Myles Murphy

Edith Cowan University | ECU · Nutrition and Health Innovation Research Institute

Background Injuries are a common occurrence in military recruit training, however due to differences in the capture of training exposure, injury incidence rates are rarely reported. Our aim was to determine the musculoskeletal injury epidemiology of military recruits, including a standardised injury incidence rate. Methods Epidemiological systemat...

OBJECTIVE: To explore whether people with lower-limb tendinopathy have reduced relative conditioned pain modulation (CPM) when compared to non-tendinopathy controls. DESIGN: Systematic review with individual participant data (IPD) meta-analysis. LITERATURE SEARCH: Eight databases were searched until 29 August 2022. STUDY SELECTION CRITERIA: Cross-s...

Objectives: Evaluate the construct validity (structural validity and hypothesis-testing), reliability (test-retest reliability, measurement error and internal consistency) and minimal detectable change (MDC) of the 13-item TENDINopathy Severity assessment Achilles (TENDINS A). Methods: Participants with Achilles pain completed an online survey: dem...

OBJECTIVES: To develop a new patient-reported outcome measure (PROM) assessing TENDINopathy Severity of the Achilles (TENDINS-Achilles) and evaluate its content validity. DESIGN: Mixed-methods, modified Delphi. METHODS: We performed one round of semi-structured, one-on-one interview responses with professionals and patients, for initial item genera...

OBJECTIVE: The validity of existing fear avoidance behaviour patient reported outcome measures (PROMs) for concussion is unknown. This study aims to (1) identify PROMs that assess fear avoidance behaviour in individuals with concussion and (2) assess the measurement properties of these PROMs. DESIGN: A systematic review of outcome measurement instr...

Background The prevalence of anxiety and depression symptoms in semi-elite Australian footballers is unknown. The primary objective of this study was to determine the prevalence of generalised anxiety disorder (GAD) and depressive symptoms in semi-elite Australian Football players. Our secondary objective was to explore the association between demo...

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...

Objectives: Determine if improvements in pain and disability in patients with mid-portion Achilles tendinopathy relate to changes in muscle structure and function whilst completing exercise rehabilitation. Design: A systematic review exploring the relationship between changes in pain/disability and muscle structure/function over time, following...

Objective: Determine if exercise interventions, beyond what is already provided to children and preschool children, improve bone health and reduce fracture incidence. Design: Systematic review and meta-analysis reported using the PRISMA guidelines. Certainty of evidence was assessed using GRADE recommendations. Data sources: Five electronic da...

Background Eye-tracking technology for detecting eye movements has been gaining increasing attention as a possible assessment and monitoring tool for sport-related concussion (SRC). Purpose To determine the diagnostic accuracy of a rapid number-naming task with eye tracking, the King-Devick Eye Tracking (K-D ET) assessment, in identifying SRC. St...

Objectives This study aims to quantify injury claims in organised community cricket in New Zealand over a 10-year period, 1 July, 2008 to June 30, 2018. Design Retrospective analysis of administrative insurance claims data from the Accident Compensation Corporation (ACC), New Zealand. Methods Injuries claims relating to cricket in males and femal...

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...

Background: Injuries are a common occurrence in military recruit training, however due to differences in the capture of training exposure, injury incidence rates are rarely reported. Our aim was to determine the musculoskeletal injury epidemiology of military recruits, including a standardised injury incidence rate. Methods: Epidemiological systema...

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...

Aims Individuals with developmental coordination disorder (DCD) and low motor competence (LMC) may be at increased risk of low bone health due to their lifetime physical activity patterns. Impaired bone health increases an individual’s risk of osteoporosis and fracture; therefore, it is necessary to determine whether a bone health detriment is pres...

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...

Our primary objective was to explore the barriers preventing clinicians from implementing what they think is ideal practice as it relates to using tools to aid diagnosis and monitor progress in mid-portion Achilles tendinopathy. Our secondary objectives were to describe the assessments employed by clinicians in their own practice to aid with (a) di...

Objectives Eye tracking has been gaining increasing attention as a possible assessment and monitoring tool for concussion. The King-Devick test (K-DT) was expanded to include an infrared video-oculography-based eye tracker (K-D ET). Therefore, the aim was to provide evidence on the reliability of the K-D ET system under an exercise condition. Meth...

Objectives Report the injury epidemiology of law enforcement and firefighter recruits. Design A systematic epidemiological review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines was completed. Data sources Five online databases were searched from database inception to 5 May 2021. Eligibility crite...

