Gordon Waddington

Gordon Waddington
University of Canberra · Faculty of Health

PhD

About

261
Publications
66,465
Reads
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3,683
Citations
Additional affiliations
January 2014 - present
University of Canberra
Position
  • UC AIS Professor of Sports Medicine

Publications

Publications (261)
Article
Full-text available
Background The primary aim of our systematic scoping review was to explore the factors influencing team function and performance across various industries and discuss findings in the context of the high-performance sport support team setting. These outcomes may also be used to inform future research into high-performance teamwork in sport. Methods...
Article
To maintain postural balance, the proprioceptive, vestibular, and visual systems continuously provide body position and movement data to the central nervous system. In this study, our main aim was to examine, for the first time, the influence of anaerobically or aerobically induced fatigue on these separate functions in persons with and without chr...
Article
While investigators have often compared ankle proprioception between groups with and without chronic ankle instability (CAI), findings have been inconsistent. Possibly this is because ankle proprioceptive impairment in this population is task-specific. Thus, we aimed to compare ankle inversion proprioception in individuals with and without CAI in t...
Article
Aims To examine the relationship between ankle proprioception and the ability to maintain balance with increased magnitudes of unexpected perturbations; and to compare the participants’ ability to maintain balance following perturbations when starting from static and dynamic positions. Methods Sixty physical education students (average 24.6 years)...
Article
Objective To assess exercise therapies that aim to enhance proprioception in individuals with chronic ankle instability (CAI). Data Sources Five databases (PubMed, Embase, Cochrane Library, Web of Science, and EBSCO) were searched in October 2021. Study Selection Randomized controlled trials involving exercise therapy conducted on individuals wit...
Article
Full-text available
Objectives Primary: To gain a system-wide perspective on factors leading to athlete attrition from a high-performance sport system (HPSS). Secondary: To identify what a sample of system-wide stakeholders and past athletes value as the most important and feasible attrition factors to address to retain talented athletes. Design Mixed-methods. Metho...
Article
Objectives To determine the effect of graduated compression socks on ankle proprioception and the relationship between fatigue and ankle proprioception measures in half-marathon runners at successive 7 km intervals during a 21-km run. Design Repeated measures study. Methods Twenty well-trained half-marathon runners (mean ± SD: age 38.6 ± 11.3 y,...
Article
Full-text available
Ankle complex proprioception and plantar sole sensitivity have been separately reported to be essential sensory components in balance control among the elderly. However, their inter-relationship is still unknown. Further, although optimal proprioceptive ability has been related to regular physical exercise, the association between physical activity...
Article
Introduction Military training that increases physical stress on musculoskeletal morphology also increases the risk of orthopedic injuries. Somatosensory prevention programs that reduce stress and improve functionality could be beneficial for better organization of tendon structure. The aim of this study was to investigate the impact of a somatosen...
Conference Paper
Introduction: Army training often incurs physical injury, with ankle injuries occurring in 10-20 % of soldiers during training. These patterns are reported with similar frequency and body-part distribution of injury in Israeli Defence Force (IDF) combat units. Research has shown that 32 % of individuals with ankle injuries develop chronic ankle ins...
Poster
Introduction: Kinesiology tape (KT) has been thought to be useful in enhancing performance and preventing injuries. However, it was unknown whether use of KT while wearing training shoes could improve ankle proprioception in individuals with chronic ankle instability (CAI) in functional movement, such as drop landing. The current research was to de...
Poster
Background: Military training activities aim to establish a consistent level of fitness in soldiers and raise all to full combat standard. Physical fitness tests typically involve a combination of aerobic, agility and muscular strength activities. Various aspects of fitness have been shown to be predictive of reduced injury risk within this populat...
Conference Paper
Background Athlete health, training availability and performance can be impeded due to Relative Energy Deficiency in Sport (RED-S). Development of RED-S is underpinned by low energy availability (LEA), however its natural history is yet to be defined. Objective To quantify the prevalence of issues previously described in association with RED-S in...
Conference Paper
Background Netball Australia is Australia’s governing netball body, and introduced the ‘Knee injury prevention for Netballers and Enhance performance and Extend play’ (KNEE) program in 2015. Ankle sprains and ACL rupture are the most frequent and costly injuries in 17U & 19U athletes competing at the Australian Netball Championships (ANC). Thirty-e...
