During TSA phase 1 rehab (0-6 weeks), which ROM is limited?

During TSA phase 1 rehab (0-6 weeks), which ROM is limited?

• A. Flexion and extension limited to 0-90 degrees
• B. Full active ROM allowed
• C. Only strengthening is performed
• D. No ROM exercises allowed

Answer: (A)

After total shoulder arthroplasty, the priority in the first 0–6 weeks is to protect the joint and healing tissues while still allowing gentle movement. The safest and most common approach is to limit ROM to a modest, controlled arc. Limiting flexion and extension to 0–90 degrees provides enough mobility to prevent stiffness while minimizing the risk of stressing the surgical repair or the prosthesis. This enables passive or light-assisted ROM within a safe range and reduces the chance of dislocation or loosening early on. Strengthening is typically deferred to later phases, and full active ROM or aggressive movement isn’t appropriate yet. No movement or ROM beyond this safe arc would either delay healing or increase risk, which is why those options aren’t correct.

After total shoulder arthroplasty, the priority in the first 0–6 weeks is to protect the joint and healing tissues while still allowing gentle movement. The safest and most common approach is to limit ROM to a modest, controlled arc. Limiting flexion and extension to 0–90 degrees provides enough mobility to prevent stiffness while minimizing the risk of stressing the surgical repair or the prosthesis. This enables passive or light-assisted ROM within a safe range and reduces the chance of dislocation or loosening early on. Strengthening is typically deferred to later phases, and full active ROM or aggressive movement isn’t appropriate yet. No movement or ROM beyond this safe arc would either delay healing or increase risk, which is why those options aren’t correct.