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RecruitingNot ApplicableNCT07309796

Strengthening Exercises for Humeral Head Depressor Muscles

The Effect of Strengthening Exercises for Humeral Head Depressor Muscles on Clinical Outcomes After Reverse Shoulder Arthroplasty

Sponsor

Hacettepe University

Enrollment

27 participants

Start Date

Jan 2, 2026

Study Type

INTERVENTIONAL

Conditions

Reverse Shoulder ArthroplastyDepressor Muscle TrainingShoulder Rehabilitation

Summary

Postoperative rehabilitation after reverse shoulder arthroplasty aims to improve pain control, range of motion, and functional capacity. However, studies examining the effects of strengthening exercises targeting the humeral head depressor muscles are limited. This randomized controlled trial will evaluate the effects of adding a specific strengthening program to standard rehabilitation on pain, range of motion, quality of life, and functional outcomes.

Eligibility

Min Age: 65 YearsMax Age: 90 Years

Inclusion Criteria1

  • Patients scheduled for primary reverse total shoulder arthroplasty Intact teres minor confirmed by physical examination (Hornblower's test) and intraoperative assessment Ability to participate in physiotherapy or a home exercise program

Exclusion Criteria1

  • Active infection Deltoid muscle insufficiency Inability or unwillingness to comply with randomization Prior shoulder arthroplasty on the same side Unwillingness to participate Inability to read or understand written instructions
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Interventions

OTHERConventional Rehabilitation Group

After randomization and baseline assessments, participants will undergo a standard 6-week postoperative shoulder rehabilitation program, consisting of range-of-motion exercises, scapular stabilization training, and progressive strengthening. No additional depressor muscle-specific exercises will be applied.

OTHERDepressor Muscle Strengthening Group

After randomization and baseline assessments, participants will receive a 6-week rehabilitation program consisting of conventional postoperative shoulder rehabilitation combined with a specific strengthening protocol targeting the shoulder depressor muscles.

Locations(1)

Kırşehir Ahi Evran University

Kırşehir, Turkey (Türkiye)

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NCT07309796