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Article ; Online: Digital interventions for healthy ageing and cognitive health in older adults: a systematic review of mixed method studies and meta-analysis.

Tsai, Yvette I-Pei / Beh, Jeanie / Ganderton, Charlotte / Pranata, Adrian

2024 Volume 24, Issue 1, Page(s) 217

Abstract: Background: Currently, there is no systematic review to investigate the effectiveness of digital interventions for healthy ageing and cognitive health of older adults. This study aimed to conduct a systematic review to evaluate the effectiveness of ... ...

Abstract	Background: Currently, there is no systematic review to investigate the effectiveness of digital interventions for healthy ageing and cognitive health of older adults. This study aimed to conduct a systematic review to evaluate the effectiveness of digital intervention studies for facilitating healthy ageing and cognitive health and further identify the considerations of its application to older adults. Methods: A systematic review and meta-analysis of literature were conducted across CINAHL, Medline, ProQuest, Cochrane, Scopus, and PubMed databases following the PRISMA guideline. All included studies were appraised using the Mixed Methods Appraisal Tool Checklist by independent reviewers. Meta-analyses were performed using JBI SUMARI software to compare quantitative studies. Thematic analyses were used for qualitative studies and synthesised into the emerging themes. Results: Thirteen studies were included. Quantitative results showed no statistically significant pooled effect between health knowledge and healthy behaviour (I Conclusions: Digital interventions used in older adults to facilitate healthy ageing were not always effective. Health knowledge improvement does not necessarily result in health risk reduction in that knowledge translation is key. Factors influencing knowledge translation (i.e., digital engagement, human coaching etc) were identified to determine the intervention effects. However, using digital devices appeared beneficial to maintain older adults' cognitive functions in the longer term. Therefore, the review findings suggest that the expanded meaning of a person-centred concept (i.e., from social, environmental, and healthcare system aspects) should be pursued in future practice. Privacy and cost concerns of technologies need ongoing scrutiny from policy bodies. Future research looking into the respective health benefits can provide more understanding of the current digital intervention applied to older adults. Study registration: PROSPERO record ID: CRD42023400707 https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=400707 .
MeSH term(s)	Aged ; Humans ; Cell Phone ; Cognition ; Communication ; Healthy Aging ; Digital Health
Language	English
Publishing date	2024-03-04
Publishing country	England
Document type	Meta-Analysis ; Systematic Review ; Journal Article
ZDB-ID	2059865-8
ISSN	1471-2318 ; 1471-2318
ISSN (online)	1471-2318
ISSN	1471-2318
DOI	10.1186/s12877-023-04617-3
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Article: Musculoskeletal Injury in Australian Professional Musical Theatre Shows: A 5-Year Retrospective Observation Study of 2,249 Medical Attention Injuries.

Ganderton, Charlotte / Strauch, Annie / Etty-Leal, Catherine / Pranata, Adrian

Medical problems of performing artists

2024 Volume 39, Issue 1, Page(s) 1–7

Abstract: Objective: To investigate the frequency and trends of musculoskeletal medical attention injuries occurring in Australian professional musical theatre performers over two consecutive Australian city tours.: Methods: Medical attention performance- ... ...

