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  1. Article ; Online: Shin pain in athletes.

    Fallon, Kieran

    Australian journal of general practice

    2023  Volume 52, Issue 11, Page(s) 767–770

    Abstract: Background: Both serious athletes and patients attempting to maintain or improve their health through exercise are at risk of a number of conditions that are not frequently mentioned during medical training. Most of these are related to overuse.: ... ...

    Abstract Background: Both serious athletes and patients attempting to maintain or improve their health through exercise are at risk of a number of conditions that are not frequently mentioned during medical training. Most of these are related to overuse.
    Objective: The aim of this article is to improve general practitioners' knowledge of a specific group of exercise-related conditions that occur in the anterior aspect of the lower limb below the knee, commonly referred to as the shin region.
    Discussion: Many having been previously grouped under the relatively meaningless term 'shin splints', these conditions include, among others, bone stress reactions and fractures and chronic exertional compartment syndromes. Some resolve with rest and a gradual return to activity, whereas others are difficult to treat conservatively and might benefit from early referral.
    MeSH term(s) Humans ; Fractures, Stress/diagnosis ; Fractures, Stress/therapy ; Exercise ; Pain ; Athletes
    Language English
    Publishing date 2023-11-07
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2924889-9
    ISSN 2208-7958 ; 2208-794X
    ISSN (online) 2208-7958
    ISSN 2208-794X
    DOI 10.31128/AJGP-03-23-6767
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The role of exercise in management of rheumatological disease.

    Fallon, Kieran

    Australian journal of general practice

    2021  Volume 50, Issue 5, Page(s) 271–274

    Abstract: Background: Exercise was once viewed as having a deleterious effect on joint pain and function in those with rheumatic diseases. Positive evidence, both related to exercises at specific joints and for exercise in the management of comorbidities and for ... ...

    Abstract Background: Exercise was once viewed as having a deleterious effect on joint pain and function in those with rheumatic diseases. Positive evidence, both related to exercises at specific joints and for exercise in the management of comorbidities and for general illness prevention, is now well established.
    Objective: The aim of this article is to provide an update on the role of therapeutic exercise at individual joints and the utility of general exercise programs in the management of comorbidities and prevention of chronic disease in those with rheumatic disease.
    Discussion: Major international rheumatology bodies now recommend multiple forms of exercise as part of the non-pharmacological management of both osteoarthritis and the more classically inflammatory rheumatic disorders.
    MeSH term(s) Arthralgia ; Exercise Therapy ; Humans ; Osteoarthritis ; Rheumatic Diseases/complications ; Rheumatic Diseases/therapy ; Rheumatology
    Language English
    Publishing date 2021-04-17
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2924889-9
    ISSN 2208-7958 ; 2208-794X
    ISSN (online) 2208-7958
    ISSN 2208-794X
    DOI 10.31128/AJGP-03-21-5865
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Exercise in the time of COVID-19.

    Fallon, Kieran

    Australian journal of general practice

    2020  Volume 49

    Abstract: The COVID-19 pandemic has restricted the physical activity of the population, but maintaining exercise could reduce the risk of contracting the infection itself and mitigate the effects of quarantine. ...

    Abstract The COVID-19 pandemic has restricted the physical activity of the population, but maintaining exercise could reduce the risk of contracting the infection itself and mitigate the effects of quarantine.
    Keywords covid19
    Language English
    Publishing date 2020-04-22
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2924889-9
    ISSN 2208-7958 ; 2208-794X
    ISSN (online) 2208-7958
    ISSN 2208-794X
    DOI 10.31128/AJGP-COVID-13
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Overuse injuries in the athlete.

    Fallon, Kieran

    Australian journal of general practice

    2019  Volume 49, Issue 1-2, Page(s) 7–11

    Abstract: Background: Most general practices will have patients who have more than a passing interest in fitness and exercise. These range from the elite athlete to the recreational enthusiast. These patients are highly motivated, but treating them can be ... ...

