- Musculoskeletal pain and rehabilitation
- Health Systems, Economic Evaluations, Quality of Life
- Pain Management and Placebo Effect
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Pediatric Pain Management Techniques
- Musculoskeletal Disorders and Rehabilitation
- Delphi Technique in Research
- Health Sciences Research and Education
- Spine and Intervertebral Disc Pathology
- Climate Change and Health Impacts
- Osteoarthritis Treatment and Mechanisms
- Global Health and Surgery
- Health and Medical Research Impacts
- Pain Mechanisms and Treatments
- Cerebral Palsy and Movement Disorders
- Shoulder Injury and Treatment
- Occupational Therapy Practice and Research
- Innovations in Medical Education
- Occupational Health and Performance
- Health disparities and outcomes
- Orthopedic Surgery and Rehabilitation
- Mindfulness and Compassion Interventions
- Chronic Disease Management Strategies
- Sports injuries and prevention
- Patient-Provider Communication in Healthcare
UNSW Sydney
2021-2025
Neuroscience Research Australia
2021-2025
The University of Sydney
2023-2025
Royal North Shore Hospital
2024-2025
Northern Sydney Local Health District
2024-2025
Wenzhou Medical University
2024
Institute for Musculoskeletal Health
2023-2024
Kathmandu University
2015-2023
University of Otago
2018-2023
Central Queensland University
2023
Pain intensity is the domain most often assessed in pain research. Although Numerical Rating Scale recommended for use western countries, utility and validity of this scale, relative to others, has not been established non-western developing such as Nepal.Here, we sought (1) identify which 4 commonly used scales preferred by Nepalese, (2) compare error rates, (3) determine whether preference rates are influenced age or education level, (4) evaluate construct each scale using factor...
The accuracy of diagnostic tests available in primary care to identify the disc, sacroiliac joint, and facet joint as source low back pain is uncertain.Systematic review care. MEDLINE, CINAHL, EMBASE were searched between March 2006 25th January 2023. Pairs reviewers independently screened all studies, extracted data, assessed risk bias using QUADAS-2. Pooling was performed for homogenous studies. Positive likelihood ratios (+LR) ≥2 negative (-LR) ≤0.5 considered informative. This registered...
Despite the profound burden of disease, a strategic global response to optimise musculoskeletal (MSK) health and guide national-level systems strengthening priorities remains absent. Auspiced by Global Alliance for Musculoskeletal Health (G-MUSC), we aimed empirically derive requisite components action on MSK health.
The Lancet Low Back Pain (LBP) Series highlighted the lack of LBP data from low- and middle-income countries (LMICs). study aimed to describe (1)
Pain intensity and patients' impression of global improvement are widely used patient-reported outcome measures (PROMs) in clinical practice research. They commonly assessed using the Numerical Rating Scale (NPRS) Global Change (GROC) questionnaires. The GROC is essential as an anchor for evaluating psychometric properties PROMs. Both these PROMs translated to many languages have shown excellent properties. Their availability Nepali would facilitate pain research cross-cultural comparison...
Objectives The aims of this study were to: (1) develop pain education materials in Nepali and (2) determine the feasibility conducting a randomised clinical trial (RCT) intervention using these Nepal. Design A two-arm, parallel, assessor-blinded, RCT. Setting rehabilitation hospital Kathmandu, Participants Forty Nepalese with non-specific low back (mean [SD] age 41 [14] years; 12 [30%] women). Interventions Eligible participants randomised, by concealed, 1:1 allocation, to one two groups:...
Abstract Musculoskeletal (MSK) health impairments contribute substantially to the pain and disability burden in low- middle-income countries (LMICs), yet systems strengthening (HSS) responses are nascent these settings. We aimed explore contemporary context, framed as challenges opportunities, for improving population-level prevention management of MSK LMICs using secondary qualitative data from a previous study exploring HSS priorities globally (2) contextualize findings through primary...
What are the smallest worthwhile effects of nonsteroidal anti-inflammatory drugs (NSAIDs) for people with acute and chronic low back pain (LBP)? is effect individualised exercise LBP compared no intervention?Benefit-harm trade-off study.Participants were recruited by advertisement on social media included if they English-speaking adults in Australia who had non-specific LBP.Pain intensity.A total 116 230 recruited. For LBP, NSAIDs additional to intervention was a 30% (IQR 10 40%) reduction...
To generate candidates for contextual factors (CFs) each CF type (i.e., Effect Modifying Contextual Factors (EM-CFs), Outcome Influencing (OI-CFs), and Measurement Affecting (MA-CFs)) considered important within rheumatology. We surveyed OMERACT working groups conducted a special interest group (SIG) session at the 2023 meeting, where results were reviewed, additional CFs suggested. The suggested 44, 49, 21 generic EM-CFs, OI-CFs, MA-CFs, respectively. SIG participants added 55 factors,...
Background Pain Science Education (PSE) has been shown to reduce pain and disability in chronic low back (CLBP), a prevalent disabling condition. PSE helps reconceptualize using aids like pictures, metaphors, stories, supports self-management. Due variations beliefs across different cultures, the resources need be customized accommodate respective literacy levels, cultures languages.
Resilience is an individual's ability to recover or "bounce back" from stressful events. It commonly identified as a protective factor against psychological dysfunctions in wide range of clinical conditions including chronic pain. assessed using the Connor Davidson Scale (CD-RISC). Translation and cross-cultural adaptation CD-RISC into Nepali will allow for deeper understanding resilience important domain health Nepal, comparison with other cultures. Therefore, aims study were translate...