ORCID Profile
0000-0003-4659-3748
Current Organisations
Curtin University of Technology
,
Curtin University
,
University of Oxford
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Publisher: SAGE Publications
Date: 09-09-2015
Abstract: There is evidence supporting the social and cognitive benefits of music education. However aspects of music practice, such as an increase in frequency and intensity of practice, are associated with playing-related musculoskeletal problems in adult musicians, though with limited evidence in children. The aim of this study was to describe the music practice of child instrumentalists and determine their associations with playing-related musculoskeletal problems (PRMP), accounting for gender and age. A total of 731 children learning musical instruments (460 females) ranging in age from 7 – 17 years were surveyed music experience, music practice and intrinsic factors (e.g. the experience of butterflies in stomach before a concert/exam) were investigated. Logistic regression evaluated the independent association of these potential correlates with PRMP. Music experience (number of years playing main instrument) was significantly negatively associated with PRMP (OR 0.88, p = .003). Pattern of playing was significantly associated with PRMP, specifically playing less than usual (OR 2.1, p = .002) and playing more than usual for longer and more often (OR 2.7, p .001), compared to playing about usual. The experience of butterflies in the stomach during exams/competitions most times (OR 2.1, p = .029) and always (OR 2.4, p = .027) compared to never, was significantly associated with PRMP. Music inexperience, changed pattern of practice and performance anxiety are associated with playing-related problems in child instrumentalists and are therefore important issues for music education. Evidence-based guidelines may be recommended to help prevent problems and optimize music performance and music education development.
Publisher: SAGE Publications
Date: 03-2000
DOI: 10.1177/175899830000500101
Abstract: To best establish appropriate treatment aims and treatment strategies in the rehabilitation of the patient having undergone reconstructive surgery, the therapist must understand the general principles underpinning the reconstructive procedure/s performed by the surgeon. The therapist then applies his/her knowledge of anatomy and biomechanics during assessment of the patient and must consider possible contraindications of routine treatment techniques that may compromise the reconstruction. Communication with the surgeon and the patient is essential so that treatment goals are understood, agreed and ultimately achieved.
Publisher: Wiley
Date: 25-06-2015
DOI: 10.1002/ACR.22535
Abstract: To examine the effectiveness of a physiotherapy-specific, web-based e-learning platform, "RAP-el," in best-practice management of rheumatoid arthritis (RA) using a single-blind, randomized controlled trial (RCT) and prospective cohort study. Australian-registered physiotherapists were electronically randomized into intervention and control groups. The intervention group accessed RAP-eL over 4 weeks. Change in self-reported confidence in knowledge and skills was compared between groups at the end of the RCT using linear regression conditioned for baseline scores by a blinded assessor, using intent-to-treat analysis. Secondary outcomes included physiotherapists' satisfaction with RA management and responses to RA-relevant clinical statements and practice-relevant vignettes. Retention was evaluated in a cohort study 8 weeks after the RCT. Eighty physiotherapists were randomized into the intervention and 79 into the control groups. Fifty-six and 48, respectively, provided baseline data. Significant between-group differences were observed for change in confidence in knowledge (mean difference 8.51 95% confidence interval [95% CI] 6.29, 10.73 effect size 1.62) and skills (mean difference 7.26 95% CI 5.1, 9.4 effect size 1.54), with the intervention group performing better. Satisfaction in ability to manage RA, 4 of the 6 clinical statements, and responses to vignettes demonstrated significant improvement in the intervention group. Although 8-week scores showed declines in most outcomes, their clinical significance remains uncertain. RAP-eL can improve self-reported confidence, likely practice behaviors and satisfaction in physiotherapists' ability to manage people with RA, and improve their clinical knowledge in several areas of best-practice RA management in the short term.
Publisher: Elsevier BV
Date: 11-2017
DOI: 10.1016/J.APERGO.2017.05.011
Abstract: Young children (ages 3 to 5) are using mobile touchscreen technology, including tablet computers, yet little is known on the potential musculoskeletal and physical activity implications of its use. This within-subject laboratory study (n = 10) examined head, trunk and arm postures, upper trapezius muscle activity, and total body and upper limb physical activity during playing with tablets compared to during TV watching and playing with non-screen toys. Overall, this study found that during tablet play children had greater mean head, trunk and upper arm angles compared to both TV watching and toy play. Conversely, compared to toy play, children playing with tablets had lesser trunk, upper arm and elbow postural variation, lesser trapezius activity, more time sitting and lesser physical activity. Thus, to minimize potential musculoskeletal and sedentary risks, non-screen toy play should be encouraged and education and guidelines provided for parents and caretakers to support wise use of tablets.
Publisher: SAGE Publications
Date: 03-1998
DOI: 10.1177/175899839800300107
Abstract: This case study outlines the surgical and physiotherapy management of a delayed extensor tendon reconstruction of the right hand in zones III–VIII
Publisher: Elsevier BV
Date: 12-2013
DOI: 10.1016/J.MATH.2013.01.006
Abstract: Rheumatoid arthritis (RA) is a chronic, systemic, autoimmune disease. Physiotherapy interventions for people with RA are predominantly targeted at ameliorating disability resulting from articular and peri-articular manifestations of the disease and providing advice and education to improve functional capacity and quality of life. To ensure safe and effective care, it is critical that physiotherapists are able to identify potentially serious articular and peri-articular manifestations of RA, such as instability of the cervical spine. Additionally, as primary contact professionals, it is essential that physiotherapists are aware of the potentially serious extra-articular manifestations of RA. This paper provides an overview of the practice-relevant manifestations associated with RA that might warrant further investigation by a medical practitioner (red flags), their relevance to physiotherapy practice, and recommended management pathways.
