Successful Outcomes Achieved Via Web-based, Home Program after Total Shoulder Arthroplasty

Document Type : RESEARCH PAPER


The Rothman Institute at Thomas Jefferson University, Philadelphia, PA, USA


Background: The primary goals of total shoulder arthroplasty (TSA) are to relieve pain, improve range of motion,
and restore function. Physical therapy is commonly used to help achieve these goals. Recent evidence has pointed
to the success and safety of a purely physician-guided, home-based or internet-based, program versus the traditional
therapist guided program.
The purpose of this study was to evaluate outcomes of TSA in patients using a web-based, home therapy program.
Methods: A retrospective review was performed of TSA patients who were given the option of using a web-based,
home therapy program. Functional outcomes were collected preoperatively, 6-month, and 12-month post-operative
examinations. Physical examination parameters were recorded at preoperative, 3-month, 6-month, and 12-month timepoints.
Results: Forty-seven patients used the web-based, home therapy program and had complete follow-up data at all
time intervals. All mean range of motion parameters and functional scores improved significantly from preoperatively to
postoperatively. There was one reported complication in a patient who sustained a subscapularis rupture and underwent
subsequent open repair at 10 months postoperatively.
Conclusion: This study demonstrates successful improvements in range of motion and functional outcomes in a
subset of patients who utilized an online therapy program after TSA. Future study will be necessary to directly compare
results in patients enrolled in formal, outpatient therapy programs and to determine barriers to utilization of web-based
therapy programs.
Level of evidence: IV


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Volume 8, Issue 6
November and December 2020
Pages 61-667
  • Receive Date: 18 September 2019
  • Revise Date: 15 February 2020
  • Accept Date: 01 March 2020