PhD, Physio, Lecturer (Monash). research interests pain/motor neurophys features in tendinopathy, & all things MSK and rehab

Melbourne, Australia
A must read if you have ever rehabbed tendinopathy +/- a metronome. Neurophys discoveries have improved our understanding of underlying mech, + identified targets for rehab that might improve outcomes. Peter does a great job here breaking down the complex topic (with my 2c)
What causes muscle inhibition in tendinopathy? Corticospinal inhibition, right? And how do we fix it? Metronome stair climbing or calf or quads oscillations, right? Well, it is not that simple In this blog we unpack muscle inhibition in tendinopathy. tendinopathyrehab.com/blog/n…
2
4
1,050
I'm very happy to share I have passed my PhD, which explored neural deficits relevant to pain symptoms and functional impairments in individuals with Achilles or patellar tendinopathy. If you are interested, you can access it here: bridges.monash.edu/articles/…
10
6
76
7,137
For those that prefer visuals, here is a nice summary of the theory I propose in my thesis 👉👉 excitability of spinal interneurones should be considered the most relevant neural feature to functional impairments in PT, while influence of intracortical inhibition is unclear
1
4
298
And, the visual representation of the speculative theory for mechanisms relevant to pain symptoms 👉👉 based on variability of response, it’s appears there could be a subgroup of ppl with AT and PT who have altered endogenous pain modulators circuit function
3
135
... that there could be a subgroup of individuals with PT and (possibly) AT who have altered efficacy of endogenous pain circuits. 11/
1
1
129
In summary: 👉 Spinal excit appears more important to functional impairments in PT 👉 Functional reorganisation might be a positive adaptation to overcome spinal excitability 👉 Its possible there are subgroups of ppl with PT or AT with altered endogenous pain modulation /END
2
143
Support crew is on standby for the very final stretch of the PhD write-up, submission is in sight.
4
298
📣 NEW #ConsensusStatement 📄 ✨ ICON 2023: International Scientific Tendinopathy Symposium Consensus The core outcome set for Achilles tendinopathy (COS-AT) using a systematic review and a Delphi study of professional participants and patients See the #KeyRecommendations ⬇️ Article 👉 bit.ly/4e2u47P
1
26
83
18,619