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Oxford University Hospitals NHS Foundation Trust
Physiotherapy at the NOC

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Current research projects

Physiotherapy Rehabilitation for Osteoporotic Vertebral Fracture (PROVE)

Karen Barker, Muhammad K Javaid, Meredith Newman, Catherine Minns Lowe, Tamsin Hughes, Nigel Stallard, Jose Leal, Varsha Gandhi, Sallie Lamb.

Objective: to evaluate the effects of exercise and manual therapy physiotherapy treatments upon quality of life, function and pain, for people who have had one or more spinal fractures due to Osteoporosis.

research.ndorms.ox.ac.uk/prove

Community based Rehabilitation after Knee Arthroplasty (CORKA)

Karen Barker, David Beard, Gary Collins, Avril Drummond, Sally Lamb, Andrew Price, Helen Campbell, Fran Toye, Martin Underwood, Susan Dutton.

Objective: to compare the patient reported functional outcome and quality of life of the CORKA rehabilitation protocol versus usual care in those at risk of a poor outcome post knee arthroplasty.

www.ndorms.ox.ac.uk/clinical-trials/current-trials-and-studies/corka

'WALK30X5': The development and feasibility evaluation of a physiotherapy walking programme for people with mild to moderate musculoskeletal conditions

Catherine Minns Lowe, Paul Kelly, Charlie Foster, Karen Barker.

Objective: to develop and refine an evidence-based, web-based physiotherapy walking programme intervention including podcasts, blog and links. To test the feasibility and acceptability of the intervention.

Cementless versus cemented unicompartmental knee replacement: 1-5 year post-operative outcome study

Cathy Jenkins, Hemant Pandit,Karen Barker, David Murray.

Objective: to determine the incidence of problems following cementless medial UKR and compare this with cemented medial UKR.

jbjs.org/content/95/15/1365

Oxford unicompartmental knee replacement: second decade outcome study

Cathy Jenkins, Hemant Pandit,Karen Barker, David Murray.

Objective: to identify, from postoperative X-rays, which patients are more at risk of developing Lateral Compartment Osteoarthritis (LCOA) in the second decade after UKR surgery.

What interventions are used to improve excercise adherence in community dwelling older people: a systematic review

Jonathan Room, Mary Boulton, Helen Dawes, Karen Barker
Faculty of Health and Life Sciences, Oxford Brookes University

Objectives: to establish what interventions are used to improve adherence to prescribed exercise for older people and determine the effectiveness of these interventions.  

MAPS: Measuring Alignment and Posture of the Spine

Erin Hannink, Helen Dawes, Karen Barker

Objective: to measure concurrent validity and test-retest reliability of measuring sagittal spine alignment with a postural topography method compared to the Cobb angle from a lateral X-ray of the spine.

AERO - Adherence to Exercise Rehabilitation in Older people: Can a brief behavioural assessment improve exercise adherence in older people with musculoskeletal conditions

Jonathan Room, Helen Dawes, Mary Boulton, Karen Barker

Objective: to test the feasibility of a behavioural assessment based on the COM-B behaviour change model, and tailored exercise adherence strategies based on that assessment.

PRU is supporting the following studies

TARVA

A randomised, multi-centre, non-blinded, prospective, parallel group trial of total ankle replacement (TAR) versus ankle arthrodesis in the treatment of patients with end stage ankle osteoarthritis, comparing clinical outcomes and cost-effectiveness.

Goldberg A, Rogers M, Tetlow M, Skene S.

www.anklearthritis.co.uk

BOOST

The BOOST study is a randomised controlled trial (RCT) studying two different physiotherapy treatment approaches for back and leg pain or symptoms due to lumbar spinal stenosis (also called neurogenic claudication). This is a condition that affects older people and limits their ability to walk and stand which impacts on their ability to remain independent.  The study will recruit over 400 adults over 10 NHS hospitals across England.  Participants will be 65 years and over who experience symptoms due to lumbar spinal stenosis. Participants will be randomised into one of two groups:

  • TREATMENT 1: One-to-one physiotherapy treatment (1 to 3 appointments)
  • TREATMENT 2: A group physiotherapy programme (12 classes)

www.ndorms.ox.ac.uk/clinical-trials/current-trials-and-studies/boost

FAIT: Femoroacetabular Impingement Trial

FAIT is a multicentre randomised controlled clinical trial determining whether arthroscopic surgery or physiotherapy and activity modification are superior at improving symptoms and preventing the development of osteoarthritis in patients with femoroacetabular impingement.

www.ndorms.ox.ac.uk/clinical-trials/current-trials-and-studies/fait

HOAST: Hip Osteoarthritis Treatment using Autologous Stem cell Therapy

HOAST is a study looking into whether stem cells can replace damaged tissue in the hip joint, delaying the need for a hip replacement in younger people.

www.ndorms.ox.ac.uk/clinical-trials/current-trials-and-studies/hoast

UKR audit

This is a long term audit of the outcomes of the Oxford Uni-compartmental Knee Replacement. The study is entering its 20th year of audit.

UK FROST: United Kingdom Frozen Shoulder Trial

The UK FROST trial aims to evaluate the clinical effectiveness and cost-effectiveness of the treatments for frozen shoulder. In addition, patient experiences of both the surgical interventions and physiotherapy will be examined, providing important patient-centred insight to further guide clinical decision making

www.ndorms.ox.ac.uk/rrio/uk-frost

PANDA-S: Prognostic AND Diagnostic Assessment of Shoulder pain

This study aims to develop and evaluate a better approach ('stratified care') to assessing the likely cause (diagnosis) and future outcome (prognosis) of shoulder problems, so that GPs and physiotherapists can ensure that patients are matched to the treatment most likely to improve their shoulder pain.

PEP-TALK: A behaviour change physiotherapy intervention to increase physical activity following hip and knee replacement

PEP-TALK is a pragmatic multi-centre, randomised controlled trial which will test a group exercise and behaviour change treatment which targets barriers people have which can stop them being physically active, to maximise their 'whole-body' health and the effect of this on their NHS needs.

www.ndorms.ox.ac.uk/clinical-trials/current-trials-and-studies/peptalk

S-PROM: Development of a sarcoma-specific patient-reported outcome measure

The aim of this project is to develop a sarcoma-specific PROM (SAM) and a strategy to incorporate this into clinical practice.

sarcoma.org.uk/research/funded-projects

WORKWELL: Testing work advice for people with arthritis

WORKWELL is a randomised controlled trial for the development and evaluation of a work retention programme for employed people with inflammatory arthritis.