Ismail M M, El Shorbagy K M
Faculty of physical therapy, Cairo university, Ban el Sarrayat, Cairo, Egypt.
Kasr El Einy hospital, Cairo university, Cairo, Egypt.
Ann Phys Rehabil Med. 2014 Aug-Sep;57(6-7):353-72. doi: 10.1016/j.rehab.2014.06.002. Epub 2014 Jun 24.
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.
Twenty-seven patients (18-35years) 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.
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.
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.
比较标准化监督下的物理治疗与基于家庭的对照方案对关节镜下肩关节前路稳定术后肩部活动度和功能恢复率的影响。
27例年龄在18至35岁之间的患者接受了关节镜下肩关节前路稳定术。患者被随机分为两组。监督组（n = 14）接受康复计划，每周3次，共24周；对照家庭治疗组（n = 13）在同一时期遵循基于家庭的方案。在康复的每个阶段后对肩部活动范围（ROM）进行4次评估，并在康复的第3和第4阶段后评估功能。
在整个研究期间，两组患者的所有肩部活动均显著逐步增加。监督组患者在外展和前屈方面分别达到对侧的92.6%和94.2%。对照家庭治疗组在外展和前屈方面分别达到87.1%和94.7%。对于外旋，监督组达到的ROM百分比为81.1%，对照家庭治疗组为76.4%。对于功能评估，两组均有显著改善。然而，在所有测量变量中，两组之间没有显著差异。
在关节镜下肩关节前路稳定术后增加肩部活动范围和功能方面，基于家庭的对照物理治疗方案与监督方案同样有效。
