Category / Health, Wellbeing & Society

Investigative imaging in the 21st century: the future in diagnosing spinal pain?

innovation, PG research, Research themes

British Chiropractic Association Autumn Conference 2015, Bournemouth

I was delighted to have been invited to speak at the British Chiropractic Association’s Autumn Conference 2015, at the Marriot hotel, Bournemouth, perfectly situated to watch the sun glistening on the Channel. The beautiful weather was fitting for a particularly celebratory occasion with chiropractors travelling from all over the world to gather and celebrate 90 years of the BCA and 50 years of AECC. To be included as a speaker alongside some of the top researchers in the musculoskeletal field, and sharing the stage with no less than Professor Alan Breen, was slightly nerve-racking but also a very great honour.

Look Inside: MRI and quantitative fluoroscopy in the future

Photo taken by Stephen Perle DC

Photo taken by Stephen Perle DC

 

Alan Breen first started experimenting with what is now known as quantitative fluoroscopy (QF), taking measurements from motion x-rays, in the 1980s but it was not until the 2000s that computing power was sufficient to make this a reality. QF has since been found to be accurate and reliable in the measurement of inter-vertebral motion in both the cervical (my PhD work) and lumbar spines, and has been commercialised in the United States. It should start appearing in European hospitals within the next few years – watch this space. What will be possible with QF is a more accurate measurement of spinal stability to better inform surgical decisions and also the potential to better guide conservative treatment. The examples given from a case series during the presentation included showing that suspected lumbar instability is often not confirmed (therefore the potential to avoid unnecessary fusion surgery) and where it is present there is perhaps an increased chance of good surgical outcomes. Also, manipulation/mobilisation might be better targeted at identified segmental restrictions, and exercise therapy better directed where hypermobile or lax joint motion is present.

Alan’s part of the presentation included discussing what was possible with an open-MRI. Aside it being preferable for claustrophobic patients, the ability to image patients weight-bearing has meant the identification of disc hernia in some patients that would have been missed if imaged lying-down, therefore open-MRI is likely to play an important role in improving the diagnosis of persistent radicular pain. He also touched on diagnostic ultrasound which is showing value particularly in the diagnosis of soft-tissue injury of the extremities.

We are only at the beginning of finding out if the potential of QF (and other imaging techniques) will be fully realised, that of improved outcomes for patients with neck and back pain. Its use, like that of MRI, is likely to be restricted to those patients with particularly problematic spinal pain, but it (and open-MRI/diagnostic ultrasound) is a welcome addition to the diagnostic armamentarium of the chiropractor and other musculoskeletal professionals. And it was developed, not by a massive multinational corporation, but by a member of the BCA at AECC, a partner college of BU. Now that is worth celebrating.

Dr Jonathan (Jonny) Branney
Lecturer in Adult Nursing
Faculty of Health and Social Sciences

NB: This is a truncated version of a longer blog that can be found here

Go Team BU in Sports England Hackathon!

BU Challenges

Sport england

 

Ever heard of a hackathon? Nope, neither had I until a few weeks ago. Wikipedia reliably informs me that a hackathon is a “portmanteau of the words “hack” and “marathon”, where “hack” is used in the sense of exploratory programming”.

The challenge is to create an app that facilitates social change through sport at the Sport England Sport Technology Awards Hackathon. It will take place over 25 hours on 2-3 October 2015 during which time teams will have just 24 hours to develop their concept that will help a particular demographic group become more physically active.

The winning team will be awarded a bursary of £10,000 to help them build the app.

Our Team BU will be a collaborative effort across BU departments and services. We have five on our team so far:

  • Erika Borkoles, Sport and Exercise Psychologist from the Department of Sport and Physical Activity
  • Barry Squires, the Business and Partnerships Manager from SportBU
  • Chi Zhang a Postgraduate Researcher from Faculty of Science and Technology
  • Sarah Collard, a Postdoctoral Research Fellow from Faculty of Health and Social SciencesTechnology awards sport
  • Clare Farrance, Postgraduate Researcher from Faculty of Health and Social Sciences

Chi will be our star programmer with the rest of us supporting the conceptual and design elements.

We still have space for one more on our team. We’re particularly keen to find another programmer or anyone with skills in graphics design. Staff or students are welcome. If you’re interested please get in touch with Clare at: cfarrance@bournemouth.ac.uk

Wish us luck next week!

Assistive Music Technology

PG research

SenseEggSystemWe would like to invite you to the first research seminar of new academic year for the Creative Technology Research Centre.

