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Neither early structured physiotherapy, manipulation under anaesthesia nor arthroscopic capsular release was found to be clearly superior on patient-reported shoulder pain and functioning at 12 months.

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Stephen Brealey 1, Matthew Northgraves 1, Lucksy Kottam 2, Ada Keding 1, Belen Corbacho 1, Lorna Goodchild 3, Cynthia Srikesavan 4, Saleema Rex 1, Charalambos P Charalambous 5,6, Nigel Hanchard 7, Alison Armstrong 8, Andrew Brooksbank 9, Andrew Carr 4, Cushla Cooper 4, Joseph Dias 8, Iona Donnelly 9, Catherine Hewitt 1, Sarah E Lamb 4, Catriona McDaid 1, Gerry Richardson 10, Sara Rodgers 1, Emma Sharp 9, Sally Spencer 11, David Torgerson 1, Francine Toye 12, Amar Rangan 1,2,4,*

1 York Trials Unit, Department of Health Sciences, University of York, York, UK
2 The James Cook University Hospital, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK
3 The Physiotherapy Practice, South Shields, UK
4 Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Botnar Research Centre, University of Oxford, Oxford, UK
5 Department of Orthopaedics, Blackpool Victoria Hospital, Blackpool, UK
6 School of Medicine, University of Central Lancashire, Preston, UK
7 School of Health & Life Sciences, Teesside University, Middlesbrough, UK
8 University Hospitals of Leicester NHS Trust, Leicester, UK
9 Glasgow Royal Infirmary, Glasgow, UK
10 Centre for Health Economics, University of York, York, UK
11 Postgraduate Medical Institute, Edge Hill University, Ormskirk, UK
12 Physiotherapy Research Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
* Corresponding author Email: amar.rangan@york.ac.uk

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