322 results match your criteria: "Health and Rehabilitation Research Institute[Affiliation]"

Delayed presentation of severe cervical myelopathy two years post-motorcycle accident: a case report.

N Z Med J

January 2025

Active Living and Rehabilitation: Aotearoa New Zealand, Health and Rehabilitation Research Institute, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.

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Article Synopsis
  • The study evaluated the effectiveness of interdisciplinary pain management programs (IPMPs) for complex regional pain syndrome (CRPS) compared to low back pain (LBP) and chronic widespread pain (CWP).
  • Researchers found that recovery trajectories for pain interference and pain intensity were similar across CRPS, LBP, and CWP patients, indicating equivalent benefits from IPMPs.
  • Machine learning models were successfully used to predict recovery outcomes based on initial characteristics, classifying 69% for pain interference and 88% for pain intensity recovery trajectories.
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Objectives: Rehabilitation is essential for supporting the recovery from, and management of, a range of health conditions. However, interventions are often poorly reported in rehabilitation research, hindering advancement of the field. The Template for Intervention Description and Replication (TIDieR) checklist was developed to enhance the reporting of interventions, but does not specifically address the complexities and multifaceted nature of rehabilitation interventions.

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Background: Rehabilitation is a complex biopsychosocial process in which multidisciplinary professionals work in collaboration with a person and their family, with the shared objective of enhancing the person's participation in valued life roles. Hence, rehabilitation is integral to the management of numerous health conditions. However, poor descriptions of rehabilitation interventions, including their essential elements and dosage parameters, pose a significant barrier to their replication in clinical practice.

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Long-term patient outcomes from a multidisciplinary cardiac rehabilitation programme with integrated nurse specialist support: A retrospective cohort study.

Int J Nurs Stud

January 2025

Department of Exercise Sciences, Faculty of Sciences, University of Auckland, New Zealand; Holsworth Research Initiative, La Trobe Rural Health School, La Trobe University, Melbourne, Australia.

Background: Cardiac rehabilitation programmes, while demonstrating benefits, face challenges in universal adoption, particularly in New Zealand. This study evaluates the long-term impact of cardiac rehabilitation participation and attendance on survival and readmission rates in the Auckland Health District.

Objective: To examine the impact of patient participation in nurse-led lifestyle rehabilitation and physiotherapy exercise rehabilitation on key outcomes, including all-cause mortality, and all-cause, cardiac-specific, and kidney disease readmission rates.

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Can Offset Analgesia Magnitude Provide Additional Information About Endogenous Pain Modulation in People With Knee Osteoarthritis?: An Experimental Study.

Clin J Pain

January 2025

Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels.

Article Synopsis
  • The study aimed to explore how the intensity of offset analgesia relates to pain features like conditioned pain modulation (CPM), temporal summation of second pain (TSP), and overall pain severity in people with knee osteoarthritis (KOA).
  • Researchers used electrical stimuli on 88 participants to measure these pain responses and analyzed the data using various statistical methods, excluding those who couldn't complete the tests.
  • Findings indicated that while significant pain modulation occurred, offset analgesia did not meaningfully correlate with CPM, TSP, or clinical pain severity, suggesting it may reflect other aspects of pain modulation in KOA, but its practical application is still unclear.
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Day-to-day associations between pain intensity and sleep outcomes in an adult chronic musculoskeletal pain population: A systematic review.

Sleep Med Rev

February 2025

Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Brussel, 1050, Belgium; Chronic Pain Rehabilitation, Department of Physical Medicine and Physiotherapy, University Hospital Brussels, Belgium; Musculoskeletal Rehabilitation Research Group, Department of Rehabilitation Sciences, Faculty of Movement and Rehabilitation Sciences, KU Leuven, Belgium; Department of Physical Medicine and Physiotherapy, UZ Leuven, Belgium. Electronic address:

Background: In individuals with chronic musculoskeletal pain, a reciprocal relationship between sleep and pain across short and long-term evaluations exists. Sleep influences pain levels, while the level of pain also impairs sleep. However, given the day-to-day variability of both sleep and pain intensity, assessing this relationship within a daily time frame should be considered.

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Usability Assessment Methods for Mobile Apps for Physical Rehabilitation: Umbrella Review.

JMIR Mhealth Uhealth

October 2024

Health and Rehabilitation Research Institute, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.

Background: Usability has been touted as one determiner of success of mobile health (mHealth) interventions. Multiple systematic reviews of usability assessment approaches for different mHealth solutions for physical rehabilitation are available. However, there is a lack of synthesis in this portion of the literature, which results in clinicians and developers devoting a significant amount of time and effort in analyzing and summarizing a large body of systematic reviews.

