AzTrials
AzTrials

Shoulder OsteoarthritisRTSANCT03804853

Rehabilitation Following Reverse Total Shoulder Arthroplasty

A study testing Rehabilitiation in people with Shoulder Osteoarthritis, run by HealthPartners Institute at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Reverse total shoulder arthroplasty (RTSA) has been successful in patients with rotator cuff arthropathy, proximal humerus fractures, failed primary total shoulder arthroplasty or failed hemiarthroplasty, and massive irreparable rotator cuff tear. Read more about this study

Who is it for?
Ages 55 years and older
Conditions the study is for
Shoulder Osteoarthritis
What is being tested?
Rehabilitiation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
74 participants
Where
1 siteUnited States
Study dates
12 Dec 2018to 30 Jun 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 55 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • > 55 years of age.
  • Candidate for a primary reverse total shoulder arthroplasty.
  • Capable of completing self-administered questionnaires.
  • Be willing and able to return for all study-related follow-up procedures.
  • Able and willing to give informed consent.
  • Proficient in the English language.

Who cannot join

  • In-Clinic:
  • Patients planning on undergoing a Primary Reverse Shoulder Total Arthroplasty due to proximal humeral fracture.
  • Previous shoulder surgery including previous total shoulder arthroplasty or reverse total shoulder arthroplasty or hemiarthroplasty, or instability repairs
  • Active bacterial infection of the shoulder.
  • Any concomitant shoulder procedure.
  • Additional ipsilateral or contralateral upper limb pathology that requires active treatment (i.e. surgery or brace).
Show all 25Show fewer
  • Inflammatory arthropathy.
  • Diagnosed with Rheumatoid arthritis
  • Diagnosed with gout.
  • Subject is on chronic anticoagulation due to a bleeding disorder or has taken anticoagulants within 10 days prior to surgery.
  • Peripheral vascular disease or other vascular disorders that would impair healing.
  • Peripheral neuropathy or other neurological disorders that may impair the patient to ambulate.
  • Patient is on workers compensation.
  • Any condition requiring chemotherapy.
  • Active tobacco user or former tobacco user who is not free of using tobacco for 8 weeks.
  • Uncontrolled Diabetes Mellitus with an HbA1C > 7.5%.
  • Current drug or alcohol abuse.
  • Major medical illness (life expectancy less then 2 years or unacceptably high operative risk)
  • Suspicion of cervical radiculopathy or myelopathy.
  • Deltoid insufficiency on physical examination.
  • Intra-operative:
  • Iatrogenic glenoid fracture
  • Post-operative:
  • Neurological injury of the upper extremity.
  • Complications from Primary Reverse Shoulder Total Arthroplasty (i.e. post-operative infection, bleeding, hardware failure).

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United States1 site, 1 recruiting
  • TRIA Orthopaedic Center

    Bloomington, Minnesota, 55431

    Megan Reams, 952-806-5329, institute@tria.com

    Michael Walsh, MD

    Recruiting

Other trials in United States

About this study

Official title: Immediate Accelerated Shoulder Rehabilitation Versus a Standard Protocol Following Reverse Total Shoulder Arthroplasty: A Randomized Controlled Trial

Reverse total shoulder arthroplasty (RTSA) has been successful in patients with rotator cuff arthropathy, proximal humerus fractures, failed primary total shoulder arthroplasty or failed hemiarthroplasty, and massive irreparable rotator cuff tear. Patients who undergo an RTSA report pain relief and functional range of motion. It has been more than 20 years since the advent of the RTSA construct but an immediate post-operative rehabilitation with active shoulder range of motion has not been prospectively studied in comparison to the traditional post-operative rehabilitation highlighted by Boudreau et al.12 Investigators plan to prospectively follow our patients following RTSA undergoing an immediate active shoulder rehabilitation (IASR) vs traditional rehabilitation in a randomized controlled fashion. Investigators plan to document clinical outcomes, complications and cost effectiveness out to 1 year.

The study will hopefully fulfill the Triple Aim model for HealthPartners by improving the health of the population, improve the experience of each individual, and make healthcare affordable by decreasing the total cost of care.

