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Prof Chris Littlewood's Outputs (121)

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).

Physiotherapists' recommendations for examination and treatment of rotator cuff related shoulder pain: A consensus exercise (2019)
Journal Article

BACKGROUND: Disorders associated with the rotator cuff are regarded as the most common shoulder pain presentation. The range of diagnostic terms used to explain this problem reflect uncertainty in relation to causative mechanisms, diagnosis, prognosi... Read More about Physiotherapists' recommendations for examination and treatment of rotator cuff related shoulder pain: A consensus exercise.

Greater trochanteric pain syndrome in the UK National Health Service: A multicentre service evaluation (2019)
Journal Article
Stephens, G., O'Neill, S., Clifford, C., Cuff, A., Forte, F., Hawthorn, C., & Littlewood, C. (2019). Greater trochanteric pain syndrome in the UK National Health Service: A multicentre service evaluation. Musculoskeletal Care, 17(4), 390-398. https://doi.org/10.1002/msc.1419

Purpose: Greater trochanteric pain syndrome (GTPS) is a debilitating condition causing lateral hip pain. A recent randomized controlled trial (LEAP) demonstrated that exercise interventions for GTPS provided superior outcomes, compared with corticost... Read More about Greater trochanteric pain syndrome in the UK National Health Service: A multicentre service evaluation.

Development and implementation of the physiotherapy-led exercise interventions for the treatment of rotator cuff disorders for the ‘Getting it Right: Addressing Shoulder Pain’ (GRASP) trial (2019)
Journal Article

Objectives: The Getting it Right: Addressing Shoulder Pain (GRASP) trial is a large-scale, multicentre, 2 × 2 factorial randomised controlled trial investigating clinical and cost-effectiveness of a progressive exercise programme versus best-practice... Read More about Development and implementation of the physiotherapy-led exercise interventions for the treatment of rotator cuff disorders for the ‘Getting it Right: Addressing Shoulder Pain’ (GRASP) trial.

Routine X-rays for suspected frozen shoulder offer little over diagnosis based on history and clinical examination alone (2019)
Journal Article
Roberts, S., Dearne, R., Keen, S., Littlewood, C., Taylor, S., & Deacon, P. (2019). Routine X-rays for suspected frozen shoulder offer little over diagnosis based on history and clinical examination alone. Musculoskeletal Care, 17(2), 288-292. https://doi.org/10.1002/msc.1396

Introduction: Frozen shoulder is a common condition, and current guidelines state that it is a diagnosis of exclusion. Along with a history and clinical examination, routine X-ray is mandated, to rule out any “masquerading” pathology such as fracture... Read More about Routine X-rays for suspected frozen shoulder offer little over diagnosis based on history and clinical examination alone.

Rotator CUFF disorders: A survey of current physiotherapy practice in Belgium and the Netherlands (2019)
Journal Article
Pieters, L., Voogt, L., Bury, J., Littlewood, C., Feijen, S., Cavaggion, C., & Struyf, F. (2019). Rotator CUFF disorders: A survey of current physiotherapy practice in Belgium and the Netherlands. Musculoskeletal Science and Practice, 43, 45-51. https://doi.org/10.1016/j.msksp.2019.06.001

Background: Disorders of the rotator cuff are a common musculoskeletal pain presentation in the general population, and treatment by a physiotherapist is often prescribed. In 2011, 2016, surveys of physiotherapy practice in the United Kingdom (UK) we... Read More about Rotator CUFF disorders: A survey of current physiotherapy practice in Belgium and the Netherlands.

Protocol for a multi-centre pilot and feasibility randomised controlled trial with a nested qualitative study: rehabilitation following rotator cuff repair (the RaCeR study) (2019)
Journal Article

Background: Shoulder pain is a highly prevalent complaint and disorders of the rotator cuff, including tears, are thought to be the most common cause. The number of operations repair the torn rotator cuff has risen significantly in recent years. Whil... Read More about Protocol for a multi-centre pilot and feasibility randomised controlled trial with a nested qualitative study: rehabilitation following rotator cuff repair (the RaCeR study).

