
Rana S HinmanUniversity of Melbourne | MSD · Department of Physiotherapy
Rana S Hinman
BPhysio(Hons), PhD
About
520
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Introduction
Skills and Expertise
Additional affiliations
March 2003 - present
Publications
Publications (520)
Introduction
Persistent knee pain often due to knee osteoarthritis (OA) is a highly prevalent and disabling condition. Electronic‐rehabilitation (e‐rehab) programmes have the potential to support self‐management of knee OA. This study aimed to evaluate user engagement and acceptability of two e‐rehab programmes, Group e‐rehab, a remote physiotherap...
Esta ponencia es una actualización a la declaración de consenso existente y tiene como meta a todos los profesionales de la salud que manejan personas con osteoartritis de rodilla o cadera. Sintetiza la evidencia más reciente para el ejercicio en estos pacientes, enfocándose en pautas clínicas y revisiones sistemáticas; además, ofrece guía para los...
Background:
Knee osteoarthritis (OA) is a major public health issue causing chronic pain, impaired physical function, and reduced quality of life. As there is no cure, self-management of symptoms via exercise is recommended by all current international clinical guidelines. This review updates one published in 2015.
Objectives:
We aimed to assess...
Objective
We wanted to determine if higher compliance with American College of Sports Medicine (ACSM) exercise prescription guidelines influences exercise outcomes in knee osteoarthritis (OA).
Methods
We conducted a systematic review. We searched the Cochrane Central Register of Controlled Trials, MEDLINE, and Embase up to January 4, 2024, for ran...
Background
Knee osteoarthritis (OA) is a leading contributor to global disability, with exercise proven to be an effective treatment. Tai Chi is a recommended type of exercise, but it is primarily done in person which imposes an accessibility issue. This study aims to evaluate the effects of an online unsupervised program, when provided with online...
Background
Osteoarthritis is a leading contributor to global disability. While evidence supports the effectiveness of Tai Chi in improving symptoms for people with hip/knee osteoarthritis, access to in-person Tai Chi classes may be difficult for many people. An unsupervised online Tai Chi intervention for people with osteoarthritis can help overcom...
Background
Accessing peer support can be difficult for people with, or carers of people with, inherited intellectual disabilities. One way to improve access is to provide services online, yet few studies have explored people's experiences with online peer support programmes. We aimed to explore experiences with such programmes for communities affec...
Objective
Explore the experiences of people with knee osteoarthritis (OA) who received a very low energy diet (VLED) and exercise program from a physiotherapist.
Methods
Mixed methods study involving questionnaires (n = 42) and semistructured interviews (n = 22) with randomized control trial participants with knee OA who had received a 6‐month phy...
Background
There is a need to increase the capacity and capability of musculoskeletal researchers to design, conduct, and report high-quality clinical trials. The objective of this study was to identify and prioritise clinical trial learning needs of musculoskeletal researchers in Australia and Aotearoa New Zealand. Findings will be used to inform...
OBJECTIVE: To explore: i) initial feelings of people with knee osteoarthritis who are unexpectedly offered telerehabilitation, and; ii) if their experiences met their expectations, and their willingness to use telerehabilitation in the future.
DESIGN: Mixed-methods study of 122 people with knee osteoarthritis who were randomised to receive physioth...
Objectives
Exploring (1) pre-exercise and acute movement-evoked pain (AMEP) during an outdoor walking program in individuals with knee osteoarthritis (OA); and (2) comparing baseline physical performance and AMEP flares initiated by walking between participants with either a higher or lower attendance rate.
Methods
Individuals with knee OA were pr...
Background
To identify and prioritise clinical trial learning needs of musculoskeletal researchers in Australia and Aotearoa New Zealand, to inform development of an e-learning musculoskeletal clinical trials course.
Methods
A two-round online Delphi study was conducted with an inter-disciplinary panel of musculoskeletal researchers from Australia...
Objectives
To determine if physiotherapists can deliver a clinically effective very low energy diet (VLED) supplementary to exercise in people with knee osteoarthritis (OA) and overweight or obesity.
Methods
88 participants with knee OA and body mass index (BMI) >27 kg/m ² were randomised to either intervention (n=42: VLED including two daily meal...
Background
Knee osteoarthritis (OA) is a leading contributor to global disability, with exercise proven to be an effective treatment. Tai Chi is a recommended type of exercise, but it is primarily done in person which imposes an accessibility issue, especially in regional/rural areas. To improve access, we rigorously developed an online unsupervise...
Background
Hip osteoarthritis (OA) is a leading cause of chronic pain and disability worldwide. Self-management is vital with education, exercise and weight loss core recommended treatments. However, evidence-practice gaps exist, and service models that increase patient accessibility to clinicians who can support lifestyle management are needed. Th...
