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 School of PhysiotherapyCentre for Health, Exercise
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School of PhysiotherapyCentre for Health, Exercise
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Sports Injuries Research ProjectsClinical and neuropsychological features of concussion in Australian Football Clinical and neuropsychological features of concussion in sport Physiotherapists’ use of information in identifying a concussion: an extended Delphi approach Knowledge, attitudes and recognition of a sports concussion by parents of young rugby players Systematic review of symptom scales in identifying sports concussion Development and Validation of a proposed return to play (RTP) post-concussion exercise protocol The use of PBL style teaching methods in postgraduate sports medicine training Groin, gluteal and greater trochanter pain (3G study) in sport The effect of taping on plantar fascia microstrain The effect of straight leg raise on sciatic nerve vs posterior fascia microstrain The effect of Obers vs ITB stretch measured as fascial microstrain Is there anatomical ‘creep’ of the facia in stretching Opinion driven expertise in difficult sports neurology decision making Acute and Chronic Brain Injury in Professional Boxing The epidemiology of acute brain injury in professional boxing Stiffness Properties of the Iliotibial Band Footwear Interventions for Altering Gait
Clinical and neuropsychological features of concussion in Australian Football Investigators: Dr Michael Makdissi, Ass Prof Paul McCrory, Summary: Concussion is a common injury sustained by Australian Rules footballers. This large scale 3 year prospective study involves 899 players recruited from various levels including elite, under 18s and community. The study aims to investigate the pattern of symptoms, neuropsychological deficits and recovery after concussive injury and the safety of recommended clinical return to play strategies. The neuropsychological tests include the Digit Symbol Substitution Test, Trail Making Test and a computerized testing system CogSportTM. Funding Source: CogSport, Australian Football League Research Foundation Investigators: Prof Vicki Andersen, Ass Prof Paul McCrory, Mr Gavin Davis, Dr Alex Collie Summary: A long term monitoring study will be performed on children aged 5 to 15 years with baseline testing performed in 3000 and then repeat testing performed annually in a cohort (to assess cognitive maturation) and following brain injury. Funding source: NHMRC Clinical and neuropsychological features of concussion in sport Investigators: Dr Michael Makdissi, Ass Prof Paul McCrory, Prof John Sullivan, Dr Simon Kemp, Dr Lisa Hodgson, Dr Dave Darby Summary: Concussion is a common injury sustained in sport. This study analyses 49,000+ Cogsport baseline tests in approximately 6000 athletes in order to generate normative data for the test domains. In addition approximately 600 athletes who had been previously baselines suffered a concussion and their post concussion cognitive testing and symptom questionnaires will be analyzed. Funding Source: CogSport Physiotherapists’ use of information in identifying a concussion: an extended Delphi approach Investigators: Prof John Sullivan, Dr Tony Schneiders, Assoc Prof Paul McCrory, Mr Andrew Gray Summary: To determine the relative importance of signs and symptoms that a selected cohort of sports physiotherapists use to identify a sports concussion using a two-round Delphi methodology. Knowledge, attitudes and recognition of a sports concussion by parents of young rugby players Investigators: Prof John Sullivan, Dr Tony Schneiders, Assoc Prof Paul McCrory, Mr Andrew Gray Summary: Using a validated attitudinal questionnaire, a survey of parental attitudes to concussion injuries will be performed and the result compared to similar analysis of health professional, injured athlete data. Systematic review of symptom scales in identifying sports concussion Investigators: Mr Alla Sridur, Dr Tony Schneiders, Ass Prof Paul McCrory, Prof John Sullivan Summary: A formal systematic review and meta-analysis will be performed examining the currently used concussion diagnosis symptom scales and the psychometric properties of the identified scales/checklists will be described. Development and Validation of a proposed return to play (RTP) post-concussion exercise protocol Investigators: Mr Alla Sridur, Ass Prof Paul McCrory, Prof John Sullivan, Dr Leigh Hale Summary: To develop and validate an exercise-protocol based on SCAT return-to-play (RTP) guidelines using a quanitified exercise challenge designed to mimic a rugby football match workload. The development of normative data for three measures of motor performance used in the identification of sport related concussion Investigators: Dr Tony Schneiders, Ass Prof Paul McCrory, Prof John Sullivan, Dr Graham Hammond-Tooke, Mr Andrew Gray Summary: Reported physical signs of concussion include impaired coordination, unsteady gait, and poor balance and these markers are qualitatively employed in current concussion assessment tools. The establishment of normative data on common motor performance tasks, while understanding the limitations of each test, will provide clinicians with a frame of reference with which to interpret clinical measures obtained from athletes suspected of having been concussed The use of PBL style teaching methods in postgraduate sports medicine training Investigators: Dr Andy Franklyn-Miller, Dr Eanna Falvey, Ass Prof Paul McCrory Summary: The limitations of PBL learning at postgraduate level are investigated and alternative models (patient based learning, Oslerian teaching) are studies. A modular approach to the teaching of functional sports anatomy will be used as the study model. Groin, gluteal and greater trochanter pain (3G study) in sport Investigators: Dr Eanna Falvey, Dr Andy Franklyn-Miller, Ass Prof Paul McCrory, Dr Chris Briggs, Dr Priscilla Barker Summary: using cadeveric dissection and modeling of the 3G region, a structured anatomical teaching model will be developed Investigators: Dr Eanna Falvey, Dr Andy Franklyn-Miller, Ass Prof Paul McCrory, Dr Chris Briggs, Dr Priscilla Barker, Dr Adam Bryant, Dr Ross Clark, Dr Simon Barthold Summary: Using extensive dissection of embalmed and fresh cadavers at the School of Anatomy a complete mapping of the lower limb fascia will be performed including collagen density mapping, fascia thickness mapping and a histopathological examination of different segments of lower limb fascia. The effect of taping on plantar fascia microstrain Investigators: Dr Eanna Falvey, Dr Andy Franklyn-Miller, Ass Prof Paul McCrory, Dr Chris Briggs, Dr Priscilla Barker, Dr Adam Bryant, Dr Ross Clark, Dr Simon Barthold Summary: Using extensive dissection of embalmed and fresh cadavers at the School of Anatomy study will be made of the anatomical relationships and attachments of the plantar fascia. Micro strain gauges will be attached to the fascia at a number of sites and measurements made during ankle and great toe dorsiflexion with and without a standardized plantar fascia taping protocol. The effect of straight leg raise on sciatic nerve vs posterior fascia microstrain Investigators: Dr Eanna Falvey, Dr Andy Franklyn-Miller, Ass Prof Paul McCrory, Dr Chris Briggs, Dr Priscilla Barker, Dr Adam Bryant, Dr Ross Clark, Dr Simon Barthold Summary: Using dissection of embalmed and fresh cadavers at the School of Anatomy study will be made relative strain present in both eh sciatic nerve and posterior fascia in SLR and other lower limb stretch positions. The effect of Obers vs ITB stretch measured as fascial microstrain Investigators: Dr Eanna Falvey, Dr Andy Franklyn-Miller, Ass Prof Paul McCrory, Dr Chris Briggs, Dr Priscilla Barker, Dr Adam Bryant, Dr Ross Clark, Dr Simon Barthold Summary: Using dissection of embalmed and fresh cadavers at the School of Anatomy study will be made relative strain present in different stretching techniques of the ITB Is there anatomical ‘creep’ of the facia in stretching Investigators: Dr Eanna Falvey, Dr Andy Franklyn-Miller, Ass Prof Paul McCrory, Dr Chris Briggs, Dr Priscilla Barker, Dr Adam Bryant, Dr Ross Clark, Dr Simon Barthold Summary: Using dissection of embalmed and fresh cadavers at the School of Anatomy study will be made dynamic changes in fascial microstrain during stretch positions Is there cross over of collagen fibres and load transmission contralaterally during fascial stretching Investigators: Dr Eanna Falvey, Dr Andy Franklyn-Miller, Ass Prof Paul McCrory, Dr Chris Briggs, Dr Priscilla Barker, Dr Adam Bryant, Dr Ross Clark, Dr Simon Barthold Summary: Using dissection of embalmed and fresh cadavers at the