Jackie L Whittaker

Jackie L Whittaker
University of British Columbia - Vancouver | UBC · Department of Physical Therapy

BScPT, PhD

About

171
Publications
38,701
Reads
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2,738
Citations
Introduction
Dr. Jackie Whittaker is an Assistant Professor in the Faculty of Medicine at the University of British Columbia, Research Scientist at Arthritis Research Canada, and Michael Smith Foundation for Health Research Scholar. Her research takes a lifespan approach to preventing osteoarthritis and other chronic musculoskeletal conditions resulting from sport and recreational injury.
Additional affiliations
July 2015 - June 2020
University of Alberta
Position
  • Professor (Assistant)
Description
  • My research focuses is scientific inquiry that will influence a shift in the management of chronic MSK disorders such as osteoarthritis, away from treatment of chronic disease and towards primary and secondary prevention.
July 2015 - June 2020
Glen Sather Sport Medicine Clinic
Position
  • Research Director
January 2013 - present
University of Alberta
Position
  • Sessional Instructor for Diagnostic Imaging for Physical Therapy Practice
Description
  • This is a graduate level course focused on providing PT's with knowledge and skills required to safely and effectively order and utilize DI in the management of common MSK conditions seen by PTs.
Education
August 2007 - May 2012
University of Southampton
Field of study
  • Health Sciences
September 1989 - April 1993
University of Alberta
Field of study
  • Rehabilitation Medicine
September 1986 - April 1989
University of Alberta
Field of study
  • Physical Education and Recreation

Publications

Publications (171)
Article
Background Youth and young adults who participate in sport have an increased risk of knee injury and subsequent osteoarthritis. Improved understanding of the relationship between structural and clinical outcomes postinjury could inform targeted osteoarthritis prevention interventions. This secondary analysis examines the association between MRI-def...
Article
Osteoarthritis (OA) is a leading cause of pain and disability worldwide. Despite the existence of evidence-based treatments and guidelines, substantial gaps remain in the quality of OA management. There is underutilization of behavioral and rehabilitative strategies to prevent and treat OA as well as a lack of processes to tailor treatment selectio...
Article
Objective: Post-traumatic osteoarthritis (PTOA) commonly affects the knee joint. Although the risk of PTOA substantially increases post-joint injury, there is little research examining PTOA outcomes early in the period between joint injury and disease onset. Improved understanding of this interval would inform secondary prevention strategies aimed...
Article
Full-text available
Youth have very high participation and injury rates in sport. Sport is the leading cause of injury in youth. Sport injury reduces future participation in physical activity which adversely affects future health. Sport injury may lead to overweight/obesity and post-traumatic osteoarthritis. The objective of the systematic review and meta-analysis was...
Article
Background The identification of risk factors for lower extremity musculoskeletal (MSK) injury in sport is required to inform primary and secondary injury prevention strategies. Objective To determine whether measures of poor movement quality are associated with lower extremity MSK injury in sport. Design Systematic Review. Methods Five electron...
Article
Full-text available
Osteoarthritis (OA) is the most common form of arthritis and has a multifactorial etiology. Current management for OA focuses on minimizing pain and functional loss, typically involving pharmacological, physical, psychosocial, and mind-body interventions. However, there remain challenges in determining which patients will benefit most from which in...
Article
Objective: Synthesise evidence for effectiveness of rehabilitation interventions following ACL and/or meniscal tear on symptomatic, functional, clinical, psychosocial, quality of life and reinjury outcomes. Design: Overview of systematic reviews with Grading of Recommendations Assessment, Development and Evaluation certainty of evidence. Data s...
Article
Purpose: Force plates can be used to monitor landing asymmetries during rehabilitation, but they are not widely available. Accelerometer-based wearable technology may be a more feasible solution. The purpose of this article was to determine the agreement between impact accelerations measured with force plates and accelerometer-derived measures of (...
Article
Full-text available
Objectives To critically appraise and summarise measurement properties of functional performance tests in individuals following anterior cruciate ligament (ACL) or meniscal injury. Design Systematic review. Data sources Systematic searches were performed in Medline (Ovid), Embase (Ovid), CINAHL (EBSCO) and SPORTSDiscus (EBSCO) on 7 July 2021. El...
