Wayne Hing

Bond University · Department of Physiotherapy

Author response to the JOSPT Letter to the Editor-in-Chief "A Second Look at the Risks of Serious Adverse Events with Orthopaedic Manual Therapy, Paracetamol, and NSAID Treatment of Neck Pain" J Orthop Sports Phys Ther 2023;53(6):370–371. doi:10.2519/jospt.2023.0202-R

Synopsis: This position statement, stemming from the international IFOMPT (International Federation of Orthopaedic Manipulative Physical Therapists) cervical framework, was developed based upon the best contemporary evidence and expert opinion to assist clinicians during their clinical reasoning process when considering presentations involving the...

Background and aims: This cross-sectional international survey explored the beliefs of physiotherapists regarding the possible mechanisms of benefit of exercise for rotator cuff-related shoulder pain (RCRSP). Clinical practice guidelines recommend physiotherapists use exercise as a primary treatment to help people with RCRSP, but the explanations...

Objectives This study examined older adults’ experiences of participating in the Ballistic Exercise of the Lower Limb (BELL) trial, involving 12-weeks of group-based hardstyle kettlebell training. Methods In the BELL trial, 28 insufficiently active older adults (15 women, 13 men, 59–79 years) completed six weeks of face-to-face group training, and...

Background: Understanding the mechanical demands of an exercise and its technique increases clinical confidence when assessing the benefits and risks of a prescribed exercise. This study profiles the mechanical demands of the hardstyle kettlebell swing in novice older adults and compares peak force with kettlebell deadlifts. These data will help th...

Background The effects of hardstyle kettlebell training are frequently discussed in the strength and conditioning field, yet reference data from a proficient swing is scarce. The aim of this study was to profile the mechanical demands of a two-handed hardstyle swing performed by a Russian Kettlebell Challenge (RKC) Instructor. Methods The subject...

The global COVID-19 pandemic has initiated an immediate and rapid digital upskilling of students, academics, and professional staff to enable transitions from more traditional face-to-face (F2F) learning to remote and/or multimodal delivery methods. This chapter provides an overview of the impact of COVID-19 on accredited medicine, nursing, and all...

Background: General practitioners play a vital and increasing part in the perioperative care of patients undergoing total knee replacement (TKR). Rising obesity rates, sports-related injuries and an ageing population are likely to result in a sharp increase in TKR procedures within the next decade, combined with higher cost concerns. Rehabilitatio...

Background: The introduction of enhanced recovery pathways has demonstrated both patient and organisational benefits. However, enhanced recovery pathways implemented for total hip arthroplasty (THA) and total knee arthroplasty (TKA) vary between health-care organisations, as do their measures of success, particularly patient-related outcomes. Desp...

Background: Outcomes following anterior cruciate ligament (ACL) reconstruction are considered poor. There are many factors which may influence patient outcomes. As such, the purpose of this review was to report on the influence, barriers to and facilitators of rehabilitation adherence and participation after ACL reconstruction, providing informati...

Objectives Concussions have emerged as one of the most prevalent and controversial injuries sustained within the sporting context. The objective of this review was to determine the influence that education has on decision making concerning athlete’s return to sport following a concussion injury and if the risk is worth it in the eyes of the athlete...

Purpose: To explore the influence of education and other factors on an athlete’s decision to return to sport post-concussion injury, and whether general risk-taking tendencies are related to return to sport post-concussion decisions in these athletes. Participants and Methods: A self-administered electronic survey was designed to examine their deci...

Objectives Gradual-onset injuries associated with surfing have not previously been closely examined. This study investigated the duration, mechanisms, body locations and types of gradual-onset injuries in a sample of New Zealand surfers. Design Retrospective, cross-sectional online survey. Methods Self-identified surfers reported gradual-onset su...

Background Total Knee Arthroplasty (TKA) reduces pain and improves function in those suffering from severe osteoarthritis. A significant cost of TKA is post-acute care, however, current evidence suggests that discharge to an Inpatient Rehabilitation Facility (IRF) has inferior outcomes to home discharge, with no greater benefit in physical function...

Background Total Knee Arthroplasty (TKA) reduces pain and improves function in those suffering from severe osteoarthritis. A significant cost of TKA is post-acute care, however, current evidence suggests that discharge to an Inpatient Rehabilitation Facility (IRF) has inferior outcomes to home discharge, with no greater benefit in physical function...

