Alison Rushton

Alison Rushton
The University of Western Ontario | UWO · School of Physical Therapy

EdD, MSc, FCSP, FMACP, Hon CAMPT FHEA, HCPC, Dip TP, Cert Ed, Grad Dip Phys

About

328
Publications
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Publications

Publications (328)
Poster
Full-text available
Background: Sciatica is one of the most common reasons for seeking healthcare for musculoskeletal pain. There is limited evidence for the best treatment of sciatica, and this is likely contributed to by having a no reliable classification algorithm. Purpose: Evaluate the preliminary results for the development of a clinical prediction model to cat...
Article
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Introduction Decreased trunk muscle strength has been reported in individuals with spinal disorders. There is therefore a need for practicable performance-based outcome measures of trunk strength to assess performance and monitor progress in spinal rehabilitation. For precision, these measure must exhibit good reliability, validity and responsivene...
Article
Background Establishing a set of uniform classification criteria (CC) for cervical radiculopathy (CR) is required to aid future recruitment of homogenous populations to clinical trials. Objectives To establish expert informed consensus on CC for CR. Design A pre-defined four round e-Delphi study in accordance with the guidance on Conducting and R...
Article
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Introduction Low back pain can lead to substantial decline in physical functioning. For disabling pain not responsive to conservative management, surgical intervention can enhance physical functioning. Measurements of physical functioning include patient-reported outcome measures and physical outcome measures using evaluations of impairments, perfo...
Article
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Introduction Neck pain (NP) is a common musculoskeletal complaint and is increasing in prevalence. Current clinical practice guidelines and systematic reviews recommended conservative, pharmacological and invasive interventions for individuals with NP. However, optimal management specifically for those who are middle-aged or older adults (≥45 years...
Article
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Objective To establish how advanced practice physiotherapists in the UK working in the musculoskeletal specialty are utilising their independent non-medical prescribing skills. Design Multi-site, prospective, descriptive observational study. Ethics reference No: ERN_19–0994). Method The study was conducted by seven advanced practitioners, across...
Article
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Introduction This protocol describes the methods for a mixed study systematic review aiming to explore the definitions and measurements of recovery in patients with low back pain, and how perspectives of recovery differ between patients and providers. This review will be the first to review the concept of recovery in patients with low back pain acr...
Preprint
Background Understanding common MRI findings may allow clinicians to appreciate the sport-specific effects on the lumbar spine, and to discern clinically significant pathology. Prevalence data regarding radiological abnormalities seen during the surveillance of asymptomatic elite footballers is, therefore, important to help understand injury mechan...
Article
Purpose To systematically review and synthesise the evidence on the measurement properties of patient-reported outcome measure (PROMs) used to assess the quality of life in patients with adult scoliosis. Method Based on the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines and a published protocol, a...
Article
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Purpose The objective of this study was to identify and evaluate the value of prognostic factors related to disability, pain and quality of life (QoL) for adult patients undergoing lumbar spine fusion surgery (LSFS). Methods Two reviewers independently searched the literature, assessed eligibility, extracted data and assessed risk of bias and cert...
Article
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Background Non-medical prescribing (NMP) was introduced into the United Kingdom to enhance patient care and improve access to medicines. Early research indicated that not all non-medical prescribers utilised their qualification. A systematic review described 15 factors influencing NMP implementation. Findings from a recent linked Delphi study with...
Preprint
Background: Lower-limb Osteoarthritis (OA) causes high levels of pain and disability in adults over 45 years of age. Adopting and maintaining appropriate levels of physical activity (PA) can help patients with lower-limb OA self-manage their symptoms and reduce the likelihood of developing secondary non-communicable diseases. However, patients with...
Article
Exercise prescription is a central tenet of physiotherapy. One of the numerous benefits of exercise is its influence on endogenous pain modulation. Exercise-induced hypoalgesia (EIH) refers to a short-term change in pain sensitivity following an acute bout of exercise. Interest in this phenomenon has grown considerably with over 150 articles publis...
Article
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Purpose To investigate whether upright magnetic resonance imaging (MRI) has a role in defining thoracolumbar spine pathology in elite gymnastics. Methods A prospective cross-sectional observational study of National Senior and Junior Artistic gymnasts in three MRI positions (standard supine, upright flexed and extended positions). Two specialist m...
Article
Objectives To determine whether differences in landing force and asymmetry of landing force exist between gymnasts at the time of data collection versus those that subsequently experienced an ankle injury 12-months later. Study design Prospective longitudinal observational design with baseline measures and 12 month follow up. Setting British Gymn...
