Benchmarking service provision, scope of practice, and skill mix for physiotherapists in adult cystic fibrosis care delivery

Journal article

Hall, Kathleen, Maxwell, Lyndal, Cobb, Robyn, Chambers, Rebecca, Roll, Mark, Bell, Scott C. and Kuys, Suzanne. (2022). Benchmarking service provision, scope of practice, and skill mix for physiotherapists in adult cystic fibrosis care delivery. Physiotherapy Theory and Practice. 38(4), pp. 572-578. https://doi.org/10.1080/09593985.2020.1777606
AuthorsHall, Kathleen, Maxwell, Lyndal, Cobb, Robyn, Chambers, Rebecca, Roll, Mark, Bell, Scott C. and Kuys, Suzanne
Abstract

Background
Increasing age, numbers, and complexity of care are potentially impacting physiotherapy service delivery for adults with cystic fibrosis (CF).

Purpose
This study aimed to describe physiotherapy service provision, scope of practice, and skill mix in a large tertiary adult CF center, and determine if services were meeting clinical practice recommendations.

Methods
A prospective cross-sectional study examined inpatient and outpatient physiotherapy care across a three-month period in a tertiary adult CF center. Physiotherapy services were described by number and skill level of physiotherapists, total hours of activity, and number, type, and duration of each physiotherapy activity.

Results
Twenty-two physiotherapists provided care. Respiratory (n = 1058, 38%), and exercise treatments (n = 338, 12%) were the most frequent. Exercise testing (n = 20, 1%), and detailed treatment reviews (n = 79, 3%) occurred infrequently. Time for research was limited. Junior physiotherapists undertook more exercise treatments per day (p < .01), with senior physiotherapists attending outpatient clinics (p < .01).

Conclusion
A large number of physiotherapists were involved in the delivery of services. Recommended respiratory and exercise treatments were frequently provided; however, other recommended activities occurred infrequently. The impact of increasing age, numbers of patients, and complexity of care may be contributing to demand exceeding supply for physiotherapy services. Future studies are required to determine innovative approaches to address the gaps in clinical practice recommendations.

Keywordscystic fibrosis; physical therapy; benchmarking; healthcare delivery; Australia
Year2022
JournalPhysiotherapy Theory and Practice
Journal citation38 (4), pp. 572-578
PublisherTaylor and Francis Ltd
ISSN1532-5040
Digital Object Identifier (DOI)https://doi.org/10.1080/09593985.2020.1777606
PubMed ID32524870
Scopus EID2-s2.0-85087033303
Page range572-578
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online11 Jun 2020
Publication process dates
Accepted30 Apr 2020
Deposited28 Jun 2021
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A pragmatic implementation of a 6-day physiotherapy service in a mixed inpatient rehabilitation unit
Caruana, Erin L., Kuys, Suzanne S., Clarke, Jane and Bauer, Sandra G.. (2017). A pragmatic implementation of a 6-day physiotherapy service in a mixed inpatient rehabilitation unit. Disability and Rehabilitation. 39(17), pp. 1738 - 1743. https://doi.org/10.1080/09638288.2016.1211181
Inter- and intra-tester reliability of the acute brain injury physiotherapy assessment (ABIPA) in patients with acquired brain injury
Gesch, Janelle, Choy, Nancy L., Weeks, Benjamin, Nascimento, Margarida, Steele, Mike and Kuys, Suzanne. (2017). Inter- and intra-tester reliability of the acute brain injury physiotherapy assessment (ABIPA) in patients with acquired brain injury. Brain Injury. 31(13-14), pp. 1799 - 1806. https://doi.org/10.1080/02699052.2017.1346298
The silent overall burden of foot disease in a representative hospitalised population
