keyword
https://read.qxmd.com/read/34265255/progressive-exercise-compared-with-best-practice-advice-with-or-without-corticosteroid-injection-for-the-treatment-of-patients-with-rotator-cuff-disorders-grasp-a-multicentre-pragmatic-2%C3%A2-%C3%A3-%C3%A2-2-factorial-randomised-controlled-trial
#21
MULTICENTER STUDY
Sally Hopewell, David J Keene, Ioana R Marian, Melina Dritsaki, Peter Heine, Lucy Cureton, Susan J Dutton, Helen Dakin, Andrew Carr, Willie Hamilton, Zara Hansen, Anju Jaggi, Chris Littlewood, Karen L Barker, Alastair Gray, Sarah E Lamb
BACKGROUND: Corticosteroid injections and physiotherapy exercise programmes are commonly used to treat rotator cuff disorders but the treatments' effectiveness is uncertain. We aimed to compare the clinical effectiveness and cost-effectiveness of a progressive exercise programme with a single session of best practice physiotherapy advice, with or without corticosteroid injection, in adults with a rotator cuff disorder. METHODS: In this pragmatic, multicentre, superiority, randomised controlled trial (2 × 2 factorial), we recruited patients from 20 UK National Health Service trusts...
July 31, 2021: Lancet
https://read.qxmd.com/read/34048450/effectiveness-of-early-versus-delayed-rehabilitation-following-rotator-cuff-repair-systematic-review-and-meta-analyses
#22
JOURNAL ARTICLE
Bruno Mazuquin, Maria Moffatt, Peter Gill, James Selfe, Jonathan Rees, Steve Drew, Chris Littlewood
OBJECTIVE: To investigate the effectiveness of early rehabilitation compared with delayed/standard rehabilitation after rotator cuff repair for pain, function, range of movement, strength, and repair integrity. DESIGN: Systematic review and meta-analyses. METHODS: We searched databases and included randomised controlled trials (RCTs) comparing early with delayed/standard rehabilitation for patients undergoing rotator cuff repair surgery. We assessed risk of bias of the RCTs using the Cochrane RoB 2 tool...
2021: PloS One
https://read.qxmd.com/read/33934483/management-of-recent-onset-tendon-related-pain-in-a-primary-contact-setting-a-survey-of-practice
#23
JOURNAL ARTICLE
Kieran Mitham, Adrian Mallows, Gillian Yeowell, Chris Littlewood
BACKGROUND: Tendon-related pain is a common and debilitating condition that affects a wide range of people. To inform future research, it is important to understand healthcare professional's current practice. OBJECTIVES: To describe the practice of First Contact Practitioners (FCPs) and Other Clinicians (OCs) for recent onset tendon pain in a primary contact setting. The secondary aim was to understand if practice differed between the locations of pain. DESIGN: Cross-sectional online survey METHOD: The online survey asked for responses relating to one scenario of shoulder pain and one of Achilles pain...
March 2022: Musculoskeletal Care
https://read.qxmd.com/read/33849685/the-contribution-of-depressive-disorder-characteristics-to-determinations-of-prognosis-for-adults-with-depression-an-individual-patient-data-meta-analysis
#24
JOURNAL ARTICLE
Joshua E J Buckman, Rob Saunders, Zachary D Cohen, Phoebe Barnett, Katherine Clarke, Gareth Ambler, Robert J DeRubeis, Simon Gilbody, Steven D Hollon, Tony Kendrick, Edward Watkins, Nicola Wiles, David Kessler, David Richards, Deborah Sharp, Sally Brabyn, Elizabeth Littlewood, Chris Salisbury, Ian R White, Glyn Lewis, Stephen Pilling
BACKGROUND: This study aimed to investigate general factors associated with prognosis regardless of the type of treatment received, for adults with depression in primary care. METHODS: We searched Medline, Embase, PsycINFO and Cochrane Central (inception to 12/01/2020) for RCTs that included the most commonly used comprehensive measure of depressive and anxiety disorder symptoms and diagnoses, in primary care depression RCTs (the Revised Clinical Interview Schedule: CIS-R)...
May 2021: Psychological Medicine
https://read.qxmd.com/read/33494821/adherence-to-self-managed-exercises-for-patients-with-persistent-subacromial-pain-the-ad-shoulder-feasibility-study
#25
JOURNAL ARTICLE
Daniel H Major, Margreth Grotle, Chris Littlewood, Jens Ivar Brox, Dagfinn Matre, Heidi V Gallet, Yngve Røe
BACKGROUND: Exercise is recommended for patients with subacromial pain. It has been suggested that good exercise adherence improves clinical outcomes. Despite this, little attention has been paid to the need for behavioural frameworks to enhance adherence to home exercise programmes for patients with subacromial pain. METHODS: A feasibility study with pre-post design was used. Participants aged > 18 years, with subacromial pain, who had received conservative treatment during the past 6 months, were recruited...