Conference Paper
Background Pre-elite athletes are at increased risk of injury/illness due to rapid increases in training load, insufficient rest and recovery, growth and a lack of support services compared to elite athletes. Objective Surveillance of incidence, site, nature and mechanisms of injury/illness at the 2018 & 2019 17/U & 19/U Australian Netball Nationa...
Article
Steinberg, N, Bar-Sela, S, Moran, U, Pantanowitz, M, Waddington, G, Adams, R, Band, SS, and Funk, S. Injury prevention exercises for reduced incidence of injuries in combat soldiers. J Strength Cond Res XX(X): 000-000, 2021-The aim of this study was to determine the influence of an "all-cause injury" prevention program, focused on static-to-dynamic...
Article
Full-text available
The Low Energy Availability in Females Questionnaire (LEAF-Q) was validated to identify risk of the female athlete triad (triad) in female endurance athletes. This study explored the ability of the LEAF-Q to detect conditions related to low energy availability (LEA) in a mixed sport cohort of female athletes. Data included the LEAF-Q, SCOFF Questio...
Article
Proprioceptive ability - the sense of where body parts are located in space - is one of many factors thought to affect falls risk among the elderly. Active movement extent discrimination is an approach to measuring proprioception that is administered in an ecologically valid testing environment to better reflect the exercise of proprioceptive skill...
Article
Objectives To determine whether self-reported chronic ankle instability (CAI) affects the physical performance of soldiers during army training, in routine army fitness tests and other sensorimotor tests. Design Prospective cohort comparison. Method Soldiers enrolled on the Infantry Commanders Course (ICCourse) of the Israeli Defense Force were t...
Article
Objective To determine the effect of different lengths of kinesiology tape (KT) on ankle inversion proprioceptive performance in individuals with or without chronic ankle instability (CAI). Design A repeated measures study. Methods Fifteen participants with unilateral CAI and fifteen participants with no CAI volunteered. The Ankle Inversion Discr...
Article
Objectives To assess whether ankle tape applied by a Sport and Exercise Physiotherapist (SEP) or self-applied by the athlete results in a change in proprioception and whether it is maintained during a netball session. Design Randomised controlled trial. Setting Australian Institute of Sport. Participants 53 pre-elite netball athletes. Main outc...
Article
Objective To identify challenges for implementing Netball Australia’s ‘Knee injury prevention for Netballers and Enhance performance and Extend play’ (KNEE) program for 17/U & 19/U State (i.e. regional/provincial representative) teams. Design Concept mapping, a mixed-methods approach incorporating qualitative and quantitative data collection and a...
Article
Full-text available
Background: Many young girls with generalized joint hypermobility (GJH) choose to participate in dance because their bodies are suited for this activity. Scoliosis tends to occur often in thin girls, who also are more likely to choose dance. Both anomalies (GJH and scoliosis) may be related to reduced abilities such as diminished strength and insu...
Article
Background Research evidence has suggested that a more sensitive ankle proprioceptive testing method with higher ecological validity is needed for assessing proprioceptive deficits in individuals with chronic ankle instability (CAI). Objectives 1) To determine the test-retest reliability of a novel ankle proprioception assessment tool, the Ankle I...
Article
Full-text available
This study was designed to examine macro-kinematic parameters of six female cross-country skiers during the qualifying, semi-final and final rounds of a 1.1 km sprint competition in classical technique. During each round these skiers were monitored continuously with a single micro-sensor, and their cycle parameters and relative use of these two sub...
Article
Aim: To determine the effect of arm-raising pattern on upper limb proprioceptive accuracy for movements made to overhead targets. Materials and methods: Sixteen healthy young adults were tested in standing with arms at the sides, made dominant arm-raising movements to an unseen overhead stop, randomly placed at one of five different overhead tar...
Article
Full-text available
Previous research has found ankle proprioception to be impaired in people with Parkinson's disease (PD). However, the relationship between ankle proprioception and functional mobility in people with PD has not been fully investigated. The purpose of this study was to examine whether ankle proprioception is related to the functional mobility of peop...