Being tested
Rehabilitiation
Keywords
Rehabilitiation, Reverse total shoulder

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RehabilitiationOther

    This study will be a non-blinded randomized controlled outcomes study evaluating outcomes at baseline, 2 weeks, 6 weeks, 3 months, 6 months, and 1 year post-operatively from a primary reverse total shoulder arthroplasty with two different post-operative physical rehabilitation protocols. There will be 2 groups, one undergoing the immediate active shoulder physical therapy protocol consisting of four quadrant stretches and full active motion of the shoulder from post op day 1 in the hospital. The second group will follow the traditional TRIA physical therapy protocol consisting of PT (standard of care) followed by a gradual return to active range of motion of the shoulder beginning by week 6, calling for 18 physical therapy visits. The physical therapy will occur where the patient is most comfortable receiving it.

Study groups in NCT03804853
Study groupRoleWhat they receive
Immediate Active Shoulder RehabilitationExperimentalNot described
Receives: Other: Rehabilitiation
Traditional Should RehabilitationActive comparatorNot described
Receives: Other: Rehabilitiation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. American Society for Elbow and Shoulder Score

    1. American Shoulder and Elbow score (ASES) is a scale that measures shoulder pain and function with 11 items, one item for pain and 10 items for function. The score for each subscale is out of 50 (0-50), with a higher score indicating a better outcome. The total score is a sum of both subscales, ranging between 0-100, using the following formula, Total score = ((10 - VAS pain) × 5) + (5/3 × sum of function items).

    Measured: Pre-operatively

  2. American Society for Elbow and Shoulder Score

    1. American Shoulder and Elbow score (ASES) is a scale that measures shoulder pain and function with 11 items, one item for pain and 10 items for function. The score for each subscale is out of 50 (0-50), with a higher score indicating a better outcome. The total score is a sum of both subscales, ranging between 0-100, using the following formula, Total score = ((10 - VAS pain) × 5) + (5/3 × sum of function items).

    Measured: 2 weeks

  3. American Society for Elbow and Shoulder Score

    1. American Shoulder and Elbow score (ASES) is a scale that measures shoulder pain and function with 11 items, one item for pain and 10 items for function. The score for each subscale is out of 50 (0-50), with a higher score indicating a better outcome. The total score is a sum of both subscales, ranging between 0-100, using the following formula, Total score = ((10 - VAS pain) × 5) + (5/3 × sum of function items).

    Measured: 3 months

  4. American Society for Elbow and Shoulder Score

    1. American Shoulder and Elbow score (ASES) is a scale that measures shoulder pain and function with 11 items, one item for pain and 10 items for function. The score for each subscale is out of 50 (0-50), with a higher score indicating a better outcome. The total score is a sum of both subscales, ranging between 0-100, using the following formula, Total score = ((10 - VAS pain) × 5) + (5/3 × sum of function items).

    Measured: 6 months

  5. American Society for Elbow and Shoulder Score

    1. American Shoulder and Elbow score (ASES) is a scale that measures shoulder pain and function with 11 items, one item for pain and 10 items for function. The score for each subscale is out of 50 (0-50), with a higher score indicating a better outcome. The total score is a sum of both subscales, ranging between 0-100, using the following formula, Total score = ((10 - VAS pain) × 5) + (5/3 × sum of function items).

    Measured: 1 year

  6. Simple Shoulder Test

    1. The Simple Shoulder Test Score (SST) is a 12 item, yes/no questionnaire assessing shoulder function. There are 2 items on function related to pain, 7 items about functions/strength and 3 items about range of motion. There are no subscales. A "yes" response is 1 point and a "no" response is 0 point. The following formula is used to calculate a score out of 100 (0-100), total= number of "yes" items/number of completed items × 100 = % "yes" responses. A higher score indicates better function from a scale of 0-100.

    Measured: Pre-operatively

  7. Simple Shoulder Test

    1. The Simple Shoulder Test Score (SST) is a 12 item, yes/no questionnaire assessing shoulder function. There are 2 items on function related to pain, 7 items about functions/strength and 3 items about range of motion. There are no subscales. A "yes" response is 1 point and a "no" response is 0 point. The following formula is used to calculate a score out of 100 (0-100), total= number of "yes" items/number of completed items × 100 = % "yes" responses. A higher score indicates better function from a scale of 0-100.

