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Previous studies have reported that mode of delivery, particularly cesarean delivery (CD), is associated with neurodevelopmental outcomes in children. This study evaluates behavioral and neuropsychological test scores in children based on mode of delivery. Children enrolled in the Raine Study from Western Australia, born between 1989 and 1992 by instrumental vaginal delivery (IVD), elective CD, and non-elective CD, were compared to those with spontaneous vaginal delivery (SVD). The primary outcome was the Child Behavior Checklist (CBCL) administered at age 10. Secondary outcomes included evaluations of language, motor function, cognition, and autistic traits. Multivariable linear regression was used to evaluate score differences by mode of delivery adjusted for sociodemographic and clinical characteristics, and Poisson regression was used to evaluate for increased risk of clinical deficit. Of 2,855 children, 1770 (62.0 %) were delivered via SVD, 480 (16.8 %) via IVD, 346 (12.1 %) via elective CD, and 259 (9.1 %) via non-elective CD. Non-elective CD was associated with higher (worse) CBCL Internalizing (+2.09; 95 % CI 0.49, 3.96; p=0.01) scores, and elective CD was associated with lower (worse) McCarron Assessment of Neuromuscular Development (MAND) (−3.48; 95 % CI −5.61, −1.35; p=0.001) scores. Differences were not seen in other outcomes, and increased risk of clinical deficit was not observed with either the CBCL Internalizing or MAND scores. Differences in behavior and motor function were observed in children delivered by CD, but given that score differences were not associated with increased incidence of clinical deficit, clinical significance may be limited. [ABSTRACT FROM AUTHOR]

Physical activity (PA) is important for fitness and psychological health, and a way for young people to make friends and socialise. Young people with vision impairment (VI) are, however, are less likely to engage in PA. A range of personal, social, and environmental barriers prevent equitable participation for young people with VI. There is a dearth of research focused on the experiences of young people with VI and their participation in PA in Australia. Using the Physical Activity Barriers Questionnaire for children with Visual Impairments (PABQ-VI), this study identified barriers to PA from the perspectives of school-aged Australians with VI. Results demonstrated that despite holding positive views about PA and being motivated to be physically active, participants experienced many of the same barriers and lack of opportunities reported by children with VI around the world. These experiences place limits on the development of motor skills and impact self-confidence. Despite the swathe of legislation designed to protect the rights of people with disability, the findings suggest that there is much work to be done to create inclusive opportunities for youth with VI (particularly girls) to access PA and sport in Australian schools and communities. [ABSTRACT FROM AUTHOR]

This study aimed to investigate inter- and intra-athlete technique variability in pre-elite and elite Australian fast bowlers delivering new ball conventional swing bowling. Ball grip angle and pelvis, torso, shoulder, elbow, wrist, upper arm, forearm, and hand kinematics were investigated at the point of ball release for inswing and outswing deliveries. Descriptive evaluations of group and individual data and k-means cluster analyses were used to assess inter- and intra-bowler technique variability. Inter-athlete technique and ball grip variability were identified, demonstrating that skilled bowlers use individualised strategies to generate swing. Functional movement variability was demonstrated by intra-athlete variability in successful swing bowling trials. Bowlers demonstrated stable technique parameters in large proximal body segments of the pelvis and torso, providing a level of repeatability to their bowling action. Greater variation was observed in bowling arm kinematics, allowing athletes to manipulate the finger and ball position to achieve the desired seam orientation at the point of ball release. This study demonstrates that skilled bowlers use individualised techniques and grips to generate swing and employ technique variations in successive deliveries. Coaches should employ individualised training strategies and use constraints-led approaches in training environments to encourage bowlers to seek adaptive movement solutions to generate swing. [ABSTRACT FROM AUTHOR]

Objective: Clarifying the distinctions between art-based creative activities in the domains of occupational therapy and art therapy in the context of stroke rehabilitation, while also describing the effects of art-based creative activities on stroke rehabilitation. Design: Scoping review. Data source: A systematic search was performed in nine databases (Web of Science, PubMed, EMBASE, Cochrane Library, CINAHL and four Chinese database) from their inception to December 2023. Review methods: The study included randomized and non-randomized controlled trials involving art-based creative activities, as well as qualitative research providing detailed intervention measures. The study focused on stroke patients, with primary outcomes related to patients' physiological recovery, psychological well-being, ADL, etc. Data extraction included information on intervention strategies and study results. Results: Seventeen studies were included, extracting six similarities and differences in creative activity between two domains. Creative activities were observed to have positive impacts on daily living activities, limb motor function, fine motor ability, and emotional well-being in stroke patients. Conclusion: Creative activities, whether in occupational therapy or art therapy, involve providing participants with tangible crafting materials for the creation of artistic works. Future stroke rehabilitation practices should tailor activities and intervention focus based on patients' rehabilitation needs, preferences, and cultural background. The current comprehensive analysis provides initial support for the potential positive role of creative activities in stroke rehabilitation, but further in-depth research is needed to confirm their effectiveness. [ABSTRACT FROM AUTHOR]

Purpose: To compare anthropometric and power-related attributes between competition levels in under-19-year-old (U19) male basketball players. Methods: National-level (n = 7; age: 17.7 [0.5] y), first-division state-level (n = 8; 17.4 [0.4] y), and second-division state-level (n = 8; 17.1 [0.4] y) players from Australian basketball programs participated in this pilot study. Players had various anthropometric attributes (height, standing reach height, wingspan, and body mass) and power-related attributes (isometric midthigh pull, linear sprint, countermovement jump, 1-step vertical jump, standing long jump, repeated lateral bound, and Modified Agility T Test) measured in the preseason. Differences between groups were assessed using 1-way analyses of variance with Tukey post hoc tests and effect sizes (ES) interpreted as trivial, <0.20; small, 0.20 to 0.59; moderate, 0.60 to 1.19; large, 1.20 to 1.99; and very large, ≥2.00. Results: Regarding anthropometric attributes, national-level players possessed greater (P <.05, large-very large) height (ES = 2.09), standing reach height (ES = 1.54), wingspan (ES = 1.45), and body mass (ES = 1.77) than second-division state-level players. For power-related attributes, national-level players possessed greater (P <.05, large-very large) isometric midthigh-pull peak force (ES = 1.46–2.57), sprint momentum (ES = 1.17–2.18), and countermovement jump peak force (ES = 1.73–2.01) than state-level players. Moreover, national-level players demonstrated greater (P <.05) 1-step vertical jump height (ES = 1.95, large) than second division state-level players. Conclusions: Specific anthropometric and power-related attributes clearly differ between competition levels in U19 male basketball players. This information can inform development of testing protocols, reference ranges, and training programs in practice. Further research is encouraged on this topic to confirm our findings across larger samples of basketball players. [ABSTRACT FROM AUTHOR]