Article
Full-text available
Aiming to investigate whether Achilles tendon (AT) structure and patellar tendon (PT) structure are risk factors for musculoskeletal injuries in combat soldiers, 168 participants were recruited from an infantry commander's course. The AT and PT were examined pre-course using UTC to capture the structure of four echo-type fibers (I-IV). All injuries...
Article
Purpose Previous research has found hemispheric asymmetries in the utilization of proprioceptive information. It is undetermined, however, if there is any change in asymmetry in proprioceptive function when external stimulation, such as vibration, is presented. The present study was to investigate the immediate effects of vibration stimulation (VS)...
Article
The Active Movement Extent Discrimination Apparatus (AMEDA) has been used for measuring proprioception at various joints in the body for more than two decades. The utility of this instrument for discriminating groups has been reported in terms of an area under the curve (AUC) derived from an absolute identification test. This metric has supported s...
Article
While research suggests that somatosensation contributes to elite athletic performance, little is known regarding the capacity of ergogenic aids (e.g., compression) to enhance somatosensation. This study assessed the effects of compression socks on functional ankle somatosensory ability, and whether any effects depended on baseline somatosensation...
Article
Objectives Athlete health, training continuity and performance can be impeded as a result of Relative Energy Deficiency in Sport (RED-S). Here we report the point prevalence of symptoms described by the RED-S model in a mixed-sport cohort of Australian female athletes. Methods Elite and pre-elite female athletes (n=112) from eight sports completed...
Chapter
The automatic segmentation of Achilles tendon tissues is one of the preliminary steps towards creating a tool for diagnosing, prognosing, or monitoring changes in tendon organization over time. Manual delineation is the current approach of identifying Achilles region-of-interest (ROI), it is a tedious and time-consuming task. In this respect, the c...
Article
Objectives: The aim of this study is to identify if intrinsic factors tested in the preseason screening (PSS) can identify an elevated risk of injury. This aim has two aspects; to assess whether previous injury is associated with ongoing deficits in performance, and to assess if the PSS can identify differences in intrinsic factors that profile ri...
Article
Full-text available
Tan, J, Shi, X, Witchalls, J, Waddington, G, Lun Fu, AC, Wu, S, Tirosh, O, Wu, X, and Han, J. Effects of pre-exercise acute vibration training on symptoms of exercise-induced muscle damage: a systematic review and meta-analysis. J Strength Cond Res XX(X): 000-000, 2020-Exercise-induced muscle damage (EIMD) normally occurs after unaccustomed high-in...
Article
We examined the effect of pretest familiarization with ipsilateral or contralateral limbs on the performance in a proprioception test conducted afterwards. Sixty adults were randomly assigned to six different familiarization-session patterns. Ankle proprioception was tested using active movement extent discrimination assessment. The results reflect...
Article
Objectives To evaluate the prevalence of injuries among young combat soldiers as assessed and reported by the military physicians, and to investigate whether parameters such as anthropometric measures, postural balance, proprioceptive ability, and chronic ankle instability are related to injuries during and following an infantry commanders course....
Article
The purpose of testing for any communicable disease is to support clinicians in the diagnosis and management of individual patients and to describe transmission dynamics. The novel coronavirus is formally named SARS-CoV-2 and the clinical disease state resulting from an infection is known as COVID-19. Control of the COVID-19 pandemic requires clini...
Article
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Objectives To determine whether the proprioceptive ability of advanced and expert snowsport participants increased with time on-snow, and whether gender, age, snowsport discipline and/or previous ankle injury were factors in proprioceptive ability at the start of the winter snow season (T1, n = 80) compared to mid- season (T2, n = 39). Design Obse...
Article
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This study investigated the association between synthetic ovarian hormone use [i.e., the oral contraceptive (OC) pill] and basal C-reactive protein (CRP), peripheral blood immune cell subsets, and circulating pro- and anti-inflammatory cytokine concentrations in elite female athletes. Elite female athletes (n = 53) selected in Rio Summer Olympic sq...
Article
Purpose: Limited data in current literature can be found on the relation between the two commonly-used active proprioception assessment methods –active joint position reproduction (JPR) and active movement extent discrimination assessment (AMEDA). The current study compared the two active methods, JPR and AMEDA, to investigate their interrelationsh...
