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S. John Sullivan

S. John Sullivan

PhD, MSc, DipPhEd

About

203
Publications
75,620
Reads
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5,955
Citations
Citations since 2016
40 Research Items
3535 Citations
20162017201820192020202120220100200300400500600
20162017201820192020202120220100200300400500600
20162017201820192020202120220100200300400500600
20162017201820192020202120220100200300400500600
Introduction
Skills and Expertise
Additional affiliations
January 1997 - December 2019
The University of Otago
Position
  • Retired
January 1989 - November 1996
Université de Montréal
January 1980 - December 1996
Concordia University Montreal

Publications

Publications (203)
Article
New Zealand Rugby (NZR) implemented a concussion management pathway (CMP), aimed at improving management at community level. General Practitioners (GPs) played a large role in the design of this process. The objective of this study was to explore GPs' perceptions of barriers and facilitators of the CMP and rugby-related concussion management in the...
Article
Primary objective: To describe the collaborative development of a New Zealand Rugby Concussion Assessment (NZRCA) for primary care and to provide normative baseline data from a representative group of high school rugby players. Methods: This study, conducted over the 2018 and 2019 community rugby season where players were baseline tested during...
Article
Rugby union is a popular team sport, with a high rate of concussions. In adolescents, concussions are further complicated by issues of under-reporting. To encourage more responsible concussion behaviours, it is imperative to understand the factors that influence youth players’ behaviours, including the attitudes and behaviours of their coaches and...
Article
Objectives Pregnancy-related pelvic girdle pain (PPGP) contributes to significant prenatal and postpartum impairments; however, various clinical practices exist around the conservative treatment of this condition. This study sought to reach a consensus on the essential components of PPGP management through an international Delphi survey of experts...
Article
In rugby union concussions are a player welfare concern, particularly in the community game where there is often minimal sideline medical support. New Zealand Rugby (NZR) has three primary goals around the management of concussions in the community game: (1) players with a suspected concussion are removed from the game or training; (2) players are...
Article
The aim of this study was to evaluate New Zealand high school rugby union players’ and community coaches’ concussion knowledge (CK), concussion attitude (CA) and concussion reporting intentions (CRI) and to explore the impact gender, age, ethnicity, socio-economic status, experience, and concussion history had on these outcome measures. This crosss...
Article
The purpose of this study was to survey high school rugby players from a range of ethnic, geographic and socioeconomic backgrounds in New Zealand (NZ) to gain an understanding of concussion knowledge, awareness of NZ Rugby’s (NZR) guidelines and attitudes towards reporting behaviours. Male and female high school rugby players (n= 416) from across N...
Article
Background The Sport Concussion Assessment Tool (SCAT) and Child SCAT are the ‘gold standard’ assessment tools for a suspected sport-related concussion (SRC). A number of ‘modifiers’ (eg, previous history of concussion) of a SRC have been identified. These may influence how the SCAT/Child SCAT results should be interpreted. Objectives To achieve c...
Article
Rugby union (rugby) is a popular full-contact team sport played by 8.5 million individuals in 121 countries across the globe (https://www.world.rugby/development/player-numbers). In New Zealand (NZ), rugby is played by 157,218 individuals, and engages all genders, ethnicities, and socioeconomic diversities throughout the population. A key focus of...
Article
Purpose: This cohort study investigated changes in physical activity, community mobility and social participation following the first-time purchase of a mobility scooter. Methods: A national sample of persons aged 65+ years was surveyed using customized semi-structured interviews that explored changes in physical activity via the International Phys...
Article
Full-text available
Balance has been explored as risk or consequence of various musculoskeletal injuries and falls. However, the influence of footwear on variables of dynamic balance are not well understood. The aim of this study was to (1) compare dynamic postural stability barefoot to personal well-used footwear and (2) determine the influence of footwear mediolater...
Article
Objectives: (1) To develop a checklist to assess the representation of biopsychosocial lower back pain (LBP) online information; (2) to analyse publicly accessed online LBP information from a Google search for the degree that psychosocial contributors are described alongside the traditional biomedical approach to explaining LBP; (3) whether websit...
Article
Objectives: To survey potential stakeholders to obtain information relevant to the production of a video on teaching acupressure for sports injury management, and gain feedback from potential users on the prototype video. Design: Focus groups and online survey methods nested within a knowledge translation framework. Participants: Four focus gr...
Article
The Concussion Recognition Tool 5 (CRT5) is the most recent revision of the Pocket Sport Concussion Assessment Tool 2 that was initially introduced by the Concussion in Sport Group in 2005. The CRT5 is designed to assist non-medically trained individuals to recognise the signs and symptoms of possible sport-related concussion and provides guidance...