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Article Synopsis
  • The study assesses the reliability of measuring ankle dorsiflexor muscle strength and rate of force development (RFD) in individuals who have had a stroke, highlighting the importance for rehabilitation efficacy.
  • Results showed excellent reliability for isometric maximal voluntary contraction (MVC) of the dorsiflexor muscles, while other measures, like TA EMG and RFD, showed good to moderate reliability, questioning their consistency.
  • The conclusion suggests further large-scale studies are needed to better understand the reliability of these measurements, especially concerning rapid force production in stroke patients.
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Home-based EEG Neurofeedback for the Treatment of Chronic Pain: A Randomized Controlled Clinical Trial.

J Pain

November 2024

Waitemata Pain Services, Te Whatu Ora - Health New Zealand Waitematā, Auckland, Auckland, New Zealand; Department of Anaesthesiology and Perioperative Medicine, Te Whatu Ora - Health New Zealand Waitematā, Auckland, Auckland, New Zealand; Department of Anaesthesiology, Faculty of Medicine and Health Sciences, University of Auckland, Auckland, Auckland, New Zealand.

This parallel, 2-arm, blinded, randomized controlled superiority trial examined whether, when added to usual care, active-electroencephalography neurofeedback (EEG NFB) was safe and more effective than sham control-EEG NFB for chronic pain. In total, 116 participants with chronic pain were randomly assigned (1:1) to usual care plus ≥32 sessions of active-EEG NFB upregulating relative alpha power over C4 or usual care plus ≥32 sessions of sham control-EEG NFB. Per-protocol analyses revealed no significant between-group differences in the primary outcome, Brief Pain Inventory average pain (mean difference [95% confidence interval]: -.

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Article Synopsis
  • The study focused on two patients who underwent treatment with the ReAktiv Posterior Dynamic Element™ orthosis and a 6-week rehabilitation program following severe lower limb injuries.
  • Lower-limb function was evaluated through various tests, including walking performance and balance, revealing notable improvements after 8 weeks of treatment.
  • Results suggest that the combination of the ReAktiv PDE™ orthosis and physiotherapy could effectively enhance lower-limb function and help patients regain normal walking abilities after high-energy trauma injuries.
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Reply to comments on "Progressive submaximal effort hamstring muscle endurance is reduced after reconstruction of the anterior cruciate ligament".

Musculoskelet Sci Pract

August 2024

Dept of Surgery, University of Auckland, Auckland, New Zealand; Dept of Orthopaedic Surgery, North Shore Hospital, Private Bag 93-503, Auckland, 0740, New Zealand.

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Introduction: Diabetic foot ulcers (DFUs) are commonly contaminated with pathogenic organisms and precede most diabetes-related amputations. Antimicrobial dressings are used in the treatment of DFUs; however, recent guidelines do not support their use. There are no data describing the experience of antimicrobial dressing use among podiatrists in Aotearoa New Zealand (AoNZ).

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Large trans-sarcolemmal ionic shifts occur with fatiguing exercise or stimulation of isolated muscles. However, it is unknown how resting membrane potential (E) and intracellular sodium concentration ([Na]) change with repeated contractions in living mammals. We investigated (i) whether [Na] (peak, kinetics) can reveal changes of Na-K pump activity during brief or fatiguing stimulation and (ii) how resting E and [Na] change during fatigue and recovery of rat soleus muscle in situ.

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Burnout among the podiatry profession: A survey of podiatrists in Aotearoa New Zealand.

J Foot Ankle Res

June 2024

Faculty of Health and Environmental Sciences, School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.

Article Synopsis
  • The study investigates burnout and occupational stress among podiatrists in Aotearoa New Zealand, identifying the prevalence, severity, and contributing factors.
  • An online survey engaged 112 registered podiatrists, utilizing the Maslach Burnout Inventory and Workplace Stress Scale to measure burnout risk and occupational stress.
  • Findings revealed high emotional exhaustion in 43.8% of participants, with burnout risk linked to work conditions, patient caseload, and physical activity, while over 20% reported severe stress levels.
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Freely available, online videos to support neurological physiotherapists and students in task-specific training skill acquisition: a scoping review.

BMC Med Educ

May 2024

School of Clinical Sciences, Department of Physiotherapy, Health and Rehabilitation Research Institute, Auckland University of Technology, Northshore Campus, Private Bag 92006, Auckland, 1142, New Zealand.

Background: Videos to support learning of clinical skills are effective; however, little is known about the scope and educational quality of the content of freely available online videos demonstrating task-specific training (TST). This review aimed to determine the extent, characteristics of freely available online videos, and whether the content is suitable to guide skill acquisition of task-specific training for neurological physiotherapists and students.

