Professor Nora

Professor Nora Shields

Professor in Clinical and Community Practice (Allied Health, Northern Health)

College of Science, Health and Engineering

School of Allied Health

Department of Rehabilitation, Nutrition and Sport

Melbourne (Bundoora)

Research centres

Centre for Sport and Social Impact

Qualifications

PhD Trinity College Dublin, BSc (Hons) Physiotherapy Trinity College Dublin, Grad Dip Stats Trinity College Dublin, Grad Cert Higher Education La Trobe University

Role

Academic

Membership of professional associations

Member of the Irish Society of Chartered Physiotherapists

Area of study

Physiotherapy

Brief profile

Professor Shields' research to date has helped to improve the health and wellbeing of people with disability through engagement in physical activity and exercise. She has received a number of research awards including the Community Research Prize from the Australasian Academy of Cerebral Palsy and Developmental Medicine and has a strong track record in research publications, engagement, knowledge translation and research higher degrees student supervision. She was a director on the board of Disability Sport and Recreation (2011-2013). She also has considerable experience in the management of clinical trials and recently completed a NHMRC funded randomised controlled trial investigating the effects of a community based strength training program for young people with Down syndrome which involved the participants training with physiotherapy student mentors from La Trobe University. She was a chief investigator on a NHMRC Partnership project investigating the effects of providing an extra day of allied health therapy. She is a chief investigator on NHMRC funded collaborative research translation projects involving five health services across four Australian states aimed at increasing the uptake of evidence based practice among clinicians working with people with disabilities.

Research interests

Disability

- Improving health and wellbeing among people with disability through physical activity and exercise

Rehabilitation

- Are physical activity guidelines relevant for in-patients receiving rehabilitation

Recent publications

1. Cleary S, Taylor N, Dodd K, Shields N (2016). An aerobic exercise programme for young people with cerebral palsy in specialist schools: a phase I randomised controlled trial. Developmental Neurorehabiltiation (in press).

2. Shoebridge A, Webster K, Shields N (2016). Minding the body: An interdisciplinary theory of optimal posture for musicians. Psychology of Music (in press)

3. Dennett AM, Peiris CL, Shields N, Morgan D, Taylor NF. (2016). Does psycho-education added to oncology rehabilitation improve physical activity and other health outcomes? A systematic review. Rehabilitation Oncology (in press)

4. Kerr C, Shields N, Quarmby L, Roberts K, Imms C. Supports and barriers to implementation of routine clinical assessment for children with cerebral palsy: a mixed-methods study. Disability and Rehabilitation (in press)

5. Lewis M, Peiris CL, Shields N. Long-term (>3 months) home and community based exercise programs improve function in community-dwelling older people with cognitive impairment: a systematic review and meta-analysis. Journal of Physiotherapy (in press)

6. Dennett AM, Peiris CL, Shields N, Morgan D, Taylor NF. (2016). Exercise therapy in oncology rehabilitation in Australia, ‘why isn’t it standard practice?’: A mixed-methods study. Asia Pacific Journal of Clinical Oncology (in press)

7. Shields N, Lim P, Wollersheim D, Nikolopoulos N, Barrett J, Evans A, Taylor N and Munteanu S. (2015). Do foot posture, deformity and footwear fit influence physical activity levels in children with Down syndrome? A prospective cohort study. Journal of Intellectual and Developmental Disabilities (in press)

8. Peiris C, Cumming T, Kramer S, Johnson L, Taylor NF, Shields N (2016). Accelerometer use in young people with Down syndrome: a preliminary cross-validation and reliability study. Journal of Intellectual and Developmental Disabilities (in press).

9. Shields N, Hussey J, Murphy J, Gormley J, Hoey H (2016). An exploratory study of the association between physical activity, cardiovascular fitness, and body size in children with Down syndrome. Developmental Neurorehabiltiation (in press).

10. Grimshaw S, Taylor N, Shields N (2016). The feasibility of physical activity interventions during the intense treatment phase for children and adolescents with cancer: A systematic review. Pediatric Blood & Cancer 63, 1586–1593.

11. Harrison A, Shields N, Taylor N, Frawley H (2016). Exercise for women diagnosed with gestational diabetes mellitus improves glycaemic control: a systematic review. Journal of Physiotherapy 62, 188–196.

12. Whiteside M, Smith R, Gazarek J, Shields N. (2016). A framework for enabling evidence based practice in allied health. Australian Social Work 69, 417-427.

13. O’Halloran P, Blackstock F, Shields N, Taylor N. (2015). Motivational interviewing increases physical activity and self-efficacy in people living in the community after hip fracture: a randomized controlled trial. Clinical Rehabilitation 30, 1108-1119.