School of Anatomy study will be made dynamic changes in fascial microstrain during stretch positions both ipsilaterally and contralaterally. Is there a difference in muscle stiffness between embalmed vs unembalmed cadavers using pendulum testing Investigators: Dr Eanna Falvey, Dr Andy Franklyn-Miller, Ass Prof Paul McCrory, Dr Chris Briggs, Dr Priscilla Barker, Dr Adam Bryant, Dr Ross Clark, Dr Simon Barthold Summary: Using dissection of embalmed and fresh cadavers at the School of Anatomy study will be made measurements of muscle stiffness. These an be compared against normal (live) patient measurements. Opinion driven expertise in difficult sports neurology decision making Investigators: Mr Gavin Davis, Assoc Prof Paul McCrory Summary: There is a range of clinical problems within sports neurology and neurosurgery where no evidence based guidelines exist. In such cases, relying on ‘expert’ opinion is the mainstay of management. We will survey a range of such problems including mass lesions, tumors, brain contusion, EDH, SDH, asymptomatic cervical cord stenosis, peripheral nerve injury, lumbar and cervical disk disease using an international faculty of experts to try and determine some consensus views on these topics. Biomechanics and motor control of locomotor impairments following moderate to severe traumatic brain injury Investigators: Dr Gavin Williams, Prof Meg Morris, Assoc Prof Paul McCrory Summary: The primary aim of this project is to conduct one of the first international comprehensive studies into the biomechanics and motor control of locomotor impairments following TBI. The secondary aims are to (a) Identify the key biomechanical abnormalities that exist in TBI locomotion; (b) Identify the key physical impairments that are associated with locomotor outcomes in rehabilitation; (c) Investigate the contribution of physical impairments to locomotor limitations; (d) Determine whether motor sub-groups (ataxia, spasticity, dyskinesia, hypokinesia) exist in people with TBI, and if they are associated with locomotor outcomes and (e) Investigate the relationships between physical impairments, activity limitations, participation restrictions and quality of life in people with TBI over a period of locomotor rehabilitation. Funding source: VNI, NHMRC Acute and Chronic Brain Injury in Professional Boxing Investigators: Ms Helen Clausen, Prof Vicki Andersen, Assoc Prof Paul McCrory Summary: Professional boxing is known to cause acute (concussion) and chronic traumatic brain injury (CTBI). The literature regarding the nature and prevalence of brain injury in professional boxing is however, sparse and out-dated. Unlike high-risk sports such as football, there are no studies determining the incidence of concussion in boxing nor how long it takes a boxer to recover from concussion. With no means of predicting who will develop CTBI and limited traetment options, prevention is important. This is a two part study designed to investigate the cognitive impact of repetitive subconcussive blows and concussion in boxers from both short and long-term viewpoints. Funding sources: NHMRC, WBC, PBCSB The epidemiology of acute brain injury in professional boxing Investigators: Ms Tsharni Zazryn, Prof Peter Cameron, Assoc Prof Paul McCrory Summary: Professional boxing is known to cause acute traumatic brain injury. Using the injury records of the Victorian Professional Boxing and Combat Sports Board an analysis will be performed of the epidemiology, and risk factors for injury. Funding sources: NHMRC Stiffness Properties of the Iliotibial Band Investigators: Dr Adam Bryant This project aims to determine the viscoelastic and strain properties of the ITB using a combination of cadaveric and athlete testing. The methodology employed in this study will allow for an assessment of the efficacy of stretching on the ITB and the related musculature, along with potential rehabilitation strategies. Footwear Interventions for Altering Gait Investigators: Dr Adam Bryant In conjunction with the ASICS research centre, this study will use a variety of kinematic and kinetic methods to assess the effects of footwear interventions on gait and proprioception. The protocol includes modalities ranging from time frequency assessment of electromyography to imaging of the internal structures of the lower limb.
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