Prof Chris Littlewood's Outputs (119)

Progressive exercise compared with best-practice advice, with or without corticosteroid injection, for rotator cuff disorders: the GRASP factorial RCT. (2021)
Journal Article

Background: Rotator cuff-related shoulder pain is very common, but there is uncertainty regarding which modes of exercise delivery are optimal and the long-term benefits of corticosteroid injections.

Objectives: To assess the clinical effectivene... Read More about Progressive exercise compared with best-practice advice, with or without corticosteroid injection, for rotator cuff disorders: the GRASP factorial RCT..

An Exploration of the Content and Language Used in Publicly Available National Health Service Patient Information Leaflets for People Considering Shoulder Replacement Surgery: A Qualitative Study (2025)
Journal Article

Objectives: The decision to undergo total shoulder replacement surgery is a major one and should be a joint one between the patient and surgeon. It is important that patients are provided with accessible, meaningful and appropriate information to ena... Read More about An Exploration of the Content and Language Used in Publicly Available National Health Service Patient Information Leaflets for People Considering Shoulder Replacement Surgery: A Qualitative Study.

Exploring the experience of people with shoulder osteoarthritis and their perceptions of non-surgical management: A qualitative study (2025)
Journal Article

Objective
To investigate the experience of people with shoulder osteoarthritis and their perception of non-surgical management in the UK National Health Service (NHS).
Design
Qualitative design, using semi-structured telephone interviews. Two auth... Read More about Exploring the experience of people with shoulder osteoarthritis and their perceptions of non-surgical management: A qualitative study.

Exploring the patient’s recovery journey and information needs following a shoulder fracture: A qualitative interview study (2024)
Journal Article
May, P., Davies, F., Yeowell, G., & Littlewood, C. (in press). Exploring the patient’s recovery journey and information needs following a shoulder fracture: A qualitative interview study. PLoS ONE, 19(12), e0316516. https://doi.org/10.1371/journal.pone.0316516

Background: Shoulder fractures (proximal humerus fractures) are common, painful, debilitating injuries. Recovery is a long process often hindered by complications such as mal-union and frozen shoulder. The purpose of this qualitative study was to exp... Read More about Exploring the patient’s recovery journey and information needs following a shoulder fracture: A qualitative interview study.

An Analysis of Publicly Available National Health Service Information Leaflets for Patients With Shoulder Osteoarthritis (2024)
Journal Article
Lalande, S., Moffatt, M., Smith, T., Aggarwal, V., & Littlewood, C. (2024). An Analysis of Publicly Available National Health Service Information Leaflets for Patients With Shoulder Osteoarthritis. Musculoskeletal Care, 22(4), Article e70028. https://doi.org/10.1002/msc.70028

Background: Shoulder osteoarthritis is a common cause of pain, disability and difficulty sleeping. Patient information leaflets are produced by NHS Trusts with the aim of informing patients about their diagnosis and available treatment options. Objec... Read More about An Analysis of Publicly Available National Health Service Information Leaflets for Patients With Shoulder Osteoarthritis.

What influences the decision to undergo rotator cuff repair surgery: A survey of clinician's perspectives (2024)
Journal Article
Pitt, L., Mazuquin, B., & Littlewood, C. (2024). What influences the decision to undergo rotator cuff repair surgery: A survey of clinician's perspectives. Shoulder and Elbow, https://doi.org/10.1177/17585732241281743

Background
Many factors may influence a patient's decision to undergo rotator cuff repair surgery. The aim of this survey was to understand from a clinician's perspective how different factors influence the likelihood of a patient undergoing a repai... Read More about What influences the decision to undergo rotator cuff repair surgery: A survey of clinician's perspectives.

Shoulder Osteoarthritis: A survey of current (2024) UK physiotherapy practice. (2024)
Journal Article
Lalande, S., Moffatt, M., & Littlewood, C. (2024). Shoulder Osteoarthritis: A survey of current (2024) UK physiotherapy practice. Musculoskeletal Care, 22, Article e1917. https://doi.org/10.1002/msc.1917

Background: Shoulder osteoarthritis can cause significant pain and disability. It is thought that the wider principles of osteoarthritis management can be applied in the management of people with shoulder osteoarthritis, but most prior research has b... Read More about Shoulder Osteoarthritis: A survey of current (2024) UK physiotherapy practice..

