A5026792900- Musculoskeletal pain and rehabilitation
- Stroke Rehabilitation and Recovery
- Rheumatoid Arthritis Research and Therapies
- Peripheral Artery Disease Management
- Autoimmune and Inflammatory Disorders Research
- Orthopedic Surgery and Rehabilitation
- Spine and Intervertebral Disc Pathology
- Cerebral Palsy and Movement Disorders
- Balance, Gait, and Falls Prevention
- Foot and Ankle Surgery
- COVID-19 Clinical Research Studies
- Healthcare professionals’ stress and burnout
- Health Systems, Economic Evaluations, Quality of Life
- Meta-analysis and systematic reviews
- Intensive Care Unit Cognitive Disorders
- Workplace Health and Well-being
- Nail Diseases and Treatments
- Respiratory Support and Mechanisms
University of Oxford
2018-2023
Brunel University of London
2022-2023
Nuffield Orthopaedic Centre
2018-2022
Leicestershire Partnership NHS Trust
2016
Abstract Background Neurogenic claudication (NC) is a debilitating spinal condition affecting older adults’ mobility and quality of life. Methods A randomized controlled trial 438 participants evaluated the effectiveness physical psychological group intervention (BOOST program) compared to physiotherapy assessment tailored advice (best practice [BPA]) for adults with NC. Participants were identified from clinics (community secondary care) general records 2:1 BOOST program or BPA. The primary...
Introduction Neurogenic claudication due to spinal stenosis is common in older adults. The effectiveness of conservative interventions not known. aim the study estimate clinical and cost-effectiveness a physiotherapist-delivered, combined physical psychological intervention. Methods analysis This pragmatic, multicentred, randomised controlled trial. Participants are intervention (Better Outcomes for Older people with Spinal Trouble (BOOST) programme) or best practice advice (control)....
Neurogenic claudication due to spinal stenosis is a common cause of disability in older adults. Conservative treatments are favourable treatment option. This paper describes the development and delivery BOOST (Better Outcomes for Older adults with Spinal Trouble) intervention, physiotherapist-delivered physical psychological intervention management neurogenic The being tested multi-centre, randomised controlled trial UK National Health Service Trusts; delivered by physiotherapists registered...
Cross-sectional analysis of the Oxford Pain, Activity and Lifestyle (OPAL) Cohort Study.The aim this study was to assess prevalence back pain (BP) leg determine their relationship with adverse health states among older adults in England.Epidemiological data describing BP England is lacking.A total 5304 community-dwelling (aged 65-100 years) enrolled OPAL cohort who provided on were included. Participants classified into four groups based reports pain: no BP, only, which likely be neurogenic...
Neurogenic claudication (NC) causes pain and reduced mobility, particularly in older people, can negatively affect mental social well-being, so limiting successful ageing. This qualitative study explored how people with NC changed over 12 months. A longitudinal using semi-structured interviews. Participants were recruited from a UK clinical trial of physiotherapy intervention for NC. Interviews undertaken at baseline, 1 month after receiving any We analysed 30 sets three Interview data...
Musculoskeletal disorders significantly contribute to staff sickness and absence in the NHS. District nurses are especially at risk because patient handling tasks often carried out outside a clinical environment.To explore district nurses' lived experience of musculoskeletal wellbeing.An exploratory qualitative study using interpretative phenomenological analysis.Semi-structured interviews with purposeful sample seven nurses.Study participants accepted pain as part nursing reported little...
Abstract Objective 1) To identify therapist or participant characteristics associated with prescribed dose of hand strengthening exercise in adults rheumatoid arthritis and 2) determine the impact on outcome (hand function grip strength). Methods Overall was calculated using area under curve (AUC). Analysis 1 assessed association between professional background, grade, baseline physical psychological dose. Analyses 2 3 estimated relationship overall strength. Generalised estimating equation...
Background Back pain frequently affects older people. Knowledge about back in people and evidence to inform clinical care was lacking, particularly for with neurogenic claudication due spinal stenosis, which is a debilitating condition. Objectives To understand reduce the burden of on by increasing knowledge developing evidence-based treatment strategies. Design We completed six work packages. These were not undertaken chronologically as there overlap between Work package 1: Refine...
Abstract Objective To explore the clinical judgements of therapists in prescribing intensity hand strengthening exercise rheumatoid arthritis (RA). Methods Phase I: Eleven knowledgeable treating patients with RA subjectively identified seven cues. These were incorporated into 54 hypothetical patient case scenarios. II: Therapists ≥2 years post‐registration experience and current or recent asked to assess 69 scenarios total (54 + 15 repeats) judge what they would prescribe using...