We aim to improve outcomes and quality of life for people with long-term physical conditions by working across the research spectrum: developing measurement tools; identifying the mechanisms underlying impairments; developing evidence-based interventions; and evaluating effectiveness of interventions and their impact on patients and clinical services.
We have breadth and depth of expertise and activity with national and international standing. Since 2005, the group has been awarded £5 million of research grant funding from leading medical charities, the National Institute of Health Research, research councils, the NHS, European and commercial companies. Members have over 70 publications including high impact journals in their relevant fields and supervise 14 post-graduate research students.
A feature of our research is its’ impact on clinical services, patients’ lives and policy nationally and regionally through our close links and involvement with national policy makers, patient groups and charities, clinical services, professional bodies’ research groups to build capacity and capability.
As the Rehabilitation Research Group (RRG) currently we explore five lines of enquiry:
1) Clinical Measurement Tools
2) Understanding patients’/ clients’ problems
This work helps gain greater understanding of the nature, cause and severity of patients’/ clients’ experiences and problems. This assists developing evidence based interventions and measurement tools and ensures appropriate patient-focused outcomes in clinical trials.
3) Understanding and evaluating current therapy
To develop more effective rehabilitation interventions and ways of delivering services we need to have a clear understanding of current services / practice, whether they are effective, insight into staff and service users’ experiences, perceptions and priorities. Many aspects of current clinical practice have insufficient evidence, so research includes evaluating current practice in trials.
4) Designing and evaluating novel interventions
New, more effective, interventions based on theory and current evidence can help improve patient outcomes. We work collaboratively with therapists and other health professionals to develop interventions and conduct clinical trials.
5) Implementing research into clinical practice
Our aim is to help improve patient outcomes. Thus research findings need to be implemented in clinical practice. Members of the Rehabilitation Research Programme have a strong record of this. Our research has been included in national clinical guidelines and we have actively contributed to developing such guidelines, for example from the National Institute of Clinical Excellence. We contribute chapters to undergraduate and specialist textbooks, and contribute to national and international education programmes for specialist health professionals. We also work with clinical service providers, service user groups and Third sector organizations to develop clinical services and self-management materials.
We have two main themes under the RRG :
Led by Prof Alison Hammond and Dr Yeliz Prior, this research theme focuses on the rehabilitation of people with musculoskeletal and rheumatic diseases, with particular reference to the test and development of rheumatology patient reported outcome measures (R-PROMs), rheumatology occupational therapy interventions and patient education in self-management for people with rheumatic or musculoskeletal conditions.
Upper limb rehabilitation
Current Projects under MSK/ Rheumatology Research (Theme 1)
Current Projects under the neuro-rehabilitation research (Theme 2)
Led by Prof Hammond and Dr Prior current projects includes:
A-Gloves: A RCT to evaluate the effectiveness of compression gloves in rheumatoid arthritis. We have previously completed a pilot observational study (C-Gloves) to assist planning this trial. Please visit our study page to find out more about A-Gloves.
WORK-IA: development and evaluation of a Work retention programme for employed people with Inflammatory Arthritis: a randomised controlled feasibility trial; survey of Rheumatology OT provision; qualitative studies.
LMAP:evaluation of a self-management programme, the Lifestyle Management for Arthritis Programme: long term follow up of a randomised controlled trial; observational and qualitative studies.
R-PROMs: Rheumatology Patient Reported Outcome Measures for OT. Developing and evaluating activity of daily living (English, Dutch and German EDAQ), participation (VLAS) and hand function (MAP-HAND) measures in 8 musculoskeletal conditions.
OCC-IMPACT:exploring the Occupational performance Impact of 8 musculoskeletal conditions.
HOOT: Hand Orthoses in rheumatology OT: surveys of OT provision, systematic review and trials.
SMART:Self-Management in Arthritis. A programme of studies investigating self-management information needs; evaluating and disseminating the Looking After Your Joints Programme in inflammatory arthritis and hand OA; qualitative studies, collaboration in fatigue management.
