Gait biofeedback training in people with Parkinson’s disease : A pilot study

Journal article

McMaster, Kate, Cole, Michael H., Chalkley, Daniel and Creaby, Mark W.. (2022). Gait biofeedback training in people with Parkinson’s disease : A pilot study. Journal of NeuroEngineering and Rehabilitation. 19(1), p. Article 72. https://doi.org/10.1186/s12984-022-01051-1
AuthorsMcMaster, Kate, Cole, Michael H., Chalkley, Daniel and Creaby, Mark W.
Abstract

Background
People with Parkinson’s disease (PD) are at a high risk of falls, with ~ 60% experiencing a fall each year. Greater mediolateral head and pelvis motion during gait are known to increase the risk of falling in PD, however the ability to modify these aspects of gait has not been examined. Thus, this study aimed to examine whether mediolateral trunk, head and pelvis motion during walking could be successfully decreased in people with PD using real-time biofeedback.

Methods
Participants were provided with real-time biofeedback regarding their mediolateral trunk lean via a visual projection whilst walking along an 8-m indoor walkway. Using the feedback provided, they were asked to reduce the magnitude of their mediolateral trunk lean. Gait was recorded for four conditions (i) Baseline, (ii) Intervention, (iii) immediately Post-Intervention, and (iv) 1-week Follow-Up. Biomechanical variables associated with falls risk were compared between conditions, including normalised mediolateral motion, gait velocity and stride length.

Results
A reduction in mediolateral trunk lean, step length and gait velocity from Baseline to the Intervention and Post-intervention conditions was observed. Contrary to this, increased normalised ML pelvis and trunk motion was observed between the Baseline and Intervention conditions, but returned to Baseline levels in the Post-Intervention condition.

Conclusions
Results from the current study suggest that real-time visual biofeedback may be effective at modifying specific gait characteristics that are associated with falls in PD. Further research is required to better understand the influence of this intervention approach on falls incidence.

Trial registration Australian New Zealand Clinical Trials Registry ACTRN12620000994987. Registered 10 June 2020 - Retrospectively registered, https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=380324

KeywordsIdiopathic Parkinson disease; biofeedback; gait; biomechanics
Year2022
JournalJournal of NeuroEngineering and Rehabilitation
Journal citation19 (1), p. Article 72
PublisherBioMed Central
ISSN1743-0003
Digital Object Identifier (DOI)https://doi.org/10.1186/s12984-022-01051-1
PubMed ID35842699
Scopus EID2-s2.0-85134387479
PubMed Central IDPMC9287978
Open accessPublished as ‘gold’ (paid) open access
Page range1-9
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online16 Jul 2022
Publication process dates
Accepted06 Jul 2022
Deposited18 Jan 2023
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Creaby, Mark, Rossignol, Scott Le, Conway, Zachary, Ageberg, Eva, Sweeney, Matt and Franettovich Smith, Melinda M.. (2017). Frontal plane kinematics predict three-dimensional hip adduction during running. Physical Therapy in Sport. 27, pp. 1 - 6. https://doi.org/10.1016/j.ptsp.2017.05.005
Hip biomechanics are altered in male runners with Achilles tendinopathy
Creaby, Mark, Honeywill, Conor, Smith, Melinda, Schache, Anthony and Crossley, Kay. (2017). Hip biomechanics are altered in male runners with Achilles tendinopathy. Medicine and Science in Sports and Exercise. 49(3), pp. 549 - 554. https://doi.org/10.1249/MSS.0000000000001126
Measurement properties of a test battery to assess postural orientation during functional tasks in patients undergoing anterior cruciate ligament injury rehabilitation
Nae, Jenny, Creaby, Mark, Nilsson, Gustav, Crossley, Kay and Ageberg, Eva. (2017). Measurement properties of a test battery to assess postural orientation during functional tasks in patients undergoing anterior cruciate ligament injury rehabilitation. Journal of Orthopaedic and Sports Physical Therapy. 47(11), pp. 863 - 873. https://doi.org/10.2519/jospt.2017.7270
Assessing stability in mild and moderate Parkinson's disease : Can clinical measures provide insight?
