Kim Bennell

Kim Bennell
University of Melbourne | MSD · Department of Physiotherapy

PhD

About

795
Publications
215,161
Reads
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36,332
Citations
Citations since 2017
285 Research Items
18734 Citations
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Publications

Publications (795)
Article
Full-text available
Objectives: To determine the feasibility of a randomized controlled trial (RCT) examining outdoor walking on knee osteoarthritis (KOA) clinical outcomes and magnetic resonance imaging (MRI) structural changes. Method: This was a 24-week parallel two-arm pilot RCT in Tasmania, Australia. KOA participants were randomized to either a walking plus u...
Article
Background: We aimed to identify important components of, and practical resources relevant for inclusion in, a toolkit to aid exercise delivery for people with hip/knee osteoarthritis. Method: An online international multi-disciplinary survey was conducted across 43 countries (139 clinicians, 44 people with hip/knee osteoarthritis and 135 osteoa...
Article
Objective: To compare the perceptions of patients about why they did, or did not, respond to a physiotherapist-supported exercise and physical activity program. Methods: Qualitative study within a randomised controlled trial. Twenty-six people (of 40 invited) with knee osteoarthritis sampled according to response (n=12 responders and 14 non-resp...
Article
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Introduction Preliminary evidence suggests that progressive resistance training may be beneficial for people with Prader-Willi Syndrome (PWS), a rare genetic condition that results in muscle weakness and low muscle tone.To establish whether community-based progressive resistance training is effective in improving the muscle strength of people with...
Article
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Background To explore attitudes to telehealth education and experiences incorporating telehealth education into entry-to-practice physiotherapy programs in Australia, from the perspective of university educators. Methods Qualitative design based on a constructivist paradigm and a phenomenological approach. Sixteen university educators (who had a r...
Article
OBJECTIVE: Compare the effects of osteoarthritis information, with or without pathoanatomical content, on people's beliefs about managing osteoarthritis. DESIGN: Online randomised controlled trial involving 556 participants METHODS: Participants considered a hypothetical scenario where their doctor informed them that they had knee osteoarthritis. P...
Article
Background Knee osteoarthritis progression may be related to altered knee loads, particularly in those with varus malalignment. Using randomized controlled trial data, this secondary analysis of complete datasets (n = 67) compared the effects of a functional weightbearing (WB) and non-weightbearing quadriceps strengthening exercise (NWB) program on...
Article
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Background Patellofemoral pain is highly prevalent across the lifespan, and a significant proportion of people report unfavourable outcomes years after diagnosis. Previous research has implicated patellofemoral joint loading during gait in patellofemoral pain and its sequelae, patellofemoral osteoarthritis. Biomechanical foot-based interventions (e...
Article
Introduction: Uptake of telehealth has surged, yet no previous studies have evaluated the clinimetric properties of clinician-administered performance-based tests of function, strength, and balance via telehealth in people with chronic lower limb musculoskeletal pain. This study investigated the: (i) test-retest reliability of performance-based te...
Article
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Objective: To evaluate effects of general osteoarthritis (OA) information in addition to a treatment option grid and general practitioner (GP) recommendation to exercise on treatment beliefs and intentions. Methods: An online randomized trial of 735 people 45 years old or older without OA who were recruited from a consumer survey network. Partic...
Article
Background Although randomized controlled trials comparing hip arthroscopy with physical therapy for the treatment of femoroacetabular impingement (FAI) syndrome have emerged, no studies have investigated potential moderators or mediators of change in hip-related quality of life. Purpose To explore potential moderators, mediators, and prognostic i...
Article
Background Low back pain (LBP) clinical practice guidelines recommend referral for patients with persistent LBP however discordance persists between recommended care and implementation in practice. Understanding patient experiences of referral practices and physiotherapy care could be important for optimizing LBP management in primary care settings...
Article
This Position Statement is an update to the existing statement. It is intended for all health practitioners who manage people with hip/knee osteoarthritis (OA). It synthesises the most recent evidence (with a focus on clinical guidelines and systematic reviews) for exercise in people with hip/knee OA, and provides guidance to practitioners about ho...
