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DSM staff profile

Cathy Chapple

Dr Ramakrishnan Mani

PositionSenior Lecturer
QualificationsDAc BPhty MPhty(Manual Therapy) PGCert PhD(Otago)
Research summaryChronic pain mechanisms (central sensitisation, neuroplasticity, and psychosocial factors); life-course approach to predict MSK pain development and chronicity; pain education / curriculum; sedentary behaviour
Teaching
  • Musculoskeletal physiotherapy and chronic pain (undergraduate and postgraduate)
  • Thesis supervision (honours, master’s, and PhD research)
Memberships

Research

My current research focusses on these key areas:

1. Pain mechanisms

Investigating clinical pain mechanisms (central sensitisation, neuroplasticity, and psychosocial factors) for developing targeted management of musculoskeletal pain. Other research includes investigating the measurement properties of pain assessment tools / questionnaires to develop a clinical battery for assessment of pain-related central sensitisation.

Current projects:

  • Brain and Joint Pain Study: Subgrouping pain mechanisms (pro-nociceptive, anti-nociceptive mechanisms and neuroplasticity) in musculoskeletal pain (arthritis) and quantifying EEG-based cortical correlates in musculoskeletal pain (e.g. arthritis) for targeted neuromodulation
  • Dunedin Multidisciplinary Longitudinal study: Life-course approach to predict musculoskeletal pain chronicity
  • Development and validation of clinical test battery for assessing pain-related sensitization

2. Pain education and curriculum

Knowledge translation of pain mechanisms research into clinical practice and capacity building of health care professionals on pain mechanisms based assessment and management.

Current projects:

  • Impact of IASP pain curriculum based online course on Indian physiotherapists' pain knowledge, attitudes and practice patterns
  • Pain content in health professional curriculum (physiotherapy) and its impact on health professional students and recent graduates
  • A biopsychosocial understanding of lower back pain: content analysis of online information

3. Sedentary behaviour and physical activity

Investigating the predictive factors associated with context-based sedentariness and physical activity levels in high disease risk population, and to develop targeted behavioural interventions to reduce disease risk.

Current projects:

  • Activity and You Study (AAY study): Associations of sedentary time among New Zealanders with a risk of developing chronic diseases – a cross-sectional study.
  • Understanding Sedentariness and Physical Activity (USEPAC study): Predictors of sedentary time among New Zealanders with a risk of developing chronic diseases – a longitudinal study.
  • Activity@Work Study: Sedentary behaviour patterns among staff working at the tertiary educational institutes

Research grants

  • University of Otago Research Grant (PI: 2014, 2015)
  • Lottery Health Translational Research Grant (PI: 2015–2017)
  • Otago Medical Research Foundation – Jack Thomson Arthritis Grant (PI: 2016–2017)
  • Health Research Council Programme Grant (NI: 2016–2020)

Publications

Mabire, L., Mani, R., Liu, L., Mulligan, H., & Baxter, D. (2017). The Influence of age, sex and body mass index on the effectiveness of brisk walking for obesity management in adults. A systematic review and meta-analysis. Journal of Physical Activity & Health, 14(5), 389-407. doi: 10.1123/jpah.2016-0064

Kovanur-Sampath, K., Mani, R., Cotter, J., Gisselman, A. S., & Tumilty, S. (2017). Changes in biochemical markers following spinal manipulation: A systematic review and meta-analysis. Musculoskeletal Science & Practice, 29, 120-131. doi: 10.1016/j.msksp.2017.04.004

Tumilty, S., Adhia, D. B., Rhodes, R., & Mani, R. (2017). Physiotherapists’ treatment techniques in New Zealand for management of acute nonspecific low back pain and its relationships with treatment outcomes: A pilot study. Physical Therapy Reviews. Advance online publication. doi: 10.1080/10833196.2017.1282073

Bussey, M. D., Aldabe, D., Adhia, D., & Mani, R. (2017). Reliability of surface electromyography activity of gluteal and hamstring muscles during sub-maximal and maximal voluntary isometric contractions. Musculoskeletal Science & Practice. Advance online publication. doi: 10.1016/j.msksp.2017.09.004

Sampath, K. K., Botnmark, E., Mani, R., Cotter, J. D., Katare, R., Munasinghe, P. E., & Tumilty, S. (2017). Neuro-endocrine response following a thoracic spinal manipulation in healthy men. Journal of Orthopaedic & Sports Physical Therapy. Advance online publication. doi: 10.2519/jospt.2017.7348

Journal - Research Article

Mabire, L., Mani, R., Liu, L., Mulligan, H., & Baxter, D. (2017). The Influence of age, sex and body mass index on the effectiveness of brisk walking for obesity management in adults. A systematic review and meta-analysis. Journal of Physical Activity & Health, 14(5), 389-407. doi: 10.1123/jpah.2016-0064