 

Speaker: Asha Blatherwick

 

Title:   Assistive Music Technology

 

Date: Wednesday 30th September 2015

Time: 2:00PM-3:00PM

Room: P302 LT, Poole House, Talbot Campus

 

Abstract: Music is essential to most of us. It can light up all areas of the brain and help to develop skills with communication and establishing identity. People use musical experiences to create meaning and coherence in states and times of adversity using its transformative properties. Music can be explored actively by playing instruments, or passively, such as listening to music and can be used to enter a state of flow.

Exploring music actively in this way can be restricted for someone with cognitive, physical, or sensory impairments. The barriers they face may cause gaps between their musical gestures and the music making means available to them. Using technology, we can bridge these gaps by focusing on a person’s capability to create personal instruments that allow for active music making and exploration of sound. Technology can be used to turn tiny movements into huge sounds and tangible user interfaces can be used to investigate the relationship between the physical and digital world, leading to new modes of interaction.

My research will take an Action Research approach to create bespoke tangible tools that combine hardware and software, allowing users to create and explore sound using their capabilities in a participatory way.

 

We hope to see you there.

 

Systematic review training to dentistry students at Kantipur Dental College, Nepal

Knowledge Transfer, Publishing

SAM_2094

Last week I was invited by a Nepalese colleague to do an introductory lecture on systematic reviews.  We have conducting various training sessions over the years in Nepal (with BU Visiting Faculty Prof. Padam Simkhada) and in the UK.   At Bournemouth University Prof. Vanora Hundley and I have conducted several two-day Master Classes over the past few years we are currently preparing for the next one in early Sys review methods2016 (15-16 Feb.).

This morning I run this introductory session at Kantipur Dental College in Kathmandu.  The session resulted in an interesting set of questions and comments from both staff and students.

Prof. Edwin van Teijlingen

CMMPH

 

 

World Federation of Chiropractic Conference, Athens May 2015

PG research

From May 13-16th 2015 I had the pleasure of representing BU at the joint World Federation of Chiropractic 13th Biennial Congress/European Chiropractors’ Union Convention in Athens. This is the premiere conference within the chiropractic profession which attracts hundreds of clinicians and researchers from around the world. The Congress was entitled ‘The Alpha and Omega of Spinal Healthcare’ in deference to the historical links with the host country as Hippocrates, the father of modern medicine, utilised methods of spinal manipulation.

First up in my session - cool as a cucumber...

First up in my session at Hilton Athens – cool as a cucumber (also thinking, “Maybe I’ll get to present in the big fancy hall next time…?”)

I enjoyed finding out about the latest understanding of spine biomechanics and how this might relate to the diagnosis and treatment of patients with spine conditions, as well as networking with researchers with international reputations in the musculoskeletal field. During my platform presentation I presented work on the measurement of inter-vertebral motion in the cervical spine (neck) that I did as part of my PhD last year at the Institute of Musculoskeletal Research & Clinical Implementation based at AECC, a partner college of BU. The abstract was published in the Journal of Chiropractic Medicine I will be following this up with a paper for publication in the near future. Please don’t hesistate to contact me if this is a research area that you are interested in.

Away from the conference I enjoyed seeing some of the beautiful and historic city of Athens where I enjoyed the freshest fruit and vegetables I’ve ever tasted. The top of Mount Lykavittus (Lofos Lykavittou) provided the most amazing panoramic views – and I could even see the Parthenon from my hotel balcony!

Mount Lykavittus, Athens

Mount Lykavittus, Athens

It was an interesting time, to say the least, to be in Athens. I was expecting there to be protests, particularly around the parliament building, but our visit seemed to coincide with a period of calm, certainly in the area of Athens surrounding the conference hotel. Since then there have obviously been continuing problems for the area from which arose Western culture and philosophy, and the least I can say is that I sincerely hope that things improve soon for present-day Greece.

Statue in Panatheniak stadium

Statue in Panatheniak stadium, Athens

Education / learning research at BU – UoA25 call

REF Subjects, Research assessment

CEMP_LOGO_SLIDEcel-logo-web

The Learning Research Group, convened by CEL and CEMP, is now in the first stages of more formal planning for the REF submission under the Unit of Assessment for Education (UoA25).

In order to plan strategically for the allocation of development funds and for the development of Environment and Impact, colleagues across BU who wish to be included in the provisional REF ‘team’ for UoA25 should, by the end of September, return an updated research plan: UoA 25 Researcher plan Update Sept 15   to Julian McDougall, UoA25 lead.