14. Harding K, Shields N, Whiteside M, Taylor N (2016). 'A great first step into research': Stepping into Research is an effective and sustainable model for research training in clinical settings. Journal of Allied Health 45, 176-182.

15. Taylor N, Peiris C, Kennedy G, Shields N (2016). Walking tolerance of patients recovering from hip fracture: A phase I trial. Disability and Rehabilitation 38, 1900-1908.

16. Bruder A, Shields N, Dodd K, Hau R, Taylor N (2016). A progressive exercise and structured advice program does not improve activity more than structured advice alone following a distal radial fracture: A multi-centre phase I/II randomised controlled trial. Journal of Physiotherapy 62, 145–152.

17. English C, Shields N, Brusco T, Taylor N, Watts J, Peiris C, Bernhardt J, Crotty M, Esterman A, Segal L, Hillier S (2016). Additional weekend therapy may reduce length of rehabilitation stay after stroke: An individual patient data meta-analysis. Journal of Physiotherapy 62, 124–129.

18. Imms C, Froude E, Adair B, Shields N (2016). A descriptive study of the participation of children and adolescents in activities outside school. BMC Pediatrics 16:84

19. van de Water A, Davidson M, Shields N, Evans M, Taylor N (2016). The Shoulder Function Index (SFInX): evaluation of its measurement properties in people recovering from a proximal humeral fracture. BMC Musculoskeletal Disorders 17:295.

20. Dennett AM, Peiris CL, Shields N, Prendergast LA, Taylor NF. Title: Moderate-intensity exercise reduces fatigue and improves mobility in cancer survivors: a systematic review and meta-regression. Journal of Physiotherapy 62, 68–82.

21. MacDougall H, O’Halloran P, Sherry E, Shields N. (2016). Needs and strengths of Australian Para athletes: identifying the subjective, psychological, social, and physical health and well-being. The Sport Psychologist 30, 1-12.

22. O’Connor B, Kerr C, Shields N, Imms C (2016). A systematic review of evidence-based assessment practices by allied health practitioners for children with cerebral palsy. Developmental Medicine and Child Neurology 58, 332–347.

23. Shields N, Synnot A (2016). Perceived barriers and facilitators to participation in physical activity for children with disability: a qualitative study. BMC Pediatrics 16:9.

24. Moore, M., Warburton, J., O'Halloran, P., Shields, N., Kingsley, M. (2016). Effective community-based physical activity interventions for older adults living in rural and regional areas: a systematic review. Journal of Aging and Physical Activity 24, 158 – 167.

25. Woodmansee C, Hahne A, Imms C, Shields N (2016). Comparing participation in physical recreation activities between children with disability and children with typical development: a secondary analysis of matched data. Research in Developmental Disabilities 49–50, 268–276.

Older publications

1. Shields N, Synnot A, Kearns C (2015). The extent, context and experience of participation in out-of-school activities among children with disability. Research in Developmental Disabilities 47, 165–174.

2. Darzins S, Imms C, Shields N, Taylor N (2015). Responsiveness, construct, and criterion validity of the Personal Care- Participation Assessment and Resource Tool (PC-PART). Health and Quality of Life Outcomes 13, 125.

3. Ellis R, Shields N, Lim K, Dodd K. (2015). Effect of eccentric exercise in adults with cardiorespiratory disease: A systematic review. Clinical Rehabilitation 29, 1178-1197.

4. MacDougall H, Shields N, O’Halloran P, Sherry E. (2015). Comparing the Well-Being of Athletes With and Without a Disability: A Systematic Review. Adapted Physical Activity Quarterly 32, 256-276.

5. Brusco T, Watts J, Shields N, Taylor N. (2015). Is cost effectiveness sustained after weekend inpatient rehabilitation? 12 month follow up from a randomized controlled trial. BMC Health Services Research 15, 165.

6. Lawlor K, Taylor N, Shields N. (2015). Involving family members in physiotherapy for older people transitioning from hospital to the community: a qualitative analysis. Disability and Rehabilitation 37, 2061-2069.

7. Shields N, Taylor N. (2015). The feasibility of a physical activity programme for young adults with Down syndrome: a phase II randomised controlled trial. Journal of Intellectual and Developmental Disabilities 40, 115–125.

8. Gibson A, Shields N. (2015). Aquatic therapy in combination with land-based therapy improves function, range of movement, strength and oedema after hip and knee replacement compared to land-based therapy alone: a systematic review and meta-analyses. Physiotherapy Canada, 67, 133-141.