    Abstract Background: Most general practices will have patients who have more than a passing interest in fitness and exercise. These range from the elite athlete to the recreational enthusiast. These patients are highly motivated, but treating them can be challenging.
    Objective: The aims of this article are to increase awareness of the management of a number of overuse injuries frequently seen in athletes, to assist in understanding the mindset of the athlete in relation to his or her injuries and to indicate the importance of a confident approach to these problems and a multidisciplinary management plan in facilitating a successful outcome.
    Discussion: Athletes generally have dynamic personalities and high standards for themselves and others. Complete rest can be anathema to them. Fortunately, in cases of tendinopathy, a structured exercise program is an important component of management. A proactive approach, often with the assistance of a physiotherapist, is likely to improve outcomes.
    MeSH term(s) Athletes/statistics & numerical data ; Australia ; Cumulative Trauma Disorders/diagnosis ; Cumulative Trauma Disorders/physiopathology ; Humans
    Language English
    Publishing date 2019-12-30
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2924889-9
    ISSN 2208-7958 ; 2208-794X
    ISSN (online) 2208-7958
    ISSN 2208-794X
    DOI 10.31128/AJGP-07-19-5016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Exercise in the time of COVID-19

    Fallon, Kieran

    Aust. J. Gen. Pract

    Abstract: The COVID-19 pandemic has restricted the physical activity of the population, but maintaining exercise could reduce the risk of contracting the infection itself and mitigate the effects of quarantine. ...

    Abstract The COVID-19 pandemic has restricted the physical activity of the population, but maintaining exercise could reduce the risk of contracting the infection itself and mitigate the effects of quarantine.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #108805
    Database COVID19

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  6. Article ; Online: A qualitative study of health professions curricula and management of lateral ankle ligament sprain demonstrates inconsistency.

    Green, Toni / Willson, Grant / Fallon, Kieran

    BMC medical education

    2020  Volume 20, Issue 1, Page(s) 99

    Abstract: Background: Health educators aim to graduate students who are safe, effective and practice evidence-based medicine (EBM). Clinical Practice Guidelines (CPGs) are tools for translating evidence into clinical practice for health professionals and ... ...

    Abstract Background: Health educators aim to graduate students who are safe, effective and practice evidence-based medicine (EBM). Clinical Practice Guidelines (CPGs) are tools for translating evidence into clinical practice for health professionals and educators who lack time to appraise the evidence. There have been CPGs published for lateral ankle ligament sprains (LALS) for physiotherapists, nurses, and doctors. Clinical decision rules have also been developed for LALS to increase the safety of practice. The Ottawa Ankle Rules (OAR) were developed to screen for the need for an x-ray following an ankle or foot injury.
    Methods: Educators from the Australasian College of Sports and Exercise Physicians (ACSEP), St John Ambulance first aiders, pharmacy, nursing, and physiotherapy disciplines were participants in this study. Using purposeful sampling with semi-structured questions and a LALS case study, 19 Australian educators were interviewed. Curricula and textbooks were also collected and analysed. Two researchers independently analysed the data using a deductive method.
    Results: Analysis found that no educator used a CPG to inform their teaching. There was no common LALS curriculum for the five groups studied. There were two approaches: a triage curriculum (St John Ambulance, pharmacy, nursing) and a reflective curriculum (ASCEP and physiotherapy). Textbooks influenced curriculum for physiotherapy, pharmacy and first aid educators. The triage curricula recommend rest, ice, compression and elevation (RICE) alone, while the reflective curricula uses OAR, RICE, immobilisation if the LALS is severe, functional support (brace), exercises and manual therapy. In addition, ACSEP and physiotherapy do not recommend electrotherapy. All five groups were cautious about the use of non-steroidal anti-inflammatory drugs (NSAIDs).
    Conclusions: Physiotherapy and ACSEP educators teach OAR. Despite not using the CPGs to inform curriculum, physiotherapy and ACSEP have unintentionally aligned their curriculum with current LALS CPG recommendations. However, nursing, pharmacy and first aid trainers are not teaching OAR or aligned with LALS CPGs. Educators in pharmacy, nursing and first aid should re-examine their curricula and consider possibly teaching OAR and using CPG. Clinical practice guideline developers should consider pharmacists and first aiders as users of their LALS CPGs.
    MeSH term(s) Adult ; Ankle Injuries/therapy ; Australia ; Curriculum/standards ; Delivery of Health Care/standards ; Female ; Health Educators ; Humans ; Lateral Ligament, Ankle/injuries ; Male ; Middle Aged ; Practice Guidelines as Topic ; Qualitative Research
    Language English
    Publishing date 2020-03-31
    Publishing country England
    Document type Journal Article
    ZDB-ID 2044473-4
    ISSN 1472-6920 ; 1472-6920
    ISSN (online) 1472-6920
    ISSN 1472-6920
    DOI 10.1186/s12909-020-02013-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: A qualitative study of health professions curricula and management of lateral ankle ligament sprain demonstrates inconsistency