Patient experiences of hydrodistension as a treatment for frozen shoulder: A longitudinal qualitative study (2024)
Journal Article
Whelan, G., Yeowell, G., & Littlewood, C. (2024). Patient experiences of hydrodistension as a treatment for frozen shoulder: A longitudinal qualitative study. PLoS ONE, https://doi.org/10.1371/journal.pone.0304236

BackgroundFrozen shoulder is a condition associated with severe shoulder pain and loss of function impacting on a persons{\textquoteright} physical and mental health. Hydrodistension treatment that has been widely adopted within the UK National Healt... Read More about Patient experiences of hydrodistension as a treatment for frozen shoulder: A longitudinal qualitative study.

Clinical and cost-effectiveness of individualised (early) patient-directed rehabilitation versus standard rehabilitation after surgical repair of the rotator cuff of the shoulder: protocol for a multi-centre, randomised controlled trial with integrated Quintet Recruitment Intervention (RaCeR 2). (2024)
Journal Article

Introduction: Despite the high number of operations and surgical advancement, rehabilitation after rotator cuff repair has not progressed for over 20 years. The traditional cautious approach might be contributing to sub-optimal outcomes. Our aim is t... Read More about Clinical and cost-effectiveness of individualised (early) patient-directed rehabilitation versus standard rehabilitation after surgical repair of the rotator cuff of the shoulder: protocol for a multi-centre, randomised controlled trial with integrated Quintet Recruitment Intervention (RaCeR 2)..

Exploring the feasibility and acceptance of an optimised physiotherapy approach for lateral elbow tendinopathy: a qualitative investigation within the OPTimisE trial (2024)
Journal Article
Bateman, M., Saunders, B., Cooper, K., Littlewood, C., & C Hill, J. (2024). Exploring the feasibility and acceptance of an optimised physiotherapy approach for lateral elbow tendinopathy: a qualitative investigation within the OPTimisE trial. BMJ Open, 14, Article e073816. https://doi.org/10.1136/bmjopen-2023-073816

Objectives: To explore the acceptability of an optimised physiotherapy (OPTimisE) intervention for people with lateral elbow tendinopathy (LET) and feasibility of comparing it to usual care in a randomised controlled trial.

Design: Semistructured... Read More about Exploring the feasibility and acceptance of an optimised physiotherapy approach for lateral elbow tendinopathy: a qualitative investigation within the OPTimisE trial.

Rapid Assessment of the Need for Evidence: Applying the Principles of Value of Information to Research Prioritisation (2024)
Journal Article
Glynn, D., GC, V., Claxton, K., Littlewood, C., & Rothery, C. (2024). Rapid Assessment of the Need for Evidence: Applying the Principles of Value of Information to Research Prioritisation. PharmacoEconomics, 42, 919-928. https://doi.org/10.1007/s40273-024-01403-w

We propose a short-cut heuristic approach to rapidly estimate value of information (VOI) using information commonly reported in a research funding application to make a case for the need for further evaluative research. We develop a “Rapid VOI” appro... Read More about Rapid Assessment of the Need for Evidence: Applying the Principles of Value of Information to Research Prioritisation.

Rotator cuff disorders: An updated survey of current (2023) UK physiotherapy practice (2024)
Journal Article
Moffatt, M., Lalande, S., Maher, N., & Littlewood, C. (2024). Rotator cuff disorders: An updated survey of current (2023) UK physiotherapy practice. Musculoskeletal Care, 22, https://doi.org/10.1002/msc.1872

BackgroundClinical guidelines recommend treatment by a physiotherapist for people with shoulder pain due to rotator cuff disorder. Despite this recommendation, research evidence supporting the effectiveness of treatment by a physiotherapist is uncert... Read More about Rotator cuff disorders: An updated survey of current (2023) UK physiotherapy practice.

Optimising physiotherapy for people with lateral elbow tendinopathy - Results of a mixed-methods pilot and feasibility randomised controlled trial (OPTimisE) (2023)
Journal Article

The OPTimisE intervention was developed to address uncertainty regarding the most effective physiotherapy treatment strategy for people with Lateral Elbow Tendinopathy (LET). To assess the feasibility of conducting a fully-powered randomised controll... Read More about Optimising physiotherapy for people with lateral elbow tendinopathy - Results of a mixed-methods pilot and feasibility randomised controlled trial (OPTimisE).

