Dr Chris Littlewood

Title: Senior Lecturer in Clinical Trials
Phone: +44 (0)1782 734832
Email: c.littlewood@keele.ac.uk
Location: DJW 1.103
Role:
Contacting me: E-mail
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I am a physiotherapist and Senior Lecturer in Clinical Trials with extensive experience in relation to musculoskeletal disorders. I have developed a special interest in the ‘rotator cuff’ borne out of clinical observation in tandem with the assumed complexity and mystique that surrounds these disorders.

In addition to further clinical training, I previously completed an MSc in Health Services Research & Technology. In 2011 I was awarded a UK Department of Heath Fellowship to undertake a PhD relating to the assessment & management of the rotator cuff. I have published numerous peer-reviewed papers relating to the rotator cuff and am regularly invited to national and international conferences to discuss this topic.

In addition to my clinical and research experience, I have a background in education having previously worked as a Senior Lecturer in Physiotherapy and gained a postgraduate certificate in learning and teaching. While continuing to pursue a programme of research, I supervise MSc and PhD students and am also an associate editor for the journal Shoulder & Elbow.

Lowe A, Gee M, Littlewood C, McLean S, Lindsay C, Everett S (2016). Physical activity promotion in physiotherapy practice: A systematic scoping review of a decade of literature. British Journal of Sports Medicine (In Press).

 

Mallows A, Debenham J, Walker T, Littlewood C (2016). The association of psychological variables and outcome in tendinopathy: a systematic review. British Journal of Sports Medicine (In Press).

 

Bury J, West M, Chamorro-Moriana G, Littlewood C (2016). Effectiveness of scapula-focused approaches in patients with rotator cuff related shoulder pain: A systematic review and meta-analysis. Manual Therapy, 25, 35-42.

 

Littlewood C, Bateman M, Brown K, Bury J, Mawson S, May S, Walters S (2016). A self-managed single exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy: a randomized controlled trial (the SELF study). Clinical Rehabilitation, 30(7), 686-696.

 

Littlewood C, Mawson S, May S, Walters S (2015). Understanding the barriers to implementation of a self-managed exercise intervention: A qualitative study. Physiotherapy, 101(3), 279-85.

 

Littlewood C, Malliaras P, Chance-Larsen K (2015). Therapeutic exercise for rotator cuff tendinopathy; a systematic review of contextual factors and prescription parameters. International Journal of Rehabilitation Research, 38(2), 95-106.

 

Littlewood C, Bateman M, Clark D, Selfe J, Watkinson D, Walton M, Funk L (2015). Rehabilitation following repair of the rotator cuff: a systematic review. Shoulder & Elbow, 7, 115-124.

 

Littlewood C & Bateman M (2015). Rehabilitation following repair of the rotator cuff: a survey of current UK practice. Shoulder & Elbow, 7, 193-204.

 

Smith B, Littlewood C, May S (2014). An update of stabilisation exercises for low back pain: a systematic review with meta-analysis. BMC Musculoskeletal Disorders, 15, 416.

 

Littlewood C, Malliaras P, Mawson S, May S, Walters S (2014). Self-managed exercise versus usual physiotherapy treatment for rotator cuff tendinopathy: a pilot randomised controlled trial. Physiotherapy, 100, 54-60.

 

Littlewood C, Malliaras P, Mawson S, May S, Walters S (2014). Patients with rotator cuff tendinopathy can self-manage, but with certain caveats: a qualitative study. Physiotherapy, 100, 80-85.

 

Littlewood C, May S, Walters S (2013). Epidemiology of rotator cuff tendinopathy: a systematic review. Shoulder and Elbow, 5(4), 256-265.

 

Littlewood C, May S, Walters S (2013). A review of systematic reviews of the effectiveness of conservative interventions for rotator cuff disorders. Shoulder & Elbow, 5(3), 151-167.

 

Littlewood C, Malliaras P, Bateman M, Stace R, May S, Walters S (2013). The central nervous system - an additional consideration in 'rotator cuff tendinopathy' and a potential basis for understanding response to loaded therapeutic exercise. Manual Therapy, 18, 468-472.

 

Littlewood C, Ashton J, Scott E, Mawson S, May S, Walters S (2013). Developing the SELF study: A report from a patient and public involvement event.  International Journal of Therapy & Rehabilitation, 20(4), 200-206.

 

Littlewood C (2013). Letter to the Editor Re: Scapular-focused treatment in patients with shoulder impingement syndrome: a randomised clinical trial. Clinical Rheumatology, 32, 417.

 

Littlewood C, Malliaras P, Mawson S, May S, Walters S (2013). Development of a self-managed loaded exercise programme for rotator cuff tendinopathy. Physiotherapy, 99, 358-362.

