Glenohumeral Joint Osteoarthritis — Physical Therapist Management

Publication Date: April 28, 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

...mendations...

...ory, Physical Exam, Radiographs...

...hysical exam, and radiographs can be...

Advanced imaging of magnetic resonance im...


...operative Management: Sling and Exercise...

...herapists should implement the use of a sling wit...


...hysical Therapy Directed Pain Management...

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


...toperative Physical Therapy Timing...

...e timing of the introduction of shoulder ROM exerc...


...Y OF BEST-PRACTICE STATE...

The following recommendations are consen...

Preoperative Physical Therapy for Patients...

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

...perative Physical Therapy Comparison to Other...

...n the absence of reliable evidence, the op...

...rapist services may benefit patients w...

...Physical Therapy Intervention Options...

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

...one specific intervention is superior to another...

...toperative Physical Therap...

...n the absence of reliable evidence, the opinio...

...st services delivered postoperatively...

Postoperative Physical Therapy Edema Man...

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

...ntions for edema in patients with GHOA who hav...