Dr Ishanka Rajapaksha Mudiyanselage

Dr Ishanka Rajapaksha Mudiyanselage

Research Assistant

School of Health Sciences

Career Summary

Biography

Dr Weerasekara is a physiotherapist with over 5 years of experience in sports and general rehabilitation. She was working as a lecturer at University of Peradeniya, Sri Lanka before she joined with The University of Newcastle in 2015 as a PhD candidate. Currently she works as a research assistant (part time) and as a sessional academic for several Physiotherapy courses. Further, she supervises honours and RHD students. Her main area of research focus to date has been ankle sprains/instability and joint mobilisation. Other areas of interest include physical activity in stroke survivors, chronic diseases and systematic/scoping reviews.



Qualifications

  • Doctor of Philosophy, University of Newcastle
  • Bachelor of Science, University of Peradeniya - Sri Lanka
  • Master of Philosophy, University of Peradeniya - Sri Lanka

Keywords

  • Ankle Instability
  • Ankle Sprains
  • Chronic Diseases
  • Scoping Review
  • Systematic Review

Languages

  • English (Fluent)
  • Sinhalese (Mother)

Fields of Research

Code Description Percentage
110317 Physiotherapy 100

Professional Experience

UON Appointment

Title Organisation / Department
Casual Academic University of Newcastle
School of Health Sciences
Australia

Professional appointment

Dates Title Organisation / Department
1/9/2019 -  Research Assistant The University of Newcastle - The School of Health Sciences
Australia
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Publications

For publications that are currently unpublished or in-press, details are shown in italics.


Book (1 outputs)

Year Citation Altmetrics Link
2015 Rajapaksha Mudiyanselage I, Home Exercise Guide for Ankle Sprain, LAP Lambert Academic Publishing, Germany (2015)

Chapter (1 outputs)

Year Citation Altmetrics Link
2021 Pillay M, Weerasekara I, Ranawalage UCR, Boateng EB, 'Investigating the Measurement of Resilience Engineering for Improving Organisational Safety', 253-257 (2021)

© 2021, The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG. This project investigates the measurement of resilience enginee... [more]

© 2021, The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG. This project investigates the measurement of resilience engineering. A growing body of peer-reviewed studies continues to be published on resilience engineering, demonstrates its recognition and importance to safety across a range of industrial contexts. However, little attention has focused on developing an understanding of how it has been conceptualized and measured. This is a significant gap which can limit its operationalization, benchmarking and evaluation n for research and practice. This paper presents an integrative review project currently underway which seeks to address this gap. After completing a systematic search and selection strategy seventeen articles were selected for analysis. Initial findings suggest fifteen survey instruments have been used in these studies.

DOI 10.1007/978-3-030-58282-1_40
Co-authors Emmanuel Boateng Uon, Manikam Pillay

Journal article (19 outputs)

Year Citation Altmetrics Link
2020 Borges do Nascimento IJ, Cacic N, Abdulazeem HM, von Groote TC, Jayarajah U, Weerasekara I, et al., 'Novel Coronavirus Infection (COVID-19) in Humans: A Scoping Review and Meta-Analysis.', J Clin Med, 9 (2020)
DOI 10.3390/jcm9040941
Citations Web of Science - 60
2020 Weerasekara I, Tennakoon SUB, Suraweera HJ, 'Pain Level, Range of Motion, and Foot Volume Do Not Differ in Recurrent and First-Time Ankle Sprains', Foot and Ankle Specialist, 13 116-122 (2020)

© 2019 The Author(s). Objective. This study aims to describe the clinical features in terms of pain perception, ankle range of motion, and foot volume in participants with recurre... [more]

© 2019 The Author(s). Objective. This study aims to describe the clinical features in terms of pain perception, ankle range of motion, and foot volume in participants with recurrent ankle sprains compared with first-time sprains. Methods. Individuals with grade I and II ankle sprains were referred to physiotherapy care for further rehabilitation by their general practitioner. Primary outcome measures were range of movement, pain, and foot volume. Recurrences were described according to engagement in sport. Results. A total of 115 participants were recruited (age = 22.2 ± 6.9 years; female, 84). Neither pain level (P =.822), nor range of motion (dorsiflexion P =.452; plantar flexion P =.436; inversion P =.383; eversion P =.657), nor foot volume (P =.654) were significantly different between the groups: individuals with first-time sprain or with recurrences. Conclusion. Pain and high existence of other lower-limb injuries were reported disregarding the presence of a recurrence. Clinically, it is difficult to differentiate recurrent sprain from a first-time ankle sprain by means of foot volume, range of movement, or pain intensity.

