Category / Health, Wellbeing & Society

Latest co-creation paper hot off the press! Study investigated the mechanism of spinal manipulation.

Does cervical lordosis change after spinal manipulation for non-specific neck pain? A prospective cohort study

C-spine QF image for Chiro and Man Therapies

The mechanism for spinal manipulation in the treatment of pain is unknown. One mechanism proposed in the literature is that neck pain might be alleviated by changing or ‘correcting’ the alignment of the cervical spine (normal is considered to be a lordosis or lordotic curve – curving in towards the body). We decided to put this idea to the test in an undergraduate student project at AECC. Mike Shilton, a third year chiropractic student at the time, measured the angle of the cervical spine on x-ray images taken of patients and healthy volunteers that I had recruited for my PhD research. In that research, briefly, patients received spinal manipulation over 4 weeks, while healthy volunteers did not. Both groups had motion x-rays taken at baseline and 4-week follow-up. By using the first static image of each motion sequence we were able to investigate whether the cervical spine alignment or lordosis changed in the patient group, and whether such changes were greater than that in the healthy group not receiving treatment.

For the statistical analysis Mike was assisted by another student, Bas Penning de Vries. After the study it was proposed to the two students, by me and Professor Alan Breen, that they have a go at writing up the study for publication, with our assistance of course. Happily, they decided to do so. It might have been at times a painful process for them (most worthwhile things seem to be!), but they persevered and now it is published in a peer-reviewed open access journal! A great achievement for them, a publication already as they begin their clinical careers.

This co-created paper was a valuable exercise for the two undergraduate students, getting to learn about the research process, statistical analysis, publication and dissemination. An obvious benefit of co-creation to academics is that the workload of a project is spread throughout a larger team, albeit the students require support -but the time invested in that support should pay off. For instance, Mike and Bas  brought a fresh perspective to the team, posing well considered questions and suggestions that could be taken on board to improve the robustness of my own work and lines of argument. And of course, we now have a publication that would have taken much longer to get to press had I not had their assistance in writing it. In other words, with co-creation, everyone stands to gain.

Dr Jonny Branney

Report on the Millennium Cohort Study (MCS) Age 17 Survey: Consultative Conference

I recently attended the Millennium Cohort Study (MCS7) Age 17 Survey: Consultative one day conference held at UCL’s Institute of Education in London. Cohort studies are extremely valuable because data is collected over time working with the same sample of people. Longitudinal studies permit to describe the natural history of the same population and can identify risk factors for example, for optimal health, educational attainment chances and/or employment opportunities. Professor Emla Fitzsimons is the Principal Investigator of MCS,m strategically invited leaders of the ‘Activities and Daily Life’, ‘Cognitive Development’, and the ‘Socio-Emotional Development’ to harness conference delegates’ view on what are the important and key issues that society should know when examining 17 year old adolescents’ lives. The leaders provided an overview of their current strategies for capturing participants’ unique style of life. Then through a series of workshops the pros and cons of these were discussed and summarised. I don’t envy their jobs! To study the individual characteristics and the associated environmental factors in such a large sample is a huge undertaking. The attendees were from very varied inter- and multi-disciplinary backgrounds working at a wide range of organisations, including government agencies. The common objective was to create a dataset that can inform many governmental policies on a variety of topics. The process of decision making over every aspects of the 7th sweep of the MCS is extremely complex. The key aspect of longitudinal studies is comparability. Although, each sweep is unique because of the cohort is ageing, there has to be a trend of using the same methodology overtime. Studies like the MCS are facing constant funding crises because they are very expensive to run. There is an ongoing revision of time taken to collect data, finding proxy to gold standard measures and considering cutting expensive data collection methods like, FMRI scans, use of accelerometers to assess physical activity patterns and conducting physical tests. Despite all of these difficulties, data from such studies are invaluable. For example, in the 7th sweep they want to omit interviewing parents about their child’s mental health. I argued to include this data at this sweep, as most adolescents in the study are still living at home and others (like family members) are the ones most likely to identify early signs of mental health problems. Early detection is vital, especially when 1 in 10 adolescents known to develop at least one serious depressive episode in the UK by the time they are 18. Check out the MCS website if you are interested. You can also access all speakers’ slides by following the link (http://www.cls.ioe.ac.uk/Conference.aspx?itemid=4285&itemTitle=MCS+Consultative+Conference&sitesectionid=28&sitesectiontitle=Events). Data from the previous 6 sweeps are available for researchers to interrogate.

HSS Writing Week 4th-8th January – How can Bournemouth University Clinical Research Unit support you?

bucru identity

The Faculty of Health and Social Sciences is holding a Writing Week between 4th-8th January 2016 aimed at supporting staff to find time in their busy academic diaries to prioritise writing grant applications and papers for publication.