Sampath, K. K., Botnmark, E., Mani, R., Cotter, J. D., Katare, R., Munasinghe, P. E., & Tumilty, S. (2017). Neuro-endocrine response following a thoracic spinal manipulation in healthy men. Journal of Orthopaedic & Sports Physical Therapy. Advance online publication. doi: 10.2519/jospt.2017.7348

Bussey, M. D., Aldabe, D., Adhia, D., & Mani, R. (2017). Reliability of surface electromyography activity of gluteal and hamstring muscles during sub-maximal and maximal voluntary isometric contractions. Musculoskeletal Science & Practice. Advance online publication. doi: 10.1016/j.msksp.2017.09.004

Tumilty, S., Adhia, D. B., Rhodes, R., & Mani, R. (2017). Physiotherapists’ treatment techniques in New Zealand for management of acute nonspecific low back pain and its relationships with treatment outcomes: A pilot study. Physical Therapy Reviews. Advance online publication. doi: 10.1080/10833196.2017.1282073

Kovanur-Sampath, K., Mani, R., Cotter, J., Gisselman, A. S., & Tumilty, S. (2017). Changes in biochemical markers following spinal manipulation: A systematic review and meta-analysis. Musculoskeletal Science & Practice, 29, 120-131. doi: 10.1016/j.msksp.2017.04.004

Adhia, D. B., Tumilty, S., Mani, R., Milosavljevic, S., & Bussey, M. D. (2016). Can hip abduction and external rotation discriminate sacroiliac joint pain? Manual Therapy, 21, 191-197. doi: 10.1016/j.math.2015.08.002

Tumilty, S., Mani, R., & Baxter, G. D. (2016). Photobiomodulation and eccentric exercise for Achilles tendinopathy: A randomized controlled trial. Lasers in Medical Science, 31(1), 127-135. doi: 10.1007/s10103-015-1840-4

Kovanur Sampath, K., Mani, R., Miyamori, T., & Tumilty, S. (2016). The effects of manual therapy or exercise therapy or both in people with hip osteoarthritis: A systematic review and meta-analysis. Clinical Rehabilitation, 30(2), 1141-1155. doi: 10.1177/0269215515622670

Botnmark, I., Tumilty, S., & Mani, R. (2016). Tactile acuity, body schema integrity and physical performance of the shoulder: A cross-sectional study. Manual Therapy, 23, 9-16. doi: 10.1016/j.math.2016.02.001

Falling, C., & Mani, R. (2016). Ageing and obesity indices influences the tactile acuity of the low back regions: A cross-sectional study. Manual Therapy, 23, 25-31. doi: 10.1016/j.math.2016.02.004

Adhia, D. B., Tumilty, S., Mani, R., Milosavljevic, S., & Bussey, M. D. (2016). Innominate segment deformation during passive hip abduction and external rotation. Manual Therapy, 26, 235-237. doi: 10.1016/j.math.2016.06.004

Shields, C., Baxter, D., & Mani, R. (2016). Psychosocial correlates of physical activity levels in individuals at risk of developing diabetes mellitus: A feasibility study. New Zealand Journal of Physiotherapy, 44(3), 157-165. doi: 10.15619/NZJP/44.3.05

Sharma, S., Balthillaya, G., Rao, R., & Mani, R. (2016). Short term effectiveness of neural sliders and neural tensioners as an adjunct to static stretching of hamstrings on knee extension angle in healthy individuals: A randomized controlled trial. Physical Therapy in Sport, 17, 30-37. doi: 10.1016/j.ptsp.2015.03.003

Villarreal Santiago, M., Tumilty, S., Mącznik, A., & Mani, R. (2016). Does acupuncture alter pain-related functional connectivity of the central nervous system? A systematic review. Journal of Acupuncture & Meridian Studies, 9(4), 167-177. doi: 10.1016/j.jams.2015.11.038

Falling, C., & Mani, R. (2016). Regional asymmetry, obesity and gender determines tactile acuity of the knee regions: A cross-sectional study. Manual Therapy, 26, 150-157. doi: 10.1016/j.math.2016.08.002

Adhia, D. B., Mani, R., Milosavljevic, S., Tumilty, S., & Bussey, M. D. (2016). Does repeated palpation-digitization of pelvic landmarks for measurement of innominate motion introduce a systematic variation? A psychometric investigation. Manual Therapy, 21, 282-286. doi: 10.1016/j.math.2015.09.009

Mani, R., Milosavljevic, S., Ribeiro, D. C., & Sullivan, S. J. (2015). Effects of agricultural quad bike driving on postural control during static, dynamic and functional tasks: A field study. International Journal of Industrial Ergonomics, 50, 158-169. doi: 10.1016/j.ergon.2015.08.007