While working in the heat is a common practice within the Australian mining industry, it can lead to adverse effects on cognitive function, productivity, and physical health. This study aimed to compare the thermal strain experienced by maintenance workers and service workers in the mining industry during summer. Psycho-physiological parameters, manual dexterity, and cognitive function were assessed in maintenance workers (n = 12) and service workers (n = 12) employed at mine site villages in north-west Australia. Maintenance workers had the freedom to self-select their work intensity and predominantly worked outdoors (33.9±4.2°C, 38±18% RH), whereas service workers had to work to a fixed schedule and worked intermittently indoors (∼64% of work shift; 29.5±3.4°C, 48±8% RH) and outdoors (∼36%; 35.4±4.6°C, 47±21% RH). All workers underwent assessment at the beginning (day 2/3), middle (day 7/8), and end of their swing (day 13/14), at various time points throughout their 11–12 h shift. Service workers completed more steps (11282±1794 vs. 7774±2821; p<0.001), experienced a higher heart rate (p = 0.049) and reported higher ratings of perceived exertion (p<0.001), thermal discomfort (p<0.001), thermal sensation (p<0.001), and fatigue (p<0.012) compared to maintenance workers. Urinary specific gravity values were higher (less hydrated) in service workers (1.024±0.007) compared to maintenance workers (1.018±0.006; p = 0.007), with USG being overall higher post- compared to pre-shift (1.022±0.008 vs. 1.020±0.006; p<0.05). Core temperature, working memory capacity, processing speed and manual dexterity did not differ between occupations. Workers in hot environments who cannot self-select their work intensity should be educated about the importance of hydration before, during, and after their work-shifts and provided with more scheduled rest breaks during their shift. Employers should closely monitor workers for symptoms of heat illness, discomfort, and fatigue to ensure the health and safety of the workers. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to evaluate complex cognitive function, manual dexterity and psycho-physiological parameters in tradesmen working outdoors in the mining industry during summer and winter. Methods: Twenty-six males working in a mining village in the north-west of Australia were assessed pre- and post-an 11-h shift at the start, middle, and end of a 14-day swing in summer (average daily temperature: 33.9°C, 38% RH; n = 12) and winter (24.3°C, 36% RH; n = 14). Results: Working memory performance did not differ between seasons, over the swing or shift (p ≥ 0.053). Processing efficiency and manual dexterity performance did not differ between seasons (p ≥ 0.243), yet improved over the course of the swing (p ≤ 0.001) and shift (p ≤ 0.001). Core temperature, heart rate, thermal comfort, rating of perceived exertion and thermal sensation were not significantly different between seasons (p ≥ 0.076); however, average shift dehydration was greater in winter compared to summer (1.021 ± 0.005 vs. 1.018 ± 0.006; p = 0.014). Conclusion: The ability to self-regulate the intensity of activity likely helped outdoor workers to thermoregulate effectively, minimising thermal strain during their swings and shifts, in turn explaining unaltered cognitive function and manual dexterity performance between seasons. Regardless of season, workers should receive education on dehydration and workplace risks to protect their health. [ABSTRACT FROM AUTHOR]

Due to the lack of tools that can be easily used by practitioners, there is a need to develop acceptable embedded ways to assess children's fine motor skill development within early childhood education and care settings. This study examined the validity and reliability of a brief and ecologically valid fine motor assessment tool for preschool-aged children; the fine motor growth assessment (i.e., FINGA). Children's fine motor performance on FINGA was compared with widely-used and validated performance-based (Peabody Developmental Motor Scales 2nd edition) and informant-based (Ages and Stages Questionnaire 3rd edition) fine motor assessments. Ninety-one children [mean age (y) ± SD = 4.50y ± 0.68] were assessed within seven early childhood education and care services in New South Wales, Australia. Exploratory factor analyses (EFA) and linear regression analyses showed that FINGA had good internal consistency (EFA of 73%) and age sensitivity (Bstd = 0.69, p < 0.001), and bivariate correlation analyses demonstrated good concurrent validity (rs from 0.69 to 0.84, ps < 0.001) against the two comparison assessments. Because of its brevity and ecological validity, the FINGA tool should be further examined as a routine fine motor skills assessment administered within the context of universal early childhood education and care service provision. [ABSTRACT FROM AUTHOR]

Introduction: Physical inactivity is a leading risk factor to disease and mortality. Despite the recognised benefits of physical activity, over half of the Australian population are not sufficiently active. For individuals with a disability, inactivity rates are further increased placing them at a higher risk of the negative effects of physical inactivity. Developing healthy lifestyle habits such as physical activity participation in early childhood has been found to be supportive of health behaviours being maintained into adulthood. Physical activity is an occupation said to involve the complex interaction between psychological, social, environmental, and physical factors placing it within the scope of occupation therapy. However, limited research is available exploring what this role looks like in practice. Method: An online, anonymous survey was developed to better understand how Australian occupational therapists understood physical activity participation, as well as their current and potential role in facilitating regular physical activity participation with their clients. All registered Australian occupational therapists were eligible to participate in this survey, which consisted of both closed and open answered questions. Results: A total of 43 occupational therapists registered to practice within Australia completed the survey. All participants viewed physical activity as an important occupation for maintaining the health and well‐being of their clients. Participants described the holistic role occupational therapists could play supporting physical activity participation outside of motor skill development. Therapists identified several ways in which a family‐centred, occupation‐based approach could be used to support sustained engagement in physical activity. Conclusion: The findings from this study contribute to our understanding of the role occupational therapy can play supporting physical activity participation for children and adolescents. This sparsely researched area requires more evaluation to ensure intervention is delivered in a way that is most effective. [ABSTRACT FROM AUTHOR]

Overarm throwing is an essential fundamental movement skill (FMS). Competency in throwing is critical to encourage physical activity throughout lifespan. However, the segmental sequencing characteristics of skilled throwing to achieve maximum ball release speed are unclear. Further, the standard instructions for segmental sequencing in coaching manuals are anecdotal and not based on scientific evidence. Therefore, the aim of this study was to establish the critical features of upper‐body sequencing in skilled throwing for maximum speed. This would enable revised instructions for coaching throwing based on scientific evidence. The three‐dimensional kinematics of 144 right‐handed unconstrained maximum overarm throws were captured and analyzed. The quartiles of participants with the fastest and lowest ball release speed, normalized by height, were defined as the Skilled Group and Less Skilled Group, respectively. Paired t‐tests were used to determine the differences in times of successive events within groups and independent t‐tests for between‐group differences in temporal space between events for all sequences. A characteristic segmental sequence of each group was defined as a sequence with significant within‐group differences in two successive events (p < 0.001), while a critical segmental sequence was defined as a sequence with significant differences in temporal space both within groups and between groups (p < 0.001). The Skilled Group had six characteristic sequences, while two were found for the Less Skilled Group, summarized in the conceptual model. A single critical sequence of non‐throwing arm elbow extension prior to shoulder extension was found. Five evidence‐based instructions were recommended to add to the Australian FMS instruction manual. [ABSTRACT FROM AUTHOR]

Objective The purpose of this study was to determine interrater and test–retest reliability of the Ziegler test to measure freezing of gait (FOG) severity in people with Parkinson disease. Secondary aims were to evaluate test validity and explore Ziegler test duration as a proxy FOG severity measure. Methods Physical therapists watched 36 videos of people with Parkinson disease and FOG perform the Ziegler test and rated FOG severity using the rating scale in real time. Two researchers rated 12 additional videos and repeated the ratings at least 1 week later. Interrater and test–retest reliability were calculated using intraclass correlation coefficients (ICCs). Bland–Altman plots were used to visualize agreement between the researchers for test–retest reliability. Correlations between the Ziegler scores, Ziegler test duration, and percentage of time frozen (based on video annotations) were determined using Pearson r. Results Twenty-four physical therapists participated. Overall, the Ziegler test showed good interrater (ICC2,1 = 0.80; 95% CI = 0.65–0.92) and excellent test–retest (ICC3,1 = 0.91; 95% CI = 0.82–0.96) reliability when used to measure FOG. It was also a valid measure, with a high correlation (r  = 0.72) between the scores and percentage of time frozen. Ziegler test duration was moderately correlated (r  = 0.67) with percentage of time frozen and may be considered a proxy FOG severity measure. Conclusion The Ziegler test is a reliable and valid tool to measure FOG when used by physical therapists in real time. Ziegler test duration may be used as a proxy for measuring FOG severity. Impact Despite FOG being a significant contributor to falls and poor mobility in people with Parkinson disease, current tools to assess FOG are either not suitably responsive or too resource intensive for use in clinical settings. The Ziegler test is a reliable and valid measure of FOG, suitable for clinical use, and may be used by physical therapists regardless of their level of clinical experience. [ABSTRACT FROM AUTHOR]

• The study used Australian longitudinal data (2011–2018) of 1506 children and young people aged 9 months to 17 years and multi-level analysis. • Study aimed to identify the association between parental substance misuse and child developmental outcomes (physical health, socio-emotional wellbeing, and verbal and non-verbal cognitive ability). • Children in out-of-home-care with a history of parental substance misuse were more likely to be in the typical range for verbal cognitive development compared to those without this history. • Younger children with a record of parental substance misuse exhibited significantly more typical fine and gross motor skill development than those without this history. • Children in OOHC with a history of parental substance misuse may be less affected by their trauma with regards to early-stage physical development, and later verbal cognitive development than those without this history in OOHC. There is inconsistent evidence regarding the effect of birth parent substance use on developmental outcomes for children placed into out-of-home-care (OOHC). This study aims to examine how parental substance use affects outcomes of Australian children in out-of-home care, adjusting for key demographic, social and system factors. Four waves of survey data were collected for children and young people who agreed to participate in the Pathways of Care Longitudinal Study (POCLS) between 2011 and 2018. The study sample included 1,506 children and young people (792 with a history of parental substance misuse) aged 9 months to 17 years who participated in at least one wave of the POCLS and had linked administrative data from the Department of Communities and Justice (DCJ), NSW, Australia. Multilevel longitudinal models were used to analyse the relationship of child developmental outcomes (physical health, socio-emotional wellbeing, and verbal and non-verbal cognitive ability) with parental substance misuse in their child protection history. Each model included adjustments for child demographics, family socio-economic status, child protection system factors and the unbalanced panel. Children in OOHC with a history of parental substance misuse were more likely to be in the typical range for verbal cognitive development compared to those in OOHC without this history. In addition, younger (9 months to 5 years) children with a record of parental substance misuse exhibited significantly more typical fine and gross motor skill development than those without this history. Concerns that children in OOHC with a history of parental substance misuse may be more affected with regards to early-stage physical development, and later verbal cognitive development than those without this history in OOHC, may not be justified. [ABSTRACT FROM AUTHOR]