Physical activity is important to prevent chronic disease and improve mental health. Physical activity education needs to be delivered in an efficient, effective and persuasive way by health professionals to increase participation. Message framing can be used to influence health decision-making and motivate behavior change. This systematic review i...

Background: A scoping review of scientific literature on the effects of kettlebell training. There are no authoritative guidelines or recommendations for using kettlebells within a primary care setting. Our review objectives were to identify the extent, range and nature of the available evidence, to report on the types of evidence currently availa...

Purpose: Given the lack of research investigating surfing and bone health, we aimed to assess the bone mineral density (BMD) of middle-aged and older surfers. Patients and methods: In a cross-sectional observational design, we compared a group of middle-aged and older surfers to a group of non-surfers, age- and sex-matched controls. Participants...

Background: Despite the routine use of physical therapy in the immediate and early postoperative phase for patients who undergo total knee replacement (TKR), there is a paucity of research into the optimal exercise protocols in both the acute inpatient setting and early period after discharge. Pedaling has often been recommended by clinicians afte...

INTRODUCTIONExternal auditory exostosis (EAE) is a benign, irreversible bony outgrowth that arises from the temporal bone. EAE projects into the external ear canal, potentially causing recurrent otitis externa and conductive hearing loss. AIMTo determine lifetime prevalence of EAE in New Zealand (NZ) surfers. METHODS This study used an online natio...

Background Total knee replacement (TKR) patients participate in early supervised exercise therapy programs, despite a lack of evidence for such programs or the optimal type, duration or frequency to provide the best clinical outcomes. As hospital stay rates decrease worldwide, the first days after joint replacement surgery are of increasing clinica...

Background: Treatment options for aortic-iliac pathology may include endovascular repair and open surgical repair. Treatment options for degenerative disc disease (DDD) are varied but commonly include anterior reconstruction. When both the aortic-iliac and spinal pathologies are significant and surgical intervention is indicated for each pathology...

Total disc arthroplasty (TDA) is effective for the treatment of lumbar degenerative disc disease (LDDD) in carefully selected patients. Studies demonstrate high patient satisfaction and improvement of outcomes compared to pre-operative status but have short follow-up or small cohort sizes. The aim of this study is to assess the short and mid-term o...

Study design: Cross-sectional, observational study. Introduction: There is little reported on the in vivo mechanics and behavior of extensor pollicis brevis (EPB) in relation to wrist position. Wrist position is known to significantly influence tendon excursion and therefore function of the digits. Ultrasound imaging (USI) can be used to assess...

Ultrasound imaging (USI) is gaining popularity as a tool for assessing nerve excursion and is becoming an important tool for the assessment and management of entrapment neuropathies. This systematic review aimed to identify current methods and report on the reliability of using USI to examine nerve excursion and identify the level of evidence suppo...

Study design: A prospective study. Objective: The aim of this study was to evaluate clinical and patient outcomes post combined total disc arthroplasty (TDA) and anterior lumbar interbody fusion (ALIF), known as hybrid surgery for the treatment of multilevel symptomatic degenerative disc disease (DDD). Summary of background data: Class I studi...

Background Stand-up paddle boarding (SUP) is a recreational activity and sport that has grown exponentially, with participation increasing from 1.1 million in 2010 to 2.8 million in 2014 in the United States alone. Despite this growth in participation, SUP remains underresearched with regard to injury epidemiology. Purpose To investigate injury ep...

Background: Age-related bone loss is a major health concern. Only exercises associated with high-impact and mechanical loading have been linked to a positive effect on bone turnover; however, these types of exercises may not always be appropriate for middle-aged and older adults due to physical decline or chronic disorders such as osteoarthritis. W...

Background Two goals of summative assessment in health profession education programs are to ensure the robustness of high stakes decisions such as progression and licensing, and predict future performance. This systematic and critical review aims to investigate the ability of specific modes of summative assessment to predict the clinical performanc...

Background The diagnosis of subacromial pathology is limited by the poor accuracy of clinical tests for specific pathologies. The aim of this study was to estimate the diagnostic accuracy of clinical examination and imaging features for identifying subacromial pain (SAP) defined by a positive response to diagnostic injection, and to evaluate the in...

