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Chris Littlewood

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https://www.readbyqxmd.com/read/29954828/comparative-effectiveness-of-treatment-options-for-plantar-heel-pain-a-systematic-review-with-network-meta-analysis
#1
REVIEW
Opeyemi O Babatunde, Amardeep Legha, Chris Littlewood, Linda S Chesterton, Martin J Thomas, Hylton B Menz, Danielle van der Windt, Edward Roddy
OBJECTIVE: To evaluate the comparative effectiveness of current treatment options for plantar heel pain (PHP). DESIGN: Systematic review and network meta-analysis (NMA). DATA SOURCES: Medline, EMBASE, CINAHL, AMED, PEDro, Cochrane Database, Web of Science and WHO Clinical Trials Platform were searched from their inception until January 2018. STUDY SELECTION: Randomised controlled trials (RCTs) of adults with PHP investigating common treatments (ie, corticosteroid injection, non-steroidal anti-inflammatory drugs, therapeutic exercise, orthoses and/or extracorporeal shockwave therapy (ESWT)) compared with each other or a no treatment, placebo/sham control...
June 28, 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29925503/musculoskeletal-pain-and-exercise-challenging-existing-paradigms-and-introducing-new
#2
Benjamin E Smith, Paul Hendrick, Marcus Bateman, Sinead Holden, Chris Littlewood, Toby O Smith, Pip Logan
No abstract text is available yet for this article.
June 20, 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29766646/psychosocial-variables-and-presence-severity-and-prognosis-of-plantar-heel-pain-a-systematic-review-of-cross-sectional-and-prognostic-associations
#3
REVIEW
Chris Drake, Adrian Mallows, Chris Littlewood
OBJECTIVE: Plantar heel pain (PHP) is often disabling, and persistent symptoms are common. Psychosocial variables are known to affect pain and disability but the association of these factors with PHP has yet to be established. The purpose of the present systematic review was to determine if psychosocial variables are associated with the presence, severity and prognosis of PHP. METHODS: A systematic review of the literature and qualitative synthesis was carried out...
September 2018: Musculoskeletal Care
https://www.readbyqxmd.com/read/29682312/reliability-of-the-shoulder-symptom-modification-procedure-and-association-of-within-session-and-between-session-changes-with-functional-outcomes
#4
Adam Meakins, Stephen May, Chris Littlewood
Background: Despite being a common problem, there is considerable diagnostic uncertainty with regard to shoulder pain. This uncertainty relates to the reliability and validity of current examination tests. The Shoulder Symptom Modification Procedure (SSMP) has been proposed as an alternative to existing approaches. Objective: To evaluate interclinician reliability of the SSMP and the association of within-session and between-session changes on clinical outcome at 1 week, and at 1 and 3 months...
2018: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29650523/the-enigma-of-rotator-cuff-tears-and-the-case-for-uncertainty
#5
EDITORIAL
Chris Littlewood, Amar Rangan, David John Beard, Julia Wade, Tina Cookson, Nadine E Foster
No abstract text is available yet for this article.
April 12, 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29519887/how-should-clinicians-integrate-the-findings-of-the-lancet-s-2018-placebo-controlled-subacromial-decompression-trial-into-clinical-practice
#6
EDITORIAL
Chris Littlewood, Julie Bury, Aidan O'Shea, Karen McCreesh, Kieran O'Sullivan
No abstract text is available yet for this article.
July 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29413948/understanding-physical-activity-promotion-in-physiotherapy-practice-a-qualitative-study
#7
Anna Lowe, Chris Littlewood, Sionnadh McLean
OBJECTIVE: Physical inactivity is a major public health issue and healthcare professionals are encouraged to promote physical activity during routine patient contacts in order to reduce non-communicable diseases and enhance individuals' quality of life. Little is known about physical activity promotion in physiotherapy practice in the UK. The aim of this study was to better understand physiotherapists' experience of physical activity promotion in clinical practice. DESIGN: A qualitative study was undertaken comprising 12 telephone interviews with participants using a quota sampling approach...