Bennett, H, Fuller, J, Milanese, S, Jones, S, Moore, E, and Chalmers, S. The relationship between movement quality and physical performance in elite adolescent Australian football players. J Strength Cond Res 36(10): 2824–2829, 2022—The assessment of movement quality is commonplace in competitive sport to profile injury risk and guide exercise prescription. However, the relationship between movement quality scores and physical performance measures is unclear. Moreover, whether improvements in these measures are associated remain unknown. Over a 4-year period, 918 individual elite adolescent Australian Rules Footballers completed the Functional Movement Screen (FMS) and physical performance testing (5- and 20-m sprint, vertical jump, planned agility, and 20-m shuttle run test), allowing the analysis of relationships between FMS parameters and performance measures. In addition, 235 athletes completed testing over 2 consecutive years, allowing the analysis of relationships between changes in these outcomes. Small associations were observed between FMS composite score, hurdle step performance, in-line lunge performance, trunk stability push-up performance, rotary stability, and measures of speed, power, agility, and aerobic fitness (ρ = 0.071–0.238). Across consecutive seasons, significant improvements were observed in the deep squat subtest (d = 0.21), FMS composite score (d = 0.17), and 5- (d = 0.16) and 20-m sprint times (d = 0.39). A negative association between change in rotary stability and change in jump height (ρ = −0.236) from one season to the next was detected. Results suggest FMS scores have limited relationships with measures of performance in footballers. To optimize athletic performance, once acceptable movement capabilities have been established, training should not prioritize improving movement quality over improvements in strength, power, and change of direction ability. [ABSTRACT FROM AUTHOR]

The purpose of this study was to explore the relationship between postural control and fundamental motor skills in girls. An observational cross-sectional study was conducted in 47 girls, aged 8–10 years. Postural control (postural sway centre of pressure) was evaluated during tandem stance, leading with dominant and non-dominant limbs with eyes open and closed, using an AMTI force platform. Fundamental motor skills were assessed using the Test of Gross Motor Development 2nd Edition, examining total, locomotor and object control scores. Data were analysed using linear regression, adjusted for body mass index percentile and household income. For locomotor skills, significant relationships were found with a number of postural sway outcomes for adjusted and unadjusted analyses (r − 0.287 to r − 0.425, p ≤ 0.042). Total motor skill score was significantly related to postural sway in the tandem dominant eyes closed condition for unadjusted and adjusted analyses (r ≥ −0.294, p ≤ 0.04). In conclusion, our findings indicate that postural control may be important for fundamental motor skill proficiency and movement quality in pre-adolescent girls, particularly for locomotor skills. Our study provides evidence supporting the clinical practice of assessing postural control in girls presenting with motor skill deficits. [ABSTRACT FROM AUTHOR]

Many prescribed medicines can impair driving skills, at any age. Each year in Australia approximately 250 people aged 65 and over die from road crashes and approximately 4000 more are hospitalised. Older people are more likely to have comorbidities and require multiple medicines. Of particular concern in relation to driving are psychoactive medicines and other psychoactive substances including alcohol and other drugs. Alcohol, cannabis, opioids, gabapentinoids (pregabalin, gabapentin), stimulants and sedating medicines such as benzodiazepines are the substances of greatest concern in road safety. Patients who have complex medical conditions and take multiple medicines should be assessed for safety to drive a motor vehicle. Pharmacists have an important role to assess the impact of medicines on driving and other motor skills and counsel patients about the risks. [ABSTRACT FROM AUTHOR]

In search of Kipling's six honest serving men in upper limb rehabilitation after stroke, we sought to investigate clinicians' perspective of when and where to begin therapy, how much and what therapy to provide, and who and why (or not) to provide therapy. Materials & methods: Within-participant case cross-over experiments were nested within an anonymous web-based questionnaire (21 questions, three cases). Graph theory-based voting to produce ranked ordered lists and mixed-effect logistic regression were performed. In total, 225 Australian stroke clinicians responded: 53% occupational therapists, 61% working in acute/inpatient stroke setting. Most respondents indicated they did not have a protocol/expectation regarding when (62%), how much (84%) or what (60%) therapy to provide in their setting. Respondents ranked 24-h to 7-days post-stroke as the optimal time to commence therapy, and 30- to 60-min per day as the optimal dose to provide. Within-participant experiments demonstrated that greater motor recovery as time progressed increased the odds of offering therapy, while lack of motor recovery, shoulder pain, neurological decline and sole therapist reduced the odds. We need to develop an evidence base concerning Kipling's six honest serving men and equip clinicians with clinical decision-making skills aligned with this focus. Most clinicians did not have access to a protocol / clinical pathway which defines when, how much and what upper limb therapy to provide after stroke, which may be improved by providing individual clinicians with organisational support to make therapy decisions. To improve the personalisation of upper limb rehabilitation in clinical practice, we need to understand when and where after stroke to begin therapy, how much and what therapy to provide, as well as who and why (clinical decision-making) to provide therapy. Clinicians perceive clinical trials as successful if the therapy can demonstrate recovery that is greater than a minimal clinical important difference (MCID). [ABSTRACT FROM AUTHOR]

Purpose: To confirm the effect of maturational differences on anthropometric and physical testing and explore the effect of maturation on technical skill and coaches' perceptions of skill in adolescent Australian footballers. Methods: Athletes were recruited from a semielite under 16 competition (n = 94, age 15.7 ± 0.3 years) and completed anthropometric, physical, and technical skill tests. Coaches from each team provided subjective ratings of athletes' technical skills. Maturation groups were derived from years from peak height velocity estimates, with classifications either later, average or earlier maturing. Results: Effect size comparisons revealed very large to moderate effects between groups for anthropometric measures and performance in sprint and jump tasks. Small to moderate effects were reported between groups for coaches' perceptions of skill, with the earlier maturing group perceived to have better overall technical skills, marking and ball winning abilities. Small to trivial effects were reported for performance in the technical skill tests. Conclusions: Despite no differences in skill tests, earlier maturing athletes may be afforded significant selection and competition advantages due to advanced physical capacities and coaches' perceptions of skill. [ABSTRACT FROM AUTHOR]

OBJECTIVE To describe the frequency and types of injuries experienced by dogs competing and training in agility and identify breed and geographic differences in frequency and types of injuries. SAMPLE Surveys completed by owners of 4,701 dogs. PROCEDURES The study involved an internet-based survey. Participants were asked whether their dog had ever had an injury that kept it from participating in agility for > I week and, if so, to identify the location and type of injury. RESULTS Owners of 1,958 (41.7%) dogs reported that their dogs had experienced an injury. The most common injury locations were the shoulder region (n = 589 [30.1% of all dogs with an injury]) and iliopsoas muscle (380 [19.4%]). The percentage of Border Collies sustaining an injury (549/1,052 [51.9%]) was significantly higher than percentages of other breeds. Percentage of dogs that sustained an injury varied by country, with the highest percentage reported in Australia (93/174 [53.4%]) and lowest percentage reported in the US (1,149/2,889 [39.8%]). CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that, among dogs competing and training in agility, in-juries to the shoulder region were substantially more common than in-juries in other anatomic locations, with iliopsoas muscle injuries second most common. The frequency and Fypes of injuries varied among breeds and geographic regions. Findings may help guide clinical evaluations when agility dogs are seen in clinical practice for performance issues or lameness. Further studies regarding regional differences in injury rates are required. [ABSTRACT FROM AUTHOR]

