Physiotherapy - Research Publications

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    Lessons learnt from a nationally funded training and mentoring programme for early-mid career musculoskeletal researchers in Australia
    Lawford, BJ ; Hinman, RS ; Bennell, KL ; Hunter, DJ ; Hodges, PW ; Setchell, J ; Eyles, J ; Allison, K ; Campbell, P ; Mellor, R ; Vicenzino, B (WILEY, 2023-12)
    INTRODUCTION: Quality training and mentoring are crucial components of successful career development for early mid career researchers (EMCRs). This paper describes the overarching framework of novel ongoing national Training and Mentoring Programme Melbourne University Sydney Queensland:Impact (MUSQ:Impact) for musculoskeletal researchers, including a description of how it was set up and established, and lessons learned from its implementation. RESULTS: The MUSQ:Impact programme spans four multidisciplinary musculoskeletal research teams across three universities in Australia, comprising 40-60 EMCR members. It was established to provide EMCRs with a unique learning environment and opportunities to gain exposure to, and network with, other national musculoskeletal research teams. Specific goals are to focus on core research competencies (e.g. writing skills, managing grant budgets, public speaking and media engagement, research translation), provide career mentoring, fund development activities (e.g. conference attendance, laboratory visits, skill development courses), and share training resources (e.g. data dictionaries, project summaries). A Steering Committee of 10-12 EMCR members, co-chaired by a senior researcher and one EMCR, is responsible for overseeing MUSQ:Impact and organising regular activities, including a monthly webinar series, a mentor/mentee scheme, annual group research retreats, annual infographic competition, and funding awards. An evaluation survey found that most participants perceived each activity to be beneficial and of value to their research career and development. CONCLUSION: This paper presents the structure of national training and mentoring programme that serves as a potential template for other research teams to adapt within their own contexts.
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    Challenges With Strengthening Exercises for Individuals With Knee Osteoarthritis and Comorbid Obesity: A Qualitative Study With Patients and Physical Therapists
    Lawford, BJ ; Bennell, KL ; Allison, K ; Schwartz, S ; Hinman, RS (WILEY, 2021-12-20)
    OBJECTIVE: To explore challenges associated with implementing a home-based strengthening exercise program for individuals with knee osteoarthritis and comorbid obesity. METHODS: This is a qualitative study embedded within a randomized controlled trial comparing 2 home-based strengthening programs (weight-bearing functional exercise versus non-weight-bearing quadriceps strengthening exercise) for individuals with knee osteoarthritis and comorbid obesity. Patients in both exercise programs attended 5 consultations with a physical therapist and undertook a home-based exercise program for 12 weeks. After trial completion, semistructured individual telephone interviews were conducted with 22 patients and all 7 physical therapists who delivered trial interventions. Interviews were recorded, transcribed verbatim, and thematically analyzed using an inductive approach. RESULTS: Three themes arose: 1) psychological challenges (false assumptions about exercise; fear of pain; disliking exercise; mental effort of the weight-bearing functional program; underestimating capability); 2) physical challenges (complexity of the weight-bearing functional program; cuff weights and straight leg raise being problematic in non-weight-bearing quadriceps program; other health conditions); and 3) overcoming challenges (incentives to exercise; accountability; education and reassurance; tailoring the exercise program). CONCLUSION: Patients and physical therapists experienced numerous psychological and physical challenges to exercise, including a fear of pain, having false assumptions about exercise, difficulties with exercise performance, application of cuff weights, and adverse impacts of other health conditions.