Publications by authors named "Megan H Ross"

Introduction: The objective of this study is to develop and evaluate an evidence-based, clinically relevant, and user-friendly eLearning resource to facilitate the provision of safe and affirming physical therapy services for individuals with lesbian, gay, bisexual, transgender, queer, intersex, and other related identities or experiences (LGBTQIA+).

Review Of Literature: When accessing physical therapy, individuals who are LGBTQIA+ can experience assumptions, discrimination, discomfort, and encounter health professionals who lack knowledge about LGBTQIA+ health.

Subjects: Nine consumers and end-users participated in codesign and 20 physical therapists (evaluated the resource).

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This study assessed the knowledge, skills, and practices of occupational therapists in Australia regarding the LGBTQIA+ community's health needs. A cross-sectional online survey gathered qualitative data from 130 occupational therapists practicing in Australia. Most participants were women (85%), with 7% identifying as LGBTQIA+.

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Article Synopsis
  • The study reviews the 24-hour movement behaviors of LGBTQA+ young people, highlighting significant health challenges they face compared to general population guidelines.
  • Fifty-six studies were analyzed, revealing that LGBTQA+ individuals are less likely to meet both physical activity and sleep guidelines, particularly among children and adolescents.
  • The findings suggest a need for better measurement tools and more focus on improving sleep and reducing sedentary behavior in LGBTQA+ youth.
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Questions: What are physiotherapy students' attitudes and beliefs towards providing care for lesbian, gay, bisexual, transgender, queer, intersex, asexual and other related identities (LGBTQIA+) individuals? What education have students received on LGBTQIA+ healthcare needs? What are students' preferences for receiving this content?

Design: Mixed-methods design using a purpose-built online survey.

Participants: Australian undergraduate and postgraduate physiotherapy students.

Methods: Participants were invited to complete an online survey.

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Unlabelled: People living with chronic primary or secondary musculoskeletal pain conditions such as low back pain, fibromyalgia, and inflammatory arthritis typically experience wide-ranging impacts on their physical function, activity participation, and psychosocial wellbeing. These can extend to negative impacts on a person's sexual function and their intimate relationships. While sexual function is an important component of wellbeing, it is often not considered within musculoskeletal pain care.

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Objective: The objective was to explore experiences with and identify barriers and facilitators of utilizing physical therapy for people who identify as transgender, gender diverse, and nonbinary (TGNB).

Methods: A qualitative descriptive design was employed using semistructured interviews conducted in New Zealand. Eligible participants were individuals who were 12 years old or older, who self-identified as TGNB, and who had accessed physical therapy at a community-based clinic that also provides a gender-affirming service.

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Question: How does physiotherapy delivered by real-time, video-based telerehabilitation compare with in-person delivery for the outcomes of attendance, adherence and satisfaction?

Design: Systematic review of randomised control trials indexed in PubMed, CINAHL, Embase, Cochrane and PEDro on 12 March 2024.

Participants: Adults aged > 18 years.

Intervention: Physiotherapy delivered via real-time video telerehabilitation.

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Background: Although footwear can improve pain and function in individuals with knee osteoarthritis (OA), perspectives about footwear in this population have not been explored.

Objectives: This qualitative study explored preferences, attitudes and beliefs about footwear in adults with knee OA.

Methods: Twenty individuals with a clinical diagnosis of knee OA (aged 45-79 years, 65% women) participated in semi-structured interviews about factors which influence footwear selection, the effect of footwear on knee symptoms, and footwear modifications.

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Introduction: Providing culturally responsive, patient-centered care is crucial for ensuring safe and positive health care experiences for individuals with diverse gender identities and sexual orientations. Doing so requires adequate training and knowledge of the health professionals involved in those health care experiences.

Review Of Literature: Individuals identifying as lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other related identities (LGBTQIA+) experience significant barriers to health and positive health care experiences.

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Purpose: Pain and disability associated with lower limb osteoarthritis (OA) may contribute to difficulties at work. This study aimed to understand the perspectives of workers with lower limb OA on difficulties, concerns, and coping strategies used at work.

Methods: Twenty-two individuals with lower limb OA who were working in paid employment participated in semi-structured interviews.

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Background: Mobile apps offer a potential mechanism for people with persistent pain to monitor pain levels conveniently within their own environment and for clinicians to remotely monitor their patients' pain. However, the quality of currently available apps and the usefulness of included features from a clinical perspective are not known.

Objective: The aim of this study was to examine the content and quality of currently available smartphone apps designed for monitoring the intensity or presence of musculoskeletal or neuropathic pain.

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Introduction: Individuals identifying as lesbian, gay, bisexual, transgender, queer, intersex, asexual and other related identities (LGBTQIA+) experience challenges with healthcare, including physiotherapy. To understand potential contributions to poor experiences, this study explored physiotherapists' experiences and perspectives about working with members of LGBTQIA+ communities.

Methods: This study employed a qualitative research design, suitable for exploring the experiences and perspectives of individuals within the physiotherapy context.