Abstract	Objective: To investigate the frequency and trends of musculoskeletal medical attention injuries occurring in Australian professional musical theatre performers over two consecutive Australian city tours. Methods: Medical attention performance-related injuries were prospectively reported from 269 professional Australian music theatre performers across nine professional music theatre productions from 2015 to 2020. Medical attention injuries were defined as a presentation to physiotherapy for assessment or treatment of a body region that may or may not have resulted in time lost on stage. Results: 844 injuries were reported in City 1 and 776 injuries were reported in the City 2. The proportion of performers reporting injuries in City 1 ranged from 39.5% to 96.4% and in City 2, from 15.4% to 92.9%. Cervical spine injuries (ncity1 = 194, ncity2 = 187) were the most prevalent musculoskeletal presentation to physiotherapy followed by lumbar spine (ncity1 = 124, ncity2 = 117) and thoracic spine (ncity1 = 124, ncity2 = 90). There were more acute injuries reported in City 1 than City 2 (adj residuals = -4.09, p < 0.001) and more persistent injuries in City 2 (adj residuals = 4.09, p < 0.001). Conclusion: Almost half of all injuries requiring medical attention in Australian professional music theatre performers were related to the cervical, thoracic and lumbar spine, with an increasing trend of cervical spine injury frequency across show durations. The study suggests a need for targeted injury prevention strategies in this population.
MeSH term(s)	Humans ; Australia/epidemiology ; Lumbar Vertebrae ; Musculoskeletal Diseases/epidemiology ; Music ; Retrospective Studies ; Spinal Injuries
Language	English
Publishing date	2024-02-28
Publishing country	United States
Document type	Observational Study ; Journal Article
ZDB-ID	639194-1
ISSN	0885-1158
ISSN	0885-1158
DOI	10.21091/mppa.2024.1001
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Article ; Online: Ankle inversion proprioception measured during stair descent can identify chronic ankle instability.

Wang, Xueying / Wang, Zheng / Adams, Roger / Ganderton, Charlotte / Lyu, Jie / Han, Jia

Musculoskeletal science & practice

2024 Volume 72, Page(s) 102958

Abstract: Background: Individuals with chronic ankle instability (CAI) may experience recurrent ankle sprains and symptoms during daily activities such as stair descent, where the associated proprioceptive deficit is largely unevaluated.: Objectives: To ... ...

Abstract	Background: Individuals with chronic ankle instability (CAI) may experience recurrent ankle sprains and symptoms during daily activities such as stair descent, where the associated proprioceptive deficit is largely unevaluated. Objectives: To evaluate the reliability and validity of an ankle inversion discrimination apparatus for stair descent, and examine whether proprioceptive scores from this apparatus are associated with patient-reported symptoms. Design: Cross-sectional study. Method: Sixty-six participants volunteered in this study. The ankle inversion discrimination apparatus was purpose-built to assess ankle proprioception across four positions of ankle inversion (10°, 12°, 14°, and 16°) during stair descent. The Area Under the Receiver Operating Curve (AUC) was employed as the ankle proprioceptive discrimination score. Results: Test-retest reliability ICC (3,1) for the whole group was 0.825, with 0.747 for the non-CAI group (95%CI = 0.331-0.920) and 0.701 for CAI (95%CI = 0.242-0.904). The CAI group performed at a significantly lower level than non-CAI on the ankle inversion discrimination apparatus for stair descent assessment (0.769 ± 0.034 vs. 0.830 ± 0.035, F = 33.786, p < 0.001). CAIT scores were strongly and significantly correlated with scores from this apparatus (Spearman's rho = 0.730, p < 0.001). Conclusions: The ankle inversion discrimination apparatus for stair descent is reliable and valid for assessing task-specific ankle proprioceptive impairments in CAI. The strong and significant relationship found between ankle proprioception during stair descent and the severity of CAI suggests that rehabilitation programs focusing on deficits in ankle inversion proprioception during stair descent may improve self-reported instability in CAI.
Language	English
Publishing date	2024-04-12
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2888772-4
ISSN	2468-7812
ISSN (online)	2468-7812
DOI	10.1016/j.msksp.2024.102958
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Article ; Online: Relationship between shoulder abduction strength and rotator cuff tear in elderly women: a general population study.

Hinsley, Hannah / Ganderton, Charlotte / Arden, Nigel K / Carr, Andrew J

BMJ open

2023 Volume 13, Issue 7, Page(s) e071908

Abstract: Objectives: To investigate the effect of age-related rotator cuff tears on shoulder strength in a general population cohort.: Design: Cross sectional observational study.: Setting: This study was set in an outpatient clinic setting in Chingford, ... ...