Article
Objective The Northland (New Zealand) Rugby Union developed an innovative concussion recognition and management programme (Blue Card) as part of its player welfare responsibilities for club (community) players. The referee is empowered to issue a Blue Card (BC) to any player they suspect of being concussed, thus removing them from the game. The pur...
Article
Objective To examine the self-reported concussion symptoms provoked with a controlled sub-maximal exercise protocol, incorporating a cognitive load, in athletes recovering from a sports-related concussion. Design A three group repeated measures study with follow-up. Setting University laboratory. Participants University aged athletes (12 males,...
Article
Objectives Several iterations of the Sport Concussion Assessment Tool (SCAT) have been published over the past 16 years. Our goal was to systematically review the literature related to the SCAT and provide recommendations for improving the tool. To achieve this goal, five separate but related searches were conducted and presented herein. Design Sy...
Article
Objective The tackle is a key component in rugby union and carries some of the highest risk for concussions. The purpose this study was to observe the acceleration profile of the head during a simulated tackle and to determine if these forces vary by playing position. Design Observational. Setting Laboratory. Participants Male rugby players (n=4...
Article
Full-text available
This paper presents the Sport Concussion Assessment Tool 5th Edition (SCAT5), which is the most recent revision of a sport concussion evaluation tool for use by healthcare professionals in the acute evaluation of suspected concussion. The revision of the SCAT3 (first published in 2013) culminated in the SCAT5. The revision was based on a systematic...
Article
This paper presents the Sport Concussion Assessment Tool 5th Edition (SCAT5), which is the most recent revision of a sport concussion evaluation tool for use by healthcare professionals in the acute evaluation of suspected concussion. The revision of the SCAT3 (first published in 2013) culminated in the SCAT5. The revision was based on a systematic...
Article
The Concussion Recognition Tool 5 (CRT5) is the most recent revision of the Pocket Sport Concussion Assessment Tool 2 that was initially introduced by the Concussion in Sport Group in 2005. The CRT5 is designed to assist non-medically trained individuals to recognise the signs and symptoms of possible sport-related concussion and provides guidance...
Article
Full-text available
Background: Neck strength has been reported to reduce the incidence of concussions and neck injuries. However little is known about how neck strength changes over a playing season. Aim: To understand the impact a 20-week rugby season has on neck strength, neck pain (NP) and neck stiffness (NS) in a cohort of rugby players, relative to a non-cont...
Article
Context: Sport concussion is currently the focus of much international attention. Innovative methods to assist athletic trainers in facilitating management after this injury need to be investigated. Objective: To investigate the feasibility of using a Facebook concussion-management program termed iCon (interactive concussion management) to facil...
Article
Full-text available
Background/aim Concussion guidelines exist for multiple community sports. Parents are key stakeholders in guideline implementation and in appropriate responses following concussive injury. The purpose of this qualitative investigation was to understand how parents of community-level Australian Football (AF) players experience and perceive concussio...
Article
Aim: This paper aims to systematically review studies investigating the strength of association between FMS composite scores and subsequent risk of injury, taking into account both methodological quality and clinical and methodological diversity. Design: Systematic review with meta-analysis. Data sources: A systematic search of electronic data...
Article
Context: Sport concussion is currently the focus of much international attention. Innovative methods to assist athletic trainers in facilitating management after this injury need to be investigated. Objective: To investigate the feasibility of using a Facebook concussion-management program termed iCon (interactive concussion management) to facil...
Article
Full-text available
Neck strengthening has been postulated to potentially reduce the incidence/severity of concussions and neck injuries in collision based sports. A quick and reliable method to assess neck strength would permit identification of those at risk and tracking of progress following injury. The purpose of this study was to determine if neck strength could...
Presentation
Introduction: Lower back pain (LBP) is a leading global burden, causing the most global disability of any condition. Education is a critical aspect to LBP management, therefore, it seems reasonable to suggest that increased access to health information could aid in the management of such a burden. An understanding of current online LBP information...
Article
Background: Symptoms related to concussion are generally found to be non-specific in nature as they are also reported by non-concussed individuals. What is currently not known is whether the symptoms vary over time, and whether they are also influenced by a multitude of factors. Objective: To investigate the potential influence of psychological,...
Article
The purposes of this study were (a) to determine the reliable change in post‐concussion‐like symptoms reported following self‐selected exercise or sports activities and (b) to explore the potential influence of gender and exercise parameters on post‐concussion‐like symptoms reported by a non‐concussed cohort following exercise/training. A pre‐to‐po...
