Projects per year
Christina is Professor of Rehabilitation Research in the School of Health Sciences. An occupational therapists by background her clinical career started in the UK where she specialised as a hand therapist. It was during her clinical work with peripheral nerve injuries that she became particularly interested in the assessment of hand sensibility and hand function. This led her to study full-time for a Masters in Rehabilitation Studies at Southampton University before joining the newly established undergraduate programme for occupational therapy and physiotherapy at UEA in 1992. She completed a PhD in 2002 on the clinical assessment of peripheral nerve injuries in the hand. Christina has held a Career Development Fellowship and Senior Research Fellowship from the National Institute for Health Research (NIHR) through which she has led research programmes aimed at improving outcomes for people with hand sensory disorders including carpal tunnel syndrome.
Christina is an NIHR Training Advocate and leads the Clinical Academic Careers East Hub (CLACEast) which manages the Health Education England regional internship and bridging scheme for nurses, midwifes and allied health professions.
Occupational therapy; hand therapy; upper limb musculoskeletal rehabilitation; outcome measures; clinical trials
Research Group Membership
Musculoskeletal Rehabilitation Research Group Lead
Professional Qualifications and professional memberships
- Diploma of College of Occupational Therapists
- MSc in Rehabilitation Studies, Southampton University
- PhD University of East Anglia
- Member of the British Association of Hand Therapist
- Member of the British Association of Occupational Therapists
- Member of the Society for Rehabilitation Research
Key Research Interests and Expertise
My research interests lie in the area of hand rehabilitation and the development of evidence-based approaches to clinical assessment and treatment of upper limb neuro-musculoskeletal disorders. Through strong collaborative partnerships with upper limb surgeons and therapists regionally, nationally and internationally a programme of research has been developed which is designed to address the following key questions:
- Which clinical tests and patient-rated outcome measures should be used in clinical trials of interventions for rehabilitation of upper extremity disorders?
- What is the feasibility, acceptability and efficacy of surgical and therapy interventions for specific disorders in the upper limb?
- How effective are existing surgical and hand therapy interventions in improving functioning and minimising disability in neuro-musculoskeletal disorders of the upper extremity
Recent projects completed include:
A multi-centre prospective cohort study to identify prognostic factors for successful outcome after steroid injection and surgery for carpal tunnel syndrome and predictors of cost
Developmemt and validation of a hand nerve disorder specific patient-reported outcome measure (I-HaND)
A pilot randomised controlled trial of sensory relearning to improve tactile sensibility and hand function after carpal tunnel decompression
2019 - 2023 NIHR Health Technology Assessment funded trial on effectiveness and cost-effectiveness of surgical and non-surgical treatment for proximal phalanx shaft fractures (POINT trial)
2019 - 2023 NIHR Health Technology Assessment funded trial on digital nerve repair (NEON)
2013 - 2017 NIHR Senior Research Fellowship for 5 year programme entitled: Improving the clinical management of carpal tunnel syndrome’
2011 - A pilot study of the effectiveness and cost effectiveness of Multi-compartment Medication Devices , Health Technology Assessment
2009 - NIHR Career Development Fellowship for 3 year programme entitled: Enhancing sensory and motor recovery after carpal tunnel decompression
2007 - SCoRD trial (Splinting after Contracture Release for Dupuytren’s: pragmatic, multi-centre, randomized controlled trial) funded for 3 years by Action Medical Research charity
Research Group Membership
Current PhD students:
Caroline Miller 'Development of a core outcome set for Traumatic Brachial Plexus Injuries' NIHR ICA CDRF
Susan de Klerk (PhD candidate) 'outcome measures in hand rehabilitation' Stellenbosch University, South Africa
I am interested in hearing from those wishing to undertake doctoral studies in the fields of musculoskeletal upper limb disorders, hand therapy, rehabilitation and outcome measures development.
Previous PhD students:
2019 PhD Leanne Miller 'The assessment and treatment of sub-acute hand oedema' NIHR ICA CDRF
2017 PhD Mark Ashwood 'Development and Validation of a condition-specific patient-reported outcome measures for hand nerve disroders: the I-HaND scale'
2015 PhD Rachel Chester 'Shoulder pain:prognostic factors for physiotherpay treatment' (NIHR Clinical Academic Doctoral Fellowship)
2011 MPhil Carol Payne ‘The assessment of outcome for musculoskeletal shoulder pain’
2010 PhD Elisabeth Candy ‘Adolescent back pain’
Editor in Chief Hand Therapy http://www.hth.sagepub.com/ - 1998 - to present
Editorial Board member Journal of Hand Surgery (European) http://www.journals.sagepub.com/home/jhs/ 2017-20
Board member NIHR RfPB East of England 2016-19
Guest lecturer at the University of Lund ‘Masters in Hand Rehabilitation’ - 1996 to present
Dive into details
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Development of a new NIHR application to Programme Grants for Applied Research (PGfAR) aiming to develop and test a stratified care pathway for the management of carpal tunnel syndrome based on the PALMS study which concludes December 2017
Jerosch-Herold, C. & Houghton, J.
1/08/17 → 31/01/18
1/10/15 → 30/09/19
A Standard Set for Outcome Measurement in Hand and Wrist Conditions: Consensus by the International Consortium for Health Outcomes Measurement (ICHOM) Hand and Wrist Working GroupICHOM Hand and Wrist Working Group & Hovius, S., 27 Jul 2021, (Accepted/In press) In : Journal of Hand Surgery - American Volume. 22 p.
Research output: Contribution to journal › ArticleOpen AccessFile
1 Jun 2021, In : Journal of Hand Surgery (European Volume). 46, 5, p. 488-495 8 p.
Research output: Contribution to journal › ArticleOpen AccessFile3 Downloads (Pure)
Is it time to revisit the Boston Carpal Tunnel Questionnaire? New insights from a Rasch model analysisJerosch-Herold, C., Bland, J. D. P. & Horton, M., Apr 2021, In : Muscle & Nerve. 63, 4, p. 484-489 6 p.
Research output: Contribution to journal › Article2 Citations (Scopus)
Reply to: Revisiting the Functional Status Scale of the Boston Carpal Tunnel Questionnaire, a comment concerning the use of digital communication technologyJerosch‐Herold, C., Bland, J. D. P. & Horton, M., Jun 2021, In : Muscle & Nerve. 63, 6, p. E58-E59 2 p.
Research output: Contribution to journal › Letter