    Measured: 2 weeks

  8. Simple Shoulder Test

    1. The Simple Shoulder Test Score (SST) is a 12 item, yes/no questionnaire assessing shoulder function. There are 2 items on function related to pain, 7 items about functions/strength and 3 items about range of motion. There are no subscales. A "yes" response is 1 point and a "no" response is 0 point. The following formula is used to calculate a score out of 100 (0-100), total= number of "yes" items/number of completed items × 100 = % "yes" responses. A higher score indicates better function from a scale of 0-100.

    Measured: 3 months

  9. Simple Shoulder Test

    1. The Simple Shoulder Test Score (SST) is a 12 item, yes/no questionnaire assessing shoulder function. There are 2 items on function related to pain, 7 items about functions/strength and 3 items about range of motion. There are no subscales. A "yes" response is 1 point and a "no" response is 0 point. The following formula is used to calculate a score out of 100 (0-100), total= number of "yes" items/number of completed items × 100 = % "yes" responses. A higher score indicates better function from a scale of 0-100.

    Measured: 6 months

  10. Simple Shoulder Test

    1. The Simple Shoulder Test Score (SST) is a 12 item, yes/no questionnaire assessing shoulder function. There are 2 items on function related to pain, 7 items about functions/strength and 3 items about range of motion. There are no subscales. A "yes" response is 1 point and a "no" response is 0 point. The following formula is used to calculate a score out of 100 (0-100), total= number of "yes" items/number of completed items × 100 = % "yes" responses. A higher score indicates better function from a scale of 0-100.

    Measured: 1 year

  11. PROMIS Global 10

    1. The PROMIS Global-10 is a global health quality of life patient reported outcome tool. It is part of the Patient-Reported Outcomes Measurement Information System (PROMIS). It measures symptoms, functioning, and healthcare quality of life for a wide variety of conditions. The PROMIS Global-10 consists of 10 questions assessing physical health, mental health, social health, pain, fatigue, and overall perceived quality of life. 7 questions inquire about health in "general" and 3 questions assess emotional problems, fatigue and pain in the last 7 days. Raw subscale scores for physical and mental health each are calculated out of 20. The raw score are converted to T scores for physical and mental health using the following formulas: the Global Physical Health score is generated by summing responses to Global03, Global06, Global07rescored, and Global08rescored. The Global Mental Health score is generated by summing responses to Global02, Global04, Global05, and Global10rescored.

    Measured: Pre-operatively

  12. PROMIS Global 10

    1. The PROMIS Global-10 is a global health quality of life patient reported outcome tool. It is part of the Patient-Reported Outcomes Measurement Information System (PROMIS). It measures symptoms, functioning, and healthcare quality of life for a wide variety of conditions. The PROMIS Global-10 consists of 10 questions assessing physical health, mental health, social health, pain, fatigue, and overall perceived quality of life. 7 questions inquire about health in "general" and 3 questions assess emotional problems, fatigue and pain in the last 7 days. Raw subscale scores for physical and mental health each are calculated out of 20. The raw score are converted to T scores for physical and mental health using the following formulas: the Global Physical Health score is generated by summing responses to Global03, Global06, Global07rescored, and Global08rescored. The Global Mental Health score is generated by summing responses to Global02, Global04, Global05, and Global10rescored.

    Measured: 2 weeks

  13. PROMIS Global 10

    1. The PROMIS Global-10 is a global health quality of life patient reported outcome tool. It is part of the Patient-Reported Outcomes Measurement Information System (PROMIS). It measures symptoms, functioning, and healthcare quality of life for a wide variety of conditions. The PROMIS Global-10 consists of 10 questions assessing physical health, mental health, social health, pain, fatigue, and overall perceived quality of life. 7 questions inquire about health in "general" and 3 questions assess emotional problems, fatigue and pain in the last 7 days. Raw subscale scores for physical and mental health each are calculated out of 20. The raw score are converted to T scores for physical and mental health using the following formulas: the Global Physical Health score is generated by summing responses to Global03, Global06, Global07rescored, and Global08rescored. The Global Mental Health score is generated by summing responses to Global02, Global04, Global05, and Global10rescored.

