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Full-Text Articles in Medicine and Health Sciences

Trunk Mobility In The Sagittal And Horizontal Planes: Clinical Methods To Quantify Movement In An Elite Male Surfing Population, James Furness, Mike Climstein, Jeremy Sheppard, Allan Abbott, Wayne Hing Dec 2015

Trunk Mobility In The Sagittal And Horizontal Planes: Clinical Methods To Quantify Movement In An Elite Male Surfing Population, James Furness, Mike Climstein, Jeremy Sheppard, Allan Abbott, Wayne Hing

Wayne Hing

Background High numbers of acute shoulder and chronic lumbar injuries have been identified in a surfing population. A simple screening tool could be used to determine whether thoracic spine dysfunction is a possible contributor to shoulder or lumbar injuries. Importantly, thoracic mobility in the sagittal and horizontal planes are key requirements in the sport of surfing; however to date the normal values of these movements have not yet been quantified in a surfing population. Objectives To develop a reliable method to quantify thoracic mobility in the sagittal plane; to assess the reliability of a thoracic rotation method, and quantify thoracic …


Do Patients Undergoing Physical Testing Report Pain Intensity Reliability, Stephen White, Peter Mcnair, Mark Laslett, Wayne Hing Jun 2015

Do Patients Undergoing Physical Testing Report Pain Intensity Reliability, Stephen White, Peter Mcnair, Mark Laslett, Wayne Hing

Wayne Hing

Objective To determine the reliability of patient reports of pain intensity during the application of physical tests. Methods A single examiner required participants to use the numeric pain rating scale (NPRS) to report the intensity of pain provoked during physical testing of the hip. Standardized versions of 14 physical tests were used on 18 people with hip pain. Tests were repeated at 1 hour and 2-7 days later. Within- and between-session reliability of reports of pain intensity was calculated using intraclass correlation coefficients (ICCs) and Lin's concordance correlation coefficients (CCCs). Standard errors of measurement (SEMs) were calculated. Results ICC/CCC values …


Validating The Speed And Agility Motor Screen (Sams) As A Motor Performance-Related Fitness Measure For Children, Nikki Milne, Wayne Hing May 2015

Validating The Speed And Agility Motor Screen (Sams) As A Motor Performance-Related Fitness Measure For Children, Nikki Milne, Wayne Hing

Wayne Hing

This study aimed to assess the test-retest reliability and concurrent-validity of the Speed and Agility Motor Screen (SAMS) as a motor-performance-related fitness measure for children and determine if the SAMS could better predict poor motor-proficiency in overweight/obese children compared to the general paediatric population. The final aim was to establish if a SAMS cut-off time could be determined to identify children who may benefit from further investigation of their gross-motor skills.


Child Obesity Service Provision: A Cross-Sectional Survey Of Physiotherapy Practice Trends And Professional Needs, Nikki Milne, Nancy Low Choy, Gary Leong, Roger Hughes, Wayne Hing May 2015

Child Obesity Service Provision: A Cross-Sectional Survey Of Physiotherapy Practice Trends And Professional Needs, Nikki Milne, Nancy Low Choy, Gary Leong, Roger Hughes, Wayne Hing

Wayne Hing

This study explored current physiotherapy practice trends for management of children who are overweight or obese. The professional needs of physiotherapists working with this population were also assessed, including the perceived need for physiotherapy clinical guidelines for prevention and management of children with obesity. A cross-sectional survey design was used, with questionnaires purposefully distributed through 13 key physiotherapy services throughout Australia. Snowball sampling resulted in completed questionnaires from 64 physiotherapists who provided services to children. Half (n = 33, 52%) of respondents provided services specifically to overweight or obese children. Of those providing services, one-quarter had prior training specific to …


Comparative Effects Of 2 Aqua Exercise Programs On Physical Function, Balance, And Perceived Quality Of Life In Older Adults With Osteoarthritis, Alison Fisken, Deborah Waters, Wayne Hing, Michael Steele, Justin Keogh May 2015

Comparative Effects Of 2 Aqua Exercise Programs On Physical Function, Balance, And Perceived Quality Of Life In Older Adults With Osteoarthritis, Alison Fisken, Deborah Waters, Wayne Hing, Michael Steele, Justin Keogh

Wayne Hing

Background: Osteoarthritis (OA) is a degenerative joint disease, which affects a large number of older adults. Many older adults with OA are physically inactive, which can contribute to reduced functional capability, quality of life, and an increased risk of falls. Although hydrotherapy is often recommended for older adults with OA, less is known about aqua fitness (AF), a widely available form of aqua-based exercise. Purpose: To compare the effect of an AF program and a seated aqua-based exercise program on a range of functional measures and quality of life among older adults with OA. Methods: Thirty-five older adults with OA …


Diagnostic Accuracy Of Clinical Examination Features For Identifying Large Rotator Cuff Tears In Primary Health Care, Angela Cadogan, Peter Mcnair, Mark Laslett, Wayne Hing, Stephen Taylor Mar 2015

Diagnostic Accuracy Of Clinical Examination Features For Identifying Large Rotator Cuff Tears In Primary Health Care, Angela Cadogan, Peter Mcnair, Mark Laslett, Wayne Hing, Stephen Taylor

Wayne Hing

Objectives: Rotator cuff tears are a common and disabling complaint. The early diagnosis of medium and large size rotator cuff tears can enhance the prognosis of the patient. The aim of this study was to identify clinical features with the strongest ability to accurately predict the presence of a medium, large or multitendon (MLM) rotator cuff tear in a primary care cohort. Methods: Participants were consecutively recruited from primary health care practices (n5203). All participants underwent a standardized history and physical examination, followed by a standardized X-ray series and diagnostic ultrasound scan. Clinical features associated with the presence of a …