9. Imms C, Novak I, Kerr C, Shields N, Randall M, Harvey A, Graham HK, Reddihough D. (2015). Improving allied health professionals' research implementation behaviours for children with cerebral palsy: Protocol for a before and after study. Implementation Science 10, 16.

10. Lim P, Shields N, Nikolopoulos N, Barrett J, Evans A, Taylor N and Munteanu S. (2015). The association of foot structure and footwear fit with disability in children and adolescents with Down syndrome. Journal of Foot and Ankle Research 8, 4.

11. van de Water A, Davidson M, Shields N, Evans M, Taylor N. (2015). The Shoulder Function Index (SFInX): a clinician-observed outcome measure for people with a proximal humeral fracture. BMC Musculoskeletal Disorders 16, 31.

12. O’Halloran P, Blackstock F, Shields N, Holland A, Illes R, Kingsley M, Bernhardt J, Lannin N, Morris M, Taylor N. (2014). Motivational interviewing to increase physical activity in people with chronic health conditions: a systematic review and meta-analysis. Clinical Rehabilitation 28, 1159-1171.

13. Shields N, Synnot A. (2014). An exploratory study of how sports and recreation industry personnel perceive the barriers and facilitators of physical activity in children with disability. Disability and Rehabilitation 36, 2080-2084.

14. Shields N, Taylor N. (2014). Physiotherapy students’ self-reported assessment of professional behaviours and skills while working with young people with disability. Disability and Rehabilitation 36, 1834-1839.

15. van de Water A, Shields N, Davidson M, Evans M, Taylor N. (2014). Reliability and validity of shoulder function outcome measures in people with a proximal humeral fracture. Disability and Rehabilitation 36, 1072-9.

16. Shields N, Taylor N. (2014). Contact with young adults with disability led to a positive change in attitudes to disability among physiotherapy students. Physiotherapy Canada 66, 298-305.

17. Brusco T, Taylor N, Watts J, Shields N. (2014). Does additional acute phase inpatient rehabilitation help people return to work? A subgroup analysis from a randomized controlled trial. Clinical Rehabilitation 28, 754-761.

18. Brusco T, Taylor N, Watts J, Shields N. (2014) Are weekend inpatient rehabilitation services value for money? An economic evaluation alongside a randomized controlled trial with a 30 day follow up. BMC Medicine 12, 89.

19. Brusco T, Taylor N, Watts J, Shields N (2014). Economic evaluation of adult rehabilitation: a systematic review and meta-analysis of randomized controlled trials in a variety of settings. Archives of Physical Medicine and Rehabilitation 95, 94–116.

20. Shields N, King M, Black M, Imms C. (2013). Is participation in children with intellectual disabilities different from children with typical development? Developmental NeuroRehabilitation 17, 64-71.

21. Shields N, Taylor N, Wee E, Wollersheim D, O’Shea S, Fernhall B (2013). A community-based strength training programme increases muscle strength and physical activity in young people with Down syndrome: A randomised controlled trial. Research in Developmental Disabilities 34, 4385–4394.

22. Peiris C, Shields N, Brusco T, Watts J, Taylor N (2013). Additional Saturday physiotherapy and occupational therapy improves functional independence and quality of life and reduces length of stay in inpatient rehabilitation: a randomised controlled trial.  BMC Medicine 11, 198.

23. Lawlor K, Taylor N, Shields N (2013). Outcomes after caregiver-provided speech and language or other allied health therapy: a systematic review. Archives of Physical Medicine and Rehabilitation 94, 1139–1160.

24. Shields N, Bruder A, Taylor N, Angelo T (2013). Getting fit for practice: an innovative paediatric clinical placement provided physiotherapy students opportunities for skill development. Physiotherapy 99, 159–164.

25. Bruder A, Taylor N, Dodd K, Shields N (2013). An observational study of the interventions used by physiotherapists in rehabilitation after distal radius fracture. Physiotherapy 99, 233–240.

26. King M, Shields N, Imms C, Black M, Ardern C (2013). Participation of children with intellectual disability compared with typically developing children. Research in Developmental Disabilities 34, 1854-62.

27. Carlon S, Shields N, Dodd K, Taylor N (2013). Differences in habitual physical activity levels of young people with cerebral palsy and their typically developing peers: A systematic review. Disability & Rehabilitation 35, 647 - 655.

28. Peiris C, Taylor N, Shields N (2013). Patients receiving inpatient rehabilitation for lower limb orthopaedic conditions do much less physical activity than recommended in guidelines for health older adults: an observational study.  Journal of Physiotherapy 59, 39-44.

