Article

OBJECTIVE: To compare the effects of a standardized supervised physical therapy
versus a controlled home-based programs on the rate of shoulder motion and
functional recovery after arthroscopic anterior shoulder stabilization. METHODS:
Twenty-seven patients (18-35 years) underwent arthroscopic anterior shoulder
stabilization. Patients were randomized into two groups.
A supervised group
(n=14) received a rehabilitation program, 3 sessions/week for 24 weeks and a
controlled home treated group (n=13) who followed a home-based program for same
period. Range of motion (ROM) of the shoulder was assessed 4 times after each
phase of rehabilitation and function was assessed after the 3rd and 4th phase of
rehabilitation. RESULTS: Both groups achieved a significant progressive increase
in all shoulder motions throughout the study period. Patients in the supervised
group achieved 92.6% and 94.2% of the contralateral side in abduction and forward
elevation respectively.
The controlled home-based group achieved 87.1% and 94.7%
of abduction and forward elevation respectively. For external rotation, the
percentage ROM achieved was 81.1% for the supervised group and 76.4% for the
controlled home-based group. For function assessment,
the two groups showed a
significant improvement. However, the two groups were not significantly different
from each other in all measured variables. CONCLUSION:
A controlled home-based
physical therapy program is as effective as a supervised program in increasing
shoulder range of motion and function after arthroscopic anterior shoulder
stabilization.
CI - Copyright (c) 2014 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS