Full List of CATs

CAT questions discussed (PDFs)

  1. In adults with shoulder joint impingement is the intervention of stabilization exercises and/or postural correction versus any treatment or no intervention effective in reducing pain and increasing function?
  2. Is one off management versus a course of treatment more effective in terms of reducing pain and function for patients over 50 years old with osteoarthritis of the knee joint ?
  3. Do physiotherapy telephone consultations for adult patients with musculoskeletal conditions affect patient satisfaction, condition specific outcomes and healthcare utilisation?
  4. Is manual physical therapy more effective than other physical therapy approaches in reducing pain and disability in adults post whiplash injury?
  5. Is hand therapy more effective than usual care in maintaining function and improving coping in adults with hand arthiritis?
  6. In adults with glenohumeral joint adhesive capsulitis are mobilisation techniques in combination with exercise more effective in reducing pain and improving function compared to exercise alone?
  7. In adults with shoulder joint impingement is the intervention of injecting the subacromial joint with 20mg of corticosteroid as effective as injecting with 40mg ‌?
  8. Does standing a patient on the day of surgery following a primary unilateral total hip or knee replacement reduce the length of hospital stay?
  9. Are physiotherapy-led stabilisation exercises effective in reducing pain and disability in adults with chronic neck pain?
  10. In adults with adhesive capsulitis (frozen shoulder) does the use of distension injections   improve pain, function and range of movement when compared to usual care?
  11. In adults with Carpal Tunnel Syndrome who have had an injection, is immediate post-injection immobilisation splinting more effective than no splinting for symptoms of pins and needles, pain and function?
  12. Is splinting more clinically effective and cost effective in decreasing pain and improving function in adults with DeQuervains syndrome than usual care?
  13. What proportion of patients undergoing Total Knee Replacement (TKR) have a poor outcome?
  14. What factors determine poor functional outcome following Total Knee Replacement (TKR)?
  15. Does exercise or splinting in the treatment of trigger finger reduce pain, improve range of movement, grip strength, function and return to work when compared with usual care?
  16. In adults with chronic trochanteric bursitis is physiotherapy more effective in reducing pain than usual care?
  17. In adults with Lateral Elbow Tendinopathy (Tennis Elbow) does the treatment of Low Level Laser Therapy improve pain and function when compared to usual physiotherapy care?
  18. In patients presenting with acute or chronic tendinopathies, what is the incidence of harm for those receiving steroid injections compared to those receiving usual care?
  19. In an adult population is a corticosteroid injection a safe and effective treatment for tennis elbow compared to usual care?
  20. In adults with degenerative meniscal tears in the knee, is physiotherapy as a clinical and cost effective as surgery?
  21. In adults with hand pain and stiffness, is wax therapy  and exercise more effective in reducing pain and improving function than wax therapy alone? 
  22. Is exercise therapy  effective in reducing pain and restoring normaly function in adults with chronic plantar fasciitis/heel pain? 
  23. In adults with Coccydynia is physiotherapy more effective in reducing pain than usual care?
  24. In adults with neural leg pain, is a caudal epidural as effective as physiotherapy in reducing pain return to work and function?
  25. In adults and children with musculoskeletal pain is Hydrotherapy/Aquatic Therapy as clinically & cost effective as land based Physiotherapy in terms of pain & function?
  26. In adults with chronic lateral epicondylitis (tennis elbow)  are eccentric exercises more effective in reducing pain and improving function than concentric exercises?
  27. Is a suprascapular nerve block an effective method of reducing pain and disability in adults with shoulder pain?
  28. In adult patients immediately post primary total knee replacement (TKR) for osteoarthritis (OA) is group therapy more clinically effective than an individual programme for pain and function?
  29. Does acupuncture improve pain, function and quality of life for adults with fibromyalgia?
  30. In patients with arthroscopic cuff repair, does early mobilisation improve pain and functional outcomes?
  31. In adults who have undergone a total hip replacement(THR) is there a difference in dislocation rates between those who have been advised about following hip replacement precautions verses those who have not?
  32. Is a clinically guided steroid injection as effective in terms of pain relief and improved function as an ultrasound guided injection for patient with first CMC joint osteoarthritis (OA)
  33. Does acupuncture improve pain, function and quality of life for adults with fibromyalgia?
  34. Would repeat steroid injections be more beneficial than physiotherapy targeted exercise for 'Trochanteric bursitis/trochanteric pain syndrome' (TPS)' in older females giving pain relief for over six months duration?
  35. In adults with shoulder subacromial pain/subacromial impingement syndrome, is shoulder decompression surgery more clinically and cost effective than physiotherapy in reducing pain and improving function.
  36. In patients with Benign Joint Hypermobility Syndrome (BJHS) is targeted physiotherapy more effective than generalised Physiotherapy.
  37. Does the use of an Isokinetic Strengthening Programme improve outcomes in adults following unilateral ACL Reconstruction  versus usual rehabilitation?
  38. In adults with de Quervain tenosynovitis, are exercises more effective in reducing pain and improving function than usual care?
  39. In an adult population post wrist fracture, is an exercise rehabilitation programme more effective than self-management or no intervention in reducing pain and restoring function? 
  40. In adults with trigger thumb/finger does splinting improve outcomes for pain and function compared to usual care? 
  41. In adults with chronic DeQuervains tenosynovitis does exercise reduce pain and improve function more than usual care? 
  42. In patients with non-operatively (conservatively) managed to tendo-achilles (TA) ruptures, is accelerated rehabilitation superior to routine rehabilitation for reducing pain and return to function time, without increasing adverse events of tendon lengthening and re-rupture rates? 
  43. In adults with chronic coccydynia, is the intervention of corticosteroid injection with or without internal coccyx manipulation more effective in reducing coccyx pain than usual care?
