Tagged / Orthopaedic Research Institute

Participate in new research study: walking after total hip replacement surgery

Have you had a total hip replacement? If so, you could participate in a new BU research study which aims to determine whether a daily walk is beneficial after total hip replacement surgery.

We are looking for adults who are 3-6 months past their hip replacement surgery and currently don’t wear an activity monitor (such as a Fitbit).

You’ll need to visit BU for a series of tests and wear an activity monitor (which will be provided) for five weeks while undertaking a series of outdoor walking. You’ll also need to keep an activity diary.

Details can be found on the poster below.

For more information or to sign up, contact Shay Bahadori on 01202 961647 0r sbahadori@bournemouth.ac.uk

A poster featuring details of the research project

Invite to participate in research: have you had a total hip replacement?

Have you had a total hip replacement? If so, you could participate in a new BU research study which aims to determine whether walking over a measured distance is beneficial after total hip replacement surgery.

We are looking for adults who are 3-6 months past their hip replacement surgery and currently don’t wear an activity monitor (such as a Fitbit).

You’ll need to visit BU for a series of tests and wear an activity monitor (which will be provided) for five weeks while undertaking a series of outdoor walking. You’ll also need to keep an activity diary and take part in a group discussion.

Details can be found on the poster below.

For more information or to sign up, contact Shay Bahadori on 01202 961647 0r sbahadori@bournemouth.ac.uk

A poster featuring details of the study

 

The Friday Prof-ile: Tom Wainwright

Welcome to The Friday Prof-ile – a chance to get to know some of our recently appointed Professors and Associate Professors a little better. Every Friday, we’ll be asking a different person the same set of questions to get an insight into their life, work and what makes them tick. 

This week, we’re chatting with Professor in Orthopaedics Tom Wainwright.

Tom Wainwright

Tom Wainwright

What are your research interests? What made you want to study these areas?  

Primarily I am interested in helping to improve the treatment of patients with hip and knee arthritis. Firstly, looking at strategies and interventions that can help patients avoid the need for surgery, and then secondly, when surgery is indicated, looking at how surgical recovery can be optimised. Arthritis is a significant socioeconomic and health burden, and at a patient level can have a hugely detrimental effect on a patient’s quality of life and daily activities. It is therefore, in my opinion, both an interesting and important research topic.

What has been your career highlight to date? 

Being the lead author of the highly cited/downloaded ERAS Society international consensus guidelines for hip and knee replacement surgery. I was the first, and I am still, the only non-surgeon to ever lead the formation of an international ERAS Society guideline.

What are you working on at the moment? 

I am currently leading a number of externally-funded research studies. These include a trial of how best to provide physiotherapy for patients with hip arthritis, and two studies that will reveal brand new insights into the post-operative functional recovery trajectories of patients following hip and knee replacement.

If you weren’t an academic, what would you be doing?

I would probably be working clinically as a physiotherapist.

What do you do to unwind? 

Spend time doing activities outdoors with my family and friends. I like to run, bike, and spend time in the sea. I love to snowboard and surf, and play cricket and football. I also like to cook and travel.

What’s the best thing about Bournemouth? 

The beach and surrounding coastline and countryside. We are so lucky to live in such a beautiful spot.

If you could pick any superpower, what would it be and why? 

To be able to teleport! I could surf in Portugal before coming to work, and pop to Canada at the weekends to snowboard! It would also save on my carbon footprint and mean I don’t have to do any travel booking paperwork for work trips!

If you were stranded on a desert island, what one luxury item would you take with you? 

A piano. I played as kid and would love to have the time to pick it up again and practice.

What advice would you give to your younger self? 

Remember to be present, and enjoy the small moments.

4th Annual Allied Health Professions Day 14th October 2021 – Research at BU

Awarded & submitted bids, Fusion, HSS Our 9 Research Entities, innovation, NHS

 

AHPs Day 2021 - British and Irish Orthoptic Society

 

The Allied Health Professions (AHPs) are the third largest clinical workforce in the NHS and represent a total of 14 professions which are regulated by the Health Care Professions Council and the individual profession specific regulatory bodies. Research is supported nationally and regionally through the Council for Allied Health Professions Research and at BU through our partnership collaboration with the Applied Research Collaboration NIHR Wessex.

