Glenohumeral Joint Osteoarthritis — Physical Therapist Management

Publication Date: April 27, 2023

Overview

Overview

  • Osteoarthritis is one of the leading causes of pain, disability, and health care resource use in the United States, with over 54 million (23%) older adults diagnosed with OA and 24 million limited in performing daily activities.
  • The etiology of glenohumeral joint osteoarthritis is similar to that of OA in other large joints via classification into primary or degenerative for no known cause, or secondary OA related to prior injury or disease process.
  • There are multiple proposed risk factors for GHOA, including age, genetics, obesity, joint loading, occupation, exercise, glenohumeral joint stability and integrity, rotator cuff arthropathy, and scapular morphology.
  • Psychological factors can impact pain and functional outcomes.

Recommendations

...ommendations...

History, Physical Exam, Radiogra...

...l exam, and radiographs can be useful to diffe...

...d imaging of magnetic resonance imagin...


...stoperative Management: Sling and Exercise

...therapists should implement the use of a sling wi...


...toperative Physical Therapy Directed Pa...

Physical therapists should implemen...


...ive Physical Therapy Timing...

...ming of the introduction of shoulder ROM exerci...


...BEST-PRACTICE STATEMENTS...

...owing recommendations are consensus...

...tive Physical Therapy for Patients Schedu...

...bsence of reliable evidence, the opini...

...Physical Therapy Comparison to Other Manag...

...e of reliable evidence, the opinion of the Guideli...

...sical therapist services may benefit patients wi...

...tive Physical Therapy Intervention Option...

...nce of reliable evidence, the opinion of...

...ecific intervention is superior to ano...

...erative Physical Therapy Outcomes...

...e of reliable evidence, the opinion of the Gui...

...erapist services delivered postoperatively...

...Physical Therapy Edema Management...

...e absence of reliable evidence, the opinion of t...

...nterventions for edema in patients with GHOA...