Article
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This year in review presents key highlights from research relating to osteoarthritis (OA) rehabilitation published from the 1st April 2021 to the 18th March 2022. To identify studies for inclusion in the review, an electronic database search was carried out in Medline, Embase and CINAHLplus. Following screening, included studies were grouped accord...
Article
Full-text available
Osteoarthritis (OA) is a common joint disorder for which there is no cure. Current treatments are suboptimal. Exercise is a core treatment for knee OA, with muscle strengthening exercise commonly recommended. Yoga is a mind-body exercise intervention that can improve flexibility, muscle strength, balance, and fitness and potentially reduce symptoms...
Article
Objective: Evaluate the effectiveness and health costs of a new primary care service delivery model (PARTNER) to improve health outcomes for people with knee osteoarthritis (OA), compared to usual care. Methods: A two-arm, cluster, superiority randomised controlled trial with randomisation at the general practice level, undertaken in Victoria an...
Article
Full-text available
Objectives: To determine if motion control walking shoes are superior to neutral walking shoes in reducing knee pain on walking in people with lateral knee osteoarthritis (OA). Design: Participant-blinded and assessor-blinded, comparative effectiveness, superiority randomised controlled trial. Setting: Melbourne, Australia. Participants: Peo...
Article
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Objectives This systematic review aimed to determine the effects of neuromuscular gait modification strategies on indicators of medial knee joint load in people with medial knee osteoarthritis. Methods Databases (Embase, MEDLINE, Cochrane Central, CINAHL and PubMed) were searched for studies of gait interventions aimed at reducing medial knee join...
Article
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Background In people with knee osteoarthritis (OA), ongoing exercise participation, particularly with strengthening exercises, is central to management. Patient adherence to prescribed exercise typically declines once consultations with a clinician have ceased. Mobile applications (apps) can incorporate behaviour change techniques that may assist a...
Article
Full-text available
Objectives In people with a disability, or their caregivers, who reported suboptimal experiences, the objectives were to explore: (1) challenges with telehealth-delivered allied health services during the COVID-19 pandemic and (2) suggestions to improve such services. Design Qualitative study based on an interpretivist paradigm and a phenomenologi...
Preprint
Full-text available
Background Patellofemoral pain is highly prevalent across the lifespan, and a significant proportion of people report unfavourable outcomes years after diagnosis. Previous research has implicated patellofemoral joint loading during gait in patellofemoral pain and its sequelae, patellofemoral osteoarthritis. Biomechanical foot-based interventions (e...
Article
Objective: Evaluate the cost-effectiveness of telehealth-delivered Exercise and Diet+Exercise programs within 12 months. Methods: An economic evaluation within a 12 month, three-arm, parallel randomised trial of two 6-month telehealth-delivered exercise programs, with and without a dietary component. 415 people with knee osteoarthritis aged 45-8...
Article
Objective People with osteoarthritis are likely to be physically inactive and current socio-cognitive approaches to changing physical activity in this patient population are generally ineffective. We assessed prospective associations between physical activity and the automatic processes of habit automaticity, automatic evaluations, and automatic se...
Article
Full-text available
Background Obesity is associated with knee osteoarthritis (OA). Weight loss, alongside exercise, is a recommended treatment for individuals with knee OA and overweight/obesity. However, many patients cannot access weight loss specialists such as dietitians. Innovative care models expanding roles of other clinicians may increase access to weight los...
Article
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Background Patient organisations may be an under-utilised resource in follow-up of patients requiring long-term exercise as part of their disease management. The purpose of this study was to explore the feasibility of a web-based exercise program delivered by a patient organisation to patients with hip and/or knee osteoarthritis (OA). Methods In t...
Article
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Objective: To investigate the self-reported confidence of final year Australian physiotherapy students and recent graduates in their capability to deliver care via videoconferencing. Design: A national cross-sectional survey Participants: Australian physiotherapy students enrolled in their final year of an entry-to-practice physiotherapy program an...
