Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2024 Sep 16;14(9):e083975.
doi: 10.1136/bmjopen-2024-083975.

Physiotherapy rehabilitation experiences of people with shoulder dislocation in ARTISAN study: a qualitative study

Seyran Naghdi  1 , David R Ellard  2   3 , Rebecca Kearney  4 ; ARTISAN team
Affiliations
Randomized Controlled Trial

Physiotherapy rehabilitation experiences of people with shoulder dislocation in ARTISAN study: a qualitative study

Seyran Naghdi et al. BMJ Open. .

Abstract

Background: Acute Rehabilitation following Traumatic anterior shoulder dISlocAtioN (ARTISAN) was a large trial comparing the clinical and cost-effectiveness of two rehabilitation interventions in adults with a first-time traumatic shoulder dislocation. Participants were allocated to receive either a single session of advice (ARTISAN) or a single session of advice and a programme of physiotherapy (ARTISAN plus). Trial results illustrated that additional physiotherapy after an initial session was not superior in improving functional outcomes for participants.

Objectives: In this study, we aim to explore the experiences of a purposive sample of participants from both the ARTISAN and ARTISAN plus groups regarding their rehabilitation journey.

Design: This is a semistructured interview-based study.

Setting: The study was conducted in the United Kingdom.

Participants: Thirty-one participants of ARTISAN trial: 16 participants from ARTISAN group and 15 from ARTISAN plus group.

Outcome measures and analysis: The study follows the consolidated criteria for reporting qualitative research. The framework analysis was used to synthesise the participants' experiences. The interviews were coded through NVivo 12.6.1.

Results: Three dominant and interrelated topics emerged from the interview data: (1) feelings about their shoulder rehabilitation outcome, (2) judgement of ARTISAN rehabilitation materials, (3) assessment of shoulder rehabilitation service provision.

Conclusion: Both forms of intervention have some merit for some individuals. Thus, it may be appropriate to look at the patients' preference for offering treatment to them. Recognising and facilitating this will be of benefit to both the patients and healthcare as a whole.

Keywords: physical therapy modalities; qualitative research; shoulder.

PubMed Disclaimer

Conflict of interest statement

Competing interests: RK is co-chair of the NIHR Programme Grants for Applied Research (PGfAR) committee, a paid position in NIHR but unrelated to the trial. She is also a previous chair of the NIHR West Midlands Research for Patient Benefit (RfPB) committee and member of the NIHR Health Technology Assessment (HTA) Clinical Evaluation and Trials Committee and NIHR Integrated Clinical Academic (ICA) doctoral committee. RK, DRE, HP, AH, JM, HN, SD, CM, HB, DT, MU have all been awarded current and previous NIHR research grants. HP, MU and RK are co-investigators on grants funded by the Australian NHMRC and NIHR funded studies receiving additional support from Stryker Ltd.

References

    1. Kearney RS, Dhanjal G, Parsons N, et al. Acute Rehabilitation following Traumatic anterior shoulder dISlocAtioN (ARTISAN): protocol for a multicentre randomised controlled trial. BMJ Open. 2020;10:e040623. doi: 10.1136/bmjopen-2020-040623. - DOI - PMC - PubMed
    1. Kearney RS, Ellard DR, Parsons H, et al. Acute rehabilitation following traumatic anterior shoulder dislocation (ARTISAN): pragmatic, multicentre, randomised controlled trial. BMJ. 2024;384:e076925. doi: 10.1136/bmj-2023-076925. - DOI - PMC - PubMed
    1. van Iersel TP, Tutuhatunewa ED, Kaman I, et al. Patient perceptions after the operative and nonoperative treatment of shoulder instability: A qualitative focus group study. Shoulder Elbow. 2023;15:497–504. doi: 10.1177/17585732221122363. - DOI - PMC - PubMed
    1. Jack K, McLean SM, Moffett JK, et al. Barriers to treatment adherence in physiotherapy outpatient clinics: a systematic review. Man Ther. 2010;15:220–8. doi: 10.1016/j.math.2009.12.004. - DOI - PMC - PubMed
    1. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19:349–57. doi: 10.1093/intqhc/mzm042. - DOI - PubMed

Publication types

LinkOut - more resources