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Article ; Online: Return-to-employment for working-aged adults after burn injury: A mixed methods scoping review.

Katsu, Akane / Mackenzie, Lynette / Elliott, James M / Mackey, Martin / Tyack, Zephanie

2024

Abstract: Background: This scoping review aimed to identify the barriers, facilitators and benefits of returning to work following burn injury, outcome measures used, management strategies, and models of care.: Objective: To provide a comprehensive overview ... ...

Abstract	Background: This scoping review aimed to identify the barriers, facilitators and benefits of returning to work following burn injury, outcome measures used, management strategies, and models of care. Objective: To provide a comprehensive overview about working-aged adults returning to their preinjury employment after burn injury. Methods: We followed a pre-determined scoping review protocol to search MEDLINE, CINAHL, Embase, PsycINFO, PubMed, Scopus, CCRCT and CDSR databases between 2000 to December 2023. Papers reporting primary data from previously employed adults with cutaneous burn injuries were included. Results: In all, 90 articles met the review criteria. Return-to-work was both an outcome goal and process of recovery from burn injury. Physical and psychological impairments were identified barriers. Job accommodations and modifications were important for supporting the transition from hospital to workplace. Employment status and quality of life sub-scales were used to measure return-to-work. Conclusions: Consistent definitions of work and measurements of return-to-employment after burn injury are priorities for future research. Longitudinal studies are more likely to capture the complexity of the return-to-employment process, its impact on work participation and changes in employment over time. The social context of work may assist or hinder return-to-work more than physical environmental constraints. Equitable vocational support systems would help address disparities in vocational rehabilitation services available after burn injury.
Language	English
Publishing date	2024-04-02
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1394194-x
ISSN	1875-9270 ; 1051-9815
ISSN (online)	1875-9270
ISSN	1051-9815
DOI	10.3233/WOR-230148
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Multiple emergency department encounters for acute musculoskeletal presentation with an existing mental health diagnosis.

Arora, Priya / Elliott, James M / Pourkazemi, Fereshteh / Nasseri Pebdani, Roxanna

Clinical case reports

2023 Volume 11, Issue 11, Page(s) e8010

Abstract: Reconceptualising acute Musculoskeletal (MSK) injuries with both stress- and tissue- based factors is required to consider prior influences of mental health disorders on acute persistent MSK pain presentations. This report describes repeated emergency ... ...

Abstract	Reconceptualising acute Musculoskeletal (MSK) injuries with both stress- and tissue- based factors is required to consider prior influences of mental health disorders on acute persistent MSK pain presentations. This report describes repeated emergency presentations of an individual with acute persistent MSK pain in their twenties living with mental health. Their mental health diagnoses included depression, mood disorders, and anorexia nervosa. This person also had mental health related inpatient admissions that were not captured under the retrospective record review for a large district hospital emergency department using the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) classification system. This case report attempts to demonstrate that improving the understanding of preexisting vulnerabilities and mental health diagnoses may assist with informing healthcare design to develop specialised care pathways for acute injury presentations within triage settings.
Language	English
Publishing date	2023-10-26
Publishing country	England
Document type	Case Reports
ZDB-ID	2740234-4
ISSN	2050-0904
ISSN	2050-0904
DOI	10.1002/ccr3.8010
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Article: Cervical muscle morphometry and composition demonstrate prognostic value in degenerative cervical myelopathy outcomes.

Naghdi, Neda / Elliott, James M / Weber, Michael H / Fehlings, Michael G / Fortin, Maryse

Frontiers in neurology

2023 Volume 14, Page(s) 1209475

Abstract: Objectives: This study aimed to examine whether preoperative cervical muscle size, composition, and asymmetry from magnetic resonance imaging (MRI) can predict post-operative outcomes in patients with degenerative cervical myelopathy (DCM).: Methods: ...