Objective
Our objective was to examine referral patterns for people with musculoskeletal complaints presenting to Australian general practitioners (GPs).
Methods
This longitudinal analysis from the Population Level Analysis Reporting (POLAR) database includes 133,279 patients with low back (≥18 years old) or neck, shoulder, and/or knee (≥45 years...
BACKGROUND
Mobile health interventions delivered through mobile applications (apps), are increasingly used in physiotherapy care. This may be because of the potential of apps to facilitate changes in behavior, which is central to the aims of care delivered by physiotherapists. A benefit of using apps is their ability to incorporate behavior change...
Background
Mobile health interventions delivered through mobile apps are increasingly used in physiotherapy care. This may be because of the potential of apps to facilitate changes in behavior, which is central to the aims of care delivered by physiotherapists. A benefit of using apps is their ability to incorporate behavior change techniques (BCTs...
Background
Hip osteoarthritis (OA) is a leading global cause of chronic pain and disability. Given there is no cure for OA, patient self management is vital with education and exercise being core recommended treatments. However, there is under-utilisation of these treatments due to a range of clinician and patient factors. Innovative service models...
Background
Patient attitudes towards telerehabilitation have been explored in condition-specific cohorts. However, less is known about how patients perceive generic group telerehabilitation programmes for a range of chronic conditions. The aim of this research is to explore the attitudes of people with a range of chronic health conditions towards g...
Introduction
Quality training and mentoring are crucial components of successful career development for early mid career researchers (EMCRs). This paper describes the overarching framework of novel ongoing national Training and Mentoring Programme Melbourne University Sydney Queensland:Impact (MUSQ:Impact) for musculoskeletal researchers, including...
OBJECTIVES: To compare the effects of diagnostic labels and their explanations on people’s beliefs about managing hip pain.
DESIGN: Online randomized controlled trial involving 626 participants.
METHODS: Participants aged ≥45 years with and without hip pain considered a hypothetical scenario (initial doctor consultation for hip pain). They were ran...
Background
Telehealth has emerged as an alternative model for treatment delivery and has become an important component of health service delivery. However, there is inconsistency in the use of terminologies and a lack of research priorities in telehealth in musculoskeletal pain. The purpose of this international, multidisciplinary expert panel asse...
Objective
The Joint Effort Initiative (JEI) is an international collaboration of clinicians, researchers, and consumer organisations with a shared vision of improving the implementation of osteoarthritis management programs (OAMPs). This study aimed to identify JEI's future priorities and guide direction.
Design
A two-part international survey to...
Objective:
The study explores the attitudes of people with chronic health conditions towards the use of group-based telerehabilitation.
Design:
A qualitative research study.
Setting:
The setting involved semi-structured focus groups via videoconferencing software.
Participants:
A purposive sample of 18 people with chronic health conditions i...
Introduction
To explore physiotherapist and patient experiences with, and acceptability of, a 12‐week physiotherapist‐guided combined strength and aerobic physical activity exercise programme for hip osteoarthritis (OA).
Methods
A qualitative study using semi‐structured interviews with 13 people with hip OA and four physiotherapists. Patients unde...
Objective:
To develop a Consumer Involvement Strategy which adheres to best practice recommendations and is feasible to implement in a small musculoskeletal research centre funded solely by external grants.
Methods:
The Strategy development involved five collaborative and iterative stages: (1) conceptualisation and initial consultation; (2) form...
Objectives:
To describe adherence to a 12-week web-based aerobic exercise programme, to compare characteristics between those who adhere or not, and to identify barriers for exercising in patients with hip or knee osteoarthritis.
Design:
Single-arm feasibility study.
Subjects:
Patients with hip or knee osteoarthritis in specialist healthcare,...
Background: Hip osteoarthritis (OA) is a leading global cause of chronic pain and disability. Given there is no cure for OA, patient self management is vital with education and exercise being core recommended treatments. However, there is under-utilisation of these treatments due to a range of clinician and patient factors. Innovative service model...
Background:
Hip osteoarthritis (OA) is a leading cause of chronic pain and disability worldwide. Self-management is vital with education, exercise and weight loss core recommended treatments. However, evidence-practice gaps exist, and service models that increase patient accessibility to clinicians who can support lifestyle management are needed....
Objective
To explore the mediators of effects of two 6‐month telehealth‐delivered exercise programs, including exercise with and without weight‐loss diet, on pain and function improvements in knee osteoarthritis (OA).
Methods
Secondary analysis of 345 participants from a 3‐arm randomized controlled trial of exercise (Exercise program) and exercise...
Objectives:
Evaluate if non-elite netballers sought health care, treatments received, and return-to-play decisions after an ankle sprain, including intercountry differences.
Design:
Cross-sectional survey.
Methods:
Non-elite netballers aged >14 years were recruited from Australia, United Kingdom, and New Zealand. Participants completed an onli...