Article
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Introduction: Sciatica is one of the most common reasons for seeking healthcare for musculoskeletal pain. Sciatica is primarily considered as neuropathic in nature when neural tissue in the low back is compromised, but sometimes other non-neural structures may be involved. Appropriate assessment and management are important for patients with sciati...
Article
Full-text available
This study investigates whether baseline pain extent, extracted from an electronic pain drawing, is an independent predictive factor of pain and disability measured 1 year and 2 years later in people with chronic WAD. Participants completed questionnaires assessing neck pain intensity, disability via the Neck Disability Index (NDI), psychological f...
Article
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Objective: This cross-sectional study explored how using age-specific and non-age-specific cut-points to assess moderate-to-vigorous physical activity (MVPA) measured by GT3X accelerometers affected bouted and total volume MVPA associations with health and well-being. Methods: MVPA correlations with physical function, BMI, joint pain, quality of...
Article
Background Anterior cruciate ligament (ACL) injuries are common. Many patients undergo ACL reconstruction (ACLR), with rehabilitation key to successful outcome. Understanding physical prognostic factors is integral to clinical decision-making, but factors predicting outcome are inadequately defined. The objective was to establish physical prognosti...
Article
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Introduction Content validity is the most important measurement property for any patient-reported outcome measure (PROM). It being the extent that the PROM measures important concepts that are relevant to the population of interest. Adolescent with idiopathic scoliosis (AIS) is the most common spinal deformity in paediatric populations, with the Sc...
Article
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Purpose Following surgery for lumbar spinal stenosis (LSS) up to 40% of people report persistent walking disability. This study aimed to identify pre-operative factors that are predictive of walking ability post-surgery for LSS. Methods An observational cohort study was conducted using data from the British Spine Registry (2017–2018) of adults (≥...
Poster
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In this systematic review, we summarised the evidence of measurement properties of outcome measures used to assess spinal proprioception. This will aid researchers and clinicians to choose the best outcome measure to assess spinal proprioception.
Poster
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This study evaluated Physiotherapist independent prescribing in MSK Advanced Practice across multiple settings in England with the following aims: how MSK physiotherapists utilise their prescribing capabilities and to investigate the prescribing activities undertaken, methods used to prescribe or administer medications; MSK conditions involved and...
Article
Background context: Musculoskeletal (MSK) pain presents a global challenge. Individual and group pain management programmes (PMPs) are recommended approaches for patients with chronic MSK disorders. With advances in remote healthcare capability, telehealth, and the recent COVID‐19 pandemic, the importance of telehealth PMPs has become even more evi...
Article
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Introduction Recent systematic reviews have identified many biopsychosocial factors associated with the development of Chronic Musculoskeletal Pain (CMP). Despite often being specific to a particular musculoskeletal condition, findings are similar across systematic reviews. Research is needed to aggregate these findings to identify consistent facto...
Article
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Background Adult scoliosis represents a distinct subgroup of scoliosis patients for whom the diagnosis can have a large impact on their health-related quality of life (HR-QOL). Therefore, HR-QOL patient-reported outcome measures (PROMs) are essential to assess disease progression and the impact of interventions. The objective of this systematic rev...
Article
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Introduction Early onset scoliosis (EOS) is a rare spinal deformity affecting children under the age of 10. Both the condition and its treatment have associated morbidity and can impact quality of life. Understanding this impact can be achieved by using appropriate patient and/or carer reported outcome measures. The aim of the review described in t...
Article
Background: Educational standards of advanced musculoskeletal physiotherapy include mentored clinical practice. Whilst traditionally delivered face-to-face, telehealth e-mentoring affords a distinctive andragogy to facilitate mentee development. Objective: To understand the experiences and outcomes of stakeholders participating in musculoskeletal...
Article
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Background The Objective Structured Clinical Examination (OSCE) is a commonly used tool internationally to assess clinical competency. Physical therapy (PT) licensure processes vary internationally. The OSCE is the tool used in Canada to assess clinical competency for PT graduates seeking licensure. Previous studies that examined the measurement pr...
Article
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Objective This study aims to describe the prevalence, anatomy and morphology of ERSA (exercise-related signal abnormality) lesions, a previously undescribed pattern of muscle signal changes on MRI in professional soccer players with suspected acute thigh muscle injury. Methods A multicenter retrospective review was performed of 287 MRIs of profess...