Abstract	Objectives: This study aimed to examine whether preoperative cervical muscle size, composition, and asymmetry from magnetic resonance imaging (MRI) can predict post-operative outcomes in patients with degenerative cervical myelopathy (DCM). Methods: A total of 171 patients with DCM were included. Relative total cross-sectional area (RCSA), functional CSA (fat-free area, FCSA), ratio of FCSA/CSA (fatty infiltration) and asymmetry of the multifidus (MF) and semispinalis cervicis (SCer) together (MF + SCer), and cervical muscle as a group (MF, SCer, semispinalis capitis, and splenius capitis) were obtained from T2-weighted axial MR images at the mid-disk, at the level of maximum cord compression and the level below. Univariate and multivariate linear regression analyses were used to assess the relationship between baseline cervical muscle measurements of interest with the modified Japanese Orthopedic Association (mJOA), Nurick Classification, Neck Disability Index (NDI), and SF-36 health survey at 6-month and 12-month post-surgery. Results: Lower RCSA of MF + SCer, less CSA MF + SCer asymmetry and greater FCSA/CSA for the cervical muscle group (e.g., less fatty infiltration), and younger age were significant predictors of higher mJOA scores (e.g., less disability) at 6-month and 12-month post-surgery (all Conclusion: Our result suggested that cervical paraspinal muscle morphology, specifically greater asymmetry, and fatty infiltration may be important predictors of functional recovery and post-surgical outcomes in patients with DCM.
Language	English
Publishing date	2023-09-07
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2564214-5
ISSN	1664-2295
ISSN	1664-2295
DOI	10.3389/fneur.2023.1209475
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Article ; Online: Exploring sex as a moderator of other prognostic variables in whiplash associated disorder: An observational study.

Callan, Bradford / Walton, David M / Cleland, Joshua / Kolber, Morey J / Elliott, James M

PloS one

2023 Volume 18, Issue 4, Page(s) e0282640

Abstract: Background: Prognostic variables for assessing people with whiplash associated disorder (WAD) following a motor vehicle collision (MVC) have been evaluated in numerous studies. However, there is minimal evidence assessing how these variables may differ ... ...

Abstract	Background: Prognostic variables for assessing people with whiplash associated disorder (WAD) following a motor vehicle collision (MVC) have been evaluated in numerous studies. However, there is minimal evidence assessing how these variables may differ between males and females. Question/purpose: 1) To assess if the sex of a person interacts with known prognostic variables within the development of chronic WAD. 2) To determine if commonly used outcome measures used in the assessment of chronic WAD differ between sexes. Methods: The study was a secondary analysis of an observational study with an inception cohort immediately following an MVC in an emergency department in Chicago, IL, USA. Ninety-seven adults aged 18 to 60 (mean 34.7 years old; 74% female) participated in the study. The primary outcome was long-term disability as determined by Neck Disability Index (NDI) scores at 52-weeks post-MVC. Data was collected at baseline (less than 1-week), 2, 12, 52-weeks post MVC. Hierarchal linear regression was used to determine significance (ΔF-score, p < 0.05) and R2 for each of the variables. The primary variables of interest were sex of the participant, age, baseline scores on the numeric pain rating scale (NPRS) and NDI and created interaction terms for sex x z-baseline NPRS and sex x z-NDI. Results: From analysis 1, both NDI (R2 = 8.7%, p < 0.01) and NPRS (R2 = 5.7%, p = 0.02) collected at baseline predicted significant variance in NDI score at 52-weeks. The interaction term of sex x z-NPRS was also significant (R2 = 3.8%, p = 0.04). In analysis 2 the regression models when disaggregated by sex showed that baseline NDI was the significant predictor of 52-week outcome in males (R2 = 22.4%, p = 0.02) while it was the NPRS as the significant predictor in females (R2 = 10.5%, p < 0.01).
MeSH term(s)	Adult ; Male ; Humans ; Female ; Prognosis ; Pain/complications ; Whiplash Injuries/diagnosis ; Whiplash Injuries/complications ; Linear Models ; Accidents, Traffic ; Chronic Disease ; Neck Pain/complications ; Disability Evaluation
Language	English
Publishing date	2023-04-26
Publishing country	United States
Document type	Observational Study ; Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0282640
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Boosting inpatient exercise after hip fracture using an alternative workforce: a mixed methods implementation evaluation.

March, Marie K / Dennis, Sarah M / Caruana, Sarah / Mahony, Christopher / Elliott, James M / Polley, Stephanie / Thomas, Bijoy / Lin, Charlie / Harmer, Alison R

BMC geriatrics

2024 Volume 24, Issue 1, Page(s) 149

Abstract: Background: Hip fracture has a devastating impact on individuals and is an increasing burden for health systems and society. Compared to usual care, increased physiotherapy provision has demonstrated efficacy in improving patient and health service ... ...