American Sociological Association Annual Conference in Chicago, Puts Romance, Internet Dating and Relationships Center-Stage

Fusion, Women's Academic Network

By Professor Ann Brooks

The American Sociological Association (ASA) Annual Conference in August, set against the stunning backdrop of the city of Chicago and Lake Ontario, and the socio-cultural earthquakes of Ashley Madison and the political challenges of Donald Trump proved to be even more dynamic than usual. The theme this year was Sexualities in the Social World and attracted hundreds of iconic figures from the sociological world and global sociologists more generally. Iconic figures such as Sasskia Sassen, Sylvia Walby, Anne Swidler, Eva Illouz, Judy Wajcman, Eric Kleinenberg, Robert Sampson, Lynne Jamieson and many many more ….. a veritable whos who in the contemporary world of sociology, presented and contributed enormously to this major conference in sociology.

sexualities in the social world

Plenary sessions included: The Politics of Same-Sex Marriage: Public Opinion and the Courts; Modern Romance: Dating, Mating and Marriage; The Rise of Nonmarital Births; Internet Dating; Abortion in America; and in addition a huge range of Presidental (ASA) Panels included : Birth Control in America; Women on the Battlefield: Integrating Women into the U.S. Military; Aging and Sexuality; Cohabitation; and many many more.

I chose sessions to reinforce the new undergraduate course I am offering in Sem 2, 2015-6 entitled Love and Intimacy in Contemporary Society and these major Plenary sessions did not disappoint. In fact they turned out to be real highpoints of the conference. A packed Saturday evening Plenary Panel entitled Romance Matters included Eric Kleinenberg (NYU), Azis Ansari (Comedian, Author, and TV Presenter), Helen Fisher (Rutgers, psychotherapist and Consultant to match.com), Christain Rudder (Ok Cupid) and Eli Finkel (Northwestern) enthralled the audience with serious and amusing presentations. This was followed by the signing of the Anzari and Kleinenberg new book …Romance Matters. I have to say the students will really enjoy this bringing together of research and teaching.

ASA Eric Kleinenberg       ASA Keynote Modern Romanceaziz

 

I convened a session on Gender, Sexuality and Work with 5 excellent papers, many of which are being published within books or journals.

The Presidential address by Paula England looked at the Changing Nature of Sexuality and and a further Presidential Panel looked at the advantages and disadvantages of Internet Dating also as an evening Keynote panel.

ASA Presidential addressASA Internet Dating

A truly inspiring conference with significant relevance for my new BU course. Thank you BU and HSS for supporting this.

Professor Ann Brooks September 7, 2015

The only thing necessary for the triumph of evil is for good men to do nothing

Research Ethics

emily Emily Rosenorn-Lanng Research Assistant

FullSizeRender Rebecca Johnson Research Assistant

FullSizeRender[1] Sarah Wincewicz Research Admin Assistant

 

 

 

 

 

 

Financial scamming is costing the UK public approximately £3.5 billion each year. It is a problem which has developed in recent years and has hit the press because of the relationship with charity mugging, or ‘chugging’ (charities coercing people to give money). Although both scamming and ‘chugging’ result in the coercion of money from donors, they differ in approach, perception and legality. Having a charity connection gives ‘chuggers’ a sense of morality, which gives them a sense of legality, allowing them to tug on the heartstrings of consumers and persuade them, sometimes by intimidation, to part with money. Once a donation has been made, and details have been obtained, charities feel they have the right to regularly hound their donors for further contributions, and have recently been discovered to sell their details on to non-charitable organisations.

The Daily Mail’s investigation into the story of former Army Colonel, Mr Rae, highlights the relationship between scamming and ‘chugging’. Charities who acquired Mr Rae’s personal details sold them up to 200 times to other charities and list brokers who then passed them to scammers who deceived £4,000 from him.

a3

To what extent is it a problem?

The following figures, specific to Mr Rae, demonstrate the relationship that ‘chugging’ has with scamming:
a1

The alarming figures demonstrate the impact of this relationship and raise plenty of questions. How valuable is personal information to a charity? Why are charities selling personal information to non-charities? Where are the moral boundaries in this? What part do charities play in the scamming of vulnerable people?

What are we doing about it?

Here at the National Centre for Post Qualifying Social Work and Professional Practice we are working with Trading Standards to tackle scamming and chugging. To do this we are looking into:

  • Early intervention
  • The cost to victims and the knock on effect of being scammed
  • Developing a sophisticated profile for a potential victim, allowing the creation of ethical mailing lists that charities and public bodies could use
  • Reviewing the understanding of the Data Protection Act to make it potentially easier to remove people from databases (mail, telesales and charity approach) for the most vulnerable
  • Developing good practice guides and advice for professionals working in this field and for vulnerable citizens and their families/carers.

