Evidence map›Paper›PMID 35953842›Full record

ArticlePilot and feasibility studies2022

Comparing an optimised physiotherapy treatment package with usual physiotherapy care for people with tennis elbow - protocol for the OPTimisE pilot and feasibility randomised controlled trial.

M Bateman, B Saunders, C Littlewood, D Davis, J Beckhelling, K Cooper, A Skeggs, N E Foster, B Vicenzino, J C Hill

Open access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 2 countries.

M BatemanUniversity Hospitals of Derby & Burton NHS Foundation Trust, Derby, UK. Marcus.bateman@nhs.net.ORCID http://orcid.org/0000-0002-3203-506X
B SaundersSchool of Medicine, Keele University, Newcastle-under-Lyme, UK.
C LittlewoodFaculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, UK.
D DavisDerby Clinical Trials Support Unit , Royal Derby Hospital, Derby, UK.
J BeckhellingDerby Clinical Trials Support Unit , Royal Derby Hospital, Derby, UK.
K CooperPatient Representative, Derby, UK.
A SkeggsDerby Clinical Trials Support Unit , Royal Derby Hospital, Derby, UK.
N E FosterSchool of Medicine, Keele University, Newcastle-under-Lyme, UK.ORCID http://orcid.org/0000-0003-4429-9756
B VicenzinoSchool of Health & Rehabilitation Sciences: Physiotherapy, University of Queensland, St Lucia, Brisbane, Australia.
J C HillSchool of Medicine, Keele University, Newcastle-under-Lyme, UK.
Royal Derby Hospital · GBKeele University · GBThe University of Queensland · AUEdge Hill University · GBUniversity Hospitals of Derby and Burton NHS Foundation Trust · GBUniversity of Derby · GB

Funding

National Institute for Health Research NIHR300704
6 · The paper itself

Abstract

backgroundPhysiotherapy is recommended for people with tennis elbow, but whilst a wide array of treatments is available, the optimal approach remains uncertain. We have therefore recently developed an optimised physiotherapy treatment package for tennis elbow based on a synthesis of the evidence, patient input and clinical consensus. It consists of detailed advice and education, a structured progressive exercise programme and provision of a counter-force elbow brace. Here, we report the protocol for our multicentre pilot and feasibility randomised controlled trial (RCT) designed to (a) examine the feasibility of our optimised physiotherapy treatment package and (b) to pilot trial processes for a future fully powered RCT to test clinical and cost-effectiveness compared with usual physiotherapy treatment.

methodsA multicentre pilot and feasibility RCT will be conducted across three sites in England, recruiting up to 50 patients (or for a maximum of 12 months). Participants with tennis elbow, identified from physiotherapy clinic waiting lists and general practice surgeries, will be randomly allocated to receive the optimised physiotherapy treatment package or usual physiotherapy care. Analysis will focus on feasibility measures including consent rate, intervention fidelity, follow-up rate and outcome completion rate. A nested qualitative study will explore the acceptability of the study processes and patient and physiotherapist experiences of the new optimised intervention. DISCUSSION: This study will determine the feasibility of a new optimised physiotherapy treatment package for people with tennis elbow and pilot the processes for a future fully powered RCT. In the longer term, this treatment package may provide superior clinical outcomes for patients, in terms of pain and quality of life, and be more cost-effective for the health service.

trial registrationRegistered with the ISRCTN database 19/7/2021, https://www.isrctn.com/ISRCTN64444585.

Indexed as

FeasibilityLateral elbow tendinopathyPhysical therapyPhysiotherapyPilotTennis elbow

Identifiers

PMID35953842
PMCPMC9367116
OpenAlexW4290997279

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.