January 25, 2021: Pilot and Feasibility Studies
https://read.qxmd.com/read/33413664/protocol-for-a-multi-site-pilot-and-feasibility-randomised-controlled-trial-surgery-versus-physiotherapist-led-exercise-for-traumatic-tears-of-the-rotator-cuff-the-speedy-study
#26
JOURNAL ARTICLE
Chris Littlewood, Julia Wade, Stephanie Butler-Walley, Martyn Lewis, David Beard, Amar Rangan, Gev Bhabra, Socrates Kalogrianitis, Cormac Kelly, Saurabh Mehta, Harvinder Pal Singh, Matthew Smith, Amol Tambe, James Tyler, Nadine E Foster
BACKGROUND: Clinically, a distinction is made between types of rotator cuff tear, traumatic and non-traumatic, and this sub-classification currently informs the treatment pathway. It is currently recommended that patients with traumatic rotator cuff tears are fast tracked for surgical opinion. However, there is uncertainty about the most clinically and cost-effective intervention for patients with traumatic rotator cuff tears and further research is required. SPeEDy will assess the feasibility of a fully powered, multi-centre randomised controlled trial (RCT) to test the hypothesis that, compared to surgical repair (and usual post-operative rehabilitation), a programme of physiotherapist-led exercise is not clinically inferior, but is more cost-effective for patients with traumatic rotator cuff tears...
January 7, 2021: Pilot and Feasibility Studies
https://read.qxmd.com/read/33356517/rehabilitation-following-rotator-cuff-repair-a-nested-qualitative-study-exploring-the-perceptions-and-experiences-of-participants-in-a-randomised-controlled-trial
#27
RANDOMIZED CONTROLLED TRIAL
Gareth Stephens, Chris Littlewood, Nadine E Foster, Lisa Dikomitis
OBJECTIVE: To investigate acceptability, barriers to adherence with the interventions, and which outcome measures best reflect the participants' rehabilitation goals in a pilot and feasibility randomised controlled trial evaluating early patient-directed rehabilitation and standard rehabilitation, including sling immobilisation for four weeks, following surgical repair of the rotator cuff of the shoulder. DESIGN: Nested qualitative study. SETTING: Five English National Health Service Hospitals...
June 2021: Clinical Rehabilitation
https://read.qxmd.com/read/33316867/development-of-a-physiotherapist-led-exercise-programme-for-traumatic-tears-of-the-rotator-cuff-for-the-speedy-study
#28
RANDOMIZED CONTROLLED TRIAL
Chris Littlewood, Catrin Astbury, Howard Bush, Jo Gibson, Stacey Lalande, Caroline Miller, Lisa Pitt, Helen Tunnicliffe, Rachel Winstanley
OBJECTIVES: The SPeEDy study (Surgery vs. physiotherapist-led exercise for traumatic tears of the rotator cuff) is a two-arm, parallel group, pilot and feasibility randomised controlled trial aiming to evaluate the feasibility of a future main trial. In this paper, the development process and the resultant physiotherapist-led exercise programme used in the SPeEDy study is described. METHODS: Thirteen physiotherapists and three patients met to discuss and develop the key principles that should underpin the exercise programme...
June 2021: Physiotherapy
https://read.qxmd.com/read/33305619/rehabilitation-following-rotator-cuff-repair-a-multi-centre-pilot-feasibility-randomised-controlled-trial-racer
#29
JOURNAL ARTICLE
Chris Littlewood, Marcus Bateman, Stephanie Butler-Walley, Sarah Bathers, Kieran Bromley, Martyn Lewis, Lennard Funk, Jean Denton, Maria Moffatt, Rachel Winstanley, Saurabh Mehta, Gareth Stephens, Lisa Dikomitis, Nadine E Foster
OBJECTIVE: To evaluate the feasibility of a multi-centre randomised controlled trial to compare the clinical and cost-effectiveness of early patient-directed rehabilitation versus standard rehabilitation following surgical repair of the rotator cuff of the shoulder. DESIGN: Two-arm, multi-centre pilot and feasibility randomised controlled trial. SETTING: Five National Health Service hospitals in England. PARTICIPANTS: Adults ( n  = 73) with non-traumatic rotator cuff tears scheduled for repair were recruited and randomly allocated remotely prior to surgery...
