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
Chris_Littlewood90x90_image

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.

Selected Publications

  • Littlewood C, Rangan A, Beard DJ, Wade J, Cookson T, Foster NE. 2018. The enigma of rotator cuff tears and the case for uncertainty. Br J Sports Med, vol. 52(19), 1222. link> doi> full text>
  • Meakins A, May S, Littlewood C. 2018. Reliability of the Shoulder Symptom Modification Procedure and association of within-session and between-session changes with functional outcomes. BMJ Open Sport Exerc Med, vol. 4(1), e000342. link> doi> full text>
  • Littlewood C, Bury J, O'Shea A, McCreesh K, O'Sullivan K. 2018. How should clinicians integrate the findings of The Lancet's 2018 placebo-controlled subacromial decompression trial into clinical practice?. Br J Sports Med, vol. 52(14), 883-884. link> doi> full text>
  • Lowe A, Littlewood C, McLean S. Understanding physical activity promotion in physiotherapy practice: A qualitative study. Musculoskelet Sci Pract, vol. 35, 1-7. link> doi> full text>
  • Bury J and Littlewood C. 2018. Rotator cuff disorders: a survey of current (2016) UK physiotherapy practice. Shoulder Elbow, vol. 10(1), 52-61. link> doi> link> full text>

Full Publications List show

Journal Articles

  • Littlewood C, Rangan A, Beard DJ, Wade J, Cookson T, Foster NE. 2018. The enigma of rotator cuff tears and the case for uncertainty. Br J Sports Med, vol. 52(19), 1222. link> doi> full text>
  • Meakins A, May S, Littlewood C. 2018. Reliability of the Shoulder Symptom Modification Procedure and association of within-session and between-session changes with functional outcomes. BMJ Open Sport Exerc Med, vol. 4(1), e000342. link> doi> full text>
  • Littlewood C, Bury J, O'Shea A, McCreesh K, O'Sullivan K. 2018. How should clinicians integrate the findings of The Lancet's 2018 placebo-controlled subacromial decompression trial into clinical practice?. Br J Sports Med, vol. 52(14), 883-884. link> doi> full text>
  • Lowe A, Littlewood C, McLean S. Understanding physical activity promotion in physiotherapy practice: A qualitative study. Musculoskelet Sci Pract, vol. 35, 1-7. link> doi> full text>
  • Bury J and Littlewood C. 2018. Rotator cuff disorders: a survey of current (2016) UK physiotherapy practice. Shoulder Elbow, vol. 10(1), 52-61. link> doi> link> full text>
  • Bateman M, Littlewood C, Rawson B, Tambe AA. 2019. Surgery for tennis elbow: a systematic review. Shoulder Elbow, vol. 11(1), 35-44. link> doi> full text>
  • Cuff A and Littlewood C. Subacromial impingement syndrome - What does this mean to and for the patient? A qualitative study. Musculoskelet Sci Pract, vol. 33, 24-28. link> doi> full text>
  • Littlewood C and Cools AMJ. 2018. Scapular dyskinesis and shoulder pain: the devil is in the detail. Br J Sports Med, vol. 52(2), 72-73. link> doi> full text>
  • Hopewell S, Keene DJ, Maia Schlüssel M, Dritsaki M, Dutton S, Carr A, Hamilton W, Hansen Z, Jaggi A, Littlewood C, Soutakbar H, Heine P, Cureton L, Barker K, Lamb SE. 2017. Clinical and cost-effectiveness of progressive exercise compared with best practice advice, with or without corticosteroid injection, for the treatment of rotator cuff disorders: protocol for a 2x2 factorial randomised controlled trial (the GRASP trial). BMJ Open, vol. 7(7), e018004. link> doi> full text>
  • Edwards PK, Ebert JR, Littlewood C, Ackland T, Wang A. 2017. A Systematic Review of Electromyography Studies in Normal Shoulders to Inform Postoperative Rehabilitation Following Rotator Cuff Repair. J Orthop Sports Phys Ther, vol. 47(12), 931-944. link> doi> full text>
  • Munoz-Organero M, Littlewood C, Parker J, Powell L, Grindell C, Mawson S. 2017. Identification of Walking Strategies of People With Osteoarthritis of the Knee Using Insole Pressure Sensors. IEEE SENSORS JOURNAL, vol. 17(12), 3909-3920. link> doi>
  • Mallows A, Littlewood C, Malliaras P. 2018. Measuring patient-reported outcomes (PROs/PROMs) in people with Achilles tendinopathy: how useful is the VISA-A?. Br J Sports Med, vol. 52(19), 1221. link> doi> full text>
  • Lowe A, Gee M, McLean S, Littlewood C, Lindsay C, Everett S. 2018. Physical activity promotion in physiotherapy practice: a systematic scoping review of a decade of literature. Br J Sports Med, vol. 52(2), 122-127. link> doi> full text>
  • Mallows A, Debenham J, Walker T, Littlewood C. 2017. Association of psychological variables and outcome in tendinopathy: a systematic review. Br J Sports Med, vol. 51(9), 743-748. link> doi> full text>
  • 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. Man Ther, vol. 25, 35-42. link> doi> full text>