29. Peiris C, Taylor N, Shields N (2012). Patients value patient-therapist interactions more than the amount or content of therapy during rehabilitation: a qualitative study.  Journal of Physiotherapy, 58, 261-8.

30. Shields N, Synnot A, Barr M. (2012) Barrier & facilitators to physical activity in children with disabilities: a systematic review. British Journal of Sports Medicine, 46, 989–997.

31. Peiris C, Taylor N, Shields N (2012). Additional Saturday allied health services increase habitual physical activity among patients receiving inpatient rehabilitation for lower limb orthopedic conditions: a randomized controlled trial.  Archives of Physical Medicine and Rehabilitation, 93, 1365–1370.

32. Sakzewski L, Carlon S, Shields N, Ziviani J, Boyd R. (2012). Impact of intensive upper limb rehabilitation on quality of life in a randomised trial for children with unilateral cerebral palsy. Developmental Medicine and Child Neurology, 54, 415-423.

33. Shields N, Bruder A, Taylor N, Angelo T. (2011). An alternative clinical experience can positively change physiotherapy student attitudes. Disability & Rehabilitation, 33, 360-6.

34. Dodd K, Taylor N, Shields N, McDonald E, Prasad D, Griffin A. (2011). Progressive resistance strength training can improve the muscle strength and endurance, fatigue, and quality of life of adults with multiple sclerosis: a randomised controlled trial. Multiple Sclerosis, 17, 1362-1374.

35. Peiris C, Taylor N, Shields N. (2011). Extra physiotherapy reduces length of stay and improves functional outcomes and quality of life: a systematic review. Archives of Physical Medicine and Rehabilitation, 92, 1490-1500.

36. Barr M, Shields N. (2011). Barrier & facilitators to physical activity in children with DS. Journal of Intellectual Disability Research, 55, 1020–1033.

37. Bruder A, Taylor N, Dodd K, Shields N. (2011). Exercise for the rehabilitation of upper limb fractures in adults: A systematic review. Journal of Physiotherapy, 57, 71-82.

38. van de Water A, Shields N, Taylor N. (2011). Systematic review on outcomes in patients with fracture of proximal humerus. Journal of Shoulder and Elbow surgery, 20, 333-343.

39. Chase J, Shields N (2011). A systematic review of the efficacy of non-pharmacological, non- surgical and non-behavioural treatments of functional chronic constipation in children. Australian and New Zealand Continence Journal, 17, 40-50.

40. Shields N, Taylor N. (2010). Effects of a student-led progressive resistance training program on muscle strength and physical function in adolescents with Down syndrome. Journal of Physiotherapy, 56, 187-193.

41. Shields N, Taylor N, Fernhall B. (2010). A study protocol of a randomised controlled trial to investigate if a community based strength training program improves work task performance in young adults with Down syndrome. BMC Pediatrics, 10, 17.

42. Carlon SL, Shields N, Yong K, Gilmore R, Sakzewski L, Boyd RN. (2010). A Systematic Review of the Clinimetric Properties of Quality of Life Measures For School Aged Children with Cerebral Palsy. BMC Pediatrics, 10, 81.

43. Wollersheim D, Merkes M, Shields N, Liamputtong P, Wallis L, Koh L, Reynolds F. (2010). Physical and Psychological effects of Wii video game use among older women. International Journal of Emerging Technologies, 8, 85–98.

44. Taylor N, Brusco T, Watts J, Shields N, Peiris C, Sullivan N, Kennedy G, Teo CK, Farley A, Lockwood K, Radia-George C. (2010). A study protocol of a randomised controlled trial incorporating a health economic analysis to investigate if additional allied health services for rehabilitation reduce length of stay without compromising patient outcomes. BMC Health Services Research, 10, 308.

45. Mahy J, Shields N, Taylor N, Dodd KJ. (2010). Barrier & facilitators to physical activity in adults with DS. Journal of Intellectual Disability Research, 54, 795–805.

46. Willoughby K, Dodd K, Shields N, Foley S. (2010). Treadmill training in children with CP.  Archives of Physical Medicine and Rehabilitation, 91, 333-339.

47. Gilmore R, Ziviani J, Sakzewski L, Shields N, Boyd R. (2010). A balancing act: Children’s experience of modified constraint induced therapy. Developmental Neurorehabilitation, 13, 88–94.

48. Shields N, Dodd KJ, Abblitt C. (2009). Children with Down syndrome do not perform sufficient physical activity to maintain good health or optimize cardiovascular fitness. Adapted Physical Activity Quarterly, 26, 307-320.