To celebrate the 4th Annual AHP day at BU we are showcasing some of the research that is being carried out by the AHP academic community in Dorset.

Dr Katie Collins – Research focuses on the hidden impairments following a stroke and how they impact on individuals participating in active life. I am involved in exploring health equity and the impacts of health inequality and supervising a Dorset Health Care University Foundation Trust (DHCFUT): BU match funded PhD studentship exploring interventions for successful contracture management.’

Dr Vikram Mohan – Current project which has QR funding is aimed at exploring the reliability and validity of the Total Faulty Breathing Scale (TFBS). In clinical practice abnormal breathing patterns are recognised, but there are no scales to quantify the severity of abnormal breathing patterns. These findings will be applied to conditions like Covid-19, COPD etc.

Peter Philips –  PhD – “What factors affect resilience in newly qualified paramedics in the UK ambulance service?” Aims to explore stressors that newly qualified paramedics face in their first year of registration, how they seek to cope with those stressors, and what effect these have. This research will have an impact on workforce planning, recruitment, and retention of staff in the NHS.

Helen Ribchester – PhD- Exploring sense making derived from the clinical practice experiences of student Occupational Therapists in India. An This is an IPA study including elements of poetic inquiry, with participants drawn from the students of an occupational therapy programme in an Indian university (SRIHER)

Sara Sayer and Prof Carol Clark –  ‘Heading for Trouble’ project, with pump prime funding, involving external stakeholders and an interdisciplinary team from the Faculty of SciTec (Prof Hamid Bouchachia, Prof Hana Burianova, Dr Ala Yankouskaya, Dr Shanti Shankar)  aiming to explore brain scans and  questions relating to attention and memory in professional footballers. Supporting health in football.

Dr Theo Akudjedu and Dr John Totman – working within the Institute for Medical Imaging and Visualisation (IMIV) a multidisciplinary collaboration of clinicians and scientists using a Siemens 3T MRI scanner for research projects to image liver, pancreatic and biliary disease and the brain.

Dr Ursula Rolfe – co-published with David Partlow a paramedic colleague from practice – Mental Health Care in Paramedic Practice The book provides paramedics with key information on a range of mental health conditions and their management. The roles of paramedics have changed in the last decade with increases in the number of 999 calls associated with the increasing mental health needs of people.

Dr Louise Fazakarley, Dr Katie Collins and Dr Caroline Ellis-Hill – supervising a funded MRes Carrie Tbaily ((DHCFUT) – Exploring caregiver perspectives of adults with severe and profound and multiple Learning disabilities accessing sedentary hydrotherapy.

Dr Louise Fazakarley – Pump prime funding to; examine the effectiveness of Physiotherapy in the early stage of Parkinson’s disease (PD): a review of the literature and Patient and Public Involvement (PPI) consultation to identify research priorities for patients with early-stage PD

Sam Page (Dorset County Hospital (DCH)), Dr Louise Fazakarley and Dr Zoe Sheppard (DCH) -ARC Wessex NIHR funding to undertake a service evaluation relating to patients who sustain pubic rami fracture and their management at home supporting better care for patients.

Dr Caroline Ellis-Hill – research focus is on humanising practice, based on existential understandings from lifeworld approaches and focuses on what make us feel human. Humanising practices are those that incorporate fully human knowing and support a sense of connection and wellbeing. Caroline has funding from the Welcome Trust – Exploring performance arts education for the stroke rehabilitation pathway, is supervising PhD students as part of the INNOVATEDIGNITY project funded by the European Commission and NIHR funding for a multicentre RCT of community-based arts and health intervention to increase psychological wellbeing in people following stroke.

Prof Carol Clark – supervising Rosie Harper (University Hospitals Dorset (UHD) with Dr Carly Stewart (BUBS) and Sally Sheppard (UHD) on a UHD; ARC Wessex NIHR; BU match funded studentship ‘Nudging: a theoretical concept for a very practical approach to pelvic floor muscle training’ Aimed at improving adherence to exercises aimed at reducing incontinence and improving health and well-being of women. Carol is currently Co-PI with Stefi Andrew (Portsmouth Hospitals University Trust) and Dr Zoe Sheppard (DCH)on NIHR ARC Wessex Exploring digital technologies for hand rehabilitation and Danni Swaithe (UHD), Dr Louise Johnson (UHD) Dr Shanti Shankar (SciTech) NIHR ARC Wessex, exploring the role of attentional focus on learning for physical recovery in acute stroke, research initiation award.