Hubble, Ryan P., Silburn, Peter A., Naughton, Geraldine A. and Cole, Michael H.. (2016). Assessing stability in mild and moderate Parkinson's disease : Can clinical measures provide insight? Gait & Posture. 49(1), pp. 7-13. https://doi.org/10.1016/j.gaitpost.2016.06.002
Changes in knee joint load indices from before to 12 months after arthroscopic partial meniscectomy: A prospective cohort study
Thorlund, Jonas B., Holsgaard-Larsen, Anders, Creaby, Mark William, Jørgensen, G. M., Nissen, N., Englund, M. and Lohmander, L. S.. (2016). Changes in knee joint load indices from before to 12 months after arthroscopic partial meniscectomy: A prospective cohort study. Osteoarthritis and Cartilage. https://doi.org/10.1016/j.joca.2016.01.987
Gender differences in knee abduction during weight-bearing activities: A systematic review and meta-analysis
Cronström, Anna, Creaby, Mark William, Nae, Jenny and Ageberg, Eva. (2016). Gender differences in knee abduction during weight-bearing activities: A systematic review and meta-analysis. Gait & Posture. 49, pp. 315 - 328. https://doi.org/10.1016/j.gaitpost.2016.07.107
A systematic review on perceptual-motor calibration to changes in action capabilities
van Andel, Steven, Cole, Michael H. and Pepping, Gert-Jan. (2016). A systematic review on perceptual-motor calibration to changes in action capabilities. Human Movement Science. 51(1), pp. 59-71. https://doi.org/10.1016/j.humov.2016.11.004
Modifiable factors associated with knee abduction during weight-bearing activities: A systematic review and meta-analysis
Cronstrom, Anna, Creaby, Mark William, Nae, Jenny and Ageberg, Eva. (2016). Modifiable factors associated with knee abduction during weight-bearing activities: A systematic review and meta-analysis. Sports Medicine. https://doi.org/10.1007/s40279-016-0519-8
Retraining running gait to reduce tibial loads with clinician or accelerometry guided feedback
Creaby, Mark William and Franettovich-Smith, Melinda. (2016). Retraining running gait to reduce tibial loads with clinician or accelerometry guided feedback. Journal of Science and Medicine in Sport. 19(4), pp. 288 - 292. https://doi.org/10.1016/j.jsams.2015.05.003
Monitoring workload in throwing-dominant sports : A systematic review
Black, Georgia M., Gabbett, Tim J., Cole, Michael H. and Naughton, Geraldine. (2016). Monitoring workload in throwing-dominant sports : A systematic review. Sports Medicine. 46, pp. 1503-1516. https://doi.org/10.1007/s40279-016-0529-6
Use of a short-form balance confidence scale to predict future recurrent falls in people with Parkinson Disease
Cole, Michael H., Rippey, Jodi, Naughton, Geraldine A. and Silburn, Peter A.. (2016). Use of a short-form balance confidence scale to predict future recurrent falls in people with Parkinson Disease. Archives of Physical Medicine and Rehabilitation. 97(1), pp. 152-156. https://doi.org/10.1016/j.apmr.2015.07.027
The biomechanics of the modern golf swing : Implications for lower back injuries
Cole, Michael H. and Grimshaw, Paul N.. (2016). The biomechanics of the modern golf swing : Implications for lower back injuries. Sports Medicine. 46(3), pp. 339-351. https://doi.org/10.1007/s40279-015-0429-1
The high frequency component of the vertical ground reaction force is a valid surrogate measure of the impact peak
Blackmore, Tim, Willy, Richard W. and Creaby, Mark William. (2016). The high frequency component of the vertical ground reaction force is a valid surrogate measure of the impact peak. Journal of Biomechanics. 49(3), pp. 479 - 483. https://doi.org/10.1016/j.jbiomech.2015.12.019
The use of wearable microsensors to quantify sport-specific movements
Chambers, Ryan, Gabbett, Tim J., Cole, Michael H. and Beard, Adam. (2015). The use of wearable microsensors to quantify sport-specific movements. Sports Medicine. 45(7), pp. 1065-1081. https://doi.org/10.1007/s40279-015-0332-9
Stress fracture / stress reaction of the lower leg and foot
Creaby, Mark W., Brukner, Peter D. and Bennell, Kim L.. (2015). Stress fracture / stress reaction of the lower leg and foot. In In K. Rome and P. McNair (Ed.). Management of chronic conditions in the foot and lower leg pp. 180 - 213 Churchill Livingstone. https://doi.org/10.1016/B978-0-7020-4769-5.00007-8
