Publications by authors named "Docking S"
Objectives: To determine the prevalence of acromioclavicular (AC) joint and subacromial space imaging abnormalities in asymptomatic adults, with a secondary objective of comparing findings between asymptomatic and symptomatic shoulders within the same study populations.
Methods: We conducted a systematic review of studies examining shoulder imaging abnormalities detected by X-ray, ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI) in asymptomatic adults (PROSPERO registration CRD42018090041). This report focuses on AC joint and subacromial space abnormalities.
Importance: Structured education and exercise therapy programs have been proposed to reduce reliance on total knee replacement (TKR) surgery and improve health care sustainability. The long-term cost-effectiveness of these programs is unclear.
Objectives: To estimate the lifetime cost-effectiveness of implementing a national structured education and exercise therapy program for individuals with knee osteoarthritis with the option for future TKR compared with usual care (TKR for all).
To develop a core outcome set for Achilles tendinopathy (COS-AT) for use in clinical trials we performed a five-step process including (1) a systematic review of available outcome measurement instruments, (2) an online survey on truth and feasibility of the available measurement instruments, (3) an assessment of the methodological quality of the selected outcome measurement instruments, (4) an online survey on the outcome measurement instruments as COS and (5) a consensus in-person meeting. Both surveys were completed by healthcare professionals and patients. The Outcome Measures in Rheumatology guidelines with a 70% threshold for consensus were followed.
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- The study aimed to determine how common glenohumeral joint imaging abnormalities are in asymptomatic adults using various imaging techniques like X-ray, ultrasound, CT, and MRI.
- Researchers reviewed data from 35 studies but found that many were at high risk of bias, making it hard to combine the results.
- The prevalence of conditions like glenohumeral osteoarthritis was found to range from 15% to 75%, but definitive conclusions are uncertain, highlighting the need for better data to improve treatment strategies for those experiencing shoulder pain.
To describe and compare pain maps reported during Achilles tendon loading exercises with recall pain location, in people with pain on palpation in their Achilles tendon and tendon pathology on imaging. Cross-sectional analysis of baseline RCT. Participants were recruited from a larger Achilles tendinopathy clinical trial.
View Article and Find Full Text PDFIntroduction: de Quervain's syndrome is a painful condition commonly presented to hand therapists. Exercise is utilised as an intervention, but isometric exercise has not been investigated. We aimed to assess the feasibility and safety of isometric thumb extension exercise for de Quervain's syndrome and to explore differences between high-load and low-load isometric exercise.
View Article and Find Full Text PDFObjectives: Determine if improvements in pain and disability in patients with mid-portion Achilles tendinopathy relate to changes in muscle structure and function whilst completing exercise rehabilitation.
Design: A systematic review exploring the relationship between changes in pain/disability and muscle structure/function over time, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.
Methods: Six online databases and the grey literature were searched from database inception to 16th December 2022 whereas clinical trial registries were searched from database inception to 11th February 2020.
Background: Limited evidence is available on the cost-effectiveness of diagnostic imaging for back, neck, knee, and shoulder complaints. Decision analytic modelling may be an appropriate method to synthesise evidence from multiple sources, and overcomes issues with trial-based economic evaluations.
Objective: The aim was to describe the reporting of methods and objectives utilised in existing decision analytic modelling studies that assess the cost-effectiveness of diagnostic imaging for back, neck, knee, and shoulder complaints.
Introduction: Adolescent patellar tendinopathy is reported but the pubertal-stage of onset of abnormal tendon structure has not been investigated with grayscale ultrasound.
Aims: To investigate abnormal tendon structure using grayscale ultrasound and its association with pubertal-stage and pain.
Methods: Forty-three male basketball players aged 13.
Diagnostic imaging is increasingly being used in Australia to aid clinician diagnostic and therapeutic decision-making. There is concern that this increased use represents an overconsumption of inappropriate health services, which wastes finite resources and may cause direct or indirect harm to the patient. Australian health policies have primarily focused on increasing patient access to diagnostic imaging.
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- The study aimed to identify barriers that hinder clinicians from using ideal diagnostic tools and progress monitoring methods for mid-portion Achilles tendinopathy.
- Interviews with 13 clinicians highlighted four main barriers: financial constraints, time limitations, access to equipment, and the severity of patients' symptoms.
- Common assessment methods focused on function and pain evaluation, with pain on loading identified as a critical measure for diagnosis and monitoring progress in Achilles tendinopathy.
Article Synopsis
- The study examined how knee pain location and severity affect load tolerance during isometric knee extension in college basketball athletes.
- Athletes with diffuse knee pain showed significantly lower load tolerance compared to those without pain, while those with focal pain had similar tolerances to pain-free athletes.
- The findings suggest that clinicians should adjust isometric knee extension exercises based on pain location, particularly for athletes with diffuse pain.
