Objective To assess the effects of an additional programme of physiotherapy in adults with a first-time traumatic shoulder dislocation compared with single session of advice, supporting materials, and option to self-refer to physiotherapy.
Design Pragmatic, multicentre, randomised controlled trial (ARTISAN).
Setting and participants Trauma research teams at 41 UK NHS Trust sites screened adults with a first time traumatic anterior shoulder dislocation confirmed radiologically, being managed non-operatively. People were excluded if they presented with both shoulders dislocated, had a neurovascular complication, or were considered for surgical management.
Interventions One session of advice, supporting materials, and option to self-refer to physiotherapy (n=240) was assessed against the same advice and supporting materials and an additional programme of physiotherapy (n=242). Analyses were on an intention-to-treat basis with secondary per protocol analyses.
Main outcome measures The
Petrol pumps in Mumbai and Nagpur witnessed long queues on Tuesday as people came to fill up their vehicle tanks fearing shortage of fuel amid the protest by truck drivers against a provision in the new penal law on hit-and-run accident cases involving motorists.
Under the Bharatiya Nyaya Sanhita, which replaces the Indian Penal Code, drivers who cause a serious road accident by negligent driving and run away without informing police or any administration can face up to 10 years imprisonment or a fine of Rs 7 lakh
Over 70% of the estimated 1.20 lakh trucks, tempos and containers in the Mumbai Metropolitan Region (MMR) remained off the roads on Monday, and the three-day strike is likely to impact the distribution of fuel and hit fruits and vegetables supplies in the coming days | Mumbai news