Exploring the experiences and perceptions of patients awaiting rotator cuff repair surgery: an integrated qualitative study within the POWER pilot and feasibility trial (2023)
Journal Article
MOFFATT, M., Wade, J., Foster, N., & Littlewood, C. (2024). Exploring the experiences and perceptions of patients awaiting rotator cuff repair surgery: an integrated qualitative study within the POWER pilot and feasibility trial. Musculoskeletal Science and Practice, 69, 1--28. https://doi.org/10.1016/j.msksp.2023.102893

Background: As waiting times for orthopaedic surgery increase, there have been calls to move from {\textquoteleft}waiting lists{\textquoteright} to {\textquoteleft}preparation lists{\textquoteright}, to better prepare patients for surgery. In this co... Read More about Exploring the experiences and perceptions of patients awaiting rotator cuff repair surgery: an integrated qualitative study within the POWER pilot and feasibility trial.

Physiotherapist-led exercise versus usual care (waiting-list) control for patients awaiting rotator cuff repair surgery: A pilot randomised controlled trial (POWER) (2023)
Journal Article

Background: Once a decision to undergo rotator cuff repair surgery is made, patients are placed on the waiting list. It can take weeks or months to receive surgery. There has been a call to move from waiting lists to 'preparation' lists to better pre... Read More about Physiotherapist-led exercise versus usual care (waiting-list) control for patients awaiting rotator cuff repair surgery: A pilot randomised controlled trial (POWER).

Current and future advances in practice: tendinopathies of the shoulder (2023)
Journal Article
Littlewood, C., Moffatt, M., Maher, N., & Irving, G. (2023). Current and future advances in practice: tendinopathies of the shoulder. Rheumatology Advances in Practice, 7(3), Article rkad086. https://doi.org/10.1093/rap/rkad086

Tendinopathies of the shoulder are a burdensome problem. Current treatments include exercise, physical therapies, corticosteroid injections, and surgery. However, the clinical outcomes from randomised controlled trials evaluating the effectiveness of... Read More about Current and future advances in practice: tendinopathies of the shoulder.

Lived experience of people with lateral elbow tendinopathy: a qualitative study from the OPTimisE pilot and feasibility trial (2023)
Journal Article
Bateman, M., Hill, {. C., Cooper, K., Littlewood, C., & Saunders, B. (2023). Lived experience of people with lateral elbow tendinopathy: a qualitative study from the OPTimisE pilot and feasibility trial. BMJ Open, 13, 1-8. https://doi.org/10.1136/bmjopen-2023-072070

Objectives: To explore the lived experience of people with lateral elbow tendinopathy (LET) and its impact on everyday life. Design: Qualitative semi-structured interviews, analysed using thematic analysis. Setting: Conducted as part of the mixed-met... Read More about Lived experience of people with lateral elbow tendinopathy: a qualitative study from the OPTimisE pilot and feasibility trial.

Developing an application for the UK Pre-Doctoral Clinical and Practitioner Academic Fellowship (PCAF): the collective experience of a community of physiotherapists (2023)
Journal Article

For physiotherapists and other healthcare professionals, developing capability and expertise in research can be challenging. However, involvement in research is beneficial at organisational and individual levels, both for clinicians and patients. One... Read More about Developing an application for the UK Pre-Doctoral Clinical and Practitioner Academic Fellowship (PCAF): the collective experience of a community of physiotherapists.

The Impact of introducing hydrodistension as a treatment for frozen shoulder in a primary care musculoskeletal service: A retrospective audit (2023)
Journal Article
Whelan, G., Yeowell, G., & Littlewood, C. (2023). The Impact of introducing hydrodistension as a treatment for frozen shoulder in a primary care musculoskeletal service: A retrospective audit. Musculoskeletal Care, 21, 953-957. https://doi.org/10.1002/msc.1736

Introduction: Hydrodistension, where a relatively high volume of local anaesthetic, corticosteroid, and sterile saline are injected into the shoulder joint, is a treatment of interest for frozen shoulder. In the UK National Health Service this is typ... Read More about The Impact of introducing hydrodistension as a treatment for frozen shoulder in a primary care musculoskeletal service: A retrospective audit.

Barriers and facilitators related to self-management of shoulder pain: a systematic review and qualitative synthesis (2022)
Journal Article
O'Shea, A., Drennan, J., Littlewood, C., Slater, H., Sim, J., & G. McVeigh, J. (2022). Barriers and facilitators related to self-management of shoulder pain: a systematic review and qualitative synthesis. Clinical Rehabilitation, 36(11), 1539-1562. https://doi.org/10.1177/02692155221108553

Objective: The objective of this review was to identify barriers and facilitators related to self-management from the perspectives of people with shoulder pain and clinicians involved in their care.

Data sources: CINAHL, MEDLINE, PsycINFO, SPORTDi... Read More about Barriers and facilitators related to self-management of shoulder pain: a systematic review and qualitative synthesis.