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P051 Trends in consultations for musculoskeletal pain in children and young people presenting to United Kingdom primary care: an electronic health record study (2024)
Presentation / Conference

Background/Aims Musculoskeletal pain in childhood increases the risk of such pain in adulthood but there is an absence of management guidance for this group, not helped by a lack of evidence on the extent and nature of pain in children. The aim was t... Read More about P051 Trends in consultations for musculoskeletal pain in children and young people presenting to United Kingdom primary care: an electronic health record study.

Plantar pressures in people with midfoot osteoarthritis: cross-sectional findings from the Clinical Assessment Study of the Foot (2023)
Journal Article

Background Midfoot osteoarthritis (OA) is a common condition, however its aetiology is not well understood. Understanding how plantar pressures differ between people with and without midfoot OA may provide insight... Read More about Plantar pressures in people with midfoot osteoarthritis: cross-sectional findings from the Clinical Assessment Study of the Foot.

A scoping review of patient self-report measures of flare in knee and hip osteoarthritis (OA): A report from the OMERACT flares in OA working group (2023)
Journal Article

Purpose We aimed to analyze the content validity/domain match and feasibility of self-report instruments that could measure flare in osteoarthritis (OA), by extending our 2017 literature review on the definition of flare in knee and hip OA. Metho... Read More about A scoping review of patient self-report measures of flare in knee and hip osteoarthritis (OA): A report from the OMERACT flares in OA working group.

Structural Foot Characteristics in People With Midfoot Osteoarthritis: Cross-Sectional Findings From the Clinical Assessment Study of the Foot (2023)
Journal Article

To compare radiographic measures of foot structure between people with and without symptomatic radiographic midfoot osteoarthritis (OA). This was a cross-sectional study of adults aged ≥50 years registered with four UK general practices who reported... Read More about Structural Foot Characteristics in People With Midfoot Osteoarthritis: Cross-Sectional Findings From the Clinical Assessment Study of the Foot.

An Evaluation of Different Strategies for Sampling Controls in an Online Case-Crossover Study of Acute Flares in Knee Osteoarthritis (2023)
Journal Article

Objective: To evaluate bias and precision of exposure-outcome effect estimates from three control sampling strategies in a case-crossover study. Methods: Online case-crossover study investigating eight physical activity-related triggers for acute fl... Read More about An Evaluation of Different Strategies for Sampling Controls in an Online Case-Crossover Study of Acute Flares in Knee Osteoarthritis.

Prediction Models to Estimate the Future Risk of Osteoarthritis in the General Population: A Systematic Review (2022)
Journal Article

OBJECTIVE: To evaluate the performance and applicability of multivariable prediction models for osteoarthritis (OA). METHODS: Systematic review and narrative synthesis using three databases (EMBASE, PubMed, Web of Science; inception to December 2021)... Read More about Prediction Models to Estimate the Future Risk of Osteoarthritis in the General Population: A Systematic Review.

Osteoarthritis Flares. (2022)
Journal Article

The phenomenon of flares is a common feature in the daily life of people with osteoarthritis (OA). Characterized by episodes of sudden-onset increases in signs and symptoms, their impact can often be distressing and disabling. Despite their potential... Read More about Osteoarthritis Flares..

PREDICTION MODELS TO ESTIMATE FUTURE INDIVIDUAL RISK OF OSTEOARTHRITIS IN THE GENERAL POPULATION: A SYSTEMATIC REVIEW (2022)
Journal Article

Purpose: The need for health systems to shift from late, reactive care of osteoarthritis (OA) to earlier, preventative strategies is widely acknowledged. Rigorously derived and validated models capable of predicting future individual-level risk of OA... Read More about PREDICTION MODELS TO ESTIMATE FUTURE INDIVIDUAL RISK OF OSTEOARTHRITIS IN THE GENERAL POPULATION: A SYSTEMATIC REVIEW.

CLINICAL MANAGEMENT OF OSTEOARTHRITIS FLARES: A SCOPING REVIEW OF BEHAVIORAL, LIFESTYLE AND ADJUNCTIVE TREATMENTS (2022)
Journal Article

Purpose: Transient episodes of increased pain, swelling and stiffness are common in people with osteoarthritis (OA). These episodes, commonly known as OA flares, can be distressing, disabling, and prompt informal and formal care-seeking. Yet evidence... Read More about CLINICAL MANAGEMENT OF OSTEOARTHRITIS FLARES: A SCOPING REVIEW OF BEHAVIORAL, LIFESTYLE AND ADJUNCTIVE TREATMENTS.

