Early multimodal physiotherapy after reverse shoulder replacement
Efficacy of Early Multimodal Physiotherapy in Patients With Reverse Shoulder Prosthesis: a Randomized Controlled Trial.
This program will try a structured early multimodal physiotherapy approach of exercise, manual therapy, and education to see if it improves strength, motion, and daily function for adults with a reverse shoulder prosthesis.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 40 (estimated) |
| Ages | 18 Years to 90 Years |
| Sex | All |
| Sponsor | University of Malaga Academic / other |
| Locations | 1 site (Málaga) |
| Trial ID | NCT06357143 on ClinicalTrials.gov |
What this trial studies
This randomized, parallel-group trial will compare standard postoperative care to the REMOVE program, a multimodal early rehabilitation package combining therapeutic exercise, manual therapy, and patient education. Participants are evaluated pre-surgery (baseline) and at 6, 12, and 24 weeks using patient-reported questionnaires and laboratory measures including dynamometer strength, goniometer range of motion, ultrasound muscle mass, and inertial-sensor kinematics. The trial enrolls adults aged 18–90 who receive a reverse shoulder prosthesis and have no other upper-limb injury or treatments limiting physical activity. The protocol is single-center at the University of Malaga and aims to produce a reproducible early rehabilitation protocol for this patient group.
Who should consider this trial
Good fit: Adults aged 18–90 who receive a reverse shoulder prosthesis, can provide informed consent, and do not have other upper-limb injuries or treatments that limit physical activity.
Not a fit: People with significant language or cultural barriers, other upper-limb injuries, or concurrent treatments that limit activity are unlikely to be eligible or to benefit from the program.
Why it matters
Potential benefit: If effective, the program could shorten recovery and improve strength, range of motion, and daily function after reverse shoulder replacement.
How similar studies have performed: Conventional physiotherapy after shoulder arthroplasty has shown functional benefits in prior studies, but early multimodal programs specifically for reverse shoulder prostheses are limited and not well established.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults with a reverse shoulder prosthesis. * Age between 18 and 90 years. * Signed informed consent. Exclusion Criteria: * Language or cultural barriers. * Other upper limb injury. * Treatment that affect physical activity capacity.
Where this trial is running
Málaga
- Antonio Cuesta Vargas — Málaga, Spain (Recruiting)
Study contacts
- Study coordinator: Antonio I Cuesta-Vargas, PhD
- Email: acuesta@uma.es
- Phone: (+34) 667 45 55 44
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.