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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

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

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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