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All Outputs (122)

How should clinicians integrate the findings of The Lancet’s 2018 placebo-controlled subacromial decompression trial into clinical practice? (2018)
Journal Article
Littlewood, C., Bury, J., O'Shea, A., McCreesh, K., & O'Sullivan, K. (2018). How should clinicians integrate the findings of The Lancet’s 2018 placebo-controlled subacromial decompression trial into clinical practice?. British Journal of Sports Medicine, 52(14), 883-884. https://doi.org/10.1136/bjsports-2017-098900

The musculoskeletal and orthopaedic world has been challenged by a recent randomised controlled trial that compared surgical (arthroscopic) subacromial decompression (SAD) with placebo surgery or monitoring only for patients with ‘subacromial’ should... Read More about How should clinicians integrate the findings of The Lancet’s 2018 placebo-controlled subacromial decompression trial into clinical practice?.

Understanding physical activity promotion in physiotherapy practice: A qualitative study (2018)
Journal Article
Lowe, A., Littlewood, C., & McLean, S. (2018). Understanding physical activity promotion in physiotherapy practice: A qualitative study. Musculoskeletal Science and Practice, 35, 1-7. https://doi.org/10.1016/j.msksp.2018.01.009

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 li... Read More about Understanding physical activity promotion in physiotherapy practice: A qualitative study.

Surgery for tennis elbow: a systematic review (2017)
Journal Article
Bateman, M., Littlewood, C., Rawson, B., & A. Tambe, A. (2019). Surgery for tennis elbow: a systematic review. Shoulder and Elbow, 11(1), 35-44. https://doi.org/10.1177/1758573217745041

Background: There is no consensus on the most suitable treatment for tennis elbow but, in the USA, surgical intervention is increasing despite a lack of supportive research evidence. The aim of this systematic review was to provide a balanced update... Read More about Surgery for tennis elbow: a systematic review.

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 (2017)
Journal Article
Lowe, A., Littlewood, C., McLean, S., & Kilner, K. (2017). 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. BMJ Open Sport & Exercise Medicine, 3, Article e000290. https://doi.org/10.1136/bmjsem-2017-000290

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... Read More about 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.

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) (2017)
Journal Article

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 be... Read More about 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).

Identification of walking strategies of people with osteoarthritis of the knee using insole pressure sensors (2017)
Journal Article
Muñoz-Organero, M., Littlewood, C., Parker, J., Powell, L., Grindell, C., & Mawson, S. (2017). Identification of walking strategies of people with osteoarthritis of the knee using insole pressure sensors. IEEE Sensors Journal, 17(12), 3909-3920. https://doi.org/10.1109/JSEN.2017.2696303

Insole pressure sensors capture the different forces exercised over the different parts of the sole when performing tasks standing up. Using data analysis and machine learning techniques, common patterns and strategies from different users to execute... Read More about Identification of walking strategies of people with osteoarthritis of the knee using insole pressure sensors.

Rotator Cuff Disorders: A Survey of Current Uk Physiotherapy Practice (2017)
Journal Article
Littlewood, C., Lowe, A., & Moore, J. (2017). Rotator Cuff Disorders: A Survey of Current Uk Physiotherapy Practice. Shoulder and Elbow, 4(1), 64-71. https://doi.org/10.1111/j.1758-5740.2011.00164.x

Background: Shoulder pain is a common problem and disorders of the rotator cuff are considered to be the commonest cause of this pain. Despite this, there is a paucity of high-quality research upon which to base practice. There is a clear need to det... Read More about Rotator Cuff Disorders: A Survey of Current Uk Physiotherapy Practice.

A Systematic Review of Electromyography Studies in Normal Shoulders to Inform Postoperative Rehabilitation Following Rotator Cuff Repair (2017)
Journal Article
Edwards, P. K., Ebert, J. R., Littlewood, C., Ackland, T., & Wang, A. (2017). A Systematic Review of Electromyography Studies in Normal Shoulders to Inform Postoperative Rehabilitation Following Rotator Cuff Repair. Journal of Orthopaedic & Sports Physical Therapy, 47(12), 931-944. https://doi.org/10.2519/jospt.2017.7271

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: T... Read More about A Systematic Review of Electromyography Studies in Normal Shoulders to Inform Postoperative Rehabilitation Following Rotator Cuff Repair.

Physical activity promotion in physiotherapy practice: A systematic scoping review of a decade of literature (2016)
Journal Article
Lowe, A., Gee, M., McLean, S., Littlewood, C., Lindsay, C., & Everett, S. (2016). Physical activity promotion in physiotherapy practice: A systematic scoping review of a decade of literature. British Journal of Sports Medicine, 52, 122-127. https://doi.org/10.1136/bjsports-2016-096735

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 proble... Read More about Physical activity promotion in physiotherapy practice: A systematic scoping review of a decade of literature.

