Stephan Milosavljevic

Stephan Milosavljevic
University of Saskatchewan | U of S · School of Physical Therapy

PhD

About

187
Publications
37,137
Reads
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2,915
Citations
Citations since 2016
63 Research Items
1937 Citations
2016201720182019202020212022050100150200250300
2016201720182019202020212022050100150200250300
2016201720182019202020212022050100150200250300
2016201720182019202020212022050100150200250300
Additional affiliations
January 2013 - present
University of Saskatchewan
Position
  • Managing Director
January 2013 - March 2016
University of Saskatchewan
Position
  • Managing Director
Education
January 2000 - May 2004
University of Otago
Field of study
  • Occupational Biomechanics

Publications

Publications (187)
Article
Full-text available
Background Breast cancer survivors may be at risk of experiencing rotator cuff disease after treatment. Biomechanical alterations following surgery potentially predispose survivors to develop this disorder. Objective To examine scapular kinematics in breast cancer survivors with and without impingement pain during an overhead reach task. Design A...
Preprint
Full-text available
Background. Detection of ankylosing spondylitis (AS) in the preclinical stage could help prevent long term morbidity in this patients’ population. The aim of this study was to examine the prevalence of active sacroiliitis in first-degree relatives of AS patients using MRI with clinical and laboratory correlations as these patients may benefit from...
Article
Full-text available
Background Walking is an easily prescribed physical activity for people with low back pain (LBP). However, the evidence for its effectiveness to improve pain and disability levels for people with chronic low back pain (CLBP) within a community setting has not been evaluated. This study evaluates the effectiveness of a clinician guided, pedometer-dr...
Article
Full-text available
Background Shoulder dysfunction is frequently experienced by survivors of breast cancer following surgery, and it is associated with both reduced ability to perform daily living tasks and decreased overall quality of life. Shoulder function is often measured with self-reported questionnaires. It is not known to what extent shoulder function has bee...
Article
Full-text available
Despite the promising impact that exoskeletons might have on reducing MSDs, on-farm investigations of exoskeletons are limited. This study explored farmers' perceptions of the feasibility and practicality of exoskeleton use in Canadian prairie grain and livestock farm operations. Fifteen farm workers (age 25–70 years) used a passive back-supporting...
Article
Background Scapular kinematics of breast cancer survivors are most often evaluated during arm elevation. However, known compensations exist during functional task performance. The purpose of this study was to determine if scapular kinematics of breast cancer survivors during arm elevation are related to scapular kinematics during functional task pe...
Article
Breast cancer survivors have known scapular kinematic alterations that may be related to the development of secondary morbidities. A measure of muscle activation would help understand the mechanisms behind potential harmful kinematics. The purpose of this study was to define muscle force strategies in breast cancer survivors. Shoulder muscle forces...
Article
Full-text available
Background As the sustainability of the agricultural workforce has been threatened by the high prevalence of back pain, developing effective interventions to reduce its burden within farming will contribute to the long‐term health and productivity of workers. Passive back‐support exoskeletons are being explored as an intervention to reduce the phy...
Article
Full-text available
Background: This research investigates the distribution of optometrists in Canada relative to population health needs and self-reported use of vision services. Methods: Optometrist locations were gathered from provincial regulatory bodies. Optometrist-to-population ratios (i.e. the number of providers per 10,000 people at the health region level...
Article
Background Frequent falls while walking among individuals with incomplete spinal cord injury may suggest impairments in reactive balance control; however, reactive balance control during walking has not been studied in this population. The objective was to compare reactive balance control with respect to changes in margin of stability, onset of arm...
Article
Background Prospective studies have described evidence about the risk of developing pregnancy-related pelvic girdle pain (PPGP) such as, parity, previous history of low back and pelvic girdle pain. No previous studies have prospectively associated PPGP with postural control. Aim This study aimed to identify postural control predictors of PPGP duri...
Article
Objectives The aim of this clustered, randomised controlled trial was to assess the effectiveness of a lumbopelvic postural feedback device for changing postural behaviour in a group of healthcare workers. We hypothesised that workers exposed to auditory postural feedback would reduce the number of times forward bending posture is adopted at work....
