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Prof Chris Littlewood's Outputs (18)

Rehabilitation following rotator cuff repair: A nested qualitative study exploring the perceptions and experiences of participants in a randomised controlled trial (2020)
Journal Article
Stephens, G., Littlewood, C., Foster, N. E., & Dikomitis, L. (2021). Rehabilitation following rotator cuff repair: A nested qualitative study exploring the perceptions and experiences of participants in a randomised controlled trial. Clinical Rehabilitation, 35(6), 911-919. https://doi.org/10.1177/0269215520984025

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-dire... Read More about Rehabilitation following rotator cuff repair: A nested qualitative study exploring the perceptions and experiences of participants in a randomised controlled trial.

Rehabilitation following rotator cuff repair: A multi-centre pilot & feasibility randomised controlled trial (RaCeR) (2020)
Journal Article

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... Read More about Rehabilitation following rotator cuff repair: A multi-centre pilot & feasibility randomised controlled trial (RaCeR).

Self-reported management among people with rotator cuff related shoulder pain: An observational study (2020)
Journal Article
Smythe, A., Rathi, S., Pavlova, N., Littlewood, C., Connell, D., Haines, T., & Malliaras, P. (2021). Self-reported management among people with rotator cuff related shoulder pain: An observational study. Musculoskeletal Science and Practice, 51, Article 102305. https://doi.org/10.1016/j.msksp.2020.102305

Background: Rotator cuff related shoulder pain is the most common cause of shoulder pain. Whilst guidelines recommend conservative management prior to imaging, injection or surgical management, recent findings suggest that patients experience managem... Read More about Self-reported management among people with rotator cuff related shoulder pain: An observational study.

Rehabilitation following proximal humeral fracture in the UK National Health Service: A survey of publicly facing information (2020)
Journal Article
Rohun, J., May, P., & Littlewood, C. (2020). Rehabilitation following proximal humeral fracture in the UK National Health Service: A survey of publicly facing information. Musculoskeletal Care, 19(2), 193-198. https://doi.org/10.1002/msc.1523

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 f... Read More about Rehabilitation following proximal humeral fracture in the UK National Health Service: A survey of publicly facing information.

The effectiveness of preoperative rehabilitation programmes on postoperative outcomes following anterior cruciate ligament (ACL) reconstruction: a systematic review (2020)
Journal Article
Carter, {. M., Littlewood, C., Webster, {. E., & Smith, {. E. (2020). The effectiveness of preoperative rehabilitation programmes on postoperative outcomes following anterior cruciate ligament (ACL) reconstruction: a systematic review. BMC Musculoskeletal Disorders, 21, 647. https://doi.org/10.1186/s12891-020-03676-6

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 fro... Read More about The effectiveness of preoperative rehabilitation programmes on postoperative outcomes following anterior cruciate ligament (ACL) reconstruction: a systematic review.

Rehabilitation following rotator cuff repair: A survey of current practice (2020) (2020)
Journal Article
Littlewood, C., Mazuquin, B., Moffatt, M., & Bateman, M. (2021). Rehabilitation following rotator cuff repair: A survey of current practice (2020). Musculoskeletal Care, 19(2), 165-171. https://doi.org/10.1002/msc.1514

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 appr... Read More about Rehabilitation following rotator cuff repair: A survey of current practice (2020).

Internet and Telerehabilitation-Delivered Management of Rotator Cuff–Related Shoulder Pain (INTEL Trial): Randomized Controlled Pilot and Feasibility Trial (2020)
Journal Article

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: Th... Read More about Internet and Telerehabilitation-Delivered Management of Rotator Cuff–Related Shoulder Pain (INTEL Trial): Randomized Controlled Pilot and Feasibility Trial.

Guidelines for the use of diagnostic imaging in musculoskeletal pain conditions affecting the lower back, knee and shoulder: A scoping review (2020)
Journal Article
Cuff, A., Parton, S., Tyer, R., Dikomitis, L., Foster, N., & Littlewood, C. (2020). Guidelines for the use of diagnostic imaging in musculoskeletal pain conditions affecting the lower back, knee and shoulder: A scoping review. Musculoskeletal Care, 18(4), 546-554. https://doi.org/10.1002/msc.1497

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... Read More about Guidelines for the use of diagnostic imaging in musculoskeletal pain conditions affecting the lower back, knee and shoulder: A scoping review.

Development of a physiotherapist-led exercise programme for traumatic tears of the rotator cuff for the SPeEDy study (2020)
Journal Article

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.... Read More about Development of a physiotherapist-led exercise programme for traumatic tears of the rotator cuff for the SPeEDy study.