December 11, 2020: Clinical Rehabilitation
https://read.qxmd.com/read/33206059/internet-and-telerehabilitation-delivered-management-of-rotator-cuff-related-shoulder-pain-intel-trial-randomized-controlled-pilot-and-feasibility-trial
#30
RANDOMIZED CONTROLLED TRIAL
Peter Malliaras, Kate Cridland, Ruben Hopmans, Simon Ashton, Chris Littlewood, Richard Page, Ian Harris, Helen Skouteris, Terry Haines
BACKGROUND: Rotator cuff-related shoulder pain (RCRSP) is a common and disabling musculoskeletal condition. Internet-based and telerehabilitation delivery of recommended care may improve access to care and improve adherence and outcomes. OBJECTIVE: The primary aim of this pilot randomized controlled trial was to assess the feasibility of a 12-week internet-delivered intervention for RCRSP comparing advice only, recommended care, and recommended care with group-based telerehabilitation...
November 18, 2020: JMIR MHealth and UHealth
https://read.qxmd.com/read/33085172/rehabilitation-following-proximal-humeral-fracture-in-the-uk-national-health-service-a-survey-of-publicly-facing-information
#31
JOURNAL ARTICLE
Jason Rohun, Pauline May, Chris Littlewood
INTRODUCTION: Proximal humeral fractures (PHF) are a common injury in the older population but there is limited research evaluating rehabilitation following PHF. The aim of this study was to understand current National Health Service (NHS) practice for rehabilitation following PHF as a platform for conducting future research. METHODS: Two reviewers independently undertook electronic searches for publicly available information sheets (PIS) from websites of NHS Trusts that included detail about rehabilitation following PHF, for example, duration of immobilisation...
October 21, 2020: Musculoskeletal Care
https://read.qxmd.com/read/33010802/the-effectiveness-of-preoperative-rehabilitation-programmes-on-postoperative-outcomes-following-anterior-cruciate-ligament-acl-reconstruction-a-systematic-review
#32
JOURNAL ARTICLE
Hayley M Carter, Chris Littlewood, Kate E Webster, Benjamin E Smith
BACKGROUND: To explore the effectiveness of preoperative rehabilitation programmes (PreHab) on postoperative physical and psychological outcomes following anterior cruciate ligament reconstruction (ACLR). METHOD: A systematic search was conducted from inception to November 2019. Randomised controlled trials (RCTs) published in English were included. Risk of bias was assessed using Version 2 of the Cochrane risk-of-bias tool, and the Grading of Recommendations Assessment system was used to evaluate the quality of evidence...
October 3, 2020: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/32939967/rehabilitation-following-rotator-cuff-repair-a-survey-of-current-practice-2020
#33
JOURNAL ARTICLE
Chris Littlewood, Bruno Mazuquin, Maria Moffatt, Marcus Bateman
INTRODUCTION: Approaches to rehabilitation following rotator cuff repair are variable but typically include 4-6 weeks of immobilisation followed by a gradual introduction of movement and activity. However, research has questioned whether such an approach is optimal. The aim of this study was to undertake an updated survey to understand whether practice has evolved in line with contemporary research. METHODS: An electronic survey was developed describing three case scenarios (medium-sized rotator cuff repair [2 cm], large-sized rotator cuff repair [4 cm] and large-sized rotator cuff repair with biceps tenodesis)...
June 2021: Musculoskeletal Care
https://read.qxmd.com/read/32755058/guidelines-for-the-use-of-diagnostic-imaging-in-musculoskeletal-pain-conditions-affecting-the-lower-back-knee-and-shoulder-a-scoping-review
#34
REVIEW
Andrew Cuff, Stephen Parton, Robert Tyer, Lisa Dikomitis, Nadine Foster, Chris Littlewood
BACKGROUND: Musculoskeletal (MSK) pain is one of the most common reasons for primary care consultation, particularly pain in the lower back (LBP), knee and shoulder. The use of diagnostic imaging for MSK pain is increasing, but it is unclear whether this increase is justified on the basis of clinical practice guideline (CPG) recommendations. AIM: To identify and map the content of CPGs that informs the use of diagnostic imaging in those with nontraumatic LBP, knee and shoulder pain in primary and intermediate care in the UK...
December 2020: Musculoskeletal Care
https://read.qxmd.com/read/32682937/the-efficacy-of-higher-versus-lower-dose-exercise-in-rotator-cuff-tendinopathy-a-systematic-review-of-randomized-controlled-trials
#35
JOURNAL ARTICLE
Peter Malliaras, Renea Johnston, Gabriele Street, Chris Littlewood, Kim Bennell, Terry Haines, Rachelle Buchbinder
OBJECTIVES: To compare the effectiveness and harms of higher exercise dose, including higher exercise load or higher volume, with lower exercise dose (lower load or lower volume) in individuals with rotator cuff tendinopathy. DESIGN: Systematic review. DATA SOURCES: Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, and CINAHL from inception to March 2019. STUDY SELECTION: Randomized controlled trials comparing higher versus lower dose exercise that investigated function and pain (overall, activity, night) and adverse event outcomes were independently determined by 2 reviewers...