Background: A plethora of different assessment tools exist to diagnose and monitor Achilles tendinopathy, however there is little consensus within the literature and what is performed in clinical practice is unknown. The aims of this study were: 1) Describe the assessments employed by clinicians in their own practice to aid with a) diagnosis and b)...

Background Nine core domains for tendinopathy have been identified. For Achilles tendinopathy there is large variation in outcome measures used, and how these fit into the core domains has not been investigated.Objective To identify all available outcome measures outcome measures used to assess the clinical phenotype of Achilles tendinopathy in pro...

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 Sports-related concussion (SRC) assessment tools are primarily based on subjective assessments of somatic, cognitive, and psychosocial/emotional symptoms. SRC symptoms remain underreported, and objective measures of SRC impairments would be valuable to assist diagnosis. Measurable impairments to vestibular and oculomotor processing have...

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...

The objectives of this randomized, cross-over pilot study were to determine whether isometric plantarflexion exercises resulted in an immediate change in Achilles tendon pain during a loading task, and whether this differed in knee extension or flexion. Eleven participants with mid-portion Achilles tendinopathy were recruited from NHS community phy...

Objectives Our primary objective was to report the presence of a conditioned pain modulation (CPM) effect in people with localised mid-portion Achilles tendinopathy and whether changes occur over a 12-week period. Our secondary objectives were to quantify the proportion of participants who present for tendinopathy research with previous interventio...

Objective This study aimed to investigate the inter-rater reliability of the conditioned pain modulation (CPM) effect. Methods The reliability between two examiners assessing the CPM effect via pressure pain thresholds and induced using the cold pressor test of 28 healthy volunteers at the mid-portion Achilles tendon (AT) and Triceps Surae musculo...

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...

Within Australian cricket the highest level of selection for adolescent athletes is the annual national championships. However, due to the high incidence of lumbar bone stress injuries in adolescent fast bowlers a significant proportion of fast bowlers miss the championships due to injury.[1] A 2018 study on adolescent fast bowlers demonstrated tha...

Introduction: Anterior shoulder dislocations are a common injury in many sports resulting in extended time lost from play with an extremely high recurrence rate in young athletes playing high risk sport. Latarjet shoulder reconstruction is a common surgical procedure used to prevent subsequent dislocation with an expected rehabilitation timeframe...

Objectives: Sport-related concussion (SRC) can result in impaired oculomotor function. Oculomotor performance, measured utilizing the King-Devick/Eye Tracking test (K-D/ET), is reported to be able to identify sub-optimal brain function. The objectives of the study were to determine the diagnostic accuracy of the K-D/ET in identifying SRC occurring...

Objective To assess the effectiveness of heavy eccentric calf training (HECT) in comparison with natural history, traditional physiotherapy, sham interventions or other exercise interventions for improvements in pain and function in mid-portion Achilles tendinopathy. Design A systematic review and meta-analysis were conducted as per the PRISMA gui...

Introduction: Mid-portion Achilles tendinopathy (AT) is a common source of posterior ankle pain in both athletic and sedentary populations. The outcomes following a loading program have been investigated in many trials with the consensus being that loading programs are an effective treatment. However, there is little clarity on the extent of improv...

Introduction: Mid-portion Achilles tendinopathy (AT) is a common complaint for both athletes and sedentary individuals. Heavy eccentric calf training (HECT) is considered an effective intervention for mid-portion AT and is commonly used in both clinical practice and research. However, HECT is yet to be compared to natural history, traditional physi...

Introduction: Athletic groin injuries are amongst the most commonly reported injuries in Australian Football (AF), accounting for between 4 and 16% of injuries per season. Specifically, adductor-related groin pain is the most common clinical entity within these injuries. These high injury rates highlight the need for identifying risk factors for ad...

Introduction: Sport-related concussion (SRC) can result in impaired oculomotor function. Oculomotor performance, measured utilizing the King-Devick/Eye Tracking test (K-D/ET), is reported to be able to identify sub-optimal brain function. The objectives of the study were; (1) to determine the diagnostic accuracy of the K-D/ET in identifying SRC occ...

The aims of this study were to investigate the frequency, magnitude , and distribution of head impacts sustained by youth AF players over a season of games and report subjective descriptions on the mechanism-of-injury and sign and symptoms experienced. A prospective observational cohort study with participants (n = 19) (age range 13-14 yr., mean ±...

Background Mid-portion Achilles tendinopathy is prevalent within both the athletic and non-athletic populations and loading protocols for Achilles tendinopathy are effective over time, though the rate of symptom change throughout rehabilitation is unknown. Objective The objective of this study was to determine the rate of change in pain and functio...