June 2018: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29276538/rotator-cuff-disorders-a-survey-of-current-2016-uk-physiotherapy-practice
#8
Julie Bury, Chris Littlewood
Background: Shoulder pain is a common musculoskeletal presentation, with disorders of the rotator cuff (RC) regarded as the most frequent cause. Conservative treatment is often the initial management; however, findings from a previous survey showed considerable variations in clinical practice, including the use of modalities that are not supported in the literature, suggesting that research is not impacting on practice. The present study aimed to survey current UK physiotherapy practice for the management of RC disorders and to determine whether this has changed over the 5-year period since the last survey was conducted...
January 2018: Shoulder & Elbow
https://www.readbyqxmd.com/read/29119004/physiotherapy-and-physical-activity-a-cross-sectional-survey-exploring-physical-activity-promotion-knowledge-of-physical-activity-guidelines-and-the-physical-activity-habits-of-uk-physiotherapists
#9
Anna Lowe, Chris Littlewood, Sionnadh McLean, Karen Kilner
Objective: Physical inactivity is a public health priority and embedding promotion of physical activity (PA) within healthcare systems is an important lever for change. Many factors influence PA promotion in routine healthcare practice; these include the PA habits of healthcare professionals and also their knowledge of the PA guidelines. Little is known about the extent to which PA is currently promoted in physiotherapy practice or the factors that influence it. Methods: Following ethical approval, a cross-sectional survey of UK physiotherapists was conducted...
2017: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29065348/subacromial-impingement-syndrome-what-does-this-mean-to-and-for-the-patient-a-qualitative-study
#10
Andrew Cuff, Chris Littlewood
BACKGROUND: Structured exercise has been reported as the current treatment of choice for patients diagnosed with subacromial impingement syndrome (SIS). However, it has been suggested that this diagnostic term and the language used to explain this condition might negatively influence patient expectations and serve as a barrier to engagement with exercise, hence compromising clinical outcomes. AIM: To explore how patients rationalise their shoulder pain following a diagnosis of SIS and how this understanding might impact on their perception of physiotherapy and engagement with exercise...
February 2018: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29018063/scapular-dyskinesis-and-shoulder-pain-the-devil-is-in-the-detail
#11
EDITORIAL
Chris Littlewood, Ann M J Cools
No abstract text is available yet for this article.
January 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28993403/cognitive-and-contextual-factors-to-optimise-clinical-outcomes-in-tendinopathy
#12
EDITORIAL
Adrian James Mallows, James Robert Debenham, Peter Malliaras, Richmond Stace, Chris Littlewood
No abstract text is available yet for this article.
July 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28716796/clinical-and-cost-effectiveness-of-progressive-exercise-compared-with-best-practice-advice-with-or-without-corticosteroid-injection-for-the-treatment-of-rotator-cuff-disorders-protocol-for-a-2x2-factorial-randomised-controlled-trial-the-grasp-trial
#13
RANDOMIZED CONTROLLED TRIAL
Sally Hopewell, David J Keene, Michael Maia Schlüssel, Melina Dritsaki, Susan Dutton, Andrew Carr, William Hamilton, Zara Hansen, Anju Jaggi, Chris Littlewood, Hessam Soutakbar, Peter Heine, Lucy Cureton, Karen Barker, Sarah E Lamb
INTRODUCTION: Shoulder pain is very common, with around 70% of cases due to disorders of the rotator cuff. Despite widespread provision of physiotherapy, there is uncertainty about which type of exercise and delivery mechanisms are associated with best outcomes. There is also uncertainty around the long-term benefits and harms of corticosteroid injection therapy, which is often used in addition to physiotherapy. The Getting it Right: Addressing Shoulder Pain trial will assess the clinical and cost-effectiveness of individually tailored, progressive exercise compared with best practice advice, with or without corticosteroid injection, in adults with a rotator cuff disorder...
July 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28704624/a-systematic-review-of-electromyography-studies-in-normal-shoulders-to-inform-postoperative-rehabilitation-following-rotator-cuff-repair
#14
REVIEW
Peter K Edwards, Jay R Ebert, Chris Littlewood, Tim Ackland, Allan Wang
Study Design Systematic review. Background Electromyography (EMG) has previously been used to guide postoperative rehabilitation progression following rotator cuff repair to prevent deleterious loading of early surgical repair. Objective To review the current literature investigating EMG during rehabilitation exercises in normal shoulders, and to identify exercises that meet a cut point of 15% maximal voluntary isometric contraction (MVIC) or less and are unlikely to result in excessive loading in the early postoperative stages...
