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Introduction
Skills and Expertise
Current institution
Publications
Publications (102)
Objective
Our aim was to investigate (1) gender representation, (2) opportunities and training and (3) harassment experiences in Sport and Exercise Medicine (SEM) practitioners working in elite sport in Australia.
Methods
All titled Australian Physiotherapy Association Sport and Exercise Physiotherapists, SEM Physicians and Registrars and doctors...
Introduction
Quantify motor cortex descending drive and voluntary activation in people with lower-limb osteoarthritis compared to controls.
Materials and Methods
Systematic review and meta-analyses according to the PRISMA guidelines. Seven databases were searched until 30/12/2022. Studies assessing voluntary activation or responses to transcranial...
Purpose
The aim of the study was to quantify motor cortex descending drive and voluntary activation (VA) in people with lower-limb OA compared to controls.
Methods
A systematic review and meta-analysis according to the PRISMA guidelines was carried out. Seven databases were searched until 30 December 2022. Studies assessing VA or responses to tran...
OBJECTIVE: The validity of existing fear avoidance behavior patient-reported outcome measures (PROMs) for concussion is unknown. This study aims to (1) identify PROMs that assess fear avoidance behavior in individuals with concussion and (2) assess the measurement properties of these PROMs.
DESIGN: A systematic review of outcome measurement instrum...
OBJECTIVE: Identify factors that elite sport clinicians, coaches, and athletes perceive are associated with low back pain (LBP) recovery.
DESIGN: Concept mapping methodology.
METHOD: Participants brainstormed, sorted (thematically), and rated (5-point Likert scales: importance and feasibility) statements in response to the prompt, “What factors are...
Objectives:
Explore associations between peak hip strength in football players with hip/groin pain and healthy controls.
Design:
Cross-sectional study.
Methods:
Male and female sub-elite football players (soccer and Australian football) with hip/groin pain >6-month duration and players without hip/groin pain were recruited across Melbourne and...
Objectives:
Explore the perceptions and experiences of elite Australian athletes' engagement with reporting data in surveillance systems.
Design:
Qualitative Descriptive.
Setting:
Semi-structured interviews conducted using Zoom.
Participants:
We recruited 13 elite Australian athletes competing at a national or international level for semi-st...
Total hip arthroplasty (THA) has high rates of patient satisfaction; however patient expectations for recreational and sporting activities are not always met. Our study aimed to identify preoperative factors that predict whether patient expectations for sporting or recreational activity are met 12 months following THA.
Patient reported outcome meas...
Objectives
We aimed to determine (1) the proportion of women authors overall, in first (lead) and last (senior) author positions, (2) the proportion of women research participants and (3) the association between women in first and/or last author positions and the proportion of women research participants in original research articles and editorials...
Introduction
Primary cam morphology is highly prevalent in many athlete populations, causing debilitating hip osteoarthritis in some. Existing research is mired in confusion partly because stakeholders have not agreed on key primary cam morphology elements or a prioritised research agenda. We aimed to inform a more rigorous, inclusive and evidence-...
Introduction
Primary cam morphology is a mostly benign bony prominence that develops at the femoral head-neck junction of the hip, but it is highly prevalent in many athlete populations. In the small proportion of athletes for whom it is not benign, the resulting hip osteoarthritis can be debilitating. Clinicians, athletes, patients and researchers...
We aimed to report the epidemiology of lower-limb and lumbosacral injuries in Police Force recruits. We performed a cohort study of Police Force recruits undergoing a six-month training program with prospective injury data collected between 2018 and 2021. Cardiorespiratory fitness was quantified by the beep-test and police-specific-functional-capac...
Objectives:To determine the concurrent validity of player self-reported and independently observed throwing volume. Examine whether sex, playing position, or time to upload self-reported data post training influences the accuracy of self-reported throwing loads.
Design: Cross-sectional cohort study.
Methods: A total of 8 female and 18 male elite cr...
Introduction
Due to the increase in participation and risk of anterior cruciate ligament (ACL) injuries and concussion in women’s Australian Football, an injury prevention programme (Prep-to-Play) was codesigned with consumers (eg, coaches, players) and stakeholders (eg, the Australian Football League). The impact of supported and unsupported inter...
Purpose A lack of published epidemiological data among police recruits presents a major challenge when designing appropriate prevention programs to reduce injury burden. We aimed to report the injury epidemiology of Western Australian (WA) Police Force recruits and examine sex and age as injury risk factors. Methods Retrospective analyses were cond...
Background
Measures of hip muscle morphology and composition (e.g., muscle size and fatty infiltration) are possible with magnetic resonance imaging (MRI). Standardised protocols or guidelines do not exist for evaluation of hip muscle characteristics, hindering reliable and valid inter-study analysis. This scoping review aimed to collate and synthe...
Objective:
To investigate the relationship between training/match play duration and time-loss groin injury in professional male soccer players and determine if previously identified intrinsic risk factors influenced this relationship.
Design:
Prospective cohort study.