Lazzarini, Peter A., Hurn, Sheree E., Kuys, Suzanne S., Kamp, Maarten C., Ng, Vanessa, Thomas, Courtney, Jen, Scott, Wills, Jude, Kinnear, Ewan M., d'Emden, Michael C. and Reed, Lloyd F.. (2017). The silent overall burden of foot disease in a representative hospitalised population. International Wound Journal. 14(4), pp. 716 - 728. https://doi.org/10.1111/iwj.12683
Promoting physical activity after stroke via self-management: A feasibility study
Preston, Elisabeth, Dean, Catherine M., Ada, Louise, Stanton, Rosalyn, Brauer, Sandy, Kuys, Suzanne and Waddington, Gordon. (2017). Promoting physical activity after stroke via self-management: A feasibility study. Topics in Stroke Rehabilitation. 24(5), pp. 353 - 360. https://doi.org/10.1080/10749357.2017.1304876
Gas exchange responses during 6-min walk test in patients with pulmonary arterial hypertension
Morris, Norman R., Seale, Helen, Harris, Julie, Hall, Kathleen, Lin, Aaron C. W. and Kermeen, Fiona. (2017). Gas exchange responses during 6-min walk test in patients with pulmonary arterial hypertension. Respirology. 22(1), pp. 165 - 171. https://doi.org/10.1111/resp.12868
The effect of aerobic exercise on brain-derived neurotrophic factor in people with neurological disorders: A Systematic Review and Meta-Analysis
Mackay, Christopher P., Kuys, Suzanne S. and Brauer, Sandra G.. (2017). The effect of aerobic exercise on brain-derived neurotrophic factor in people with neurological disorders: A Systematic Review and Meta-Analysis. Neural Plasticity. 2017, pp. 1 - 9. https://doi.org/10.1155/2017/4716197
Accelerometer and global positioning system measurement of recovery of community ambulation across the first 6 months after stroke : An exploratory prospective study
Mahendran, Niruthikha, Kuys, Suzanne S. and Brauer, Sandra G.. (2016). Accelerometer and global positioning system measurement of recovery of community ambulation across the first 6 months after stroke : An exploratory prospective study. Archives of Physical Medicine and Rehabilitation. 97(9), pp. 1465-1472. https://doi.org/10.1016/j.apmr.2016.04.013
Poor mobility in hospitalized adults of all ages
Mudge, Alison, McRae, Prue, McHugh, Kirstie, Griffin, Lauren, Hitchen, Andrew, Walker, James, Cruickshank, Mark, Morris, Norman R. and Kuys, Suzanne Shanelle. (2016). Poor mobility in hospitalized adults of all ages. Journal of Hospital Medicine. 11(4), pp. 289 - 291. https://doi.org/10.1002/jhm.2536
Clinical assessment
Thomas, Amanda, Maxwell, Lyndal, Main, Eleanor and Keilty, Sarah. (2016). Clinical assessment. In In E. Main and L. Denehy (Ed.). Cardiorespiratory Physiotherapy pp. 47 - 82 Elsevier.
General versus spinal anaesthesia and postoperative delirium in an orthogeriatric population
Ilango, Sivarajah, Pulle, Ranjeev Chrys, Bell, Jack J. and Kuys, Suzanne Shanelle. (2016). General versus spinal anaesthesia and postoperative delirium in an orthogeriatric population. Australasian Journal on Ageing. 35(1), pp. 42 - 47. https://doi.org/10.1111/ajag.12212
Physiotherapy for cystic fibrosis in Australia and New Zealand: A clinical practice guideline
Button, Brenda M., Wilson, Christine, Dentice, Ruth, Cox, Narelle S., Middleton, Anna, Tannenbaum, Esta, Bishop, Jennifer, Cobb, Robyn, Burton, Kate, Wood, Michelle, Moran, Fiona, Black, Ryan, Bowen, Summar, Day, Rosemary, Depiazzi, Julie, Doiron, Katherine, Doumit, Michael, Dwyer, Tiffany, Elliot, Alison, ... Holland, Anne E.. (2016). Physiotherapy for cystic fibrosis in Australia and New Zealand: A clinical practice guideline. Respirology. 21(4), pp. 656 - 667. https://doi.org/10.1111/resp.12764
Direct inpatient burden caused by foot-related conditions: A multisite point-prevalence study
