Acute Rehabilitation Following Traumatic Anterior Shoulder Dislocation: The ARTISAN Trial .
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Acute rehabilitation following traumatic anterior shoulder dislocation (ARTISAN): pragmatic, multicentre, randomised controlled trial.
BMJ . 2024 Jan 17:384:e076925.482 patients with a first-time traumatic anterior shoulder dislocation were randomized to receive either one session of advice + supporting materials + the option to self-refer to physiotherapy (n=240) or the same advice + supporting materials plus an additional program of physiotherapy (n=242). The primary outcome of interest was the Oxford shoulder instability score (OSIS) at 6 months. Secondary outcomes of interest included the Disablities of the Arm, Shoulder, and Hand (QuickDASH) score, EuroQol-5 Dimensions (EQ-5D-5L) score, and the incidence of complications. Outcomes were assessed at 6 weeks, 3, 6, and 12 months. Overall, the results of the study revealed no significant differences in OSIS scores between the two groups at six months. All secondary outcomes were similar between the two groups at all time points. The additional program of physiotherapy to advice is not superior to advice + the option to self-refer for physiotherapy in this patient population.
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