Wearable sensor use for assessing standing balance and walking stability in people with Parkinson’s Disease: A systematic review
Hubble, Ryan, Naughton, Geraldine, Silburn, Peter and Cole, Michael. (2015). Wearable sensor use for assessing standing balance and walking stability in people with Parkinson’s Disease: A systematic review. PLoS ONE. 10(4), pp. 1 - 22. https://doi.org/10.1371/journal.pone.0123705
Forward lunge knee biomechanics before and after partial meniscectomy
Hall, Michelle, Nielsen, Jonas, Holsgaard-Larsen, Anders, Nielsen, Dennis Brandborg, Creaby, Mark and Thorlund, Jonas. (2015). Forward lunge knee biomechanics before and after partial meniscectomy. The Knee. 22(6), pp. 506 - 509. https://doi.org/10.1016/j.knee.2015.03.005
It's not all about the knee adduction moment: the role of the knee flexion moment in medial knee joint loading
Creaby, Mark. (2015). It's not all about the knee adduction moment: the role of the knee flexion moment in medial knee joint loading. Osteoarthritis and Cartilage. 23(7), pp. 1038 - 1040. https://doi.org/10.1016/j.joca.2015.03.032
Trunk muscle exercises as a means of improving postural stability in people with Parkinson's disease : A protocol for a randomised controlled trial
Hubble, Ryan P., Naughton, Geraldine A., Silburn, Peter and Cole, Michael H.. (2014). Trunk muscle exercises as a means of improving postural stability in people with Parkinson's disease : A protocol for a randomised controlled trial. BMJ Open. 4(12), pp. 1 - 9. https://doi.org/10.1136/bmjopen-2014-006095
Neuromotor control of gluteal muscles in runners with Achilles tendinopathy
Franettovich Smith, Melinda, Honeywill, Conor, Wyndow, Narelle, Crossley, Kay and Creaby, Mark. (2014). Neuromotor control of gluteal muscles in runners with Achilles tendinopathy. Medicine and Science in Sports and Exercise. 46(3), pp. 594 - 599. https://doi.org/10.1249/MSS.0000000000000133
Concurrent validity of accelerations measured using tri-axial inertial measurement unit while walking on firm, compliant and uneven surfaces
Cole, Michael H., van den Hoorn, Wolbert, Kavanagh, Justin K., Morrison, Steven, Hodges, Paul W., Smeathers, James E. and Kerr, Graham K.. (2014). Concurrent validity of accelerations measured using tri-axial inertial measurement unit while walking on firm, compliant and uneven surfaces. PLoS ONE. 9(5), pp. 1 - 12. https://doi.org/10.1371/journal.pone.0098395
Knee joint laxity and passive stiffness in meniscectomized patients compared with healthy controls
Thorland, Jonas, Creaby, Mark William, Wrigley, Tim, Metcalf, Ben and Bennell, Kim. (2014). Knee joint laxity and passive stiffness in meniscectomized patients compared with healthy controls. The Knee. 21(5), pp. 886 - 890. https://doi.org/10.1016/j.knee.2014.06.001
Executive function and postural instability in people with Parkinson's disease
Xu, Dong, Cole, Michael H., Mengersen, Kerrie, Silburn, Peter A., Qiu, Feng, Graepel, Cara and Kerr, Graham. (2014). Executive function and postural instability in people with Parkinson's disease. Parkinson's Disease. 2014(1), pp. 1 - 8. https://doi.org/10.1155/2014/684758
The crunch factor's role in golf-related low back pain
Cole, Michael H. and Grimshaw, Paul N.. (2014). The crunch factor's role in golf-related low back pain. Spine Journal. 14(5), pp. 799-807. https://doi.org/10.1016/j.spinee.2013.09.019
Professionalism, golf coaching and a Master of Science degree : A commentary
Cole, Michael H.. (2014). Professionalism, golf coaching and a Master of Science degree : A commentary. International Journal of Sports Science and Coaching. 9(4), pp. 861-864. https://doi.org/10.1260/1747-9541.9.4.717
Is there a causal link between knee joint loading during walking and structural progression of knee osteoarthritis? : A systematic review and meta-analysis of cohort studies and randomized controlled trials