Methods:
A total of 590 professional male soccer players were prospectively...
Background
Measures of hip muscle morphology and composition (e.g., muscle size and fatty infiltration) are possible with magnetic resonance imaging (MRI). Standardised protocols or guidelines do not exist for evaluation of hip muscle characteristics, hindering reliable and valid inter-study analysis. This scoping review aimed to collate and synthe...
Background
In elite Australian cricket, shoulder injuries account for 11% of all injuries and 5.8% of all time-loss injuries in female players. However, even with over 400,000 females participating in cricket within Australia there are no studies exploring the risk factors for shoulder injury.
Objective
Examine the risk factors for dominant should...
Background:
Developing context-specific, evidence-informed, and implementable injury prevention programs is challenging. Women playing in the elite Australian Football League for Women (AFLW) are at high risk of serious knee injuries, and no AFLW-specific injury prevention program exists. The objective is to describe the collaborative process used...
Background
Cam morphology, a distinct bony morphology of the hip, is prevalent in many athletes, and a risk factor for hip-related pain and osteoarthritis. Secondary cam morphology, due to existing or previous hip disease (eg, Legg-Calve-Perthes disease), is well-described. Cam morphology not clearly associated with a disease is a challenging conce...
Introduction & Aims: Management of training loads is key to optimising performance and enhancing the health of athletes. Optimisation is achieved by supporting training adaption while ensuring adequate recovery is prescribed to prevent injury. Shoulder injuries are one of the most common injuries in cricket. In an attempt to circumvent injury, Cric...
Background
Efficacious injury prevention programs exist, yet translation to practice in real-world settings is poor. Little is known about how women playing elite team ball-sports perceive and experience injury prevention programs in practice. Understanding the end-user's (athlete's) perspective is essential to improve program uptake and adherence....
Objectives
Groin injuries are common in professional male football and result in significant complaints, time-loss and cost. We aimed to study: 1. Normal values of hip muscle strength and self-reported hip and groin function (Hip And Groin Outcome Score (HAGOS)). 2. Changes in these values throughout the season. 3. If previous (groin) injuries, leg...
Background
Injury is a barrier to sport/physical activity (PA) participation, but the impact of this barrier for insufficiently active (not meeting minimum PA guidelines) women is unknown.
Method
Insufficiently active women, who identified injury as a barrier to engagement in sport/PA, participated in an online concept mapping exercise.
Results
B...
Purpose
To develop a specified radiographic scoring system for the pubic symphysis and adjacent bones, and to examine the intra- and inter-rater reproducibility of this system.
Method
Development of the scoring protocol was performed in three stages using AP pelvis radiographs of 102 male adult athletes. The final protocol included 5 overall scori...
Objective
To report the effectiveness of physiotherapist-led interventions in improving pain and function in young and middle-aged adults with hip-related pain.
Design
Systematic review and meta-analysis.
Data sources
A comprehensive, reproducible search strategy was performed on five databases in May 2019. Reference lists and grey literature wer...
Objective
To evaluate the effects of injury prevention programmes on injury incidence in any women’s football code; explore relationships between training components and injury risk; and report injury incidence for women’s football.
Design
Systematic review and meta-analysis.
Data sources
Nine databases searched in August 2019.
Eligibility crite...
Objectives
Examine the risk factors for dominant shoulder injury in elite female cricketers during the 2017‐2018 season.
Design
Prospective cohort study.
Setting
Australian women’s national cricket league.
Participants
A total of 115 elite female cricketers were included with a mean (SD) age of 26.0 (4.4) years.
Main Outcome Measures
Univariate...
Doha is hosting the 12th FINA World Swimming Championships (25 metres) this month. With the number of keen young competitive and senior recreational swimmers in Doha on the increase, it is important to focus on common swimming injuries and how they relate to training and possible technique errors. In this clinically-oriented paper, we will provide...
Hip-related pain is a well-recognised complaint among active young and middle-aged active adults. People experiencing hip-related disorders commonly report pain and reduced functional capacity, including difficulties in executing activities of daily living. Patient-reported outcome measures (PROMs) are essential to accurately examine and compare th...
There is no agreement on how to classify, define or diagnose hip-related pain—a common cause of hip and groin pain in young and middle-aged active adults. This complicates the work of clinicians and researchers. The International Hip-related Pain Research Network consensus group met in November 2018 in Zurich aiming to make recommendations on how t...
Hip-related pain can significantly impact quality of life, function, work capacity, physical activity and family life. Standardised measurement methods of physical capacity of relevance to young and middle-aged active adults with hip-related pain are currently not established. The aim of this consensus paper was to provide recommendations for clini...
The 1st International Hip-related Pain Research Network meeting discussed four prioritised themes concerning hip-related pain in young to middle-aged adults: (1) diagnosis and classification of hip-related pain; (2) patient-reported outcome measures for hip-related pain; (3) measurement of physical capacity for hip-related pain; (4) physiotherapist...