Abstract	Objectives: To investigate the effect of age-related rotator cuff tears on shoulder strength in a general population cohort. Design: Cross sectional observational study. Setting: This study was set in an outpatient clinic setting in Chingford, North East London, and was a component of the 20 year visit of the Chingford 1000 women cohort. Participants: Individuals were part of the Chingford 1000 women cohort, a 20-year-old longitudinal population study. This cohort has been extensively characterised as representative of the population of the UK. At the 20 year visit, 446 attended for shoulder assessment and were aged between 64 and 87. Primary and secondary outcome measures: Isometric shoulder abduction strength measured using a Nottingham Mecmesin Myometer and the presence of rotator cuff pathology, determined via ultrasound examination (GE voluson i portable ultrasound machine with a 10-16MHz linear probe). Shoulders were classified into normal, abnormal tendon/partial tear, full-thickness tears (>0 and ≤2.5 cm) and full-thickness tears (>2.5 cm). Symptoms were defined using the Oxford Shoulder Score, where an abnormal score was defined as symptomatic. Results: 446 women (891 shoulders) aged 71 (range 65-84) were included in the study. Age, the presence of pain and the non-dominant arm were demonstrated to reduce strength. Rotator cuff tears and pathology had no isolated effect on shoulder strength in those aged under 70. However, in the over 70s full-thickness tears>0 and ≤2.5 cm, and >2.5 cm had mean reductions of 6.3 and 12.7 N, respectively (p<0.001). Conclusion: Rotator cuff tears of all sizes in those aged under 70 were not associated with a loss of shoulder strength. In those aged over 70, strength was reduced by 30% with small and 40% with large full thickness tears. Loss in strength was associated a loss of ability to perform activities of daily living but only for large tears.
MeSH term(s)	Aged ; Humans ; Female ; Aged, 80 and over ; Middle Aged ; Young Adult ; Adult ; Shoulder/diagnostic imaging ; Rotator Cuff Injuries/diagnostic imaging ; Cross-Sectional Studies ; Activities of Daily Living ; Rotator Cuff/diagnostic imaging
Language	English
Publishing date	2023-07-17
Publishing country	England
Document type	Observational Study ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2023-071908
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Article ; Online: Prevalence of rotator cuff tendon tears and symptoms in a Chingford general population cohort, and the resultant impact on UK health services: a cross-sectional observational study.

Hinsley, Hannah / Ganderton, Charlotte / Arden, Nigel K / Carr, Andrew J

BMJ open

2022 Volume 12, Issue 9, Page(s) e059175

Abstract: Objectives: To define the population prevalence of rotator cuff tears and test their association with pain and function loss; determine if severity symptom correlates with tear stage severity, and quantify the impact of symptomatic rotator cuff tears on ...

Abstract	Objectives: To define the population prevalence of rotator cuff tears and test their association with pain and function loss; determine if severity symptom correlates with tear stage severity, and quantify the impact of symptomatic rotator cuff tears on primary healthcare services in a general population cohort of women. Design: Cross-sectional observational study. Participants: Individuals were part of the Chingford 1000 Women cohort, a 20-year-old longitudinal population study comprising 1003 women aged between 64 and 87, and representative of the population of the UK. Main outcome measures: Rotator cuff pathology prevalence on ultrasound, shoulder symptoms using the Oxford Shoulder Score and resultant number of general practitioner (GP) consultations. Results: The population prevalence of full-thickness tears was 22.2%, which increased with age (p=0.004) and whether it was the dominant arm (Relative Risk 1.64, OR 1.58, 95% CI 1.07 to 2.33, p=0.021).Although 48.4% of full-thickness tears were asymptomatic, there was an association between rotator cuff tears and patient-reported symptoms. Individuals with at least one full-thickness tear were 1.97 times more likely than those with bilateral normal tendons (OR 3.53, 95% CI 2.00 to 5.61, p<0.001) to have symptoms. Severity of symptoms was not related to the severity of the pathology until tears are >2.5 cm (p=0.009).In the cohort, 8.9% had seen their GP with shoulder pain and a full-thickness rotator cuff tear, 18.8% with shoulder pain and an abnormality and 29.3% with shoulder pain. Conclusion: Rotator cuff tears are common, and primary care services are heavily impacted. As 50% of tears remain asymptomatic, future research may investigate the cause of pain and whether different treatment modalities, aside from addressing the pathology, need further investigation.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Female ; Health Services ; Humans ; Lacerations ; Middle Aged ; Prevalence ; Rotator Cuff/diagnostic imaging ; Rotator Cuff Injuries/complications ; Rotator Cuff Injuries/epidemiology ; Rupture ; Shoulder Pain/epidemiology ; Shoulder Pain/etiology ; United Kingdom/epidemiology ; Young Adult
Language	English
Publishing date	2022-09-13
Publishing country	England
Document type	Journal Article ; Observational Study
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2021-059175
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Article ; Online: Test-retest reliability of ankle range of motion, proprioception, and balance for symptom and gender effects in individuals with chronic ankle instability.