Prof Jane Murphy Co-Lead of the Aging and Dementia Research Centre  current project includes NIHR ARC Wessex funded, DONOR project (Digital cOachiNg fOr fRailty) to investigate whether a digital approach could be used alongside support from health coaches to help the lifestyle management of older people with frailty in its early stages. The DONOR project will look at whether these technologies can reduce the burden on health and care services by offering person-centred care and advice. The multidisciplinary research team will work together with stakeholders (people with frailty, carers, health coaches and AHPs) to develop and test a new digital approach, implemented across Dorset and West Hampshire. Jane provides consultancy services, works with the Wessex Academic Health Science Network and International partners and also has funding as part of the ASPIRE project with European funding.

Dr Jonathan Williams – is currently involved in projects broadly investigating clinical and sports biomechanics, including wobble board rehabilitation for diabetic neuropathy; learning and retention of infant CPR skills, quantifying spinal stiffness and movement through body worn sensors; facilitating physical activity through wearables; measurement of player load in Badminton and shoulder sensory-motor control. He is currently supervising  MRes and PhDs projects with AHPs including Andy Watt and Debora Almeida.

Debora Almeida PhD – A novel output-based approach to infant CPR training to maximise skill retention and improve patient outcome after cardiac arrest. Paediatric cardiac arrest is a worldwide health problem with high rates of morbidity and mortality. Positive outcomes depend on high quality CPR. However, infant CPR skills decay within weeks or months after training. This project aims to create a tailored retraining schedule based on the performance and retention of iCPR skills.

(more…)

Lifelong health and wellbeing: improving orthopaedic practice and patient care

ORI-3

It’s British Science Week 2017 and to celebrate we’re sharing some of our science research stories, to highlight some of the fantastic research taking place here at BU. Today we’re looking at the Orthopeadic Research Institute (ORI).

Living well in older age is increasingly becoming a concern for our society. A key priority for our health services is to enable people to stay healthy and independent for as long as possible. BU’s newly established Orthopaedic Research Institute (ORI) is addressing this need by carrying out research to improve orthopaedic practices and patient care, thus supporting people to improve their activity levels and mobility as they age. Orthopaedics will become a critical issue as our population ages, as longer and more active lives will increase the risk that joints will wear out and replacements or treatments will be needed.

Deputy Head of ORI Associate Professor Tom Wainwright explains: “Knee and hip problems are going to become more prevalent, so we’re going to need better solutions to manage that; whether it’s better surgical procedures or better nonsurgical interventions. We have some very effective treatments in orthopaedics, but they’re not 100% effective, so part of our role is to work out how to make them better – improve them, through developing better surgical techniques, testing new medical techonology or developing better rehabilitation processes.”

Between them, Associate Professor Wainwright and Head of ORI Professor Rob Middleton have a wealth of clinical and research expertise. Professor Rob Middleton is a practising orthopaedic surgeon, specialising in hip replacement, while Associate Professor Wainwright is a physiotherapist and clinical researcher. They carried out research alongside their clinical practice before joining BU and have a national and international reputation for their work to date.

One of their biggest successes so far is speeding up the recovery process after hip and knee surgery, which has led to their work being cited in best practice health guidelines around the world. This approach, called Enhanced Recovery after Surgery, seeks to minimise the impact of surgery and accelerate recovery by employing strategies throughout the patient pathway, to improve outcomes and reduce the need for medical interventions. Their research into this area was a first in the UK for orthopaedics and demonstrated its value to patient care, as well as showing an improvement in patient and staff satisfaction and leading to significant cost savings to hospitals.

A more recent example of their work is a programme developed with local partners in Dorset called CHAIN – Cycling Against Hip Pain – which is designed to help people to live well with conditions such as osteoarthritis and to improve their mobility. The programme provides a combination of education and static cycling sessions,designed to improve mobility and increase people’s confidence in managing their conditions. The results have been excellent, with patients reporting improvements in walking, finding daily living tasks easier and most importantly, decreases in pain. Even the least likely candidates have seen improvements, demonstrating the value of education and exercise in improving patient care and in helping to reduce or delay the need for further medical interventions.