    Toni Green / Grant Willson / Kieran Fallon

    BMC Medical Education, Vol 20, Iss 1, Pp 1-

    2020  Volume 8

    Abstract: Abstract Background Health educators aim to graduate students who are safe, effective and practice evidence-based medicine (EBM). Clinical Practice Guidelines (CPGs) are tools for translating evidence into clinical practice for health professionals and ... ...

    Abstract Abstract Background Health educators aim to graduate students who are safe, effective and practice evidence-based medicine (EBM). Clinical Practice Guidelines (CPGs) are tools for translating evidence into clinical practice for health professionals and educators who lack time to appraise the evidence. There have been CPGs published for lateral ankle ligament sprains (LALS) for physiotherapists, nurses, and doctors. Clinical decision rules have also been developed for LALS to increase the safety of practice. The Ottawa Ankle Rules (OAR) were developed to screen for the need for an x-ray following an ankle or foot injury. Methods Educators from the Australasian College of Sports and Exercise Physicians (ACSEP), St John Ambulance first aiders, pharmacy, nursing, and physiotherapy disciplines were participants in this study. Using purposeful sampling with semi-structured questions and a LALS case study, 19 Australian educators were interviewed. Curricula and textbooks were also collected and analysed. Two researchers independently analysed the data using a deductive method. Results Analysis found that no educator used a CPG to inform their teaching. There was no common LALS curriculum for the five groups studied. There were two approaches: a triage curriculum (St John Ambulance, pharmacy, nursing) and a reflective curriculum (ASCEP and physiotherapy). Textbooks influenced curriculum for physiotherapy, pharmacy and first aid educators. The triage curricula recommend rest, ice, compression and elevation (RICE) alone, while the reflective curricula uses OAR, RICE, immobilisation if the LALS is severe, functional support (brace), exercises and manual therapy. In addition, ACSEP and physiotherapy do not recommend electrotherapy. All five groups were cautious about the use of non-steroidal anti-inflammatory drugs (NSAIDs). Conclusions Physiotherapy and ACSEP educators teach OAR. Despite not using the CPGs to inform curriculum, physiotherapy and ACSEP have unintentionally aligned their curriculum with current LALS CPG ...
    Keywords Curricula ; Lateral ankle ligament sprains ; Clinical practice guidelines ; Ottawa ankle rules ; Special aspects of education ; LC8-6691 ; Medicine ; R
    Subject code 796
    Language English
    Publishing date 2020-03-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: What is the quality of clinical practice guidelines for the treatment of acute lateral ankle ligament sprains in adults? A systematic review.

    Green, Toni / Willson, Grant / Martin, Donna / Fallon, Kieran

    BMC musculoskeletal disorders

    2019  Volume 20, Issue 1, Page(s) 394

    Abstract: Background: Acute lateral ankle ligament sprains (LALS) are a common injury seen by many different clinicians. Knowledge translation advocates that clinicians use Clinical Practice Guidelines (CPGs) to aid clinical decision making and apply evidence- ... ...