Lazzarini, Peter A., Hurn, Sheree E., Kuys, Suzanne Shanelle, Kamp, Maarten C., Ng, Vanessa, Thomas, Courtney, Jen, Scott D., Kinnear, Ewan, d'Emden, Michael C. and Reed, Lloyd. (2016). Direct inpatient burden caused by foot-related conditions: A multisite point-prevalence study. BMJ Open. 6(6), pp. 1 - 15. https://doi.org/10.1136/bmjopen-2015-010811
Balance self-efficacy in older adults following inpatient rehabilitation
Kuys, Suzanne S., Donovan, Jacquelin, Mattin, Sarah and Low Choy, Nancy L.. (2015). Balance self-efficacy in older adults following inpatient rehabilitation. International Journal of Rehabilitation Research. 38(2), pp. 167-172. https://doi.org/10.1097/MRR.0000000000000106
Demographics and discharge outcomes of dysvascular and non-vascular lower limb amputees at a subacute rehabilitation unit : A 7-year series
Batten, Heather, Kuys, Suzanne, McPhail, Steven, Varghese, Paulose and Nitz, Jennifer. (2015). Demographics and discharge outcomes of dysvascular and non-vascular lower limb amputees at a subacute rehabilitation unit : A 7-year series. Australian Health Review. 39(1), pp. 76-84. https://doi.org/10.1071/AH14042
A systematic review of axillary web syndrome (AWS)
Yeung, W. M., McPhail, Steven M. and Kuys, Suzanne Shanelle. (2015). A systematic review of axillary web syndrome (AWS). Journal of Cancer Survivorship. 9(4), pp. 576 - 598. https://doi.org/10.1007/s11764-015-0435-1
Comparison of sit-to-stand strategies used by older adults and people living with dementia
Dolecka, Urszula, Ownsworth, Tamara and Kuys, Suzanne. (2015). Comparison of sit-to-stand strategies used by older adults and people living with dementia. Archives of Gerontology and Geriatrics. 60(3), pp. 528 - 534. https://doi.org/10.1016/j.archger.2014.12.007
Prevalence of foot disease and risk factors in general inpatient populations: A systematic review and meta-analysis
Lazzarini, Peter A., Hurn, Sheree E., Fernando, Malindu E., Jen, Scott D., Kuys, Suzanne S., Kamp, Maarten C. and Reed, Lloyd F.. (2015). Prevalence of foot disease and risk factors in general inpatient populations: A systematic review and meta-analysis. BMJ Open. 5(11), pp. 1 - 15. https://doi.org/10.1136/bmjopen-2015-008544
Clinically important improvements in motor function are achievable during inpatient rehabilitation by stroke patients with severe motor disability : A prospective observational study
Hayward, Kathryn, Kuys, Suzanne, Barker, Ruth and Brauer, Sandra. (2014). Clinically important improvements in motor function are achievable during inpatient rehabilitation by stroke patients with severe motor disability : A prospective observational study. NeuroRehabilitation. 34(4), pp. 773 - 779. https://doi.org/10.3233/NRE-141076
Gait speed in ambulant older people in long term care : A systematic review and meta-analysis
Kuys, Suzanne, Peel, Nancye, Klein, Kerenaftali, Slater, Alexandra and Hubbard, Ruth. (2014). Gait speed in ambulant older people in long term care : A systematic review and meta-analysis. Journal of the American Medical Directors Association (JAMDA) (print). 15(3), pp. 194 - 200. https://doi.org/10.1016/j.jamda.2013.10.015
The Queensland High Risk Foot Form (QHRFF) - Is it a reliable and valid tool for foot disease?
Lazzarini, Peter A., Ng, Vanessa, Kinnear, Ewan M., Kamp, Maarten C., Kuys, Suzanne S., Hurst, Cameron and Reed, Lloyd F.. (2014). The Queensland High Risk Foot Form (QHRFF) - Is it a reliable and valid tool for foot disease? Journal of Foot and Ankle Research. 7(7), pp. 1 - 18. https://doi.org/10.1186/1757-1146-7-7
The Queensland high risk foot form (QHRFF) - is it a reliable and valid clinical research tool for foot disease?
