Reverse Shoulder Replacement (Delta3)


  • Severe Cuff arthropathy
  • Salvage procedure for failed Hemiarthroplasties in elderly



In Patient


Day 1

  • Mastersling with body belt fitted in theatre
  • Finger, wrist and elbow movements


Week 1


Level 1 Exercises

  • Body belt removed
  • Handing gripping exercise
  • Pendular exercises
  • Passive flexion, abduction, internal and external rotation
  • Scapular setting and posture correction
  • Discharge when safe, usually 3 days post-op
  • Keep sling for 6 weeks
  • May perform ADL below shoulder level, , such as eating & writing



Out Patient


6 Weeks


Level 2 exercises

  • Active assisted flexion, abduction, internal and external rotation in supine and progress to sitting position as soon as the patient is able.
  • Progress to active when possible
  • Begin isometric strengthening of all muscle groups


8 Weeks+


Progress to levels 3 exercises

  • Encourage active movement into all ranges with some gentle self-stretching at the end of range.
  • Progress isotonic strengthening though range
  • Regularly stretch the joint to the end of its available range



Continue to strengthen for 6-months.


 Improvement continues for 18 months to 2 years and the patients should continue exercising until their maximum potential has been reached.



Return to functional activities


Driving                     After 6 weeks

Swimming              Breaststroke: 6 weeks

                             Freestyle:      12 weeks

Golf                       3 Months

Lifting                         Light lifting can begin at 6 weeks.  Avoid lifting heavy items for 6 months.

Return to work        Sedentary job: 6 weeks

                             Manual job:    Guided by Surgeon

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