Preoperative insurance-mandated physical therapy does not prevent the need for shoulder arthroplasty in patients with glenohumeral osteoarthritis
Despite the lack of evidence to support PT for the treatment of GHOA, many patients indicated for shoulder arthroplasty are denied the surgery by their insurance due to lack of preoperative PT. Insurance-mandated preoperative PT in this cohort did not significantly improve range of motion, pain, or prevent the need for shoulder arthroplasty. Results of this study highlight a significant burden to providers and to patients who are denied a shoulder arthroplasty in the setting of moderate to advanced GHOA.
Authors
- Jay D. Keener (ORCID: https://orcid.org/0000-0002-1665-4346)
- Grant E. Garrigues (ORCID: https://orcid.org/0000-0002-8662-3131)
- Maria F. Bozoghlian (ORCID: https://orcid.org/0000-0002-9729-0926)
- Jason E. Hsu (ORCID: https://orcid.org/0000-0002-1411-3482)
- James V. Nepola (ORCID: https://orcid.org/0000-0001-8128-6597)
- Arden C. Shen (ORCID: https://orcid.org/0009-0004-1751-2245)
- Brendan A. Patterson (ORCID: https://orcid.org/0000-0002-5235-3786)
- Gregory N. Lervick (ORCID: https://orcid.org/0000-0001-7474-0659)
Institutions
- University of Iowa (US)
- Rush University Medical Center (US)
- University of Washington (US)
- Washington University in St. Louis (US)
- Twin Cities Orthopedics (US)
Publication Details
- Journal
- JSES International
- Published
- 2025-05-23
- DOI
- https://doi.org/10.1016/j.jseint.2025.04.031
- Primary Topic
- Shoulder Injury and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Stryker