Predicting chronic ankle disability
This project consists of a series of studies to identify mechanisms of ongoing symptoms and disability after ankle injury, to design and test treatments to prevent ongoing symptoms, and prevention strategies to prevent injury occurrence.
Ankle osteoarthritis (OA) is perceived by sufferers to be as disabling as serious diseases such as heart or kidney disease. However, the only treatment with any effectiveness is surgery, which is invasive, is often unsuccessful and carries risks of adverse side-effects. Therefore prevention of ankle OA is critical. One of the most common causes of ankle OA is thought to be repeated trauma from ankle instability and repeated sprain. The first sprain is likely to initiate a cascade of events leading to chronic instability, re-injury, disability and ultimately OA of the ankle. The problem is that we cannot predict who will develop chronic disability from the first injury, although this knowledge is fundamental to prevention of the injury-OA cascade. We also do not know what impairments are caused by the initial injury, and also therefore cannot design effective treatment and prevention programs. The projects in this series include:
- Identification of the predictors of poor prognosis following the initial sprain
- Design and testing of effective treatments
- Design and testing of prevention strategies.
Possible PhD Topics:
- Identifying physiological deficits following the first sprain that are predictive of poor prognosis
- Identifying clinical tests that can be used to predict poor prognosis following the first sprain
- Discovering the physiological, psychological and social impact of chronic ankle disability
- Investigating the effect of novel interventions on preventing re-sprain
- Characterising subsets of ankle sprainers
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Sports injury, Rehabilitation, Physiotherapy, Ankle sprain, Functional ankle instability, Neuromuscular control, Motor control, Musculoskeletal, Disability, Counselling & patient support, Movement disorders, Human body, Movement, Professional practice
The opportunity ID for this research opportunity is: 75
Other opportunities with Professor Kathryn Refshauge
- Teaching ankle sprainers to move
- other research opportunities available at Faculty of Health Sciences
- Diagnosis, treatment and prevention of low back pain
- New insights into the low back pain problems: opportunities for doctoral studies
- Investigation of the lifestyle factors associated with low back pain, factors that determine a positive alliance between patients and therapists and motion analysis and muscle recruitment in low back pain.