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

Recommendation...

...Physical Exam, Radiographs,...

...ry, physical exam, and radiographs ca...

...g of magnetic resonance imaging is beneficial...


...ative Management: Sling and Exercise...

...l therapists should implement the use...


...erative Physical Therapy Directed Pain Ma...

...l therapists should implement the use of a slin...


...ive Physical Therapy Timing...

...g of the introduction of shoulder...


...BEST-PRACTICE STATEMENTS...

...e following recommendations are consensus statem...

...eoperative Physical Therapy for Patients S...

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

...operative Physical Therapy Comparison to...

...of reliable evidence, the opinion of the Guideline...

...sical therapist services may benefit patien...

...hysical Therapy Intervention Options...

...ce of reliable evidence, the opinion of the Guidel...

No one specific intervention is superior to anoth...

Postoperative Physical Thera...

In the absence of reliable evidenc...

...st services delivered postoperatively may...

...hysical Therapy Edema Management...

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

...r edema in patients with GHOA who have undergone...