International Foot and Ankle Osteoarthritis Consortium review and research agenda for diagnosis, epidemiology, burden, outcome assessment and treatments. (2022)
Journal Article

OBJECTIVE: To summarise the available evidence relating to the diagnosis, epidemiology, burden, outcome assessment and treatment of foot and ankle osteoarthritis (OA) and to develop an agenda to guide future research. METHOD: Members of the Internati... Read More about International Foot and Ankle Osteoarthritis Consortium review and research agenda for diagnosis, epidemiology, burden, outcome assessment and treatments..

Identifying Long-Term Trajectories of Foot Pain Severity and Potential Prognostic Factors: A Population-Based Cohort Study (2021)
Journal Article

OBJECTIVES: To identify distinct foot pain trajectories over seven years and examine their associations with potential prognostic factors. METHODS: Adults aged =50?years registered with four general practices in North Staffordshire, UK were mailed a... Read More about Identifying Long-Term Trajectories of Foot Pain Severity and Potential Prognostic Factors: A Population-Based Cohort Study.

Best-practice clinical management of flares in people with osteoarthritis: A scoping review of behavioral, lifestyle and adjunctive treatments. (2021)
Journal Article

INTRODUCTION: Transient episodes of increased pain, stiffness or swelling are common in people with osteoarthritis (OA). Yet, evidence-based management strategies for lessening the impact of OA flares are rarely covered in clinical guidelines and hav... Read More about Best-practice clinical management of flares in people with osteoarthritis: A scoping review of behavioral, lifestyle and adjunctive treatments..

Triggers for acute flare in adults with, or at risk of, knee osteoarthritis: a web-based case-crossover study in community-dwelling adults. (2021)
Journal Article

OBJECTIVE: To identify proximate causes ('triggers') of flares in adults with, or at risk of, knee osteoarthritis (OA), estimate their course and consequences, and determine higher risk individuals. METHODS: In this 13-week web-based case-crossover s... Read More about Triggers for acute flare in adults with, or at risk of, knee osteoarthritis: a web-based case-crossover study in community-dwelling adults..

Self-management advice, exercise and foot orthoses for plantar heel pain: the TREADON pilot and feasibility randomised trial (2021)
Journal Article

Plantar heel pain (PHP) is common and impacts negatively on physical function and quality of life. Initial treatment usually comprises analgesia and self-management advice (SMA), with referral to a physiotherapist or podiatrist recommended only when... Read More about Self-management advice, exercise and foot orthoses for plantar heel pain: the TREADON pilot and feasibility randomised trial.

Identification of Radiographic Foot Osteoarthritis: Sensitivity of Views and Features Using the La Trobe Radiographic Atlas (2021)
Journal Article

ObjectiveTo compare the sensitivity of alternative case finding approaches for the identification of foot osteoarthritis (OA) based on the La Trobe radiographic atlas.MethodsThis was a cross‐sectional study of 533 adults age ≥50 years with foot pain... Read More about Identification of Radiographic Foot Osteoarthritis: Sensitivity of Views and Features Using the La Trobe Radiographic Atlas.

TReatments of Exercise AnD Orthotic devices for plaNtar heel pain (TREADON) pilot and feasibility trial Self-Management Advice Booklet (2021)
Book

This record is the participant Self-Management Advice Booklet used in the TReatments of Exercise AnD Orthotic devices for plaNtar heel pain (TREADON) pilot and feasibility trial. Trial registration number: International Standard Randomised Controll... Read More about TReatments of Exercise AnD Orthotic devices for plaNtar heel pain (TREADON) pilot and feasibility trial Self-Management Advice Booklet.

Identification of Patterns of Foot and Ankle Pain in the Community: Cross-sectional Findings from the Clinical Assessment Study of the Foot (2020)
Journal Article

Objectives: To investigate patterns of foot and ankle pain locations and symptoms, socio-demographic and comorbid characteristics to examine whether there are distinct foot and ankle pain phenotypes. Methods: Adults aged =50 years registered with fou... Read More about Identification of Patterns of Foot and Ankle Pain in the Community: Cross-sectional Findings from the Clinical Assessment Study of the Foot.

Hallux valgus severity, great toe pain, and plantar pressures during gait: A cross-sectional study of community-dwelling adults (2020)
Journal Article

BACKGROUND: Hallux valgus (HV) is a common disabling condition affecting 36% of adults aged 65 years and over. Identifying whether the severity of the deformity alters weight-bearing patterns during walking may assist clinicians optimize offloading i... Read More about Hallux valgus severity, great toe pain, and plantar pressures during gait: A cross-sectional study of community-dwelling adults.