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Introduction: Clinicians often report technical issues as a barrier to adopting videoconferencing service models. This descriptive study nested within a randomised controlled trial investigated the frequency, nature and impact of technical issues during video consultations.

Methods: Physiotherapists (n = 15) underwent training to deliver knee osteoarthritis care focussed on education, strengthening and physical activity.

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Background: Tibialis posterior tendinopathy (TPT) is characterised by pain around the medial foot/ankle and difficulties weightbearing.

Objective: Compare individuals who have TPT with asymptomatic controls across the International Classification of Functioning, Disability and Health (ICF) domains of body structure and function, activity, participation and personal factors.

Methods: Twenty-two individuals meeting the selection criteria for TPT (86% female, mean ± SD age:43 ± 13 years; body mass index [BMI]:28 ± 7 kg/m) were compared to 27 controls (93% female, age:44 ± 16 years, BMI:23 ± 5 kg/m).

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Question: What are the attitudes, beliefs and knowledge gaps of physiotherapists in Australia regarding working with patients who identify as LGBTQIA+?

Design: Qualitative design using a custom online survey.

Participants: Physiotherapists currently practising in Australia.

Methods: Data were analysed using reflexive thematic analysis.

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Background And Purpose: During the COVID-19 pandemic, hospital physiotherapy departments transitioned to telerehabilitation to ensure continuity of care for patients. The purpose of this study is to determine the key elements to successful, rapid uptake of telerehabilitation in medium-sized public hospital physiotherapy departments in response to COVID-19.

Methods: This study used a qualitative design.

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Article Synopsis
  • The COVID-19 pandemic in March 2020 led to a shift from in-person services to telehealth for student-led clinics, creating a chance to examine the experiences of clinical educators supervising these remote services.
  • Semi-structured interviews were conducted with allied health clinical educators across various disciplines to gather insights on their experiences transitioning students to telehealth during clinical placements.
  • Findings suggest that student-led telehealth can successfully address client needs while fulfilling educational objectives, revealing significant opportunities for learning and showcasing the importance of clinical educators in this process.
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Objective: To identify and describe the psychological and psychosocial constructs and outcome measures used in tendinopathy research.

Design: Scoping review.

Literature Search: We searched the PubMed, EMBASE, Scopus, Web of Science, PEDro, CINAHL, and APA PsychNet databases on July 10, 2021, for all published studies of tendinopathy populations measuring psychological and psychosocial factors.

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Objective: The purpose of this study was to explore physical therapy through the stories of physical therapists who identify as lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other related identities (LGBTQIA+) to consider how the profession enacts and constructs gender and sexual orientation.

Methods: Physical therapists with clinical, academic, and professional roles who identify as LGBTQIA+ were recruited from Australia, the United Kingdom, Canada, and the United States. In-depth data were collected via narrative interviews.

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Article Synopsis
  • The study investigates the impact of various types of exercise on psychological well-being in individuals with knee osteoarthritis (OA), focusing on mental health, depressive symptoms, and anxiety.
  • Results indicate that strengthening exercise is more effective than aerobic, mixed, or mind-body exercises for improving overall mental health, and also better than stretching exercises for reducing depressive symptoms.
  • However, no significant differences were found for anxiety outcomes, and the certainty of the evidence was rated as very low to low.
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Objective: To determine the reliability of common clinical tests for tibialis posterior tendinopathy (TPT) and to investigate their relationship with grayscale ultrasound findings in individuals who have medial foot/ankle pain.

Design: Prospective cohort.

Methods: Fifty-two individuals reporting medial foot/ankle pain were clinically examined by 2 physical therapists using 4 clinical tests for TPT: pain on tendon palpation, swelling around the tendon, pain/weakness with tibialis posterior contraction, and pain during or inability to perform a single-leg heel raise (SLHR).

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Background: Understanding of the biopsychosocial characteristics of greater trochanteric pain syndrome (GTPS), a prevalent lower limb tendinopathy, is currently lacking.

Objectives: To quantify differences in participant characteristics between individuals with GTPS and healthy control participants.

Design: Systematic review of original studies with meta-analyses where appropriate.

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Questions: What are the experiences of people who identify as lesbian, gay, bisexual, transgender, intersex, queer or related identities (LGBTIQ+) and attend physiotherapy? How could those experiences of physiotherapy be improved?

Design: Primarily qualitative design using a purpose-built online survey.

Participants: People aged 18 years or older, who self-identified as LGBTIQ+, and had attended physiotherapy in Australia.

Methods: Open responses were analysed with thematic analysis and quantitative responses with descriptive statistics.

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Objective: To systematically review all randomised clinical trials to determine the efficacy of local strengthening exercises compared with other forms of conservative management for adults with posterior tibial tendon dysfunction.

Design: Systematic review.

Data Sources: Four electronic databases (Cumulative Index to Nursing and Allied Health Literature, Cochrane, Embase and PubMed) were searched up to June 2018.

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