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  1. AU="Malliaras, Peter"
  2. AU="Juan Prieto-Villalobos"
  3. AU="Blot, Guillaume"
  4. AU="Sanchez, Gabriela"
  5. AU=Mitton Julian A
  6. AU="Han, Hyunho"
  7. AU="Shama, Noura M Abo"
  8. AU=Uehara Akira
  9. AU=Fransen Justin H AU=Fransen Justin H
  10. AU="Memon, Roha Saeed"
  11. AU="Lipworth, Samuel"
  12. AU="Killian, Michael O"
  13. AU=Smaldino Paul E.
  14. AU=Bi Hai
  15. AU="Pintore, Giorgio"
  16. AU="Signorini C."
  17. AU="Mameli, Maria Sabrina"
  18. AU="Yong-ming GAO"
  19. AU="Paquette, Kimberly"
  20. AU="Sharawat, Indar Kumar"
  21. AU="Alexandre Alanio"
  22. AU="Caron, Jeffrey G"
  23. AU="Lubisi, Baratang A"
  24. AU="Edelman, Robert R."
  25. AU="van der Werf, Steffie"
  26. AU="Sam, Andrew"

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  1. Artikel ; Online: Physiotherapy management of Achilles tendinopathy.

    Malliaras, Peter

    Journal of physiotherapy

    2022  Band 68, Heft 4, Seite(n) 221–237

    Mesh-Begriff(e) Humans ; Tendinopathy/therapy ; Achilles Tendon ; Musculoskeletal Diseases ; Physical Therapy Modalities
    Sprache Englisch
    Erscheinungsdatum 2022-10-21
    Erscheinungsland Netherlands
    Dokumenttyp Journal Article
    ZDB-ID 2543915-7
    ISSN 1836-9561 ; 1836-9553 ; 0004-9514
    ISSN (online) 1836-9561
    ISSN 1836-9553 ; 0004-9514
    DOI 10.1016/j.jphys.2022.09.010
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  2. Artikel ; Online: Critically appraised paper: Progressive exercise is not superior to best practice advice, and steroid injection is not superior to no injection, for rotator cuff disorders [commentary].

    Malliaras, Peter

    Journal of physiotherapy

    2021  Band 68, Heft 1, Seite(n) 71

    Mesh-Begriff(e) Exercise ; Humans ; Rotator Cuff ; Rotator Cuff Injuries ; Shoulder Pain ; Steroids
    Chemische Substanzen Steroids
    Sprache Englisch
    Erscheinungsdatum 2021-12-08
    Erscheinungsland Netherlands
    Dokumenttyp Journal Article ; Comment
    ZDB-ID 2543915-7
    ISSN 1836-9561 ; 1836-9553 ; 0004-9514
    ISSN (online) 1836-9561
    ISSN 1836-9553 ; 0004-9514
    DOI 10.1016/j.jphys.2021.11.006
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  3. Artikel ; Online: Sensitivity to change and responsiveness of provocative load tests among athletes with patellar tendinopathy.

    Ruffino, Diego / Alfonso, Matías / Campana, Vilma / Malliaras, Peter

    Brazilian journal of physical therapy

    2024  Band 28, Heft 2, Seite(n) 101064

    Abstract: Background: Pain provocation tests are recommended for assessing pain severity and as an outcome measure for individuals with patellar tendinopathy.: Objective: To evaluate floor and ceiling effects, sensitivity to change, and responsiveness cut-offs ...

    Abstract Background: Pain provocation tests are recommended for assessing pain severity and as an outcome measure for individuals with patellar tendinopathy.
    Objective: To evaluate floor and ceiling effects, sensitivity to change, and responsiveness cut-offs of two provocative load tests among athletes with patellar tendinopathy.
    Methods: Athletes (N = 41) performed six repetitions for the single leg decline squat (SLDS) and resisted knee extension (KE) at baseline and 12 weeks. Participants rated their pain during each test on a visual analog scale (VAS). Sensitivity to change was assessed by calculating effect size (ES) and the standardized response mean (SRM). The responsiveness cut-offs were assessed using a combination of anchor and distribution- based methods to determine the minimal clinically important difference (MCID) for each test.
    Results: A floor or ceiling effect was observed in only a small number of participants for both tests except for KE, for which approximately one third of participants had a floor effect at week 12. There was higher sensitivity to change for SLDS (ES: 1.93/SRM: 1.43) compared with KE (ES:0.96/SRM: 1.09). The MCID corresponded to a decrease of 1.6 points for SLDS and 1.0 for KE, while the distribution-based method estimated 1.2 points for SLDS and 1.1 for KE.
    Conclusion: This study found moderate to high sensitivity to change and established MCID values for the SLDS and KE test in athletes with patellar tendinopathy before and after rehabilitation. Both tests may be useful as pain on loading outcomes as athletes progress with their rehabilitation, but the KE test results in higher floor effects and has lower sensitivity to change.
    Mesh-Begriff(e) Humans ; Tendinopathy/physiopathology ; Athletes ; Pain Measurement/methods ; Patella/physiopathology ; Patellar Ligament/physiopathology
    Sprache Englisch
    Erscheinungsdatum 2024-04-26
    Erscheinungsland Brazil
    Dokumenttyp Journal Article
    ZDB-ID 2252917-2
    ISSN 1809-9246 ; 1809-9246
    ISSN (online) 1809-9246
    ISSN 1809-9246
    DOI 10.1016/j.bjpt.2024.101064
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  4. Artikel ; Online: Determining intracortical, corticospinal and alpha motoneurone excitability in athletes with patellar tendinopathy compared to asymptomatic controls.