Abstract	Background: Hip fracture has a devastating impact on individuals and is an increasing burden for health systems and society. Compared to usual care, increased physiotherapy provision has demonstrated efficacy in improving patient and health service outcomes in this population. However, physiotherapy workforce challenges prevent sustained implementation. Methods: Our aim was to evaluate the safety, feasibility, acceptability, effectiveness and implementation cost of thrice daily physiotherapy for patients in the acute care setting after hip fracture at two public hospitals. We added twice-daily exercise implemented by an alternative workforce, to usual care consisting of daily mobility practice by a physiotherapist. Sites identified their preferred alternative workforce, with pre-registration physiotherapy students and allied health assistants chosen. We used a mixed methods approach, using the Consolidated Framework for Implementation Research (CFIR) as a determinant framework to guide implementation planning and data collection. We compared hospital length of stay data to a reference cohort. Results: We recruited 25 patients during the study period. Acute care hospital length of stay decreased from 11 days in the reference cohort to 8 days in the BOOST cohort (mean difference - 3.3 days, 95%CI -5.4 to -1.2 days, p = 0.003). Intervention fidelity was 72% indicating feasibility, no safety concerns were attributed to the intervention, and uptake was 96% of all eligible patients. The intervention was acceptable to patients, carers and healthcare providers. This intervention was cost-effective from the acute orthopaedic service perspective. Conclusion: Higher daily frequency of physiotherapy can be safely, feasibly and effectively implemented by an alternative workforce for patients in the acute care setting following hip fracture surgery.
MeSH term(s)	Humans ; Exercise ; Hip Fractures/rehabilitation ; Hip Fractures/surgery ; Inpatients ; Physical Therapy Modalities ; Workforce ; Implementation Science
Language	English
Publishing date	2024-02-14
Publishing country	England
Document type	Journal Article
ZDB-ID	2059865-8
ISSN	1471-2318 ; 1471-2318
ISSN (online)	1471-2318
ISSN	1471-2318
DOI	10.1186/s12877-024-04730-x
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Article: Clinician's Commentary on Belot et al.

Elliott, James M / Courtney, D Mark

Physiotherapy Canada. Physiotherapie Canada

2018 Volume 69, Issue 4, Page(s) 290–291

Language	English
Publishing date	2018-10-09
Publishing country	Canada
Document type	Journal Article ; Comment
ZDB-ID	639189-8
ISSN	1708-8313 ; 0300-0508
ISSN (online)	1708-8313
ISSN	0300-0508
DOI	10.3138/ptc.2016-32-CC
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Article ; Online: A new clinical model for facilitating the development of pattern recognition skills in clinical pain assessment.

Walton, David M / Elliott, James M

Musculoskeletal science & practice

2018 Volume 36, Page(s) 17–24

Abstract: Common, enigmatic musculoskeletal conditions such as whiplash-associated disorder, myofascial pain syndrome, low back pain, headache, fibromyalgia, osteoarthritis, and rotator cuff pathology, account for significant social, economic, and personal burdens ...

Abstract	Common, enigmatic musculoskeletal conditions such as whiplash-associated disorder, myofascial pain syndrome, low back pain, headache, fibromyalgia, osteoarthritis, and rotator cuff pathology, account for significant social, economic, and personal burdens on a global scale. Despite their primacy (and shared sequelae) there remains a paucity of available and effective management options for patients with both acute and chronic conditions. Establishing an accurate prognostic or diagnostic profile on a patient-by-patient basis can challenge the insight of both novice and expert clinicians. Questions remain on how and when to choose the right tool(s), at the right time(s), for the right patient(s), for the right problem(s). The aim of this paper is to introduce a new clinical reasoning framework that is simple in presentation but allows interpretation of complex clinical patterns, and is adaptable across patient populations with acute or chronic, traumatic or non-traumatic pain. The concepts of clinical phenotyping (e.g. identifying observable characteristics of an individual resulting from the interaction of his/her genotype and their environment) and triangulation serve as the foundation for this framework. Based on our own clinical and research programs, we present these concepts using two patient cases; a) whiplash-associated disorder (WAD) following a motor vehicle collision and b) mechanical low back pain.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Chronic Disease ; Female ; Fibromyalgia/diagnosis ; Humans ; Low Back Pain/diagnosis ; Male ; Middle Aged ; Musculoskeletal Diseases/diagnosis ; Pain Measurement/methods ; Whiplash Injuries/diagnosis
Language	English
Publishing date	2018-04-09
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2888772-4
ISSN	2468-7812
ISSN (online)	2468-7812
DOI	10.1016/j.msksp.2018.03.006
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Zs.A 5783: Show issues

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Article ; Online: Purposeful Heading in Youth Soccer: Time to Use Our Heads.

