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Background Recovery following an upper arm break can be prolonged and cause loss of independence. Appropriate information provision to empower and enable active participation in rehabilitation is vital to achieve the best clinical outcomes. Obje[...]Article
David J. Keene ; Hessam Soutakbar ; Sally Hopewell ; Peter Heine ; Anju Jaggi ; Chris Littlewood ; Zara Hansen ; Karen Barker ; Willie Hamilton ; Andrew J. Carr ; Sarah E. Lamb |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-p[...]Article
Chris Littlewood ; Catrin Astbury ; Howard Bush ; Jo Gibson ; Stacey Lalande ; Caroline Miller ; Lisa Pitt ; Helen Tunnicliffe ; Rachel Winstanley |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[...]Article
This paper describes a self-managed loaded exercise programme which has been designed to address the pain and disability associated with rotator cuff tendinopathy. The intervention has been developed with reference to current self-management the[...]Article
Gareth Stephens ; Seth O'Neill ; Claire Mottershead ; Catrin Hawthorn ; Gillian Yeowell ; Chris Littlewood |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 develo[...]Article
Objectives Evidence has emerged supporting the value of loaded exercises for rotator cuff tendinopathy but there are barriers that might prevent implementation of this intervention in the real-world. The purpose of this study was to explore the[...]Article
Chris Littlewood ; Maria Moffatt ; Jacqueline Beckhelling ; Daniel Davis ; Adrian Burden ; Lisa Pitt ; Stacey Lalande ; Catrin Maddocks ; Gareth Stephens ; Helen Tunnicliffe ; Jessica Pawson ; James Lloyd ; Andrea Manca ; Julia Wade ; Nadine E. Foster |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 bette[...]Article
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 consistentl[...]Article
Louise Pieters ; Lennard Voogt ; Julie Bury ; Chris Littlewood ; Stef Feijen ; Claudia Cavaggion ; Filip Struyf |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 ([...]Article
Objectives Rotator cuff tendinopathy is a common source of shoulder pain characterised by persistent and/or recurrent problems for a proportion of sufferers. The aim of this study was to pilot the methods proposed to conduct a substantive study[...]Article
Andy Smythe ; S. Rathi ; N. Pavlova ; Chris Littlewood ; D. Connell ; T. Haines ; Peter Malliaras |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 m[...]Article
Peter Malliaras ; Renea Johnston ; Gabriele Street ; Chris Littlewood ; Kim Bennell ; Terry Haines ; Rachelle Buchbinder |Highlights • There is low-certainty evidence that higher load and volume exercise may improve function but not activity or night pain in people with rotator cuff tendinopathy compared with lower load and lower volume exercise at 6 week[...]Article
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 findi[...]
