Medicine and Health Sciences Commons^™

The Long-Term Effects Of Stand-Up Paddle Boarding: A Case Study, Ben Schram, Wayne F. Hing, Michael Climstein

Wayne Hing

Introduction: The association between inactivity and poor quality of life has been well documented. A major barrier to exercise is a perceived lack of time and lack of enjoyment of exercise modalities. Stand up Paddle Boarding (SUP) is an aquatic physical activity deemed easy to learn, enjoyable with a reported multitude of both physiological and psychological benefits. The long-term effects of participation in SUP however are unclear. Case presentation: Two middle-aged participants (1 male, 58 yrs and 1 female, 58 yrs) over one year after continual SUP training. Participants were assessed for mass, Body Composition (BIA) and aerobic fitness, trunk …

Epidemiology Of Injuries In Stand-Up Paddle Boarding, James Furness, Olayinka Olorunnife, Ben Schram, Michael Climstein, Wayne Hing

Wayne Hing

Background:

Stand-up paddle boarding (SUP) is a recreational activity and sport that has grown exponentially, with participation increasing from 1.1 million in 2010 to 2.8 million in 2014 in the United States alone. Despite this growth in participation, SUP remains underresearched with regard to injury epidemiology.

Purpose:

To investigate injury epidemiology (severity, location, type, mechanism) in SUP.Study Design:Descriptive epidemiology study.

Methods:

An open-source online survey was administered to active SUP participants internationally. The survey captured information relevant to demographics, participation, and injury history over the past 12 months.

Results:

Of 240 participants included in the data analysis, 67.1% were males, …

Effects Of Water-Based Exercise On Bone Health Of Middle-Aged And Older Adults: A Systematic Review And Meta-Analysis, Vini Simas, Wayne Hing, Rodney Pope, Mike Climstein

Wayne Hing

BACKGROUND: Age-related bone loss is a major health concern. Only exercises associated with high-impact and mechanical loading have been linked to a positive effect on bone turnover; however, these types of exercises may not always be appropriate for middle-aged and older adults due to physical decline or chronic disorders such as osteoarthritis. Water-based exercise (WBE) has been shown to affect different components of physical fitness, has lower risks of traumatic fracture, and applies less stress to joints. However, the effects of WBE on bone health are unclear. OBJECTIVE: This study aimed to explore whether WBE is effective in preventing age-related …

National Rugby League Athletes And Tendon Tap Reflex Assessment: A Matched Cohort Clinical Study., James Maurini, Paul Ohmsen, Greg Condon, Rodney Pope, Wayne Hing

Wayne Hing

BACKGROUND: Limited research suggests elite athletes may differ from non-athletes in clinical tendon tap reflex responses. METHODS: n this matched cohort study, 25 elite rugby league athletes were compared with 29 non-athletes to examine differences in tendon reflex responses. Relationships between reflex responses and lengths of players' careers were also examined. Biceps, triceps, patellar and Achilles tendon reflexes were clinically assessed. RESULTS: Right and left reflexes were well correlated for each tendon (rS = 0.7-0.9). The elite rugby league athletes exhibited significantly weaker reflex responses than non-athletes in all four tendons (p < 0.005). Biceps reflexes demonstrated the largest difference and …

The Physiological, Musculoskeletal And Psychological Effects Of Stand Up Paddle Boarding, Ben Schram, Wayne F. Hing, Michael Climstein

Wayne Hing

Background: Stand up paddle boarding (SUP) is a rapidly growing sport and recreational activity where anecdotal evidence exists for its proposed health, fitness and injury rehabilitation benefits. While limited scientific evidence exists to substantiate these claims, previous studies have shown that high levels of fitness, strength and balance exists amongst participants of this sport. The purpose of this study was to conduct a training intervention on a group of previously untrained individuals to ascertain the potential of SUP on various health parameters. Methods: An intervention study was conducted where after being tested initially, subjects were left for 6 weeks to …

Lifetime Prevalence Of Non-Melanoma And Melanoma Skin Cancer In Australia Surfers, James Furness, Mike Climstein, Wayne F. Hing, Joe Walsh

Wayne Hing

Introduction

Surfing is one of the most popular aquatic activities in Australia with an estimated 2.7 million recreational surfers 1 however, Australia has long been recognized as having the highest incidence of melanoma in the world. As a result the expected risk of skin cancer in surfers due to long periods of exposure to ultraviolet radiation is of great concern 2. The aim of this study was to investigate the lifetime prevalence of non-melanoma skin cancers (NMSCs), (basal cell carcinoma (BCC), squamous cell carcinoma (SCC)), and melanoma skin cancers (MSCs) in Australian surfers.