Shi, Xiaojian / Ganderton, Charlotte / Tirosh, Oren / Adams, Roger / Ei-Ansary, Doa / Han, Jia

Musculoskeletal science & practice

2023 Volume 66, Page(s) 102809

Abstract: Objectives: To determine the reliability of the commonly used musculoskeletal assessments in individuals with chronic ankle instability (CAI).: Design: Within and between-days test-retest reliability.: Setting: University laboratory.: ... ...

Abstract	Objectives: To determine the reliability of the commonly used musculoskeletal assessments in individuals with chronic ankle instability (CAI). Design: Within and between-days test-retest reliability. Setting: University laboratory. Participants: Twenty-four individuals with unilateral CAI. Method: For both sides, ankle dorsiflexion range of motion (DFROM) was assessed by a goniometer and weight-bearing lunge test (WBLT), proprioception by the active movement extent discrimination apparatus (AMEDA), and balance by the Star Excursion Balance Test with anterior (SEBTA), posteromedial (SEBTPM) and posterolateral (SEBTPL) components. All measures were taken at enrollment, after 30 min and one week later. Results: For the asymptomatic side, all assessments demonstrated good to excellent reliability, with ICCs Conclusions: WBLT, SEBTA and SEBTPM can be strongly recommended for measuring ankle dorsiflexion mobility and dynamic balance for both sides of individuals with unilateral CAI, while only WBLT can be used for side-to-side comparison. The application of a goniometer to measure DFROM, SEBTPL or AMEDA should be done cautiously for this specific cohort, considering their poor to good reliability for the symptomatic side.
MeSH term(s)	Humans ; Ankle ; Reproducibility of Results ; Postural Balance ; Chronic Disease ; Proprioception ; Range of Motion, Articular ; Joint Instability/diagnosis
Language	English
Publishing date	2023-06-16
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2888772-4
ISSN	2468-7812
ISSN (online)	2468-7812
DOI	10.1016/j.msksp.2023.102809
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Article ; Online: Does Strength Training for Chronic Ankle Instability Improve Balance and Patient-Reported Outcomes and by Clinically Detectable Amounts? A Systematic Review and Meta-Analysis.

Luan, Lijiang / Adams, Roger / Witchalls, Jeremy / Ganderton, Charlotte / Han, Jia

Physical therapy

2021 Volume 101, Issue 7

Abstract: Objective: Strength training as a form of exercise therapy has long been used to maintain or promote strength, but its effectiveness as a treatment intervention in chronic ankle instability (CAI) is not fully understood. The purpose of this study was to ...