Non-ambulant adults with cerebral palsy are at risk of developing asymmetry affecting thoracic cage, pelvis and hips. The primary aim of this study was to establish intra-rater and inter-rater reliability of the Goldsmith Indices of Body Symmetry in non-ambulant adults with cerebral palsy. The secondary aim was to establish comparative data for the Goldsmith Indices of Body Symmetry in healthy adults. Thirty non-ambulant young adults with cerebral palsy (17 males), and 48 young healthy controls (19 males), were recruited. Thoracic shape and symmetry, pelvic orientation and hip range, was measured using the Goldsmith Indices of Body Symmetry. Intra-rater reliability was established by repeated measurement within a single session. Inter-rater reliability was established having two raters measure each participant on two sequential sessions. Analysis utilised intraclass correlation coefficients. The Goldsmith Indices of Body Symmetry has excellent intra-rater reliability (intraclass correlation coefficients ≥0.97). Inter-rater reliability for all Goldsmith Indices of Body Symmetry measures was good to excellent (intraclass correlation coefficients ≥0.85). Range and variability of results was greater for participants with cerebral palsy compared to comparative data. The Goldsmith Indices of Body Symmetry has good inter and intra-rater reliability for measurement of thoracic shape and symmetry, pelvic orientation and hip range, allowing accurate tracking of postural changes over time in non-ambulant adults with cerebral palsy. The Goldsmith Indices of Body Symmetry is a reliable clinical measurement tool to enable measurement of the thoracic shape and symmetry, pelvic and hip orientation in adults with cerebral palsy. The Goldsmith Indices of Body Symmetry, with an impairment focus, is a useful adjunct to the assessment and management of postural asymmetry in adults with cerebral palsy. [ABSTRACT FROM AUTHOR]

Cerebral Palsy (CP) is a common physical disability that is managed with a variety of strategies. One non-invasive intervention for people living with CP is a type of video self-modelling (VSM) referred to as positive self-review (PSR). PSR involves watching a video of oneself performing only the best examples of a desired task; this technique has been associated with improved performance and learning for people without disabilities and for those in various clinical populations, including children with spina bifida and stroke patients. PSR may have similar benefits for people living with CP. In this study we examined the effectiveness of PSR for improving a self-selected movement task among individuals living with CP. In this case study approach, eight participants completed a pre-, post-, and second post-test measuring and recording well-being, movement self-consciousness and tendency to consciously monitor movements. Results were mixed, with some participants improving their movement time, well-being ratings and tendency toward self-consciousness and conscious monitoring of movements and others showing no changes or regressions. The effectiveness of VSM appears to depend upon the match between type of task and disability and/or the length of practice. More study is needed. [ABSTRACT FROM AUTHOR]

To describe bimanual performance in a sample of Australian children with bilateral cerebral palsy (CP) and, examine the qualitative meaning (or interpretability) of scores on the Both Hands Assessment (BoHA). Children with bilateral CP aged 8–12 years (n = 54) classified Manual Ability Classification System (MACS) level I = 20, II = 18, III = 16 were examined using the BoHA. Bimanual performance was significantly different across MACS levels I-III (p < 0.001). Mean (95%CI) BoHA-unit for each MACS level were I = 85 (81–89), II = 72 (68–76) and III = 53 (49–56). Children with asymmetrical hand use (≥ 20% difference between upper limbs, n = 10) were classified MACS levels II and III and had a mean (95%CI) BoHA-unit of 56 (51–62). Children with symmetrical hand use were classified in MACS level I-III and had a mean (95%CI) BoHA-unit of 74 (70–79). The BoHA quantified observations of bimanual performance for children with bilateral CP, differentiated between MACS levels I-III and provided clinically meaningful information. The BoHA may facilitate tailoring of upper limb intervention. Future research is recommended to examine inter-rater and intra-rater reliability and responsiveness of the BoHA, as well as longitudinal studies of bimanual hand skill development in children with bilateral CP. [ABSTRACT FROM AUTHOR]

Objective Children born <30 weeks of gestation have more motor impairment than do children born at term (37–42 weeks gestation), but reported outcomes have largely focused on cerebral palsy and developmental coordination disorder. The aim of this study was to compare muscle strength, motor skills, and physical activity (PA) of preschool-aged children born <30 weeks with those born at term. Methods In this cohort study, 123 children born <30 weeks and 128 born at term were assessed. Children were aged ≥4 years, 0 months and <6 years, 0 months' corrected age at the time of the assessment. Outcomes included grip strength (kg), Movement Assessment Battery for Children 2nd edition (MABC-2), Little Developmental Coordination Disorder Questionnaire, accelerometer-measured PA, and a parent-completed PA diary. Linear regression and mixed effects models were used to examine differences between children born <30 weeks and those born at term. Results Children born <30 weeks had poorer grip strength (preferred hand; mean difference [95% CI] −0.60 kg [−1.04 to −0.15]) and poorer motor competence (Movement Assessment Battery for Children 2nd edition standard score mean difference −2.17 [−3.07 to −1.27]; Little Developmental Coordination Disorder Questionnaire total score mean difference −5.5 [−9.2 to −2.8]) than term-born children. Children born <30 weeks also completed fewer minutes of accelerometer-measured PA (mean difference −41 minutes [−62 to −20]), more minutes of accelerometer-measured stationary behavior (mean difference 33 minutes [12 to 54]), and more minutes of parent-reported screen time (mean difference 21 minutes [10 to 32]) per day. Conclusion Preschool-aged children born <30 weeks had poorer muscle strength, motor skills, and PA levels than term-born children. These findings suggest that preschool-aged children born <30 weeks may benefit from enhanced surveillance and PA promotion to improve life-long health outcomes. Impact In our study, children born <30 weeks had reduced muscle strength and poorer motor skills, participated in less PA, and had more stationary and screen behavior than term-born children. These findings emphasize that awareness of multidomain motor deficits in children born <30 weeks' gestation is needed in clinical practice. Given the associations between higher PA and health benefits and the recognition that PA levels can track from early childhood into adulthood, our study highlights the need for assessment and promotion of PA in preschool-aged children born <30 weeks' gestation. Lay Summary. Preschool-aged children born <30 weeks' gestation have poorer strength, motor skills, and physical activity behaviors than their term-born peers. Clinicians and early childhood educators should recognize that the preschool period is a critical time for the assessment and promotion of PA in children born <30 weeks. [ABSTRACT FROM AUTHOR]

Background: Neurocognitive outcomes beyond childhood in people with a Fontan circulation are not well defined. This study aimed to investigate neurocognitive functioning in adolescents and adults with a Fontan circulation and associations with structural brain injury, brain volumetry, and postnatal clinical factors.Methods: In a binational study, participants with a Fontan circulation without a preexisting major neurological disability were prospectively recruited from the Australia and New Zealand Fontan Registry. Neurocognitive function was assessed by using Cogstate software in 107 participants with a Fontan circulation and compared with control groups with transposition of the great arteries (n=50) and a normal circulation (n=41). Brain MRI with volumetric analysis was performed in the participants with a Fontan circulation and compared with healthy control data from the ABIDE I and II (Autism Brain Imaging Data Exchange) and PING (Pediatric Imaging, Neurocognition, and Genetics) data repositories. Clinical data were retrospectively collected.Results: Of the participants with a Fontan circulation who had a neurocognitive assessment, 55% were male and the mean age was 22.6 years (SD 7.8). Participants with a Fontan circulation performed worse in several areas of neurocognitive function compared with those with transposition of the great arteries and healthy controls (P<0.05). Clinical factors associated with worse neurocognitive outcomes included more inpatient days during childhood, younger age at Fontan surgery, and longer time since Fontan procedure (P<0.05). Adults with a Fontan circulation had more marked neurocognitive dysfunction than adolescents with a Fontan circulation in 2 domains (psychomotor function, P=0.01 and working memory, P=0.02). Structural brain injury was present in the entire Fontan cohort; the presence of white matter injury was associated with worse paired associate learning (P<0.001), but neither the presence nor severity of infarct, subcortical gray matter injury, and microhemorrhage was associated with neurocognitive outcomes. Compared with healthy controls, people with a Fontan circulation had smaller global brain volumes (P<0.001 in all regions) and smaller regional brain volumes in most cerebral cortical regions (P<0.05). Smaller global brain volumes were associated with worse neurocognitive functioning in several domains (P<0.05). A significant positive association was also identified between global brain volumes and resting oxygen saturations (P≤0.04).Conclusions: Neurocognitive impairment is common in adolescents and adults with a Fontan circulation and is associated with smaller gray and white matter brain volume. Understanding modifiable factors that contribute to brain injury to optimize neurocognitive function is paramount. [ABSTRACT FROM AUTHOR]

