Career History

Biography

Dr Rachel Chester is a Lecturer in Physiotherapy at the University of East Anglia, Clinical Physiotherapy Specialist at the Norfolk and Norwich University Hospital and Freelance Physiotherapist at Sportsphysio, UEA Sportspark.

Rachel has worked clinically since 1987, mainly in musculoskeletal practice. This has been primarily within the NHS, also privately and abroad. Rachel has published in a number of musculoskeletal areas. In more recent years, Rachel's clinical and research interests have focussed on the assessment and rehabilitation of people with upper limb problems, in particular shoulder pain.

In 2011, Rachel was awarded a prestigious NIHR Clinical Doctoral Research Fellowship. Rachel led a prospective multicentre study of over 1000 patients with shoulder pain, to identify prognostic factors associated with the outcome of physiotherapy management. Rachel is currently preparing and submitting the results for publication and presenting the results at national and international conferences.

Rachel teaches on both the BSc and MSc physiotherapy and occupational therapy courses at UEA, mainly anatomy and musculoskeletal. Rachel also teaches on post graduate courses and programmes and prior to embarking on her Doctorate was Course Director for the MSc in Advanced Musculoskeletal Research and Practice at UEA. She is currently module co-coordinator for the BSc year one physiotherapy practice.  

Rachel is keen to co-supervise PhD students who have an interest in research in prognostic factors and/or musculoskeletal problems.

All Publications

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Jerosch-Herold, C., Chester, R., Shepstone, L.

(2017)

Rasch model analysis gives new insights into the structural validity of the Quick-DASH in patients with musculoskeletal shoulder pain,

in Journal of Orthopaedic and Sports Physical Therapy

47

(9)

pp. 664-672

Full Text UEA Repository

(Article)

(Published)


Chester, R., Jerosch-Herold, C., Lewis, J., Shepstone, L.

(2017)

SPADI and QUICKDASH are similarly responsive in patients undergoing physical therapy for shoulder pain,

in Journal of Orthopaedic and Sports Physical Therapy

47

(8)

pp. 538–547

Full Text UEA Repository

(Article)

(Published)


Chester, R., Jerosch Herold, C., Shepstone, L., Lewis, J.

(2016)

Shoulder pain, prognostic factors for the outcome of physiotherapy treatment. Results from a prospective multicentre cohort study,

in Manual Therapy

25

pp. e53-e54

Full Text

(Abstract)

(Published)


Smith, T., Chester, R., Hunt, N., Cross, J., Clark, A., Donell, S.

(2016)

The Norwich Patellar Instability Score: validity, internal consistency and responsiveness for people conservatively-managed following first-time patellar dislocation,

in The Knee

23

(2)

pp. 256-260

Full Text UEA Repository

(Article)

(Published)


Chester, R., Jerosch-Herold, C., Lewis, J., Shepstone, L.

(2016)

Psychological factors are associated with the outcome of physiotherapy for people with shoulder pain: a multicentre longitudinal cohort study,

in British Journal of Sports Medicine

Full Text UEA Repository

(Article)

(Published)


Smith, T., Chester, R., Cross, J., Hunt, N., Clark, A., Donell, S.

(2015)

Rehabilitation following first-time patellar dislocation: a randomised controlled trial of purported vastus medialis obliquus muscle versus general quadriceps strengthening exercises.,

in The Knee

22

(4)

pp. 313–320

Full Text UEA Repository

(Article)

(Published)


Smith, T. O., Donell, S. T., Clark, A., Chester, R., Cross, J., Kader, D. F., Arendt, E. A.

(2014)

The development, validation and internal consistency of the Norwich Patellar Instability (NPI) score,

in Knee Surgery, Sports Traumatology, Arthroscopy

22

(2)

pp. 324-335

Full Text UEA Repository

(Article)

(Published)


Chester, R., Shepstone, L., Daniell, H., Sweeting, D., Lewis, J., Jerosch-Herold, C.

(2013)

Predicting response to physiotherapy treatment for musculoskeletal shoulder pain: a systematic review,

in BMC Musculoskeletal Disorders

14

article no. 203

Full Text UEA Repository

(Article)

(Published)


Chester, R., Shepstone, L., Lewis, J. S., Jerosch-Herold, C.

(2013)

Predicting response to physiotherapy treatment for musculoskeletal shoulder pain: Protocol for a longitudinal cohort study,

in BMC Musculoskeletal Disorders

14

article no. 192

Full Text UEA Repository

(Article)

(Published)


Miller, L., Chester, R., Jerosch-Herold, C.

(2012)

Effects of Sensory Re-education Programs on Functional Hand Sensibility after Median and Ulnar Repair: A Systematic Review,

in Journal of Hand Therapy

25

(3)

pp. 297-307

Full Text UEA Repository

(Article)

(Published)


Nichols, J., Calver, S., Chester, R.

(2012)

Are stretches effective in the prevention and treatment of glenohumeral internal rotation deficit?,

in Physical Therapy Reviews

17

(5)

pp. 261-270

Full Text UEA Repository

(Article)

(Published)


Smith, T., Chester, R., Glasgow, M., Donell, S.

