Myles Murphy

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

Doctor of Philosophy
Investigating and preventing the drivers of pain and impairment in people with lower-limb musculoskeletal injury.

About

101
Publications
22,992
Reads
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662
Citations
Introduction
I am a post-doctoral clinician researcher within the Edith Cowan University Nutrition and Health Innovation Research Institute. My research involves investigating the drivers of pain and impairment in people with lower-limb musculoskeletal injury and disability as well as novel neuroscience interventions to address these impairments.
Additional affiliations
February 2018 - November 2021
The University of Notre Dame Australia
Position
  • Sessional Academic
June 2019 - present
Edith Cowan University
Position
  • Research Assistant
July 2016 - present
The University of Notre Dame Australia
Position
  • PhD Student
Education
February 2015 - November 2015
Curtin University
Field of study
  • Sport Physiotherapy
February 2014 - November 2014
La Trobe University
Field of study
  • Sport Physiotherapy
February 2009 - November 2012
The University of Notre Dame Australia
Field of study
  • Physiotherapy

Publications

Publications (101)
Article
To develop a core outcome set for Achilles tendinopathy (COS-AT) for use in clinical trials we performed a five-step process including (1) a systematic review of available outcome measurement instruments, (2) an online survey on truth and feasibility of the available measurement instruments, (3) an assessment of the methodological quality of the se...
Article
Full-text available
This study examines the effects of OAE on adolescent social and emotional wellbeing and their contributors. Intervention studies (single or multi-arm) assessing the effects of OAE on wellbeing were included. Meta-analysis was conducted on outcomes of interest, and the Cochrane Risk of Bias (RoB) tool assessed RoB in multi-arm studies. Four studies...
Article
Objective There are inconsistent reports of factors relating to injury, illness and tactical performance in law enforcement recruits. Our objectives were to: (1) report physical and psychological risk factors and protective factors for injury and illness and (2) report physical and psychological risk factors and protective factors for tactical perf...
Article
Full-text available
Rehabilitative practice is often criticised for being non-individualised, monotonous and not well aligned with foundational principles that drive continued physiological adaptation(s). However, our understanding of neuromuscular physiology is rapidly increasing and the way we programme rehabilitation is improving. This viewpoint highlights some of...
Article
Full-text available
Practitioners routinely use the single leg heel raise (SLHR) to quantify calf function in healthy and injured populations. Despite this, approaches vary and the impact of cueing on SLHR performance and results interpretation in athletesis unknown. The primary aim of this study was to quantify the level of agreement of the cued versus non-cued SLHR...
Article
Objective To evaluate the construct validity (structural validity and hypothesis testing), reliability (test–retest reliability, measurement error and internal consistency) and minimal important change (MIC) of the 13-item TENDINopathy Severity assessment–Achilles (TENDINS-A). Methods Participants with Achilles pain completed an online survey incl...
Article
OBJECTIVES: To assess the relationship between injury history and persistent disability with cardiorespiratory fitness and workplace-specific functional capacity. DESIGN: Cross-sectional cohort study. METHODS: Western Australia Police Force recruits were invited to participate between January and October 2022. Participants completed an online surve...
Conference Paper
Full-text available
Introduction Quantify motor cortex descending drive and voluntary activation in people with lower-limb osteoarthritis compared to controls. Materials and Methods Systematic review and meta-analyses according to the PRISMA guidelines. Seven databases were searched until 30/12/2022. Studies assessing voluntary activation or responses to transcranial...
Conference Paper
Full-text available
Introduction We evaluated construct validity (structural validity and hypothesis-testing) and reliability (test-retest reliability, measurement error and internal consistency) of the new TENDINopathy Severity assessment-Achilles (TENDINS-A), which is the only outcome measure with adequate content validity for assessment of disability in Achilles te...
Article
OBJECTIVE: To describe and compare pain maps reported during Achilles tendon loading exercises with recall pain location, in people with pain on palpation in their Achilles tendon and tendon pathology on imaging. DESIGN: Cross-sectional analysis of baseline RCT. METHOD: Participants were recruited from a larger Achilles tendinopathy clinical trial....
Article
SYNOPSIS: JOSPT is starting 2024 on a high, with a tendinopathy-focused edition that showcases more of the high-quality tendinopathy research you know and love in systematic reviews, original research articles, a consensus paper, and editorials. As any athlete knows, a good warm-up is crucial to performing well at the main event. Here, we help you...
Article
Full-text available
Purpose The aim of the study was to quantify motor cortex descending drive and voluntary activation (VA) in people with lower-limb OA compared to controls. Methods A systematic review and meta-analysis according to the PRISMA guidelines was carried out. Seven databases were searched until 30 December 2022. Studies assessing VA or responses to tran...
Article
SYNOPSIS: The clinical and scientific understanding of tendinopathy has substantially advanced since the Fifth International Scientific Tendinopathy Symposium in 2019. This editorial aims to highlight some of the fantastic tendinopathy research from the past 5 years. We have selected what we consider the "best paper" for each year from 2019 to 2023...
Article
Full-text available
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...
Article
OBJECTIVE: To explore whether people with lower-limb tendinopathy have reduced relative conditioned pain modulation (CPM) when compared to nontendinopathy controls. DESIGN: Systematic review with individual participant data (IPD) meta-analysis. LITERATURE SEARCH: Eight databases were searched until August 29, 2022. STUDY SELECTION CRITERIA: Cross-s...
Preprint
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...
Article
Full-text available
OBJECTIVE: 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 1 round of semistructured one-on-one interview responses with professionals and patients, for initial item generation....
Article
OBJECTIVE: The validity of existing fear avoidance behavior patient-reported outcome measures (PROMs) for concussion is unknown. This study aims to (1) identify PROMs that assess fear avoidance behavior in individuals with concussion and (2) assess the measurement properties of these PROMs. DESIGN: A systematic review of outcome measurement instrum...
Article
Full-text available
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...
Article
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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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
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...
Article
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...
Preprint
Full-text available
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...
Article
Full-text available
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...
Article
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Preprint
Full-text available
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)...
Article
Full-text available
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...
Conference Paper
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...
Article
Full-text available
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...
Conference Paper
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...
Article
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...
Article
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...
Article
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...
Article
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...
Presentation
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...
Article
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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 ±...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...