Pre-surgery exercise program to improve internal rotation after reverse shoulder replacement

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adults aged 40–80 scheduled for primary reverse total shoulder arthroplasty for glenohumeral osteoarthritis or rotator cuff arthropathy are randomized to either a targeted 6-week prehabilitation program or usual care. The prehabilitation emphasizes scapulothoracic mobility and internal rotation strengthening delivered with monthly therapy visits plus home exercises. Outcomes include internal rotation range of motion, strength, patient-reported function for activities of daily living that require internal rotation, and at least two years of postoperative monitoring. The trial excludes revision cases, fractures, tumor pathology, planned tendon transfers, and patients unable to complete the prehab or follow-up requirements.

Why it matters

Who can join: the full rules

Inclusion Criteria: • Patients aged 40-80

* Undergoing primary RSA for glenohumeral osteoarthritis or rotator cuff arthropathy
* Must be able to read and speak English
* Willing and able to attend a monthly therapy session and perform exercises at home for a minimum of 6 weeks before surgery
* Willing and able to participate in postoperative monitoring for a minimum of 2 years

Exclusion Criteria:

* Patients under the age of 40 and over the age of 80.
* Diagnosis of septic shoulder, fracture, or fracture sequelae, or tumor pathology of the ipsilateral shoulder
* Pre-existing hand, wrist, or elbow pathology that limits elbow flexion or extension, or forearm pronation or supination
* Planned to undergo synchronous procedure of the involved extremity (e.g., synchronous RSA and carpal tunnel release)
* Tendon transfer (e.g., Latissimus dorsi transfer) performed intraoperatively
* Patients without access to phone or email communication for at least 2 years after treatment
* Revision shoulder arthroplasty

Where it's running

• University of Florida Department of Orthopaedics and Rehabilitation
  Gainesville, Florida, United States Recruiting

Study contacts

• Principal investigator: Jonathan Wright, MD — University of Florida
• Study coordinator: Jonathan Wright, MD
• Email: wrightjo@ortho.ufl.edu
• Phone: (352) 273-7374

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.