Kieran O'Sullivan

Kieran O'Sullivan
Aspetar - Qatar Orthopaedic and Sports Medicine Hospital | aspetar · Sports Spine Centre

40.24
 · 
PhD M Manip Ther B Physio
About
191
Research items
48,495
Reads
1,598
Citations
Introduction
Kieran is Lead Physiotherapist at the new Sports Spine Centre at Aspetar in Qatar since August 2016. Before this appointment, he worked in the Clinical Therapies department at the University of Limerick, in combination with part-time clinical practice. His research interest is musculoskeletal pain and injury, particularly persistent spinal pain. His research group provide a free online platform on chronic pain - www.pain-ed.com, and their twitter updates can be followed on @pain_eddotcom.
Research Experience
Sep 2005 - Nov 2015
University of Limerick
Position
  • Senior Lecturer
Education
Jan 2010 - Dec 2012
University of Limerick
Field of study
  • Physiotherapy
Feb 2004 - Dec 2004
Curtin University
Field of study
Sep 1995 - Jun 1999
NUI, Dublin
Field of study
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Following
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Research
Research items (191)
Article
Background : Guidelines advocate that non-specific chronic low back pain (NSCLBP) be considered within a multi-dimensional bio-psychosocial (BPS) framework. This BPS approach advocates incorporating the patient's perspective as part of the treatment process. 'Agenda setting' has been introduced as the key to understanding patients' concerns in medi...
Article
Posture is a frequent topic of discussion for patients, clinicians, the media, and society. A common belief is that spinal pain is caused by sitting, standing, or bending "incorrectly." Despite the absence of strong evidence to support these common beliefs, a large posture industry has flourished, with many interventions and products claiming to "c...
Article
Aim: To investigate the beliefs of healthcare students about how harmful common daily activities are perceived to be for their lower back. Method: A cross-sectional survey of Physiotherapy, Occupational Therapy and General Nursing pre-registration students in Ireland. Two hundred and forty two students completed the modified Photograph Series of Da...
Article
Full-text available
This study aims to investigate the validity and reliability of a novel plastic optical fiber (POF) sensor, which was developed to measure the angles of flexion, extension and lateral bend at the lumbar region. The angles of flexion, extension and lateral bend for a standing position were measured simultaneously using both the novel POF sensor of th...
Article
Adolescent low back pain has received limited research attention despite its potentially considerable impact on quality of life. The role of diagnostic triage to identify serious or specific pathology and/or order relevant investigations is considered. An overview of contemporary pain mechanisms is provided, with specific reference to the wide rang...
Article
Purpose: The purpose of this study was to compare kinematics of the lower extremity and lumbar spine during a single leg landing task between female volleyball athletes with and without persistent low back pain (LBP). Methods: In this cross sectional study, 36 volunteer female volleyball athletes with (n = 18) and without (n = 18) LBP were recruite...
Article
Background: The Back-Pain Attitudes (Back-PAQ) questionnaire measures back beliefs across 6 domains. Our previous study showed that manual handling advisors (MHAs) have more negative beliefs than physiotherapists (PTs), and those who think straight back lifting is safer than a rounder back have more negative beliefs. However, exactly which domains...
Article
Purpose:: To determine the association between training load (TL) factors, baseline characteristics and new injury and/or pain (IP) risk within an endurance sporting population (ESP). Methods:: Ninety-five endurance sporting participants from running, triathlon, swimming, cycling and rowing disciplines. Participants initially completed a questio...
Article
Background: Physiotherapists have been urged to embrace a patient-oriented biopsychosocial (BPS) framework for the management of non-specific chronic low back pain (NSCLBP). However, recent evidence suggests that providing broader BPS interventions demonstrates small differences in pain or disability compared to usual care. Little is known about ho...
Article
Background: Assessment of, and advice about, spinal posture is common when people with spinal pain present to physiotherapists. Most descriptions regarding optimal spinal posture have been qualitative in nature. Objectives: To determine the beliefs of physiotherapists regarding optimal sitting and standing posture. Design: Online survey. Method: 54...
Article
Background: It has long been acknowledged that nonspecific chronic low back pain (NSCLBP) is associated with a complex combination of biopsychosocial (BPS) factors, and recent guidelines advocate that the management of back pain should reflect this multidimensional complexity. Cognitive functional therapy (CFT) is a behaviourally oriented intervent...
Article
Purpose: To assess the reliability of postural positioning in two different sitting postures (SP), within- and between-days, as well as intra-tester and inter-tester. Methods: Twenty six individuals were facilitated into lordotic (LSP) and neutral (NSP) SP on two different days by four physiotherapists, while kinematic data were collected. Intra-te...
Article
Objectives: Dance exposure and determinants of wellness in Irish dance (ID) and contemporary dance (CD) are under-investigated in pre-professional, collegiate cohorts. This study prospectively investigated these variables in ID and CD participants for one year. Design: Prospective study. Setting: University-level institutes of dance, United Ki...
