ORCID Profile
0000-0002-0763-4968
Current Organisations
St George Hospital
,
Royal Brisbane and Women's Hospital
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Publisher: Journal of Orthopaedic & Sports Physical Therapy (JOSPT)
Date: 12-2016
Abstract: Study Design Controlled laboratory study, preliminary case-control design. Background The mechanisms that contribute to Achilles tendinopathy remain poorly understood. The disparity between pain experience and peripheral pathology demonstrated in patients with Achilles tendinopathy suggests that changes in central nervous system function may be involved. Objectives To investigate whether lower-limb tactile acuity is impaired in people with nonacute Achilles tendinopathy. Methods Thirteen consecutive participants with nonacute midportion Achilles tendinopathy and 13 healthy controls were enrolled. Two-point discrimination thresholds over the affected Achilles tendon, unaffected tendon, and tendon of healthy controls were evaluated. Independent and dependent t tests were used to compare group means. Results Two-point discrimination distance over the affected limb in participants with Achilles tendinopathy was significantly increased when compared to the unaffected limb (mean difference, 11.7 mm 95% confidence interval [CI]: 1.9, 21.5 P = .02) and to healthy controls (mean difference, 13.1 mm 95% CI: 1.6, 24.6 P = .03). There was no significant difference between the healthy controls and the unaffected side in people with Achilles tendinopathy (mean difference, 1.4 mm 95% CI: -7.9, 5.1 P = .66). Conclusion These data provide the first evidence of reduced 2-point discrimination over the affected tendon in patients with Achilles tendinopathy. Further research is needed to determine the cause for the change in tactile acuity. J Orthop Sports Phys Ther 2016 (12):1061-1064. Epub 30 Oct 2016. doi:10.2519/jospt.2016.6514.
Publisher: Informa UK Limited
Date: 18-10-2021
DOI: 10.1080/09638288.2021.1988732
Abstract: How people perceive their injury may be associated with recovery. This scoping review used the Common Sense Model of Illness Perceptions (CSM) as a framework to: (1) characterise injury perceptions (2) describe biopsychosocial factors related to injury perceptions, and (3) determine how injury perceptions are associated with recovery outcomes. A broad search strategy was used across eight databases to identify studies exploring injury perceptions and related concepts in adults with traumatic orthopaedic injuries. Two reviewers independently screened and extracted data. Quality appraisal was performed using the Mixed Methods Appraisal Tool. The search yielded 9736 records, of which 22 publications were included 12 quantitative and 10 qualitative studies. Overall, the quality of the evidence was low to moderate. Consistent with the CSM, injury perceptions comprised beliefs relating to the injury diagnosis, consequences, causes, recovery duration, and treatments. Perceptions of injury were multidimensional and influenced by personal, inter-personal, and socio-cultural factors. Negative injury perceptions were associated with worse functional outcomes. Although this review provided some insight into the characteristics of injury perceptions, relationships between injury perceptions and recovery, and characteristics of perceptions across different socio-cultural or clinical settings are still poorly understood.Implications for rehabilitationA person's perception of their injury is complex it emerges from dynamic interactions between personal, interpersonal and socio-cultural elements.People who perceive that their injury represents a threat to them typically report higher pain, negative affect, and worse general health than people with more positive perceptions of injury.Rehabilitation providers should consider how they might positively influence perceptions of traumatic orthopaedic injury.Perceptions of injury might be influenced at the in idual level (e.g., during healthcare encounters), or at a system level, such as through endorsement of codes of practice for rehabilitation clinicians or funding of psychologically informed treatments to help people better understand their injuries.
Publisher: ZappyLab, Inc.
Date: 17-03-2020
DOI: 10.17504/PROTOCOLS.IO.BDS9I6H6
Abstract: IntroductionTraumatic orthopaedic injuries contribute substantially to the burden of disability worldwide.The majority oftraumatic orthopaedic injuries are classified as mild-moderate in severity and affect the extremities. A subset of people with these injuries continue to experience pain and/or distress long after the injury has healed, with personal, societal and economic impacts. We are yet to fully understand the mechanisms underlying non-recovery after traumatic orthopaedic injuries in adults. Cognitive models or representations of a health threat, such as an injury, have been associated with pain and distress in people with traumatic orthopaedic injuries. However,there are currently no reviews that comprehensivelyexamine the association between injury beliefs or representations and recovery outcomes. Objectives Wewill conduct a scoping review with the primary aim of mappingtheliterature examining associations betweeninjurybeliefs orrepresentationsand recovery outcomes.This review will use Leventhal, Meyer andNerenz’s'Common Sense Model of Illness Representations' as a guiding conceptual framework. The secondary aims of this review are to characterise injury representations in adults with traumatic orthopaedic injuries to determine what biological, psychological and social factors are associated with injury representations and to describe associations between injury representations and recovery-related outcomes, specifically pain, distress and disability. Methods and analysis This protocol has been written in accordance with the Joanna Briggs Methodology for scoping review protocols. The review will include studies examining injury representations or closely related constructs in adults with traumatic orthopaedic injuries,at any point in time since the original injury. Studies on adults with traumatic brain injuries, Whiplash Associated Disorder, Spinal Cord Injuries, burns or injuries fromlowfallsin adults aged over 65 years of age. There will be no limits on geographical location or healthcare setting. The following databases will be used: Medline (EbscoHost), PsycINFO,Embaseand CINAHL. Grey literature searches will also be conducted. Two reviewers will independently screen the articles and extract the data. Results will be presented in tabular form, together with a narrative summary addressing the primary aims of the review.
No related grants have been discovered for Prudence Butler.