Surgical treatments compared with early structured physiotherapy in secondary care for adults with primary frozen shoulder: the UK FROST three-arm RCT

Brealey, Stephen; Northgraves, Matthew; Kottam, Lucksy; Keding, Ada; Corbacho, Belen; Goodchild, Lorna; Srikesavan, Cynthia; Rex, Saleema; Charalambous, Charalambos P; Hanchard, Nigel; Armstrong, Alison; Brooksbank, Andrew; Carr, Andrew; Cooper, Cushla; Dias, Joseph; Donnelly, Iona; Hewitt, Catherine; Lamb, Sarah E; McDaid, Catriona; Richardson, Gerry; Rodgers, Sara; Sharp, Emma; Spencer, Sally; Torgerson, David; Toye, Francine; Rangan, Amar

doi:10.3310/hta24710

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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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