49. Shields N. (2009). Self concept is a concept worth considering (invited commentary). Physical and Occupational Therapy in Pediatrics, 29, 23-26.

50. Willoughby K, Dodd K, Shields N. (2009). Systematic review on effects of treadmill training for children with CP. Disability and Rehabilitation, 31, 1971-1979.

51. Dunn N, Shields N, Taylor N, Dodd KJ. (2009). Comparing the self concept of children with cerebral palsy to parent perceptions of their child’s abilities and attributes. Disability and Rehabilitation, 31, 387 – 393.

52. Shields N, Taylor N, Dodd KJ. (2008). A systematic review comparing the self-concept of children with spina bifida to children with typical development. Developmental Medicine and Child Neurology, 50, 733–743.

53. Shields N, Taylor N, Dodd KJ. (2008). Effects of a community-based progressive resistance strength training program on muscle performance and physical function in adults with Down syndrome: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 89, 1215-1220.

54. Dockrell S, Fallon E, Kelly M, Masterson B, Shields N. (2007). School childrens’ use of computers and teachers’ education in computer ergonomics. Ergonomics, 50, 1657 – 1667.

55. Dunn N, Shields N, Taylor N, Dodd KJ. (2007). A systematic review of the self concept of children with cerebral palsy and perceptions of parents and teachers. Physical & Occupational Therapy in Pediatrics, 27, 55-71.

56. Brusco NK, Shields N, Taylor NF, Paratz J. (2007). A Saturday physiotherapy service may decrease length of stay in patients undergoing rehabilitation in hospital: a randomised controlled trial.  Australian Journal of Physiotherapy, 53, 75-81.

57. Shields N, Loy Y, Murdoch A, Taylor N, Dodd KJ. (2007). The self-concept of children with cerebral palsy compared to children without impairment. Developmental Medicine and Child Neurology, 49, 350-354.

58. Taylor NF, Dodd KJ, Shields N, Bruder A. (2007). Therapeutic exercise in physiotherapy: an updated summary of systematic reviews. Australian Journal of Physiotherapy, 53, 7-16.

59. Shields N, Capper J, Polak T, Taylor N. (2006). Are cervical pillows effective in reducing neck pain? New Zealand Journal of Physiotherapy, 34, 1, 3-9.

60. Shields N, Murdoch A, Loy Y, Dodd KJ, Taylor N. (2006). A systematic review of the self concept of children with cerebral palsy compared with children without disability. Developmental Medicine and Child Neurology, 48, 151-157.

61. Shields N, Gormley J, O’Hare N. (2005). Physiotherapist’s perception of risk from electromagnetic fields. Advances in Physiotherapy, 7, 170-175. 

62. Dodd K, Shields N. (2005). A systematic review on the outcomes of cardiovascular exercise programs for people with Down syndrome. Archives of Physical Medicine and Rehabilitation, 86, 2051-2058.

63. Shields N, Dodd K. (2004). A systematic review on the effects of exercise programmes designed to improve strength for people with Down syndrome. Physical Therapy Reviews, 9, 109-115.

64. Shields N, O’Hare N, Gormley J. (2004). An evaluation of safety guidelines to restrict exposure to stray radiofrequency radiation from short-wave diathermy units. Physics in Medicine and Biology, 49, 2999-3015.

65. Shields N, O’Hare N, Gormley J. (2004). Contraindications to short-wave diathermy: results of an Irish survey. Physiotherapy, 90, 42-53.

66. Shields N, O’Hare N, Boyle G, Gormley J. (2003). Development and application of a quality control procedure for short-wave diathermy units. Medical and Biological Engineering and Computing, 41, 62-68.

67. Shields N, O’Hare N, Gormley J. (2003). Short-wave diathermy and pregnancy: what is the evidence? Advances in Physiotherapy, 5, 2-14.

68. Shields N, Gormley J, O’Hare N. (2002). Short-wave diathermy: current clinical and safety practices. Physiotherapy Research International, 7, 191-202.

69. Shields N, Gormley J, O’Hare N. (2002). Contraindications to continuous and pulsed short-wave diathermy. Physical Therapy Reviews, 7,133-143.

70. Shields N, Gormley J, O’Hare N. (2001). Short-wave diathermy in Irish Physiotherapy Departments. British Journal of Therapy and Rehabilitation, 8, 331-339.

71. Shields N, Gormley J, O’Hare N. (2001). Short-wave diathermy: a review of existing clinical trials. Physical Therapy Reviews, 6,101-118.

72. Shields N, Dockrell S. (2000). The prevalence of injuries among pianists in music schools in Ireland. Medical Problems of Performing Artists, 15, 155-160.