    Vallance, Patrick / Malliaras, Peter / Vicenzino, Bill / Kidgell, Dawson J

    Scandinavian journal of medicine & science in sports

    2024  Band 34, Heft 2, Seite(n) e14579

    Abstract: Background: Lower capacity to generate knee extension maximal voluntary force (MVF) has been observed in individuals affected with patellar tendinopathy (PT) compared to asymptomatic controls. This MVF deficit is hypothesized to emanate from alterations ...

    Abstract Background: Lower capacity to generate knee extension maximal voluntary force (MVF) has been observed in individuals affected with patellar tendinopathy (PT) compared to asymptomatic controls. This MVF deficit is hypothesized to emanate from alterations in corticospinal excitability (CSE). The modulation of CSE is intricately linked to the excitability levels at multiple sites, encompassing neurones within the corticospinal tract (CST), intracortical neurones within the primary motor cortex (M1), and the alpha motoneurone. The aim of this investigation was to examine the excitability of intracortical neurones, CST neurones, and the alpha motoneurone, and compare these between volleyball and basketball athletes with PT and matched asymptomatic controls.
    Method: Nineteen athletes with PT and 18 asymptomatic controls participated in this cross-sectional study. Transcranial magnetic stimulation was utilized to assess CST excitability, corticospinal inhibition (silent period, and short-interval cortical inhibition). Peripheral nerve stimulation was used to evaluate lumbar spine and alpha motoneurone excitability, including the evocation of lumbar-evoked potentials and maximal compound muscle action potential (M
    Results: Athletes with PT exhibited longer silent period duration and greater electrical stimulator output for M
    Conclusion: These findings indicate volleyball and basketball athletes with PT exhibit reduced excitability of the alpha motoneurone or the neuromuscular junction, which may be linked to lower MVF. Subtle alterations at specific sites may represent compensatory changes to excitability aiming to maintain efferent drive to the knee extensors.
    Mesh-Begriff(e) Humans ; Quadriceps Muscle/physiology ; Cross-Sectional Studies ; Evoked Potentials, Motor/physiology ; Pyramidal Tracts/physiology ; Transcranial Magnetic Stimulation ; Athletes ; Tendinopathy ; Muscle, Skeletal/physiology
    Sprache Englisch
    Erscheinungsdatum 2024-01-25
    Erscheinungsland Denmark
    Dokumenttyp Journal Article
    ZDB-ID 1077418-x
    ISSN 1600-0838 ; 0905-7188
    ISSN (online) 1600-0838
    ISSN 0905-7188
    DOI 10.1111/sms.14579
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: Efficacy of heel lifts for mid-portion Achilles tendinopathy (the LIFT trial): study protocol for a randomised controlled trial.

    Bourke, Jaryd / Munteanu, Shannon / Garofolini, Alessandro / Taylor, Simon / Malliaras, Peter

    Trials

    2024  Band 25, Heft 1, Seite(n) 345

    Abstract: Background: Mid-portion Achilles tendinopathy is a common condition, characterised by localised Achilles tendon load-related pain and dysfunction. Numerous non-surgical treatments have been proposed for the treatment of this condition, but many of these ...