Henriksen, Marius, Creaby, Mark, Lund, Hans, Juhl, Carsten and Christensen, Robin. (2014). Is there a causal link between knee joint loading during walking and structural progression of knee osteoarthritis? : A systematic review and meta-analysis of cohort studies and randomized controlled trials. BMJ Open. 4(7), pp. 1 - 9. https://doi.org/10.1136/bmjopen-2014-005368
A comparison of rigid tape and exercise, elastic tape and exercise and exercise alone on pain and lower limb function in individuals with exercise related leg pain: A randomised controlled trial
Franettovich Smith, Melinda, Coates, Sonia and Creaby, Mark. (2014). A comparison of rigid tape and exercise, elastic tape and exercise and exercise alone on pain and lower limb function in individuals with exercise related leg pain: A randomised controlled trial. BMC Musculoskeletal Disorders. 15(328), pp. 1 - 10. https://doi.org/10.1186/1471-2474-15-328
Self-reported knee joint instability is related to passive mechanical stiffness in medial knee osteoarthritis
Creaby, Mark, Wrigley, Tim, Lim, Boon Whatt, Hinman, Rana, Bryant, Adam and Bennell, Kim. (2013). Self-reported knee joint instability is related to passive mechanical stiffness in medial knee osteoarthritis. BMC Musculoskeletal Disorders. 14(326), pp. 1 - 8. https://doi.org/10.1186/1471-2474-14-326
Effects of textured insoles on balance in people with Parkinson's Disease
Qiu, Feng, Cole, Michael H., Davids, Keith W., Hennig, Ewald M., Silburn, Peter A., Netscher, Heather and Kerr, Graham K.. (2013). Effects of textured insoles on balance in people with Parkinson's Disease. PLoS ONE. 8(12), pp. 1 - 8. https://doi.org/10.1371/journal.pone.0083309
Knee Joint Laxity and Passive Stiffness in Meniscectomized Patients at High Risk of Knee Osteoarthritis Compared with Controls
Thorlund, Jonas, Creaby, Mark, Wrigley, Tim, Metcalf, Ben and Bennell, Kim. (2013). Knee Joint Laxity and Passive Stiffness in Meniscectomized Patients at High Risk of Knee Osteoarthritis Compared with Controls. OARSI World Congress on Osteoarthritis. United States of America: Elsevier. pp. S97 - S97 https://doi.org/10.1016/j.joca.2013.02.208
Sagittal plane joint loading is related to knee flexion in osteoarthritic gait
Creaby, Mark W., Hunt, Michael A., Hinman, Rana S. and Bennell, Kim L.. (2013). Sagittal plane joint loading is related to knee flexion in osteoarthritic gait. Clinical Biomechanics. 28(8), pp. 916-920. https://doi.org/10.1016/j.clinbiomech.2013.07.013
Cognitive tasks influence balance performance in people with Parkinson's disease
Xu, Dong, Muthalib, Mark, Pegoraro, Roger, Mengersen, Kerrie, Cole, Michael, Silburn, Peter and Kerr, Graham. (2013). Cognitive tasks influence balance performance in people with Parkinson's disease. 17th International Congress of Parkinson's Disease and Movement Disorders. United States of America: Movement Disorders Society. pp. S200 - S200
Medio-lateral knee position during knee flexion tests is predictive of hip kinematics during running
Le Rossignol, Scott, Ageberg, Eva, Smith, Melinda and Creaby, Mark. (2012). Medio-lateral knee position during knee flexion tests is predictive of hip kinematics during running. Be Active 2012 : Australian Conference of Science and Medicine in Sport. Sydney Convention and Exhibition Centre, Sydney, New South Wales, Australia 31 Oct - 03 Nov 2012 Australia: Elsevier. pp. S99 - S99
Effects of foot orthoses on ankle kinematics in male runners with Achilles tendinopathy
Sussmilch-Leitch, Sam, Crossley, Kay, Wrigley, Tim and Creaby, Mark. (2012). Effects of foot orthoses on ankle kinematics in male runners with Achilles tendinopathy. Be Active 2012 : Australian Conference of Science and Medicine in Sport. Sydney Convention and Exhibition Centre, Sydney, New South Wales, Australia 31 Oct - 03 Nov 2012 Australia: Elsevier. pp. S99 - S99
A secondary motor task exaggerates gait deficits in Parkinson's fallers
Kerr, Graham K., Cole, Michael, Wood, Joanne M. and Silburn, Peter A.. (2012). A secondary motor task exaggerates gait deficits in Parkinson's fallers. Congress of the International Society of Electrophysiology & Kinesiology. International Society of Electrophysiology & Kinesiology.