DOI 10.1177/1938640019843331
2020 do Nascimento IJB, von Groote TC, O'Mathúna DP, Abdulazeem HM, Henderson C, Jayarajah U, et al., 'Clinical, laboratory and radiological characteristics and outcomes of novel coronavirus (SARS-CoV-2) infection in humans: A systematic review and series of meta-analyses', PLoS ONE, 15 (2020)

Copyright: © 2020 Borges do Nascimento et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted us... [more]

Copyright: © 2020 Borges do Nascimento et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. New evidence on the COVID-19 pandemic is being published daily. Ongoing high-quality assessment of this literature is therefore needed to enable clinical practice to be evidence-based. This review builds on a previous scoping review and aimed to identify associations between disease severity and various clinical, laboratory and radiological characteristics. We searched MEDLINE, CENTRAL, EMBASE, Scopus and LILACS for studies published between January 1, 2019 and March 22, 2020. Clinical studies including =10 patients with confirmed COVID-19 of any study design were eligible. Two investigators independently extracted data and assessed risk of bias. A quality effects model was used for the meta-analyses. Subgroup analysis and meta-regression identified sources of heterogeneity. For hospitalized patients, studies were ordered by overall disease severity of each population and this order was used as the modifier variable in meta-regression. Overall, 86 studies (n = 91,621) contributed data to the meta-analyses. Severe disease was strongly associated with fever, cough, dyspnea, pneumonia, any computed tomography findings, any ground glass opacity, lymphocytopenia, elevated C-reactive protein, elevated alanine aminotransferase, elevated aspartate aminotransferase, older age and male sex. These variables typically increased in prevalence by 30-73% from mild/early disease through to moderate/ severe disease. Among hospitalized patients, 30-78% of heterogeneity was explained by severity of disease. Elevated white blood cell count was strongly associated with more severe disease among moderate/severe hospitalized patients. Elevated lymphocytes, low platelets, interleukin-6, erythrocyte sedimentation rate and D-dimers showed potential associations, while fatigue, gastrointestinal symptoms, consolidation and septal thickening showed non-linear association patterns. Headache and sore throat were associated with the presence of disease, but not with more severe disease. In COVID-19, more severe disease is strongly associated with several clinical, laboratory and radiological characteristics. Symptoms and other variables in early/mild disease appear non-specific and highly heterogeneous.

DOI 10.1371/journal.pone.0239235
2020 English C, Weerasekara I, Carlos A, Chastin S, Crowfoot G, Fitzsimons C, et al., 'Investigating the rigour of research findings in experimental studies assessing the effects of breaking up prolonged sitting extended scoping review', Brazilian Journal of Physical Therapy, (2020)

© 2020 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia Objectives: Sedentary behaviour research is a relatively new field, much of which has emerged since the wi... [more]

© 2020 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia Objectives: Sedentary behaviour research is a relatively new field, much of which has emerged since the widespread acceptance of clinical trial registration. The aim of this study was to investigate the trial registration and related issues in studies investigating the effect of frequent activity interruptions to prolonged sitting-time. Methods: Secondary analysis of a scoping review including systematic searches of databases and trial registries. We included experimental studies investigating the effects of frequent activity interruptions to prolonged sitting-time. Results: We identified 32 trials published in 45 papers. Only 16 (50%) trials were registered, with all 16 trials being completed and published. Of the unregistered trials, we identified three (19%) for which similarities in the sample size and participant demographics across papers was suggestive of duplicate publication. Identification of potential duplicate publications was difficult for the remaining 13 (81%). Results from 53 (76%) of the 70 registered outcomes were published, but 11 (69%) registered trials reported results from additional outcomes not prospectively registered. A total of 46 different outcomes (out of 53 reported outcome measures, similar measures were collated) were reported across all trials, 31 (67%) of which were collected in =2 trials. Conclusions: We found direct evidence of trial registration issues in experimental trials of breaking up sitting-time. The lack of prospective registration of all trials, and the large number of outcomes measured per trial are key considerations for future research in this field. These issues are unlikely to be confined to the field of sedentary behaviour research.

