The Institute of Musculoskeletal Health

in Australia one and three people have a musculoskeletal condition as the Australia's population becomes older the burden of musculoskeletal conditions will become greater unless we can put things in place to try and reduce that burden it's the first time that we've got this entity the center that spans both of the University of Sydney and also Sydney local Health Study we're working with clinicians with patients with policymakers in the real world we look at traditional medical treatments such as drugs and surgery we also look at new approaches to treatment ways of getting therapy to people who were hard to reach or doing it in a more efficient fashion right from little kids all the way through to older people what we're interested in is improving musculoskeletal health and promoting physical activity so two really important issues these gyp for masochists mental health has great potential benefits for our pace of the universe' department having researchers in the day they have a different perspective of our patients that we do as clinician we're always learning from each other and they've been very proactive in coming and speaking to our missions and educating them so I think it's really exciting what's happening here because actually really focusing on the areas that we do every day I think really having patients at the center of what we do like a massive difference as a researcher sometimes you try to find the most relevant answer for their practice and for the district but it's really the clinicians that ask those questions so it's really important for researchers like myself to work with clinicians Virginia a large implementation trial of a model of care for back pain to emergency departments so that involves training of clinicians to provide better care for back pain most recently I've been involved with the shape trial we've developed patient education tools and to help the clinicians educate the patients on what's going on with their back and how to better manage their back pain as a clinician I feel very lucky that I've had the opportunity to work with such experienced academics and researchers so that we can work together to make research more relevant to clinical practice one night I couldn't really move and I was experiencing really sharp pains in my lower back I went to emergency then I was referred to a physio every physio session I've not only been trained to work on my exercises to help strengthen my back but I've also been taught to think in a different way it's been such a big turning point because I can now exercise without fear if I do feel sore afterwards I can balance back after a few days at the University of Sydney we have a deep commitment to research access and so the Institute is really critical in terms of conducting that research at the highest level the research is really conducted in an integrated way which means that the research questions are informed by the real world problems the real benefit is that the research can be and translated and real meaningful impact on the community in a very short timeframe so we did a clinical trial to look at the effects of paracetamol in patients with acute low back pain what we found was paracetamol did not actually improve the recovery that research was one of the most cited papers published in a very good journal and got picked up by a lot of major media outlets in the world we work with expert clinicians with interested patient groups and also expert researchers and that's a wonderful structure because they can help us disseminate our research findings as quickly as possible into the community what's wonderful about the Institute is that it's embedded within the health service to bring the very best evidence to the treatment of our patients we also think that it will help us to be more effective in utilizing the dollars that we have within health in the most wise way by investing them in interventions that are really going to make a difference I had an opportunity to work as a research physiotherapist on the ear mountain troll which was looking at affordable technology for people with mobility limitations to increase their physical activity and their mobility we often worked with the physiotherapists in identifying some of their main goals and some of them made their impairments that we could address the technology now that's available to really work on targeting things like standing and sit to stand and walking it's really amazing and very tailored to people in there I'm impairment so that's really exciting for the future as well the amount rehabilitation trial was run with 300 people and we were able to show really good improvements in people's mobility we can help to reduce the risk of chronic diseases such as heart disease and diabetes which are really costly to the healthcare but also to people's quality of life we have a really strong cohesive team of researchers who are really passionate about what we do and I think that really helped for the success of the trial release in the hospital and the Wardley I was fairly off-balance concentration was in real good when it come time to discharge me I said I'm going home how am I going to get back on my feet I took part in their mouth trial when I got home I had to continue on with like the iPad exercise and Xbox I'm really pleased or play out where I am now I'm getting email about the walking stick I've gone back to all my social groups I'm still doing my long walks my short walks I'm so grateful and thankful for those who had put the child again and also they give me the opportunity to be involved with that job I know when I look back I will be where I am now

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