Methods: A scoping review was conducted.

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Objective: Given the ability of ultrasound imaging (USI) to depict tissue-specific morphological changes before the onset of pain and before the point of irreversible structural damage, USI could play a fundamental role in earlier detection and assessment of foot osteoarthritis (OA). The current guidelines require further refinement of anatomical landmarks to establish a standardized imaging procedure to improve the interpretability and reproducibility between studies evaluating the first metatarsophalangeal joint (MTPJ). The aims were to develop an USI acquisition procedure and grading system to examine OA features in the first MTPJ and to determine intra-examiner and inter-examiner reliability of a newly developed USI acquisition procedure.

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Purpose: The aim of this study was to determine whether a 9-week resistance training program based on high load (HL) versus low load combined with blood flow restriction (LL-BFR) induced a similar (i) distribution of muscle hypertrophy among hamstring heads (semimembranosus, SM; semitendinosus, ST; and biceps femoris long head, BF) and (ii) magnitude of tendon hypertrophy of ST, using a parallel randomized controlled trial.

Methods: A total of 45 participants were randomly allocated to one of three groups: HL, LL-BFR, and control (CON). Both HL and LL-BFR performed a 9-week resistance training program composed of seated leg curl and stiff-leg deadlift exercises.

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The lived experience of chronic pain for Māori: how can this inform service delivery and clinical practice? A systematic review and qualitative synthesis.

N Z Med J

March 2024

Senior Research Fellow, Health and Rehabilitation Research Institute, Auckland University of Technology, Auckland; Department of Anaesthesia & Perioperative Medicine, Te Whatu Ora Waitematā, Auckland.

Aim: To synthesise the literature describing experiences of chronic pain and pain management for Māori, and to understand how this experience could inform service delivery and clinical practice.

Method: We systematically searched for qualitative research on Māori chronic pain experiences (Scopus, Medline, APA PsycINFO, NZ Research, Research Square). Data extracted were coded and synthesised using thematic analysis.

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Progressive submaximal effort hamstring muscle endurance is reduced after reconstruction of the anterior cruciate ligament.

Musculoskelet Sci Pract

April 2024

Dept of Surgery, University of Auckland, Auckland, New Zealand; Dept of Orthopaedic Surgery, North Shore Hospital, Private Bag 93-503, Auckland, 0740, New Zealand.

Background: Endurance capability in the muscles controlling the knee is poorly understood post anterior cruciate ligament (ACL) reconstruction, despite many sporting activities requiring notable muscle endurance. The hamstring muscles, when active, provide important anatomical support to protect the reconstructed graft. In the absence of good hamstring endurance, fatigue may predispose individuals to re-injury.

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Article Synopsis
  • The study compares the effects of muscle strengthening training (MST) and behavioral graded activity (BGA) on pain relief for patients with knee osteoarthritis (KOA), focusing on inflammation and central sensitization as potential mechanisms.
  • It involves a three-arm clinical trial with 90 patients randomly assigned to either MST, BGA, or usual care, with assessments conducted at various intervals over 52 weeks.
  • The research seeks to clarify how these exercise therapies might reduce pain, aiming to benefit both scientific understanding and practical applications in pain management and exercise immunology.
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Intervention parameters such as the challenge, amount, and dosage (challenge × amount) have the potential to alter the efficacy of rehabilitation interventions after stroke. This systematic review investigated the effect of intervention parameters of challenge, amount, and dosage on improvements in walking outcomes following treadmill training (TT) and comparison interventions in people with stroke. Randomized controlled trials were included if they: (i) investigated interventions of TT or bodyweight-supported TT (BWSTT); (ii) made comparisons with other physiotherapy interventions, other types of TT, or no intervention; (iii) studied people with stroke; (iv) reported sufficient data on challenge and amount parameters; and (v) measured walking speed or endurance.

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Haptic nudging via wearable devices promotes physical activity and may increase upper limb movement in stroke rehabilitation. This study investigated the optimal approach to haptic nudging by examining diurnal variation, duration of effect, and repeated nudging. The study analysed data from a multiple-period randomised crossover study.

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Smartphone accelerometry has potential to provide clinicians with specialized gait analysis not available in most clinical settings. The Gait&Balance Application (G&B App) uses smartphone accelerometry to assess spatiotemporal gait parameters under two conditions: walking looking straight ahead and walking with horizontal head turns. This study investigated the validity of G&B App gait parameters compared with the GAITRite® pressure-sensitive walkway.

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