Objective: To investigate the effect of a social robot intervention on sleep and motor activity in nursing home residents living with dementia and chronic pain.Method: A pilot randomized controlled trial was conducted with 41 residents from three Australian nursing homes. People living with dementia and chronic pain were randomized into either a 30-minute daily social robot (PARO) condition or a usual care condition for six weeks. Sleep and motor activity were assessed by actigraphy at four-time points: week 0 at baseline, week one, week six, and after the intervention. Data were reduced into daytime (8:00am - 7:59pm) and night-time (8:00pm - 7:59am) summaries. Change scores for each time point compared with baseline were computed for data analysis and the generalized estimating equation model with imbalanced baseline values added as covariates were performed.Results: At week one, residents in the PARO group had a greater increase in the night sleep period (1.81, 95 % CI: 0.22-3.84, p = 0.030, Cohen's d = 0.570). At week six, residents in the PARO group showed a greater increase in daytime wakefulness (1.91, 95 % CI: 0.09-3.73, p = 0.042, Cohen's d = 0.655) and a greater reduction in daytime sleep (-1.35, 95 % CI: -2.65 to -0.05, p = 0.040, Cohen's d = 0.664). No significant results were found for motor activity.Conclusion: PARO could improve sleep patterns for nursing home residents living with dementia and chronic pain, but the effect of PARO on motor activity needs further research. Australian New Zealand Clinical Trials Registry (ACTRN12618000082202). [ABSTRACT FROM AUTHOR]

Objective: Infants born extremely preterm (EP, <28 weeks' gestation) exhibit poorer growth and neurodevelopmental impairment in early childhood compared with their term-born peers. Whether poor growth persists and whether associations of growth with neurodevelopmental functioning have changed in the decades since the introduction of surfactant are not well described. This study aims to (1) compare growth from birth to 2 years then 8 years in children born EP between three different eras, and (2) investigate the associations of growth from birth to 2 years then 8 years with cognitive, academic, executive and motor function at 8 years, and if associations have changed over time.Design: Prospective observational cohort studies in the State of Victoria, Australia in three discrete eras: 1991-1992, 1997 and 2005. EP children had weight and head circumference measured at birth, and weight, head circumference and height at 2 and 8 years. Cognitive ability, academic performance, executive function and motor skills were assessed at 8 years, corrected for prematurity.Results: 499/546 (91%) of surviving EP children were fully assessed at 8 years. Growth in children born EP did not differ substantially between eras and associations between growth and neurodevelopment did not change over time. Overall, better weight and head growth from birth to 2 years were associated with improved neurodevelopment at 8 years.Conclusions: Growth of children born EP has not improved in more recent eras. Better early head and weight growth are associated with improved neurodevelopment in mid-childhood. [ABSTRACT FROM AUTHOR]

Purpose: To compare the agility demands of 4 small-sided games (SSGs) and evaluate the variability in demands for elite Australian Football (AF). Methods: Fourteen male elite Australian Football League (AFL) players (mean ± SD; 21.7 ± 3.1 y, 189.6 ± 9.0 cm, 88.7 ± 10.0 kg, 39.4 ± 57.1 games) completed 4 SSGs of 3 x 45-s bouts each with modified designs. Video notational analysis, GPS at 5 Hz, and triaxial accelerom- eter data expressed the external player loads within games. Three comparisons were made using a paired t test (P < .05), and magnitudes of differences were reported with effect size (ES) statistics. Results: Reduced area per player (increased density) produced a small increase in total agility maneuvers (SSG1, 7.2 ± 1.3; SSG2, 8.8 ±4.1), while a large 2D player load was accumulated (P< .05, ES = 1.22). A reduction in players produced a moderate (ES = 0.60) total number of agility maneuvers (SSG 3, 11.3 ± 6.1; SSG 2, 8.3 ± 3.6); however, a greater variability was found. The implementation of a 2-handed-tag rule resulted in a somewhat trivial decline (P > .05, ES = 0.16) in agility events compared with normal AFL tackling rules (SSG 2, 8.3 ± 3.6; SSG 4, 7.8 ± 2.6). Conclusions: SSG characteristics can influence agility-training demand, which can vary considerably for individuals. Coaches should carefully consider SSG design to maximize the potential to develop agility for all players. [ABSTRACT FROM AUTHOR]

In Australian Football (AF), small-sided games (SSGs) are used extensively to replicate particular technical, tactical or physiological responses. Whilst research on SSGs has been extensive in soccer, in AF it has been limited to agility demands and exploring the effect of field dimensions on technical skill (i.e., handballing) and physical responses of senior athletes. Therefore, this study investigated the effect of four different SSG player number conditions (5v5, 5v6, 6v6, 7v7) on the technical (e.g., kicking) and physical (i.e., odometer, m-min−1, max velocity and percentage of high intensity running) performance outcomes in 22 sub-elite youth AF players. Particular constraints were applied to the SSG to ensure the focus was on kicking (i.e., after each handball a kick must be performed). The results of this study demonstrate when more technical events are required under more pressured situations (i.e., physical and time) the 5v6 condition appears to be most appropriate. However, when the focus is on kicking to a contested possession (i.e., kicking to leading or covered players) balanced player numbers (e.g., 6v6) would appear optimal. Alternatively, when the SSG focus is on increasing physiological demands (i.e., m.min−1) lower player density conditions (i.e., 5v5) appear more suitable. [ABSTRACT FROM AUTHOR]

Previous studies investigating the relationship between motor skill, physical activity and fitness in children have not thoroughly considered the role of self-perception. Therefore, the study aim was to test a theoretical framework, which considered both actual and perceived motor skill as well as actual and perceived fitness. Potential moderating effects of sex and country were considered. Data on motor skill, fitness, as well as self-perception of motor skill and fitness were collected from 145 Australian children and 214 German children (age range 7 to 10 years). For actual motor skill and fitness, mean differences for sex, age and country were found. For perceived motor performance (perceived motor skill and perceived fitness) no mean differences were found for age. Path analyses were performed. The final model showed significant relations between actual performance (object control skill, fitness) and perceived performance (object control skill, fitness). All model paths had low to moderate regression weights with the lowest relationship reported between actual and perceived fitness. Sex and country showed no effects. This integrated approach has led to a better understanding of the relationship between children's perceived and objective performance, and cultural differences within them. [ABSTRACT FROM AUTHOR]

Introduction: Screen‐time has become a regular occupation for young children at home and school, with little evidence of its impact on children's developmental skills. This study explored the association between children's screen‐time, fine motor, in‐hand manipulation (IHM), visual‐motor integration (VMI), sensory processing (SP) and parent‐reported play skills. Method: The fine motor, IHM, VMI, SP and play skills of a sample of 25 Australian children without disabilities (M age = 6.2 years, SD = 1.03; 64% girls) were assessed using the Bruininks–Oseretsky Test of Motor Proficiency—Second Edition, Test of In‐Hand Manipulation—Revised, Berry Buktenica Developmental Test of Visual‐Motor Integration Sixth Edition, Sensory Processing Measure—Home Form and Pretend Play Enjoyment Developmental Checklist (PPEDC). Parents completed a week‐long log of their child's screen‐time. Spearman's rho correlations and linear regressions with bootstrapping were used for data analysis. Results: Statistically significant moderate level negative correlations were found between Total Screen‐Time (TST) and VMI skills (r = −.67, p <.01); Interactive Screen‐Time and IHM abilities (r = −.46, p <.05) and TST and bilateral coordination skills (r = −.42, p <.05). There were significant negative correlations between SP ability and both TST (r = −.53, p <.01) and Watching Screen‐Time (r = −.66, p <.01). When the PPEDC Object Substitution variable was entered into a regression model as a co‐variate of hand function, it appeared to lessen the impact of TST as an independent predictor variable of children's VMI and bilateral coordination skills (p <.23 and p <.61). Conclusion: Playing with toys and using object substitution in play (e.g. a child uses an object for something else other than its intended use when playing with it) potentially appear to be a moderating factor of the impact of children's screen‐time on their bilateral coordination and VMI skills. Clinicians can encourage children's active and dynamic involvement in games and play pursuits to counteract the potential impact of increased use of devices that involve screen‐time. [ABSTRACT FROM AUTHOR]