Objectives:
To engage physiotherapists experienced in female elite sport and athletes to co-create a sport-specific anterior cruciate ligament (ACL) injury risk reduction program.
Design:
Concept Mapping.
Methods:
The Concept Systems Global MAX™ web platform was used to collect and analyse data from 27 context and content experts (22 physiothe...
Objective:
To report physical characteristics of lower-limb strength, endurance, range of motion, balance, and pain during adductor squeeze in elite female Australian Football (AF) players, and to examine the effect of limb dominance, previous AF experience, age, and previous level of sports participation on these characteristics.
Design:
Cross-...
The original article can be found online.
Background
In athletes, hip and groin pain is considered to be associated with hip intra-articular pathologies and hip osteoarthritis (OA). A greater understanding of the relationship between hip and groin pain and imaging findings is required.
Objective
Our objective was to undertake a systematic review and meta-analysis to determine the prevalen...
Background
Change of direction and kicking have been described as the main actions resulting in adductor longus injury. Video descriptions of inciting events are lacking.
Objective
Perform a standardised visual video analysis of a series of acute adductor longus injuries in football.
Study design
Cross-sectional.
Methods
Video footage was review...
Purpose:
To evaluate common modelling strategies in training load and injury risk research when modelling continuous variables and interpreting continuous risk estimates; and present improved modelling strategies.
Method:
Workload data were pooled from Australian football (n=2,550) and soccer (n=23,742) populations to create a representative sam...
Background:
Musculoskeletal hip/groin screening tests are commonly performed to detect at-risk individuals. Bony hip morphology is considered a potential intrinsic risk factor but has not been examined prospectively.
Purpose:
To evaluate the association between intrinsic risk factors identified from musculoskeletal and radiographic screening tes...
Study Design
Cross-sectional cohort study.
Objectives
To investigate the relationship between musculoskeletal screening findings and bony hip morphology in asymptomatic male soccer players.
Background
Athletes with femoroacetabular impingement (FAI) syndrome have cam and/or pincer morphology, pain on orthopaedic testing, and often reduced hip ran...
Background
Intra-articular hip pathologies are thought to be associated with the development of hip and groin pain. A better understanding of the relationship between symptoms and imaging findings may improve the management of individuals with intra-articular hip pathologies.
Objective
To undertake a systematic review and meta-analysis to determin...
Background:
Lower extremity muscle strength tests are commonly used to screen for injury risk in professional soccer. However, there is limited evidence on the ability of such tests in predicting future injuries.
Purpose:
To examine the association between hip and thigh muscle strength and the risk of lower extremity injuries in professional mal...
Synopsis
Groin pain is common in athletes who participate in multidirectional sports and has traditionally been considered a difficult problem to understand, diagnose, and manage. This may be due to sparse historical focus on this complex region in sports medicine. Until recently, there has been little agreement regarding terminology, definitions,...
Background
Hamstring injuries remain prevalent across a number of professional sports. In football, the incidence has even increased by 4% per year at the Champions League level over the last decade. The role of muscle strength or strength ratios and their association with risk of hamstring injury remain restricted by small sample sizes and inconcl...
Background/Aim
Groin injury epidemiology has not previously been examined in an entire professional football league. We recorded and characterised time loss groin injuries sustained in the Qatar Stars League.
Methods
Male players were observed prospectively from July 2013 to June 2015. Time loss injuries, individual training and match play exposur...
Objective:
To examine the prevalence of different causes of groin pain in athletes using the recent Doha consensus classification of terminology and definitions of groin pain in athletes.
Design:
Descriptive epidemiological study.
Setting:
Multidisciplinary sports groin pain clinic at Aspetar Orthopedic and Sports Medicine Hospital, Doha, Qata...
Background:
Participation in high-impact athletic activities has recently been associated with a higher prevalence of cam deformity. Bony hip morphology has also emerged as an important factor in the development of hip osteoarthritis. However, it is unknown whether bony morphology differs between ethnicities in athletes participating in high-impac...
Objectives:
To determine the normal profiles for hip strength and range of motion (ROM) in a professional football league in Qatar, and examine the effect of leg dominance, age, past history of injury, and ethnicity on these profiles.
Design:
Cross-sectional cohort study.
Methods:
Participants included 394 asymptomatic, male professional footb...
Hip and groin injuries are common in many sports. Understanding the factors differentiating athletes with hip/groin pain from those without these injuries could facilitate management and prevention.
Conduct a systematic review and meta-analysis of the literature on factors differentiating athletes with and without hip/groin pain.
The review was reg...
Background: Water polo players experience high rates of shoulder injury. However, training and competition time lost due to shoulder injury in an elite female water polo population is unreported in the literature. Objective: To investigate the epidemiology of shoulder injuries in elite female water polo athletes over a period of a four-year Olympic...
Objectives:
Examine the association between measures shoulder soreness and the goal shooting volume in high performance women's water polo.
Design:
Seven national level female water polo players were monitored across two training camps (squad selection and team game-based).
Methods:
Performance analysis coded all shots for each athlete during...