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Glenohumeral Joint Osteoarthritis Physical Therapist Management

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Recommendations SUMMARY OF BEST-PRACTICE STATEMENTS The following recommendations are consensus statements by the guideline development group based on current clinical practice norms and clinical expertise. Preoperative Physical Therapy for Patients Scheduled for TSA   ➤ In the absence of reliable evidence, the opinion of the Guideline Development Group is that physical therapist services delivered preoperatively may benefit postoperative outcomes in patients with GHOA who are undergoing TSA. ★★★★ Nonoperative Physical Therapy Comparison to Other Management Strategies   ➤ In the absence of reliable evidence, the opinion of the GDG is that physical therapist services may benefit patients with GHOA who have not undergone TSA. ★★★★ Nonoperative Physical Therapy Intervention Options   ➤ In the absence of reliable evidence, the opinion of the GDG is that no one specific intervention performed by a physical therapist is superior to another for patients with GHOA. ★★★★ Postoperative Physical Therapy Outcomes   ➤ In the absence of reliable evidence, the opinion of the GDG is that physical therapist services delivered postoperatively may benefit patient-rated functional outcomes in the management of patients who have undergone TSA for GHOA. ★★★★ Postoperative Physical Therapy Edema Management   ➤ In the absence of reliable evidence, the opinion of the GDG is that physical therapist interventions for edema in patients with GHOA who have undergone TSA should be based on best available evidence, clinical expertise, and patient values. ★★★★

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