Lazzarini, Peter A., Ng, Vanessa, Kinnear, Ewan, Kamp, Maarten C., Kuys, Suzanne Shanelle, Hurst, Cameron and Reed, Lloyd. (2014). The Queensland high risk foot form (QHRFF) - is it a reliable and valid clinical research tool for foot disease? Journal of Foot and Ankle Research. 7(1), pp. 1 - 18. https://doi.org/10.1186/1757-1146-7-7
Use and validation of the balance outcome measure for elder rehabilitation in acute care
Kuys, Suzanne, Crouch, Tom, Dolecka, Urszula, Steele, Michael and Low Choy, Nancy. (2014). Use and validation of the balance outcome measure for elder rehabilitation in acute care. New Zealand Journal of Physiotherapy. 42(1), pp. 16 - 21.
Validation of respiratory inductive plethysmography (LifeShirt) in obesity hypoventilation syndrome
Hollier, Carly A., Harmer, Alison R., Maxwell, Lyndal, Menadue, Collette, Willson, Grant N., Black, Deborah A. and Piper, Amanda J.. (2014). Validation of respiratory inductive plethysmography (LifeShirt) in obesity hypoventilation syndrome. Respiratory Physiology & Neurobiology. 194, pp. 15 - 22. https://doi.org/10.1016/j.resp.2014.01.014
Factors affecting the ability of the stroke survivor to drive their own recovery outside of therapy during inpatient stroke rehabilitation
Eng, Xue Wen, Brauer, Sandra, Kuys, Suzanne, Lord, Matthew and Hayward, Kathryn. (2014). Factors affecting the ability of the stroke survivor to drive their own recovery outside of therapy during inpatient stroke rehabilitation. Stroke Research and Treatment. https://doi.org/10.1155/2014/626538
Factors affecting the ability of the stroke survivor to drive their own recovery outside of therapy during inpatient stroke rehabilitation
Eng, Xue Wen, Brauer, Sandra, Kuys, Suzanne Shanelle, Lord, Matthew and Hayward, Kathryn. (2014). Factors affecting the ability of the stroke survivor to drive their own recovery outside of therapy during inpatient stroke rehabilitation. Stroke Research and Treatment. https://doi.org/10.1155/2014/626538
The challenge of establishing, growing and sustaining a large biobank. A personal perspective
McQueen, M. J., Keys, J. L., Bamford, K. and Hall, Kathleen. (2014). The challenge of establishing, growing and sustaining a large biobank. A personal perspective. Clinical Biochemistry. 47(4 - 5), pp. 239 - 244. https://doi.org/10.1016/j.clinbiochem.2013.11.017
Development and preliminary validation of the Acute Brain Injury Physiotherapy Assessment (ABIPA)
Gesch, Janelle, Low Choy, Nancy, Weeks, Benjamin, Passier, Leanne, Nascimento, Margarida, Haines, Terry and Kuys, Suzanne. (2014). Development and preliminary validation of the Acute Brain Injury Physiotherapy Assessment (ABIPA). Brain Impairment. 15(2), pp. 132 - 145. https://doi.org/10.1017/BrImp.2014.13
Moderate concentrations of supplemental oxygen worsen hypercapnia in obesity hypoventilation syndrome : A randomised crossover study
Hollier, Carly, Harmer, Alison, Maxwell, Lyndal, Menadue, Collette, Willson, Grant, Unger, Gunnar, Flunt, Daniel, Black, Deborah and Piper, Amanda. (2014). Moderate concentrations of supplemental oxygen worsen hypercapnia in obesity hypoventilation syndrome : A randomised crossover study. Thorax : An International Journal of Respiratory Medicine. 69(4), pp. 346 - 353. https://doi.org/10.1136/thoraxjnl-2013-204389
Does delivery of a training program for healthcare professionals increase access to pulmonary rehabilitation and improve outcomes for people with chronic lung disease in rural and remote Australia?