Trajectories of foot pain severity over seven years and relationship to potential prognostic factors: the clinical assessment study of the foot (2020)
Journal Article

Background Foot pain is common and disabling in older adults however little is known about its course. The objective of this study was to identify foot pain trajectories over seven years and examine the associations between progressive symptom traje... Read More about Trajectories of foot pain severity over seven years and relationship to potential prognostic factors: the clinical assessment study of the foot.

Identification of radiographic foot osteoarthritis: are both dorsoplantar and lateral x-rays necessary? (2020)
Journal Article

Purpose: The La Trobe radiographic atlas of foot osteoarthritis (OA), which was developed in 2009 to standardise the assessment of foot OA, incorporates observations of osteophytes (OP) and joint space narrowing (JSN) from dorsoplantar (DP) and later... Read More about Identification of radiographic foot osteoarthritis: are both dorsoplantar and lateral x-rays necessary?.

Relative prevalence and distribution of knee, hand and foot symptomatic osteoarthritis subtypes in an English population (2020)
Journal Article

In this brief report, we used data from a series of three related cohorts on pain and osteoarthritis (OA) of the knee, hand and foot, which were conducted in North Staffordshire, England. We used a common approach for sampling, data collection and co... Read More about Relative prevalence and distribution of knee, hand and foot symptomatic osteoarthritis subtypes in an English population.

Short-term recovery trajectories of acute flares in knee pain: a UK-Netherlands multi-centre prospective cohort analysis (2019)
Journal Article

Objective To identify distinct recovery trajectories of acute flares of knee pain and associated participant characteristics. Methods Data were from FLARE RCT, a multicentre trial in 27 primary care centres in UK and Netherlands of three regimes... Read More about Short-term recovery trajectories of acute flares in knee pain: a UK-Netherlands multi-centre prospective cohort analysis.

Predictors of pain interference and potential gain from intervention in community dwelling adults with joint pain: A prospective cohort study. (2019)
Journal Article

INTRODUCTION: There is little research on identifying modifiable risk factors that predict future interference of pain with daily activity in people with joint pain, and the estimation of the corresponding population attributable risk (PAR). The pres... Read More about Predictors of pain interference and potential gain from intervention in community dwelling adults with joint pain: A prospective cohort study..

Plantar heel pain in middle-aged and older adults: Population prevalence, associations with health status and lifestyle factors, and frequency of healthcare use (2019)
Journal Article

Background The objectives of this study were to estimate the population prevalence and distribution of plantar heel pain in mid-to-older age groups, examine associations with selected health status and lifestyle factors, and report the frequency of... Read More about Plantar heel pain in middle-aged and older adults: Population prevalence, associations with health status and lifestyle factors, and frequency of healthcare use.

Acute Flares of Knee Osteoarthritis (the ACT-FLARE Study): Protocol for a Web-Based Case-Crossover Study in Community-Dwelling Adults (2019)
Journal Article

Background: The cardinal feature of osteoarthritis (OA) is pain. Although heterogeneity in pain and function have been demonstrated in the long-term course of OA, the more proximate determinants of acute flare-ups remain less clear. How short-term i... Read More about Acute Flares of Knee Osteoarthritis (the ACT-FLARE Study): Protocol for a Web-Based Case-Crossover Study in Community-Dwelling Adults.

Midfoot osteoarthritis: potential phenotypes and their associations with demographic, symptomatic and clinical characteristics (2019)
Journal Article

Objective To investigate the demographic, symptomatic, clinical and structural foot characteristics associated with potential phenotypes of midfoot osteoarthritis (OA). Design Cross-sectional study of 533 community-dwelling adults aged =50 years... Read More about Midfoot osteoarthritis: potential phenotypes and their associations with demographic, symptomatic and clinical characteristics.

Coexistence of plantar calcaneal spurs and plantar fascial thickening in individuals with plantar heel pain (2018)
Journal Article

Objectives To examine associations between plantar calcaneal spurs, plantar fascia thickening and plantar heel pain (PHP), and to determine whether tenderness on palpation of the heel differentiates between these presentations. Methods Adults... Read More about Coexistence of plantar calcaneal spurs and plantar fascial thickening in individuals with plantar heel pain.

Comparative Effectiveness of Treatment Options for Plantar Heel Pain: A Systematic Review with Network Meta-Analysis (2018)
Journal Article

Objective To evaluate the comparative effectiveness of current treatment options for plantar heel pain (PHP). Design Systematic review and network meta-analysis (NMA). Data sources Medline, EMBASE, CINAHL, AMED, PEDro, Cochrane Database, Web... Read More about Comparative Effectiveness of Treatment Options for Plantar Heel Pain: A Systematic Review with Network Meta-Analysis.

