Skip the clinic? home rehab may be just as good after shoulder replacement
NCT ID NCT03719859
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at 100 people who had reverse total shoulder replacement to see if doing exercises at home works as well as going to a physical therapist. Patients were split into two groups: one did formal PT starting a few days after surgery and continuing weekly for three months, while the other followed a surgeon-directed home program. Researchers measured pain, range of motion, and patient-reported function over two years to find out which approach leads to better recovery and whether PT raises the risk of complications like fractures or dislocations.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Physical therapy (PT) vs. home exercise program
- What this could lead to
- If this study shows home therapy works as well as clinic PT, it could give patients a simpler, cheaper recovery option after shoulder replacement.
- What could go wrong
- This is a small, completed study with only 100 people, so results may not apply to everyone. It compares two rehab approaches, not a new treatment, so no major breakthrough is expected.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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100 people
The number who actually took part.
- Started
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Jan 2019
- Finished
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Dec 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Subjects who have RSA for cuff tear arthropathy, massive irreparable rotator cuff tear with pseudoparalysis, or primary osteoarthritis. Exclusion Criteria: * Subjects who have a non-reverse total shoulder arthroplasty, RSA for fracture, tendon transfers as part of RSA, and revision RSA * Subjects who had RSA and require discharge to skilled nursing facility, in-patient rehabilitation placement, or use of home health therapy prior to progressing in recovery * Subjects who cannot speak, read, or write the English language * Subjects who have cognitive deficits limiting ability to follow directions * Subjects who have inability to attend physical therapy (i.e. transportation or financial limitations)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Anderson Orthopedic Clinic
Arlington, Virginia, 22206, United States
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Centers for Advanced Orthopaedics
Leonardtown, Maryland, 20650, United States
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Medstar Georgetown University Hospital
Washington D.C., District of Columbia, 20007, United States
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New England Baptist Hospital
Dedham, Massachusetts, 02026, United States
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Rush University Medical Center
Chicago, Illinois, 60612, United States
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University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106, United States
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Western Orthopaedics
Denver, Colorado, 80218, United States
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Other studies related to the condition(s) this trial covers.
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- Shoulder surgery recovery: online PT may be just as good as In-Person