Johnston, Catherine, Maxwell, Lyndal, Maguire, Graeme and Alison, Jennifer. (2014). Does delivery of a training program for healthcare professionals increase access to pulmonary rehabilitation and improve outcomes for people with chronic lung disease in rural and remote Australia? Australian Health Review. 38(4), pp. 387 - 395. https://doi.org/10.1071/AH14009
Activity limitations experienced by people with stroke who received inpatient rehabiliation: Differences between 2001, 2005, and 2011
Kuys, Suzanne Shanelle, Bew, Paul, Lynch, Mary and Brauer, Sandy. (2014). Activity limitations experienced by people with stroke who received inpatient rehabiliation: Differences between 2001, 2005, and 2011. Archives of Physical Medicine and Rehabilitation. 95(4), pp. 741 - 746. https://doi.org/10.1016/j.apmr.2013.12.008
The health outcomes and costs of people attending an interdisciplinary chronic disease service in regional Australia: protocol for a longitudinal cohort investigation
Tyack, Zephanie, Frakes, Kerrie-Anne, Cornwell, Petrea, Kuys, Suzanne, Barnett, Adrian and McPhail, Steven. (2013). The health outcomes and costs of people attending an interdisciplinary chronic disease service in regional Australia: protocol for a longitudinal cohort investigation. BMC Health Services Research. 13(410), pp. 1 - 7. https://doi.org/10.1186/1472-6963-13-410
Physiotherapy students find guided journals useful to develop reflective thinking and practice during their first clinical placement : A qualitative study
Constantinou, Maria and Kuys, Suzanne. (2013). Physiotherapy students find guided journals useful to develop reflective thinking and practice during their first clinical placement : A qualitative study. Physiotherapy (print). 99(1), pp. 49 - 55. https://doi.org/10.1016/j.physio.2011.12.002
Validity of arterialised-venous PCO2, pH and bicarbonate in obesity hypoventilation syndrome
Hollier, Carly A., Maxwell, Lyndal J., Harmer, Alison R., Menadue, Collette, Piper, Amanda J., Black, Deborah A., Willson, Grant N. and Alison, Jennifer A.. (2013). Validity of arterialised-venous PCO2, pH and bicarbonate in obesity hypoventilation syndrome. Respiratory Physiology & Neurobiology. 188, pp. 165 - 171. https://doi.org/10.1016/j.resp.2013.05.031
Improving chronic lung disease management in rural and remote Australia : The Breathe Easy Walk Easy programme
Johnston, Catherine L., Maxwell, Lyndal J., Boyle, Eileen, Maguire, Graeme P. and Alison, Jennifer A.. (2013). Improving chronic lung disease management in rural and remote Australia : The Breathe Easy Walk Easy programme. Respirology. https://doi.org/10.1111/j.1440-1843.2012.02269.x
Feasibility of an interdisciplinary early intervention for patients with low levels of responsiveness following an acquired brain injury
Seeto, Treena, Kuys, Suzanne Shanelle, Budden, Cassandra, Griffin, Erin, Kajewski, Haylee and McPhail, Steven. (2013). Feasibility of an interdisciplinary early intervention for patients with low levels of responsiveness following an acquired brain injury. Brain Impairment. 14(2), pp. 213 - 221. https://doi.org/10.1017/BrImp.2013.20
Frequency of urinary incontinence in people with chronic heart failure
Hwang, Rita, Chuan, Francine, Peters, Robyn and Kuys, Suzanne. (2013). Frequency of urinary incontinence in people with chronic heart failure. Heart & Lung: the journal of acute and critical care. 42(1), pp. 26 - 31. https://doi.org/10.1016/j.hrtlng.2012.08.003
Feasibility of an interdisciplinary early intervention for patients with low levels of responsiveness following an acquired brain injury
Seeto, Treena, Kuys, Suzanne, Budden, Cassandra, Griffin, Erin, Kajewski, Haylee and McPhail, Steven. (2013). Feasibility of an interdisciplinary early intervention for patients with low levels of responsiveness following an acquired brain injury. Brain Impairment. 14(2), pp. 213 - 221. https://doi.org/10.1017/BrImp.2013.20
Frequency of urinary incontinence in people with chronic heart failure
Hwang, Rita, Chuan, Francine, Peters, Robyn and Kuys, Suzanne Shanelle. (2013). Frequency of urinary incontinence in people with chronic heart failure. Heart & Lung: the journal of acute and critical care. 42(1), pp. 26 - 31. https://doi.org/10.1016/j.hrtlng.2012.08.003
Feasibility of gaming console exercise and its effect on endurance, gait and balance in people with an acquired brain injury
McClanachan, Nelson, Gesch, Janelle, Wuthapanich, Nampech, Fleming, Jennifer and Kuys, Suzanne Shanelle. (2013). Feasibility of gaming console exercise and its effect on endurance, gait and balance in people with an acquired brain injury. Brain Injury. 27(12), pp. 1402 - 1408. https://doi.org/10.3109/02699052.2013.823654
Feasibility of gaming console exercise and its effect on endurance, gait and balance in people with an acquired brain injury
McClanachan, Nelson, Gesch, Janelle, Wuthapanich, Nampech, Fleming, Jennifer and Kuys, Suzanne. (2013). Feasibility of gaming console exercise and its effect on endurance, gait and balance in people with an acquired brain injury. Brain Injury. 27(12), pp. 1402 - 1408. https://doi.org/10.3109/02699052.2013.823654
What are the key conditions associated with lower limb amputations in a major Australian teaching hospital?