Kovanur Sampath, K., Mani, R., Cotter, J. D., & Tumilty, S. (2015). Measureable changes in the neuro-endocrinal mechanism following spinal manipulation. Medical Hypotheses, 85(6), 819-824. doi: 10.1016/j.mehy.2015.10.003

Aoyagi, M., Mani, R., Jayamoorthy, J., & Tumilty, S. (2015). Determining the level of evidence for the effectiveness of spinal manipulation in upper limb pain: A systematic review and meta-analysis. Manual Therapy, 20(4), 515-523. doi: 10.1016/j.math.2014.11.004

Mani, R., Milosavljevic, S., & Sullivan, S. J. (2015). Control of posture during tasks representing common work-related postures: A reliability study. Ergonomics, 58(6), 980-989. doi: 10.1080/00140139.2014.994566

Hendrick, P., Mani, R., Bishop, A., Milosavljevic, S., & Schneiders, A. G. (2013). Therapist knowledge, adherence and use of low back pain guidelines to inform clinical decisions: A national survey of manipulative and sports physiotherapists in New Zealand. Manual Therapy, 18(2), 136-142. doi: 10.1016/j.math.2012.09.002

Adhia, D. B., Bussey, M. D., Mani, R., Jayakaran, P., Aldabe, D., & Milosavljevic, S. (2012). Inter-tester reliability of non-invasive technique for measurement of innominate motion. Manual Therapy, 17(1), 71-76. doi: 10.1016/j.math.2011.09.005

Milosavljevic, S., Mani, R., Ribeiro, D. C., Vasiljev, R., & Rehn, B. (2012). Exploring how anthropometric, vehicle and workplace factors influence whole-body vibration exposures during on-farm use of a quad bike. International Journal of Industrial Ergonomics, 42(4), 392-396. doi: 10.1016/j.ergon.2012.04.004

Mani, R., Milosavljevic, S., & Sullivan, S. J. (2011). The influence of bady mass on whole-body vibration: A quad-bike field study. Ergonomics Open Journal, 4. doi: 10.2174/1875934301104010001

Arumugam, A., Mani, R., & Raja, K. (2011). Interrater reliability of the craniocervical flexion test in asymptomatic individuals—A cross-sectional study. Journal of Manipulative & Physiological Therapeutics, 34(4), 247-253. doi: 10.1016/j.jmpt.2011.04.011

Milosavljevic, S., McBride, D. I., Bagheri, N., Vasiljev, R. M., Mani, R., Carman, A. B., & Rehn, B. (2011). Exposure to whole-body vibration and mechanical shock: A field study of quad bike use in agriculture. Annals of Occupational Hygiene, 55(3), 286-295. doi: 10.1093/annhyg/meq087

Arumugam, A., Mani, R., Raja, K., & Cherian, P. (2010). Reliability and concurrent validity of the modified sphygmomanometer in cranial-cervical flexion test on asymptomatic individuals. Indian Journal of Physiotherapy & Occupational Therapy, 4(4), 1-7.

Mani, R., Milosavljevic, S., & Sullivan, S. J. (2010). The effect of occupational whole-body vibration on standing balance: A systematic review. International Journal of Industrial Ergonomics, 40(6), 698-709. doi: 10.1016/j.ergon.2010.05.009

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Journal - Research Other

Kovanur Sampath, K., Mani, R., Cotter, J., & Gisselman, A. S. (2017). Reply to letter to the Editor ‘Changes in biochemical markers following spinal manipulation: A systematic review and meta-analysis’. Musculoskeletal Science & Practice. Advance online publication. doi: 10.1016/j.msksp.2017.05.004

Aoyagi, M., Mani, R., Jayamoorthy, J., & Tumilty, S. (2015). Response to the letter to the editor re: "Determining the level of evidence for the effectiveness of spinal manipulation in the upper limb: A systematic review meta-analysis". Manual Therapy, 20(6), e17. doi: 10.1016/j.math.2015.04.002

Mehta, P., Claydon, L. S., Mani, R., Hendrick, P., & Baxter, D. G. (2014). Investigating the psychometric properties of patient reported outcome measures in individuals with chronic diabetic neuropathic pain: Prospective longitudinal cohort study protocol. Physical Therapy Reviews, 19(6), 440-446. doi: 10.1179/1743288X14Y.0000000157

William, J. R., Srikantaiah, S., & Mani, R. (2013). Cryotherapy for acute non-specific neck pain (Protocol). Cochrane Database of Systematic Reviews, 8, CD010711. doi: 10.1002/14651858.CD010711

More publications...