The Bournemouth University Clinical Research Unit offers methodological and statistical collaboration for all healthcare researchers in the area. It supports researchers in improving the quality, quantity and efficiency of research across Bournemouth University and local National Health Service (NHS) Trusts. It incorporates the Dorset office of the National Institute for Health Research (NIHR) Research Design Service who offer free methodological support to researchers who are developing research ideas in the field of health and social care.

BUCRU will be supporting Writing Week in HSS by holding two drop-in sessions on Tuesday 5th January and Thursday 7th January 12-2pm in R508 Royal London House. We would also like to extend the invitation across the other Faculties for anyone who feels we may be able to support them. For those unable to attend the drop-in sessions, we would be delighted to arrange an alternative appointment.

Please see further information here, contact our adminstrator Louise Ward on 01202 961939 / bucru@bournemouth.ac.uk or visit our website. We look forward to seeing you!

What do we know about back pain? The Society for Back Pain Research AGM Bournemouth 2015

 

SBPR logo

I was delighted to attend and represent BU at The Society for Back Pain Research (SBPR) Annual General Meeting 5-6 November 2015 which was conveniently held in Bournemouth, at Anglo-European College of Chiropractic, a partner college of BU. SBPR was formed in 1971 to promote the study of all clinical and scientific aspects of spinal pain, including the neck (my area of interest), and to encourage research into its causes, treatment and prevention. There are now over 200 members of the Society, from a wide range of disciplines including all sorts of healthcare professionals and scientists. Suffice to say if there is anything about back pain this audience does not know it is probably not worth knowing! Having said that, attending this meeting reminded me just how much about back pain is still unknown…

Biological Factors in Non-Specific Back Pain

The title of this year’s meeting was ‘Biological Factors in Non-Specific Back Pain’ to place an emphasis on the ‘biological’. It has been over 25 years since the biopsychosocial model was applied to back pain but lately research has tended to be more concerned with psychosocial aspects, such as fear-avoidance behaviour or depression; research into physical findings to diagnose back pain has sadly not been very fruitful. [An important point was made by Professor Maurits van Tulder, that research has actually been largely focused on psychological factors, to the expense of social factors]. While psychosocial factors do seem to be important in influencing patients’ recovery, they don’t get us much closer to a diagnosis, to finding out what is producing and driving the patient’s pain.
However, one of the presentations at SBPR hinted at where the research focus as regards imaging (and MRI specifically) could perhaps go. One of Associate Professor Mark Hancock’s suggestions was that we need studies that focus on changes on MRI, in response to treatment (or no treatment). But how do we best measure such changes? Which treatments and for whom? Could findings on MRI in a person without back pain predict back pain in the future?

Want to know more? For a longer version of this blog, click here.

Many thanks to the Professional Practice Development community, Faculty of Health and Social Sciences, for making my attendance possible.

Dr Jonny Branney

HSS Writing Week 4th-8th January – How can Bournemouth University Clinical Research Unit support you?

bucru identity

The Faculty of Health and Social Sciences is holding a Writing Week between 4th-8th January 2016 aimed at supporting staff to find time in their busy academic diaries to prioritise writing grant applications and papers for publication.

The Bournemouth University Clinical Research Unit offers methodological and statistical collaboration for all healthcare researchers in the area. It supports researchers in improving the quality, quantity and efficiency of research across Bournemouth University and local National Health Service (NHS) Trusts. It incorporates the Dorset office of the National Institute for Health Research (NIHR) Research Design Service who offer free methodological support to researchers who are developing research ideas in the field of health and social care.

BUCRU will be supporting Writing Week in HSS by holding two drop-in sessions on Tuesday 5th January and Thursday 7th January 12-2pm in R508 Royal London House. We would also like to extend the invitation across the other Faculties for anyone who feels we may be able to support them. For those unable to attend the drop-in sessions, we would be delighted to arrange an alternative appointment.

Please see further information here, contact our adminstrator Louise Ward on 01202 961939 / bucru@bournemouth.ac.uk or visit our website. We look forward to seeing you!

Suicide in India: Modelling data

The latest BU research publication used a modelling approach to suicide in India [1].  The paper ‘Time Trend of the Suicide Incidence in India: a Statistical Modelling’ is now online and freely available as it was published in an Open Access journal.  The first author of this paper is BU Visiting Faculty Dr. Brijesh Sathian.  The modelling resulted in some useful predictions of future risk of suicide at a population level, see for example: 10.12691.ajphr-3-5A-17.fig_1

 

Prof. Edwin van Teijlingen

Reference:

Sathian, B. , De, A. , Teijlingen, E. V. , Simkhada, P. et al. (2015). Time Trend of the Suicide Incidence in India: a Statistical Modelling. American Journal of Public Health Research, 3(5A), 80-87.  Online at:  http://pubs.sciepub.com/ajphr/3/5A/17/

Ecosystem Services Partnership 2015 Conference, South Africa

 

Over 350 delegates from around the world attended the Ecosystem Services Partnership conference this year (9-13th Nov 2015) in Stellenbosch – near Cape Town, South Africa. Being fortunate enough to attend this year myself, I presented my research on assessing cultural ecosystem service; a multifaceted approach using various techniques including participatory GIS, spatial mapping, GPS tracking of visitors and use of existing data sets explored in relation to the New Forest.