    Abstract Background: Acute lateral ankle ligament sprains (LALS) are a common injury seen by many different clinicians. Knowledge translation advocates that clinicians use Clinical Practice Guidelines (CPGs) to aid clinical decision making and apply evidence-based treatment. The quality and consistency of recommendations from these CPGs are currently unknown. The aims of this systematic review are to find and critically appraise CPGs for the acute treatment of LALS in adults.
    Methods: Several medical databases were searched. Two authors independently applied inclusion and exclusion criteria. The content of each CPG was critically appraised independently, by three authors, using the Appraisal of Guidelines for REsearch and Evaluation (AGREE II) instrument online version called My AGREE PLUS. Data related to recommendations for the treatment of acute LALS were abstracted independently by two reviewers.
    Results: This study found CPGs for physicians and physical therapists (Netherlands), physical therapists, athletic trainers, physicians, and nurses (USA) and nurses (Canada and Australia). Seven CPGs underwent a full AGREE II critical appraisal. None of the CPGs scored highly in all domains. The lowest domain score was for domain 5, applicability (discussion of facilitators and barriers to application, provides advice for practical use, consideration of resource implications, and monitoring/auditing criteria) achieving an exceptionally low joint total score of 9% for all CPGs. The five most recent CPGs scored a zero for applicability. Other areas of weakness were in rigour of development and editorial independence.
    Conclusions: The overall quality of the existing LALS CPGs is poor and majority are out of date. The interpretation of the evidence between the CPG development groups is clearly not consistent. Lack of consistent methodology of CPGs is a barrier to implementation.
    Systematic review: Systematic review registered with PROSPERO ( CRD42015025478 ).
    MeSH term(s) Adult ; Clinical Decision-Making ; Evidence-Based Medicine/methods ; Evidence-Based Medicine/standards ; Humans ; Lateral Ligament, Ankle/injuries ; Orthopedic Procedures/methods ; Orthopedic Procedures/standards ; Practice Guidelines as Topic ; Quality Improvement ; Sprains and Strains/therapy ; Treatment Outcome
    Language English
    Publishing date 2019-08-31
    Publishing country England
    Document type Journal Article ; Systematic Review
    ZDB-ID 2041355-5
    ISSN 1471-2474 ; 1471-2474
    ISSN (online) 1471-2474
    ISSN 1471-2474
    DOI 10.1186/s12891-019-2750-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Topical glyceryl trinitrate therapy for chronic supraspinatus tendinopathy.

    Fallon, Kieran

    Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine

    2006  Volume 16, Issue 3, Page(s) 280–281

    Language English
    Publishing date 2006-05-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1062530-6
    ISSN 1050-642X
    ISSN 1050-642X
    DOI 10.1097/00042752-200605000-00022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Qualitative Research in Rheumatology: An Overview of Methods and Contributions to Practice and Policy.

    Kelly, Ayano / Tymms, Kathleen / Fallon, Kieran / Sumpton, Daniel / Tugwell, Peter / Tunnicliffe, David / Tong, Allison

    The Journal of rheumatology

    2020  Volume 48, Issue 1, Page(s) 6–15

    Abstract: Patient-centered care is widely advocated in rheumatology. This involves collaboration among patients, caregivers, and health professionals and is particularly important in chronic rheumatic conditions because the disease and treatment can impair ... ...

    Abstract Patient-centered care is widely advocated in rheumatology. This involves collaboration among patients, caregivers, and health professionals and is particularly important in chronic rheumatic conditions because the disease and treatment can impair patients' health and well-being. Qualitative research can systematically generate insights about people's experiences, beliefs, and attitudes, which patients may not always express in clinical settings. These insights can address complex and challenging areas in rheumatology, such as treatment adherence and transition to adult healthcare services. Despite this, qualitative research comprises 1% of studies published in top-tier rheumatology journals. A better understanding about the effect and role, methods, and rigor of qualitative research is needed. This overview highlights the recent contributions of qualitative research in rheumatology, summarizes the common approaches and methods used, and outlines the key principles to guide appraisal of qualitative studies.
    MeSH term(s) Adult ; Health Personnel ; Humans ; Policy ; Qualitative Research ; Rheumatology
    Language English
    Publishing date 2020-07-15
    Publishing country Canada
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 194928-7
    ISSN 1499-2752 ; 0315-162X
    ISSN (online) 1499-2752
    ISSN 0315-162X
    DOI 10.3899/jrheum.191368
    Database MEDical Literature Analysis and Retrieval System OnLINE

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