Article
Post-traumatic knee osteoarthritis is attributed to alterations in joint morphology, alignment, and biomechanics triggered by injury. While magnetic resonance (MR) imaging-based measures of joint morphology and alignment are relevant to understanding osteoarthritis risk, time consuming manual data extraction and measurement limit the number of outc...
Article
Objectives To examine accelerometer-measured physical activity (PA) in individuals with a knee injury history and controls and the association of moderate to vigorous PA (MVPA) with self-reported and performance measures of knee function. Design Historical cohort. Participants Participants with a 3–12 year history of youth sport-related knee inju...
Article
Objective Assess the feasibility of a virtually-delivered, physiotherapist-guided knee health program (SOAR) that targets self-management of knee health and osteoarthritis risk after an activity-related knee injury. Design In this quasi-experimental feasibility study, individuals with varied lived experience of knee trauma completed a 4-week SOAR...
Article
Full-text available
Background Knee trauma permanently elevates one’s risk for knee osteoarthritis. Despite this, people at-risk of post-traumatic knee osteoarthritis rarely seek or receive care, and accessible and efficacious interventions to promote knee health after injury are lacking. Exercise can ameliorate some mechanisms and independent risk factors for osteoar...
Article
Objective The purpose of this study was to explore physical therapy through the stories of physical therapists who identify as lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other related identities (LGBTQIA+) to consider how the profession enacts and constructs gender and sexual orientation. Methods Physical therapists with cl...
Article
Full-text available
Background A better understanding of movement biomechanics after anterior cruciate ligament reconstruction (ACLR) could inform injury prevention, knee injury rehabilitation, and osteoarthritis prevention strategies. Purpose To investigate differences in vertical drop jump (VDJ) biomechanics between patients with a 3- to 10-year history of youth sp...
Article
Study design Prospective Cohort Study. Background Few investigations utilize evidence-informed pre-participation evaluation, inclusive injury definitions, and prospective surveillance to identify risk factors for dance-related injuries. Objective To evaluate pre-participation characteristics that may be associated with greater odds of dance-relat...
Conference Paper
Full-text available
Background Elite athletes are exposed to high physiological training and competition loads and associated increased injury risk. While there is a wealth of evidence reporting the prevalence of injuries seasonally and during major games events, there are few studies examining injury risk across an elite athlete’s entire sporting-career. Objective R...
Conference Paper
Background Few investigations utilize evidence-informed pre-participation evaluation, inclusive injury definitions, and prospective surveillance to identify risk factors for dance-related injury. Objective To identify baseline injury risk factors that may be associated with dance-related musculoskeletal (MSK) complaints in pre-professional dancers...
Conference Paper
Full-text available
Background There are numerous studies describing elite athlete injury patterns seasonally and during major sporting events, however little is known about injury patterns during an elite athlete’s entire sporting career. Objective To describe Olympic-career related significant (≥30 days duration) injuries. Design Cross-sectional survey. Setting T...
Article
Full-text available
Poor reporting of medical and healthcare systematic reviews is a problem from which the sports and exercise medicine, musculoskeletal rehabilitation, and sports science fields are not immune. Transparent, accurate and comprehensive systematic review reporting helps researchers replicate methods, readers understand what was done and why, and clinici...
Article
Objective: To identify the most suitable existing generic and condition-specific health-related quality of life (HRQoL) patient-reported outcome measures (PROMs) for active youth with and without a musculoskeletal injury, based on measurement properties, interpretability, and feasibility. Design: Systematic review of clinimetrics. Literature se...
Article
Prevention is an attractive solution for the staggering and increasingly unmanageable burden of osteoarthritis. Despite this, the field of osteoarthritis prevention is relatively immature. To date, most of what is known about preventing osteoarthritis and risk factors for osteoarthritis is relative to the disease (underlying biology and pathophysio...
Article
Full-text available
Background: There is no clinical tool that assesses multiple components of postural control potentially impacted by sport-related concussion (SRC). Objective: To develop and assess the feasibility and construct validity of the Functional Assessment of Balance in Concussion (FAB-C) battery. Study design: Cross-sectional study. Methods: Tests...