Control interventions (often called “sham,” “placebo,” or “attention controls”) are essential for studying the efficacy or mechanism of physical, psychological, and self-management interventions in clinical trials. This article presents core recommendations for designing, conducting, and reporting control interventions to establish a quality standa...
Control interventions (often called “sham,” “placebo,” or “attention controls”) are essential for studying the efficacy or mechanism of physical, psychological, and self-management interventions in clinical trials. This article presents core recommendations for designing, conducting, and reporting control interventions to establish a quality standa...
Background
Osteoarthritis (OA) is a prevalent, chronic joint condition that commonly affects the knee and hip causing pain, impaired function, and reduced quality of life. As there is no cure, the main goal of treatment is to alleviate symptoms via ongoing self-management predominantly consisting of exercise and weight loss (if indicated). However,...
Objective
To explore experiences maintaining weight loss 6 months after completing a multicomponent weight loss programme for knee osteoarthritis.
Design
Qualitative study based on an interpretivist paradigm and a phenomenological approach that was embedded within a randomised controlled trial.
Setting
Semistructured interviews were conducted wit...
Introduction:
Clinicians often report technical issues as a barrier to adopting videoconferencing service models. This descriptive study nested within a randomised controlled trial investigated the frequency, nature and impact of technical issues during video consultations.
Methods:
Physiotherapists (n = 15) underwent training to deliver knee os...
Background and aims
High quality clinical research that addresses important questions requires significant resources. In resource-constrained environments, projects will therefore need to be prioritized. The Australia and New Zealand Musculoskeletal (ANZMUSC) Clinical Trials Network aimed to develop a stakeholder-based, transparent, easily implemen...
Purpose of review
There is increasing recognition that virtual tools, enabled by the internet and telecommunications technology, can increase access to health care. We review evidence about the clinical effectiveness and acceptability of telephone-delivered and videoconferencing clinician consultations, websites and internet-delivered programs, and...
Objective
To evaluate the effects of biomechanical foot-based interventions (eg, footwear, insoles, taping and bracing on the foot) on patellofemoral loads during walking, running or walking and running combined in adults with and without patellofemoral pain or osteoarthritis.
Design
Systematic review with meta-analysis.
Data sources
MEDLINE, CIN...
Objectives:
Using a case vignette of an adult (George) presenting with hip pain consistent with hip OA, this study aimed to describe: (a) whether physiotherapists make diagnoses and identify bodily structures using either patient history and/or physical examination findings; (b) which diagnoses and bodily structures physiotherapists attribute to t...
Objective:
To develop sets of core and optional recommended domains for describing and evaluating Osteoarthritis Management Programs (OAMPs), with a focus on hip and knee OA.
Design:
We conducted a 3-round modified Delphi survey involving an international group of researchers, health professionals, health administrators and people with OA. In Ro...
Background:
Chronic hip pain is common and disabling and is largely due to osteoarthritis (OA). Self-management is recommended by international OA clinical guidelines yet there are few effective treatment options. Footwear has been suggested as a self-management approach, given that foot motion influences hip forces. Currently, guidelines advocate...
Objective
To compare the perceptions of patients about why they did, or did not, respond to a physical therapist–supported exercise and physical activity program.
Methods
This was a qualitative study within a randomized controlled trial. Twenty‐six participants (of 40 invited) with knee osteoarthritis sampled according to response (n = 12 responde...
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...
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...
Objective
To evaluate the effectiveness and health costs of a new primary care service delivery model (the Optimising Primary Care Management of Knee Osteoarthritis [PARTNER] model) to improve health outcomes for patients with knee osteoarthritis (OA) compared to usual care.
Methods
This study was a 2‐arm, cluster, superiority, randomized controll...
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...
Objective
To evaluate effects of an online education program about weight management for osteoarthritis on physical therapists' self‐reported confidence in knowledge and skills in weight management and attitudes toward obesity.
Methods
In a 2‐group randomized controlled trial, 80 physical therapists (58 female physical therapists) were randomized...
OBJECTIVE: Compare the effects of osteoarthritis information, with or without pathoanatomical content, on people's beliefs about managing osteoarthritis.
DESIGN: Online randomized controlled trial involving 556 participants.
METHODS: Participants considered a hypothetical scenario where their doctor informed them that they had knee osteoarthritis....
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...
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...
Objective:
Accurate knowledge is central to effective self-care of osteoarthritis (OA). This study aimed to assess the measurement properties of the Osteoarthritis Knowledge Scale (OAKS) with versions for the hip and knee.
Methods:
Participants with hip OA (n = 144), knee OA (n = 327), and no OA (n = 735) were recruited. Rasch analysis was condu...
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...
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 Climb...
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...
Objective
Nonsurgical 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 nonsurgical interventions on pain and physical function have been evaluated and 2) summarize the findin...