Article
Objective: Non-surgical interventions are recommended for osteoarthritis (OA). However, how interventions change pain and physical function is unclear. Therefore, the objectives of this scoping review were to: (1) identify what potential mediators of non-surgical interventions on pain and physical function have been evaluated and (2) summarise the...
Article
Objective: To compare change in self-efficacy for managing knee osteoarthritis (OA) pain and kinesiophobia after watching an educational video based on an empowerment and participatory discourse with a video based on a disease and impairment discourse. Design: Two-arm randomised controlled trial with participants aged ≥45 years with knee pain (n...
Article
Question: In people with knee osteoarthritis, how much more effective is stratified exercise therapy that distinguishes three subgroups (high muscle strength subgroup, low muscle strength subgroup, obesity subgroup) in reducing knee pain and improving physical function than usual exercise therapy? Design: Pragmatic cluster randomised controlled...
Conference Paper
Background Exercise therapy is recommended as first line treatment for knee osteoarthritis (OA), but it remains to be sub-optimally applied (1). Movement-evoked pain is a potential barrier to exercise adherence, but recent evidence suggests that such pain can be improved by training (2). Walking programs are low-cost, easily adopted and can be perf...
Article
Purpose: The magnitude and location of hip contact force influences the local mechanical environment of the articular tissue, driving remodelling. We used a neuromusculoskeletal model to investigate hip contact force magnitudes and their regional loading patterns on the articular surfaces in those with femoroacetabular impingement (FAI) syndrome an...
Article
Background There is strong, high-quality evidence for the effectiveness of exercise therapy in people with knee osteoarthritis (OA). ¹ However, although effective, the average effect size is only moderate (approximately 0.5). ¹ This may be attributed to the current ‘one-size-fits-all’ exercise approach, while a stratified approach may yield superio...
Article
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Introduction Persistent, knee pain is a common cause of disability. Education and exercise treatment are advocated in all clinical guidelines; however, the increasing prevalence of persistent knee pain presents challenges for health services regarding appropriate and scalable delivery of these treatments. Digital technologies may help address this,...
Article
Full-text available
Background Hip osteoarthritis (OA) is a leading cause of musculoskeletal pain. Exercise is a core recommended treatment. Most evidence is based on muscle-strengthening exercise, but aerobic physical activity has potential to enhance clinical benefits. The primary aim of this study is to test the hypothesis that adding aerobic physical activity to a...
Preprint
Full-text available
BACKGROUND People with permanent and significant disabilities are among the highest users of allied healthcare. As such, the rapid pivot to telehealth delivery of allied healthcare during the COVID-19 pandemic had a particularly profound impact on those with disabilities, as well as their caregivers. Given that telehealth services are likely here t...
Article
Full-text available
Background Hip osteoarthritis (OA) is a leading cause of musculoskeletal pain. Exercise is a core recommended treatment. Despite some clinical guidelines also recommending weight loss for hip OA, there is no evidence from randomised controlled trials (RCT) to substantiate these recommendations. This superiority, 2-group, parallel RCT will compare a...
Article
Objectives To compare contoured foot orthoses to sham flat insoles for first MTP joint OA walking pain. Design This was a participant- and assessor-blinded, sham-controlled, multi-centre randomized clinical trial set in community-based private practices. Eighty-eight adults aged >45 years with symptomatic radiographic first MTP joint OA were rando...
Article
Objective To investigate knee contact forces (KCFs), and their relationships with knee pain, across grades of radiographic knee osteoarthritis (OA) severity. Design Cross-sectional exploratory analysis of 164 participants with medial knee OA. Radiographic severity was classified as mild (grade 2), moderate (grade 3) or severe (grade 4) using the K...
Article
Objective Investigate and compare perceptions about the efficacy and acceptability of allied healthcare delivered via telephone and video call for adults with disabilities during the COVID-19 pandemic. Design Cross-sectional national survey. Setting Participants who accessed occupational therapy, physiotherapy, psychology, or speech pathology car...
Article
Purpose: Quadriceps strength deficits following anterior cruciate ligament reconstruction (ACLR) are linked to altered lower extremity biomechanics, tibiofemoral joint (TFJ) space narrowing and cartilage composition changes. It is unknown, however, if quadriceps strength is associated with cartilage volume in the early years following ACLR prior t...