Combined Clinical Examination and Imaging Data. Contingency cell counts for combinations of clinical examination variables alone, and when combined with diagnostic ultrasound scan reports of supraspinatus pathology. (PDF)

Clinical Examination Data and Operational Definitions. Operational definitions and contingency cell counts for clinical examination variables for a positive response to diagnostic injection of local anaesthetic into the subacromial bursa. (PDF)

Imaging Data. Contingency cell counts for imaging variables for a positive response to diagnostic injection of local anaesthetic into the subacromial bursa. (PDF)

Background Limited research suggests elite athletes may differ from non-athletes in clinical tendon tap reflex responses. Methods In this matched cohort study, 25 elite rugby league athletes were compared with 29 non-athletes to examine differences in tendon reflex responses. Relationships between reflex responses and lengths of players’ careers w...

Background Stand up paddle boarding (SUP) is a rapidly growing sport and recreational activity where anecdotal evidence exists for its proposed health, fitness and injury rehabilitation benefits. While limited scientific evidence exists to substantiate these claims, previous studies have shown that high levels of fitness, strength and balance exist...

Stand up paddle boarding (SUP) is a rapidly growing sport and recreational activity in which little scientific research exists. A review of the literature failed to identify a single article pertaining to the physiological demands of SUP competition. The purpose of this study was to conduct a performance analysis of a national level SUP marathon ra...

Surfing consists of both high and low intensity paddling of varying durations, utilizing both the aerobic and anaerobic systems. Surf specific physiological studies lack adequate group sample sizes and VO2peak values are yet to determine differences between competitive and recreational surfers. The purpose of this study was therefore to provide a c...

Background/purpose: Surfing is one of the most popular outdoor aquatic activities in Australia with an estimated 2.7 million recreational surfers however, Australia has long been recognized as having the highest incidence of melanoma in the world, and it is the most common type of cancer in young Australians. The aim of this study was to investiga...

A cross-sectional reliability study was conducted with 23 normal participants to establish normal values, and the repeatability and validity of distal radioulnar joint translation measurements using ultrasound imaging. Static transverse images of maximal supination, neutral and maximal pronation were examined to assess translation, using a method c...

Background: At present, there is an insufficient evidence base to evaluate the effectiveness of physiotherapy following total hip replacement (THR). This study evaluated the effectiveness of a physiotherapy-supervised functional exercise programme between 12 and 18 weeks following THR. These time-points coincide with increased functional demand in...

BACKGROUND: Prolonged physical impairments are often reported post total hip replacement (THR). It is unclear which exercises should be performed to maximise rehabilitation following surgery. PURPOSE: The aim of this pilot study was to describe a method of imaging the relaxed posterior gluteus medius muscle in patients following surgery, and to mea...

Aim: This study aimed to investigate reasons for ceasing participation in aqua-based exercise among older adults with osteoarthritis (OA). Methods: Eleven adults over 60 years of age with OA participated in one of two focus groups, during which they discussed barriers to aqua-based exercise and the potential benefits of this exercise mode. Each...

Objective To determine the reliability of patient reports of pain intensity during the application of physical tests.MethodsA single examiner required participants to use the numeric pain rating scale (NPRS) to report the intensity of pain provoked during physical testing of the hip. Standardized versions of 14 physical tests were used on 18 people...

Background Māori have poorer health outcomes compared to non-Māori and are over-represented in amputation and mortality rates in Aotearoa. There is limited knowledge on the biomechanical parameters of Māori feet with diabetes and peripheral neuropathy. The primary aim was to evaluate differences in plantar fascia thickness and plantar pressures und...

Background: Musculoskeletal assessment of lower extremity dynamic alignment during functional screening tests is important. Clinicians must consider the reliability and validity of visual assessment and the reliability of kinematics during the tests. Aim: To review studies reporting on the reliability and validity of visual and kinematic assessment...

Stand-up paddle boarding (SUP) is a rapidly growing activity where only anecdotal evidence exists for its proposed health and fitness benefits. The purpose of this study was to profile elite and recreational SUP with respect to anthropometric, physiological and musculoskeletal measurements. A total of 30 SUP participants (15 recreational, 15 elite)...

There are an estimated 37 million surfers worldwide, with 2.5 million recreational surfers in Australia. The recreational activity and sport of surfing has grown dramatically since the 1960s, but scientific research has been poorly mirrored in comparison with most other mainstream sports. To identify the incidence, severity, location, type, and mec...

