- Osteoarthritis Treatment and Mechanisms
- Musculoskeletal pain and rehabilitation
- Lower Extremity Biomechanics and Pathologies
- Total Knee Arthroplasty Outcomes
- Rheumatoid Arthritis Research and Therapies
- Foot and Ankle Surgery
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Knee injuries and reconstruction techniques
- Clinical practice guidelines implementation
- Musculoskeletal Disorders and Rehabilitation
- Health Systems, Economic Evaluations, Quality of Life
- Chronic Disease Management Strategies
- Spine and Intervertebral Disc Pathology
- Tendon Structure and Treatment
- Diabetic Foot Ulcer Assessment and Management
- Orthopedic Surgery and Rehabilitation
- Hip disorders and treatments
- Delphi Technique in Research
- Musculoskeletal synovial abnormalities and treatments
- Primary Care and Health Outcomes
- Medical and Biological Sciences
- Health disparities and outcomes
- Shoulder Injury and Treatment
- Orthopaedic implants and arthroplasty
- Hip and Femur Fractures
Keele University
2016-2025
Sheffield Hallam University
2022-2025
Versus Arthritis
2013-2025
University of Southampton
2021
Indiana University School of Medicine
2021
Primary Health Care
2011-2019
Vanderbilt University
2016-2019
American College of Rheumatology
2016-2019
Harvard University
2016-2019
Hebrew SeniorLife
2016-2019
Although pain is experienced at all ages, there uncertainty about the pattern of its occurrence in older people. We have investigated prevalence three aspects self-reported pain-occurrence any recent pain, number and location sites, interference with daily life-to determine their association age A cross-sectional postal survey adults aged 50 years over registered general practices (n = 11230) North Staffordshire using self-complete questionnaires was conducted. Respondents' gender, age,...
Studies of previous cohorts have demonstrated an association between a status overweight/obesity and the presence knee hand osteoarthritis (OA). However, no data on effect these factors OA burden are available. The aim present study was to analyze being overweight or obese incidence routinely diagnosed knee, hip, OA.
Which types of exercise intervention are most effective in relieving pain and improving function people with lower limb osteoarthritis?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.Current international guidelines recommend therapeutic (land or water based) as "core" management osteoarthritis. Evidence from this first network meta-analysis,...
Diagnosis is the traditional basis for decision-making in clinical practice. Evidence often lacking about future benefits and harms of these decisions patients diagnosed with without disease. We propose that a model practice focused on patient prognosis predicting likelihood outcomes may be more useful. Disease diagnosis can provide crucial information influence outcome serious acute illness. However, central role challenged by evidence it does not always benefit factors other than disease...
Objectives To estimate the risk of clinically diagnosed knee osteoarthritis (OA) after different types injuries in young adults. Methods In a longitudinal cohort study based on population-based healthcare data from Skåne, Sweden, we included all persons aged 25–34 years 1998–2007 (n=149 288) with and without diagnoses according to International Classification Diseases (ICD)-10. We estimated HR future OA injured uninjured using Cox regression, adjusted for potential confounders. also explored...
Anterior cruciate ligament (ACL) rupture is a common debilitating injury that can cause instability of the knee. We aimed to investigate best management strategy between reconstructive surgery and non-surgical treatment for patients with non-acute ACL persistent symptoms instability.We did pragmatic, multicentre, superiority, randomised controlled trial in 29 secondary care National Health Service orthopaedic units UK. Patients symptomatic knee problems (instability) consistent an were...
<b>Background:</b> Doubts have been expressed about the performance of American College Rheumatology (ACR) clinical classification criteria for osteoarthritis when applied in general population. <b>Objective:</b> To investigate whether distribution population subgroups and underlying disease severity might explain these setting. <b>Methods:</b> Population-based cross-sectional study. 819 adults aged ⩾50 years reporting knee pain last 12 months were clinically assessed by research therapists...
Objectives To estimate the population prevalence of symptomatic radiographic osteoarthritis (OA) affecting 1st metatarsophalangeal joint (MTPJ), and 2nd cuneometatarsal joints (CMJs), navicular first cuneiform (NCJ) talonavicular (TNJ) in community-dwelling older adults. Methods 9334 adults aged ≥50 years registered with four general practices were mailed a health survey. Responders reporting foot pain within last 12 months invited to undergo weight-bearing dorso-plantar lateral radiographs...
<b>Objectives</b> To evaluate the effectiveness of two primary care strategies for delivering evidence based to people aged 55 or over with knee pain: enhanced pharmacy review and community physiotherapy. <b>Design</b> Pragmatic multicentre randomised clinical trial. <b>Setting</b> 15 general practices in North Staffordshire. <b>Participants</b> 325 adults years (mean 68 years) consulting pain; 297 (91%) reached six month follow-up. <b>Interventions</b> Enhanced (pharmacological management...
Joint pain and radiographic osteoarthritis are often discordant.
George Peat and colleagues review discuss current approaches to transparency published debates concerns about efforts standardize prognosis research practice, make five recommendations. Please see later in the article for Editors' Summary.
Pain is common in adult life, and the extent to which pain interferes with daily activities rises age. Little known about social factors associated disabling pain. The objective was determine individual neighbourhood that predict activities. This a prospective cohort study set within North Staffordshire Osteoarthritis Project (NorStOP). People aged 50 over registered six general practices were sent baseline 3-year questionnaires. Individual predictors of onset interference determined through...
<h3>Objectives</h3> To assess the consultation prevalence of musculoskeletal (MSK) conditions as presented in different healthcare systems, and to determine feasibility comparing figures between nations. <h3>Methods</h3> The settings were an English regional database (Consultations Primary Care Archive (CiPCA)) Swedish Skåne County Health Register. Case definitions, data extraction analysis procedures harmonised. number people consulting per 10 000 registered population primary care, or...
Objective. To determine population-based estimates for the prevalence of person with OA, predicted to be single greatest cause disability in general population by 2030, order inform planning and commissioning health, social care prevention services.
Symptomatic knee osteoarthritis (OA) is a common disabling condition. Attention has tended to focus on the tibiofemoral joint (TFJ). However, there evidence that patellofemoral (PFJ) involved in many cases, but its place sequence of development and progression OA unclear. This study estimates cumulative incidence, inter-relationship radiographic changes TFJ PFJ symptomatic adults.A population-based observational cohort 414 adults aged ≥ 50 years with pain who had x-rays (weight-bearing...