Lazzarini, Peter, O'Rourke, Sharon, Russell, Anthony, Clark, Damien and Kuys, Suzanne Shanelle. (2012). What are the key conditions associated with lower limb amputations in a major Australian teaching hospital? Journal of Foot and Ankle Research. 5(12), pp. 1 - 9. https://doi.org/10.1186/1757-1146-5-12
How prepared are rural and remote health care practitioners to provide evidence-based management for people with chronic lung disease?
Johnston, Catherine Louise, Maxwell, Lyndal Jane, Maguire, Graeme Paul and Alison, Jennifer Ailsey. (2012). How prepared are rural and remote health care practitioners to provide evidence-based management for people with chronic lung disease? Australian Journal of Rural Health. 20(4), pp. 200 - 207. https://doi.org/10.1111/j.1440-1584.2012.01288.x
What are the key conditions associated with lower limb amputations in a major Australian teaching hospital?
Lazzarini, Peter, O'Rourke, Sharon, Russell, Anthony, Clark, Damien and Kuys, Suzanne. (2012). What are the key conditions associated with lower limb amputations in a major Australian teaching hospital? Journal of Foot and Ankle Research. 5(1), pp. 1 - 9. https://doi.org/10.1186/1757-1146-5-12
Activity level of hospital medical inpatients: An observational study
Kuys, Suzanne S., Dolecka, Urszula E. and Guard, Amanda. (2012). Activity level of hospital medical inpatients: An observational study. Archives of Gerontology and Geriatrics. 55(2), pp. 417 - 421. https://doi.org/10.1016/j.archger.2012.02.008
Can Wii work it out?
Cyarto, Elizabeth V., Kuys, Suzanne, Henwood, Tim R. and Blackberry, Irene. (2011). Can Wii work it out? Telecommunications Journal of Australia. 61(3), pp. 37.1 - 37.12.
Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality: A pilot randomized trial
Kuys, Suzanne S., Brauer, Sandra G. and Ada, Louise. (2011). Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality: A pilot randomized trial. Clinical Rehabilitation. 25(4), pp. 316 - 326. https://doi.org/10.1177/0269215510382928
Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality : A pilot randomized trial
Kuys, Suzanne, Brauer, Sandra and Ada, Louise. (2011). Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality : A pilot randomized trial. Clinical Rehabilitation. 25(4), pp. 316 - 326. https://doi.org/10.1177/0269215510382928
Appropriate seating for medical patients: An audit
Kuys, Suzanne, Dolecka, Urszula and Morrison, Carol. (2011). Appropriate seating for medical patients: An audit. Australian Health Review. 35(3), pp. 316 - 319. https://doi.org/10.1071/AH10943
Changes in falls risk factors for geriatric diagnostic groups across inpatient, outpatient and domiciliary rehabilitation settings
Morrison, Gregory, Lee, Huang-Ling, Kuys, Suzanne, Clarke, Jane, Bew, Paul and Haines, Terry. (2011). Changes in falls risk factors for geriatric diagnostic groups across inpatient, outpatient and domiciliary rehabilitation settings. Disability and Rehabilitation. 33(11), pp. 900 - 907. https://doi.org/10.3109/09638288.2010.514019
Trial of an allied health workload allocation model
Simmons, Nadine and Kuys, Suzanne. (2011). Trial of an allied health workload allocation model. Australian Health Review. 35(2), pp. 168 - 175. https://doi.org/10.1071/AH09860
Test-retest reliability of the GAITRite system in people with stroke undergoing rehabilitation
