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what is the purpose of joint replacements?
restore movement at joint
reduce/eliminate pain
repair fractured bones through removal & replacement
if joint is fused will they regain movement?
no
what is total shoulder arthroplasty?
replacement of humeral head and glenoid
what is a reverse total shoulder arthroplasty?
blocks superior translation of humerus that is usually constrained by the RTC
what is hemiarthroplasy or humeral head replacement?
stemmed or resurfacing
precautions for TSR
wks 1-4
no AROM shd IR past 35-40 degrees
no PROM shd ER beyond 30 degrees
could tear subscapularis
no PROM shd flex beyond 120 degrees
no WB for 6-8wks
no lifting more than 2lbs
sling worn at all times
rehabilitative intervention goals
modifications to daily activities
AE
biomechanical intervention goals
exercise and functional activities for endurance, strength, ROM
address integrity of stress-bearing extremities for functional use