The relationship between lumbar mulitifidus muscle function and performance on the single-leg squat task
Neill, Sharne, Creaby, Mark, Hides, Julie, Crowley, Geoff and Smith, Melinda. (2012). The relationship between lumbar mulitifidus muscle function and performance on the single-leg squat task. Be Active 2012 : Australian Conference of Science and Medicine in Sport. Sydney Convention and Exhibition Centre, Sydney, New South Wales, Australia 31 Oct - 03 Nov 2012 Australia: Elsevier. pp. S335 - S336
Gait differs between unilateral and bilateral knee osteoarthritis
Creaby, Mark William, Bennell, Kim and Hunt, Michael. (2012). Gait differs between unilateral and bilateral knee osteoarthritis. Archives of Physical Medicine and Rehabilitation. 93(5), pp. 822 - 827. https://doi.org/10.1016/j.apmr.2011.11.029
Altered neuromotor control of the gluteus medius and gluteus maximus in male runners with achilles tendinopathy
Honeywill, C., Creaby, M., Smith, M., Wyndow, N. and Crossley, K.. (2012). Altered neuromotor control of the gluteus medius and gluteus maximus in male runners with achilles tendinopathy. Be Active 2012 : Australian Conference of Science and Medicine in Sport. Sydney Convention and Exhibition Centre, Sydney, New South Wales, Australia 31 Oct - 03 Nov 2012 Elsevier Ltd. pp. S64-S65 https://doi.org/10.1016/j.jsams.2012.11.156
How well do clinical tests predict future falls in older people?
Kerr, Graham K., Wood, Joanne M., Lacherez, Philippe F. and Cole, Michael H.. (2012). How well do clinical tests predict future falls in older people?
Cognitive function and postural instability in people with Parkinson's disease
Xu, Dong, Cole, Michael, Mengersen, Kerrie, Silburn, Peter and Kerr, Graham. (2012). Cognitive function and postural instability in people with Parkinson's disease.
Rotational knee load predicts cartilage loss over 12 months in knee osteoarthritis
Henriksen, Marius, Hinman, Rana, Creaby, Mark, Cicuttini, Flavia, Metcalf, Ben, Bowles, Kelly-Ann and Bennell, Kim. (2012). Rotational knee load predicts cartilage loss over 12 months in knee osteoarthritis. 2012 World Congress on Osteoarthritis. United Kingdom: Elsevier. pp. S17 - S18 https://doi.org/10.1016/j.joca.2012.02.528
Hamstring asymmetry: The key to recurring injury
Hill, Cameron and Cole, Michael. (2012). Hamstring asymmetry: The key to recurring injury.
A spatiotemporal analysis of gait freezing and the impact of pedunculopontine nucleus stimulation
Thevathasan, Wesley, Cole, Michael H., Graepel, Cara L., Hyam, Jonathan A., Jenkinson, Ned, Brittain, John-Stuart, Coyne, Terry J., Silburn, Peter A., Aziz, Tipu Z., Kerr, Graham K. and Brown, Peter. (2012). A spatiotemporal analysis of gait freezing and the impact of pedunculopontine nucleus stimulation. Brain. 135, pp. 1446 - 1454. https://doi.org/10.1093/brain/aws039
Performance of a secondary motor task reveals altered gait patterns in future Parkinson's fallers
Kerr, Graham K., Cole, Michael H., Wood, Joanne M. and Silburn, Peter A.. (2012). Performance of a secondary motor task reveals altered gait patterns in future Parkinson's fallers.