Article
Objective Evaluate effects of an online education program about weight management for osteoarthritis on physiotherapists’ self-reported confidence in knowledge and skills in weight management, and attitudes toward obesity. Method A two-group randomized controlled trial, 80 physiotherapists (58 female) randomized to education or control groups. The...
Article
Background: In osteoarthritis (OA) clinical trials, reliable and responsive outcome measures to document physical and functional improvements are limited. Objective: This study aimed to assess whether the use of an activity tracker in an OA clinical trial is a responsive measurement tool. Secondary objectives assessed feasibility and validity....
Article
Full-text available
Introduction Musculoskeletal (MSK) conditions constitute the highest burden of disease globally, with healthcare services often utilised inappropriately and overburdened. The aim of this trial is to evaluate the effectiveness of a novel clinical PAthway of CarE programme (PACE programme), where care is provided based on people’s risk of poor outcom...
Article
Background: Scalable knee osteoarthritis programs are needed to deliver recommended education, exercise, and weight loss interventions. Objective: To evaluate two 6-month, telehealth-delivered exercise programs, 1 with and 1 without dietary intervention. Design: 3-group, parallel randomized (5:5:2) trial. (Australian New Zealand Clinical Trial...
Article
Importance Most clinical guidelines do not recommend platelet-rich plasma (PRP) for knee osteoarthritis (OA) because of lack of high-quality evidence on efficacy for symptoms and joint structure, but the guidelines emphasize the need for rigorous studies. Despite this, use of PRP in knee OA is increasing. Objective To evaluate the effects of intra...
Article
Objective The Osteoarthritis Research Society International (OARSI) recommends assessment of physical function using a performance-based test of stair negotiation, but was unable to recommend any specific test. We assessed the reliability, validity, responsiveness, measurement error, and minimum important change (MIC) of the 6-step timed Stair Clim...
Article
Background A 24-week self-directed digitally delivered intervention was found to improve pain and function in people with knee osteoarthritis (OA). However, it is possible that this intervention may be better suited to certain subgroups of people with knee OA compared to others. Objective The aim of this study was to explore whether certain indivi...
Article
Full-text available
Abstract Background Anterior cruciate ligament reconstruction (ACLR) together with concomitant meniscal injury are risk factors for the development of tibiofemoral (TF) osteoarthritis (OA), but the potential effect on the patellofemoral (PF) joint is unclear. The aim of this study was to: (i) investigate change in patellar cartilage morphology in i...
Article
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Objective To explore the relationships between participant characteristics, perceptions of a short educational video about osteoarthritis and its management, and immediate changes in behavioural determinants for effective self-management behaviours. Methods Seventy-eight participants with knee OA (77% female, mean age 63.0 ± 8.7) watched the 9-min...
Article
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Question What are the core capabilities that physiotherapists need in order to deliver quality care via videoconferencing? Design A three-round modified e-Delphi survey. Participants An international Delphi panel comprising a Steering Group and experts in the field, including physiotherapy researchers, physiotherapy clinicians, representatives of...
Article
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Aims To determine: 1) inter-rater reliability of quantitative measurements of ultrasound-detected synovitis, meniscal extrusion, and osteophytes; and 2) construct (convergent) validity via correlations and absolute agreements between ultrasound- and gold-standard magnetic resonance imaging (MRI)-outcomes in knee osteoarthritis. Methods Dynamic ult...
Article
Hip and knee osteoarthritis are leading causes of global disability. Most research to date has focused on the knee, with results often extrapolated to the hip, and this extends to treatment recommendations in clinical guidelines. Extrapolating results from research on knee OA may limit our understanding of disease characteristics specific to hip OA...
Article
Background Bony morphology is central to the pathomechanism of femoroacetabular impingement syndrome (FAIS), however isolated radiographic measures poorly predict symptom onset and severity. More comprehensive morphology measurement considered together with patient factors may better predict symptom presentation. This study aimed to determine the m...