DOI 10.1016/j.bjpt.2020.04.007
Citations Scopus - 1
Co-authors Coralie English, Heidi Janssen, Gary Crowfoot, Liz Holliday
2020 Weerasekara I, Deam H, Bamborough N, Brown S, Donnelly J, Thorp N, Rivett DA, 'Effect of Mobilisation with Movement (MWM) on clinical outcomes in lateral ankle sprains: A systematic review and meta-analysis', Foot, 43 (2020) [C1]
DOI 10.1016/j.foot.2019.101657
Co-authors Darren Rivett
2020 Marquez J, Rajapaksha Mudiyanselage I, Chambers L, 'Hippotherapy in adults with acquired brain injury: A systematic review.', Physiotherapy theory and practice, 36 779-790 (2020) [C1]
DOI 10.1080/09593985.2018.1494233
Citations Scopus - 2Web of Science - 3
Co-authors Jodie Marquez
2019 Mackie P, Weerasekara I, Crowfoot G, Janssen H, Holliday E, Dunstan D, English C, 'What is the effect of interrupting prolonged sitting with frequent bouts of physical activity or standing on first or recurrent stroke risk factors? A scoping review', PLoS ONE, 14 1-24 (2019) [C1]
DOI 10.1371/journal.pone.0217981
Citations Scopus - 2Web of Science - 1
Co-authors Liz Holliday, Coralie English, Gary Crowfoot, Heidi Janssen
2019 Weerasekara I, Osmotherly PG, Snodgrass SJ, Tessier J, Rivett DA, 'Effects of mobilisation with movement (MWM) on anatomical and clinical characteristics of chronic ankle instability: a randomised controlled trial protocol', BMC MUSCULOSKELETAL DISORDERS, 20 (2019)
DOI 10.1186/s12891-019-2447-x
Co-authors Peter Osmotherly, Darren Rivett, John Tessier, Suzanne Snodgrass
2019 Dobbe JGG, Streekstra GJ, Blankevoort L, Wiegerinck JI, Maas M, Zwiers R, et al., 'Exorotated radiographic views have additional diagnostic value in detecting an osseous impediment in patients with posterior ankle impingement', Journal of ISAKOS, 4 181-187 (2019)

© International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine 2019. No commercial re-use. See rights and permissions. Published by BMJ. Objectives A standar... [more]

© International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine 2019. No commercial re-use. See rights and permissions. Published by BMJ. Objectives A standard lateral radiograph is the first step in the diagnostic workup in patients with posterior ankle pain. Because of overprojection by other structures at suboptimal radiographic projection angle, often an os trigonum is not discovered or erroneously be mistaken for a hypertrophic posterior talar process. The aim of this study was to identify the projection angles at which a radiograph is optimal for detecting bony impediments in patients suffering from posterior ankle impingement. Methods Using ankle CT scans of patients with posterior ankle impingement, digitally reconstructed radiographs (DRRs) simulating 13 different radiographic projection angles were generated. The ankle CT scans served as a reference for the detection of an os trigonum and hypertrophic posterior talar process. Members of the Ankleplatform Study Group were invited to assess the DRRs, for presence or absence of an os trigonum or hypertrophic posterior talar process. Diagnostic accuracy and interobserver reliability were estimated for each projection angle. In addition, the diagnostic accuracy of the standard lateral view in combination with the rotated views was calculated. Results High sensitivity for detecting an os trigonum was found for +15° (90.3%), +20° (81.7%) and +25° (89.7%) degrees of exorotation. Specificity in this range of projection angles was between 89.6% and 97.8%. Regarding the presence of a hypertrophic posterior talar process, increased sensitivity was found for +15° (65.7%), +20° (61.0%), +25° (60.7%), +30° (56.3%) and +35° (54.5%). Specificity ranged from 78.0% to 94.7%. The combination of the standard lateral view in combination with exorotated views showed higher sensitivity. For detecting an os trigonum, a negative predictive value of 94.6% (+15°), 94.1% (+20°) and 96.1% (+25°) was found. Conclusion This study underlines the additional diagnostic value of exorotated views instead of, or in addition to the standard lateral view in detecting an osseous impediment. We recommend to use the 25° exorotated view in combination with the routine standard lateral ankle view in the workup of patients with posterior ankle pain. Level of evidence Level III.

