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Health Sciences profile

Dr Cathy Chapple

PositionSenior Lecturer
QualificationsPhD M Manip Phty PGrad Dip Manip Phty BSc(Hons) Grad Dip Phty
Research summaryOsteoarthritis, physiotherapy management of musculoskeletal conditions, manual therapy
Teaching
  • Musculoskeletal Physiotherapy
  • Clinical skills
  • Patient-centred care
  • Undergraduate and Postgraduate teaching
  • PhD/Masters/Honours research supervision
Memberships
  • Executive Committee of the New Zealand Manipulative Physiotherapists Association
  • Physiotherapy New Zealand
  • CHARR (Centre for Health Activity and Rehabilitation Research)
  • Pain at Otago Research Theme
  • OARSI (OsteoArthritis Research Society International)
ClinicalMusculoskeletal clinical practice

Research

My main research focus is on the physiotherapy management of knee osteoarthritis (OA). I currently hold the Stanley Paris Research Fellowship that is funding a fully powered RCT investigating the optimal frequency of manual therapy for people with knee OA. Research projects are:

  • Investigating exergaming as an intervention for people with knee OA
  • The effectiveness of combining physiotherapy with anti-inflammatory medication for people with knee OA
  • The role of splinting for people with thumb OA

Other research interests explore clinical questions that have the potential to directly influence physiotherapy practice and patient care. They include:

  • The role of the cervical spine in headache and concussion
  • Stratified care for the management of low back pain (STarT Back)
  • Acupuncture for the management of low back pain

Previous research has included the physiotherapy management of hip and knee OA (MOA trial), the incremental effects of manual therapy and booster sessions in addition to exercise for people with knee OA, and pre-habilitation for people with hip OA.

Research findings were translated into practice with the development, implementation and evaluation of “The Joint Clinic” – a physiotherapy-led service in a New Zealand hospital for people with hip and knee OA.

Additional details

I supervise PhD, Masters and Honours students, and welcome enquiries from prospective research students interested in the management of people with OA, manual therapy and physiotherapy management / stratified care for people with low back pain.

Publications

Preston, E., Chapple, C., Mayland, E., Ada, L., & Hale, L. (2020). The utility and value of the Physiotherapy eSkills Training Online resource during work-integrated learning: A mixed methods study. Internet Journal of Allied Health Sciences & Practice, 18(2), 12.

Chua, J., Briggs, A. M., Hansen, P., Chapple, C., & Abbott, J. H. (2020). Choosing interventions for hip or knee osteoarthritis: What matters to stakeholders? A mixed-methods study. Osteoarthritis & Cartilage Open, 2, 100062. doi: 10.1016/j.ocarto.2020.100062

Maxtone, S., Bishop, M., Chapple, C., Tumilty, S., Quinn, D., & Kennedy, E. (2020). Physiotherapist involvement in concussion services in New Zealand: A national survey. New Zealand Journal of Physiotherapy, 48(2), 70-79. doi: 10.15619/NZJP/48.2.03

Baxter, G. D., Chapple, C., Ellis, R., Hill, J., Liu, L., Mani, R., … Stokes, T., & Tumilty, S. (2020). Six things you need to know about low back pain. Journal of Primary Health Care, 12(3), 195-198. doi: 10.1071/HC19117

Buhler, M., Chapple, C. M., Stebbings, S., Adams, J., Gwynne-Jones, D., & Baxter, G. D. (2020). Splinting for thumb carpometacarpal osteoarthritis: Protocol for a feasibility randomized controlled trial. Physical Therapy Reviews. Advance online publication. doi: 10.1080/10833196.2020.1763662

Authored Book - Research

Darlow, B., Perry, M., & Chapple, C. (2013). Water based exercise for arthritis: A manual for class co-ordinators. Dunedin and Wellington, New Zealand: University of Otago and Arthritis New Zealand, 30p.

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Journal - Research Article

Preston, E., Chapple, C., Mayland, E., Ada, L., & Hale, L. (2020). The utility and value of the Physiotherapy eSkills Training Online resource during work-integrated learning: A mixed methods study. Internet Journal of Allied Health Sciences & Practice, 18(2), 12.

