title: Motions and functional performance after supervised physical therapy program versus home-based program after arthroscopic anterior shoulder stabilization: a randomized clinical trial.
abstract: 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 (18-35years) 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.
  
  
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Faculty of physical therapy, Cairo university, Ban el Sarrayat, Cairo, Egypt. Electronic address: mfarrag@cu.edu.eg.
authors.forename: M M
authors.initials: MM
authors.lastname: Ismail
authors.affiliation: Kasr El Einy hospital, Cairo university, Cairo, Egypt.
authors.forename: K M
authors.initials: KM
authors.lastname: El Shorbagy
mesh_terms: D000293:Adolescent; D000328:Adult; D001182:Arthroscopy / Q000534:rehabilitation*; D005260:Female; D006699:Home Care Services; D006801:Humans; D007593:Joint Instability / Q000534:rehabilitation* / Q000601:surgery; D008297:Male; D026741:Physical Therapy Modalities; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012785:Shoulder Joint / Q000601:surgery*; D055815:Young Adult
keywords: Anterior instability; Arthroscopie; Arthroscopy; Instabilité antérieure; Physical therapy; Physiothérapie; Shoulder; Épaule