Article
Full-text available
Background Arthroscopic surgery for femoroacetabular impingement syndrome (FAI) is known to lead to self-reported symptom improvement. In the context of surgical interventions with known contextual effects and no true sham comparator trials, it is important to ascertain outcomes that are less susceptible to placebo effects. The primary aim of this...
Article
Background: Osteoarthritis (OA) is a major problem globally. First-line management comprises education and self-management strategies. Online support groups may be a low-cost method of facilitating self-management. Objective: The aim of this randomized controlled pilot study is to evaluate the feasibility of the study design and implementation o...
Preprint
BACKGROUND Osteoarthritis (OA) is a major problem globally. First-line management comprises education and self-management strategies. Online support groups may be a low-cost method of facilitating self-management. OBJECTIVE The aim of this randomized controlled pilot study is to evaluate the feasibility of the study design and implementation of an...
Article
Full-text available
Background We recently developed a model of stratified exercise therapy, consisting of (i) a stratification algorithm allocating patients with knee osteoarthritis (OA) into one of the three subgroups (‘high muscle strength subgroup’ representing a post-traumatic phenotype, ‘low muscle strength subgroup’ representing an age-induced phenotype, and ‘o...
Article
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Background We aimed to describe trends in knee and hip OA management by general medical practitioners (GPs) in Australia. Methods We analysed cross-sectional survey data from the Bettering the Evaluation and Care of Health (BEACH) program (1,000 randomly-selected GPs annually recording 100 consecutive patient encounters) over two periods: Period o...
Article
Objectives The benefits of exercise are well established for psychological well-being, but it is unknown whether one type of exercise can be recommended over another for psychological well-being in knee osteoarthritis (OA). This study aimed to compare the effectiveness of different types of exercise on psychological well-being in people with knee O...
Article
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Background Patients with Systemic Lupus Erythematosus (SLE) often experience pain and other symptoms that negatively impact quality of life. Interventions that enhance the use of behavioral and cognitive coping strategies may lead to improved outcomes among patients with SLE. Pain coping skills training (PCST) programs have been shown to improve ou...
Article
Background We recently developed a model of stratified exercise therapy [1], consisting of (i) a stratification algorithm allocating patients with knee osteoarthritis (OA) into clinically relevant subgroups, and (ii) subgroup-specific exercise therapy. More specifically, in our model we distinguish the following subgroups with proposed underlying p...
Article
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Question: What were the experiences of physiotherapists and patients who consulted via videoconference during the COVID-19 pandemic and how was it implemented? Design: Mixed methods study with cross-sectional national online surveys and qualitative analysis of free-text responses. Participants: A total of 207 physiotherapists in private practi...
Preprint
BACKGROUND A 24-week self-directed digitally delivered intervention was found to improve pain and function in people with knee osteoarthritis (OA). However, it is possible that this intervention may be better suited to certain subgroups of people with knee OA compared to others. OBJECTIVE The aim of this study was to explore whether certain indivi...
Article
Full-text available
Objective Determine the feasibility of a 6-month exercise and weight management intervention for people with hip osteoarthritis (OA). Design 18 participants with clinical and radiographic hip OA with a body mass index ≥28 kg/m² and <41 kg/m² participated. Six consultations with a physiotherapist and six consultations with a dietitian via videoconf...
Research
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BACKGROUND: Prior to the COVID-19 pandemic utilisation of telehealth services had typically been low across the Australian healthcare setting. Use of telehealth services increased markedly as the COVID-19 pandemic progressed and social distancing restrictions were introduced. This unprecedented uptake in telehealth services provided a unique opport...
Article
Importance Exercise therapies are advocated in osteoarthritis (OA) clinical guidelines. However, challenges to accessing exercise may be limiting widespread uptake. Objective To evaluate the effects of a self-directed web-based strengthening exercise and physical activity program supported by automated behavior-change text messages on knee pain an...
Article
Full-text available
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
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Objective To provide a summary of the translational gaps in musculoskeletal research as identified in the Mine the Gap workshop and propose possible solutions. Methods The Mine the Gap online workshop was hosted on October 14th and 15th, 2020. Five international panels, each comprised of a clinician, clinical researcher and basic scientist, presen...