  44. Are image-guided injections more clinically effective than palpation-guided injections for acromioclavicular joint (ACJ) pain?  
  45. In adults and children with musculoskeletal pain and inflammatory arthritis, does hydrotherapy, compared with usual care/dry land physiotherapy, reduce pain and function, improve well-being and return to work/school and is it cost effective? 
  46. In the adult population, does the spurlings sign/test have good sensitivity and specificity in detecting Cervical radiculopathy
  47. In Patients over the age of 40 with plantarfasciopathy, is wearing a night splint nightly for 3 months effective in reducing pain when compared to exercise therapy? 
  48. In adults with adhesive capsulitis (frozen shoulder) does the use of distension injections improve pain, function and range of movent when compared to lower volume, steroid injections? 
  49. In adults with chronic shoulder pain is a nerve ablation procedure (for the suprascapular nerve) as effective in reducing pain, in the long term compared with usual care? 
  50. Does the addition of a knee brace, restricting range of movement, provide improved outcomes compared to rehabilitation alone in meniscal repairs? 
  51. In adults with inflammatory arthritis and persistent knee synovitis, does yttrium synovectomy improve pain and function? 
  52. In adults with ankle osteoarthritis is exercise/physiotherapy/rehabilitation/conservative treatment more effective than surgical options?
  53. In patients presenting acute tendinopathies, what is the incidence of harm for those receiving steroid injections compared to those receiving usual care? 
  54. In adults with chronic anterior knee pain are Vastus Medialis Oblique (VMO) strengthening exercises alone more effective in reducing pain and improving function than general lower limb strengthening exercises?
  55. In elderly patients with ankle fractures who are unable to safely mobilise non-weight bearing using appropriate walking aids; does allowing partial weight bearing of the affected leg reduce the length of time spent in hospital, reduce complications of bed-rest, prevent referral to temporary community care and reduce mobility compared to non-ambulatory care. 
  56. Do patients with long-term musculoskeletal or rheumatology conditions that attend regular hydrotherapy sessions utilise NHS services less (e.g. clinical review with GP/Consultants/Allied Health Professionals) compared to those who do not attend regular hydrotherapy? 
  57. What is the clinical effectiveness of extracorporeal shock-wave therapy (SWT) in managing chronic tennis elbow? 
  58. In adults with ankle osteoarthritis (OA), is total ankle replacement/fusion/debridement better than no treatment for pain and function, risks and harms and adverse events? 
  59. Is resistance exercise beneficial to improve function, mobility, and quality of life, in patients with fibromyalgia
  60. Is graded exercise beneficial in improving function, mobility, and quality of life, in patients with chronic musculoskeletal pain
  61. In patients with Benign Joint Hypermobility Syndrome (BJHS) is targeted physiotherapy more effective than generalised physiotherapy?
  62. In adults with chronic low back pain, are core stability exercises more effective in improving function and decreasing pain compared to a general exercise programme?
  63. What do patients think about being assessed by a physiotherapist instead of a general practitioner for their musculoskeletal problems in primary care? 
  64. In adults with lateral hip pain post Total Hip Replacement (THR) (anterior lateral approach), is physiotherapy more effective in reducing pain and improving function than corticosteroid injection? 
  65. In adults with ankle OA, is hyaluronic acid injection better than no treatment or conservative treatment, for pain, function, and patient satisfaction? 
  66. Does standing a patient on the day of surgery following a primary unilateral total hip or knee replacement reduce the length of hospital stay? 
  67. Do physiotherapy telephone consultations for adult patients with musculoskeletal conditions affect patient satisfaction, condition specific outcomes and health utilisation?
  68.  Does relative motion regime (including the use of a Yoke splint) provide improved outcomes (finger ROM, strength, with fewer complications of tenolysis and reduced ruptured rates) compared to usual care in the rehabilitation of finger extensor tendon repairs in zones 4 to 7? (Usual care includes static and dynamic splints with exercise regimes). 
  69. What is the clinical effectiveness of extracorporeal Shock Wave Therapy or barbotage in the management of rotator cuff calcific tendinopathy? 
  70. In adults with mild to moderate carpal tunnel syndrome (CTS) are physiotherapy led exercises better than no treatment in improving pain and function?
  71. In adults with Subacromial Impingement Syndrome (SIS) is physiotherapy supervised exercise (ex) more clinically effective than a patient information session or leaflet only?
  72. Are 24 hour use splints more effective than night splints in the improvement of symptoms in mild to moderate carpal tunnel syndrome?
  73. In adults with ankle osteoarthritis (OA) is conservative management (excluding injections)/rehabilitation/exercise better than no treatment for pain/swelling/quality of lifte/function/delaying or preventing surgery?
  74. Does exercise or splinting in the treatment of trigger finger reduce pain, improve range of movement, grip strength, function and return to work when compared with usual care? 
  75. In adults with neural leg pain (sciatica), is a cauda epidural as effective as physiotherapy in reducing pain, return to work and restoring function? 
  76. In adults with sub acromial shoulder pain do psychological factors influence the outcome? 
  77. In adult patients with a diagnosis of osteoarthritis of the knee, does running cause harm in comparison with standard strengthening exercises?
  78. In an adult population are eccentric exercises effective in reducing pain and improving function in achilles tendinopathy?
  79. What is the clinical effectiveness of extracorporeal Shock Wave Therapy or barbotage in the management of rotator cuff calcific tendinopathy?
  80. Is this resistance exercise beneficial to improve function, mobility, quality of life in adult patients with fibromyalgia
  81. Is graded exercise beneficial in improving function, mobility and quality of life in adult patients with chronic musculoskeletal pain? 
  82. In patients with a chronic/degenerate rotator cuff tear of the shoulder, is surgical repair as effective as physiotherapy in improving function and reducing pain?