Preprint
Full-text available
Background: This research investigates the distribution of optometrists in Canada relative to population health needs and self-reported use of vision care services. Methods: Optometrist locations were gathered from provincial regulatory bodies. A geocoding approach converted descriptive data into geographic coordinates. Utilizationof vision care se...
Preprint
Full-text available
Background: This research investigates the distribution of optometrists in Canada relative to population health needs and self-reported use of vision care services. Methods: Optometrist locations were gathered from provincial regulatory bodies. A geocoding approach converted descriptive data into geographic coordinates. Utilizationof vision care se...
Article
Background: Physical activity (PA) is considered the most important non-pharmaceutical intervention for persons living with multiple sclerosis (PwMS). Less than 20% of PwMS are engaging in sufficient amounts of PA to accrue benefits. PA promotion is most effective when combined with additional behavior change strategies (BCS), but this is not routi...
Preprint
Background This research investigates the distribution of optometrists in Canada relative to population health needs and self-reported use of vision care services with a focus on identifying variation and poorly served health regions in order to gain a clearer understanding of geographic proximity of optometry services. Methods Optometrist location...
Preprint
Full-text available
Background: This research investigates the distribution of optometrists in Canada relative to population health needs and self-reported use of vision services. Methods: Optometrist locations were gathered from provincial regulatory bodies. Optometrist-to-population ratios (i.e. the number of providers per 10,000 people at the health region level) w...
Preprint
Full-text available
Background: This research investigates the distribution of optometrists in Canada relative to population health needs and self-reported use of vision services. Methods: Optometrist locations were gathered from provincial regulatory bodies. Optometrist-to-population ratios (i.e. the number of providers per 10,000 people at the health region level) w...
Article
Background: Breast cancer survivors may encounter upper limb morbidities post-surgery. It is currently unclear how these impairments affect arm kinematics, particularly during functional task performance. This investigation examined upper body kinematics during functional tasks for breast cancer survivors and an age-matched control group. Methods...
Conference Paper
Full-text available
A field study evaluating the use of a passive exoskeleton as potential intervention for mitigating low back pain risk factors in farmers Back pain risk factors of bending and manual lifting are typical in agriculture. When it is not possible to modify tasks, wearable supportive exoskeletons may reduce back pain risk. This study evaluated exoskeleto...
Article
Background: Visual estimation is still widely used by physiotherapists in clinical practice. The accuracy and reliability of visual estimation are under question and vary with the joint being evaluated. The utility of using visual estimation to evaluate shoulder angular posture is inconclusive and has yet to be evaluated across a comprehensive rang...
Article
Full-text available
Background: The spatial arrangement of primary health care (PHC) services is influenced by many factors and varies across provider types. In Canada, unlike physician services, certain PHC services (i.e., dentistry, physiotherapy) are not fully funded under the health care system. As a result, one might expect the arrangement of these services to di...
Conference Paper
INTRODUCTION: Earlier identification of spondyloarthritis using diverse clinical measures presents an opportunity to initiate earlier therapy, reduce potential future disability, and potentially reduce diagnostic costs. The Assessment of Spondyloarthritis International Society has developed widely-endorsed criteria for identifying and classifying a...
Article
Full-text available
Purpose: In this cross-sectional study, we examined the distribution of physiotherapists at the health region level across Canada in relation to self-reported physiotherapy use across the provinces and territories. Method: We drew on two data sources: the physiotherapy use question from the 2014 Canadian Community Health Survey and physiotherapist...
Article
Aim Magnetic resonance imaging (MRI) can be used to identify sacroiliac joint (SIJ) inflammation and provide an earlier diagnosis of nonradiographic axial spondyloarthritis (nrAxSpA). However, MRI is frequently a resource‐limited examination. Our aim was to assess if a set of physical clinical tests can identify SIJ inflammation in patients with nr...
Article
Full-text available
Introduction: The acromion marker cluster (AMC) is a non-invasive scapular motion tracking method. However, it lacks testing in clinical populations, where unique challenges may present. This investigation resolved the utility of the AMC approach in a compromised clinical population. Methods: The upper body of breast cancer survivors (BCS) and c...
