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Supervised strength...
Supervised strengthening exercises versus home-based movement exercises after arthroscopic acromioplasty : A randomized clinical trial
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- Holmgren, Theresa (author)
- Linköpings universitet,Sjukgymnastik,Hälsouniversitetet
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- Öberg, Birgitta (author)
- Linköpings universitet,Sjukgymnastik,Hälsouniversitetet
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- Sjöberg, Irene (author)
- Oskarshamn Primary Care
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- Johansson, Kajsa (author)
- Linköpings universitet,Sjukgymnastik,Hälsouniversitetet
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(creator_code:org_t)
- Medical Journals Sweden AB, 2012
- 2012
- English.
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In: Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine. - : Medical Journals Sweden AB. - 1651-2081. ; 44:1, s. 12-18
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Abstract
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- 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). Design: A randomized, single-blinded, clinically controlled study. Patients: 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). Conclusion: 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.
Keyword
- arthroscopic acromioplasty; exercise; rehabilitation; rotator cuff; subacromial impingement; physical therapy.
Publication and Content Type
- ref (subject category)
- art (subject category)
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