Comparative Effectiveness of Treatment Options for Plantar Heel Pain: A Systematic Review with Network Meta-Analysis (2018)
Journal Article

Objective To evaluate the comparative effectiveness of current treatment options for plantar heel pain (PHP). Design Systematic review and network meta-analysis (NMA). Data Sources Medline, EMBASE, CINAHL, AMED, PEDro, Cochrane Database, We... Read More about Comparative Effectiveness of Treatment Options for Plantar Heel Pain: A Systematic Review with Network Meta-Analysis.

The symptomatic course of foot osteoarthritis phenotypes: an 18-month prospective analysis of community-dwelling older adults. (2017)
Journal Article

OBJECTIVE: Osteoarthritis (OA) is a heterogeneous disease with symptom progression at the foot unclear. This study investigated the symptomatic course of three pre-defined foot OA phenotypes over an 18-month period. METHODS: The Clinical Assessment S... Read More about The symptomatic course of foot osteoarthritis phenotypes: an 18-month prospective analysis of community-dwelling older adults..

Development of an individualised, supervised and progressed therapist led exercise programme for Plantar Heel Pain (Plantar Fasciitis) (2017)
Journal Article

Purpose: To describe the development, and content of a physiotherapist and podiatrist led individualised, supervised and progressed exercise programme for use in a feasibility and pilot randomised controlled trial (RCT) testing interventions for Plan... Read More about Development of an individualised, supervised and progressed therapist led exercise programme for Plantar Heel Pain (Plantar Fasciitis).

Clinical Significance of Medial Versus Lateral Compartment Patellofemoral Osteoarthritis: Cross-Sectional Analyses in an Adult Population With Knee Pain (2016)
Journal Article

Objective To determine the comparative prevalence, associations with selected patient characteristics, and clinical outcomes of medial and lateral compartment patellofemoral (PF) joint osteoarthritis (OA). Methods Information was collected by qu... Read More about Clinical Significance of Medial Versus Lateral Compartment Patellofemoral Osteoarthritis: Cross-Sectional Analyses in an Adult Population With Knee Pain.

Epidemiology of Shoe Wearing Patterns Over Time in Older Women: Associations With Foot Pain and Hallux Valgus (2016)
Journal Article

Background: Foot problems are prevalent in older women and are thought to be associated with footwear. This study examined women’s shoe wearing patterns over time and evaluated associations between footwear characteristics and foot pain and hallux v... Read More about Epidemiology of Shoe Wearing Patterns Over Time in Older Women: Associations With Foot Pain and Hallux Valgus.

Investigation of potential phenotypes of foot osteoarthritis: cross-sectional analysis from the Clinical Assessment Study of the Foot (2015)
Journal Article

Objective To investigate the existence of distinct foot osteoarthritis (OA) phenotypes based on pattern of joint involvement and comparative symptom and risk profiles. Methods Participants ages =50 years reporting foot pain in the previous year... Read More about Investigation of potential phenotypes of foot osteoarthritis: cross-sectional analysis from the Clinical Assessment Study of the Foot.

The epidemiology of symptomatic midfoot osteoarthritis in community-dwelling older adults: cross-sectional findings from the Clinical Assessment Study of the Foot (2015)
Journal Article

Introduction The foot is largely overlooked in calls for better characterisation of clinical phenotypes in osteoarthritis (OA). Yet the midfoot complex in particular has the potential to provide important insights into OA pathogenesis given its cent... Read More about The epidemiology of symptomatic midfoot osteoarthritis in community-dwelling older adults: cross-sectional findings from the Clinical Assessment Study of the Foot.

Clinical diagnosis of symptomatic midfoot osteoarthritis: cross-sectional findings from the Clinical Assessment Study of the Foot (2015)
Journal Article

OBJECTIVE: To derive a multivariable diagnostic model for symptomatic midfoot osteoarthritis (OA). METHODS: Information on potential risk factors and clinical manifestations of symptomatic midfoot OA was collected using a health survey and standardis... Read More about Clinical diagnosis of symptomatic midfoot osteoarthritis: cross-sectional findings from the Clinical Assessment Study of the Foot.

O35. Population Prevalence and Associations of Plantar Heel Pain in Adults Aged 50 Years and Over: Cross-Sectional Findings from the Clinical Assessment Study of the Foot (2015)
Journal Article

Background: Plantar heel pain is a very common presentation to primary care and yet among the most difficult to manage. There is a lack of epidemiological evidence on the rates of consultation for the condition and of the health status of affected in... Read More about O35. Population Prevalence and Associations of Plantar Heel Pain in Adults Aged 50 Years and Over: Cross-Sectional Findings from the Clinical Assessment Study of the Foot.