Article
Objective: The purpose of this systematic review and meta-analysis was to summarize the results related to the effects of corrective exercises on postural variables in individuals with forward head posture (FHP). Methods: A systematic review of the electronic literature through February 2017 was independently performed by 2 investigators. The el...
Article
Dance is an extremely popular activity among adolescents and has a range of associated physical and psychological health benefits. However, pain and injury in young elite dancers is pervasive, and the underlying risk factors are poorly understood. This study investigated the incidence of pain and injury in elite adolescent Irish dancers and examine...
Conference Paper
Background Musculoskeletal disorders (MSD’s) are a leading cause of work disability. Good work offers many potential benefits to employees with MSDs. Understanding the perspectives of all the players involved in helping people with MSD’s to stay at, return to and remain in work will advance understanding of work related interventions and services....
Article
Full-text available
Biomedical approaches for diagnosing and managing disabling low back pain (LBP) have failed to arrest the exponential increase in health care costs, with a concurrent increase in disability and chronicity. Health messages regarding the vulnerability of the spine and a failure to target the interplay among multiple factors that contribute to pain an...
Article
The Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT) is a questionnaire that is frequently used to measure the treatment orientation of physiotherapists and other healthcare providers toward low back pain (LBP). Previous validation studies of the PABS-PT have reported consistently that exploratory factor analysis (EFA) yielded a two-...
Article
Pain significantly restricts the quality of life and well-being of older adults. With our increasingly ageing population, it is important to examine whether differing classes of biopsychosocial risk factors can predict the development of pain in older adults. Latent class analysis (LCA) provides a model-based approach to identifying underlying subg...
Article
Objectives: To determine the associations between training load, baseline characteristics (e.g. age or previous injury) and rate of musculoskeletal injury and/or pain specifically within an Endurance Sporting Population (ESP). Design: Prospectively registered systematic review. Methods: Eight electronic databases were searched by two independe...
Article
Background: Many patients reporting musculoskeletal pain present to Primary Care Physiotherapy with costly comorbid overlapping complaints that remain medically unexplained. These subjective health complaints (SHC) incorporate coexisting multi-site musculoskeletal pain and varied non-musculoskeletal complaints (e.g. anxiety, tiredness). The role o...
Article
Full-text available
Background. The kinematics of a controlled functional task in female volleyball athletes may be an interesting area of study. Therefore, investigating if there are kinematic changes in a jump landing jump task among female athletes with low back pain (LBP) may help therapists and trainers better prevent and/or rehabilitate LBP in athletes. Objectiv...
Article
Full-text available
Introduction: Disabling chronic low back pain (CLBP) is associated with negative beliefs and behaviours, which are influenced by culture, religion and interactions with healthcare practitioners (HCPs). In the UK, HCPs encounter people from different cultures and ethnic backgrounds, with South Asian Indians (including Punjabis) forming the largest...
Article
Background: In the management of chronic low back pain (LBP), identifying and dealing with more patients who are at high risk and who have psychological barriers to recovery is important yet difficult. Objectives: The objective of this study was to test physical therapists' ability to allocate patients into risk stratification groups, test corre...
Article
Objective: Recent evidence has demonstrated that group-based physiotherapy interventions for musculoskeletal pain can have similar clinical outcomes compared to one-to-one treatment. This study qualitatively explored the experiences of individuals who participated in a physiotherapist-led group exercise class for people with nonspecific shoulder p...
Article
Objectives: Persistent poor sleep is associated with a range of adverse health outcomes. Sleep is considered the main method of recovery in athletes; however, studies report that a significant number of athletes are getting insufficient sleep. The purpose of this study was to assess the sleep profiles of elite Gaelic athletes and to compare wellbei...
Article
Study design: A case series was carried out. Introduction: There is a lack of evidence exploring the effectiveness of group exercise classes for people with nonspecific shoulder pain (NSSP). Also, there is a lack of research that measures potential reductions in thoracic kyphosis after exercise interventions in people with NSSP. Purpose of the...
Article
Introduction: Physiotherapists commonly use the manual inclinometer and Flexicurve for the clinical measurement of thoracic spinal posture. The aim of this study is to examine the concurrent validity of the Flexicurve and manual inclinometer in relation to the radiographic Cobb angle for the measurement of thoracic kyphosis. Methods: Eleven subj...
Article
Objectives: To investigate the efficacy of interventions for the prevention and treatment of low back pain in nurses. Design: Systematic review. Data sources: The review was registered on the PROSPERO database (CRD42015026941) and followed the PRISMA statement guidelines. A two phase approach was used. In phase one, all randomised controlled t...
Article
ABSTRACT Objectives: Persistent poor sleep is associated with a range of adverse health outcomes. Sleep is considered the main method of recovery in athletes; however, studies report that a significant number of athletes are getting insufficient sleep. The purpose of this study was to assess the sleep profiles of elite Gaelic athletes and to compar...