Elephant in the room: how much pain is ok? If physiotherapy exercise RCTs do not report it, we will never answer the question (2020)
Journal Article
Smith, B. E., Riel, H., Vicenzino, B., & Littlewood, C. (2020). Elephant in the room: how much pain is ok? If physiotherapy exercise RCTs do not report it, we will never answer the question. British Journal of Sports Medicine, 54(14), 821-822. https://doi.org/10.1136/bjsports-2019-101289

Pain experience and response associated with exercise is likely important and may for some conditions be an essential part of recovery, but we lack data. The patient's pain experience is currently absent from the reporting guideline for exercise RCTs... Read More about Elephant in the room: how much pain is ok? If physiotherapy exercise RCTs do not report it, we will never answer the question.

The Efficacy of Higher Versus Lower Dose Exercise in Rotator Cuff Tendinopathy: A Systematic Review of Randomized Controlled Trials (2020)
Journal Article
Malliaras, P., Johnston, R., Street, G., Littlewood, C., Bennell, K., Haines, T., & Buchbinder, R. (2020). The Efficacy of Higher Versus Lower Dose Exercise in Rotator Cuff Tendinopathy: A Systematic Review of Randomized Controlled Trials. Archives of Physical Medicine and Rehabilitation, 101(10), 1822-1834. https://doi.org/10.1016/j.apmr.2020.06.013

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 r... Read More about The Efficacy of Higher Versus Lower Dose Exercise in Rotator Cuff Tendinopathy: A Systematic Review of Randomized Controlled Trials.

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 (2020)
Journal Article
Naunton, J., Street, G., Littlewood, C., Haines, T., & Malliaras, P. (2020). 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. Clinical Rehabilitation, 34(9), 1198-1216. https://doi.org/10.1177/0269215520934147

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 Cochr... Read More about 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.

“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 (2020)
Journal Article
Stephens, G., O'Neill, S., Mottershead, C., Hawthorn, C., Yeowell, G., & Littlewood, C. (2020). “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. Musculoskeletal Science and Practice, 47, Article 102175. https://doi.org/10.1016/j.msksp.2020.102175

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 p... Read More about “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.

Rehabilitation following shoulder arthroplasty in the United Kingdom National Health Service: A survey of publicly facing information (2020)
Journal Article
Littlewood, C., Morgan, M., Pitt, L., Moffatt, M., Edwards, P., Davies, R., & Peach, C. (2020). Rehabilitation following shoulder arthroplasty in the United Kingdom National Health Service: A survey of publicly facing information. Musculoskeletal Care, 18(3), 359-364. https://doi.org/10.1002/msc.1468

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 Natio... Read More about Rehabilitation following shoulder arthroplasty in the United Kingdom National Health Service: A survey of publicly facing information.

Rotator cuff disorders: A survey of current (2018) Italian physiotherapy practice (2020)
Journal Article
Brindisino, F., Matteuzzi, I., Bury, J., McCreesh, K., & Littlewood, C. (2020). Rotator cuff disorders: A survey of current (2018) Italian physiotherapy practice. Physiotherapy Practice and Research, 41, 11-22. https://doi.org/10.3233/PPR-190141

BACKGROUND: Shoulder pain is a common musculoskeletal complaint and disorders of the rotator cuff (RC) are widely regarded as the most common cause. Where clinical care is required, physiotherapists play an integral role. Previous studies have report... Read More about Rotator cuff disorders: A survey of current (2018) Italian physiotherapy practice.

Physiotherapists deliver management broadly consistent with recommended practice in rotator cuff tendinopathy: An observational study (2020)
Journal Article
Smythe, A., White, J., Littlewood, C., Bury, J., Haines, T., & Malliaras, P. (2020). Physiotherapists deliver management broadly consistent with recommended practice in rotator cuff tendinopathy: An observational study. Musculoskeletal Science and Practice, 47, Article 102132. https://doi.org/10.1016/j.msksp.2020.102132

Background: Rotator cuff tendinopathy is a common and disabling cause of shoulder pain. While conservative treatment is recommended as initial management, recent findings suggest that general practitioners and rheumatologists do not consistently alig... Read More about Physiotherapists deliver management broadly consistent with recommended practice in rotator cuff tendinopathy: An observational study.

The association of working alliance, outcome expectation, adherence and self-efficacy with clinical outcomes for Achilles tendinopathy: A feasibility cohort study (the MAP study) (2020)
Journal Article
Mallows, A., Jackson, J., Littlewood, C., & Debenham, J. (2020). The association of working alliance, outcome expectation, adherence and self-efficacy with clinical outcomes for Achilles tendinopathy: A feasibility cohort study (the MAP study). Musculoskeletal Care, 18(2), 169-176. https://doi.org/10.1002/msc.1451

Introduction: This study evaluated the feasibility of a large longitudinal cohort study utilizing an online platform to investigate the association and predictive relationship of working alliance, outcome expectations, adherence and self-efficacy wit... Read More about The association of working alliance, outcome expectation, adherence and self-efficacy with clinical outcomes for Achilles tendinopathy: A feasibility cohort study (the MAP study).