Maxtone, S., Bishop, M., Chapple, C., Tumilty, S., Quinn, D., & Kennedy, E. (2020). Physiotherapist involvement in concussion services in New Zealand: A national survey. New Zealand Journal of Physiotherapy, 48(2), 70-79. doi: 10.15619/NZJP/48.2.03

Chua, J., Briggs, A. M., Hansen, P., Chapple, C., & Abbott, J. H. (2020). Choosing interventions for hip or knee osteoarthritis: What matters to stakeholders? A mixed-methods study. Osteoarthritis & Cartilage Open, 2, 100062. doi: 10.1016/j.ocarto.2020.100062

Bühler, M., Chapple, C. M., Stebbings, S., Pōtiki-Bryant, K., & Baxter, G. D. (2019). Impact of thumb carpometacarpal osteoarthritis: A pragmatic qualitative study. Arthritis Care & Research. Advance online publication. doi: 10.1002/acr.24124

Abbott, J. H., Wilson, R., Pinto, D., Chapple, C. M., Wright, A. A., for the MOA Trial Team, including Robertson, M. C., Baxter, G. D., Theis, J.-C., Hansen, P., McKenzie, J. E., McNamara, D., Kidd, M., & Higgs, C. (2019). Incremental clinical effectiveness and cost effectiveness of providing supervised physiotherapy in addition to usual medical care in patients with osteoarthritis of the hip or knee: 2-year results of the MOA randomised controlled trial. Osteoarthritis & Cartilage, 27, 424-434. doi: 10.1016/j.joca.2018.12.004

Buhler, M., Chapple, C. M., Stebbings, S., Sangelaji, B., & Baxter, G. D. (2019). Effectiveness of splinting for pain and function in people with thumb carpometacarpal osteoarthritis: A systematic review with meta-analysis. Osteoarthritis & Cartilage, 27, 547-559. doi: 10.1016/j.joca.2018.09.012

Abbott, J. H., Ward, A. L., Crane, C., Chapple, C. M., Stout, K., Hutton, L., … Harcombe, H., Ribeiro, D. C., & Gwynne Jones, D. (2019). Implementation of a 'Joint Clinic' to resolve unmet need for orthopaedic services in patients with hip and knee osteoarthritis: A program evaluation. BMC Musculoskeletal Disorders, 20(1), 324. doi: 10.1186/s12891-019-2702-1

Kannan, P., Chapple, C. M., Miller, D., Claydon-Mueller, L., & Baxter, G. D. (2019). Effectiveness of a treadmill-based aerobic exercise intervention on pain, daily functioning, and quality of life in women with primary dysmenorrhea: A randomized controlled trial. Contemporary Clinical Trials, 81, 80-86. doi: 10.1016/j.cct.2019.05.004

O'Brien, D. W., Chapple, C. M., Baldwin, J. N., & Larmer, P. J. (2019). Time to bust common osteoarthritis myths. New Zealand Journal of Physiotherapy, 47(1), 18-24. doi: 10.15619/NZJP/47.1.03

Kennedy, E., Quinn, D., Chapple, C., & Tumilty, S. (2019). Can the neck contribute to persistent symptoms post concussion? A prospective descriptive case series. Journal of Orthopaedic & Sports Physical Therapy, 49(11), 845-854. doi: 10.2519/jospt.2019.8547

Baxter, G. D., Liu, L., Tumilty, S., Petrich, S., Chapple, C., Anders, J. J., on behalf of the Laser Lymphedema Trial Team. (2018). Low level laser therapy for the management of breast cancer-related lymphedema: A randomized controlled feasibility study. Lasers in Surgery & Medicine, 50(9), 924-932. doi: 10.1002/lsm.22947

Baxter, G. D., Liu, L., Petrich, S., Gisselman, A. S., Chapple, C., Anders, J. J., & Tumilty, S. (2017). Low level laser therapy (Photobiomodulation therapy) for breast cancer-related lymphedema: A systematic review. BMC Cancer, 17, 833. doi: 10.1186/s12885-017-3852-x

Kennedy, E., Quinn, D., Tumilty, S., & Chapple, C. M. (2017). Clinical characteristics and outcomes of treatment of the cervical spine in patients with persistent post-concussion symptoms: A retrospective analysis. Musculoskeletal Science & Practice, 29, 91-98. doi: 10.1016/j.msksp.2017.03.002

Manlapaz, D. G., Sole, G., Jayakaran, P., & Chapple, C. M. (2017). A narrative synthesis of Nintendo Wii Fit gaming protocol in addressing balance among healthy older adults: What system works? Games for Health Journal, 6(2), 65-74. doi: 10.1089/g4h.2016.0082

Wyatt, M. C., Wright, T., Locker, J., Stout, K., Chapple, C., & Theis, J. C. (2015). Femoral nerve infusion after primary total knee arthroplasty: A prospective, double-blind, randomised and placebo-controlled trial. Bone & Joint Research, 4(2), 11-16. doi: 10.1302/2046-3758.42.2000329