    Abstract Background: Mid-portion Achilles tendinopathy is a common condition, characterised by localised Achilles tendon load-related pain and dysfunction. Numerous non-surgical treatments have been proposed for the treatment of this condition, but many of these treatments have a poor or non-existent evidence base. Heel lifts have also been advocated as a treatment for Achilles tendinopathy, but the efficacy and mechanism of action of this intervention is unclear. This proposal describes a randomised controlled trial comparing the effectiveness of heel lifts versus sham heel lifts for reducing pain associated with mid-portion Achilles tendinopathy, with an embedded biomechanical analysis.
    Methods: One hundred and eight men and women aged 18 to 65 years with mid-portion Achilles tendinopathy (who satisfy the inclusion and exclusion criteria) will be recruited. Participants will be randomised, using the website Sealed Envelope, to either a control group (sham heel lifts) or an experimental group (heel lifts). Both groups will be provided with education regarding acceptable pain levels to ensure all participants receive some form of treatment. The participants will be instructed to use their allocated intervention for at least 8 h every day for 12 weeks. The primary outcome measure will be pain intensity (numerical rating scale) at its worst over the previous week. The secondary outcome measures will be additional measures of Achilles tendon pain and disability, participant-perceived global ratings of change, function, level of physical activity and health-related quality of life. Data will be collected at baseline and the primary endpoint (week 12). Data will be analysed using the intention-to-treat principle. In addition, the acute kinetic and kinematic effects of the interventions will be examined at baseline in a subpopulation of the participants (n = 40) while walking and running using three-dimensional motion analysis.
    Discussion: The LIFT trial (efficacy of heeL lIfts For mid-portion Achilles Tendinopathy) will be the first randomised trial to compare the efficacy of heel lifts to a sham intervention in reducing pain and disability in people with Achilles tendinopathy. The biomechanical analysis will provide useful insights into the mechanism of action of heel lifts.
    Trial registration: Australian New Zealand Clinical Trials Registry, ACTRN12623000627651 . Registered 7 June 2023.
    Mesh-Begriff(e) Humans ; Achilles Tendon/physiopathology ; Tendinopathy/therapy ; Tendinopathy/physiopathology ; Middle Aged ; Adult ; Male ; Randomized Controlled Trials as Topic ; Female ; Aged ; Heel/physiopathology ; Young Adult ; Treatment Outcome ; Pain Measurement ; Adolescent ; Biomechanical Phenomena ; Time Factors ; Exercise Therapy/methods
    Sprache Englisch
    Erscheinungsdatum 2024-05-24
    Erscheinungsland England
    Dokumenttyp Journal Article ; Clinical Trial Protocol
    ZDB-ID 2040523-6
    ISSN 1745-6215 ; 1468-6694 ; 1745-6215
    ISSN (online) 1745-6215
    ISSN 1468-6694 ; 1745-6215
    DOI 10.1186/s13063-024-08185-8
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel ; Online: Understanding mechanisms to improve exercise interventions in tendinopathy.

    Malliaras, Peter

    Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine

    2017  Band 27, Seite(n) 50–51

    Sprache Englisch
    Erscheinungsdatum 2017-09
    Erscheinungsland England
    Dokumenttyp Editorial
    ZDB-ID 2008604-0
    ISSN 1873-1600 ; 1466-853X
    ISSN (online) 1873-1600
    ISSN 1466-853X
    DOI 10.1016/j.ptsp.2016.12.006
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  7. Artikel ; Online: Evaluation of Patient-Facing Mobile Apps to Support Physiotherapy Care: Systematic Review.

    Merolli, Mark / Francis, Jill J / Vallance, Patrick / Bennell, Kim L / Malliaras, Peter / Hinman, Rana S

    JMIR mHealth and uHealth

    2024  Band 12, Seite(n) e55003

    Abstract: Background: Mobile health interventions delivered through mobile apps are increasingly used in physiotherapy care. This may be because of the potential of apps to facilitate changes in behavior, which is central to the aims of care delivered by ... ...