We work collaboratively with researchers at the Universities of Nottingham, Southampton, West of England, Lancashire, Cardiff, Keele, Leiden University Medical Centre (the Netherlands), Medical University of Vienna ( Austria), Boston (USA), British Columbia and Toronto (Canada).
Led by Dr Kris Hollands current projects include:
Treatment of gait and gait adaptability:
Measuring Gait Adaptability: how can adaptability of gait be measured in clinical settings and is the ability to alter walking in response to the environment relevant to/predictive of functional outcomes following stroke. Exploration of the use of activity monitors to identify adaptations to walking and disruptions in turning, stand-to-walk.
Impairments in gait adaptability following stroke: how is the control of footfall location during walking achieved and what difficulties do stroke survivors have in controlling foot placement (as is necessary to step to safe places when walking in cluttered and uneven surfaces). Kinematic analyses of target stepping, turning and obstacle avoidance.
Rehabilitation and recovery of upper limb function: are there shared mechanisms of recovery in the upper and lower limbs after stroke?
Prior Y, Amanna A, Bodell S, Hammond A (2015) A qualitative evaluation of an occupational therapy-led work rehabilitation for people with inflammatory arthritis: perspectives of the therapists and their line managers. British Journal of Occupational Therapy. August 2015 vol. 78 no. 8 465-466 doi: 10.1177/0308022615599175
Hammond A, Tennant A, Tyson S, Hawkins R, Nordenskiold U, Prior Y (2015) The Reliability and Validity of the English version of the Evaluation of Daily Activity Questionnaire for people with rheumatoid arthritis. Rheumatology (2015) doi: 10.1093/rheumatology/kev008 First published online: April 10, 2015
Hammond A, Prior Y, Tennant A, Tyson S, Nordenskiold U (2015) The content validity and acceptability of the Evaluation of Daily Activity Questionnaire in musculoskeletal conditions. British Journal of Occupational Therapy Vol. 78 (3) 144-157 (Publication was highlighted as Editor’s choice).
Prior Y, Hammond A, Tyson S, Tennant A (2015) Development and Psychometric Testing of the British English Measure of Activity Performance of the Hand (MAP-HAND) Questionnaire in Rheumatoid Arthritis. Annals of Rheumatic Disease, Annals of the Rheumatic Diseases, Vol. 54 (Suppl 1) i121; 06/2015.
Prior Y, Ahlstrand I, Bjork M (2015) Participation in valued life activities in people with rheumatoid arthritis: A comparison between the UK and Sweden. Annals of the Rheumatic Diseases, 74 (Suppl 2) 73; 06/2015.
Prior Y, Hammond A (2014) Work Rehabilitation for those with Rheumatoid Arthritis in the UK: A Systematic Review. The Journal of Rheumatology Occupational Therapy Vol 28, Issue 1 Page 12-16.
Hammond A, Tyson S, Prior Y, Hawkins R, Tennant A, Nordenskiold U, Thyberg I, Sandqvist G, Cederlund R (2014) Linguistic validation and cultural adaptation of an English version of the evaluation of daily activity questionnaire in rheumatoid arthritis. Health and Quality of Life Outcomes 2014, 12:143 doi:10.1186/s12955-014-0143-y
Hewlett, S & Ambler, N & Almeida, C & Cliss, A & Hammond, A & Kitchen, K & Knops, B & Pope, D & Swinkels, A & Pollock, J 2011, 'Self-management of fatigue in Rheumatoid Arthritis: a randomised controlled trial of group cognitive-behavioural therapy. 'Annals of the Rheumatic Diseases, 70(6), pp.1060-1067.
Dziedzic, K & Hill, S & Nicholls, E & Hammond, A & Myers, H & Whitehurst, T & Bailey, J & Clements, C & Whitehurst, D & Handy, J & Jowett, S & Hughes, R & Thomas, E & Hay, E 2011, 'Self management, joint protection and exercises in hand osteoarthritis: a randomised controlled trial with cost effectiveness analyses', BMC Musculoskeletal Disorders, 12(156).