Introduction: Alterations in tendon structure and muscle performance have been suggested as mechanisms driving improvement in pain and function with mid-portion Achilles tendinopathy (AT). However, few trials have used consistent outcome measures to track differences in muscle structure and function, tendon structure and neural and pain associated...

Background Mid-portion Achilles tendinopathy (AT) is prevalent amongst athletic and non-athletic populations with pain, stiffness and impaired function typically reported. While different management options exist, loading protocols remain the best available intervention and have been shown to be effective in the management of AT. Trials investigati...

INTRODUCTION: Management of mid-portion Achilles tendinopathy is a challenge for both clinicians and researchers. Alteration in tendon structure, muscle performance and pain processing mechanisms have been suggested as mechanisms driving improvement in pain and function. However, few trials have used consistent outcome measures to track changes in...

This study measured and compared the frequency, magnitude, and distribution of head impacts sustained by junior and adult Australian football players, respectively, and between player positions over a season of games. Twelve junior and twelve adult players were tracked using a skin-mounted impact sensor. Head impact exposure, including frequency, m...

Objectives: Sport-related concussion (SRC) research has focused on impaired oculomotor function. The King-Devick (K-D) test measures oculomotor performance and is reported to identify suboptimal brain function. The use of the K-D test in Australian football (AF), a sport involving body contact and tackling, has not been documented. Therefore, the...

The King-Devick (KD) test is an easily administered test of oculomotor function and has been shown to be impaired following traumatic head injury. The KD test appears to be a reliable and valid tool in the assessment of Sports-Related Concussion.

Background: Clinical testing to determine the presence of a cam morphology is becoming more common however the correlation between hip range of motion and the degree of cam morphology remains controversial in the literature. The prevalence of a cam morphology in athletes has been reported as higher than in the general population but the prevalence...

Introduction: While a plethora of outcome measure’s (OM’s) are available to assess the progress of midportion Achilles tendinopathy (AT) it is often the case that the measures used in research are not available to clinicians. Clinicians need to be able to choose OM’s that are valid and reliable to ensure they are getting an accurate representation...

Introduction Within an AFL season, each club will on average have up to two players experience a shoulder dislocation. For some players this is a season ending injury, at best up to 12 games missed. Latarjet reconstruction is a surgical option following dislocation, relying on stability from the transplanted coracoid process. Success rates vary fro...

A 10-year-old girl presented to the physical therapist with acute left knee pain, after sprinting that morning. She reported a pop and lateral knee pain, which caused her to stop her run. The physical therapist referred the patient for radiographs that day, which showed a possible lateral patellar avulsion. Magnetic resonance imaging was performed...

INTRODUCTION: Botulinum Toxin-A (BoNT-A) has been reported as an effective intervention for pain in functional popliteal artery entrapment syndrome (FPAES). However, the concerns with BoNT-A are decreases in strength and function due to the paralytic effects of BoNT-A. METHODS: A 22 year old elite male Australian Football player with bilateral FPA...

INTRODUCTION: Avulsions of the medial, inferior and superior patella have been reported in the paediatric population. Avulsions of the lateral aspect of the patellar have not been previously reported in the literature. A 10 year old female presented to a physiotherapist for examination immediately following an episode of acute, severe lateral knee...

INTRODUCTION: The primary objective of this review is to determine the rate of change in pain and function when performing a loading program for mid-portion Achilles tendinopathy (AT). METHODS: The PRISMA-P guidelines were followed to create this protocol. The databases PUBMED, CINAHL (Ovid) and CINAHL (EBSCO) will be searched for articles publish...

Background Botulinum Toxin-A (BoNT-A) is an effective intervention for Functional Popliteal Artery Entrapment Syndrome (FPAES) however, concerns with this intervention include reductions in strength and performance. Case report This case presents an elite male athlete with FPAES who underwent BoNT-A injection and the results of testing before and...

Protocol. The rate of improvement of pain and function in mid-portion Achilles tendinopathy with loading protocols: a systematic review and meta-analysis. PROSPERO 2017:CRD42017062737. Available from http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42017062737

A 29-year-old man experienced right shoulder pain and weakness following a forced abduction and external rotation motion performed during an Australian football game. The following morning, the sports medicine physician referred the player for magnetic resonance imaging to exclude infraspinatus rupture, given the external rotation strength deficit....

Background: Tears of the abdominal obliques have previously been reported in the vicinity of the lower ribs but they have not been reported in the vicinity of the iliac crest. The purpose of this case report is to describe the mechanism of injury and diagnosis of a distal abdominal oblique tear and subsequent rehabilitation programming. Case desc...