Osteoarthritis (OA) is a degenerative joint disease, which affects a large number of older adults. Many older adults with OA are physically inactive, which can contribute to reduced functional capability, quality of life, and an increased risk of falls. Although hydrotherapy is often recommended for older adults with OA, less is known about aqua fi...

Objective: Identify predictor variables and models for clinical outcomes for primary care shoulder pain patients to 12 months follow-up. Design: A non-randomized audit with measures of pain and disability at 3 weeks, 3, 6 and 12 months. Patients: Of 208 patients, 161 agreed to participate with 96.9, 98.1, 87.0 and 83.9% follow-up at 3 weeks, 3...

Aim: The aim of the present study was to monitor changes in sleep quantity and efficiency of elite male rugby union players over a twelve night period, which included training and two competitive matches. Methods: A total of ten elite male rugby union players from a selected team, participated in the study. Athletes sleep quantity and efficiency...

A reduction in pain intensity after an intervention suggests that the intervention has been beneficial. Measures of pain intensity must be reliable for this assumption to be supported. One experienced physiotherapist performed standardised versions of 14 commonly used pain provocation tests (PPT’s) for the hip on 18 patients with hip pain. Particip...

Objective: Measure changes in pain and disability of primary care shoulder pain patients over a 12-month period. Design: A non-randomized audit with repeated measures of pain and disability at 3 weeks, 3, 6 and 12 months. Patients: Of 208 patients, 161 agreed to participate with 96.9%, 98.1%, 86.3%, 83.9% follow-up at 3 weeks, at 3, 6 and 12 m...

Osteoarthritis (OA) is prevalent among older adults. Aqua-based exercise is often recommended as a therapeutic intervention. Limited evidence exists on the effectiveness of this form of exercise intervention. Perceptions of pain, mean, and maximum heart rate (HR) responses, ratings of perceived exertion (RPE), and subjective enjoyment to different...

Questions: Are there age related differences in the incidence of acute injuries or the prevalence of chronic injuries for recreational and competitive surfers. Design: Retrospective observational study. Participants: A total of 1,348 participants completed an online survey consisting of three sections: demographics, acute and chronic injury. Result...

Title: Case series of subacromial pain followed over 12 months Researcher/s: Mark Laslett, Angela Cadogan, Peter McNair, Wayne Hing Study Design: prospective case series with 12 month follow up Objectives: to trace the course of pain and disability of individual cases with known contribution of the subacromial space to shoulder pain over 12 months...

Rotator cuff tears are a common and disabling complaint. The early diagnosis of medium and large size rotator cuff tears can enhance the prognosis of the patient. The aim of this study was to identify clinical features with the strongest ability to accurately predict the presence of a medium, large or multitendon (MLM) rotator cuff tear in a primar...

To clarify the efficacy and detrimental effects of orthoses used to maintain finger extension following surgical release of Dupuytren contracture. We conducted a single-center, randomized, controlled trial to investigate the effect of night extension orthoses on finger range of motion and hand function for 3 months following surgical release of Dup...

Background Despite numerous methodological flaws in previous study designs and the lack of validation in primary care populations, clinical tests for identifying acromioclavicular joint (ACJ) pain are widely utilised without concern for such issues. The aim of this study was to estimate the diagnostic accuracy of traditional ACJ tests and to compar...

Background Prolonged physical impairments in range of movement, postural stability and walking speed are commonly reported following total hip replacement (THR). It is unclear from the current body of evidence what kind of exercises should be performed to maximize patient function and quality of life. Methods/design This will be a single blind mul...

Purpose: To investigate visual rating of pelvis and knee position in young athletes during lower extremity functional tests. Methods: Pelvis and knee alignment, in 23 athletes, was visually rated by 66 physiotherapists. Peak two-dimensional (2D) and three-dimensional (3D) kinematics were also quantified. Ratings were compared to consensus visual...

Objective: To determine if lower extremity functional tests are reliable and valid screening tests of lower extremity dynamic alignment in healthy young athletes. Design: Quantitative experimental test-re-test. Methods: Peak three-dimensional pelvis and lower extremity kinematics were quantified in 23 uninjured young athletes (11 ± 1 years) du...

To compare the accuracy of combinations of clinical examination findings for predicting a positive response to injection of local anaesthetic into the subacromial bursa. Prospective, cohort, diagnostic validity design. Consecutive patients with shoulder pain recruited from primary care physiotherapy and general medical practices. All subjects under...