Stroke Rehabilitation Leyland and Stroke Recovery at Burscough Neuro Physiotherapy covering Leyland and the surrounding area. Based on the survey responses, a purposeful sample (Coyne, 1997 ) of male and Physiotherapy for back pain female physiotherapists, working in different settings, and with differing self‐reported approaches to weight for the vignette patient, were invited to take part in semi‐structured telephone interviews.
Simple random sampling of all UK physiotherapists would have been the method of choice to generate a sample for the survey (Bishop, Holden, Ogollah, Foster, & EASE Back Study Team, 2016 ). However, at the time of mailing, no comprehensive nationwide sampling frame was available.



Gold Standard Foot Care successfully runs five modern well equipped practices in Leigh, Leyland, Chorley, Hindley & Prestwich offering a very professional and reliable service with a team of highly experienced podiatrists for all your foot care needs.
As well as the prevention of further injury and pain, a functional approach to treatment and rehabilitation will lead to increased movement efficiency and improve performance, not just for the professional or amateur sportsman but for all individuals who are experiencing pain or discomfort.

Approximately 70% of people with OA are overweight or obese (Healey et al., 2018 ), which compounds disability (Reeuwijk et al., 2010 ), increases pain (Riddle & Stratford, 2013 ), and is a prognostic factor for disease progression (Bastick, Runhaar, Belo, & Bierma‐Zeinstra, 2015 ) and total joint replacement surgery (Leyland et al., 2016 ). Having OA and being overweight is also associated with having multiple comorbid long‐term conditions, including type II diabetes mellitus and cardiovascular disease (Fransen et al., 2014 ; Guh et al., 2009 ; Mitchell, Lord, Harvey, & Close, 2014 ), and an increased risk of all‐cause mortality (Aune et al., 2016 ; Nuesch et al., 2011 ). The mechanisms by which being overweight or obese contribute to OA are complex and multifactorial (Bliddal, Leeds, & Christensen, 2014 ; Vincent, Heywood, Connelley, & Hurley, 2012 ), including increased joint compression forces, which can lead to gait abnormalities and aberrant biomechanics.
To our knowledge, this is the first mixed‐methods exploration of the role of physiotherapists in delivering weight loss for the management of OA. A previous qualitative study involving 13 physiotherapists in Australia found that although participants believed they had a role in addressing weight loss in the management of knee OA, they felt inadequately equipped to integrate weight loss into their management approach (Allison et al., 2018 ). Barriers included lack of knowledge and only surface‐level competence.
Since joining Lynn and Jenny at Leyland Physiotherapy in 1997, Michelle has actively embraced change and helped to develop the business further by implementing a computerised administration system, as well as therapist mentoring in order to enhance our customer care.
Hannah is a qualified Sports and Remedial Massage Therapist (Level 5 BTEC Diploma in Soft Tissue Therapy from The London School of Sports Massage) and Member of The Institute of Sports & Remedial Massage and is a qualified in emergency first aid and sports taping and strapping.