The immediate effect of orthoses on neuromotor control of gluteus medius and gluteus maximus during running in individuals with achilles tendinopathy
Smith, Melinda, Honeywill, Conor, Creaby, Mark, Wyndow, Narelle and Crossley, Kay. (2012). The immediate effect of orthoses on neuromotor control of gluteus medius and gluteus maximus during running in individuals with achilles tendinopathy. Be Active 2012 : Australian Conference of Science and Medicine in Sport. Sydney Convention and Exhibition Centre, Sydney, New South Wales, Australia 31 Oct - 03 Nov 2012 Australia: University of Queensland Printery. pp. 448 - 448
Lumbar multifidus muscle size is associated with lower limb overuse injuries in military specialist trainees
Crowley, Geoff, Creaby, Mark, Neill, Sharne, Hides, Julie and Smith, Melinda. (2012). Lumbar multifidus muscle size is associated with lower limb overuse injuries in military specialist trainees. Australian Military Medicine Conference. Australia: Australian Military Medicine Association. pp. 60 - 61
Gait retraining using visual and verbal feedback in runners
Gray, Eleanor, Sweeney, Matt, Creaby, Mark and Smith, Melinda. (2012). Gait retraining using visual and verbal feedback in runners. Conference of the International Society of Biomechanics in Sport. Australia: International Society of Biomechanics. pp. 262 - 263
Pedunculopontine nucleus deep brain stimulation produces sustained improvement in primary progressive freezing of gait
Wilcox, Robert A., Cole, Michael H., Wong, David, Coyne, Terry, Silburn, Peter and Kerr, Graham. (2011). Pedunculopontine nucleus deep brain stimulation produces sustained improvement in primary progressive freezing of gait. Journal of Neurology, Neurosurgery and Psychiatry. 82(11), pp. 1256 - 1259. https://doi.org/10.1136/jnnp.2010.213462
Insole effects on impact loading during walking
Creaby, Mark, May, K. and Bennell, K L.. (2011). Insole effects on impact loading during walking. Ergonomics (print version). 54(7), pp. 665 - 671. https://doi.org/10.1080/00140139.2011.592600
Exercise and osteoarthritis: Cause and effects
Bennell, Kim, Hinman, Rana S., Wrigley, Tim V., Creaby, Mark W. and Hodges, Paul. (2011). Exercise and osteoarthritis: Cause and effects. Comprehensive Physiology. 1, pp. 1943 - 2008. https://doi.org/10.1002/cphy.c100057/pdf
Clinically assessed mediolateral knee motion: Impact on gait
Thorlund, J. B., Creaby, Mark William, Simic, M., Hunt, M. A., Bennell, K. L. and Ageberg, E.. (2011). Clinically assessed mediolateral knee motion: Impact on gait. Clinical journal of sport medicine (print version). 21(6), pp. 515 - 520. https://doi.org/10.1097/JSM.0b013e318230f6d8
Falls in Parkinson's disease: Evidence for altered stepping strategies on compliant surfaces
Cole, Michael H., Silburn, Peter A., Wood, Joanne M. and Kerr, Graham K.. (2011). Falls in Parkinson's disease: Evidence for altered stepping strategies on compliant surfaces. Parkinsonism and Related Disorders. 17(8), pp. 610 - 616. https://doi.org/10.1016/j.parkreldis.2011.05.019
Risk of falls, injurious falls, and other injuries resulting from visual impairment among older adults with age-related macular degeneration
Wood, Joanne M., Lacherez, Philippe, Black, Alex A., Cole, Michael H., Boon, Mei Ying and Kerr, Graham K.. (2011). Risk of falls, injurious falls, and other injuries resulting from visual impairment among older adults with age-related macular degeneration. Investigative Ophthalmology and Visual Science. 52(8), pp. 5088 - 5092. https://doi.org/10.1167/iovs.10-6644
Dynamic knee loading is related to cartilage defects and tibial plateau bone area in medial knee osteoarthritis
Creaby, Mark, Wang, Yuanyuan, Bennell, Kim, Hinman, Rana, Metcalf, Ben, Bowles, Kelly-Ann and Cicuttini, Flavia. (2010). Dynamic knee loading is related to cartilage defects and tibial plateau bone area in medial knee osteoarthritis. Osteoarthritis and Cartilage. 18(11), pp. 1380 - 1385. https://doi.org/10.1016/j.joca.2010.08.013