In 2018, the University of Wollongong (UOW) launched The Future-Ready Library strategy. The inevitable question arose: How does one become 'future-ready'? The answer lies, in part, in proactively engaging with evolving technologies and improving individual staff digital dexterities. Coinciding with release of The Future-Ready Library strategy, the Digital Literacy Workplace Program was put in place to foster upskilling opportunities for Library staff. One of the outcomes of this program was the creation of a local Digital Humanities Community of Practice in 2018. This article focuses on the transformative journey of the Community of Practice in developing staff digital dexterity through the completion of mini projects. These mini projects incorporated both hard and soft skillsets to develop agile, future-focused, T-shaped professionals. While initially directed at developing digital dexterity and increased knowledge of the Digital Humanities, the Community of Practice recognized the need for adoption of a broader, more strategic approach, to support clients and staff in this area. This resulted in the launch of the Digital Scholarship Strategy project in 2020. The project group was tasked with scoping the feasibility of initiating a Library-led roll-out across the organization, or a tighter focused implementation within the UOW Library operational environment. The expedited move to online teaching and learning as a result of the COVID-19 pandemic highlighted the timeliness and applicability of these initiatives. [ABSTRACT FROM AUTHOR]

Introduction: The second edition of the Movement Assessment Battery for Children (M ABC‐2) is a standardised, norm referenced assessment that is frequently used by therapists to identify children with motor difficulties. The norms for the M ABC‐2 were derived from a sample of children in the United Kingdom (UK) and are combined across the age groups for boys and girls. The aims of this research were to investigate gender differences in the performance of 8‐ and 9‐year‐old Australian children and if the norms in our cohort differed from UK‐based M ABC‐2 norms. Methods: Children aged 8 or 9 years of age who underwent major neonatal cardiac or non‐cardiac surgery and healthy controls were assessed using the M ABC‐2 as part of the Development After Infant Surgery (DAISy) study. Results: There were statistically significant differences in the scores for boys and girls aged 8‐ and 9‐years old on the M ABC‐2. Girls performed better than boys in manual dexterity and on total standard scores. Our control group compared to the assessment norms scored significantly poorer in manual dexterity, aiming and catching and total standard scores. Conclusion: Caution should be used when interpreting the results of the M ABC‐2 for Australian 8‐ and 9‐year olds. Contemporary Australian, gender‐specific M ABC‐2 norms should be considered. Further research is required to investigate gender differences and differences in performance of Australian children compared to the assessment norms in other age groups on the M ABC‐2. [ABSTRACT FROM AUTHOR]

Aim: Gross motor skills are important for children's health and development. Delays in these skills are a concern for healthy developmental trajectories and therefore early identification of delay is important. This study screened for gross motor delay in children from low-income communities and investigated potential risk factors associated with gross motor delay.Methods: This cross-sectional study involved 701 pre-schoolers (Mage = 54.1 ± 8.6 months, 52.8% boys) from childcare services in low-income and remote communities in Australia. Gross motor delay was assessed using the Ages and Stages Questionnaire - third edition. Potential risk factors included: sex, age, birthweight, prematurity status, weight status, childcare service, postcode, parent's education, parent's marital status, parent's employment and family income.Results: Results showed 4.4% of the children were delayed in gross motor skills and 8.8% were at risk of delay. Logistic regression showed being a boy (odds ratio (OR) 1.78, 95% confidence interval (CI) 1.12-2.84), underweight (OR 2.72, 95% CI 1.18-6.30) or overweight (OR 1.83, 95% CI 1.00-3.33), and parental unemployment (OR 1.79, 95% CI 1.01-3.16) were factors associated with a higher odds of children being delayed or at risk of gross motor delay. A higher family income (OR 0.35, 95% CI 0.13-0.93) was associated with lower odds of delay.Conclusion: This unique study demonstrated children in low-income communities, especially boys, underweight and overweight children, have higher odds of being at risk of gross motor delay. Therefore, early screening is vital in this population in order to identify delays and potentially intervene with appropriate motor skill interventions. [ABSTRACT FROM AUTHOR]

Purpose: In Australian Football (AF), the ability to proficiently kick the ball is a critical skill and has been shown to be advantageous to a team's successful performance; however, a valid and reliable match referenced kicking assessment remains absent. Therefore, the aim of this study was to develop a valid and reliable AF kicking proficiency assessment comparative to match play kicking performance. Method: Youth male Australian Football players (n = 251) from different stages within the AF talent pathway were recruited. The developed AFFB-DKA (Australian Football Field-Based-Dynamic Kicking Assessment) considered particular constraints of match play kicking demands such as kick type, distance, delivery, and locomotion of the player receiving the ball. In total, 14 kicks were completed during the test. Validity (i.e., content, logical and construct) and reliability (i.e., test re-test) were assessed. Results: Findings indicate the kicking test can distinguish across and between age (i.e., U14; U16; U18) and skill groups (i.e., club; sub-elite; elite). The timeframe between U14 and U16 was identified as a potential key period where kicking skill acquisition may be most impressionable; however, further research is recommended to support this. Conclusion: The developed AFFB-DKA is the first Australian Football specific kicking assessment to consider and apply match play kicking constraints to make a more representative, valid and reliable assessment. [ABSTRACT FROM AUTHOR]

This study investigated the effects of periodized resistance training (PRD) and nonperiodized resistance training (NPRD) on army-specific fitness and skills performance measures. Forty-nine serving members of the Australian Army were randomly assigned to 1 of 3 training groups: PRD, NPRD, or no-resistance training (NRT). Resistance training (RT) was performed during PRD and NPRD twice a week for 9 weeks, over a 15-week period, as part of a structured strength and conditioning program. Baseline, mid- and post-testing measures included anthropometric, strength, and army-specific outcome measures. Results indicated that participants who undertook RT significantly improved in 3 repetition maximum (3RM) squat, deadlift, and floor press for both RT groups, at mid- and post-testing (p < 0.05), when compared with NRT. Significant improvements were also observed in 5-km weight load marching postintervention similarly for PRD (p < 0.05) and NPRD (p < 0.01) and simulated fire and movement for both RT groups at both time points (p < 0.01), compared with the NRT group (p > 0.05). Although little difference was observed between periodization models, the current findings suggest greater advantage in developing army-specific performances if a structured RT protocol is included in a generic physical training program compared with a NRT protocol. Therefore, a structured RT program should be considered for military personnel aiming to optimize army-specific fitness and skills performance. [ABSTRACT FROM AUTHOR]

Surgery is a high‐status, distinctly embodied, profession, dominated by men and saturated with masculine ideals of individual heroism, manual skill and detachment. In this study, we focus on exploring how surgery both represses, but also requires, caring work, creating gendered contradictions for the women that enter its ranks. Based on interviews with eighteen female surgeons from Australia and New Zealand, we apply a 'rationality of caring work' lens to explore how they experienced these contradictions through training, socialization and in everyday interactions. Our findings show inter‐related mechanisms whereby female surgeons are required to become more independent and self‐reliant than comparable men, but also make up for the systemic lack of care shown to junior staff and students. In particular, their pregnancy and motherhood challenge the ideal of the detached, independent, heroic agent. We conclude by discussing how a 'rationality of caring' lens could help unpack the gendered contradictions women experience in other elite professions. [ABSTRACT FROM AUTHOR]