Peek, Kerry / Elliott, James M / Gardner, Andrew

The Journal of orthopaedic and sports physical therapy

2020 Volume 50, Issue 8, Page(s) 415–417

Abstract: Synopsis: Repeated purposeful heading in soccer has come under increased scrutiny as concerns surrounding the association with long-term neurodegenerative disorders in retired players continue to grow. Although a causal link between heading and brain ... ...

Abstract	Synopsis: Repeated purposeful heading in soccer has come under increased scrutiny as concerns surrounding the association with long-term neurodegenerative disorders in retired players continue to grow. Although a causal link between heading and brain health has not been established, the "precautionary principle" supports the notion that soccer governing bodies and associations should consider implementing pragmatic strategies that can reduce head impact during purposeful heading in youth soccer while this relationship is being investigated. This Viewpoint discusses the current evidence to support low-risk head impact reduction strategies during purposeful heading to protect young, developing players, and how such strategies could be implemented now while research and debate continue on this topic.
MeSH term(s)	Adolescent ; Age Factors ; Child ; Competitive Behavior/physiology ; Female ; Head/physiology ; Humans ; Male ; Motor Skills/physiology ; Muscle Strength ; Neck Muscles/physiology ; Neurodegenerative Diseases/prevention & control ; Physical Conditioning, Human/physiology ; Risk Factors ; Soccer/injuries ; Soccer/physiology ; Sports Equipment
Language	English
Publishing date	2020-06-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	604640-x
ISSN	1938-1344 ; 0190-6011
ISSN (online)	1938-1344
ISSN	0190-6011
DOI	10.2519/jospt.2020.0608
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Article ; Online: Purposeful Heading in Youth Soccer: Time to Use Our Heads.

Peek, Kerry / Elliott, James M / Gardner, Andrew

The Journal of orthopaedic and sports physical therapy

2020 , Page(s) 1–8

Abstract: Synopsis: Repeated purposeful heading in soccer has come under increased scrutiny as concerns surrounding the association with long-term neurodegenerative disorders in retired players continues to grow. Whilst a causal link between heading and brain ... ...

Abstract	Synopsis: Repeated purposeful heading in soccer has come under increased scrutiny as concerns surrounding the association with long-term neurodegenerative disorders in retired players continues to grow. Whilst a causal link between heading and brain health has not been established, the 'Precautionary Principle' supports the notion that soccer governing bodies and associations should consider implementing pragmatic strategies, which can reduce head impact during purposeful heading in youth soccer whilst this relationship is being investigated. This viewpoint discusses the current evidence to support low-risk head impact reduction strategies during purposeful heading to protect young developing players; and how such strategies could be implemented now while research and debate continues on this topic.
Language	English
Publishing date	2020-05-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	604640-x
ISSN	1938-1344 ; 0190-6011
ISSN (online)	1938-1344
ISSN	0190-6011
DOI	10.2519/jospt.2020.9680
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Article: Integrating the Gut Microbiome and Stress-Diathesis to Explore Post-Trauma Recovery: An Updated Model.

Mittinty, Manasi Murthy / Lee, Joshua Y / Walton, David M / El-Omar, Emad M / Elliott, James M

Pathogens (Basel, Switzerland)

2022 Volume 11, Issue 7

Abstract: Musculoskeletal conditions of traumatic and non-traumatic origin represent an ongoing health challenge. While the last three decades have seen significant advancement in our understanding of musculoskeletal conditions, the mechanisms of a delayed or lack ...

Abstract	Musculoskeletal conditions of traumatic and non-traumatic origin represent an ongoing health challenge. While the last three decades have seen significant advancement in our understanding of musculoskeletal conditions, the mechanisms of a delayed or lack of recovery are still a mystery. Here, we present an expansion of the integrated stress-diathesis model through the inclusion of the gut microbiome. Connecting the microbiome with known adverse neurobiologic, microbiologic and pathophysiologic sequelae following an injury, trauma or stressful event may help improve our knowledge of the pathogenesis of poor recovery. Such knowledge could provide a foundation for the exploration and development of more effective interventions to prevent the transition from acute to chronic pain.
Language	English
Publishing date	2022-06-23
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2695572-6
ISSN	2076-0817
ISSN	2076-0817
DOI	10.3390/pathogens11070716
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