Key word (P)

PAFO

  • In adults on bed rest with a foot drop due to traumatic spinal cord injury does a timed application of a Passive Ankle - Foot Orthosis (PAFO) prevent adaptive shortening of gastrocnemius in comparison to daily passive stretching undertaken by a healthcare professional?

Pain

  • 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 chronic low back pain are core stability exercises more effective in improving function and decreasing pain compared to a general exercise program?
  • 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?
  • 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?
  • Is multidisciplinary management of chronic low back pain more effective in terms of reducing pain, improving function and increasing return to work compared with unidisciplinary treatment?
  • Examine the effectiveness of rehabilitation programmes in primary flexor tendon repairs following surgical reconstruction at 12 weeks and 12 months in terms of pain, disability, function and return to work.
  • Is manual physical therapy more effective than other physical therapy approaches in reducing pain and disability in adults post whiplash injury?
  • Is day or night time splinting more effective than usual care in improving pain, function and reducing sensory disturbance in adults with Carpal Tunnel symptoms?
  • Are interscalene nerve blocks an effective means of delivering pain relief to patients following shoulder surgery?
  • Is electrotherapy more effective than other physical therapy approaches in reducing pain and disability in adults with supraspinatus tendonitis?Is one modality of electrotherapy more effective than another?
  • Is Trancutaneous Nerve Stimulation effective in Relieving pain in Acute Soft Tissue Injuries in Adults?
  • In adult humans with plantar fasciitis does a sustained stretch of the calf muscles or triceps surae have an beneficial effect on pain, range of movement and return to normal daily activity?
  • 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?
  • Is splinting more clinically effective and cost effective in decreasing pain and improving function in adults with DeQuervains syndrome than usual care?
  • What proportion of patients undergoing Total Knee Replacement (TKR) have a ‌?
  • What factors determine poor functional outcome following Total Knee Replacement (TKR)?
  • 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?

Palpation guide injection

Passive

  • 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?

Patella tendinopathy

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

Patient

  • 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?

Physical therapy

  • Is manual physical therapy more effective than other physical therapy approaches in reducing pain and disability in adults post whiplash injury?
  • Is electrotherapy more effective than other physical therapy approaches in reducing pain and disability in adults with supraspinatus tendonitis?Is one modality of electrotherapy more effective than another?

Physio direct

  • What are the relative benefits of different models of access to Health Care Practitioners for musculoskeletal patients in Primary Care?

Physiotherapist

  • Is the use of physiotherapy assistants/technicians in the delivery of treatment for patients with musculoskeletal conditions as effective as treatment delivered by qualified physiotherapists only?

Physiotherapy

  • Do physiotherapy telephone consultations for adult patients with musculoskeletal conditions affect patient satisfaction, condition specific outcomes and healthcare utilisation?
  • 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?
  • Is acupuncture an effective method of reducing pain in outpatient physiotherapy attendees with acute soft tissue injuries or fractures, compared to usual physiotherapy?
  • In adults with degenerative meniscal tears in the knee, is physiotherapy as clinical and cost effective as surgery?
  • In adults with Coccydynia is physiotherapy more effective in reducing pain than usual care?
  • In patients with Benign Joint Hypermobility Syndrome(BJHS) is targeted physiotherapy more effective than generalised Physiotherapy
  • 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.
  • Does the use of an Isokinetic Strengthening Programme improve outcomes in adults following unilateral ACL Reconstruction  versus usual rehabilitation?
  • In adults with ankle osteoarthritis is exercise/physiotherapy/rehabilitation/conservative treatment more effective than surgical options?

Physiotherapy assistants

  • Is the use of physiotherapy assistants/technicians in the delivery of treatment for patients with musculoskeletal conditions as effective as treatment delivered by qualified physiotherapists only?

Plantar fasciitis

  • In adult humans with plantar fasciitis does a sustained stretch of the calf muscles or triceps surae have an beneficial effect on pain, range of movement and return to normal daily activity?
  • In adults with plantar fasciitis, does the use of a barefoot science foot orthoses compared with other foot orthoses improve pain and adherence?

Plantar fasciopathy

  • Does autologous blood injection provide more pain relief and functional improvement in adults with chronic tendinopathy when compared to usual care?
  • In patients over the age of 40 with plantarfasciopathy, is wearing a night splint nightly for 3 monhs effective in reducing pain when compared to exercise therapy? 

Platelet rich plasma

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

Poor outcome

  • What proportion of patients undergoing Total Knee Replacement (TKR) have a poor outcome?
  • What factors determine poor functional outcome following Total Knee Replacement (TKR)?

Post-op

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

Postoperative pain

  • 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?

Postural correction

  • 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?

Precautions

  •  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?

Primary unilateral total hip or knee replacement

  • Does standing a patient on the day of surgery following a primary unilateral total hip or knee replacement reduce the length of hospital stay?