Article
Full-text available
Evaluating countermeasures designed to reduce the impact of microgravity exposure on astronaut performance requires the development of effective methods of assessing changes to sensorimotor function in 1g analog systems. In this study, somatosensation at the ankle and fingers, lower leg muscle activity and visuomotor control were assessed using a f...
Article
Introduction Musculoskeletal injuries to the lower extremities are major factors contributing to drop out from military tasks. The aim of the present study was to determine the incidence of musculoskeletal injuries and the parameters that differentiate between the soldiers who incurred these injuries and those who did not along 14 weeks of an infan...
Article
Aiming to evaluate the prevalence of unilateral/bilateral patellofemoral pain (PFP) among young dancers, and to investigate whether different factors are associated with PFP in young dancers, 132 dancers aged 12–14 years were assessed for PFP. Anthropometric parameters, proprioception ability, dynamic postural balance (DPB), and muscle strength wer...
Article
Objectives Glucocorticoids are commonly prescribed in medicine. When administered via certain routes, glucocorticoids are prohibited for incompetition use by WADA. The glucocorticoid prescribing habits of sports medicine doctors have not been reported. Methods An online survey was distributed internationally to physicians working in high-performan...
Article
Full-text available
Purpose: Habitual intense exercise may increase the incidence of upper respiratory symptoms (URS) in elite athletes. This study investigated whether immune gene expression could identify gene markers that discriminate athletes with a higher prevalence of URS. Methods: This cross-sectional analysis of elite Australian athletes from various sports...
Article
Background: Load and joint kinematics change with differences in running surface. Running regularly on trails compared to roads might influence the load on the Achilles tendon and its adaptations, along with other factors such as balance, strength and proprioception. Objective: To investigate Achilles tendon structure and functional tests in roa...
Article
Objective: To determine whether pre-season shoulder ROM and strength can be used to identify athletes at risk of future shoulder injury. Design: Prospective cohort. Setting: High performance sports institute. Participants: 76 sub-elite water polo players. Main outcome measures: Mean pre-season shoulder internal (IR) and external rotation (...
Article
Objective: To investigate the incidence, site, nature and cause of injuries sustained during and four weeks following the 2018 Australian National Netball Championships (ANNC's) using medical attention and self-report surveillance tools. Design: Prospective cohort study. Method: Injuries were recorded prospectively using medical attention and...
Article
Full-text available
Water polo players have greater isokinetic shoulder strength than age‐matched controls. Due to the repetitive demands of throwing, however, water polo players demonstrate an altered strength ratio, with greater internal rotation (IR) strength relative to external rotation (ER). The relationship between shoulder strength and risk of shoulder injury...
Article
Water polo players require a high level of upper-extremity strength, flexibility and coordination to achieve a peak level of throwing performance. Increased levels of shoulder proprioceptive acuity, strength and range of motion (ROM) have been previously associated with higher sporting performance. A coach-rating scale, used to quantify an athlete'...
Article
Full-text available
Background: Ankle complex proprioceptive ability, needed in active human movement, may change from childhood to elderly adulthood; however, its development across all life stages has remained unexamined. The aim of the present study was to investigate the across-the-lifespan trend for proprioceptive ability of the ankle complex during active ankle...
Article
Full-text available
Objectives: To describe and evaluate injury prevention interventions for pre-elite athletes who compete in an Olympic or professional sport. Design: Systematic review. Methods: This review was prospectively registered (PROSPERO CRD42017065083) and a systematic electronic search was conducted in May 2017. The following inclusion criteria were a...
Article
Question Can manual therapy improve functional outcomes for individuals with chronic ankle instability? Design Systematic review with meta-analysis of randomized controlled trials. Participants Individuals with chronic ankle instability. Intervention Manual therapy is defined as an intervention that involves joint mobilization, and mobilization...
Article
Full-text available
The current pilot study investigates whether oral supplementation of specific collagen peptides improves symptoms and tendon vascularisation in patients with chronic mid-portion Achilles tendinopathy in combination with structured exercise. Participants were given a placebo or specific collagen peptides (TENDOFORTE®) in combination with a bi-daily...