    Abstract Background: Mobile health interventions delivered through mobile apps are increasingly used in physiotherapy care. This may be because of the potential of apps to facilitate changes in behavior, which is central to the aims of care delivered by physiotherapists. A benefit of using apps is their ability to incorporate behavior change techniques (BCTs) that can optimize the effectiveness of physiotherapeutic interventions. Research continues to suggest that despite their importance, behavior change strategies are often missing in patient management. Evaluating mobile apps that physiotherapists can use to drive behavior change may inform clinical practice and potentially improve patient outcomes. Examining the quality of apps and exploring their key features that can support behavior change and physiotherapy care are important aspects of such an evaluation.
    Objective: The primary aim of this study was to describe the range of mobile apps in app stores that are intended for use by patients to support physiotherapy care. The secondary aims were to assess app quality, BCTs, and their behavior change potential.
    Methods: A systematic review of mobile apps in app stores was undertaken. The Apple App Store and Google Play were searched using a 2-step search strategy, using terms relevant to the physiotherapy discipline. Strict inclusion and exclusion criteria were applied: apps had to be intended for use by patients and be self-contained (or stand-alone) without the requirement to be used in conjunction with a partner wearable device or another plugin. Included apps were coded for BCTs using the Behavior Change Technique Taxonomy version 1. App quality was assessed using the Mobile App Rating Scale, and the App Behavior Change Scale was used to assess the app's potential to change behavior.
    Results: In total, 1240 apps were screened, and 35 were included. Of these 35 apps, 22 (63%) were available on both the Apple App Store and Google Play platforms. In total, 24 (69%) were general in their focus (eg, not condition-specific), with the remaining 11 (31%) being more specific (eg, knee rehabilitation and pelvic floor training). The mean app quality score (Mobile App Rating Scale) was 3.7 (SD 0.4) of 5 (range 2.8-4.5). The mean number of BCTs identified per app was 8.5 (SD 3.6). BCTs most frequently included in the apps were instruction on how to perform a behavior (n=32), action planning (n=30), and self-monitoring of behavior (n=28). The mean behavior change potential score (App Behavior Change Scale) was 8.5 (SD 3.1) of 21 (range 3-15).
    Conclusions: Mobile apps available to support patient care received from a physiotherapist are of variable quality. Although they contain some BCTs, the potential for behavior change varied widely across apps.
    International registered report identifier (irrid): RR2-10.2196/29047.
    Mesh-Begriff(e) Humans ; Behavior Therapy ; Mobile Applications ; Patients ; Telemedicine
    Sprache Englisch
    Erscheinungsdatum 2024-03-04
    Erscheinungsland Canada
    Dokumenttyp Systematic Review ; Journal Article
    ZDB-ID 2719220-9
    ISSN 2291-5222 ; 2291-5222
    ISSN (online) 2291-5222
    ISSN 2291-5222
    DOI 10.2196/55003
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  8. Artikel ; Online: Behaviour change and rehabilitation adherence in adults with tendinopathy: a scoping review.

    Phillips, Rebecca / Hilton, Catherine / Sousa Filho, Luis Fernando / Farlie, Melanie / Morrissey, Dylan / Malliaras, Peter

    Disability and rehabilitation

    2024  , Seite(n) 1–13

    Abstract: Purpose: This scoping review aimed to identify behaviour change strategies influencing rehabilitation adherence in adults with tendinopathy, a common musculoskeletal condition requiring prolonged rehabilitation with poor adherence and variable outcomes.! ...

    Abstract Purpose: This scoping review aimed to identify behaviour change strategies influencing rehabilitation adherence in adults with tendinopathy, a common musculoskeletal condition requiring prolonged rehabilitation with poor adherence and variable outcomes.
    Methods: Following the Joanna Briggs Institute (JBI) methodology, seven databases were searched until April 2023. Records included reviews, intervention, and qualitative studies published in English. Behaviour change strategies were deductively coded and mapped to the capability, opportunity, and motivation model of behaviour (COM-B).
    Results: Eighty-six articles were retained. The primary behaviour change strategies in tendinopathy rehabilitation reports addressed
    Conclusions: Further research should explore the impact of education on beliefs, fears, and pain-management, as well as the effectiveness of teaching habit formation for improved time-management. Implementing these behaviour change strategies may enhance tendinopathy rehabilitation adherence, improving clinical trial efficacy, guiding clinical practice, and impacting patient outcomes.
    Sprache Englisch
    Erscheinungsdatum 2024-02-29
    Erscheinungsland England
    Dokumenttyp Journal Article ; Review
    ZDB-ID 1104775-6
    ISSN 1464-5165 ; 0963-8288
    ISSN (online) 1464-5165
    ISSN 0963-8288
    DOI 10.1080/09638288.2024.2320832
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  9. Artikel ; Online: How therapeutic relationships develop in group-based telehealth and their perceived impact on processes and outcomes of a complex intervention: a qualitative study.

    Sousa Filho, Luis Fernando / Farlie, Melanie K / Haines, Terry P / Malliaras, Peter

    BMJ quality & safety

    2024  

    Abstract: Background: Therapeutic relationships are a key domain in healthcare delivery. While well-understood in in-person interventions, how therapeutic relationships develop in more complex contexts is unclear. This study aimed to understand (1) how ... ...

