Rachel Chester

ORCID: 0000-0003-1979-0682
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About
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Research Areas
  • Shoulder Injury and Treatment
  • Sports injuries and prevention
  • Orthopedic Surgery and Rehabilitation
  • Musculoskeletal pain and rehabilitation
  • Tendon Structure and Treatment
  • Shoulder and Clavicle Injuries
  • Lower Extremity Biomechanics and Pathologies
  • Nerve Injury and Rehabilitation
  • Musculoskeletal Disorders and Rehabilitation
  • Knee injuries and reconstruction techniques
  • Total Knee Arthroplasty Outcomes
  • Peripheral Nerve Disorders
  • Foot and Ankle Surgery
  • Occupational Therapy Practice and Research
  • Cerebral Palsy and Movement Disorders
  • Clinical practice guidelines implementation
  • Stroke Rehabilitation and Recovery
  • Balance, Gait, and Falls Prevention
  • Delphi Technique in Research
  • Health Sciences Research and Education
  • Health Systems, Economic Evaluations, Quality of Life
  • Interprofessional Education and Collaboration
  • Academic and Historical Perspectives in Psychology
  • Healthcare and Venom Research
  • Meta-analysis and systematic reviews

University of East Anglia
2015-2025

Norwich Research Park
2016-2025

University of Liverpool
2024

Norwich University
2024

University of Hertfordshire
2016

Norfolk and Norwich University Hospital
2003-2013

United States Department of Commerce
1981

Oak Ridge National Laboratory
1981

Background/aim Shoulder pain is a major musculoskeletal problem. We aimed to identify which baseline patient and clinical characteristics are associated with better outcome, 6 weeks months after starting course of physiotherapy for shoulder pain. Methods 1030 patients aged ≥18 years referred the management were recruited provided data. 840 (82%) outcome data at 811 (79%) months. 71 putative prognostic factors collected baseline. Outcomes Pain Disability Index (SPADI) Quick Arm, Hand...

10.1136/bjsports-2016-096084 article EN cc-by British Journal of Sports Medicine 2016-07-21

We performed two independent, randomised, controlled trials in order to assess the potential benefits of immediate weight-bearing mobilisation after rupture tendo Achillis. The first trial, on operatively-treated patients showed an improved functional outcome for mobilised fully surgical repair. Two cases re-rupture treatment group suggested that careful patient selection is required as need follow a structured rehabilitation regimen. second conservatively-treated patients, provided no...

10.1302/0301-620x.88b1.16549 article EN Journal of Bone and Joint Surgery - British Volume 2005-12-19

Objectives To (i) identify predictors of outcome for the physiotherapy management shoulder pain and (ii) enable clinicians to subgroup people into risk groups persistent disability. Methods 1030 aged ≥18 years, referred musculoskeletal were recruited. 810 provided data at 6 months 4 outcomes: Shoulder Pain Disability Index (SPADI) (total score, subscale, disability subscale) Quick Arm, Hand (QuickDASH). 34 potential prognostic factors used in this analysis. Results Four classification trees...

10.1136/bjsports-2018-099450 article EN British Journal of Sports Medicine 2019-01-09

Abstract Objective There is no established consensus for screening the spine in patients with shoulder pain. The aim of this study was to explore role pain and generate a set recommendations assessing potential involvement Methods A modified Delphi conducted through use an international physical therapist’s expert panel. Three domains (clinical reasoning, history, examination) were evaluated using Likert scale, defined as Aiken Validity Index ≥0.7. Results Twenty-two therapists participated....

10.1093/ptj/pzae133 article EN Physical Therapy 2024-09-06

Clinical management of musculoskeletal shoulder pain can be challenging due to diagnostic uncertainty, variable prognosis and limited evidence for long-term treatment benefits. The UK-based PANDA-S programme (Prognostic And Diagnostic Assessment the Shoulder) is investigating short outcomes. This paper reports linked qualitative research exploring patients' clinicians' views towards primary care consultations pain.Semi-structured interviews were conducted with 24 patients 15 clinicians....

10.1186/s12891-022-06059-1 article EN cc-by BMC Musculoskeletal Disorders 2023-01-02

To determine whether higher level or improvements over time in pain self-efficacy (PSE) and expectations of intervention effectiveness lead to better outcomes the used manage rotator cuff related shoulder (RCRSP) impacts PSE time.

10.1016/j.physio.2024.01.003 article EN cc-by Physiotherapy 2024-01-21

Study Design Prospective multicenter longitudinal cohort study. Background A key component of assessing clinical effectiveness is to compare instruments measuring similar outcomes and select one that sufficiently responsive. Despite their widespread use in reporting outcomes, the responsiveness Shoulder Pain Disability Index (SPADI) shortened version Disabilities Arm, Hand questionnaire (QuickDASH) has not been compared reported within same population. Objective To SPADI QuickDASH a single...

10.2519/jospt.2017.7195 article EN Journal of Orthopaedic and Sports Physical Therapy 2017-07-06

Introduction Musculoskeletal shoulder pain is a common reason for people to be treated in physiotherapy services, but diagnosis can difficult and often does not guide treatment or predict outcome. People with cite need clear information, timely, tailored consultations their pain. This trial will evaluate the introduction of personalised guided consultation help physiotherapists manage care individuals Methods analysis cluster randomised controlled clinical cost-effectiveness introducing...

10.1101/2025.02.12.25322124 preprint EN cc-by medRxiv (Cold Spring Harbor Laboratory) 2025-02-13

There has been an emergence of evidence in the area frozen shoulder (FS) within past decade related to risk factors, etiology, diagnosis, and management. It become increasingly challenging for clinicians researchers stay up date these areas, particularly with clinical practice guidelines that are available being few outdated. To this end, aim study was produce international consensus on diagnosis management individuals FS. During phase one a steering committee formed order identify experts...

10.1080/10669817.2025.2470461 article EN Journal of Manual & Manipulative Therapy 2025-03-05

Frozen shoulder is a disabling condition characterised by severe pain and loss of movement. Corticosteroid injections are targeted at reducing in the earlier painful phase. There multiple studies on effectiveness for frozen shoulder, but none were identified to assess if this guidance has been translated into clinical practice. The aim survey was investigate current practice opinion musculoskeletal health professionals regarding corticosteroid shoulder. online disseminated via social media...

10.1002/msc.70078 article EN cc-by Musculoskeletal Care 2025-03-01
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