Publications by authors named "Heneghan N"

Pre-registration student placements have traditionally been based in clinical settings. Recently, practice-based learning has evolved to include additional settings, including research, leadership and management. The KNOWBEST (Knowledge, Behaviours And Skills Required of the Modern Physiotherapy Graduate) project incorporated research placements for five pre-registration students.

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Unlabelled: Introduction; to the best of the authors knowledge, no past research has established how illness narrative master plots are expressed initially and then if and how they change longitudinally following musculoskeletal trauma. The aim of the present research was to consider how specific master plots were expressed, interact, and change across time following musculoskeletal trauma.

Methods: A narrative analysis was undertaken that included individuals who had experienced a musculoskeletal traumatic injury.

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Background: KNOWBEST was a mixed methods study exploring the KNOWledge, BEhaviours and Skills required of the modern physioTherapy graduate.

Objectives: To undertake a content analysis of current role descriptors (RDs) for Band5/junior physiotherapists and map these to the knowledge, skills, behaviours and attributes required for contemporary physiotherapy practice.

Design: Content analyses and mapping.

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Objective: The aim of the study is to investigate the effects of working from home on musculoskeletal pain.

Methods: An e-survey of computer workers was conducted. Multinomial logistic regression modeling examined relationships between work location (work or home office desk, dining table, other), sitting posture (diagrams with descriptors), depressive symptoms (Center for Epidemiologic Studies Short Depression Scale), sleep quality (good/average vs poor) and pain (low back pain [LBP]), and other pain without LBP (asymptomatic).

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Introduction: Adolescent idiopathic scoliosis (AIS) is present in 2%-3% of those under 18 years old and has a significant impact on pain, function and quality of life. Up to 10% of adolescents with AIS progress to spinal fusion surgery, and of those individuals many experience reduced musculoskeletal function and do not return to sports postoperatively. Physiotherapists have a significant role in promoting participation and offering a graded return to sports, exercise and physical activity.

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Background: Knowledge of patient lived experiences of functioning and disability is limited. This study aims to address the gap in the literature by exploring patient lived experiences of functioning and disability following lumbar discectomy.

Method: A secondary analysis, reported in line with the Standards for Reporting Qualitative Research, was conducted of qualitative data exploring patient journeys following lumbar discectomy surgery (DiscJourn).

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Background: Staff sickness absenteeism and presenteeism (attending work while unwell) incur high costs to the NHS, are associated with adverse patient outcomes and have been exacerbated by the COVID-19 pandemic. The main causes are mental and musculoskeletal ill health with cardiovascular risk factors common.

Objectives: To undertake a feasibility study to inform the design of a definitive randomised controlled trial of the effectiveness and cost effectiveness of a health screening clinic in reducing absenteeism and presenteeism amongst the National Health Service staff.

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Background: Chronic low back pain (LBP) is a leading cause of disability, which is exacerbated in some by repeated lifting. Electromyography (EMG) assessments of isolated erector spinae (ES) regions during lifting identified conflicting results. Here, high-density EMG comprehensively assesses the lumbar and thoracolumbar ES activity in people with and without LBP performing a multiplanar lifting task.

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Background: Recent evidence has identified great promise for the novel whole-body photobiomodulation therapy (PBMT) for individuals with fibromyalgia (FM). However, currently no evidence has documented the experiences of participants. The objective of this study was to qualitatively assess treatment experience and response in a group of participants with FM undergoing a course of whole-body PBMT.

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Aim: The aim of this umbrella review was to establish which biopsychosocial factors are associated with development of chronic musculoskeletal pain.

Methods: Ovid Medline, Embase, Web of Science Core Collection, Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, PsycINFO, CINAHL, PEDro, PROSPERO, Google Scholar and grey literature were searched from database inception to 4th April 2023. Systematic reviews of observational prospective longitudinal studies, including populations with <3 months (not chronic) musculoskeletal pain, investigating biopsychosocial factors that contribute to development of chronic (>3 months) musculoskeletal pain.

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Article Synopsis
  • - The growing interest in neuropathic pain related to low back-related leg pain highlights the need for accurate diagnostic methods, as proper identification is crucial for effective treatment management.
  • - This systematic review aims to evaluate the effectiveness of various diagnostic investigations for recognizing neuropathic pain in patients suffering from low back-related leg pain by following established research protocols.
  • - The study will involve extensive searches across multiple databases and journals, with independent reviewers assessing the quality and biases of the included research to either perform a meta-analysis or provide a narrative synthesis if data pooling is not feasible.
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Background: Limited knowledge exists on current use of patient reported outcome measures (PROMs) and performance measures for adolescents with idiopathic scoliosis (AIS), as well as health care professionals' (HCPs) perceived barriers and facilitators towards their use. This study's objectives were: 1) to explore current practice of HCPs when assessing outcomes for AIS 2) to understand perceived barriers and facilitators of HCPs to use PROMs 3) to understand perceived barriers and facilitators of HCPs to use performance measures.

