title: Supervised strengthening exercises versus home-based movement exercises after arthroscopic acromioplasty: a randomized clinical trial.
abstract: OBJECTIVE
  To evaluate and compare the efficacy of 2 rehabilitation strategies after arthroscopic acromioplasty: supervised physical therapy focusing on strengthening exercises of the rotator cuff and scapula stabilizers (PT-group) vs home-based movement exercises (H-group).
  
  
  METHODS
  A randomized, single-blinded, clinically controlled study.
  
  
  METHODS
  Thirty-six patients entered the study. Thirteen in the PT-group and 16 in the H-group fulfilled all the assessments.
  
  
  METHODS
  For 12 weeks following surgery, patients performed either supervised physical therapy or home exercises. Follow-ups were conducted periodically for 6 months after surgery to evaluate shoulder function, pain (Constant-Murley (CM) and Disabilities of the Arm, Shoulder, and Hand (DASH) scores), and health-related quality of life.
  
  
  RESULTS
  The PT-group exhibited significantly greater improvements in CM (p =0.02) and DASH (p=0.05) scores. After treatment, the between-group mean difference in CM scores was 14.2 p (95% confidence interval 2-26). At the 6-month follow-up, the between-group mean difference in DASH scores was 13.4 p (95% confidence interval 0.1-23).
  
  
  CONCLUSIONS
  PT-supervised rehabilitation with strengthening exercises of the rotator cuff and scapula stabilizers seems to be superior to home exercises focusing on mobility for improving shoulder function after arthroscopic acromioplasty.
authors: Departement of Medical health Sciences, Division of Physiotherapy, Linköping University, Linköping, Sweden. theresa.holmgren@liu.se
authors: Theresa
authors: T
authors: Holmgren
authors: Birgitta
authors: B
authors: Oberg
authors: Irene
authors: I
authors: Sjöberg
authors: Kajsa
authors: K
authors: Johansson
mesh_terms: D000174:Acromion / Q000601:surgery*; D000328:Adult; D000368:Aged; D001178:Arthroplasty / Q000534:rehabilitation*; D001182:Arthroscopy / Q000534:rehabilitation*; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D055070:Resistance Training / Q000379:methods*; D017006:Rotator Cuff / Q000503:physiopathology / Q000601:surgery*; D012782:Shoulder / Q000503:physiopathology / Q000601:surgery; D016037:Single-Blind Method; D016896:Treatment Outcome