Article
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Background: Chronic non-specific neck pain is highly prevalent, resulting in significant disability. Despite exercise being a mainstay treatment, guidance on optimal exercise and dosage variables is lacking. Combining submaximal effort deep cervical muscles exercise (motor control) and superficial cervical muscles exercise (segmental) reduces chron...
Article
Background: Sports participation has many physical and mental health benefits for individuals with a disability including improved functionality and reduced anxiety, yet a large proportion of individuals with a disability are inactive. Objective: To investigate the experiences and perceived health benefits of sport participation across four disabil...
Article
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Background: Chronic low back pain (CLBP) prevalence has steadily increased over the last two decades. Manual therapy (MT) is recommended within a multimodal management approach to improve pain and disability although evidence investigating the patients’ experience of MT is scarce. Objective: To explore expectations and perceptions of MT techniques...
Article
Background Disparities in eligibility criteria for cervical radiculopathy (CR) in clinical trials have been acknowledged previously. The increasing use of CR related neck pain classification systems to inform eligibility criteria in clinical trials warrants evaluation. Objective To evaluate existing neck pain classification systems for CR. Design...
Article
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Background The relationship between hamstring muscle injuries (HMIs) that involve the intramuscular tendon and prolonged recovery time and increased reinjury rate remains unclear in elite footballers. Objective To determine the association of time to return to full training (TRFT) and reinjury of HMIs using the British Athletic Muscle Injury Class...
Article
Background This study investigated the completeness, accuracy, quality and clinical outcomes of the British Orthopaedic Foot and Ankle Society (BOFAS) registry - Ankle Arthrodesis pathway. Methods An observational study using retrospective data derived from the BOFAS registry. Adults aged ≥18 years with a record of undergoing ankle arthrodesis in...
Article
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Background: The value of social support in enhancing performance is well established in non-impaired and sub-international level athletes with impairments. Despite this, no research to date has explored the experiences of social support in elite para-athletes. The aim of this study was to explore the experiences of social support in elite British p...
Article
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A plethora of evidence supports the existence of neuromuscular changes in people with chronic spinal pain (neck and low back pain), yet it is unclear whether neuromuscular adaptations persist for people with recurrent spinal pain when in a period of remission. This systematic review aimed to synthesise the evidence on neuromuscular adaptations in p...
Article
Objective To describe a distinct constellation of MRI demonstrated soft tissue abnormalities centred around the tibialis anterior tendon in a subset of patients presenting as suspected tibial stress injury.Materials and methodsA retrospective review was performed of the clinical and MRI imaging findings from 5 selected patients referred for MRI wit...
Article
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Background The term temporomandibular disorder (TMD) includes disorders of the temporomandibular joints (TMJ), masticatory muscles and adjacent tissues. Several studies have examined the effectiveness of manual therapy (MT) for TMDs by evaluating changes in pain and maximum mouth opening (MMO). Nevertheless, the effectiveness of MT exclusively appl...
Article
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Objectives To establish whether international musculoskeletal physiotherapy educational standards and associated governance framework align with advanced clinical practice (ACP) frameworks in England; and to evaluate physiotherapy stakeholders’ perceptions about potential accreditation and governance of ACP for musculoskeletal physiotherapists. De...
Article
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Background Annually in the UK, 40,000–90,000 people are involved in a traumatic incident. Severity of injury and how well people recover from their injuries varies, with physiotherapy playing a key role in the rehabilitation process. Recovery is evaluated using multiple outcome measures for perceived levels of pain severity and quality of life. It...
Article
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Background Lower-limb osteoarthritis (OA) causes high levels of pain and disability. Physiotherapists are the primary healthcare provider of non-pharmacological treatments, and incorporate strategies to optimise physical activity (PA) to aid patients with lower-limb OA to moderate their clinical symptoms. However, patients with lower-limb OA have l...
Article
Full-text available
Non-medical prescribing was introduced into the United Kingdom to improve patient care, but early research indicated a third of Allied Health Professionals may not use their prescribing qualification. A previous literature review, highlighting factors influencing prescribing, identified only papers with nursing and pharmacy participants. This inves...
Article
Full-text available
Introduction: Mentored clinical practice is central to demonstrating achievement of International Educational Standards in advanced musculoskeletal physical therapy. Whilst traditionally delivered face-to-face, telehealth e-mentoring is a novel alternative to offering this unique pedagogy, to facilitate mentee critical reflection, deeper learning a...