Methods: A qualitative study recruited a purposive sample of HCPs from a tertiary hospital in the United Kingdom.

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Research is needed that can provide an illustration of the different biopsychosocial and environmental experiences of people with fibromyalgia to consider how healthcare professionals can best engage with the challenges that are faced. Qualitative research is well-positioned to do this. The current study used interpretive hermeneutic phenomenology situated within a pragmatic worldview, the aim being to obtain a deeper exploration of the fibromyalgia experience prior to commencing a novel intervention.

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Introduction: Proprioception can be impaired in people with neck pain. The cervical joint position sense test, which measures joint position error (JPE), is the most common test used to assess neck proprioception. The aim of this systematic review was to assess the measurement properties of this test for the assessment of people with and without neck pain.

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Article Synopsis
  • - Spinal mobilization (SMob) is a common treatment for spinal pain, but previous studies have issues with clarity in their methods, making it hard to interpret results.
  • - This study reviewed literature from various databases to analyze the characteristics of SMob, focusing on force-time metrics, the types of participants involved, and the regions of the spine being treated.
  • - Out of 7,607 records, 36 studies were included, showing that most SMob treatments targeted the lumbar and cervical spines; results indicated a wide range of force and duration used in these treatments, highlighting inconsistencies that future research should address.
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Effective treatment for fibromyalgia (FM) is lacking and further treatment options are needed. Photobiomodulation therapy (PBMT) represents one potential treatment option. Whilst favourable findings have been reported using localised PBMT, no investigations have established the value of whole-body PBMT for the complete set of symptom domains in FM.

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Introduction: Upper quadrant musculoskeletal disorders (UQMD), comprising of cranial, cervical, shoulder and upper extremity disorders, are among the most frequently reported disorders in clinical practice. Thoracic high velocity low amplitude thrust (Tx-HVLAT) manipulation is a form of conservative management recommended in systematic reviews as an effective treatment option for aspects of UQMD disorders such headache, shoulder pain and lateral elbow pain. However, no recent systematic reviews have assessed the effectiveness across UQMD.

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Article Synopsis
  • Spinal manipulation (SM) is an effective treatment for musculoskeletal disorders, and understanding its kinetic parameters (like force application and thrust duration) can help identify what makes it clinically effective.
  • This study conducted a scoping literature review, analyzing relevant studies to synthesize existing data on force-time characteristics of SM, utilizing databases like MEDLINE and Embase up until October 2022.
  • Out of 7,607 records reviewed, only 66 studies met the criteria for analysis, revealing variations in the spinal regions treated (cervical, thoracic, lumbopelvic) and emphasizing the need for clearer data on SM's force-time characteristics.
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Background: Physical activity is an effective treatment for paediatric spinal pain. However, participation rates remain low and review evidence is needed to establish why. This review identifies factors influencing participation in sports, exercise, and physical activity in those aged 18 or under with spinal pain or spinal conditions.

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Purpose: Lumbar spinal fusion surgery (LSFS) is common for lumbar degenerative disorders. The objective was to develop clinical prediction rules to identify which patients are likely to have a favourable outcome to inform decisions regarding surgery and rehabilitation.

Methods: A prospective observational study recruited 600 (derivation) and 600 (internal validation) consecutive adult patients undergoing LSFS for degenerative lumbar disorder through the British Spine Registry.

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Study Design: Retrospective analysis of longitudinal data.

Objective: To evaluate clinically relevant change in surgical outcomes for Adolescents with Idiopathic Scoliosis (AIS), comparing those who achieved smallest detectable change (SDC) in pain and function at 1-year post-surgery with those who did not, and to evaluate the influencing factors.

Summary Of Background Data: The SDC is recommended to evaluate the surgical outcomes of AIS.

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Introduction: Scoliosis Research Society-22 revised (SRS-22r) is the common questionnaire used to evaluate health related quality of life (HRQOL) for young people with adolescent idiopathic scoliosis (AIS). The aim of this study is to evaluate its content validity for this population.

Methods: In-depth semi-structured interviews were conducted with a purposive sample of young people with AIS (Cobb angle ≥25˚, aged 10-18 years).

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Introduction: Spinal pain is one of the leading causes of disability, with the incidence of adolescent back pain estimated at 20%. Multiple barriers influence exercise participation in adolescents. However, there remains a lack of literature surrounding patients' choice to exercise, perceived barriers and facilitators of exercise, and their relationship to participant demographics.

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Introduction: Adolescent idiopathic scoliosis (AIS) is a three-dimensional rotational change in the normal shape of the spine which affects children aged 10 to 18 years. Both the condition and its management can have significant impact on functional ability. Currently, expected restriction in spinal motion is experience based, rather than evidence based, and discussions to inform patient expectations pre-operatively can be difficult.

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