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Glenohumeral Joint Osteoarthritis Physical Therapist Management

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Recommendations History, Physical Exam, Radiographs, MRI   ➤ History, physical exam, and radiographs can be useful to differentially diagnose GHOA. Specifically, critical shoulder angle on radiographs and age is predictive of the diagnosis. ★★★★   ➤ Advanced imaging of magnetic resonance imaging is beneficial in the differential diagnosis of GHOA. MRI is helpful to confirm the diagnosis but is less useful to rule out the diagnosis. ★★★★ Postoperative Management: Sling and Exercise   ➤ Physical therapists should implement the use of a sling with the shoulder in a neutral position and progressive exercises for range of motion and strengthening to improve patient-reported outcomes, and ROM in patients with GHOA who have undergone total shoulder arthroplasty. ★★★★ Postoperative Physical Therapy Directed Pain Management   ➤ Physical therapists should implement the use of a sling with the shoulder in a neutral position for pain management in patients with GHOA who have undergone TSA. ★★★★ Postoperative Physical Therapy Timing   ➤ The timing of the introduction of shoulder ROM exercises by physical therapists may be delayed up to 4 weeks without negatively impacting patient-reported outcomes in patients with GHOA who have undergone TSA. ★★★★

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