We recognise that this will all take time, but there are steps that you can take today. You can help protect the most vulnerable members of society from this sort of exploitation. How? Have that conversation with Mum, Dad, Nan, Grandad, Aunt or an elderly neighbour. Keep an eye out for scam mail and an ear out for scam phone calls. Make them aware they have a choice as to whether to respond or not, or whether to donate or not.

Most of all, make sure they are not lonely. Time and time again, we hear how loneliness is a key factor in chugging and scamming. If we can ensure our friends and family are not so lonely, then we may be able to ensure they are less vulnerable.

Hackathon Challenge – It’s not too late!

Technology awards sport

I’m still trying to get a team together for the UK’s first sport hackathon. The challenge is to create an app that facilitates social change through sport at the Sport England Sport Technology Awards Hackathon. It will take place over 25 hours on 2-3 October 2015 (3pm start on the Friday) during which time teams will have just 24 hours to develop their concept that will help a particular demographic group become more physically active.

The winning team will be awarded a bursary of £10,000 to help them build the app.

If you’re interested can you please get in touch with me, Clare at: cfarrance@bournemouth.ac.uk

Team registration closes on 7th September. Would be great to have a BU team there!

More details can be found at:

http://www.sportandrecreation.org.uk/news/06-08-2015/uk%E2%80%99s-first-sports-hackathon-launches

Sports England Hackathon Challenge!

 

Technology awards sport

I’m trying to get a team of six together for the UK’s first sport hackathon. The challenge is to create an app that facilitates social change through sport at the Sport England Sport Technology Awards Hackathon. It will take place over 25 hours on 2-3 October 2015 during which time teams will have just 24 hours to develop their concept that will help a particular demographic group become more physically active.

The winning team will be awarded a bursary of £10,000 to help them build the app.

If you’re interested can you please get in touch with me, Clare at: cfarrance@bournemouth.ac.uk

Team registration closes on 7th September. Would be great to have a BU team there!

More details can be found at:

http://www.sportandrecreation.org.uk/news/06-08-2015/uk%E2%80%99s-first-sports-hackathon-launches

Fusion Investment Fund: Neuroscience has found that emotions are a primary factor in learning to change behaviour: A project to apply and study these findings in many areas of practice (for example, public health, sports science, youth work, neurological rehabilitation, special education, and potentially many others).

Fusion, Fusion Investment Fund

 

We were very fortunate to receive Fusion funding for our collaboration between colleagues and students in Health and Social Sciences, Sports Science, and a variety of external practice partners. Essentially the funding will enable us to obtain psychophysiological recording equipment to be used to measure emotional responses in a wide variety of learning and training settings. Below is a screenshot of a typical recording from this kind of equipment.

 

Image-1

 

Huge progress has been made over the last couple of decades in our understanding of emotion and feelings. A compelling conclusion from this enormous body of work is the primacy of emotion in how we operate in the world. Darwin knew this, as did Freud, but many still cling to the notion of the achievements of homo sapiens (“wise man”!) as founded on cognition and rational thinking. For them, feelings are a vestigial remnant of our evolutionary past, not dissimilar to the appendix – no longer having any purpose, and also potentially a threat to our well being.

Affective neuroscience completely opposes this so-called rational approach: emotions and feelings guided our survival in our evolutionary past, but the big news is that they still do! Accumulations of theory and research from fields such as affective neuroscience, positive psychology, and health psychology support this simple but crucial switch in emphasis. Some everyday practice reveals the primacy of emotion, for example emotionally skilled doctors tend to bring about better health outcomes for their patients, children are taught to pay attention to their ‘uh oh’ signs (involuntary emotional responses of sweaty palms and heart beating faster) to keep them safe. So emotions are not the redundant and fickle “appendix” of our behavioural systems, but in fact are their driving force.

Despite an array of pragmatic findings about the way emotions and feelings work, this largely ‘pure’ body of neuroscience has not been directly applied to any particular field of practice. This project aims to correct that omission. The applications of affective science to how we learn and change our behaviour are potentially enormous, as the physiological emotional measures offer a straightforward ‘window’ into the person’s emotional responses.

The Fusion funding enables us to build on one of the applications, through running a study developing a previous pilot. This will be based on a form of training using natural horsemanship that has been demonstrated to be very successful in behaviour change for young offenders and young people who do not engage with school. This is an example of what it looks like (thanks to TheHorseCourse for the picture):

 

TheHorseCourse picture

 

The equipment, and experience gained through carrying out the initial study, will also allow for projects with other practice partners to go ahead, for example, work with people with acquired brain injuries, and children with profound learning disabilities. If any of this interests you, please get in touch with Sid Carter or Emma Kavanagh, and we’d be glad to tell you more.