“As well as developing interventions to help patients recover from surgery and manage their conditions. We also work with a number of global orthopaedic companies to test and run clinical trials
on the latest orthopaedic technology,” says Associate Professor Wainwright. “We work with companies such as ZimmerBiomet, Lima Corporate, and Firstkind Ltd to ensure that their technology is delivering the best possible outcomes for patients.”

One example of their work with ZimmerBiomet was to explore ways to improve the technology used in hip replacements. The hip joint is a ball and socket joint and one of the risks of hip replacement is dislocation; where the new ball comes out of the socket. ORI’s research has shown that a larger ball reduces the risk of dislocation, and does not adversely affect the rate of wear.

“We currently have five trials underway within local hospitals and more to come,” explains Associate Professor Wainwright. “These trials are looking at different ways that we can improve the medical technology used in orthopaedics and means that not only are we contributing to improving future care, but we’re also bringing the latest technology to Dorset and improving care in the local area. As Dorset has a very high proportion of orthopaedic surgeries, there is potentially a very large group of people we can benefit.”

“We take a very interdisciplinary approach to our research. Establishing ourselves within BU is a real advantage for us, because we can draw on the expertise of colleagues in other areas of research, including other health professionals, psychologists, technologists and engineers,” explains Associate Professor Wainwright, “Ultimately, our driving force is that we wantto ensure that everyone gets the best possible treatment for their condition – it’s just the right thing to do.”

Wainwright, T.W., Immins, T. and Middleton, R.G., (2015) A cycling and education programme to promote self-management and to increase functional ability in patients with osteoarthritis of the hip. Osteoarthritis and Cartilage, 23 (2), 372.

Howie, D.W., Holubowycz, O.T., Middleton,R. and Grp, L.A.S., (2012) Large Femoral Heads Decrease the Incidence of Dislocation After Total Hip Arthroplasty A Randomized Controlled Trial. Journal of Bone and Joint Surgery – American Volume, 94A (12), 1095- 1102.

Wainwright, T. and Middleton, R., (2010) An orthopaedic enhanced recovery pathway. Current Anaesthesia and Critical Care, 21 (3), 114-120.

ORI was established at BU thanks to generous funding from the Dorset Local Enterprise Partnership (LEP).

This article appeared in the 2016 Bournemouth Research Chronicle. Download a copy of the magazine, or view the articles online.

Congratulations to FHSS orthopaedics academics

Publishing

j-nurs-ortho-2016Congratulations to James Gavin, Tikki Immins and  Thomas Wainwright on the publication of their systematic review: ‘Stair negotiation as a rehabilitation intervention for enhancing recovery following total hip and knee replacement surgery‘.

Reference:

Gavin, J., Immins, T., Wainwright, T. (2016). Stair negotiation as a rehabilitation intervention for enhancing recovery following total hip and knee replacement surgery. Int J Orthop Trauma Nurs. Available online October 2016

 

ORI presentation at RCN Society of Orthopaedic and Trauma Nursing International Conference and Exhibition

conferences

RCN Society of Orthopaedic and Trauma Nursing International Conference and Exhibition, 8-9th  September 2016, Cardiff

Nice poster, but can't say the same thing for the poster board...

Nice poster, but can’t say the same thing for the poster board…

The theme for this conference was ‘Valuing the past, embracing the future‘ and it was great to be able to represent BU’s Orthopaedic Research Institute (ORI) whose work is firmly on the ’embracing the future’ side of the theme. I was there to deliver a poster presentation entitled:

‘A review of the literature related to the role of nutritional supplementation for an enhanced recovery pathway for hip and knee replacement’

This was produced through work with Associate Professor Tom Wainwright (Deputy Head) and Professor Rob Middleton (Head) of ORI, and Dr Simon Dyall of the Faculty of Health and Social Sciences. There was good interest in the poster from orthopaedic nurses and fellow academics, and I had a great chat about nutrition with the one medical doctor in attendance – the first time I’ve heard of an orthogeriatrician!

