Key word (A)

Accelerated Rehabilitation 

  • In patients with non-operatively (conservatively) managed 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? 

Achilles tendinopathy

  • Does autologous blood injection provide more pain relief and functional improvement in adults with chronic tendinopathy when compared to usual care?

Achilles tendonitis / Achilles tendon

  • Does the addition of an isokinetic speed programme improve outcomes in patients receiving a unilateral primary Achilles tendon repair?
  • In the adult population, is eccentric or concentric exercise more effective for the return of function in Subacute or chronic Achilles tendonopathies?

Acromioclavicular joint (ACJ)

Active/Activity

  • In adult humans with peripheral musculoskeletal injury (who have not had previous repair) is the length of time of sustained active or passive stretching more effective than other aspects of stretching for increasing return to work function and activity?

Acupuncture

  • Is acupuncture an effective method of reducing pain in outpatient physiotherapy attendees with acute soft tissue injuries or fractures, compared to usual physiotherapy?
  • Does acupuncture improve pain, function and quality of life for adults with fibromyalgia?
  • For adults with musculoskeletal neck pain, is shoulder/ neck acupuncture plus exercises the same as exercises alone for reducing pain in the short term?

Acute tendinopathy

  • 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?

Adhesive capsulitis

  • 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?

 

Adult 

  • 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? 

Adult total hip replacement

  • Is an exercise regime in addition to routine mobilization/gait re-education of improved benefit to function/QOL in post-operative adult THRs?

Air Cast

  • Following Anterior Talo-Fibular Ligament (ATFL) reconstruction in adult humans, does the use of an air-cast splint post op have any beneficial effect on pain, range and activities of daily living (ADL)?

Allied health professionals

  • Where Allied Health Professionals (AHP’s: Physiotherapists, Occupational therapists and Podiatrists) work in a Trauma and Orthopaedic (T&O) setting, investigations are requested as part of patient management. How do AHP’s compare with Nursing staff and doctors in their referral rate for x-rays and positive findings (e.g. fractures or pathologies found)?

Analgesia

  • In an adult population undergoing primary total knee replacement (TKR) does the addition of Transcutaneous Electrical Nerve Stimulation (TENS) to usual care improve pain management & as a result improve range of movement (ROM) within 3 months post-operatively?

Ankle

  • Following Anterior Talo-Fibular Ligament (ATFL) reconstruction in adult humans, does the use of an air-cast splint post op have any beneficial effect on pain, range and activities of daily living (ADL)?
  • In adults with ankle osteoarthritis is exercise/physiotherapy/rehabilitation/conservative treatment more effective than surgical options? 
  • 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 length of time spent in hospital, reduce complications of bed-rest, prevent referral to temporary community care and reduce mortality compared to non-ambulatory care?

 

Anterior knee pain

  • In adults with chornic 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?

Anterior talo-fibular ligament

  • Following Anterior Talo-Fibular Ligament (ATFL) reconstruction in adult humans, does the use of an air-cast splint post op have any beneficial effect on pain, range and activities of daily living (ADL)?
  • Does the use of an Isokinetic Strengthening Programme improve outcomes in adults following unilateral ACL Reconstruction  versus usual rehabilitation?

Appointment

  • Does appointment duration for musculoskeletal outpatient physiotherapy or occupational therapy in primary or secondary care settings, have an effect on managerial, clinical or patient outcomes?

Arthritis

  • Is hand therapy more effective than usual care in maintaining function and improving coping in adults with hand arthritis?
  • 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? 

Arthroplasty

  • Can threshold values for the Oxford hip and knee score determine the need for joint replacement surgery?
  • What proportion of patients undergoing Total Knee Replacement (TKR) have a poor outcome?
  • What factors determine poor functional outcome following Total Knee Replacement (TKR)?

Arthroscopic

  • In the adult population undergoing surgical arthroscopic treatment for knee articular chondral defect, is the use of CPM (continuous passive motion) effective in reducing pain and improving function?
  • In adults with degenerative meniscal tears in the knee, is physiotherapy as clinical and cost effective as surgery?

Autologous

  • Does autologous blood injection provide more pain relief and functional improvement in adults with chronic tendinopathy when compared to usual care?