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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, Clinical Education
Teaching
  • Musculoskeletal physiotherapyand clinical practice at undergraduate and postgraduate level
  • Research student supervision
MembershipsPhysiotherapy New Zealand, New Zealand Manipulative Physiotherapists Association (Executive Committee), University of Otago Pain Theme, University of Otago Arthritis Theme, Australia; New Zealand Musculoskeletal Clinical Trials Network
ClinicalMusculoskeletal physiotherapy. I maintain close links with the physiotherapy profession that promotes both initiation and implementation of research.

Research

Cathy's main research focus is on the physiotherapy management of osteoarthritis (OA). She has several studies underway including investigating the optimal frequency of manual therapy for knee OA, prevalence of early hip or knee OA and a physical activity intervention for this population, and the novel use of the Wii Fit gaming platform as an exercise intervention for people with knee OA. Current research is funded by Arthritis New Zealand, Jack Thompson Arthritis Fund, Maurice and Phyllis Paykel Trust, New Zealand Lottery Grants Board, New Zealand Manipulative Physiotherapists Association, and a University of Otago Research Grant.Cathy has a range of other research interests. These arise from her interests as a physiotherapist, and are designed to investigate relevant 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
  • The use of Low Level Laser therapy for the management of breast cancer related lymphedema
  • Stratified care for the management of low back pain She also has an interest in clinical education research arising from her role as Associate Dean for Clinical Education (2013-2017). Specifically she has developed and investigated the implementation of SCAN: a framework for engaging in feedback in the clinical environment; and is co-investigator on a study evaluating final-year physiotherapy students’ use of an on-line resource of exercises for patients with neurological conditions. 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.She is the primary supervisor for two current PhD students who are investigating falls in people with knee OA and the use of the Wii Fit as a balance intervention; and splinting as an intervention for people with base of thumb OA.She has previously supervised PhD, Masters and Honours students, and welcomes any enquiries from prospective research students interested in the physiotherapy management of OA and other musculoskeletal disease.

    Current projects:

    • Management of knee osteoarthritis
    • Prehabilitation for patients awaiting total hip arthroplasty
    • Management of primary dysmenorrhea
    • Cervicogenic headache
    • Evaluation of on-going competency in physiotherapists
    • Feedback in clinical practice

Additional details

Reviewer for Arthritis Care and Research, Physical Therapy, Physical Therapy Reviews, Journal of Orthopedic and Sports Physical Therapy, New Zealand Journal of Physiotherapy, Archives of Physical Medicine and Rehabilitation

Publications

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., 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

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

Journal - Research Article

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

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

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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