Kannan, P., Claydon, L. S., Miller, D., & Chapple, C. M. (2015). Vigorous exercises in the management of primary dysmenorrhea: A feasibility study. Disability & Rehabilitation, 37(15), 1334-1339. doi: 10.3109/09638288.2014.962108

Abbott, J. H., Chapple, C. M., Fitzgerald, G. K., Fritz, J. M., Childs, J. D., Harcombe, H., & Stout, K. (2015). The incremental effects of manual therapy or booster sessions in addition to exercise therapy for knee osteoarthritis: A randomized clinical trial. Journal of Orthopaedic & Sports Physical Therapy, 45(12), 975-983. doi: 10.2519/jospt.2015.6015

Melloh, M., Elfering, A., Chapple, C. M., Käser, A., Rolli Salathé, C., Barz, T., … Theis, J.-C. (2013). Prognostic occupational factors for persistent low back pain in primary care. International Archives of Occupational & Environmental Health, 86(3), 261-269. doi: 10.1007/s00420-012-0761-9

Abbott, J. H., Robertson, M. C., Chapple, C., Pinto, D., Wright, A. A., Leon de la Barra, S., Baxter, G. D., Theis, J.-C., Campbell, A. J., on behalf of the MOA Trial Team. (2013). Manual therapy, exercise therapy, or both, in addition to usual care, for osteoarthritis of the hip or knee: A randomized controlled trial. 1: Clinical effectiveness. Osteoarthritis & Cartilage, 21(4), 525-534. doi: 10.1016/j.joca.2012.12.014

Chapple, C. M., Nicholson, H., Baxter, G. D., & Abbott, J. H. (2011). Patient characteristics that predict progression of knee osteoarthritis: A systematic review of prognostic studies. Arthritis Care & Research, 63(8), 1115-1125. doi: 10.1002/acr.20492

Abbott, J. H., McCane, B., Herbison, P., Moginie, G., Chapple, C., & Hogarty, T. (2005). Lumbar segmental instability: A criterion-related validity study of manual therapy assessment. BMC Musculoskeletal Disorders, 6, 56. doi: 10.1186/1471-2474-6-56

Rivett, D. A., Milburn, P. D., & Chapple, C. (1998). Negative pre-manipulative vertebral artery testing despite complete occlusion: A case of false negativity. Manual Therapy, 3, 102-107.

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Journal - Research Other

Baxter, G. D., Chapple, C., Ellis, R., Hill, J., Liu, L., Mani, R., … Stokes, T., & Tumilty, S. (2020). Six things you need to know about low back pain. Journal of Primary Health Care, 12(3), 195-198. doi: 10.1071/HC19117

Buhler, M., Chapple, C. M., Stebbings, S., Adams, J., Gwynne-Jones, D., & Baxter, G. D. (2020). Splinting for thumb carpometacarpal osteoarthritis: Protocol for a feasibility randomized controlled trial. Physical Therapy Reviews. Advance online publication. doi: 10.1080/10833196.2020.1763662

Tan, H., Tumilty, S., Chapple, C., Liu, L., McDonough, S., Yin, H., … Baxter, G. D. (2019). Understanding acupoint sensitization: A narrative review on phenomena, potential mechanism, and clinical application. Evidence-Based Complementary & Alternative Medicine, 2019, 6064358. doi: 10.1155/2019/6064358

Manlapaz, D. G., Sole, G., Jayakaran, P., & Chapple, C. M. (2019). Risk factors for falls in adults with knee osteoarthritis: A systematic review. PM&R, 11, 745-757. doi: 10.1002/pmrj.12066

Baxter, G. D., Liu, L., Petrich, S., Chapple, C., Anders, J. J., Tumilty, S., on behalf of the Laser Lymphedema Trial Team. (2018). Low level laser therapy in the management of breast cancer-related lymphedema: Protocol for a randomized controlled feasibility trial. Physical Therapy Reviews, 23(4-5), 291-297. doi: 10.1080/10833196.2018.1490101

Kannan, P., Chapple, C. M., Miller, D., Claydon, L. S., & Baxter, G. D. (2015). Menstrual pain and quality of life in women with primary dysmenorrhea: Rationale, design, and interventions of a randomized controlled trial of effects of a treadmill-based exercise intervention. Contemporary Clinical Trials, 42, 81-89. doi: 10.1016/j.cct.2015.03.010

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