Home-based physical therapy results in similar outcomes to formal outpatient physical therapy after reverse total shoulder arthroplasty: a randomized controlled trial.

研究概要

80 patients undergoing reverse total shoulder arthroplasty (RTSA) were randomized to receive either a physical therapist-led rehabilitation program (n=33) or a patient-led home therapy program (n=37). Outcomes of interest include range of motion, shoulder strength, simple shoulder test, American Shoulder and Elbow Surgeons (ASES) score, pain on a Visual Analog Scale (VAS), patient satisfaction, and the proportion of patients requiring family assistance with therapy. All outcomes were similar between the two groups, except for external rotation and the proportion of patients requiring family assistance with therapy, which were better in the physical therapist-led rehabilitation group. Additionally, 93% of patient-led home therapy patients thought it would be less burdensome on their families than formal physical therapy.