Article
Background: This study examined the association between youth sport-related ankle sprain injury and health-related outcomes, 3-15 years postinjury. Methods: A historical cohort study in which uninjured controls were cluster-matched with injured cases. The primary outcome was self-reported Foot and Ankle Outcome Score (FAOS). Secondary outcomes i...
Article
Full-text available
Knee trauma can lead to poor health-related quality of life (HRQoL) and osteoarthritis. We aimed to assess HRQoL 3–12 years following youth sport-related knee injury considering HRQoL and osteoarthritis determinants. Generic (EQ-5D-5L index, EQ-VAS) and condition-specific (Knee injury and Osteoarthritis Outcome Score quality of life subscale, KOOS...
Article
Attitudes, priorities, and perceptions of exercise directly influence exercise behaviors. Despite the benefits of exercise‐based activities for future health, little is known about how youth who experience an ACL injury view exercise‐based activity beyond the immediate recovery period. A qualitative (interpretative description) approach with one‐to...
Article
Background Cardiovascular disease (CVD) is a leading cause of early mortality among young adults with cerebral palsy. While low physical activity in childhood has been hypothesized as a potential contributor to increased CVD risk in early adulthood, little is known about timing of vascular disease progression and the presence of subclinical atheros...
Article
Objectives 1) Develop unidimensional instruments to measure osteoarthritis (OA) knowledge among people with hip or knee OA, and 2) assess the structural validity, internal consistency, cross-cultural validity/measurement invariance, test-retest reliability, and measurement error of the Hip Osteoarthritis Knowledge Scale (HOAKS) and the Knee Osteoar...
Article
Objective: To determine whether high or low adiposity is associated with youth sport-related injury. Data Sources: Ten electronic databases were searched to identify prospective studies examining the association between adiposity [body mass index (BMI) or body fat] and a future time-loss or medical attention sport-related musculoskeletal injury or...
Article
Objective Towards developing an instrument to measure knee and hip osteoarthritis (KHOA) flare, the Outcome Measures in Rheumatology (OMERACT) Flares in OA Working Group first sought to identify and define relevant domains of flare in KHOA. Methods Guided by OMERACT Filter 2.1, candidate domains were identified from data generated in interviews, i...
Article
Full-text available
The applicability of thresholds that constitute an acceptable score or meaningful change on the Knee injury and Osteoarthritis Outcome Score (KOOS) in cohorts ≥ 5 years following knee injury is not well understood. The primary objective of this study was to evaluate the association between intra-articular knee injury type and two different KOOS pai...
Article
Full-text available
Objective Describe the self-reported prevalence and nature of Olympic-career injury and general health and current residual symptoms in a self-selected sample of retired Olympians. Methods 3357 retired Olympians from 131 countries completed a cross-sectional online survey, distributed by direct email through World Olympians Association and Nationa...
Article
Objective Systematically review and synthesize guidelines, systematic reviews, or randomized controlled trials (RCTs) published between April 1, 2019 and April 30, 2020 which evaluated or made recommendations for rehabilitation of persons with osteoarthritis. Design Five electronic databases (Medline, EMBASE, Cochrane CENTRAL, CINHAL, Web of Scien...
Article
Objective: To identify and categorize barriers, facilitators, and strategies to boost exercise therapy adherence in youth with musculoskeletal conditions to inform research and clinical practice. Design: Scoping review. Literature search: MEDLINE, CINAHL, SportDiscus, SCOPUS, PEDro and ProQuest from inception to October 1, 2019. Study selecti...
Article
Background Hop tests are commonly used in clinical environments to measure function after sport-related knee injuries. Joint angle measurement during hopping is feasible in research-based environments equipped with motion-capture systems. Employing these systems in clinical research settings is inefficient, given the associated cost, preparation ti...
Article
Full-text available
Lower extremity kinematic alterations associated with sport-related knee injuries may contribute to an unsuccessful return to sport or early-onset post-traumatic osteoarthritis. Also, without access to sophisticated motion-capture systems, temporospatial monitoring of horizontal hop tests during clinical assessments is limited. By applying an alter...
