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Miranda Buhler

Thesis title

The impact of base of thumb osteoarthritis and the effectiveness of orthotic management

Area of study

Base-of-thumb osteoarthritis
Orthotic intervention (splinting)
Hand function and health-related quality of life
Musculoskeletal conditions affecting the hand

Supervisors

  • Dr Cathy Chapple, Centre for Health, Activity, and Rehabilitation Research, School of Physiotherapy, University of Otago (Primary Supervisor)
  •  Prof. David Baxter, Centre for Health, Activity, and Rehabilitation Research, School of Physiotherapy, University of Otago
  • Assoc Prof, Simon Stebbings, Department of Medicine – Rheumatology, Dunedin School of Medicine, University of Otago

Education background

  • Master of Physiotherapy (by research) with Distinction, University of Otago School of Physiotherapy, 2012
  • Bachelor of Physiotherapy with Credit, University of Otago, 1999

Publications

Bűhler M, Chapple C, Baxter D, Stebbings S. The effectiveness of splinting for reducing pain and improving functional status and health-related quality of life in individuals with thumb base OA: a systematic review with meta-analysis (Protocol). PROSPERO 2016:CRD42016032612 Available from http://www.crd.york.ac.uk/PROSPERO/display_record.asp? CRD42016032612

Bűhler M, Johnson G, Meikle G. Longitudinal in-vivo ultrasound observations of the surgically repaired zone II flexor digitorum profundus tendon. Ultrasound in Med. and Biol. 2015;41(11):3018-3022.

Bűhler M, Abbott JH, Gwynne-Jones D, Chin M, Woodside J. Is relative motion extension splinting non-inferior for total active motion and more cost-effective compared to dynamic extension splinting for extensor tendon repair in zone V and VI: a randomised controlled trial. Study protocol registered with the Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12615000425594.

Bűhler M. ‘Physiotherapy / Hand Therapy distal radius fracture treatment manual’. Therapy protocol for: Theis J-C, Irving A, Melloh M, Sharr J. Distal radius fractures: a randomised controlled trial of percutaneous k-wiring and casting versus open reduction and internal fixation with a volar plate. Study protocol. 2011, December.

Bűhler M. ‘Silicone oil’. Fingerprints. 2011, May.

Bűhler M. [Commentary on] ‘Patients’ concerns with journey through flexor tendon rehab’ (Brandford et al 2004); ‘Flexor tendon pulley reconstruction’ (Clark et al 2010). Fingerprints. 2011, May.

Bűhler M. ‘Wound care subjective assessment’. Fingerprints. 2010, August.

Bűhler M. ‘Outcome measures in Hand therapy – a review of current measures’. Fingerprints. 2010, May.

Bűhler M. ‘Managing hypergranulation’. Fingerprints. 2010, May.

Bűhler M. ‘The role of iodine in wound cleansing – a review of current literature’. Fingerprints. 2009, December.

Bűhler M. ‘Wound care up-date’ – review of EWMA guidelines. ‘Fingerprints’. 2009, August.

Presentations

Bűhler M (2016) 'Effectiveness of splinting for thumb base OA: a systematic review' CHARR seminar series

Bűhler M, Hall S. ‘Best practice in Hand Therapy’; ‘Acute hand injuries’; ‘Practical stabilisation for acute hand injuries’. Platform presentations, South GP CME, Christchurch 2015, 14-17 August.

Bűhler M. ‘Dynamic splints for PIP fractures’. Platform presentation (invited speaker), NZ Hand Surgery Society, NZ Association of Hand Therapists and NZ Orthopaedic Association Wrist and Hand Meeting, Queenstown, 2014, 13-17 April.

Bűhler M. ‘Mirror box & beyond: mixed reality techniques in hand and upper limb injuries’. Presentation for ‘Mixed reality exposure therapy and rehabilitation workshop’, University of Otago, 2013, April.

Bűhler M. ‘Wound healing and distal radius fracture’. Lecture, Hands Study Day, Dunedin, 2011, October.

Bűhler M. ‘Silicone oil for wound healing in the hand – a case study’. Platform presentation (free paper), NZ Wound Care Society conference, Dunedin, 2011, 3 November.

Bűhler M. ‘In-vivo ultrasound observations of change in echogenicity in the surgically repaired flexor digitorum profundus tendon – a case series’. Platform presentation (free paper), NZ Assoc of Hand Therapists conference, Napier, 2011, 5 November.

Awards

  • University of Otago Postgraduate Award (Doctoral, part-time), 2015
  • Healthcare Otago (HCO) Charitable Trust Research Award – Dunedin Hospital Extensor Tendon Study, 2014
  • NZAHT Research Grant – Dunedin Hospital Extensor Tendon Study, 2014
  • Southern District Health Board Research Excellence Award – Allied Health, 2012
  • Winner NZAHT conference Poster Competition, Scientific Category, 2012
  • Mark Steptoe Grant-in-Aid, University of Otago School of Physiotherapy, 2010
  • University of Otago Postgraduate Award (Masters, part-time), 2010
  • NZAHT postgraduate study grant, 2009
  • Southern DHB postgraduate study grant, 2009

Why did you choose the School of Physiotherapy?

I chose the School of Physiotherapy because it is right next door so to speak, and has close ties with Southern DHB clinical staff. I also valued the faculty’s research experience and background relevant to my topic, and appreciate the strong support to pursue part-time PhD study while maintaining a clinical role.

Best things so far about your study?

The immensely helpful support staff (administrators, technical staff), the friendly research faculty, and the enthusiasm of my supervisors and their international connections.