A5011000525- Musculoskeletal pain and rehabilitation
- Osteoarthritis Treatment and Mechanisms
- Rheumatoid Arthritis Research and Therapies
- Clinical practice guidelines implementation
- Spondyloarthritis Studies and Treatments
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Chronic Disease Management Strategies
- Health Systems, Economic Evaluations, Quality of Life
- Lower Extremity Biomechanics and Pathologies
- Diabetes Management and Education
- Primary Care and Health Outcomes
- Psoriasis: Treatment and Pathogenesis
- Cerebral Palsy and Movement Disorders
- Health Literacy and Information Accessibility
- Musculoskeletal Disorders and Rehabilitation
- Nursing Roles and Practices
- Health Policy Implementation Science
- Stroke Rehabilitation and Recovery
- Delphi Technique in Research
- Sports injuries and prevention
- Physical Activity and Health
- Total Knee Arthroplasty Outcomes
- Knee injuries and reconstruction techniques
- Pharmaceutical Practices and Patient Outcomes
- Myofascial pain diagnosis and treatment
Keele University
2016-2025
Versus Arthritis
2011-2024
National Institute for Health Research
2018
James A. Haley Veterans' Hospital
2017
University of Manchester
2010-2014
Haywood Community Hospital
2014
Royal Stoke University Hospital
2011
Diakonhjemmet Hospital
2009-2010
Royal College of Nursing
2010
University of Warwick
2010
STUDY QUESTION Which types of exercise intervention are most effective in relieving pain and improving function people with lower limb osteoarthritis? SUMMARY ANSWER As 2002 sufficient evidence had accumulated to show significant benefit over no exercise. An approach combining exercises increase strength, flexibility, aerobic capacity is likely be for function. WHAT IS KNOWN AND THIS PAPER ADDS Current international guidelines recommend therapeutic (land or water based) as “core” management...
Osteoarthritis (OA) is a leading cause of pain and disability. NICE OA guidelines (2008) recommend that patients with should be offered core treatments in primary care. Assessments management have identified need to improve care people OA, as recorded use interventions concordant the suboptimal The aim this study was i) describe patient-reported uptake non-pharmacological pharmacological recommended older adults self-reported consultation for joint ii) determine whether patient...
To evaluate mediating factors for the effect of therapeutic exercise on pain and physical function in people with knee/hip osteoarthritis (OA).
Objective. To investigate the relationship between smoking and disease activity, pain, function, quality of life in patients with ankylosing spondylitis (AS). Methods. Patients AS (n = 612) from areas across United Kingdom took part a cross-sectional postal survey. Patient-reported outcome measures including Bath Disease Activity Index, Functional Index (BASFI), numerical rating scale (NRS) questionnaire (ASQoL), evaluation (EASi-QoL) were analyzed terms status pack-year history. The...
There is as yet no evidence on the feasibility of implementing recommendations from National Institute Health and Care Excellence (NICE) osteoarthritis (OA) guidelines in primary care, or effect these have condition. The aim this study to determine clinical cost effectiveness a model OA consultation (MOAC), core NICE care. Secondary aims are investigate impact, acceptability MOAC intervention; develop evaluate training package for management by general practitioners (GPs) practice nurses;...
Objective. To explore the impact of AS on sexual relationships a large cohort patients, across UK. Methods. A total 1000 patients with confirmed diagnosis under clinical care 10 specialist rheumatology centres UK were invited to participate in study evaluating new quality life measure. Patients completed questionnaire, which also included questions relating their relationships, sociodemographic and characteristics. Results. Six hundred twelve (64%) took part study. The majority male (71.6%),...
Exercise is consistently recommended for older adults with knee pain related to osteoarthritis. However, the effects from exercise are typically small and short-term, likely linked insufficient individualisation of programme limited attention supporting adherence over time. The BEEP randomised trial aims improve patients' short long-term outcomes exercise. It will test overall effectiveness cost-effectiveness two physiotherapy-led interventions (Individually Tailored Targeted Adherence)...
Research into musculoskeletal conditions often focusses on pain at single sites, such as the knee, yet several studies have previously reported high prevalence of multiple sites pain. The most common form condition is arthritis, with osteoarthritis (OA) cause joint in adults 45 years and over. However, there limited recognition multisite peripheral those either living or risk OA, therefore this study set out to estimate older, its impact dimensions health.A cross-sectional population survey...
Abstract Background Supported self-management interventions for patients with musculoskeletal (MSK) conditions may not adequately support those limited health literacy, leading to inequalities in care and variable outcomes. The aim of this study was develop a model inclusive supported intervention(s) MSK pain that take account literacy. Methods A mixed methods four work-packages conducted: work package 1: secondary analysis existing data identify potential targets intervention; 2: evidence...
Abstract Background Although exercise is a core treatment for people with knee osteoarthritis (OA), it currently unknown whether those additional comorbidities respond differently to than without. We explored predict pain and function following an intervention in OA, they moderate response to: versus no exercise; enhanced usual exercise‐based care. Methods undertook analyses of existing data from three randomized controlled trials (RCTs): TOPIK ( n = 217), APEX 352) Benefits Effective...
To determine whether comorbidity presence, frequency or type is associated with Physical Activity (PA) levels in people Osteoarthritis (OA).Secondary data analysis of adults aged ≥45, OA related pain recruited to the BEEP trial (knee pain, n = 514) (ISRCTN93634563) and MOSAICS (peripheral joint 525) (ISRCTN06984617). Comorbidities considered were respiratory, cardiovascular diseases (CVD), depression, 2 diabetes obesity. Self-report PA was measured using Scale for Elderly (PASE). Linear...
Objective. There is currently no universally accepted measure of quality life in ankylosing spondylitis (AS). Our objective was to develop and evaluate a patient-reported outcome AS, EASi-QoL. Methods. We used patient interviews, literature review, completion an individualized AS during clinic-based pilot surveys derive questionnaire content. Classical modern psychometrics were then the using data from large UK-based postal survey 1000 patients with AS. Results. Data analysis interviews...
To determine the effect of a model osteoarthritis (OA) consultation (MOAC) informed by National Institute for Health and Care Excellence (NICE) recommendations compared with usual care on recorded quality clinical OA in general practice.Two-arm cluster randomised controlled trial.Eight practices Cheshire, Shropshire, or Staffordshire UK.General practitioners nurses patients consulting OA.Following six-month baseline period were to intervention (n = 4) 4). Intervention delivered MOAC...