Background: Assessment of pain location is an essential component of the differential diagnosis of knee pain because pain location is thought to indicate pathology. Previous studies have questioned whether abnormal imaging findings are related to the presence of pain, but none has systematically reviewed the association between knee pain location and the location of abnormal imaging or arthroscopic findings.
Objective: To systematically review the association between the location of knee pain and the location of abnormal imaging or arthroscopic findings.
Objectives: The objectives of this study were to examine the treatment preferences and use of diagnostic imaging by Australian allied health professionals in the management of midportion Achilles tendinopathy.
Design: Cross-sectional survey of Australian allied health professionals.
Methods: An online survey was distributed to registered Australian physiotherapists, podiatrists, myotherapists, exercise physiologists, osteopaths, and chiropractors between September 2018 and October 2019.
Article Synopsis
- A study examined the prevalence and pain distribution of anterior knee pain (AKP) in 242 collegiate basketball players in Alberta, Canada, focusing on identifying pain locations and the occurrence of patellar tendinopathy.
- Results showed that 60% of athletes reported pain during a specific test, with the majority experiencing diffuse pain rather than localized pain around the inferior pole of the patella.
- Only a small percentage (8.7%) showed signs of patellar tendinopathy, indicating that while knee pain is common in this group, specific tendinopathy-related pain is less frequent.
Objective: To report point prevalence of anterior knee pain (AKP) in adolescent athletes by (1) maturation status, (2) chronological age, (3) sex, and (4) primary sport.
Design: Cross-sectional.
Methods: Male and female participants aged 11-15 years were recruited from specialised sports programs for basketball, volleyball, Australian Rules Football and tennis.
Context: Prior research has not established if overloading or underloading movement profiles are present in symptomatic and asymptomatic athletes with patellar tendon structural abnormality (PTA) compared to healthy athletes.
Objective: The purpose was to compare involved limb landing biomechanics between male athletes with and without patellar tendinopathy.
Design: Cross-sectional study Setting: Laboratory Patients or Other Participants: 43 males were grouped based on patellar tendon pain & ultrasound imaging of the proximal patellar tendon: symptomatic with PTA (SYM-PTA; n=13; 20±2yrs; 1.
Objective: To estimate the pooled prevalence of, and factors associated with, the presence of patellar tendon abnormalities observed on imaging in people without symptoms.
Design: Systematic review with stratified meta-analysis and meta-regression.
Literature Search: We searched Embase, Scopus, MEDLINE, CINAHL, SPORTDiscus, and Web of Science from 1980 to August 2020.
Article Synopsis
- The study aimed to estimate how common Achilles tendon abnormalities are in people without symptoms, using a systematic review and meta-analysis of existing research.
- The review included 91 studies encompassing over 10,000 limbs, revealing that the prevalence of these abnormalities can vary widely, from 0% to 80%, with factors like BMI, age, and physical activity levels impacting the findings.
- Results indicate a significant variance in prevalence rates and suggest that older age, higher BMI, and being physically active may be linked to a higher occurrence of these tendon abnormalities.
Objectives: Lateral flexion range of movement (LF ROM) is used to assess and monitor recovery of side strain injury in athletes. This study established a reliable and pragmatic measure of LF ROM and investigated the stability of the measure over time in athletes.
Design: 1) Cross-sectional reliability study and 2) Cohort longitudinal study.
Objective: This study aimed to investigate the inter-rater reliability of the conditioned pain modulation (CPM) effect.
Methods: The reliability between two examiners assessing the CPM effect via pressure pain thresholds and induced using the cold pressor test of 28 healthy volunteers at the mid-portion Achilles tendon (AT) and Triceps Surae musculotendinous junction was performed. Reliability was calculated using intraclass correlation coefficient (ICC).
Objective: The aim of this review was to investigate if exercise induced hypoalgesia (EIH) occurs following isometric muscle contraction in people with local musculoskeletal symptoms.
Design: Systematic review.
Data Sources: MEDLINE, EMBASE, CINAHL & SportDiscus electronic databases were searched (inception to April 2020).
Objectives: Our primary objective was to report the presence of a conditioned pain modulation (CPM) effect in people with localised mid-portion Achilles tendinopathy and whether changes occur over a 12-week period. Our secondary objectives were to quantify the proportion of participants who present for tendinopathy research with previous interventions or co-morbidities, which may impact the CPM-effect and investigate modulating factors.
Design: Prospective, observational cohort pilot study.
Article Synopsis
- The study aimed to compare the effectiveness of heel lifts versus calf muscle eccentric exercise in treating mid-portion Achilles tendinopathy.
- Conducted at La Trobe University with 100 participants, the study measured improvement through the VISA-A questionnaire after 12 weeks.
- Results showed heel lifts led to a greater improvement in VISA-A scores (mean difference of 9.6 points) than eccentric exercises, but the difference was not significant enough to confirm a clinically meaningful advantage.