Managing Achilles Pain (the MAP study)– A process evaluation of data collection methods (2019)
Journal Article
Mallows, A., Littlewood, C., Jackson, J., & Debenham, J. (2019). Managing Achilles Pain (the MAP study)– A process evaluation of data collection methods. Musculoskeletal Science and Practice, 42, 60--66. https://doi.org/10.1016/j.msksp.2019.04.008

Background: Process evaluations explore the way in which a study was conducted. The Managing Achilles Pain study (MAP study)had the primary aim of assessing the feasibility of the protocol for a future large longitudinal cohort study that would inves... Read More about Managing Achilles Pain (the MAP study)– A process evaluation of data collection methods.

Screening of the cervical spine in subacromial shoulder pain: A systematic review (2019)
Journal Article
Walker, T., Salt, E., Lynch, G., & Littlewood, C. (2019). Screening of the cervical spine in subacromial shoulder pain: A systematic review. Shoulder and Elbow, 11(4), 305-315. https://doi.org/10.1177/1758573218798023

Background: Subacromial shoulder pain is a common clinical presentation with much diagnostic uncertainty. Some of this uncertainty relates to the involvement of the cervical spine as a source or contribution to subacromial shoulder pain. Currently, t... Read More about Screening of the cervical spine in subacromial shoulder pain: A systematic review.

A survey of physiotherapy practice (2018) in the United Kingdom for patients with greater trochanteric pain syndrome (2019)
Journal Article

Purpose: Greater Trochanteric Pain syndrome (GTPS) is a debilitating condition causing lateral hip pain. It affects up to 23.5% of women and 8% of men between 50 and 75 years old. Sufferers report comparable quality of life and functional performance... Read More about A survey of physiotherapy practice (2018) in the United Kingdom for patients with greater trochanteric pain syndrome.

Effectiveness of formal physical therapy following total shoulder arthroplasty: A systematic review (2018)
Journal Article
Edwards, P. K., Ebert, J. R., Littlewood, C., Ackland, T., & Wang, A. (2018). Effectiveness of formal physical therapy following total shoulder arthroplasty: A systematic review. Shoulder and Elbow, 12(2), 136-143. https://doi.org/10.1177/1758573218812038

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 eff... Read More about Effectiveness of formal physical therapy following total shoulder arthroplasty: A systematic review.

Comparative effectiveness of treatment options for plantar heel pain: a systematic review with network meta-analysis (2018)
Journal Article

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, W... Read More about Comparative effectiveness of treatment options for plantar heel pain: a systematic review with network meta-analysis.

Psychosocial variables and presence, severity and prognosis of plantar heel pain: A systematic review of cross-sectional and prognostic associations (2018)
Journal Article
Drake, C., Mallows, A., & Littlewood, C. (2018). Psychosocial variables and presence, severity and prognosis of plantar heel pain: A systematic review of cross-sectional and prognostic associations. Musculoskeletal Care, 16, 329-338. https://doi.org/10.1002/msc.1246

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 pres... Read More about Psychosocial variables and presence, severity and prognosis of plantar heel pain: A systematic review of cross-sectional and prognostic associations.

Reliability of the Shoulder Symptom Modification Procedure and association of within-session and between-session changes with functional outcomes (2018)
Journal Article
Meakins, A., May, S., & Littlewood, C. (2018). Reliability of the Shoulder Symptom Modification Procedure and association of within-session and between-session changes with functional outcomes. BMJ Open Sport & Exercise Medicine, 4(1), https://doi.org/10.1136/bmjsem-2018-000342

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... Read More about Reliability of the Shoulder Symptom Modification Procedure and association of within-session and between-session changes with functional outcomes.

Rotator cuff disorders: a survey of current (2016) UK physiotherapy practice (2018)
Journal Article
Bury, J., & Littlewood, C. (2018). Rotator cuff disorders: a survey of current (2016) UK physiotherapy practice. Shoulder and Elbow, 10(1), 52-61. https://doi.org/10.1177/1758573217717103

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 c... Read More about Rotator cuff disorders: a survey of current (2016) UK physiotherapy practice.

Subacromial impingement syndrome – What does this mean to and for the patient? A qualitative study (2018)
Journal Article
Cuff, A., & Littlewood, C. (2018). Subacromial impingement syndrome – What does this mean to and for the patient? A qualitative study. Musculoskeletal Science and Practice, 33, 24-28. https://doi.org/10.1016/j.msksp.2017.10.008

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 co... Read More about Subacromial impingement syndrome – What does this mean to and for the patient? A qualitative study.

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?.