Conference Paper
Full-text available
Abstract: Sport activities could improve balance dependent performance of motor tasks. Basketballs influence, on the balance measures by foot zones, is not investigated enough. We aimed to determine the redistribution of balance parameters before and following a basketball training. In 13 right-handed players, 16.0 ± 2.8 years old, a RSscan podomet...
Article
Initiatives to increase physical activity (PA) are most effective when combined with behavior change strategies (BCS). However, this is not routinely done and perhaps can be attributed to health care professionals’ (HCP) lack of confidence and understanding of how to best apply BCS. This review aimed to identify and synthesize the existing literatu...
Article
Purpose: Rural and remote Saskatchewan has a shortage of physiotherapists. Positive student experiences in rural and remote communities may influence whether graduates choose to work in these settings. The intention of the first full-time, 4-week clinical placement (CP) in the Master of Physical Therapy programme at the University of Saskatchewan i...
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
Full-text available
We report and discuss the findings of a survey of a range of health care providers serving hauä (disabled) Mäori in the Murihiku (Southland) region of Aotearoa New Zealand. To explore hauä Mäori access to health services, we used a mixed methods approach beginning with a quantitative survey and followed by qualitative interviews. Twenty-nine (58%)...
Article
Objectives: Although musculoskeletal disorders of the low back have been linked to excessive whole body vibration during vehicle use, there is a need to explore head/neck vibration in occupational environments. Resonant frequencies may amplify vibration transmitted to the head/neck and increase risk of musculoskeletal disorders. Methods: An observ...
Article
Background: Ambulatory individuals with incomplete spinal cord injury (iSCI) experience frequent falls suggesting impairments in their balance control. Individuals with iSCI are more stable during normal walking as compared to able-bodied individuals; however, it is not known whether this increased stability helps prevent hazardous slips. Objecti...
Article
Full-text available
Background: Exposure to whole body vibration (WBV) is common in construction, agriculture, mining, and transportation. There is strong epidemiological evidence linking WBV with adverse health outcomes in the long-term, including low back pain. Fortunately, WBV exposure guidelines to prevent long-term musculoskeletal disorders and discomfort exist....
Article
Full-text available
Introduction Low back pain is the greatest cause of years lived with disability worldwide and is linked with high societal and economic burden. Neuromuscular control impairments are a common clinical presentation in patients with non-specific low back pain. Musculoskeletal physiotherapists commonly use feedback as a part of the management of low ba...
Article
Full-text available
Introduction Permanent functional impairment (PFI) of the spine is a rating system used by compensation authorities, such as workers compensation boards, to establish an appropriate level of financial compensation for persistent loss of function. Determination of PFI of the spine is commonly based on the assessment of spinal movement combined with...
Article
Full-text available
Many occupations in agriculture, construction, transportation, and forestry are non-routine, involving non-cyclical tasks, both discretionary and non-discretionary work breaks, and a mix of work activities. Workers in these industries are exposed to seated whole body vibration (WBV) and tasks consisting of physical, mental, or a combination of dema...
Article
Full-text available
Intensification of modern swine production has led to many new technologies, including needleless injectors. Although needleless injectors may increase productivity (by reducing injection time) and reduce needlestick injuries, the effect on risk for musculoskeletal disorders is not clear. This project will compare conventional needles with needlele...
Article
Equitable access and distribution of health care services for rural and remote populations is a substantial challenge for health workforce planners and policy makers. Geospatial examination of access to health care considers both need and supply dimensions together to determine spatial access scores which contribute to a greater understanding of po...
Article
Full-text available
Cluster randomized controlled trials (cRCTs) are commonly used by clinical researchers. The advantages of cRCTs include preventing treatment contamination, enhancing administrative efficiency, convenience, external validity, ethical considerations, and likelihood of increased compliance by participants. However, when designing a cRCT, clinical rese...
Article
Background: Decreased shoulder function is frequently experienced by breast cancer survivors following surgery, and it is associated with both decreased ability to perform daily living tasks and decreased overall quality of life, even several years post-surgery. Shoulder function is often measured with self-reported questionnaires. If objective mea...