Demographic and clinical factors associated with radiographic severity of first metatarsophalangeal joint osteoarthritis: cross-sectional findings from the Clinical Assessment Study of the Foot (2014)
Journal Article

OBJECTIVE: To explore demographic and clinical factors associated with radiographic severity of first metatarsophalangeal joint osteoarthritis (OA) (First MTPJ OA). DESIGN: Adults aged =50 years registered with four general practices were mailed a He... Read More about Demographic and clinical factors associated with radiographic severity of first metatarsophalangeal joint osteoarthritis: cross-sectional findings from the Clinical Assessment Study of the Foot.

Clinical recognition of symptomatic midfoot osteoarthritis: findings from the clinical assessment study of the foot (2014)
Journal Article

Purpose: Osteoarthritis (OA) is a common yet poorly understood cause of disabling foot pain. In the absence of radiographic confirmation of OA, clinical diagnosis in primary care is inhibited by lack of evidence informing clinical examination. This s... Read More about Clinical recognition of symptomatic midfoot osteoarthritis: findings from the clinical assessment study of the foot.

PATTERNS OF JOINT INVOLVEMENT IN FOOT OSTEOARTHRITIS: FINDINGS FROM THE CLINICAL ASSESSMENT STUDY OF THE FOOT (2014)
Journal Article

Purpose: The aetiology of foot osteoarthritis (OA) is poorly understood. OA most commonly affects the 1st metatarsophalangeal joint (MTPJ), followed by joints in the midfoot; the 2nd cuneo-metatarsal joint (CMJ), talo-navicular joint (TNJ) and navicu... Read More about PATTERNS OF JOINT INVOLVEMENT IN FOOT OSTEOARTHRITIS: FINDINGS FROM THE CLINICAL ASSESSMENT STUDY OF THE FOOT.

"Somebody to Say 'Come On We Can Sort This'": A Qualitative Study of Primary Care Consultation Among Older Adults With Symptomatic Foot Osteoarthritis (2013)
Journal Article

Objective To examine the experiences of primary care consultation among older adults with symptomatic foot osteoarthritis (OA). Methods Eleven participants (6 women and 5 men) ages 56–80 years who had radiographically confirmed symptomatic foot... Read More about "Somebody to Say 'Come On We Can Sort This'": A Qualitative Study of Primary Care Consultation Among Older Adults With Symptomatic Foot Osteoarthritis.

The population prevalence of symptomatic radiographic foot osteoarthritis in community-dwelling older adults: cross-sectional findings from the clinical assessment study of the foot. (2013)
Report

OBJECTIVES: To estimate the population prevalence of symptomatic radiographic osteoarthritis (OA) affecting the 1st metatarsophalangeal joint (MTPJ), 1st and 2nd cuneometatarsal joints (CMJs), navicular first cuneiform joint (NCJ) and talonavicular j... Read More about The population prevalence of symptomatic radiographic foot osteoarthritis in community-dwelling older adults: cross-sectional findings from the clinical assessment study of the foot..

OP0032 Population Prevalence of Symptomatic Radiographic Foot Osteoarthritis in Community-Dwelling Older Adults: The Clinical Assessment Study of the Foot (CASF) (2013)
Journal Article

Background Symptomatic osteoarthritis (OA) affects the daily lives of 10% of people aged >60 years. Although foot pain is common, the foot is the least studied joint complex affected by OA. Existing studies have focussed mainly on the 1st metatarsoph... Read More about OP0032 Population Prevalence of Symptomatic Radiographic Foot Osteoarthritis in Community-Dwelling Older Adults: The Clinical Assessment Study of the Foot (CASF).

Mobilising the experiential knowledge of clinicians, patients and carers for applied health-care research (2013)
Journal Article

This article demonstrates the benefits of combining various types of knowledge for applied health research. Funding is available for health research despite these being ‘austere times’ for public services and international policy shifts recognise the... Read More about Mobilising the experiential knowledge of clinicians, patients and carers for applied health-care research.

The clinical assessment study of the foot (CASF): study protocol for a prospective observational study of foot pain and foot osteoarthritis in the general population. (2011)
Journal Article

BACKGROUND: Symptomatic osteoarthritis (OA) affects approximately 10% of adults aged over 60 years. The foot joint complex is commonly affected by OA, yet there is relatively little research into OA of the foot, compared with other frequently affecte... Read More about The clinical assessment study of the foot (CASF): study protocol for a prospective observational study of foot pain and foot osteoarthritis in the general population..