    Abstract Background: Therapeutic relationships are a key domain in healthcare delivery. While well-understood in in-person interventions, how therapeutic relationships develop in more complex contexts is unclear. This study aimed to understand (1) how therapeutic relationships are developed during the telehealth delivery of a group-based, complex intervention and (2) the perceived impact of these relationships on intervention processes, such as intervention delivery and engagement, and patient outcomes, such as patient safety and satisfaction.
    Methods: This qualitative study, nested within a randomised controlled trial, used an interpretivist approach to explore the perceptions of 25 participants (18 patients with shoulder pain and 7 clinicians) regarding developing therapeutic relationships in a group-based, complex intervention delivered via telehealth. Semi-structured interviews were conducted within 4 weeks of the telehealth intervention period and then analysed through in-depth, inductive thematic analysis.
    Results: We identified six themes: (1) 'Patients trust clinicians who demonstrate credibility, promoting the development of therapeutic relationships'; (2) 'Simple features and approaches shape the therapeutic relationship', including small talk, time spent together and social observation; (3) 'A sense of belonging and support fosters connections', facilitated by clinicians providing individualised attention within the group; (4) 'Developing therapeutic relationships can impact the delivery of core intervention components', reflecting challenges clinicians faced; (5) 'Therapeutic relationships can facilitate intervention engagement', through enhanced patient understanding and confidence and (6) 'Therapeutic relationships can contribute to patient safety and satisfaction', with patients feeling more comfortable reporting intervention-related issues.
    Conclusions: Therapeutic relationships were developed during group-based telehealth sessions through a set of factors that may require additional skills and effort compared with in-person interactions. While these relationships have a perceived positive impact on intervention engagement and patient outcomes, clinicians need to find a balance between building relationships and delivering the telehealth intervention with fidelity.
    Trial registration number: ACTRN12621001650886.
    Sprache Englisch
    Erscheinungsdatum 2024-04-30
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 2592909-4
    ISSN 2044-5423 ; 2044-5415
    ISSN (online) 2044-5423
    ISSN 2044-5415
    DOI 10.1136/bmjqs-2023-016840
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  10. Artikel ; Online: Evidence for Improvement in Local but Not Diffuse Pressure Pain Thresholds Following Physical Therapist Interventions for Tendinopathy: A Systematic Review.

    Alsulaimani, Baraa / Perraton, Luke / Stasinopoulos, Dimitrios / Tavakkoli, Sanam / Malliaras, Peter

    Physical therapy

    2023  Band 103, Heft 2

    Abstract: Objectives: The objectives of this study were to investigate whether quantitative sensory testing proxy measures for peripheral and central sensitization change following physical therapist interventions for tendinopathy and whether changes occur in ... ...

    Abstract Objectives: The objectives of this study were to investigate whether quantitative sensory testing proxy measures for peripheral and central sensitization change following physical therapist interventions for tendinopathy and whether changes occur in parallel to changes in self-reported pain.
    Methods: Four databases-Ovid EMBASE, Ovid MEDLINE, CINAHL Plus, and CENTRAL-were searched from inception to October 2021. Three reviewers extracted data for the population, tendinopathy, sample size, outcome, and physical therapist intervention. Studies that reported quantitative sensory testing proxy measures and pain at baseline and another time point following a physical therapist intervention were included. Risk of bias was assessed using the Cochrane Collaboration's tools and the Joanna Briggs Institute checklist. Levels of evidence were assessed using the Grading of Recommendations Assessment, Development and Evaluation.
    Results: Twenty-one studies were included and all investigated changes in pressure pain threshold (PPT) at either local and/or diffuse sites. Change in other proxy measures of peripheral and central sensitization were not investigated among any studies. Diffuse PPT did not demonstrate significant change in all trial arms that reported this outcome. Local PPT improved for 52% of trial arms, and it was more likely to change at the medium (63%) and longer (100%) compared with the immediate (36%) and short (50%) timepoints. On average, 48% of trial arms demonstrated parallel changes in either outcome. Pain improvement was more frequent than local PPT improvement at all timepoints except for the longest.
    Conclusion: Local PPT may improve among people receiving physical therapist interventions for tendinopathy, but these changes appear to lag behind changes in pain. Change in diffuse PPT among people with tendinopathy has been infrequently investigated in the literature.
    Impact: The findings of the review contribute to knowledge of how tendinopathy pain and PPT change with treatments.
    Mesh-Begriff(e) Humans ; Pain Threshold ; Physical Therapists ; Tendinopathy/therapy ; Pain
    Sprache Englisch
    Erscheinungsdatum 2023-04-25
    Erscheinungsland United States
    Dokumenttyp Systematic Review ; Journal Article
    ZDB-ID 415886-6
    ISSN 1538-6724 ; 0031-9023
    ISSN (online) 1538-6724
    ISSN 0031-9023
    DOI 10.1093/ptj/pzac159
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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