International Framework For Examination Of The Cervical Region For Potential Of Cervical Arterial Dysfunction Prior To Orthopaedic Manual Therapy Intervention, Alison Rushton, Darren Rivett, Lisa Carlesso, Timothy Flynn, Wayne Hing, Roger Kerry Mar 2015

International Framework For Examination Of The Cervical Region For Potential Of Cervical Arterial Dysfunction Prior To Orthopaedic Manual Therapy Intervention, Alison Rushton, Darren Rivett, Lisa Carlesso, Timothy Flynn, Wayne Hing, Roger Kerry

Wayne Hing

A consensus clinical reasoning framework for best practice for the examination of the cervical spine region has been developed through an iterative consultative process with experts and manual physical therapy organisations. The framework was approved by the 22 member countries of the International Federation of Orthopaedic Manipulative Physical Therapists (October 2012). The purpose of the framework is to provide guidance to clinicians for the assessment of the cervical region for potential of Cervical Arterial Dysfunction in advance of planned management (inclusive of manual therapy and exercise interventions). The best, most recent scientific evidence is combined with international expert opinion, and …


The Reliability And Validity Of Physiotherapist Visual Rating Of Dynamic Pelvis And Knee Alignment In Young Athletes, C. Whatman, Patricia Hume, Wayne Hing Mar 2015

The Reliability And Validity Of Physiotherapist Visual Rating Of Dynamic Pelvis And Knee Alignment In Young Athletes, C. Whatman, Patricia Hume, Wayne Hing

Wayne Hing

Purpose: To investigate visual rating of pelvis and knee position in young athletes during lower extremity functional tests. Methods: Pelvis and knee alignment, in 23 athletes, was visually rated by 66 physiotherapists. Peak two-dimensional (2D) and three-dimensional (3D) kinematics were also quantified. Ratings were compared to consensus visual ratings of an expert panel. The consensus ratings were also compared to peak kinematics. Reliability was determined using percentage agreement (PA) and the first order agreement coefficient (AC1). Sensitivity, specificity, diagnostic odds ratio (DOR) and differences in kinematics between groups based on the expert visual ratings were calculated to assess rating validity. …


Shoulder Pain In Primary Care Part 2: Predictors Of Clinical Outcome To 12 Months, Mark Laslett, Michael Steele, Wayne Hing, Peter Mcnair, Angela Cadogan Mar 2015

Shoulder Pain In Primary Care Part 2: Predictors Of Clinical Outcome To 12 Months, Mark Laslett, Michael Steele, Wayne Hing, Peter Mcnair, Angela Cadogan

Wayne Hing

Objective: Identify predictor variables and models for clinical outcomes for primary care shoulder pain patients to 12 months follow-up. Design: A non-randomized audit with measures of pain and disability at 3 weeks, 3, 6 and 12 months. Patients: Of 208 patients, 161 agreed to participate with 96.9, 98.1, 87.0 and 83.9% follow-up at 3 weeks, 3, 6 and 12 months respectively. Treatment consisted of exercise and manual therapy-based physiotherapy and corticosteroid injection under specified selection criteria. Methods: Potentially useful baseline variables were evaluated in univariate logistic regressions with the dependent variables determined by SPADI Questionnaire at 3 weeks, 3, 6 …


Kinematics During Lower Extremity Functional Screening Tests In Young Athletes - Are They Reliable And Valid?, Patricia Hume, Wayne Hing, C. Whatman Mar 2015

Kinematics During Lower Extremity Functional Screening Tests In Young Athletes - Are They Reliable And Valid?, Patricia Hume, Wayne Hing, C. Whatman

Wayne Hing

Objective: To determine if lower extremity functional tests are reliable and valid screening tests of lower extremity dynamic alignment in healthy young athletes. Design: Quantitative experimental testere-test. Methods: Peak three-dimensional pelvis and lower extremity kinematics were quantified in 23 uninjured young athletes (11 1 years) during three lower extremity functional tests (Small Knee Bend [SKB], Single Leg SKB and Drop Jump) and Running. A nine camera motion analysis system captured three trials of all tests. All functional tests were repeated by 10 young athletes eight to ten weeks later. Visual 3D and Labview were used to process all data. Intraclass …


Shoulder Pain Patients In Primary Care Part 1: Clinical Outcomes Over 12 Months Following Standardized Diagnostic Workup, Corticosteroid Injections, And Community Based Care, Mark Laslett, Michael Steele, Wayne Hing, Peter Mcnair, Angela Cadogan Mar 2015

Shoulder Pain Patients In Primary Care Part 1: Clinical Outcomes Over 12 Months Following Standardized Diagnostic Workup, Corticosteroid Injections, And Community Based Care, Mark Laslett, Michael Steele, Wayne Hing, Peter Mcnair, Angela Cadogan

Wayne Hing

Objective: Measure changes in pain and disability of primary care shoulder pain patients over a 12-month period. Design: A non-randomized audit with repeated measures of pain and disability at 3 weeks, 3, 6 and 12 months. Patients: Of 208 patients, 161 agreed to participate with 96.9%, 98.1%, 86.3%, 83.9% follow-up at 3 weeks, at 3, 6 & 12 months, respectively. Mean age was 44 years, mean symptom duration 3.6 months. Methods: Patients were treated with protocol driven corticosteroid injection and community based care. Primary outcome measure was the Shoulder Pain and Disability index (SPADI) questionnaire. Based on the SPADI and …