December 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28642226/measuring-patient-reported-outcomes-pros-proms-in-people-with-achilles-tendinopathy-how-useful-is-the-visa-a
#15
EDITORIAL
Adrian Mallows, Chris Littlewood, Peter Malliaras
No abstract text is available yet for this article.
June 22, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28003241/physical-activity-promotion-in-physiotherapy-practice-a-systematic-scoping-review-of-a-decade-of-literature
#16
REVIEW
Anna Lowe, Melanie Gee, Sionnadh McLean, Chris Littlewood, Carolyn Lindsay, Simon Everett
BACKGROUND: The health benefits of physical activity (PA) have been extensively documented. Globally PA levels are low with only a small proportion of the population reaching recommended levels. Insufficient PA is seen as a major public health problem with high cost to society. Physiotherapists work with people to manage long-term conditions and are well placed to deliver individual interventions to increase PA. Despite this, little is known about the evidence that exists in this field...
January 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27852585/association-of-psychological-variables-and-outcome-in-tendinopathy-a-systematic-review
#17
REVIEW
Adrian Mallows, James Debenham, Tom Walker, Chris Littlewood
OBJECTIVE: Fear, anxiety, depression, distress and catastrophisation are all factors known to affect pain and disability levels. To date, the association of such psychological factors has yet to be established in tendinopathy. Therefore, the purpose of this paper was to determine if psychological variables are associated with tendinopathy and whether any such variables may be associated with pain and disability outcomes in conservative management of tendinopathy. DESIGN: A systematic review was undertaken and included studies were appraised for risk of bias using the Newcastle-Ottawa Scale...
May 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27582979/rehabilitation-following-rotator-cuff-repair-a-survey-of-current-uk-practice
#18
REVIEW
Chris Littlewood, Marcus Bateman
BACKGROUND: Rotator cuff disorders, including rotator cuff tears, are common and can be treated conservatively or surgically. Data suggest that the incidence of surgery to repair the rotator cuff is rising. Despite this rise, the most effective approach to postoperative rehabilitation, a critical component of the recovery process, is not well developed. The present study aimed to describe current practice in the UK in relation to rehabilitation following rotator cuff repair. METHODS: An electronic survey was developed and disseminated to UK based physiotherapists and surgeons involved with rotator cuff repair...
July 2015: Shoulder & Elbow
https://www.readbyqxmd.com/read/27582966/rehabilitation-following-rotator-cuff-repair-a-systematic-review
#19
REVIEW
Chris Littlewood, Marcus Bateman, David Clark, James Selfe, Duncan Watkinson, Mike Walton, Lennard Funk
BACKGROUND: The aim of this systematic review was to evaluate the effectiveness of rehabilitation programmes following surgical repair of the rotator cuff with emphasis upon length of immobilisation and timing of introduction of load. METHODS: An electronic search of CENTRAL, MEDLINE and PEDro was undertaken to August 2014 and supplemented by hand searching. Randomised controlled trials were included, quality appraised using the PEDro scale and synthesised via meta-analysis or narrative synthesis, based upon levels of evidence, where appropriate...
April 2015: Shoulder & Elbow
https://www.readbyqxmd.com/read/27422595/effectiveness-of-scapula-focused-approaches-in-patients-with-rotator-cuff-related-shoulder-pain-a-systematic-review-and-meta-analysis
#20
REVIEW
Julie Bury, Morgan West, Gema Chamorro-Moriana, Chris Littlewood
BACKGROUND: Rotator cuff related shoulder pain (RCSP) is common with a range of conservative treatments currently offered. Evidence supporting superiority of one approach over another is lacking. Scapula focused approaches (SFA) are frequently prescribed and warrant investigation. OBJECTIVE: To evaluate the effectiveness of SFA in RCSP. DESIGN: Systematic review of randomised controlled trials. METHODS: An electronic search including MEDLINE, PEDro, ENFISPO to January 2016 was supplemented by hand searching...
September 2016: Manual Therapy
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