ESP

Themed around nature, people and prosperity, the conference aimed to centre on the dialogue between public and private sector utilisation of the ecosystem services concept.

The largest conference of its kind, the keynote speakers were diverse. Highlights included Executive Director of the Natural Capital Coalition’s Mark Gough (the coalition aims to build clear guidance on how business can effectively and measure natural capital just like financial capital is measured). The conference was closed with an inspiring and convincing talk from ‘Gross Domestic Problem’ author Lorenzo Fioamonti (Professor of Political Science at the University of Pretoria) about the downfalls of using the GDP statistic as the only measure of an economy.

Arjan Gosal is currently working as a Research Assistant on the HEIF project: Modelling Natural Capital in Dorset.

Team BU shortlisted for Sports Technology Awards

photoWell done to Team BU who has been shortlisted for Sport England Sports Technology Hackathon Awards 2016.

The team developed a location based game app called ‘Nudge’ and incorporated social gamification strategies to encourage sustained physical activity adherence. We also sought strategies to help those who are already active in this age group encourage their inactive peers to participate.
The winning team will be announced at the Sports Technology Awards in April 2016 and awarded a bursary of £10,000 to help them build the app.
Well done Team BU and good luck for next April!

Successful ESRC Festival of Social Sciences in EBC today

Slide1Slide2This afternoon Prof. Jonathan Parker introduced the final of three session in the Executive Business Centre under the title ‘Enhancing social life through global social research: Part 3. Social science research in diverse communities’.  This session was well attended and coveredwas a wide-range of interesting social science research topics.

Professor of Sociology Ann Brooks started off the session with her presentation on ‘Emotional labour and social change.’   She was followed by Prof. Edwin van Teijlingen who gave an overview of research in Nepal.  FHSS PhD student Andy Harding introduced his thesis research into ‘Information provision and housing choices for older people.’  At this point Prof. Brooks gave her second talk on ‘Risk and the crisis of authenticity in cities’. Social Anthropologist Dr. Stephanie Schwandner-Sievers spoke about her research on ‘Reconciliation and engaged ethnography in the Balkans.’  Dr. Hyun-Joo Lim highlighted her study on ‘North Korean defectors in the UK’ and the session was completed by Dr. Mastoureh Fathi who presented her analysis of parenting books for Muslim parents in the UK.

ESRC banner (2)

This was the last day of the ESRC Festival of Social Science at which Bournemouth University was extremely well presented!

 

Thank you to my colleagues for organising this and the ESRC for funding the events!

 

Prof. Edwin van Teijlingen

(medical sociologist)

TetraGrip: A functional electrical stimulation (FES) device for restoring hand and arm functions in people with spinal cord injuries

We would like to invite you to the latest research seminar of the Creative Technology Research Centre.TetraGrip

 

Speaker: Lalitha Venugopalan

 

Lalitha is a Bournemouth University Creative Technology postgraduate student researching for a PhD in Biomedical Engineering based at the Salisbury NHS Foundation Trust.

 

Title:   TetraGrip: A functional electrical stimulation (FES) device for restoring hand and arm functions in people with spinal cord injuries

 

Time: 2:00PM-3:00PM

Date: Wednesday 18th November 2015

Room: P302 LT, Poole House, Talbot Campus

 

Abstract:

TetraGrip is a four channel upper limb FES device for restoring the hand and arm functions on people with C5-C7 tetraplegia. This device uses an inertial measurement sensor (IMU) for detecting the shoulder elevation/depression. The signal from the IMU is used for controlling the functions of the stimulator and for adjusting the grasp strength.

 

The stimulator is programmed to operate in the following modes: exercise, key grip and palmar grasp. Key grip mode (fig 1) is used to grasp smaller objects like a pen or a fork, whereas the palmar grasp (fig 2) is used to grasp larger objects like a glass. The exercise mode is used to strengthen the forearm muscles.

Grip_Grasp

 The system will be clinically tried on ten able bodied volunteers to evaluate the repeatability and reproducibility. If the results from this study are found to be satisfactory, then the device will be clinically tried on tetraplegic volunteers for answering the following questions:

  • Is possible for a person with tetraplegia to generate the desired input signal to control the operation of the device?
  • Does the system improve the hand and arm functions of the user?
  • Is the system easy to use for people with tetraplegia?

 

We hope to see you there.