Article
Full-text available
Absrtact Background National surveys in New Zealand, Australia and the United Kingdom suggest ultrasound imaging (USI) use by physiotherapists is increasing. However, concerns exist regarding clarity for scopes of practice, and availability and standardisation of training. Objectives To investigate physiotherapists' understanding of scopes of pra...
Article
Background: Previous researchers have suggested that balance control deficits are detected more accurately with dual-task testing than single-task testing. However, it is necessary to examine the clinimetric properties of dual-task testing before employing it in clinical and research settings. Objective: To examine and compare the relative and a...
Article
Full-text available
Background: Only a small proportion of anterior cruciate ligament (ACL) tears are diagnosed on initial healthcare consultation. Current clinical guidelines do not acknowledge that primary point-of-care practitioners rely more heavily on a clinical history than special clinical tests for diagnosis of an ACL tear. This research will assess the accur...
Article
PurposeTo translate and cross-culturally adapt the Swedish Knee Self-Efficacy Scale (K-SES) into English and evaluate the measurement properties in a sample of individuals with previous knee injury.Methods Translation, cross-cultural adaptation, and evaluation followed the Beaton multi-step process and COSMIN guidelines. Participants (n = 125) aged...
Preprint
Full-text available
Background: Only a small proportion of anterior cruciate ligament (ACL) tears are diagnosed on initial healthcare consultation. Current clinical guidelines do not acknowledge that primary point-of-care practitioners rely more heavily on a clinical history than special clinical tests for diagnosis of an ACL tear. This research will assess the accura...
Article
Full-text available
Objective To explore the role of psychological, social and contextual factors across the recovery stages (ie, acute, rehabilitation or return to sport (RTS)) following a traumatic time-loss sport-related knee injury. Material and methods This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scopi...
Preprint
Full-text available
Background Only a small proportion of anterior cruciate ligament (ACL) tears are diagnosed on initial healthcare consultation. Current clinical guidelines do not acknowledge that primary point-of-care practitioners rely more heavily on a clinical history than special clinical tests for diagnosis of an ACL tear. This research will assess the accurac...
Preprint
Full-text available
Background Although the physical, psychological, and social consequences of sustaining an anterior cruciate ligament (ACL) tear in young athletes are well documented, little is known about how ACL tears influence health-related quality of life (QOL). This case series describes changes in knee-related QOL over the first 12 months following an ACL re...
Preprint
Background: Only a small proportion of anterior cruciate ligament (ACL) tears are diagnosed on initial healthcare consultation. Current clinical guidelines do not acknowledge that primary point-of-care practitioners rely more heavily on a clinical history than special clinical tests for diagnosis of an ACL tear. This research will assess the accura...
Article
Background: While postural control impairment is common following sport-related concussion, few investigations have studied the physiological basis for this impairment. Both the Reflex/Hierarchical Model and the Systems Model are commonly used to characterize the physiological basis of postural control. Purpose: To discuss the physiological basis o...
Article
Full-text available
A recent cross-sectional national USA registry of surgery to repair anterior cruciate ligament tears found that fewer adolescent women who reported using combined hormonal contraceptives (CHC) had the surgery. They reviewed a complex literature on ovarian steroidal relationships with connective tissues biology, physiology and clinical issues. They...
Article
The classification and monitoring of individuals with early knee osteoarthritis (OA) are important considerations for the design and evaluation of therapeutic interventions and require the identification of appropriate outcome measures. Potential outcome domains to assess for early OA include patient-reported outcomes (such as pain, function and qu...
Article
The purpose of this study was to determine the degree of co-contraction as per electromyographic gamma-band intermuscular coherence of the quadricep (Q) and hamstring (H) muscles during single-leg squatting (SLS), and to assess the influence of sex and self-reported knee complaints on the association between knee injury history and medial and later...
Article
Full-text available
Physical therapists employ ultrasound (US) imaging technology for a broad range of clinical and research purposes. Despite this, few physical therapy regulatory bodies guide the use of US imaging, and there are limited continuing education opportunities for physical therapists to become proficient in using US within their professional scope of prac...