Monday, May 2, 2011

What activities are recommended after a total shoulder replacement?

Most individuals considering a total shoulder joint replacement are interested in the activities recommended after this procedure. While there is no perfect answer to this question, a recent article, Long-term activity restrictions after shoulder arthroplasty: an international survey of experienced shoulder surgeons, reported a survey of 99 experienced shoulder surgeons to learn what activities they recommended after a total shoulder replacement.

I have summarized the results of this survey below. The first group of activities were recommended by more than half of the surgeons.


Activity Percent of surgeons recommending
Walking          95
Stationary bike          91
Ballroom dancing          87
Jogging/running          86
Swimming          82
Low impact aerobics          78
Stiar climber                     77
Hiking          77
Road cycling          75
Golf          75
Table Tennis          71
Pilates          66
Elliptical          62
Bowling          57
Cross country skiing          53


The second group were recommended by less than half of the surgeons.


Activity Percent of surgeons recommending
Doubles tennis         48
Sprinting         46
Rowing         45
Fencing         41
Rollerblading         38
Ice skating         37
Downhill skiing         36
High impact aerobics         33
Singles tennis         33
Soccer         29
Baseball/softball         24
Racquetball         22
Basketball         22
Team handball         20
Snowboarding         18
Volleyball         18
Throwing         18
Lacrosse         16
Weight lifting            14
Waterskiing         13
Martial arts         11
American football          5


The reasons that surgeons restrict activities after a total shoulder replacement were not analyzed in this study. We can surmise that one reason may be concern about failure of the polyethylene glenoid component.

It was this concern that leads us to discuss the possibility of a ream and run procedure with individuals who wish to avoid the risk of glenoid component failure.


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