Abstract	Objective: Strength training as a form of exercise therapy has long been used to maintain or promote strength, but its effectiveness as a treatment intervention in chronic ankle instability (CAI) is not fully understood. The purpose of this study was to evaluate the effects of strength training compared with no exercise and neuromuscular control training on balance and self-reported function in people with CAI. Methods: Eight databases (PubMed, Embase, Cochrane Library, Web of Science, EBSCO, PEDro, CNKI, and WanFang) were searched in June 2020. Randomized controlled trials (RCTs) involving strength training conducted on individuals with CAI were included. Data were extracted by 2 independent reviewers using a standardized form. Methodological quality and risk of bias were assessed by using the PEDro Scale. In addition, the GRADE evaluation system (Grading of Recommendations Assessment, Development and Evaluation) was used to determine the strength of evidence. A total of 554 studies were initially screened, resulting in a final selection of 11 RCTs involving 428 participants, and 8 RCTs were included in the final meta-analysis. Compared with no exercise, strength training demonstrated some benefits in the Star Excursion Balance Test (anterior: weighted mean difference [WMD] = 2.39, 95% CI = 0.60-4.18; posteromedial: WMD = 3.30, 95% CI = 0.24-6.35; posterolateral: WMD = 2.97, 95% CI = 0.37-5.57), but these intervention results did not reach the minimal detectable change values. Conclusion: Available evidence showed that, compared with controls, strength training did not produce any minimal detectable changes on Star Excursion Balance Test or Foot and Ankle Ability Measure scores in individuals with CAI. Clinicians should use strength training cautiously for improving balance and symptoms in CAI. Impact: The results of this study may have an impact on selecting effective physical therapy interventions for managing symptoms associated with CAI.
MeSH term(s)	Ankle Injuries/rehabilitation ; Humans ; Joint Instability/rehabilitation ; Patient Reported Outcome Measures ; Postural Balance/physiology ; Randomized Controlled Trials as Topic ; Resistance Training/methods
Language	English
Publishing date	2021-01-28
Publishing country	United States
Document type	Comparative Study ; Journal Article ; Meta-Analysis ; Research Support, Non-U.S. Gov't ; Systematic Review
ZDB-ID	415886-6
ISSN	1538-6724 ; 0031-9023
ISSN (online)	1538-6724
ISSN	0031-9023
DOI	10.1093/ptj/pzab046
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Article ; Online: Ankle Inversion Proprioception Impairment in Persons with Chronic Ankle Instability Is Task-Specific.

Han, Jia / Yang, Zonghan / Witchalls, Jeremy / Ganderton, Charlotte / Adams, Roger / Waddington, Gordon

Perceptual and motor skills

2022 Volume 129, Issue 6, Page(s) 1736–1748

Abstract: While investigators have often compared ankle proprioception between groups with and without chronic ankle instability (CAI), findings have been inconsistent. Possibly this is because ankle proprioceptive impairment in this population is task-specific. ... ...

Abstract	While investigators have often compared ankle proprioception between groups with and without chronic ankle instability (CAI), findings have been inconsistent. Possibly this is because ankle proprioceptive impairment in this population is task-specific. Thus, we aimed to compare ankle inversion proprioception in individuals with and without CAI in two task conditions: (i) when standing (not challenging) and (ii) when on a step-down landing (minimally-challenging). Ankle inversion proprioception was measured in both conditions for 38 recreational sport player volunteers with CAI (
MeSH term(s)	Humans ; Ankle ; Ankle Joint/physiology ; Proprioception/physiology ; Joint Instability ; Standing Position
Chemical Substances	P(1)-(5'-adenosyl)-P(2)-N-(2-mercaptoethyl)diphosphoramidate (108490-60-4)
Language	English
Publishing date	2022-09-14
Publishing country	United States
Document type	Journal Article
ZDB-ID	204507-2
ISSN	1558-688X ; 0031-5125
ISSN (online)	1558-688X
ISSN	0031-5125
DOI	10.1177/00315125221125608
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Article: Effect of Different Landing Heights and Loads on Ankle Inversion Proprioception during Landing in Individuals with and without Chronic Ankle Instability.

Kang, Ming / Zhang, Tongzhou / Yu, Ruoni / Ganderton, Charlotte / Adams, Roger / Han, Jia

Bioengineering (Basel, Switzerland)

2022 Volume 9, Issue 12

Abstract: Proprioception is essential for neuromuscular control in relation to sport injury and performance. The effect of landing heights and loads on ankle inversion proprioceptive performance in individuals with or without chronic ankle instability (CAI) may be ...