Bone marrow lesions are related to dynamic knee loading in medial knee osteoarthritis
Bennell, Kim, Creaby, Mark William, Wrigley, Tim, Bowles, Kelly-Ann, Hinman, Rana, Cicuttini, Flavia and Hunter, David. (2010). Bone marrow lesions are related to dynamic knee loading in medial knee osteoarthritis. Annals of the Rheumatic Diseases. 69(6), pp. 1151 - 1154. https://doi.org/10.1136/ard.2009.118182
Self-reported knee instability is related to passive mechanical stiffness in medial knee osteoarthritis
Creaby, Mark, Wrigley, Tim, Lim, Boon Whatt, Hinman, Rana, Bryant, Adam and Bennell, Kim. (2010). Self-reported knee instability is related to passive mechanical stiffness in medial knee osteoarthritis. World Congress on Osteoarthritis. United Kingdom: Elsevier. pp. 68 - 69
Validity of a clinical test of assessing dynamic knee alignment during a single-limb mini squat
Ageberg, Eva, Bennell, Kim, Simic, Milena, Roos, Ewa and Creaby, Mark. (2010). Validity of a clinical test of assessing dynamic knee alignment during a single-limb mini squat. World Congress on Osteoarthritis. United Kingdom: Elsevier. pp. 74 - 74
Hamstring antagonist torque generated in vivo following ACL rupture and ACL reconstruction
Bryant, Adam, Creaby, Mark William, Newton, Robert and Steele, Julie. (2010). Hamstring antagonist torque generated in vivo following ACL rupture and ACL reconstruction. The Knee. 17(4), pp. 287 - 290. https://doi.org/10.1016/j.knee.2010.02.004
Falls in Parkinson's disease: Kinematic evidence for impaired head and trunk control
Cole, Michael H., Silburn, Peter A., Wood, Joanne M., Worringham, Charles J. and Kerr, Graham K.. (2010). Falls in Parkinson's disease: Kinematic evidence for impaired head and trunk control. Movement Disorders. 25(14), pp. 2369 - 2378. https://doi.org/10.1002/mds.23292
Sagittal plane bending moments acting on the lower leg during running
Phuah, Affendi, Schache, Anthony, Crossley, Kay, Wrigley, Tim and Creaby, Mark William. (2010). Sagittal plane bending moments acting on the lower leg during running. Gait & Posture. 31(2), pp. 218 - 222. https://doi.org/10.1016/j.gaitpost.2009.10.009
Mechanical loading is related to cartilage defects in medial tibiofemoral osteoarthritis
Creaby, Mark, Wang, Yinxu, Bennell, Kim, Hinman, Rana, Metcalf, Ben, Bowles, Kelly-Ann and Cicuttini, Flavia. (2010). Mechanical loading is related to cartilage defects in medial tibiofemoral osteoarthritis. World Congress on Osteoarthritis. United Kingdom: Elsevier. pp. 68 - 69
Knee joint stiffness during walking in knee osteoarthritis
Dixon, Sharon, Hinman, Rana, Creaby, Mark William, Kemp, Georgie and Crossley, Kay. (2010). Knee joint stiffness during walking in knee osteoarthritis. Arthritis Care and Research. 62(1), pp. 38 - 44. https://doi.org/10.1002/acr.20012
Validity and inter-rater reliability of medio-lateral knee motion observed during a single-limb mini squat
Ageberg, Eva, Bennell, Kim, Hunt, Michael, Simic, Milena, Roos, Ewa and Creaby, Mark. (2010). Validity and inter-rater reliability of medio-lateral knee motion observed during a single-limb mini squat. BMC Musculoskeletal Disorders. 11(1), pp. 1 - 8. https://doi.org/10.1186/1471-2474-11-265
Varus-Valgus laxity and passive stiffness in medial knee osteoarthritis
Creaby, Mark William, Wrigley, Tim, Lim, Boon Whatt, Bowles, Kelly-Ann, Metcalf, Ben, Hinman, Rana and Bennell, Kim. (2010). Varus-Valgus laxity and passive stiffness in medial knee osteoarthritis. Arthritis Care and Research. 62(9), pp. 1237 - 1243. https://doi.org/10.1002/acr.20220
Hip muscle weakness in individuals with medial knee osteoarthritis
