Efficacy of Early Multimodal Physiotherapy in Patients With Reverse Shoulder Prosthesis: a Randomized Controlled Trial

What this Trial Is About

This research aims to evaluate how effective an early intervention program based on multimodal physiotherapy and therapeutic exercise is for patients who have received a reverse shoulder prosthesis. The study addresses the lack of a clear, standardized rehabilitation protocol for these patients and seeks to develop new treatment guidelines that improve their recovery and shoulder function. It is a randomized controlled trial comparing a new program called the REMOVE program with standard care. Participants are divided into two groups: one receiving standard care, which includes an initial physiotherapy consultation with exercise recommendations and health education; the other undergoing the REMOVE program. The REMOVE program involves four stages: an initial stage focusing on recovering mobility with passive therapy and isometric exercises; a strengthening stage with active-assisted and isotonic exercises; an intensive stage to improve motor control and muscle area using resistance bands and weights; and a functional stage designed to develop daily living activities with specific exercises and resistance training. Throughout the study, participants are assessed five times: before surgery, at baseline, and then at 6, 12, and 24 weeks after surgery. Measurements include psychometric questionnaires and laboratory tests such as muscle thickness by ultrasound, movement range by goniometer, strength by dynamometer, and motion analysis using inertial sensors. The main outcome is shoulder functionality measured by the American Shoulder and Elbow Surgeons Scale, with additional functional scores and physiological fatigue assessments. This comprehensive monitoring aims to observe progress and safety over six months.

Efficacy of Early Multimodal Physiotherapy in Patients With Reverse Shoulder Prosthesis