DOI 10.1136/jisakos-2019-000272
2018 Weerasekara I, Osmotherly P, Snodgrass S, Marquez J, de Zoete R, Rivett DA, 'Clinical Benefits of Joint Mobilization on Ankle Sprains: A Systematic Review and Meta-Analysis', Archives of Physical Medicine and Rehabilitation, 99 1395-1412.e5 (2018) [C1]

© 2017 American Congress of Rehabilitation Medicine Objective: To assess the clinical benefits of joint mobilization for ankle sprains. Data Sources: MEDLINE, MEDLINE In-Process, ... [more]

© 2017 American Congress of Rehabilitation Medicine Objective: To assess the clinical benefits of joint mobilization for ankle sprains. Data Sources: MEDLINE, MEDLINE In-Process, Embase, AMED, PsycINFO, CINAHL, Cochrane Library, PEDro, Scopus, SPORTDiscus, and Dissertations and Theses were searched from inception to June 2017. Study Selection: Studies investigating humans with grade I or II lateral or medial sprains of the ankle in any pathologic state from acute to chronic, who had been treated with joint mobilization were considered for inclusion. Any conservative intervention was considered as a comparator. Commonly reported clinical outcomes were considered such as ankle range of movement, pain, and function. After screening of 1530 abstracts, 56 studies were selected for full-text screening, and 23 were eligible for inclusion. Eleven studies on chronic sprains reported sufficient data for meta-analysis. Data Extraction: Data were extracted using the participants, interventions, comparison, outcomes, and study design approach. Clinically relevant outcomes (dorsiflexion range, proprioception, balance, function, pain threshold, pain intensity) were assessed at immediate, short-term, and long-term follow-up points. Data Synthesis: Methodological quality was assessed independently by 2 reviewers, and most studies were found to be of moderate quality, with no studies rated as poor. Meta-analysis revealed significant immediate benefits of joint mobilization compared with comparators on improving posteromedial dynamic balance (P=.0004), but not for improving dorsiflexion range (P=.16), static balance (P=.96), or pain intensity (P=.45). Joint mobilization was beneficial in the short-term for improving weight-bearing dorsiflexion range (P=.003) compared with a control. Conclusions: Joint mobilization appears to be beneficial for improving dynamic balance immediately after application, and dorsiflexion range in the short-term. Long-term benefits have not been adequately investigated.

DOI 10.1016/j.apmr.2017.07.019
Citations Scopus - 4Web of Science - 3
Co-authors Darren Rivett, Peter Osmotherly, Suzanne Snodgrass, Jodie Marquez
2018 Hunter D, Rivett D, Rajapaksha Mudiyanselage I, McKiernan S, Snodgrass S, 'Is the inclinometer a valid measure of thoracic kyphosis? A cross-sectional study', Brazilian Journal of Physical Therapy, 22 310-317 (2018) [C1]
DOI 10.1016/j.bjpt.2018.02.005
Citations Scopus - 1Web of Science - 1
Co-authors Darren Rivett, Suzanne Snodgrass, Sharmaine Mckiernan
2017 Rajapaksha Mudiyanselage I, Hiller C, 'Chronic musculoskeletal ankle disorders in Sri Lanka', BMC Musculoskeletal Disorders, 18 (2017)
DOI 10.1186/s12891-017-1580-7
Citations Scopus - 2
2016 RAJAPAKSHA MUDIYANSELAGE I, Tennakoon SUB, Suraweera HJ, 'Contrast Therapy and Heat Therapy in Subacute Stage of Grade I and II Lateral Ankle Sprains', Foot & Ankle Specialist, 9 307-323 (2016)
DOI 10.1177/1938640016640885
2016 Rajapaksha Mudiyanselage I, Banneheka BMHSK, Sivananthawerl T, Fahim ACM, 'Awareness among School Athletes about The Handling and Transferring Techniques of a Suspected Spinal Cord Injured Athlete', International Journal of Neurorehabilitation, 3 (2016)
DOI 10.4172/2376-0281.1000217
2015 Rajapaksha Mudiyanselage I, Tennakoon SUB, Suraweera HJ, 'Effect of a self - managed exercise protocol for subjects with ankle sprain', The Foot and Ankle Online Journal, 8 8-8 (2015)
DOI 10.3827/faoj.2015.0801.0008
2014 Rajapaksha Mudiyanselage I, Wadugodapitiya S, Liyanage E, Dissanayaka D, Liyanage I, Kodikara D, Banneheka S, 'Influence of English on academic performance of physiotherapy students', International Journal of Multidisciplinary Research and Development, 1 169-172 (2014)
2013 Rajapaksha Mudiyanselage I, Banneheka S, 'Awareness about Spinal Cord Injuries among School Athletes of Kandy Educational Zone, Sri Lanka', International Journal of Scientific and Research Publications, 3 (2013)
2013 Rajapaksha Mudiyanselage I, 'The Prevalence of Hamstring Tightness among the Male Athletes of University of Peradeniya in 2010, Sri Lanka', International Journal of Physical Medicine & Rehabilitation, 01 (2013)
DOI 10.4172/2329-9096.1000108
Borges do Nascimento IJ, Marusic A, Cacic N, Mohamed Abdulazeem H, Abdar Esfahani M, Jayarajah U, et al., 'Novel Coronavirus (2019-nCoV) Infection in Humans: A Scoping Review and Meta-Analysis', SSRN Electronic Journal,
DOI 10.2139/ssrn.3550028
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Conference (7 outputs)