Article
Background: It is commonly believed lifting is dangerous and the back should be straight during lifting. These beliefs may arise from healthcare professionals, yet no study has evaluated the lifting and back beliefs of manual handling advisors (MHAs) and physiotherapists (PTs). Objectives: To evaluate (i) what lifting technique MHAs and PTs perc...
Article
Full-text available
A mechanically robust and compact novel optical fiber sensor system is described to monitor the bending of the lower back bone in both sagittal and frontal planes. Both bending modes are monitored through the change of the coupled optical intensity ratio between three output fibers aligned to one input fiber. This provides real-time feedback to the...
Article
Background: Foot and ankle pain/injury (FAPI) is the most common musculoskeletal problem suffered in Irish dancing. A prospective examination of risk factors for FAPI in this cohort has never been performed. Study design: Prospective study over 1-year. Methods: 85 elite adult Irish dancers were screened at baseline for biopsychosocial factors...
Article
Dynamic sitting approaches have been advocated to increase seated energy expenditure with the view of lessening the sedentary nature of the task. This study compared energy expenditure and overall body discomfort on a novel dynamic chair with a standard office chair. Fifteen pain- free participants completed a DVD viewing task on both chairs in a r...
Article
Background: Exercise is considered an effective treatment strategy for non-specific chronic low back pain (NSCLBP).background In spite of the wide use of exercise protocols, it is not clear what type of exercise is more effective in decreasing pain, disability and normalizing muscle activation patterns in people with chronic low back pain. Object...
Article
Objective: To investigate the effect of pain neurophysiology education (PNE) on student physiotherapists': (1) knowledge of chronic pain; (2) attitudes towards patients with chronic pain; and (3) clinical recommendations for patients with chronic pain. Design: Multicentre single-blind randomised controlled trial. Setting: One UK and one Irish...
Article
Background: Achilles tendinopathy (AT) is associated with persistent pain leading to a significant physical and psychological burden. Psychosocial factors are considered to be important mediators following exercise interventions. Despite the recognition of the importance of psychosocial variables in persistent MSK disorders, there is a distinct la...
Article
Full-text available
Physical activity is central to achieving better back health. Engaging in some forms of physical activity may increase the risk of low back pain (LBP), but in general a physically active lifestyle seems to be protective for LBP.1 The only known effective prevention method is exercise alone or exercise with education.2 Most guidelines for acute LBP...
Article
Background Ultrasound [US] imaging is commonly used to visualise tendon structure. It is not clear whether the presence of structural abnormalities in asymptomatic tendons predicts the development of future tendon symptoms in the Achilles or patellar tendon. This led to considerable uncertainty in the management of sporting populations with a high...
Article
Objective: The objective of this study is to determine if older adults regularly participating in Irish set dancing have superior balance, physical fitness and quality of life compared to age-matched controls. Study design: This study used a community-based, observational cross-sectional design. Methods: Regular set dancers (n = 39) and age-ma...
Article
Full-text available
Low back pain (LBP) is also one of the most common medical conditions in athletes. There is little doubt that patients with LBP use from their body differently than pain free individuals. The purpose of this review was to investigate changes in motor control which may be present in athletes with LBP. The search strategy for this review consisted of...
Article
Background: Diagnostic ultrasound (US) is a commonly used imaging modality for visualising tendon pathology and morphology. In comparison to magnetic resonance imaging (MRI), diagnostic US is perceived to have a higher risk of error when evaluating tendon size. Aim: To systematically assess the evidence regarding the Intra rater and Inter rater...
Article
Low back pain (LBP) is the leading cause of disability worldwide. Various approaches to diagnose and manage LBP have arisen, leading to an exponential increase in health care costs. Paradoxically, this trend has been associated with a concurrent increase in disability and chronicity. The health care system faces enormous challenges, with both the d...
Article
Inappropriate imaging for low back pain (LBP) can cause harm in three ways: 1. Misinterpretation of results by clinicians resulting in unhelpful advice, needless subsequent investigations (downstream testing) and invasive interventions, including surgery;1 2. Misinterpretation of results by patients resulting in catastrophisation, fear and avoid...
Article
Full-text available
The disability burden due to low back pain (LBP) continues to increase despite increased healthcare costs. There is growing interest in better targeting care for LBP, rather than adopting a ‘one size fits all’ approach, in order to optimally manage the well-recognised heterogeneity of patients with LBP.1–4 This challenge of patient heterogeneity h...
Article
Background Ultrasound (US) imaging is commonly used to visualise tendon structure. It is not clear whether the presence of structural abnormalities in asymptomatic tendons predicts the development of future tendon symptoms in the Achilles or patellar tendon. Aim To perform a systematic review and meta-analysis investigating the ability of US imagi...