    Measured: 3 months

  14. PROMIS Global 10

    1. The PROMIS Global-10 is a global health quality of life patient reported outcome tool. It is part of the Patient-Reported Outcomes Measurement Information System (PROMIS). It measures symptoms, functioning, and healthcare quality of life for a wide variety of conditions. The PROMIS Global-10 consists of 10 questions assessing physical health, mental health, social health, pain, fatigue, and overall perceived quality of life. 7 questions inquire about health in "general" and 3 questions assess emotional problems, fatigue and pain in the last 7 days. Raw subscale scores for physical and mental health each are calculated out of 20. The raw score are converted to T scores for physical and mental health using the following formulas: the Global Physical Health score is generated by summing responses to Global03, Global06, Global07rescored, and Global08rescored. The Global Mental Health score is generated by summing responses to Global02, Global04, Global05, and Global10rescored.

    Measured: 6 months

  15. PROMIS Global 10

    1. The PROMIS Global-10 is a global health quality of life patient reported outcome tool. It is part of the Patient-Reported Outcomes Measurement Information System (PROMIS). It measures symptoms, functioning, and healthcare quality of life for a wide variety of conditions. The PROMIS Global-10 consists of 10 questions assessing physical health, mental health, social health, pain, fatigue, and overall perceived quality of life. 7 questions inquire about health in "general" and 3 questions assess emotional problems, fatigue and pain in the last 7 days. Raw subscale scores for physical and mental health each are calculated out of 20. The raw score are converted to T scores for physical and mental health using the following formulas: the Global Physical Health score is generated by summing responses to Global03, Global06, Global07rescored, and Global08rescored. The Global Mental Health score is generated by summing responses to Global02, Global04, Global05, and Global10rescored.

    Measured: 1 year

  16. Range of Motion

    1. Range of motion (ROM) of the shoulder is an objective measure of shoulder function. A blinded examiner will measure the range of motion in forward elevation, external rotation in the neutral position external rotation with the arm in abduction, internal rotation in the neutral position, and internal rotation with the arm in abduction. A goniometer will be used measuring to the nearest degree. The range of motion for forward elevation will range between 0-180 degrees with a higher number indicating a better outcome. External and internal rotation ranges from 0-90 degrees with a higher number indicating a better outcome.

    Measured: Pre-operatively, 3 months, 6 months, 1 year post-operatively

  17. Range of Motion

    1. Range of motion (ROM) of the shoulder is an objective measure of shoulder function. A blinded examiner will measure the range of motion in forward elevation, external rotation in the neutral position external rotation with the arm in abduction, internal rotation in the neutral position, and internal rotation with the arm in abduction. A goniometer will be used measuring to the nearest degree. The range of motion for forward elevation will range between 0-180 degrees with a higher number indicating a better outcome. External and internal rotation ranges from 0-90 degrees with a higher number indicating a better outcome.

    Measured: 3 months

  18. Range of Motion

    1. Range of motion (ROM) of the shoulder is an objective measure of shoulder function. A blinded examiner will measure the range of motion in forward elevation, external rotation in the neutral position external rotation with the arm in abduction, internal rotation in the neutral position, and internal rotation with the arm in abduction. A goniometer will be used measuring to the nearest degree. The range of motion for forward elevation will range between 0-180 degrees with a higher number indicating a better outcome. External and internal rotation ranges from 0-90 degrees with a higher number indicating a better outcome.

    Measured: 6 months

  19. Range of Motion

    1. Range of motion (ROM) of the shoulder is an objective measure of shoulder function. A blinded examiner will measure the range of motion in forward elevation, external rotation in the neutral position external rotation with the arm in abduction, internal rotation in the neutral position, and internal rotation with the arm in abduction. A goniometer will be used measuring to the nearest degree. The range of motion for forward elevation will range between 0-180 degrees with a higher number indicating a better outcome. External and internal rotation ranges from 0-90 degrees with a higher number indicating a better outcome.

    Measured: 1 year

Secondary outcomes (1)
  1. Subscapularis Tear

    Determination if a tear is present.

    Measured: 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Jan 2019
  2. Study start12 Dec 2018
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion30 Jun 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
74 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03804853
Sponsor's protocol ID
18-259
Acronym
RTSA
Status last verified
Jun 2026
First submitted
8 Jan 2019
Last updated
26 Jun 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Rehabilitiation in people with Shoulder Osteoarthritis, run by HealthPartners Institute at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 25 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 26 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Megan Reams (952-806-5329, megan.reams@tria.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

American Society for Elbow and Shoulder Score (time frame: Pre-operatively). The study lists 19 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Jun 2026; AzTrials last refreshed its copy on 31 Oct 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in