Publisher: Informa UK Limited
Date: 19-07-2014
DOI: 10.3109/17518423.2012.758183
Abstract: Rett syndrome is a rare neurodevelopmental disorder that is usually associated with a mutation on the X-linked MECP2 gene. Hand function is particularly affected and we discuss theoretical and practical perspectives for optimising hand function in Rett syndrome. We reviewed the literature pertaining to hand function and stereotypies in Rett syndrome and developed a toolkit for their assessment and treatment. There is little published information on management of hand function in Rett syndrome. We suggest assessment and treatment strategies based on available literature, clinical experience and grounded in theories of motor control and motor learning. Additional studies are needed to determine the best treatments for hand function in Rett syndrome. Meanwhile, clinical needs can be addressed by supplementing the evidence base with an understanding of the complexities of Rett syndrome, clinical experience, environmental enrichment animal studies and theories of motor control and motor learning.
Publisher: Elsevier BV
Date: 06-2014
DOI: 10.1016/J.JPHYS.2014.05.005
Abstract: Is exposure to non-music-related activities associated with playing-related musculoskeletal problems in young instrumentalists? Is non-music-activity-related soreness associated with playing-related musculoskeletal problems in this group of instrumentalists? Observational study using a questionnaire and physical measures. 859 instrumentalists aged 7 to 17 years from the School of Instrumental Music program. Of the 731 respondents who completed the questionnaire adequately, 412 (56%) experienced instrument-playing problems 219 (30%) had symptoms severe enough to interfere with normal playing. Children commonly reported moderate exposure to non-music-related activities, such as watching television (61%), vigorous physical activity (57%), writing (51%) and computer use (45%). Greater exposure to any non-music activity was not associated with playing problems, with odds ratios ranging from 1.01 (95% CI 0.7 to 1.5) for watching television to 2.08 (95% CI 0.5 to 3.3) for intensive hand activities. Four hundred and seventy eight (65%) children reported soreness related to non-music activities, such as vigorous physical activity (52%), writing (40%), computer use (28%), intensive hand activities (22%), electronic game use (17%) and watching television (15%). Non-music-activity-related soreness was significantly associated with instrument playing problems, adjusting for gender and age, with odds ratios ranging from 2.6 (95% CI 1.7 to 3.9) for soreness whilst watching television, to 4.3 (95% CI 2.6 to 7.1) for soreness during intensive hand activities. Non-music-activity-related soreness co-occurs significantly with playing problems in young instrumentalists. The finding of significant co-occurrence of music and non-music-related soreness in respondents in this study suggests that intervention targets for young instrumentalists could include risk factors previously identified in the general child and adolescent population, as well as music-specific risk factors. This is an important consideration for the assessment and management of the musculoskeletal health of young musicians.
Publisher: SAGE Publications
Date: 02-2011
Abstract: Playing-related musculoskeletal problems (PRMP) are common in adult musicians. The limited available evidence suggests PRMP are common in children and adolescents and that risk factors may be similar. The aim of this study was to determine the prevalence of PRMP in children and adolescents and their associations with female gender, age and instrument exposure. The study surveyed 731 children learning musical instruments (460 females) ranging in age from 7—17 years. Lifetime symptoms, monthly symptoms and monthly disorders (the inability to play an instrument as usual) were examined. Logistic regression evaluated the independent association of these potential risk factors with PRMP prevalences. A total of 67% students reported PRM symptoms at some point, 56% reported PRM symptoms within the last month and 30% reported an inability to play as usual within the last month. Female gender was significantly associated with PRMP (OR 1.38—1.56, p = 0.004—0.046), as was age (OR 1.19—0.23, p 0.001). After adjustment for gender and age, type of instrument (upper and lower strings, woodwind and brass) were significantly associated with all PRMP ( p 0.005) and playing three instruments was protective against monthly symptoms (OR 0.43, p = 0.05). The study concludes that the high prevalence and disabling impact of playing-related musculoskeletal problems is clearly an important issue for child and adolescent health with gender, age and instrument exposure important factors for risk management.
Publisher: SAGE Publications
Date: 09-1999
DOI: 10.1177/175899839900400303
Abstract: “The science of our craft may require us to use numbers for an objective record of motions, but the art of our profession permits us to use the facilities of language to describe the ability of the parts to function in the activities of daily living - work and play. Using both numbers and words, we then can record in a most clear manner the almost infinite motions of this part, this marvellous mechanism of exquisite design and delicate sensibility we call the hand” - Joseph H Boyes 1980
Publisher: SAGE Publications
Date: 09-1999
Location: United Kingdom of Great Britain and Northern Ireland
Start Date: 2017
End Date: 2020
Funder: Curtin University of Technology
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