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

Conditions

• Primary Reverse Total Shoulder Arthroplasty

Eligibility Criteria

Sex

ALL

Age

40 Years - 80 Years

Healthy Volunteers

Accepted

Interventions

• Prehabilitation — OTHER
  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.

Study Details

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.

Key Dates

Start date

Nov 6, 2025

Status verified

Jan 2026

Primary completion

Sep 1, 2028

Completion

Sep 1, 2028

Study Design

Enrollment

64 participants (estimated)

Arms

• Arm: treatment (IRTx)
  IRTx group to complete the preoperative rehabilitation program
• Arm: control (COS)

Primary Outcome Measure

Activities of Daily Living which require Internal Rotation (ADLIR) questionnaire [ Time Frame: 6-8 Weeks pre surgery, 2 Weeks pre surgery, and 12 weeks, 6 months, 1 year, 2 years post surgery ]

Central Contacts

• Jonathan Wright, MD
  (352) 273-7374
  [email protected]
• Aimee Struk, MEd
  (352) 273-7419
  [email protected]

Locations (1)

Find similar trials in Gainesville, FL