Headline? At present, the evidence base does not support the use of nutritional supplementation in enhanced recovery after surgery pathways for hip/knee replacement. However, that’s not to say that nutrition does not play a role. More high quality research is required particularly to explore the role of zinc, vitamin D and omega fatty acids, and possibly other nutrients that have been overlooked too. If you’d like to find out more you can get a full size version of the poster here. Any comments on this most welcome.

For those interested in orthopaedics in general, the opening presentation included learning about Norman, aged 90, who can apparently lay claim to having had the longest lasting hip replacement. He had his first replacement in 1948 and it only needed revising this year! (if I remember correctly)! Far, far longer than most hip replacements last.

Norman, 90 years young, had first hip replacement in 1948!

Norman, 90 years young, had first hip replacement in 1948!

 Other presentations included work on fracture prevention (increasingly important for our aging and increasingly frail population), developing post-graduate education in orthopaedic nursing, recognition of delirium, and the latest on the timely identification of compartment syndrome (a life-threatening complication).

Having a couple of hours to spare before returning to Bournemouth I took a look at some of the beautiful architecture in Cardiff. It had the feeling of a city that values its past:

The clock tower of Cardiff Castle

The clock tower of Cardiff Castle

but is also embracing the future…

Wales Millenium Centre

Wales Millenium Centre

Many thanks to the Faculty of Health and Social Sciences for supporting my attendance.

 

Research and Impact in Active Ageing Symposia (University of Cumbria) – A URA Experience

conferences, PG research, student research

Louise Burgess, Undergraduate Research Assistant (URA)

When first applying to become an URA, I was unsure about what to expect. Initially, I thought my summer would be spent holding a clipboard and collecting endless lists of data for someone else to analyse. In reality, the role has been much more exciting than I could have imagined, even prompting me to investigate future careers within research. The research I am assisting with aims to examine the most effective acute recovery routine for individuals who have undergone hip arthroplasty, a reconstructive procedure which involves the replacement of the femoral head and acetabulum with an artificial prosthesis. I felt immediately welcomed by James Gavin (Lead Researcher) and the Orthopaedic Research Institute (ORI) team: Tom Wainwright, (Deputy Head), Tikki Immins (Research Fellow) Shay Bahadori (Medical Device Engineer), in my URA role.

Since starting 2 weeks ago, I have been involved in:

  • Designing and implementing a testing protocolRecruitment media
  • Recruitment through designing posters and contacting volunteers
  • Advancing skills technical: electromyography (EMG), isometric strength testing, clinical recovery exercises
  • Developing my subject knowledge and understanding
  • Training on the PrimusRS Multimodal Dynamometer
  • Developing data collection spreadsheets
  • Data collection: anthropometric, handgrip strength, walk speed, muscle activity and isometric strength.
  • Data analysis (using Biometrics Datalog EMG software)
  • Conference presentation:Research and Impact in Active Ageing Symposia (University of Cumbria)

Attending the Research and Impact in Active Ageing Symposia (University of Cumbria) proved to be a valuable experience for me as both a student, and as a researcher. The morning began with a talk from Prof Tim Donovan, who covered the role of vision and eye movement in motor control. This was followed by Prof Giuseppe de Vito (University College Dublin), focussing on how old muscle responds to training and nutritional interventions. Finally, Prof Andrea Macaluso (University of Rome Foro Italico) discussed his work on physical activity levels and physiological factors underlying mobility in ageing.

The morning was followed by a poster presentation session, where I presented the findings of my dissertation project. My dissertation entitled, ‘The Incidence of Injuries and the Epidemiology of Osteoarthritis in Retired, Amateur, Rugby Union Males’ was a project I thoroughly enjoyed and despite being incredibly nervous, I really liked sharing it with others. I presented my work to other students, academics, researchers, and members of the NHS. The feedback I received during the question and answer session after my presentation was positive, with ideas how the research could be expanded in the future. Having the opportunity to take part within the symposia increased my confidence within my own research, improved my presentation skills and developed my knowledge of research in active ageing. I even won the prize for best poster presentation, a £100 Human Kinetics book voucher!

I’m not even half way through my time as a URA, but I would still highly recommend other students to apply for similar positions at Bournemouth University.

For more information on ORI please visit:

  • bournemouth.ac.uk/ori2
  • Twitter: @BU_Orthopaedic

Or to get involved with the current research please email me on:

  • Lburgess@bournemouth.ac.uk