Shoulder Joint Replacement Review

This set of flashcards covers key concepts and terms related to shoulder joint replacement, intervention strategies, and therapeutic exercises based on the provided lecture notes.

What are the major shoulder joints involved in anatomy?

Glenohumeral, Acromioclavicular, Sternoclavicular, Scapulothoracic.

What is hemiarthroplasty?

Humeral head replacement.

What does Total Shoulder Arthroplasty (TSA) involve?

Replacement of the entire shoulder joint.

What is Reverse Total Shoulder Arthroplasty (RTSA)?

A procedure that resurfaces just the head of the humerus and stabilizes it, often used in cases with arthritis and a deficient rotator cuff.

What are common indications for shoulder replacement surgery?

Humeral fractures, osteoarthritis, and rotator cuff deficiencies.

What is the initial stage of OT intervention post-shoulder replacement?

Immobilization, typically using a sling for 3-4 weeks.

What are some precautions for the first 6-8 weeks post-TSA?

No lifting more than 2 pounds, and avoid specific shoulder movements beyond prescribed limits.

What is PROM in the context of shoulder rehabilitation?

Passive Range of Motion, controlled by external forces.

What is an AAROM exercise?

Active Assisted Range of Motion, where the patient moves the joint with assistance.

What does a patient typically do on POD #1 post-shoulder surgery?

AROM of uninvolved joints and edema management.

What are Codman's exercises?

Gentle pendulum movements to promote shoulder mobility.

How should patients progress their shoulder exercises from 2-4 weeks post-surgery?

Progression of shoulder PROM, including table top slides and dowel exercises.

At what point can light strengthening exercises typically begin after shoulder surgery?

Around 6-12 weeks post-operation.

What is the importance of ADL techniques in OT intervention after shoulder surgery?

To engage the patient in meaningful activities while providing adaptations for function.

What are considerations for a Home Exercise Program (HEP)?

Realistic goals, clear communication, and ensuring patient understanding through demonstrations.

What is involved in the therapeutic exercise vs. activity distinction?

Exercise focuses on strength and flexibility; activity focuses on functional tasks.

What aids in improving muscle strength post-shoulder surgery?

High load, fewer repetitions, and gradually increasing resistance.

What is key for improving muscle endurance in therapy?

Low load, high repetition over extended time.

What does the term 'tenodesis' refer to in the context of rehabilitation?

Using wrist positioning to allow for functional grasp without active finger movement.

Why is patient education important in rehabilitation?

It empowers patients to engage actively in their recovery and facilitates adherence to the program.

What types of devices are used to support weak upper extremities?

Static and dynamic arm supports.

What is the goal of mobile arm support?

Compensate for weakness and improve the function of arm movements.

How does robotic-assisted therapy aid in rehabilitation?

Provides intensive, repetitive movements to improve motor function.

What assessment is crucial before selecting a mobile arm support?

Patient's goals, motivation, and physical abilities.

What are common barriers to using mobile arm supports?

Aesthetics, wheelchair width, weight and cost.