Musculoskeletal Physiotherapy

MSc/PGDip/PGCert MSK physiotherapy: University of Brighton

My experiences

This course has had the biggest impact of anything I have done in my career to date (18 years). It has reignited my interest in my career and now I feel I can continue working as a physiotherapist for the next 20 years. It has changed how I view and treat patients, with the biggest…

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“Selling” chronic pain: physiotherapists’ lived experiences of communicating the diagnosis of chronic nonspecific lower back pain to their patients

Nick Sullivan , Clair Hebron and Pirjo Vuoskoski (2019) Abstract Introduction: Chronic nonspecific lower back pain (CNSLBP) is a common musculoskeletal condition which can be a source of significant distress and disability for patients. Approaches to managing CNSLBP have been explored in healthcare literature, as has the importance of communication in physiotherapy practice. However,…

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The immediate effects of serving on shoulder rotational range of motion in tennis players.

Katy Williams and Clair Hebron (2018) Abstract OBJECTIVE: This study aimed to investigate the immediate effects of serving on shoulder rotational range of motion (ROM) in tennis players by comparing to groundstrokes. DESIGN: Same-subject, randomised, crossover study. SETTING: Indoor hard courts. PARTICIPANTS: Eighteen male and 12 female professional and university level tennis players. MAIN OUTCOME MEASURES: Passive glenohumeral internal…

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The effectiveness of Mulligan’s mobilisation with movement (MWM) on peripheral joints in musculoskeletal (MSK) conditions: A systematic review.

Kim Westad, Frode Tjoestolvsen, Clair Hebron (2019) Abstract: Musculoskeletal (MSK) conditions are very common and represent a major concern for the society and global health. The manual therapy technique Mulligan’s Mobilisation with Movement (MWM) has shown promising results in treating a variety of MSK conditions. The aim of this review was to systematically review…

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A randomised trial into the effect of an isolated hip abductor strengthening programme and a functional motor control programme on knee kinematics and hip muscle strength.

Kathryn Palmer, Clair Hebron, Jon Williams (2015) ABSTRACT OBJECTIVE: This study aimed to investigate the immediate effects of serving on shoulder rotational range of motion (ROM) in tennis players by comparing to groundstrokes. DESIGN: Same-subject, randomised, crossover study. SETTING: Indoor hard courts. PARTICIPANTS: Eighteen male and 12 female professional and university level tennis players….

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A critical evaluation of the efficacy of Pain Neuroscience Education

Christian Hanssen is a physiotherapist working in Norway studying part-time for the MSc MSK physiotherapy. He has kindly offered for the essay he submitted for the introductory module ‘MSK Physiotherapy: evaluting practice’ to be posted. If you are starting your journey on the MSK course, please note that this essay takes a more formal scientific…

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The intra-rater reliability of a revised 3-point grading system for accessory joint mobilizations

Jennifer Ward, Clair Hebron, Nicola J Petty (2017) Abstract Objectives Joint mobilizations are often quantified using a 4-point grading system based on the physiotherapist’s detection of resistance. It is suggested that the initial resistance to joint mobilizations is imperceptible to physiotherapists, but that at some point through range becomes perceptible, a point termed R1….

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The outcome of hip exercise in patellofemoral pain: A systematic review

Catherine Thomson Oliver Krouwel Raija Kuisma Clair Hebron (2016) Abstract Patellofemoral pain (PFP) is one of the most common lower extremity conditions seen in clinical practice. Current evidence shows that there are hip strength deficits, delayed onset and shorter activation of gluteus medius in people with PFP. The aim of this review was to systematically review the literature…

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Comparison of surface electromyographic activity of erector spinae before and after the application of central posteroanterior mobilisation on the lumbar spine

Georgios Krekoukias, Nicola J Petty, Liz Cheek (2009) Abstract Lumbar spine accessory movements, used by therapists in the treatment of patients with low back pain, is thought to decrease paravertebral muscular activity; however there is little research to support this suggestion. This study investigated the effects of lumbar spine accessory movements on surface electromyography…

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The effect of increasing sets (within one treatment session) and different set durations (between treatment sessions) of lumbar spine posteroanterior mobilisations on pressure pain thresholds

Lital Pentelka Clair Hebron Rebecca Shapleski Inbal Goldshtein (2012) Abstract Spinal mobilisations are a common form of treatment intervention applied by physiotherapists in clinical practice to manage musculoskeletal pain and/or dysfunction. Previous research has demonstrated that mobilisations cause a hypoalgesic effect. However, there is very little research investigating the optimal treatment dose inducing this…

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The initial effects of different rates of lumbar mobilisations on pressure pain thresholds in asymptomatic subjects

Elaine Willett Clair Hebron Oliver Krouwel (2010) Abstract Lumbar mobilisations are commonly used in clinical practice to reduce pain and increase function. Mobilisations to the cervical spine have been shown to reduce pain using pressure pain thresholds (PPTs). Yet there is no evidence to confirm that this happens in the lumbar spine. Furthermore little…

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An investigation into the potential hypoalgesic effects of PA mobilisations on the lumbar spine as measured by pressure pain thresholds

Oliver Krouwel Clair Hebron Elaine Willett (2010) Abstract Mobilisation of the spine is a common technique used in clinical practice. Studies have shown that mobilisation to the spine can decrease pain. The optimum treatment dose for achieving this has not so far been investigated. Previous studies that demonstrate the pain relieving effects of mobilisations…

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Student researchers

Over the years, a number of students of the MSK course have successfully published the research they conducted during their studies. Many have also presented at national and international conferences.  Please find links to some of their work here. Very well done everyone who went onto to present and publish!!  


Mentoring: What’s in it for you?

By Chris Mercer, Consultant physiotherapist, Western Sussex Hospitals NHS Foundation Trust. When I was asked to write something about my experience of mentoring University of Brighton MSc students on placement, my default setting was to think about the academic studies I would use to support and champion the role, and the evidence base I would use…

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Stop and think: how is philosophy relevant to physiotherapy practice?

  Historically philosophy has been largely absent from physiotherapy pre-registration training and literature. However there has been a move towards considering philosophy in relation to physiotherapy, so is this about pretentious academics, ruminating in corduroy jackets with elbow patches, or is this relevant to clinical practice and if so how? Philosophy seeks to provide conceptual…

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Musculoskeletal Physiotherapy at the University of Brighton, UK

Welcome to our Musculoskeletal Physiotherapy blog. Please visit our blog where you will be able to meet the course team, alumni of the course, clinical mentors and students on the course. Some students on the course will share their blogs, case studies and thoughts on their learning journey.  

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