October 2020: Archives of Physical Medicine and Rehabilitation
https://read.qxmd.com/read/32571081/effectiveness-of-progressive-and-resisted-and-non-progressive-or-non-resisted-exercise-in-rotator-cuff-related-shoulder-pain-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#36
JOURNAL ARTICLE
Josh Naunton, Gabrielle Street, Chris Littlewood, Terrence Haines, Peter Malliaras
OBJECTIVE: Synthesize evidence regarding effectiveness of progressive and resisted or non-progressive and non-resisted exercise compared with placebo or no treatment, in rotator cuff related pain. DATA SOURCES: English articles, searched in Cochrane CENTRAL, MEDLINE, EMBASE and CINAHL databases up until May 19, 2020. METHODS: Randomized controlled trials in people with rotator cuff related pain comparing either progressive and resisted exercise or non-progressive and non-resisted exercise, with placebo or no treatment were included...
September 2020: Clinical Rehabilitation
https://read.qxmd.com/read/32452392/-it-s-just-like-a-needle-going-into-my-hip-basically-all-of-the-time-the-experiences-and-perceptions-of-patients-with-greater-trochanteric-pain-syndrome-in-the-uk-national-health-service
#37
JOURNAL ARTICLE
Gareth Stephens, Seth O'Neill, Claire Mottershead, Catrin Hawthorn, Gillian Yeowell, Chris Littlewood
BACKGROUND: Greater Trochanteric Pain syndrome (GTPS) is a condition causing lateral hip pain, which can be both persistent and debilitating. Data suggests that NHS patients with GTPS often have complex presentations with greater risk of developing persistent pain. No research to date has looked to understand the lived experience of patients with GTPS. OBJECTIVES: This data may help inform a programme of intervention development for testing in a future randomised controlled trial...
June 2020: Musculoskeletal Science & Practice
https://read.qxmd.com/read/32329209/rehabilitation-following-shoulder-arthroplasty-in-the-united-kingdom-national-health-service-a-survey-of-publicly-facing-information
#38
JOURNAL ARTICLE
Chris Littlewood, Marie Morgan, Lisa Pitt, Maria Moffatt, Peter Edwards, Ronnie Davies, Chris Peach
INTRODUCTION: The prevalence of shoulder arthroplasty (SA) is rising, but there is limited research evaluating rehabilitation following SA and whether there is an optimal approach remains unknown. The aim of this study was to understand current National Health Service (NHS) practice for rehabilitation following SA as a platform for conducting much needed further research. METHODS: Two reviewers independently undertook electronic searches for publicly available information sheets (PIS) from websites of NHS Trusts that included detail about rehabilitation following SA, for example, duration of immobilisation...
April 23, 2020: Musculoskeletal Care
https://read.qxmd.com/read/32313563/effectiveness-of-formal-physical-therapy-following-total-shoulder-arthroplasty-a-systematic-review
#39
REVIEW
Peter K Edwards, Jay R Ebert, Chris Littlewood, Tim Ackland, Allan Wang
Background: Physical therapy is considered routine practice following total shoulder arthroplasty. To date, current regimens are based on clinical opinion, with evidence-based recommendations. The aim of this systematic review was to evaluate the effectiveness of total shoulder arthroplasty physical therapy programmes with a view to inform current clinical practice, as well as to develop a platform upon which future research might be conducted. Methods: An electronic search of MEDLINE, EMBASE, CINAHL and Cochrane Library to March 2018 was complemented by hand and citation-searching...
April 2020: Shoulder & Elbow
https://read.qxmd.com/read/32162792/examination-of-the-neck-when-a-patient-complains-of-shoulder-pain-a-global-survey-of-current-practice-2019
#40
JOURNAL ARTICLE
Tom Walker, Andrew Cuff, Emma Salt, Greg Lynch, Chris Littlewood
BACKGROUND: Shoulder pain is a common musculoskeletal problem. Despite this, much uncertainty still exists regarding diagnosis, prognosis and effectiveness of treatments. One diagnostic challenge is determining the role of the neck when a patient complains of shoulder pain. The aim of this survey was to investigate healthcare professionals' indications for examining the neck in this case and subsequent methods used. METHODS: An online survey was developed and distributed via Twitter and the authors' professional networks...
March 12, 2020: Musculoskeletal Care
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