Year Citation Altmetrics Link
2019 Weerasekara I, Osmotherly P, Snodgrass S, Tessier J, Rivett D, 'Fibular position in chronic ankle instability radiographically measured in weight-bearing', Fibular position in chronic ankle instability radiographically measured in weight-bearing, Amsterdam, The Netherlands (2019)
Co-authors Darren Rivett, Peter Osmotherly, Suzanne Snodgrass
2019 Rajapaksha Mudiyanselage IM, Osmotherly P, Snodgrass S, Tessier J, Rivett D, 'Fibular position in chronic ankle instability (CAI) and the reliability of weight bearing radiographic measurements of fibular position.', (ACCEPTED), Geneva, Switzerland (2019)
Co-authors Suzanne Snodgrass, Darren Rivett, Peter Osmotherly
2018 Hunter D, Snodgrass SNJ, weerasekara I, Rivett DA, McKiernan ST, 'Thoracic Kyphosis: The Modified Cobb Angle and Inclinometer Measurement.', Canberra (2018)
Co-authors Darren Rivett, Suzanne Snodgrass, Sharmaine Mckiernan
2017 Rajapaksha Mudiyanselage I, Marsden D, English C, Kramer S, Callister R, Bernhardt J, et al., 'Building a Compendium of Energy Expenditure Rates during Physical Activities in People After Stroke: Protocol for a Systematic Review and Meta-analysis.', International Journal of Stroke 12(3_suppl):51-2, Queenstown, New Zealand (2017)
DOI 10.1177/1747493017720548
Co-authors Robin Callister, Neil Spratt, Coralie English
2017 Rajapaksha Mudiyanselage I, Hiller C, 'O3 Chronic musculoskeletal ankle disorders in Sri Lanka', BRITISH JOURNAL OF SPORTS MEDICINE 51(Suppl 1) A1-A2, Chapel Hill, North Carolina, US (2017)
2017 Rajapaksha Mudiyanselage I, Osmotherly PG, Snodgrass S, Marquez J, de Zoete R, Rivett DA, 'A systematic review and meta analysis of the clinical benefits of passive joint mobilisation on ankle sprains.', Momentum 2017. Proceedings of Australian Physiotherapy Association Biennial Conference, Sydney (2017)
Co-authors Peter Osmotherly, Darren Rivett, Suzanne Snodgrass, Jodie Marquez
2016 Weerasekara I, Osmotherly P, Snodgrass S, de Zoete R, Rivett D, 'Clinical Benefits of Passive Joint Mobilisation on Ankle Sprains', Melbourne (2016)
Co-authors Darren Rivett, Suzanne Snodgrass, Peter Osmotherly
Show 4 more conferences
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Research Supervision

Number of supervisions

Completed1
Current1

Current Supervision

Commenced Level of Study Research Title Program Supervisor Type
2020 PhD Exercise prescription in the elderly residing in Aged care facilities Physiotherapy, Faculty of Health and Medicine, The University of Newcastle Co-Supervisor

Past Supervision

Year Level of Study Research Title Program Supervisor Type
2019 Honours What do stroke survivors value about participating in research and what are their top research priorities? A survey Physiotherapy, Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
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Dr Ishanka Rajapaksha Mudiyanselage

Positions

Research Assistant
School of Health Sciences
Faculty of Health and Medicine

Casual Research Assistant
School of Health Sciences
Faculty of Health and Medicine

Casual Academic
School of Health Sciences
Faculty of Health and Medicine

Casual Research Assistant
School of Health Sciences
Faculty of Health and Medicine

Casual Research Assistant
School of Health Sciences
Faculty of Health and Medicine

Casual Research Assistant
School of Medicine and Public Health
Faculty of Health and Medicine

Contact Details

Email ishanka.rajapakshamudiyanselage@newcastle.edu.au

Office

Room HA.06
Building Hunter Building
Location Callaghan
University Drive
Callaghan, NSW 2308
Australia
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