Anatomic Total Shoulder Arthroplasty Practice Survey

Please complete the following survey to assess practice patterns for rehabilitation following anatomic total shoulder arthroplasty for primary osteoarthritis

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* 1. What is the percentage of anatomic total shoulder arthroplasty patients that you see in clinic?

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* 2. What is the percentage of research focus that you spend on anatomic total shoulder arthroplasty?

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* 3. When you are in the clinic performing rehabilitation with patients who have had an anatomic total shoulder arthroplasty for primary osteoarthritis, are you aware of the method of subscapularis detachment during surgery?  (Lesser tuberosity osteotomy, subscapularis tenotomy, subscapularis peel, or subscapularis sparing)

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* 4. When you are performing research with patients who have had an anatomic total shoulder arthroplasty for primary osteoarthritis, are you aware of the method of subscapularis detachment during surgery?  (Lesser tuberosity osteotomy, subscapularis tenotomy, subscapularis peel, or subscapularis sparing)

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* 5. Does your rehabilitation strategy vary depending on the method of subscapularis detachment in surgery (lesser tuberosity osteotomy, subscapularis tenotomy, subscapularis peel, or subscapularis sparing)?

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* 6. Do your research considerations vary depending on the method of subscapularis detachment in anatomic total shoulder arthroplasty surgery?  (lesser tuberosity osteotomy, subscapularis tenotomy, subscapularis peel, or subscapularis sparing)

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* 7. How long do your patients usually wear a sling full- time (24/7) following anatomic total shoulder arthroplasty for primary osteoarthritis for the patients you see in the clinic?

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* 8. Please check all additional considerations that relate to your patients' use of a sling following anatomic total shoulder arthroplasty for primary osteoarthritis:

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* 9. What are your Phase 1 (0-6 weeks) Passive Flexion/Elevation range of motion limits?

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* 10. What are your Phase 1 (0-6 weeks) Passive External Rotation range of motion limits with the arm at the side?

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* 11. What are your Phase 1 (0-6 weeks) Passive External Rotation range of motion limits with the arm at 90 degrees of abduction?

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* 12. What are your Phase 1 (0-6 weeks) Passive Internal Rotation range of motion limits?

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* 13. What are your Phase 1 (0-6 weeks) Active Flexion/Elevation range of motion limits?

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* 14. What are your Phase 1 (0-6 weeks) Active External Rotation range of motion limits with the arm at the side?

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* 15. What are your Phase 1 (0-6 weeks) Active External Rotation range of motion limits with the arm at 90 degrees of abduction?

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* 16. What are your Phase 1 (0-6 weeks) Active Internal Rotation range of motion limits?

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* 17. What are your Phase 2 (6-12 weeks) Passive Flexion/Elevation range of motion limits?

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* 18. What are your Phase 2 (6-12 weeks) Passive External Rotation range of motion limits with the arm at the side?

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* 19. What are your Phase 2 (6-12 weeks) Passive External Rotation range of motion limits with the arm at 90 degrees of abduction?

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* 20. What are your Phase 2 (6-12 weeks) Passive Internal Rotation range of motion limits?

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* 21. What are your Phase 2 (6-12 weeks) Active Flexion/Elevation range of motion limits?

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* 22. What are your Phase 2 (6-12 weeks) Active External Rotation range of motion limits with the arm at the side?

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* 23. What are your Phase 2 (6-12 weeks) Active External Rotation range of motion limits with the arm at 90 degrees of abduction?

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* 24. What are your Phase 2 (6-12 weeks) Active Internal Rotation range of motion limits?

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* 25. Please check if you have any restrictions on active or passive range of motion after 12 weeks following anatomic total shoulder arthroplasty (can indicate more than one answer).  If you restrict any of the motions, please use the comment section to describe restrictions.

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* 26. When do you allow patients to begin AROM against gravity with the weight of their arm (no other resistance) for elevation (supine to incline to vertical Jackins progression)?

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* 27. When do you allow patients to begin AROM against gravity with the weight of their arm (no other resistance) for external rotation with the arm at the side?

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* 28. When do you allow patients to begin AROM for functional internal rotation with hand slide up the spine?

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* 29. When do you allow patients to add resistance for elevation with hand weight, theraband, or other mode of resistance?

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* 30. When do you allow patients to add resistance for external rotation with hand weight, theraband, or other mode of resistance?

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* 31. When do you allow patients to add resistance for internal rotation with hand weight, theraband, or other mode of resistance?

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* 32. When do you initiate scapular strengthening with AROM against gravity (eg prone extension with scapular retraction with arm at side “arrow”, horizontal abduction “T” and supine SA punches) WITHOUT weight?

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* 33. When do you initiate scapular strengthening with resistance such as hand weight, theraband, or other mode?

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* 34. When do you allow/initiate closed chain activity in NON-WEIGHT BEARING such as upright stance with hand on wall for press up activity?

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* 35. When do you allow/initiate closed chain activity in WEIGHT BEARING such as quadruped, prone plank, yoga poses such as downward dog, etc?

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* 36. Please check all lifelong precautions/activity guidelines that you recommend for your patients upon completion of rehabilitation for anatomic total shoulder arthroplasty for primary osteoarthritis.

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* 37. Do you recommend maintenance exercise upon discharge following anatomic total shoulder arthroplasty for primary osteoarthritis?  Choose any recommendations you suggest for these patients.

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