- Sports injuries and prevention
- Knee injuries and reconstruction techniques
- Total Knee Arthroplasty Outcomes
- Orthopedic Surgery and Rehabilitation
- Cardiovascular Effects of Exercise
- Shoulder Injury and Treatment
- Osteoarthritis Treatment and Mechanisms
- Sports Performance and Training
- Lower Extremity Biomechanics and Pathologies
- Rheumatoid Arthritis Research and Therapies
- Sport Psychology and Performance
- Physical Activity and Health
- Delphi Technique in Research
- Orthopaedic implants and arthroplasty
- Traumatic Brain Injury Research
- Musculoskeletal Disorders and Rehabilitation
- Shoulder and Clavicle Injuries
- Musculoskeletal pain and rehabilitation
- Telemedicine and Telehealth Implementation
- Muscle metabolism and nutrition
- Musculoskeletal synovial abnormalities and treatments
- Tendon Structure and Treatment
- Clinical practice guidelines implementation
- Meta-analysis and systematic reviews
- Health and Medical Research Impacts
The University of Melbourne
2020-2025
RMIT University
2024
University of Oxford
2016-2023
Nuffield Orthopaedic Centre
2016-2023
La Trobe University
2011-2023
University of Southern Denmark
2023
Gentofte Hospital
2023
United States Bone and Joint Initiative
2023
Center for Health, Exercise and Sport Sciences
2022
Versus Arthritis
2017-2021
The goal of the OPTIKNEE consensus is to improve knee and overall health, prevent osteoarthritis (OA) after a traumatic injury. followed seven-step hybrid process. Expert groups conducted 7 systematic reviews synthesise current evidence inform recommendations on burden injuries; risk factors for post-traumatic OA; rehabilitation patient-reported outcomes, muscle function functional performance tests monitor people at OA. Draft definitions, clinical research were generated, iteratively...
How do people with knee symptoms describe their quality of life and experiences 5 to 20 years after anterior cruciate ligament reconstruction (ACLR)? What factors impact upon the these people?Qualitative study.Seventeen ACLR high (n=8) or low (n=9) scores were recruited from a cross-sectional study.Semi-structured telephone interviews conducted transcribed. The data obtained interventions underwent inductive coding thematic analysis.Four consistent themes emerged as common determinants...
Many individuals experience long‐term quality of life ( QOL ) impairment following anterior cruciate ligament reconstruction ACLR ). Factors contributing to poor and psychological health >5 years after remain unclear. This study aimed describe outcomes in people with knee difficulties (pain, symptoms, or functional limitations) 5–20 identify factors explaining variability these outcomes. Participants completed a battery validated patient‐reported [including the Knee injury Osteoarthritis...
Aim Identify injury-related, patient-reported and treatment-related prognostic factors for 5-year outcomes in acutely ACL-ruptured individuals managed with early reconstruction plus exercise therapy, therapy delayed or alone. Methods Exploratory analysis of the Knee Anterior Cruciate Ligament, Nonsurgical versus Surgical Treatment (KANON) trial ( ISRCTN84752559 ). Relationships between (baseline cartilage, meniscus osteochondral damage, baseline extension deficit, outcomes, number...
Evaluate the natural course of anterior cruciate ligament (ACL) healing on MRI within 5 years acute ACL rupture and compare 2-year 5-year outcomes based status treatment group.Secondary analysis 120 Knee Anterior Cruciate Ligament Nonsurgical vs Surgical Treatment (KANON) trial participants randomised to rehabilitation optional delayed reconstruction (ACLR) or early ACLR rehabilitation. continuity (Anterior OsteoArthritis Score 0-2) was considered evidence healing. Outcomes included Injury...
Investigate MRI evidence of anterior cruciate ligament (ACL) healing, patient-reported outcomes and knee laxity in patients with acute ACL rupture managed non-surgically the Cross Bracing Protocol (CBP).Eighty consecutive within 4 weeks were CBP (knee immobilisation at 90° flexion brace for weeks, followed by progressive increases range-of-motion until removal 12 physiotherapist-supervised goal-oriented rehabilitation). MRIs (3 months 6 months) graded using OsteoArthritis Score (ACLOAS)...
Study Design Clinical measurement, cross-sectional. Background Individuals who have undergone anterior cruciate ligament (ACL) reconstruction commonly experience long-term impairments in quality of life (QoL), which may be related to persistent knee symptoms or radiographic osteoarthritis (ROA). Understanding the impact and ROA on QoL after ACL assist development appropriate management strategies. Objectives To (1) compare between groups individuals (including those are symptomatic with ROA,...
Background and purpose — 1 in 5 patients are dissatisfied following unicompartmental or total knee arthroplasty (UKA TKA). This may be partly explained by failing to return desired activity post-arthroplasty. To facilitate activity, a greater understanding of predictors UKA TKA is needed. We compared rates 12 months vs. TKA, identified TKA. Patients methods were prospectively recruited from 2 hospitals prior undergoing primary reported preoperatively the activity/activities that limited due...
Abstract Background Sport participants are at increased risk of joint pain and osteoarthritis. A better understanding factors associated with osteoarthritis in this population could inform the development strategies to optimise their long-term health. The purpose study was describe prevalence former cricketers, determine whether playing position, standard (i.e. elite or recreational standard) length-of-play region-specific pain. Methods data were from Cricket Health Wellbeing Study (CHWS), a...
Background: The long-term prevalence of knee osteoarthritis (OA) after anterior cruciate ligament (ACL) injury is unknown, especially in patients without a history ACL surgery. Purpose: To (1) describe the radiographic OA, symptomatic and replacement surgery 32 to 37 years acute (2) compare symptoms between allocated early or no who crossed over Study Design: Cohort study; Level evidence, 2. Methods: Participants aged 15 40 at time were surgical (augmented nonaugmented repair) nonsurgical...
The purpose of this study was to compare fear and certainty reinjury between follow-up time points treatment groups (no anterior cruciate ligament [ACL] reconstruction [no ACLR], pre-ACLR, post-ACLR) identify prognostic factors for at 3 12 months following injury or ACLR.An exploratory analysis the Natural Corollaries Recovery After ACL-injury multicenter longitudinal cohort conducted. Patients (n = 275) with primary ACL 15 40 years age received usual care (initial physical...
Background Although X-rays are not recommended for routine diagnosis of osteoarthritis (OA), clinicians and patients often use or expect X-rays. We evaluated whether: (i) a radiographic explanation knee OA influences patient beliefs about management, compared to clinical that does involve X-rays; (ii) showing the their X-ray images when explaining report findings beliefs, images. Methods This was 3-arm randomised controlled trial conducted between May 23, 2024 28, as single exposure (no...
Abstract Importance In Australia, few people with acute anterior cruciate ligament (ACL) rupture are managed rehabilitation alone despite clinical trials demonstrating similar outcomes to ACL reconstruction (ACLR). The reasons for the low uptake of treatment in Australia unclear. Objectives objectives this study were evaluate physical therapists’ beliefs and information they provide patients about options rupture, explore decision-making from perspective therapists. Design design was a...