Methods

Given the geographic distribution of surfers …

Acute Injuries In Recreational And Competitive Surfers: Incidence, Severity, Location, Type And Mechanism, James Furness, Wayne Hing, Joe Walsh, Allan Abbott, Jeremy Sheppard, Michael Climstein

Wayne Hing

This is the largest surfing-specific survey that included both recreational and competitive surfers conducted in Australia to date. The shoulder, ankle, head, and face were identified as the key regions where acute injuries occur in surfers. This research may aid in reducing the occurrence of injury through musculoskeletal screening in these key injury-prone regions and through the use of sport-specific strength training and conditioning.

Vestibular Influence On Cranio-Cervical Pain: A Case Report, Frank Gargano, Wayne Hing, Caroline Cross

Wayne Hing

This case report describes a 39 year old woman with a 10 month history of right-sided temporal headaches. In addition, she experienced a ‘wobble’ feeling when rolling toward her right side and reported suboccipital pain, tinnitus and a mild visual disturbance. Objective assessment revealed she had a positional upbeat clockwise torsional nystagmus, that is, a positive Dix-Hallpike test for benign paroxysmal positional vertigo. Furthermore, manual assessment revealed right upper cervical joint dysfunction. She was treated with a four stage canalith repositioning manoeuvre for the vestibular system which abolished her ‘wobble’ symptom. Subsequently, manual therapy techniques were applied to the cervical …

Clinical Predictors Of A Positive Response To Guided Diagnostic Block Into The Subacromial Bursa, Angela Cadogan, Mark Laslett, Wayne Hing, Peter Mcnair, Stephen Taylor

Wayne Hing

Objective: To compare the accuracy of combinations of clinical examination findings for predicting a positive response to injection of local anaesthetic into the subacromial bursa.

Design: Prospective, cohort, diagnostic validity design. Subjects: Consecutive patients with shoulder pain recruited from primary care physiotherapy and general medical practices.

Methods: All subjects underwent a standardised clinical examination (index test) followed by a diagnostic injection of xylocaineTM into the subacromial bursa (reference standard test) performed under ultrasound guidance. Clinical examination variables associated with a positive anaesthetic response (≥ 80% post-injection reduction in pain intensity) were identified (p

Results: Of the 196 subjects who received …

Comparison Of Longitudinal Sciatic Nerve Movement With Different Mobilization Exercises: An In Vivo Study Utilizing Ultrasound Imaging, Richard Ellis, Wayne Hing, Peter Mcnair

Wayne Hing

Study design: Controlled laboratory study using a single-group, within-subjects comparison. Objectives: To determine whether different types of neural mobilization exercises are associated with differing amounts of longitudinal sciatic nerve excursion measured in vivo at the posterior midthigh region. Background: Recent research focusing on the upper limb of healthy subjects has shown that nerve excursion differs significantly between different types of neural mobilization exercises. This has not been examined in the lower limb. It is important to initially examine the influence of neural mobilization on peripheral nerve excursion in healthy people to identify peripheral nerve excursion impairments under conditions in which …

Perceived Benefits, Motives, And Barriers To Aqua-Based Exercise Among Older Adults With And Without Osteoarthritis, Alison Fisken, Justin Keogh, Deborah L. Waters, Wayne Hing

Wayne Hing

This study aimed to (a) identify factors that motivate older adults to participate in aqua-based exercise; (b) identify potential barriers; and (c) compare perceptions between older adults with and without osteoarthritis (OA). Fifteen adults above 60 years of age participated in one of three focus groups during which they discussed perceived benefits, motives, and barriers to aqua exercise. Pain reduction was considered a major benefit among those with OA, improved health and fitness was a principal benefit for those without OA. All participants felt that the instructor could act as both a motivator and barrier; the most significant barrier was …

Comparison Of A Novel Direct Measure Of Rapid Pain Intensity Change To Traditional Serial 100 Mm Vas Measurement Of Pain Intensity, Mark Laslett, Peter Mcnair, Angela Cadogan, Wayne Hing

Wayne Hing

Objectives: Key diagnostic decisions often turn on measurement of change in pain intensity after diagnostic anesthetic blocks. This study aimed to introduce a new direct measure pain intensity change and compare it with percent change as calculated from the traditional preprocedure and postprocedure pain visual analog scales. Methods: Shoulder pain patients enrolled in a diagnostic accuracy study comparing clinical variables with image-guided local anesthetic injections were assessed with both the traditional preprocedure and postprocedure visual analog scales and the new direct method. Percent change in pain intensity was calculated with both instruments and were compared using statistical methods. The percentage …