Abstract	Proprioception is essential for neuromuscular control in relation to sport injury and performance. The effect of landing heights and loads on ankle inversion proprioceptive performance in individuals with or without chronic ankle instability (CAI) may be important but are still unclear. Forty-three participants (21 CAI and 22 non-CAI) volunteered for this study. The Ankle Inversion Discrimination Apparatus for Landing (AIDAL), with one foot landing on a horizontal surface and the test foot landing on an angled surface (10°, 12°, 14°, 16°), was utilized to assess ankle proprioception during landing. All participants performed the task from a landing height of 10 cm and 20 cm with 100% and 110% body weight loading. The four testing conditions were randomized. A repeated measures ANOVA was used for data analysis. The result showed that individuals with CAI performed significantly worse across the four testing conditions (p = 0.018). In addition, an increased landing height (p = 0.010), not loading (p > 0.05), significantly impaired ankle inversion discrimination sensitivity. In conclusion, compared to non-CAI, individuals with CAI showed significantly worse ankle inversion proprioceptive performance during landing. An increased landing height, not loading, resulted in decreased ankle proprioceptive sensitivity. These findings suggest that landing from a higher platform may increase the uncertainty of judging ankle positions in space, which may increase the risk of ankle injury.
Language	English
Publishing date	2022-11-30
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2746191-9
ISSN	2306-5354
ISSN	2306-5354
DOI	10.3390/bioengineering9120743
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Article ; Online: "Burnout felt inevitable": Experiences of university staff in educating the nursing and allied health workforce during the first COVID-19 waves.

O'Brien, Lisa / Tighe, Josephine / Doroud, Nastaran / Barradell, Sarah / Dowling, Leah / Pranata, Adrian / Ganderton, Charlotte / Lovell, Robin / Hughes, Roger

Frontiers in public health

2023 Volume 11, Page(s) 1082325

Abstract: Introduction: Maintaining progress in the face of looming burnout during the first 2 years of the COVID-19 pandemic was crucial for the health workforce, including those educating the next generation of health professionals. The experiences of students ... ...

Abstract	Introduction: Maintaining progress in the face of looming burnout during the first 2 years of the COVID-19 pandemic was crucial for the health workforce, including those educating the next generation of health professionals. The experiences of students and healthcare practitioners have been explored to a greater degree than the experiences of university-based health professional educators. Methods: This qualitative study examined the experiences of nursing and allied health academics at an Australian University during COVID-19 disruptions in 2020 and 2021 and describes the strategies that academics and/or teams implemented to ensure course continuity. Academic staff from nursing, occupational therapy, physiotherapy, and dietetics courses at Swinburne University of Technology, Australia provided narratives regarding the key challenges and opportunities they faced. Results: The narratives highlighted the strategies generated and tested by participants amidst rapidly changing health orders and five common themes were identified: disruption; stress; stepping up, strategy and unexpected positives, lessons, and legacy impacts. Participants noted challenges related to student engagement in online learning and ensuring the acquisition of discipline-specific practical skills during periods of lock-down. Staff across all disciplines reported increased workload associated with converting teaching to on-line delivery, sourcing alternative fieldwork arrangements, and dealing with high levels of student distress. Many reflected on their own expertise in using digital tools in teaching and their beliefs about the effectiveness of distance teaching for health professional training. Ensuring students were able to complete required fieldwork hours was particularly challenging due to constantly changing public health orders and conditions and staffing shortages at health services. This was in addition to illness and isolation requirements further impacting the availability of teaching associates for specialist skills classes. Discussion: Solutions such as remote and blended learning telehealth, and simulated placements were rapidly implemented in some courses especially where fieldwork could not be rescheduled or amended at the health settings. The implications and recommendations for educating and ensuring competence development in the health workforce during times when usual teaching methods are disrupted are discussed.
MeSH term(s)	Humans ; Australia ; Health Workforce ; Universities ; Pandemics ; COVID-19 ; Communicable Disease Control ; Burnout, Psychological
Language	English
Publishing date	2023-01-30
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2023.1082325
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