Background Physical therapists need to be able to evaluate high-level gross motor skills of children to determine their capacity to engage in activities such as running, jumping, hopping, and stair climbing. The High-Level Mobility Assessment Tool (HiMAT) has excellent interrater and retest reliability and is less susceptible to a ceiling effect than existing mobility scales in children who are 6 to 17 years old and have traumatic brain injury. Objective The purposes of this study were to develop normative HiMAT score ranges for Australian children and to investigate the relationship between children's HiMAT scores and their age, height, weight, and body mass index (BMI). Design This study used a cross-sectional design. Methods Children included in this study were 5 to 12 years old, had no condition affecting their mobility, could follow 2-stage instructions, and had written informed consent from their parent or guardian. A total 1091 children were assessed at their local school, where their height, weight, and HiMAT score were recorded. The relationships between children's age, height, weight, and BMI were summarized using Spearman rank correlations. Truncated regression models were used to determine the most appropriate predictor variable for developing sex-specific normative ranges. Results There was a positive correlation between children's HiMAT scores and their age, height, weight, and BMI. Age explained the most variability in HiMAT scores for both boys and girls. Limitations The reliability, validity, and responsiveness of the HiMAT have not been tested across a broad range of children with mobility limitations. Normative data reported in this study are for Australian children only. Conclusions HiMAT scores for children in this study increased with age, height, weight, and BMI. Age was the most appropriate variable for developing a normative dataset of HiMAT scores for children of primary school age. [ABSTRACT FROM AUTHOR]

Background: Self-reported physical activity is inaccurate, yet few investigators attempt to adjust for measurement error when estimating risks for health outcomes. We estimated what the association between self-reported physical activity and colorectal cancer risk would be if physical activity had been assessed using accelerometry instead.Methods: We conducted a validation study in which 235 Australian adults completed a telephone-administered International Physical Activity Questionnaire (IPAQ), and wore an accelerometer (Actigraph GT3X+) for 7 days. Using accelerometer-assessed physical activity as the criterion measure, we calculated validity coefficients and attenuation factors using a structural equation model adjusted for age, sex, education and body mass index. We then used a regression calibration approach to apply the attenuation factors to data from the Melbourne Collaborative Cohort Study (MCCS) to compute bias-adjusted hazard ratios (HR) and 95% confidence intervals (CI).Results: Average daily minutes of physical activity from the short form of the International Physical Activity Questionnaire (IPAQ-short) were substantially higher than accelerometer-measured duration (55 versus 32 min). The validity coefficient (0.32; 95% CI: 0.20, 0.43) and attenuation factor (0.20; 95% CI: 0.12, 0.28) were low. The HRs for colorectal cancer risk for high (75th percentile; 411 min/week) versus low (25th percentile; 62 min/week) levels of self-reported physical activity were 0.95 (95% CI: 0.87, 1.05) before and 0.78 (95% CI: 0.47, 1.28) after bias adjustment.Conclusions: Over-estimation of physical activity by the IPAQ-short substantially attenuates the association between physical activity and colorectal cancer risk, suggesting that the protective effect of physical activity has been previously underestimated. [ABSTRACT FROM AUTHOR]

Introduction: Children with disabilities often experience unsupportive environments that restrict their play opportunities and inclusion on the school playground. This exclusion can perpetuate inequities for children with disabilities, with lifelong implications. The Sydney Playground Project uses a simple, innovative intervention consisting of placing recycled materials on the playground and engaging parents and educators in risk reframing sessions to create increased playground choice, control, independence and inclusion for all children. Methods: The purpose of this study was to learn from participants about the utility of the intervention for promoting choice and control among children with disability on the school playground. Data included evaluative interviews with 27 school staff (teaching assistants, teachers, therapists, school leadership) across five participating schools after completing of the intervention. Analysis was thematic and explored prominent ideas first within schools, and then between schools. Results: Prior to the intervention, participating school staff focused on active supervision to support play and student needs. During the intervention, school staff experienced role shift and confusion as they allowed the children increased independence while using the recycled materials and learned to navigate how much independence to give the children. Children engaged in increased imaginative and social play, and school staff adopted higher expectations of children's capabilities. Conclusion: Interventions such as the Sydney Playground Project that collaboratively shift adult perceptions to focus on the capabilities of children with disabilities and increase the supportiveness of the physical environment have great promise in increasing play choice and inclusion on the school playground. [ABSTRACT FROM AUTHOR]

Background: Fundamental motor skills (FMS) are important for physical activity and healthy weight status in children, yet it is unclear which early childhood factors facilitate subsequent motor skill. The aim of this prospective study was to investigate which modifiable family and home environment factors in the early years predict children's FMS at age five. Methods: Mothers from the Melbourne InFANT program (registered with the International Standard Randomised Controlled Trial Number Register (ISRCTN81847050)) completed questionnaires when child was aged 4, 9, 19 months old, and 3.5 years old on factors hypothesised to predict motor skills. Some factors were grouped in tertiles (high, medium, low) due to the nature of the distribution. At 5 years old children were assessed on 6 locomotor and 6 object control skills (Test of Gross Motor Development-2). Eight regression models examined the association between factors at each time-point and children's skills (object control and locomotor) at 5 years old. Results: The sample varied by time-point (178 to 259 children). Maternal physical activity optimism (4 months; β = 2.43), home physical activity equipment (9 months; β = 0.82), time outdoors – middle (9 months; β = 2.50) and highest tertile (9 months; β = 2.86), time free to move about - highest tertile (19 months; β = 2.41), time with older children - middle (19 months; β = 3.15) and highest tertile (3.5 years; β = 3.00) were predictive of better locomotor scores. Mothers' own physical activity (9 months; β = − 0.01) and time active with mum – highest tertile (3.5 years; β = − 3.73) were negatively associated with locomotor skill. Time with older children - highest (4 months; β = 2.27) and middle tertile (19 months; β = 2.97), time free to move about – middle (19 months; β = 2.55) and highest tertile (19 months; β = 2.47), and more home equipment (9 months; β = 0.83); (3.5 years; β = 0.17) were predictive of better object control skills. Maternal physical activity knowledge (3.5 years; β = − 3.05) was negatively associated with object control skill. Conclusions: Providing a supportive environment with older children and equipment, and allowing toddlers' freedom to move, appears important. Opportunities exist to educate parents on their important role in developing children's motor skills. Clinicians could advise parents that the home environment can make a difference to their child's FMS starting from infancy. [ABSTRACT FROM AUTHOR]

Purpose: To study the validity of a video-based reactive agility test in Australian footballers. Methods: 15 higher performance, 15 lower performance, and 12 nonfootballers completed a light-based reactive agility test (LRAT), a video-based reactive agility test (VRAT), and a planned test (PLAN). Results: With skill groups pooled, agility time in PLAN (1346 ± 66 ms) was significantly faster (P = .001) than both reactive tests (VRAT = 1550 ± 102 ms; LRAT = 1572 ± 97 ms). In addition, decision time was significantly faster (P = .001; d = 0.8) in LRAT (278 ± 36 ms) than VRAT (311 ± 47 ms). The correlation in agility time between the two reactive tests (r = .75) was higher than between the planned and reactive tests (r = .41-.68). Higher performance players had faster agility and movement times on VRAT (agility, 130 ± 24 ms, d = 1.27, P = .004; movement, 69 ± 73 ms, d = 0.88, P = .1) and LRAT (agility, 95 ± 86 ms, d = 0.99, P = .08; movement, 79 ± 74 ms; d = 0.9; P = .08) than the nonfootballers. In addition, higher (55 ± 39 ms, d = 0.87, P = .05) and lower (40 ± 57 ms, d = 0.74, P = .18) performance groups exhibited somewhat faster agility time than nonfootballers on PLAN. Furthermore, higher performance players were somewhat faster than lower performance for agility time on the VRAT (63 ± 85 ms, d = 0.82, P = .16) and decision time on the LRAT (20 ± 39 ms, d = 0.66, P = .21), but there was little difference in PLAN agility time between these groups (15 ± 150 ms, d = 0.24, P = .8). Conclusions: Differences in decision-making speed indicate that the sport-specific nature of the VRAT is not duplicated by a light-based stimulus. In addition, the VRAT is somewhat better able to discriminate different groups of Australian footballers than the LRAT. Collectively, this indicates that a video-based test is a more valid assessment tool for examining agility in Australian footballers. [ABSTRACT FROM AUTHOR]

The aim of this study was to assess the feasibility, acceptability and potential efficacy of a physical activity program for preschool children. A 20-week, 2-arm parallel cluster randomized controlled pilot trial was conducted. The intervention comprised structured activities for children and professional development for staff. The control group participated in usual care activities, which included designated inside and outside playtime. Primary outcomes were movement skill development and objectively measured physical activity. At follow-up, compared with children in the control group, children in the intervention group showed greater improvements in movement skill proficiency, with this improvement statically significant for overall movement skill development (adjust diff. = 2.08, 95% CI 0.76, 3.40; Cohen's d = 0.47) and significantly greater increases in objectively measured physical activity (counts per minute) during the preschool day (adjust diff. = 110.5, 95% CI 33.6, 187.3; Cohen's d = 0.46). This study demonstrates that a physical activity program implemented by staff within a preschool setting is feasible, acceptable and potentially efficacious. [ABSTRACT FROM AUTHOR]

Discusses the condition of physical education (PE) in Australia. Implementation of educational change under the governance of former Prime Minister Bob Hawke; Requirement for PE teachers to assist children in mastering fundamental motor skills; Problem on the dominance of team sports in the approach.

