Gay Edgecombe

RMIT University, Melbourne, Victoria, Australia

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Publications (4)4.03 Total impact

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    ABSTRACT: The purpose of this study is to describe the musculoskeletal conditions and associated pain and limitation and the effects of massage treatment in a Filipino squatter community. The study was conducted at the Hands On Philippines Education (HOPE) clinic in Bagong Barrio, Caloocan, Philippines. Baseline data were collected before the first treatment, and follow-up data were collected immediately after the second treatment. Treatment was delivered by massage students who were trained in massage by a chiropractic program faculty member through the Project HOPE charitable community-based initiative. A prospective pretest-posttest observational research design was used. The sample consisted of 290 subjects aged 16 years and older visiting the Project HOPE clinic. One hundred ninety-two subjects completed the follow-up surveys. The outcome measures were sites of pain, self-reported levels of pain, and limitation to activities of daily living at baseline and after the second massage therapy treatment. Three self-reported anatomical locations were identified by each subject. The most frequently reported painful sites over the last 7 days among the 166 respondents were the upper back (36.7%), lower back (18.7%), and shoulders (16.3%). The pre-post treatment analyses of pain and disability was restricted to 66 participants who provided completed outcome measures. After 2 massage therapy treatments, all pain and limitation scores decreased. A comparison of mean self-reported levels of pain and disability at baseline and immediately after the second consultation showed statistically significant decreases of pain (t65 = 16.97, P < .001) and disability (t65 = 12.4, P < .001). This study suggests that participants who visited the Filipino squatter community clinic experience a high prevalence of musculoskeletal conditions located primarily within the axial skeleton, and that, in the short term, massage therapy delivered on-site by trained therapists was helpful in reducing self-reported levels of pain and limitation to activities of daily living.
    Journal of manipulative and physiological therapeutics 07/2011; 34(6):381-7. DOI:10.1016/j.jmpt.2011.06.003 · 1.25 Impact Factor
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    ABSTRACT: Measuring body weight and height of critically ill patients in intensive care often challenge nurses. Estimated weight and height is thought to be inaccurate. This quality improvement project was to determine one effective method of how all patients in intensive care unit (ICU) could be measured and weighed accurately and cost effectively. The determined method also was to be Occupation Health and Safety safe, adhere to infection control standards and minimises risks of patient handling. The focus for this quality improvement was that the measurement methods were to be utilised in conjunction with a baseline patient assessment in the ICU. Six different types of weighing scales were compared. Three methods were tested in a workshop for accuracy. The results were compared to a 'standing scale' as the 'gold standard' for body weight. The second stage of the project was to determine the body height of patients in the supine position. The tools were designed by the quality improvement team (QIT) and manufactured by the hospital Departments. The methods were also tested in a workshop for accuracy. The measurements were compared to a wall mounted stadiometer as the 'gold standard'. The two height measurement tools displayed differences of -1.2 to +3cm. The first weighing results of three methods showed variations. The methods displayed differences from 0.8 to 25kg. The aluminium height measurement tools and the Mercury scale conformed to the standard agreed to by the QIT. Staff in the ICU required minimal training for the methods used. The uptake of a measured weight and height, in difference to estimation takes some time for staff to accept and use. Case exemplars that demonstrated an error rate with estimation were useful feedback towards the change in practice. It was found that critically ill patients could be weighed effectively and accurately with a scale usable for every type of bed available in this ICU. All supine positioned patients can also be measured effectively and accurately with one height measurement method. These methods do not require the patient to be moved. There is no need to disconnect lines or monitoring equipment at any time during the measuring procedures.
    Australian Critical Care 11/2010; 23(4):197-207. DOI:10.1016/j.aucc.2010.04.003 · 1.27 Impact Factor
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    ABSTRACT: BACKGROUND AND OBJECTIVES: This article introduces the STTEP (Sustainable Training, Treatment, Employment Program) Model. The Model has been in operation since 1995. It provides a useful conceptual framework for policy makers, practitioners, and educators. The Model evolved from work carried out by chiropractors, myotherapists, and related health workers in poor communities through the charitable organization Hands On Health Australia. The STTEP Model grew from a recognition that poor communities mostly rely on heavy, repetitive physical labor for work. For these communities, there is little opportunity to access suitable and affordable health care requiring them to frequently live with the pain and disability associated with highly prevalent musculoskeletal conditions in their communities. The STTEP Model includes myotherapy and musculoskeletal health promotion for uncomplicated musculoskeletal conditions. CONCLUSIONS: The Model also supports training for community members and collaborates with community leaders to promote employment opportunities for graduates. The Model embraces an ethos of cultural sensitivity, corporate responsibility, and sustainability. Project Hope (Hands On Philippines Education), a program in the Philippines, is used to illustrate the Model in action.
    Journal of alternative and complementary medicine (New York, N.Y.) 09/2009; 15(8):885-90. DOI:10.1089/acm.2009.0193 · 1.52 Impact Factor
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    ABSTRACT: To describe a massage therapy and training programme in a remote Aboriginal community in Australia and to develop the frameworks, procedures and processes necessary for future research. Self-report health questionnaires (MYMOP and W-BQ12) and an ethnographic enquiry that included participant observation and 15 interviews with clients and key informants. The project was disrupted by typhoons. Baseline questionnaire responses indicate they may be suitable for this context. Qualitative analysis resulted in a conceptual model of the effects of the programme, which is consistent with a system theory approach. People's accounts were rooted in discussions of the community's history, emotional and physical distress, and limited health care resources. Community-level effects included increasing participation; strengthening local health and educational projects; and opening up new opportunities. Individual level effects included improvement in physical and emotional symptoms, improved function and the receipt of preventative care. As a result of this early stage research, future studies have a conceptual model to guide them and evidence that a mixed method and a participatory methodology may be the most appropriate design.
    Complementary Therapies in Clinical Practice 08/2008; 14(3):158-67. DOI:10.1016/j.ctcp.2008.03.004