Adams, J & Mullee, M & Burridge, J & Hammond, A & Cooper, C 2010, 'Responsiveness of self-report and therapist rated upper limb functional outcome measures in early rheumatoid arthritis', Arthritis & Rheumatism (Arthritis Care and Research) , 62(2), pp.274-278
Hollands KL, Pelton TA, van der Veen S, Alharbi S, Hollands MA. (2015) A novel and simple test of gait adaptability predicts gold standard measures of functional mobility in stroke survivors.
Gait Posture. Sep 30. pii: S0966-6362(15)00886-3. doi: 10.1016/j.gaitpost.2015.09.018.
Hollands KL, Agnihotri D, Tyson SF. Effects of dual task on stepping patterns of walking and turning in healthy older adults and stroke survivors. (2014) Gait and Posture. Sep;40(4):564-9
Hollands KL, Pelton TA, Sackley CM, Jowett S, Wimperis A, Wing AM, Whitham D, & van Vliet PM. (2013) Visual Cue Training to Improve Walking and Turning After Stroke: a single blind randomised pilot trial: Trial Protocol. Trials Sep3;14(1):276
van Vliet PM, Pelton TA, Carey, L, Hollands KL & Wing, AM. (2013) Neuroscience findings on coordination of reaching to grasp an object- implications for research. Neurorehabilitation and Neural RepairSep;27(7)622-35.
Hollands, K.L., Pelton, T.A., Tyson, S.F., Hollands, M.A., & van Vliet, P.M. (2012) Interventions for coordination of walking following stroke: systematic review. Gait Posture. Mar;35(3):349-59
Hollands, K.L., van Vliet, P.M., Wing, A.M., Zietz, D., Wright, C.C. & Hollands, M.A. (2010) Stroke affects the timing of axial segment reorientation during pre-planned but not reactive direction changes. Experimental Brain Research: 202 (3); 591-604.
Hollands, K.L., Hollands, M.A., Zietz, D., Wing, A.M., Wright, C.C. & van Vliet, P.M. (2010). Kinematics of turning 180º during the Timed Up and Go in stroke survivors with and without falls history. Neurorehabilitation and Neural Repair: 24(4); 358-67.
Sackley, CM., Hoppitt, TJ., Hollands, K., Patel, S., van Den Berg, M.E.L., McIntosh, E., Legood, R., Lett, K. and Wright, C.C. (2009). A Cluster Randomised Controlled Trial of Physiotherapy and Occupational Therapy Intervention to Enhance Mobility and Activity in Care Home Residents. British Medical Journal: 339 (7722); 670-672.
“Consequences of gait asymmetry: biomechanical risk factors for the development of Osteoarthritis and musculoskeletal comorbidities in Stroke survivors”
Lead Supervisor: Kris Hollands
Co-supervisor: Rich Jones
“Work problems in people with Osteoarthritis”
Lead Supervisor: Yeliz Prior
Co-supervisor: Alison Hammond, Karen Walker-Bone (University of Southampton)
“Effects of training at different walking speeds on footfall accuracy in older adults and stroke survivors”
Lead Supervisor: Kris Hollands
Co-supervisor: Vivan Weerdesteyn Radboud University Medical Centre, Amsterdam NL
Post-doctoral project title: “Effects of training at different walking speeds on footfall accuracy in older adults and stroke survivors”
“Positive Psychological Change in People with RA”.
Lead Supervisor: Peter Eachus
Co-supervisors: Linda Dubrow-Marshall, Alison Hammond, Yeliz Prior
“Forward dynamic modelling of lower limb muscle forces during healthy walking: a normative database for clinical gait assessment”
Lead supervisor: Richard Baker
Co-supervisors: Kris Hollands, Rich Jones
“EMG of deep lower limb muscles during walking in healthy older adults and stroke survivors: a normative database for clinical assessment”
Lead supervisor: Richard Baker
Co-supervisors: Kris Hollands, Rich Jones
“Gait adaptability after stroke: measurement, impairment and treatment”.
Lead Supervisor: Kris Hollands Co-supervisor: Richard Baker