Failure to master age-appropriate fundamental movement skills (FMS) at a young age can limit motor skill competence affecting health. Assessments often have issues with feasibility and implementation in a field setting. As such, the purpose of this study was to investigate the validity and feasibility of the Athletic Skills Track (AST), in a pre-school setting. For the validation study sixty-five 3–6 year old children (25 boys and 40 girls) from five pre-schools across Adelaide, Australia participated. Correlations and linear regression analysis (adjusted for age and gender) were used to investigate the association between the time to complete the AST and the raw score of the Test of Gross Motor Development 2 (TGMD-2). For the feasibility study pre-school staff completed a semi-structured interview regarding the feasibility of the AST. The AST took less than a minute per child and the TGMD-2 around 20 minutes for two children. There was a strong negative correlation (r = −0.63, p < 0.01) between the AST scores and the TGMD-2 scores. All five staff reported strengths of the AST to be its short administration time, setup and appropriateness. These results suggest that the AST could be a feasible and valid method of FMS assessment in Australian pre-schools. [ABSTRACT FROM AUTHOR]

Research aims: This study explores the strategies that enable firms to establish supply chain agility and competitiveness in Australian manufacturing firms. Design/Methodology/Approach: Using a case study approach, interviews are conducted with eight Australian manufacturing firms. Underpinned by the dynamic capability perspective, data are then thematically analysed to derive the findings. Research findings: Agility strategies are based on collaborative efforts, requiring information sharing among firms in the supply chain and diversifying core competencies in a strategic manner to remain competitive. Theoretical contribution/Originality: This study shows how dynamic capabilities foster competitive advantage. It identifies both the strategic and operational agility which enable firms to respond to market changes and to remain competitive. Practitioner/Policy implication: The manufacturing industry in Australia is undergoing a transition where Australian manufacturers need to transform and be more agile by leveraging their competencies and supply chains collectively. Research limitation/implications: The results are based on a crosssectional study of firms identified from the Australian manufacturing industry. [ABSTRACT FROM AUTHOR]

This study determined if small-sided games could discriminate perceptual-cognitive-motor skill in Australian Rules Footballers. Higher skilled Western Australian Football League (WAFL) (n = 17) and lesser skilled Amateur (n = 23) players were recruited. Participants played three small-sided games of three minutes. Each disposal was scored for decision-making and motor skill execution, with these scores combined for a total score. Mann-Whitney U tests indicated significantly superior mean decision-making by higher skilled (Median = 2.90, Range = 0.30) over lesser skilled (Median = 2.80, Range = 0.73) (p =.012) players. Execution score was not significantly different between groups. Linear mixed model analysis found higher skilled players (M = 5.32, SD = 1.19) scored significantly higher than lower skilled players (M = 4.90, SD = 1.52) on total score (p =.009). Large effect sizes were found for decision-making and total score relative to games and position played in WAFL players. High agreement of scoring was observed for an elite (inter-rater) and a novice (intra-rater) coaches. Linear mixed model analysis indicated mean total scores of WAFL players significantly predicted disposal efficiency in match performance (p =.011). Small-sided games can be easily implemented to identify talented players and assess perceptual-cognitive-motor skill. [ABSTRACT FROM AUTHOR]

Background: The early years of life are critical for motor and cognitive development. A better understanding is needed on the associations between the control and development of motor and cognitive tasks.Aim: This study aimed to examine the association between gross motor skills and cognitive development in toddlers.Study Design: Cross-sectional study.Subjects: This study included 335 toddlers (aged 19.80 ± 4.08 months, 53.7% boys) from 30 childcare services in Australia.Outcome Measures: Children were assessed on gross motor skills (Peabody Developmental Motor Scales 2nd Edition; PDMS-2) and cognitive development (Bayley Scales of Infant and Toddler development 3rd edition; Bayley-III).Data Analysis: A one-way ANCOVA was conducted to assess associations between gross motor skills and cognitive development controlling for childcare center, sex, age, body mass index and socioeconomic status.Results: The average scores were 96.41 ± 9.84 for gross motor skills (range gross motor quotient 35-165) and 11.45 ± 3.03 for cognitive development (range standard score 1-19). There was a significant positive association between gross motor skills and cognition, F(2,260) = 12.245, p < 0.001. Both locomotion and object manipulation were significantly positively associated with cognition, F(2,266) = 14.607, p < 0.001 and F(2,265) = 9.039, p < 0.001 respectively.Conclusions: Levels of gross motor skills are positively associated with cognitive development in this sample of Australian toddlers. Results reinforce the need for early commencement of gross motor skill promotion as this might be important for cognitive development in the early years. [ABSTRACT FROM AUTHOR]

Abstract Question In adults undergoing rehabilitation after stroke, does 1 hour of additional active repetitive reaching per day prevent or reduce upper limb contracture? Design Multi-centre, randomised controlled trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Participants Fifty adults undergoing rehabilitation after stroke who were unable to actively extend the affected wrist past neutral or were unable to flex the affected shoulder to 90 deg. Setting Three inpatient rehabilitation units in Australia. Intervention Both groups received usual upper limb therapy 5 days a week for 5 weeks. In addition, the experimental group received up to 1 hour a day of active, intensive, repetitive upper limb training using the SMART Arm device 5 days a week for 5 weeks. Outcome measures Measures were collected at baseline (Week 0), after intervention (Week 5) and at follow-up (Week 7). The primary outcomes were passive range of wrist extension, elbow extension, and shoulder flexion at Week 5. The secondary outcomes were: the three primary outcomes measured at Week 7; passive range of shoulder external rotation; arm function; and pain at rest, on movement and during sleep measured at Weeks 5 and 7. Results Following an average of 2310 reaching repetitions, the mean effect at Week 5 on passive range of wrist extension was 1 deg (95% CI –6 to 8), elbow extension –6 deg (95% CI –12 to –1), and shoulder flexion 5 deg (95% CI –8 to 17). There were no statistically significant or clinically important effects of the intervention on any secondary outcomes. Conclusion In adults who are already receiving task-specific motor training for upper limb rehabilitation following stroke, 5 weeks of up to 1 hour of additional daily active repetitive motor training using the SMART Arm device did not prevent or reduce contracture in upper limb muscles. Trial registration ACTRN12614001162606. [ABSTRACT FROM AUTHOR]

Children's fundamental movement skill levels (FMS) predict moderate-to-vigorous physical activity (MVPA). Asian children have been reported as less active than English-Europeans, possibly due to poorer skills. This study compared the FMS of children from Culturally and Linguistically Diverse (CALD) backgrounds and examined FMS correlates. A total of 261 children (122 males) aged 9-to-11 years were divided based on language spoken at home: English-European (n = 105) and Asian (n = 156). Height, mass, FMS (Test of Gross Motor Development-2), MVPA (accelerometer) and cardio-respiratory fitness (20m multistage shuttle run) were directly measured. Sex, age, language and perceived sport competence (CY-PSPP) were self-reported. Independent sample t-tests assessed age, BMI, FMS and perception by CALD group. Linear mixed models examined FMS correlates. Asian-speaking children had lower object control skill (35.5 v 37.2; CI [0.17, 3.18]; p < 0.03) compared to English-European- children, but no between-group differences in locomotor skills were observed. Fitness, physical activity and sport competence perception were positively associated with object control, yet adjusting for these variables (and age and BMI) did not remove the CALD effect (B = −2.02, SE = 0.69, p = 0.004). Cultural factors may affect object control competence in Asian-Australian children. [ABSTRACT FROM AUTHOR]