Article
Full-text available
Background Preventing concussion in sport is a global challenge. To assess community-level adult male Australian Football players’ views on following the Australian Football League's (AFL) concussion guidelines. Methods 3 focus groups, each comprising 6 players from 1 regional league, were conducted until saturation of issues raised. Discussions f...
Article
Primary objective: To explore the change (trend) in post-concussion-like symptoms reported over time. Research design: Longitudinal study. Methods and procedures: University students aged 18–30 years self-reported their symptoms experienced on a daily basis. Each participant was contacted via a text message each day during one of three pre-defined...
Article
Objectives: Injuries are a common consequence of sports and recreational activity. The optimal management of symptoms is a crucial element of sports injury management. Acupressure has previously been shown to effectively decrease symptoms of musculoskeletal injury, thus may be considered a potentially useful intervention in the management of sport...
Article
Self-reported symptoms are an integral part of the assessment and management of a sports-related concussion. However, postconcussion-like symptoms are reported by non-concussed individuals. Moreover, the current best practice in the reporting of symptoms does not take into account the potential influence of psychological and lifestyle factors. This...
Article
Several physical assessment protocols to identify intrinsic risk factors for injury aetiology related to movement quality have been described. The Functional Movement Screen (FMS) is a standardised, field-expedient test battery intended to assess movement quality and has been used clinically in preparticipation screening and in sports injury resear...
Article
Background: Driving a quad bike in a rural occupational setting is likely to expose the driver to various physical stimuli including whole-body vibration (WBV). These exposures may be linked to post-driving postural alterations which in turn could lead to an increased risk of spinal injury while undertaking manual material handling activities immed...
Article
Full-text available
Sports and exercise (SEM) clinicians need thick skin and a nimble brain to juggle the plethora of competing professional responsibilities; from athlete clinical care, to work/life pressures, all while developing professional knowledge and skills. In recent years there has also been an assertion that SEM clinicians need to develop/maintain a social...
Article
Assessment of control of posture using a task battery that represents work-related postural conditions is highly recommended for providing a comprehensive understanding of collective postural demands. However, dearth of evidence exists on the reliability of a task battery, thus precluding its use as an outcome measure in field research. This study...
Article
Objective To compare the postural control of persons with a dysvascular transtibial amputation (DA) and traumatic transtibial amputation (TA) with able-bodied adults with (ABD) and without (AB) a dysvascular condition, in altered sensory testing conditions. Design Cross-sectional study Setting: University balance clinic Participants Nine particip...
Article
Aim: The purpose of the study was to understand the typical mobility scooter rider, how they use their scooter and the role it plays in their lives. Method: A 30-item purpose designed questionnaire was used to collect data on rider demographics and mobility status, reasons for purchasing and using a mobility scooter, patterns of scooter use, and...
Article
Full-text available
The purpose of this study was to examine the reliability of repeated isometric measurements of neck strength and endurance in a simulated rugby contact posture. Data were collected from healthy active university students (n= 20) over 3 sessions. Each session consisted of a single maximal voluntary contraction (MVC) and endurance trial for extension...
Article
Full-text available
Background: Debate over footwear design and prescription is currently shaped by two opposing paradigms to which the clinician or researcher subscribes. Human structure is considered either ‘poor’ requiring intervention or ‘well-adapted’. The interventionist paradigm directs research on the effect of changing mediolateral footwear bias either within...
Article
Objectives To explore whether an exercise protocol, alone and in combination with two selected cognitive tasks related to working memory, provokes postconcussion-like symptoms in healthy individuals. Design Prospective single cohort semi-randomised crossover repeated measures (time x condition) design. Method 36 healthy individuals completed thre...
Article
Mobile technologies are steadily replacing traditional assessment approaches for the recognition and assessment of a sports concussion. Their ease of access, while facilitating the early identification of a concussion, also raises issues regarding the content of the applications (apps) and their suitability for different user groups. To locate and...
Conference Paper
New Zealand Journal of Sports Medicine, 41(2), (pp. 76). [Abstract]
Article
Sporting bodies have developed guidelines for managing community-level players with suspected concussion in response to international consensus statements on concussion in sport. The purpose of this study was to examine the factors that influence the intended use of concussion guidelines among community-level coaches and sports trainers from two po...
Article
The need for accurate diagnosis and appropriate return-to-play decisions following a concussion in sports has prompted the dissemination of guidelines to assist managing this condition. This study aimed to assess whether key messages within these guidelines are reflected in the knowledge of coaches and sports trainers involved in community sport. A...
Article
Athletes suspected of being concussed are frequently evaluated on the side-line for self-reported symptoms which guide subsequent management and return-to-play decisions. Concussion-like symptoms have been shown to be influenced by prior participation in physical activity; however, the potential contribution of acute exercise on symptoms is not wel...