  • Littlewood C, Mawson S, May S, Walters S. 2015. Understanding the barriers and enablers to implementation of a self-managed exercise intervention: a qualitative study. Physiotherapy, vol. 101(3), 279-285. link> doi>
  • Littlewood C, Bateman M, Brown K, Bury J, Mawson S, May S, Walters SJ. 2015. A self-managed single exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy: a randomised controlled trial (the SELF study). Clinical Rehabilitation, vol. 30(7), 686-696. link> doi> link> full text>
  • Littlewood C, Malliaras P, Mawson S, May S, Walters S. 2014. Patients with rotator cuff tendinopathy can successfully self-manage, but with certain caveats: a qualitative study. Physiotherapy, vol. 100(1), 80-85. link> doi>
  • Littlewood C, Malliaras P, Mawson S, May S, Walters SJ. 2014. Self-managed loaded exercise versus usual physiotherapy treatment for rotator cuff tendinopathy: a pilot randomised controlled trial. Physiotherapy, vol. 100(1), 54-60. link> doi>
  • McLean SM, Burton M, Bradley L, Littlewood C. 2010. Interventions for enhancing adherence with physiotherapy: a systematic review. Man Ther, vol. 15(6), 514-521. link> doi>
  • May S, Chance-Larsen K, Littlewood C, Lomas D, Saad M. 2010. Reliability of physical examination tests used in the assessment of patients with shoulder problems: a systematic review. Physiotherapy, vol. 96(3), 179-190. link> doi>
  • 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. Man Ther, vol. 15(1), 61-65. link> doi>
  • Littlewood C and May S. 2007. Measurement of range of movement in the lumbar spine-what methods are valid? A systematic review. PHYSIOTHERAPY, vol. 93(3), 201-211. link> doi>
  • Littlewood C and May S. 2007. A contractile dysfunction of the shoulder. MANUAL THERAPY, vol. 12(1), 80-83. link> doi>
  • May S, Littlewood C, Bishop A. 2006. Reliability of procedures used in the physical examination of non-specific low back pain: a systematic review. Aust J Physiother, vol. 52(2), 91-102. link> doi>
  • Stephens G, O'Neill S, French HP, Fearon A, Grimaldi A, O'Connor L, Woodley S, Littlewood C. 2019. A survey of physiotherapy practice (2018) in the United Kingdom for patients with greater trochanteric pain syndrome. Musculoskelet Sci Pract, vol. 40, 10-20. link> doi> full text>
  • Mallows AJ, Debenham JR, Malliaras P, Stace R, Littlewood C. Cognitive and contextual factors to optimise clinical outcomes in tendinopathy. Br J Sports Med, vol. 52(13), 822-823. link> doi> full text>
  • Babatunde OO, Legha A, Littlewood C, Chesterton LS, Thomas MJ, Menz H, Van Der Windt D, Roddy E. Comparative Effectiveness of Treatment Options for Plantar Heel Pain: A Systematic Review with Network Meta-Analysis. British Journal of Sports Medicine. full text>
  • Babatunde OO, Legha A, Littlewood C, Chesterton LS, Thomas MJ, Menz HB, van der Windt D, Roddy E. 2019. Comparative effectiveness of treatment options for plantar heel pain: a systematic review with network meta-analysis. Br J Sports Med, vol. 53(3), 182-194. link> doi> full text>
  • Edwards PK, Ebert JR, Littlewood C, Ackland T, Wang A. Effectiveness of formal physical therapy following total shoulder arthroplasty: a systematic review. Shoulder and Elbow. full text>
  • Smith BE, Hendrick P, Bateman M, Holden S, Littlewood C, Smith TO, Logan P. 2018. Musculoskeletal pain and exercise-challenging existing paradigms and introducing new. Br J Sports Med. link> doi> full text>
  • Lowe A, Littlewood C, McLean S, Kilner K. 2017. Physiotherapy and physical activity: a cross-sectional survey exploring physical activity promotion, knowledge of physical activity guidelines and the physical activity habits of UK physiotherapists. BMJ Open Sport Exerc Med, vol. 3(1), e000290. link> doi> full text>
  • Drake C, Mallows A, Littlewood C. Psychosocial variables and presence, severity and prognosis of plantar heel pain: A systematic review of cross-sectional and prognostic associations. Musculoskeletal Care, vol. 16(3), 329-338. link> doi> full text>
  • Walker T, Salt E, Lynch G, Littlewood C. Screening of the cervical spine in sub-acromial shoulder pain: a systematic review. Shoulder and Elbow. full text>

Other

  • Cuff A and Littlewood C. 2017. Subacromial impingement syndrome – what does this mean to and for the patient: a qualitative study. Physiotherapy (vol. 103, pp. e68-e69). Chartered Society of Physiotherapists. doi> link>
  • Drake C, Mallows A, Littlewood C. 2017. The association of psychosocial variables and plantar heel pain: a systematic review. Physiotherapy (vol. 103, p. e118). Chartered Society of Physiotherapists. doi> link>
  • Babatunde OO, ensor, littlewood, jordan JL, roddy, foster, van der windt. 2017. Comparative effectiveness of treatment options for subacromial shoulder conditions: A network meta-analysis. Cochrane Library. Update Software Ltd.. link> full text>