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Acute rehabilitation following traumatic anterior shoulder dislocation (ARTISAN): pragmatic, multicentre, randomised controlled trial

Objective To assess the effects of an additional programme of physiotherapy in adults with a first-time traumatic shoulder dislocation compared with single session of advice, supporting materials, and option to self-refer to physiotherapy.

Design Pragmatic, multicentre, randomised controlled trial (ARTISAN).

Setting and participants Trauma research teams at 41 UK NHS Trust sites screened adults with a first time traumatic anterior shoulder dislocation confirmed radiologically, being managed non-operatively. People were excluded if they presented with both shoulders dislocated, had a neurovascular complication, or were considered for surgical management.

Interventions One session of advice, supporting materials, and option to self-refer to physiotherapy (n=240) was assessed against the same advice and supporting materials and an additional programme of physiotherapy (n=242). Analyses were on an intention-to-treat basis with secondary per protocol analyses.

Main outcome measures The primary outcome was the Oxford shoulder instability score (a single composite measure of shoulder function), measured six months after treatment allocation. Secondary outcomes included the QuickDASH, EQ-5D-5L, and complications.

Results 482 participants were recruited from 40 sites in the UK. 354 (73%) participants completed the primary outcome score (n=180 allocated to advice only, n=174 allocated to advice and physiotherapy). Participants were mostly male (66%), with a mean age of 45 years. No significant difference was noted between advice compared with advice and a programme of physiotherapy at six months for the primary intention-to-treat adjusted analysis (between group difference favouring physiotherapy 1.5 (95% confidence interval −0.3 to 3.5)) or at earlier three month and six week timepoints. Complication profiles were similar across the two groups (P>0.05).

Conclusions An additional programme of current physiotherapy is not superior to advice, supporting materials, and the option to self-refer to physiotherapy.

Trial registration Current Controlled Trials [ISRCTN63184243.][1]

All data requests should be submitted to WCTUDataAccess@warwick.ac.uk for consideration. Access to anonymised data may be granted following review.

[1]: /external-ref?link_type=ISRCTN&access_num=ISRCTN63184243.

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There's plenty of nature in this one too...

A PHOTOGRAPHER has made a charity calendar for the fifth year running. Simon Booker, from South Stoke, hopes to sell around 150 copies of the calendar, entitled...

Moulsford , Oxfordshire , United-kingdom , South-stoke , Simon-booker , Stroke-association , Strictly-nature , Withymead-nature-reserve ,

Double celebration for Stinger victor

THE winner of this year’s Nettlebed Stinger was celebrating a double. Debutant Connor McGurk, who runs for Harwell Harriers, won the multi-terrain 10km in...

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I've got second chance after my stroke, says wildlife photographer

A WILDLIFE photographer who survived a stroke says he has been given a second chance at life. Now 59-year-old Simon Booker, from South Stoke, is raising funds f...

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Oxfordshire photographer reveals his pictures of the year

A wildlife photographer from Oxfordshire has revealed his top pictures of 2022, as the year comes to a close.

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Oxford Mail Christmas message to readers in Oxfordshire

The Oxford Mail wishes its readers a merry Christmas and looks ahead to the Oxfordshire content coming up on the website over the festive period.

Oxfordshire , United-kingdom , South-stoke , Liz-leffman , Simon-booker , Frank-bruno , Karl-robinson , Dame-prue-leith , Andrew-colley , Lenny-henry , Regional-press , Oxfordshire-county-council

Oxfordshire photographer releases 2023 calendar celebrating wildlife

A amateur photographer has released a calendar which celebrates the beauty and variety of British wildlife in Oxfordshire.

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Win a copy of Three's A Crowd

We've 10 copies of Simon Booker's new novel to give away now!

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Enjoy A Sneak Peak Of Three's A Crowd by Simon Booker... Plus Win 10 Copies!

Enjoy A Sneak Peak Of Three's A Crowd by Simon Booker... Plus Win 10 Copies!
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