 

Bacigalupo R, Cudd P, Littlewood C, Bissell P, Hawley M, Buckley-Woods H (2013). Interventions employing mobile technology for overweight and obesity: an early systematic review of randomized controlled trials. Obesity Reviews, 14(4), 279-291.

 

Drew B, Smith T, Littlewood C, Sturrock B (2012). Do structural changes explain the response to exercise in tendinopathy? A systematic review. British Journal of Sports Medicine. DOI: 10.1136/bjsports-2012-091285.

 

Littlewood C (2012). Contractile dysfunction of the shoulder (rotator cuff tendinopathy): an overview. Journal of Manual & Manipulative Therapy, 20(4), 209-213.

 

Littlewood C, Chance-Larsen K, May S, Sturrock B (2012). Exercise for rotator cuff tendinopathy: A systematic review. Physiotherapy 98(2), 101-109.

 

Littlewood C, Ashton J, Mawson S, May S, Walters S (2012). A mixed methods study to evaluate the clinical and cost-effectiveness of a self-managed exercise programme versus usual physiotherapy for chronic rotator cuff disorders: protocol for the SELF study. BMC Musculoskeletal Disorders 13:62.

 

Littlewood C, Chance-Larsen K, May S, Sturrock B (2012). The quality of reporting might not reflect the quality of the study: Implications for undertaking and appraising a systematic review. Journal of Manual & Manipulative Therapy 20(3), 130-134.

 

Littlewood C, (2012). Letter to the Editor Re: The use of RCT's in manual therapy - are we trying to fit a round peg into a square hole? Manual Therapy 17(1), 97.

 

Littlewood C, Lowe A, Moore J (2012). Rotator cuff disorders: A survey of current UK Physiotherapy practice. Shoulder & Elbow 4(1), 64-71.

 

Littlewood C (2011). The RCT means nothing to me! Manual Therapy 16, 614-617.

 

Altaim T, Littlewood C (2011). Cross cultural adaptation of the Quebec Back Pain Disability Scale from English into Arabic. International Journal of Physiotherapy & Rehabilitation. 1(2), 4-13.

 

McLean S, Burton M, Bradley L, Littlewood C, (2010). Interventions for enhancing adherence with physiotherapy: A systematic review.  Manual Therapy. 15(6), 514-21.

 

May S, Chance-Larsen K, Littlewood C, Lomas D, Saad M, (2010). The reliability of physical examination tests used in assessment of shoulder patients – a systematic review. Physiotherapy. 96(3), 179-90.

 

Littlewood C, Chance-Larsen K, McLean S (2010). Quality appraisal as part of the systematic review: A review of current methods. International Journal of Physiotherapy & Rehabilitation. 1(1), 53-58.

 

Chance-Larsen K, Littlewood C (2010). A case of long thoracic nerve palsy. International Journal of Physiotherapy & Rehabilitation. 1(1), 41-43.

 

Chance-Larsen K, Littlewood C, Garth A, (2010). Prone Hip extension with lower abdominal hollowing improves the relative timing of gluteus maximus activation in relation to biceps femoris. Manual Therapy. 15(1), 61-65.

 

Harrison P, Littlewood C, (2010). Relationship between pes planus foot type and postural stability. Indian Journal of Physiotherapy & Occupational Therapy. 4(3), 21-24.

 

Littlewood C, (2008). The Modified Brostrom repair; a reflective case report of an intentional non-adherer. International Journal of Mechanical Diagnosis & Therapy. 3(3), 25-28.

 

Littlewood C, May S, (2007). Measurement of range of movement in the lumbar spine - what methods are valid? A systematic review. Physiotherapy. 93(3), 201-211.

 

Moore J, Littlewood C, (2007). Challenging current practice. Case study - a shoulder derangement. International Journal of Mechanical Diagnosis & Therapy. 2(3), 43-46.

 

Littlewood C, James A (2007). The 'Piriformis Syndrome' - a review of the literature, case study and links to MDT. International Journal of Mechanical Diagnosis & Therapy. 2(2), 25-30.

 

Littlewood C, May S, (2007). A Contractile Dysfunction of the Shoulder. Manual Therapy.12, 80-83.

 

Littlewood C, (2006), Case Report. International Journal of Mechanical Diagnosis & Therapy, 1(1), 50-52.

 

May S, Littlewood C, Bishop A, (2006). Reliability of procedures used in the physical examination of non-specific low back pain: a systematic review. Australian Journal of Physiotherapy. 52(2), 91-102.

 

Textbooks

Littlewood C & May S (2013). Understanding Physiotherapy Research. Cambridge Scholars Publishing, UK.