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RecruitingNCT07145957

Does Undergoing a Prehabilitation Protocol Aimed at Optimizing Scapulothoracic Mobility and Strengthening Improve Internal Rotation After Reverse Shoulder Arthroplasty?

Does Undergoing a Prehabilitation Protocol Aimed at Optimizing Scapulothoracic Mobility and Strengthening Improve Internal Rotation After Reverse Shoulder Arthroplasty? A Randomized Controlled Trial

Sponsor

University of Florida

Enrollment

64 participants

Start Date

Nov 6, 2025

Study Type

OBSERVATIONAL

Conditions

Primary Reverse Total Shoulder Arthroplasty

Summary

Difficulty with internal rotation (IR) after reverse shoulder arthroplasty (RSA) is common. Current rehabilitation protocols may not optimize IR. The investigator's objective is to assess the impact of prehabilitation focused on IR strengthening and mobility on RSA outcomes. The investigators will perform a prospective, randomized control trial to achieve the specific aim: assessing range of motion, strength, patient-reported outcomes, and activities of daily living requiring internal rotation between control and prehabilitation cohorts, with the prehabilitation patients receiving 6 weeks of treatment.

Eligibility

Min Age: 40 YearsMax Age: 80 Years

Inclusion Criteria4

  • Undergoing primary RSA for glenohumeral osteoarthritis or rotator cuff arthropathy
  • Must be able to read and speak English
  • Willing and able to attend a monthly therapy session and perform exercises at home for a minimum of 6 weeks before surgery
  • Willing and able to participate in postoperative monitoring for a minimum of 2 years

Exclusion Criteria7

  • Patients under the age of 40 and over the age of 80.
  • Diagnosis of septic shoulder, fracture, or fracture sequelae, or tumor pathology of the ipsilateral shoulder
  • Pre-existing hand, wrist, or elbow pathology that limits elbow flexion or extension, or forearm pronation or supination
  • Planned to undergo synchronous procedure of the involved extremity (e.g., synchronous RSA and carpal tunnel release)
  • Tendon transfer (e.g., Latissimus dorsi transfer) performed intraoperatively
  • Patients without access to phone or email communication for at least 2 years after treatment
  • Revision shoulder arthroplasty
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Interventions

OTHERPrehabilitation

subjects randomized to the IRTx cohort will also be instructed by a Physical or Occupational Therapist to perform the exercises described in the RSA IR Prehab Exercise Protocol handout, 5-7 times per week for 6 weeks.

Locations(1)

University of Florida Department of Orthopaedics and Rehabilitation

Gainesville, Florida, United States

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NCT07145957