Hinman, Rana, Hunt, Michael, Creaby, Mark William, Wrigley, Tim, McManus, Fiona and Bennell, Kim. (2010). Hip muscle weakness in individuals with medial knee osteoarthritis. Arthritis Care and Research. 62(1), pp. 1190 - 1193. https://doi.org/10.1002/acr.20199
Postural stability and gait among older adults with age-related maculopathy
Wood, Joanne M., Lacherez, Philippe F., Black, Alex A., Cole, Michael H., Boon, Mei Ying and Kerr, Graham K.. (2009). Postural stability and gait among older adults with age-related maculopathy. Investigative Ophthalmology and Visual Science. 50(1), pp. 482 - 487. https://doi.org/10.1167/iovs.08-1942
The x-factor and its relationship to golfing performance
Cole, Michael H. and Grimshaw, Paul N.. (2009). The x-factor and its relationship to golfing performance. Journal of Quantitative Analysis in Sports. 5(1), pp. 1 - 19. https://doi.org/10.2202/1559-0410.1134
Tibial subchondral trabecular volumetric bone density in medial knee joint osteoarthristis using peripheral quantitative computed tomography technology
Bennell, Kim, Creaby, Mark, Wrigley, Tim and Hunter, David. (2008). Tibial subchondral trabecular volumetric bone density in medial knee joint osteoarthristis using peripheral quantitative computed tomography technology. Arthritis and Rheumatology. 58(9), pp. 2776 - 2785. https://doi.org/10.1002/art.23795
External frontal plane loads may be associated with tibial stress fracture
Creaby, Mark and Dixon, Sharon. (2008). External frontal plane loads may be associated with tibial stress fracture. Medicine and Science in Sports and Exercise. 40(9), pp. 1669 - 1674. https://doi.org/10.1249/MSS.0b013e31817571ae
Tibial loading mechanics : Implications for stress fracture injury
Creaby, Mark and Dixon, Sharon. (2008). Tibial loading mechanics : Implications for stress fracture injury. In In Marshall-Gradisnik, Sonya, Hohmann, Erik and Bryant, Adam L. (Ed.). Sport science & sport medicine reviews : Selected topics pp. 49-62 Central Queensland University Press.
Electromyography of the trunk and abdominal muscles in golfers with and without low back pain
Cole, M. H. and Grimshaw, P. N.. (2008). Electromyography of the trunk and abdominal muscles in golfers with and without low back pain. Journal of Science and Medicine in Sport. 11(2), pp. 174 - 181. https://doi.org/10.1016/j.jsams.2007.02.006
Trunk muscle onset and cessation in golfers with and without low back pain
Cole, M. H. and Grimshaw, P. N.. (2008). Trunk muscle onset and cessation in golfers with and without low back pain. Journal of Biomechanics. 41(13), pp. 2829 - 2833. https://doi.org/10.1016/j.jbiomech.2008.07.004
Dynamic restraint capacity of the hamstring muscles has important functional implications after anterior cruciate ligament injury and anterior cruciate ligament reconstruction
Bryant, Adam L., Creaby, Mark William, Newton, Robert U. and Steele, Julie R.. (2008). Dynamic restraint capacity of the hamstring muscles has important functional implications after anterior cruciate ligament injury and anterior cruciate ligament reconstruction. Archives of Physical Medicine and Rehabilitation. 89(12), pp. 2324 - 2331. https://doi.org/10.1016/j.apmr.2008.04.027
Stress fracture risk factors in female football players and their clinical implications
Warden, Stuart, Creaby, Mark, Bryant, Adam and Crossley, Kay. (2007). Stress fracture risk factors in female football players and their clinical implications. British Journal of Sports Medicine. 41(8), pp. i38 - i43. https://doi.org/10.1136/bjsm.2007.037804
Comparison of static and dynamic biomedical measures in military recruits with and without a history of third metarsal stress fracture
Dixon, Sharon, Creaby, Mark and Allsopp, Adrian. (2006). Comparison of static and dynamic biomedical measures in military recruits with and without a history of third metarsal stress fracture. Clinical Biomechanics. 21(4), pp. 412 - 419. https://doi.org/10.1016/j.clinbiomech.2005.11.009