Kuys, Suzanne, Brauer, Sandra and Ada, Louise. (2011). Test-retest reliability of the GAITRite system in people with stroke undergoing rehabilitation. Disability and Rehabilitation. 33(19-20), pp. 1848 - 1853. https://doi.org/10.3109/09638288.2010.549895
Pulmonary Rehabilitation in Australia :A National Survey
Johnston, Catherine, Maxwell, Lyndal and Alison, Jennifer. (2011). Pulmonary Rehabilitation in Australia :A National Survey. Physiotherapy. 97(4), pp. 284 - 290. https://doi.org/10.1016/j.physio.2010.12.001
Appropriate seating for medical patients: An audit
Kuys, Suzanne S., Dolecka, Urszula E. and Morrison, Carol A.. (2011). Appropriate seating for medical patients: An audit. Australian Health Review. 35(3), pp. 316 - 319. https://doi.org/10.1071/AH10943
Gaming console exercise and cycle or treadmill exercise provide similar cardiovascular demand in adults with cystic fibrosis : A randomised cross-over trial
Kuys, Suzanne, Hall, Kathleen, Peasey, Maureen, Wood, Michelle, Cobb, Robyn and Bell, Scott. (2011). Gaming console exercise and cycle or treadmill exercise provide similar cardiovascular demand in adults with cystic fibrosis : A randomised cross-over trial. Journal of Physiotherapy. 57(1), pp. 35 - 40. https://doi.org/10.1016/S1836-9553(11)70005-4
Trial of an allied health workload allocation model
Simmons, Nadine and Kuys, Suzanne Shanelle. (2011). Trial of an allied health workload allocation model. Australian Health Review. 35(2), pp. 168 - 175. https://doi.org/10.1071/AH09860
Dose-response relationship between physiotherapy resource provision with function and balance improvements in patients following stroke : A multi-centre observational study
Haines, Terry, Kuys, Suzanne, Clarke, Jane, Morrison, Gregory and Bew, Paul. (2011). Dose-response relationship between physiotherapy resource provision with function and balance improvements in patients following stroke : A multi-centre observational study. Journal of Evaluation in Clinical Practice. 17(1), pp. 136 - 142. https://doi.org/10.1111/j.1365-2753.2010.01380.x
Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality: A pilot randomized trial
Kuys, Suzanne, Brauer, Sandra and Ada, Louise. (2011). Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality: A pilot randomized trial. Clinical Rehabilitation. 25(4), pp. 316 - 326. https://doi.org/10.1177/0269215510382928
Sprint training increases muscle oxidative metabolism during high-intensity exercise in patients with type 1 diabetes
Harmer, Alison, Chisholm, Donald J., McKenna, Michael J., Hunter, Sandra, Ruell, Patricia, Naylor, Justine, Maxwell, Lyndal and Flack, Jeff. (2008). Sprint training increases muscle oxidative metabolism during high-intensity exercise in patients with type 1 diabetes. Diabetes Care. 31(11), pp. 2097 - 2102. https://doi.org/10.2337/dc08-0329
Pattern of ventilation during manual hyperinflation performed by physiotherapists
Maxwell, Lyndal and Ellis, Elizabeth. (2007). Pattern of ventilation during manual hyperinflation performed by physiotherapists. Anaesthesia. 61(1), pp. 27 - 33. https://doi.org/10.1111/j.1365-2044.2006.04898.x
Cardiothoracic Physiotherapy: Levels of evidence underpinning entry-level curricula
Williams, Marie, Hardy, Frances, Tucker, Beatrice, Smith, Megan and Maxwell, Lyndal. (2005). Cardiothoracic Physiotherapy: Levels of evidence underpinning entry-level curricula. Physiotherapy Research International. 10(1), pp. 72 - 80. https://doi.org/10.1002/pri.28