Association of psychological variables and outcome in tendinopathy: A systematic review (2016)
Journal Article
Mallows, A., Debenham, J., Walker, T., & Littlewood, C. (2016). Association of psychological variables and outcome in tendinopathy: A systematic review. British Journal of Sports Medicine, 51, 743-748. https://doi.org/10.1136/bjsports-2016-096154

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... Read More about Association of psychological variables and outcome in tendinopathy: A systematic review.

Effectiveness of scapula-focused approaches in patients with rotator cuff related shoulder pain: A systematic review and meta-analysis (2016)
Journal Article
Bury, J., West, M., Chamorro-Moriana, G., & Littlewood, C. (2016). Effectiveness of scapula-focused approaches in patients with rotator cuff related shoulder pain: A systematic review and meta-analysis. Manual Therapy, 25, 35-42. https://doi.org/10.1016/j.math.2016.05.337

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 prescr... Read More about Effectiveness of scapula-focused approaches in patients with rotator cuff related shoulder pain: A systematic review and meta-analysis.

A self-managed single exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy: A randomised controlled trial (the SELF study) (2015)
Journal Article
Littlewood, C., Bateman, M., Brown, K., Bury, J., Mawson, S., May, S., & Walters, S. J. (2016). A self-managed single exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy: A randomised controlled trial (the SELF study). Clinical Rehabilitation, 30(7), 686-696. https://doi.org/10.1177/0269215515593784

Objectives: To evaluate the clinical effectiveness of a self-managed single exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy.

Design: Multi-centre pragmatic unblinded parallel group randomised controlled trial... Read More about A self-managed single exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy: A randomised controlled trial (the SELF study).

Therapeutic Exercise for rotator cuff tendinopathy: A systematic review of contextual factors and prescription parameters (2015)
Journal Article
Littlewood, C., Malliaras, P., & Chance-Larsen, K. (2015). Therapeutic Exercise for rotator cuff tendinopathy: A systematic review of contextual factors and prescription parameters. International Journal of Rehabilitation Research, 38(2), 95-106. https://doi.org/10.1097/MRR.0000000000000113

Exercise is widely regarded as an effective intervention for symptomatic rotator cuff tendinopathy but the prescription is diverse and the important components of such programmes are not well understood. The objective of this study was to systematica... Read More about Therapeutic Exercise for rotator cuff tendinopathy: A systematic review of contextual factors and prescription parameters.

Rehabilitation following rotator cuff repair: a survey of current UK practice (2015)
Journal Article
Littlewood, C., & Bateman, M. (2015). Rehabilitation following rotator cuff repair: a survey of current UK practice. Shoulder and Elbow, 7(3), 193-204. https://doi.org/10.1177/1758573215571679

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 appro... Read More about Rehabilitation following rotator cuff repair: a survey of current UK practice.

Rehabilitation following rotator cuff repair: a systematic review (2015)
Journal Article
Littlewood, C., Bateman, M., Clark, D., Selfe, J., Watkinson, D., Walton, M., & Funk, L. (2015). Rehabilitation following rotator cuff repair: a systematic review. Shoulder and Elbow, 7(2), 115-124. https://doi.org/10.1177/1758573214567702

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... Read More about Rehabilitation following rotator cuff repair: a systematic review.

Understanding the barriers and enablers to implementation of a self-managed exercise intervention: A qualitative study (2015)
Journal Article
Littlewood, C., Mawson, S., May, S., & Walters, S. (2015). Understanding the barriers and enablers to implementation of a self-managed exercise intervention: A qualitative study. Physiotherapy, 101(3), 279-285. https://doi.org/10.1016/j.physio.2015.01.001

Background: Despite a proliferation of research evidence, there remains a 'gap' between what this evidence suggests and what happens in clinical practice. One reason why physiotherapists might not implement research evidence is because the findings d... Read More about Understanding the barriers and enablers to implementation of a self-managed exercise intervention: A qualitative study.

An update of stabilisation exercises for low back pain: A systematic review with meta-analysis (2014)
Journal Article
Smith, B. E., Littlewood, C., & May, S. (2014). An update of stabilisation exercises for low back pain: A systematic review with meta-analysis. BMC Musculoskeletal Disorders, 15, Article 416. https://doi.org/10.1186/1471-2474-15-416

Background: Non-specific low back pain (NSLBP) is a large and costly problem. It has a lifetime prevalence of 80% and results in high levels of healthcare cost. It is a major cause for long term sickness amongst the workforce and is associated with h... Read More about An update of stabilisation exercises for low back pain: A systematic review with meta-analysis.