(2012)

Accelerated rehabilitation following Oxford unicompartmental knee arthroplasty: five-year results from an independent centre,

in European Journal of Orthopaedic Surgery & Traumatology

22

(2)

pp. 151-158

Full Text UEA Repository

(Article)

(Published)


Smith, T., Clark, A., Chester, R., Donell, S., Stephenson, R.

(2011)

A national survey of the physiotherapy management of patients following first time patellar dislocation,

in Physiotherapy

97

pp. 327-338

Full Text UEA Repository

(Article)

(Published)


Smith, T., Donell, S., Chester, R., Clark, A., Stephenson, R.

(2011)

What activities do patients with patellar instability perceive makes their patella unstable?,

in The Knee

18

pp. 333-339

Full Text UEA Repository

(Article)

(Published)


Sweeting, D., Parish, B., Hooper, L., Chester, R.

(2011)

The effectiveness of manual stretching in the treatment of plantar heel pain: a systematic review,

in Journal of Foot and Ankle Research

4

article no. 19

Full Text UEA Repository

(Article)

(Published)


Smith, T., Chester, R., Pearse, Y., Hing, C.

(2011)

Operative versus non operative management following Roockwood grade 111 acromioclavicular separation: A Meta-analysis of the current evidence-base.,

in Journal of Orthopaedics and Traumatology

12

(1)

pp. 19-27

Full Text UEA Repository

(Article)

(Published)


Smith, T., Chester, R., Clark, A., Donell, S., Stephenson, R.

(2011)

A national survey of the physiotherapy management of patients following first-time patellar dislocation.,

UEA Repository

(Paper)

(Published)


Smith, T., Donell, S., Chester, R., Clarke, A.

(2011)

What activities do patients patellar instability perceive makes their patella unstable,

in Knee

18

(5)

pp. 333-339

Full Text UEA Repository

(Article)

(Published)


Smith, T., Davies, L., Chester, R., Clark, A., Donell, S.

(2010)

Clinical outcomes of rehabilitation for patients following lateral patellar dislocation: a systematic review,

in Physiotherapy

96

(4)

pp. 269-281

Full Text UEA Repository

(Article)

(Published)


Chester, R., Smith, T., Hooper, L., Dixon, J.

(2010)

The impact of subacromial impingement syndrome on muscle activity patterns of the shoulder complex: a systematic review of electromyographic studies,

in BMC Musculoskeletal Disorders

11

article no. 45

Full Text UEA Repository

(Article)

(Published)


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Key Research Interests

Between 2011-2015 Rachel was awarded an NIHR Clinical Doctoral Research Fellowship.

She was Chief Investigator for a multicenter cohort study (n~1000) “Shoulder pain: predicting response to physiotherapy treatment”. Rachel is currently preparing and submitting the results for publication and presenting the results at national and international conferences.

Earlier research has included studies of reliability of manual therapy in assessing stiff spinal joints. Rachel has also been part of a team which involved

  1. measurement and physiotherapy management of patella instability,
  2. a large RCT of immediate weight bearing mobilisation following Achilles tendon ruptures,
  3. leading a reliability study of computer dynamometry in assessing functional recovery following Achilles tendon ruptures and
  4. a trial of heavy-load eccentric calf muscle training versus ultrasound therapy for chronic Achilles tendon pain.

Grants

NIHR Clinical Doctoral Research Fellowship £313,532

Chester R, Jerosch Herold C, Shepstone L, Lewis J
Awarded March 2011, completion February 2015
Topic: Longitudinal cohort study: Indentification of prognostic factors for functional recovery following physiotherapy management of musculosksletal shoulder pain.

Norfolk and Suffolk Comprehensive Local Research Network (CLRN), NIHR Flexibility and Sustainability Funding. £8743

Chester R, Pomeroy V, Shepstone L
Awarded January-May 2009
Topic: Funding to develop a research protocol and support training in medical statistics.

Learning and Teaching Fellowship, University of East Anglia £3000

Chester R and Bruce J
Awarded 2001
Topic: Accessibility and the Web: Ensuring that Web Materials are Accessible to Visually Impaired Users.

Research Group Membership

Rehabilitation/Musculoskeletal

Teaching Interests

Musculoskeletal Theory and Practice (Particular interest in the upper limb)

Clinical Anatomy

MSc and BSc Dissertation Supervision

Professional Activities

  • Member of the Chartered Society of Physiotherapy (CSP)
  • Member of the Health and Care Professions Council (HCPC)
  • Member of the Musculoskeletal Association of Chartered Physiotherapists (MMACP)
  • Member of the Physiotherapy Research Society (Committee member)
  • Member of the British Elbow and Shoulder Society (BESS)
  • Member of the European Shoulder and Elbow Rehabilitation (EUSSR)

Key Responsibilities

Former key administrative posts and responsibilities

  • 2008 - 2010    Course Director, MSc in Advanced Musculoskeletal Research and Practice
  • 2002 - 2010    Health Schools Post Graduate Teaching Committee
  • 2002 - 2004    Course Director, MSc in Manipulative Physiotherapy
  • 1998 - 2002    Physiotherapy Admissions Officer, BSc (Hons) in Physiotherapy