Article
Background and aim: Turning is an inherent problem in all lower limb amputees and more so in older dysvascular amputees. This study aimed to compare the turning performance of dysvascular amputees with that of the traumatic amputees. Technique: Six dysvascular transtibial amputees (69.83 ± 6.3 years) and six traumatic transtibial amputees (68.3...
Article
Social networking sites (SNS) are now part of everyday life, and SNSs such as Facebook, YouTube, and Twitter are among the most accessed Web sites on the Internet. Although SNSs are primarily used for staying in touch with friends and family, they are increasingly being used for health-related purposes for a variety of conditions, including concuss...
Article
Social networking sites (SNSs) are increasingly being used for health-related purposes. Many patients now use sites such as Facebook to discuss symptoms, seek support, and search for advice on health conditions, including concussion. Innovative methods of delivering health information using these technologies are starting to emerge and it is import...
Article
Background YouTube is one of the largest social networking websites, allowing users to upload and view video content that provides entertainment and conveys many messages, including those related to health conditions, such as concussion. However, little is known about the content of videos relating to concussion. Objective To identify and classify...
Article
To investigate physical therapy students' understanding of the concept of rest following a sport concussion and to ascertain if this understanding changes following a lecture based on current best practice concussion knowledge. Pre-post observational survey. University classroom setting. A cohort of 118 (40 male, 78 female) physical therapy student...
Article
Coaches play a major role in encouraging and ensuring that participants of their teams adopt appropriate safety practices. However, the extent to which the coaches undertake this role will depend upon their attitudes about injury prevention, their perceptions of what the other coaches usually do and their own beliefs about how much control they hav...
Article
Measurement of balance and postural performance that underpins activities of daily living is important in the rehabilitation of individuals with a lower limb amputation (LLA), and there are a number of methods and strategies available for this purpose. To provide an evidence-based choice of approach, this review aims to critically review the tasks...
Article
Full-text available
Systematic literature review and meta-analysis. To evaluate the diagnostic accuracy of clinical tests to identify stress fractures in the lower limb. Stress fractures are a bone-related overuse injury primarily occurring in the lower limb and commonly affecting running athletes and military personnel. Physical examination procedures and clinical te...
Conference Paper
INTRODUCTION: Vehicle induced whole-body vibration (WBV) is considered to be a risk factor for the development of low back pain (LBP). Traditionally WBV induced alterations in spinal discs were considered as the predominant cause of such LBP. However recent research demonstrates exposure to occupational WBV resulted in delayed spinal muscular respo...
Conference Paper
INTRODUCTION: The postural control (PC) of an individual can be quantified by centre of pressure (COP) displacements measured on a force platform. Evaluating different aspects of PC (static, dynamic and functional) using a battery of tasks is considered a more holistic approach than evaluating any single task. However the inherent variability of th...
Article
Background and aim: The physical asymmetries associated with a prosthesis raises the question of validity of the Sensory Organization Test (SOT) measures (equilibrium score (ES) and strategy score (SS)) in lower limb amputees. This study explores the validity of these measures in transtibial amputees by correlating with their corresponding centre...
Article
There is a paucity of information on the inter-rater reliability and predictive value of components of the neurological examination. Selected tests of upper limb motor function were studied in 34 patients with Parkinson's disease, upper motor neuron disease or cerebellar disease and in 25 control participants. Video recordings were independently ev...
Article
Objectives: The purpose of this systematic review was to determine the viability of the dual-task paradigm in the evaluation of a sports-related concussion. Design: Systematic review and meta-analysis. Methods: Eight electronic databases were searched from their inception until the 11(th) of April 2011. Studies were grouped according to their...
Article
Full-text available
Background Twitter is a rapidly growing social networking site (SNS) with approximately 124 million users worldwide. Twitter allows users to post brief messages (‘tweets’) online, on a range of everyday topics including those dealing with health and wellbeing. Currently, little is known about how tweets are used to convey information relating to sp...
Article
This study determined the effect of exercise on measures of static and dynamic balance used in the assessment of sports-related concussion (SRC). A balanced three-group cross-over randomized design was used with three levels of exercise verified by blood-lactate, heart rate and "perceived-exertion": no exercise/rest (NE), moderate-intensity exercis...
Article
Full-text available
Triceps surae and Achilles tendon injuries are frequent in sports medicine, particularly in middle-aged adults. Muscle imbalances and weakness are suggested to be involved in the etiology of these conditions, with heel-raise testing often used to assess and treat triceps surae (TS) injuries. Although heel raises are recommended with the knee straig...
Article
Full-text available
Author's Response"Differentiating the Soleus From the Gastrocnemius With the Heel Raise Test"