Article
Full-text available
Purpose: All-terrain vehicles (ATV's) are a hazardous source of injury in many contexts and geographical regions, but to date have not been investigated in Saskatchewan. Methods: Baseline surveys from the Saskatchewan Farm Injury Project were examined at two time points in terms of: 1) rates and correlated characteristics of reported ATV use; an...
Article
Plantar centre of pressure (COP) variables during gait have been used to predict risk of injury, or consequences thereof. The aim of this study was to determine the effect of age on the COP trajectory during barefoot gait at a self-selected speed. 287 participants (aged 18 to 80 year, 163 women) walked barefoot at self-selected speed across a Foots...
Article
This research is focused on methodological challenges and considerations associated with the estimation of the geographical aspects of access to healthcare with a focus on rural and remote areas. With the assumption that GIS-based accessibility measures for rural healthcare services will vary across geographic units of analysis and estimation techn...
Article
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Direct workplace whole-body vibration exposure assessment provides ecological validity for evaluating health risk in epidemiological studies, yet it is complex and expensive in practical applications. Exposure prediction modeling could be a cost-efficient alternative to directly assessing occupational vibration exposures. The objective of this stud...
Article
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Introduction Low back pain (LBP) is the most common, costly and disabling musculoskeletal disorder worldwide, and is prevalent in healthcare workers. Posture is a modifiable risk factor for LBP shown to reduce the prevalence of LBP. Our feasibility research suggests that postural feedback might help healthcare workers avoid hazardous postures. The...
Article
Full-text available
Background: Chronic low back disorders (CLBDs) are a substantial burden on individuals and societies, and impact up to 20% of Canadians. Rural and remote residents are approximately 30% more likely to have CLBDs. Reduced access to appropriate team-based health services, including physical therapy, is a key factor that may magnify the impact of CLBD...
Article
Full-text available
Whole body vibration is a significant physical risk factor associated with low back pain. This study assessed farmers’ exposure to whole body vibration on the Canadian Prairies according to ISO 2631-1. Eighty-seven vibration measurements were collected with a triaxial accelerometer embedded in a rubber seat pad at the operator-seat interface of agr...
Article
Full-text available
Purpose: This research examined the association between the distribution of physiotherapists in Saskatchewan relative to population health characteristics and self-reported physiotherapy use. Methods: Using a cross-sectional design, de-identified data were collected from the 2013 Saskatchewan College of Physical Therapy membership renewals (n =643)...
Article
Postural adjustment evaluations during single leg lift requires the initiation of heel lift (T1) identification. T1 measured by means of motion analyses system is the most reliable approach. However, this method involves considerable workspace, expensive cameras, and time processing data and setting up laboratory. The use of ground reaction forces...
Article
Electromagnetic palpation-digitization technique for measurement of innominate motion involves calculation of innominate rotation using the innominate vector length in the neutral (NEUT) and combined hip abduction and external rotation (HABER) test positions. The innominate vector length [i.e., the segment between anterior superior iliac spine (ASI...
Article
Full-text available
Whole body vibration (WBV) exposure is recognised as a risk factor to the high prevalence of spinal musculoskeletal disorders (MSDs) experienced by farmers. The purpose of this study was to identify self-reported predictors that could be used to develop statistical models for WBV exposure (expressed as A8rms and VDV) in farmers operating agricultur...
Article
Full-text available
Background Low back pain is highly prevalent and a significant public health burden in Western society. Feasibility studies suggest personalised pedometer-driven walking is an acceptable and effective motivating tool in the management of chronic low back pain (CLBP ≥ 12 weeks). The proposed study will investigate pedometer-driven walking as a low c...
Article
This study set out to investigate differences in geographic accessibility to community-based physiotherapists (PTs) and family physicians (FPs), identify poorly served communities across Saskatchewan, and explore the association of health service provider distribution with population health characteristics. A cross-sectional GIS-based approach exam...
Article
Full-text available
Objective: To qualitatively explore how farmers perceive personal risk of an occupational quad-bike incident and develop a model of the factors that modify this perception. Methods: Grounded theory methods were used to inform data collection and analysis. Semi-structured interviews were undertaken with eight New Zealand livestock farmers. Interv...