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Development of a single-session physiotherapy and self-management intervention for the treatment of primary traumatic anterior shoulder dislocation for the ‘Acute Rehabilitation following Traumatic anterior shoulder dISlocAtioN (ARTISAN)’ multi centre RCT

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Liew, Zi Heng, Mazuquin, Bruno , Ellard, David R., Karasouli, Eleni, Drew, Stephen , Modi, Chetan , Bush, Howard, Underwood, Martin and Kearney, Rebecca S. (2021) Development of a single-session physiotherapy and self-management intervention for the treatment of primary traumatic anterior shoulder dislocation for the ‘Acute Rehabilitation following Traumatic anterior shoulder dISlocAtioN (ARTISAN)’ multi centre RCT. Physiotherapy, 113 . pp. 80-87. doi:10.1016/j.physio.2021.06.002 ISSN 0031-9406.

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Official URL: https://doi.org/10.1016/j.physio.2021.06.002

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Abstract

Objective
Optimum physiotherapy management for people with a conservatively managed primary traumatic anterior shoulder dislocation is not known. The purpose of the ARTISAN trial is to compare the clinical and cost-effectiveness of a course of usual care physiotherapy with a single session of physiotherapy and self-management, the ARTISAN intervention. ARTISAN is a UK multi-centre, two-arm, parallel group, randomised controlled trial with 1:1 treatment allocation.

Design
The intervention was developed following the Medical Research Council framework for developing and evaluating complex interventions and will be reported in line with the template for intervention description and replication checklist (TIDieR) and the Consensus on Exercise Reporting Template (CERT). It was informed by published research, national clinical guidelines, current clinical practice and patient and public involvement.

Results
The ARTISAN intervention comprises education (Phase 1), progressive exercise (Phase 2 and Phase 3) and an optional return to sport component (Phase 4). Behaviour change strategies are embedded throughout intervention. The single session of physiotherapy is delivered by a chartered physiotherapist, within the first six weeks of injury, in an NHS outpatient setting. At the end of the initial session, paper-based booklets and/or a patient website with the same content are provided to participants to aid self-management and progression though the four phases of the trial intervention.

Conclusion
The ARTISAN intervention was successfully implemented throughout the internal pilot and is suitable for testing in the subsequent definitive RCT ARTISAN trial.

Item Type: Journal Article
Alternative Title:
Subjects: R Medicine > RD Surgery
R Medicine > RM Therapeutics. Pharmacology
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Shoulder joint -- Dislocation, Physical therapy, Medical rehabilitation
Journal or Publication Title: Physiotherapy
Publisher: Elsevier Science Ltd.
ISSN: 0031-9406
Official Date: 1 December 2021
Dates:
DateEvent
1 December 2021Published
16 June 2021Available
14 June 2021Accepted
Volume: 113
Page Range: pp. 80-87
DOI: 10.1016/j.physio.2021.06.002
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 24 June 2021
Date of first compliant Open Access: 1 March 2022
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIEDUniversity Hospitals Coventry and Warwickshire NHS Trusthttps://www.uhcw.nhs.uk/
UNSPECIFIEDRoyal Free London NHS Foundation Trusthttps://www.royalfree.nhs.uk/
UNSPECIFIEDYeovil District Hospital NHS Foundation Trusthttps://yeovilhospital.co.uk/
UNSPECIFIEDNorth Bristol NHS Trusthttp://dx.doi.org/10.13039/501100004922
UNSPECIFIEDHarrogate and District NHS Foundation Trusthttps://www.hdft.nhs.uk/
UNSPECIFIEDNorth Tees and Hartlepool NHS Foundation Trusthttps://www.nth.nhs.uk/
UNSPECIFIEDCambridge University Hospitalshttp://dx.doi.org/10.13039/501100002926
UNSPECIFIEDUniversity Hospitals of Derby and Burton NHS Foundation Trusthttps://www.uhdb.nhs.uk/
UNSPECIFIEDUniversity Hospitals of Leicester NHS Trusthttp://dx.doi.org/10.13039/100012151
UNSPECIFIEDNorfolk and Norwich University Hospitals NHS Foundation Trusthttp://dx.doi.org/10.13039/501100009489
UNSPECIFIEDRoyal Devon and Exeter NHS Foundation Trusthttp://dx.doi.org/10.13039/100009745
UNSPECIFIEDNewcastle upon Tyne Hospitals NHS Foundation Trusthttp://dx.doi.org/10.13039/501100003776
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