practice Office & Castagna Shoulder Team, Milan, Italy

    Valentina Spunton & Roberto Fenini

Authors
  1. Marco Conti
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  2. Valentina Spunton
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  3. Roberto Fenini
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Editor information

Editors and Affiliations

  1. Department of Orthopaedics and Traumatology, Sapienza University of Rome, Rome, Italy

    Stefano Gumina

  2. Department of Orthopaedics and Traumatology, University of East Piedmont, Hospital “Maggiore della Carità”, Novara, Italy

    Federico Alberto Grassi

  3. Department of Shoulder and Elbow Surgery, Ospedale Cervesi di Cattolica, Cattolica, Italy

    Paolo Paladini

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Conti, M., Spunton, V., Fenini, R. (2019). Postop Rehabilitation in rTSA. In: Gumina, S., Grassi, F., Paladini, P. (eds) Reverse Shoulder Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-97743-0_31

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  • DOI: https://doi.org/10.1007/978-3-319-97743-0_31

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-97742-3

  • Online ISBN: 978-3-319-97743-0

  • eBook Packages: MedicineMedicine (R0)

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