Dr Hilary Gunn
Profiles

Dr Hilary Gunn

Lecturer in Physiotherapy

School of Health Professions (Faculty of Health & Human Sciences)

Role

Lecturer in Physiotherapy at both undergaduate and postgraduate levels and Physiotherapy placement co-ordinator. I am particularly involved with teaching of neurology, but also have expertise in other areas of clinical practice, including elderly care and falls management. I am clinical placement co-ordinator for the course. Alongside my teaching work I am actively involved in research, and completed my PhD in April 2015. My topic area is an investigation into accidental falls in multiple sclerosis. .

Qualifications

I gained my Graduate Diploma in Physiotherapy from the Queen Elizabeth School of Physiotherapy, Birmingham in 1990. Following this I spent two years completing a rotational post where I gained clinical experience in a variety of settings covering the range of 'core' specialities in physiotherapy practice. My first senior post was specialising in medical respiratory care, including cardiac and respiratory rehabilitation proframmes, as well as working with patients in the acute stages following stroke and other neurological problems.
Subsequently I moved onto other posts with a greater focus on rehabilitation of patients with neurological disability and multi-pathology associated with ageing. I spent time working in an in-patient neuro-rehabilitation unit, then moved into a post working as a core member of a multi-disciplinary community rehabilitaion team which specialised in the assessment and management of people with long term conditions (predominantly neurology) and complex needs. My most recent clinical post (2002-2005) was working as a locality lead physiotherapist, where I carried day-to day responsibility for the running of the physiotherapy service, as well as maintaining a clinical case load working with older clients, as both in-patients and in the community
I was appointed to teach on the Physiotherapy undergraduate degree in 2005, and have also been invoved with programme admissions. I completed my MSc in Clinical Education, Peninsula Postgraduate Health Institute in 2007, and aim to continue to develop my research and teaching skills, whilst maintaining my clinical expertise and currency. 

In 2015 I completed my PhD (Health Studies) with the submission of a thesis relating to accidental falls in MS

Professional membership

Member of the Chartered Society of Physiotherapists 1990 - present

Health and Care Professions Council 1990- present

Association of Physiotherapists Interested in Neurology 1995 - present

Teaching interests

I enjoy being involved with the ongoing delivery and development of the undergraduate physiotherapy programme, particularly with the focus on the PBL approach. This allows me to utilise a variety of teaching methods and approaches, with a blend of the academic and practical work. We have previously currently undertaken a research project sponsored by CEPPL which evaluated the clinicians' perceptions of the pbl approach in clinical practice. The work makes an excellent link between my placement-related and teaching activities, and complements the ongoing programme development that we are all committed to.
I am closely involved with the teaching of the adult neurology and elderly care elements of the course at both an undergraduate and postgraduate level. This includes relevant patho-physiology, anatomy, and related theory as well as ensuring that the management side of our work remains current and evidence based. The close links between this aspect of my work and my current research activity is extremely valuable in his context.

Research interests

Educational research was an interest of mine for some time. My MSc dissertation introduced me to the practicalities of carrying out qualitative research looking into the evaluation, application and effects of CPD in qualified physiotherapists. I have subsequently undertaken a project as part of the University of Plymouth CEPPL evaluating educator perceptions of PBL trained physiotherapy students on practice placements. This work was in collaboration with other members of the Physiotherapy programme team, and we hope to continue to develop in this area in the future as a staff group
My current research is in the field of accidental falls in multiple sclerosis. This has included a systematic review and primary research study evaluating the risk factors for falls in this group. As a result of this work we are in the process of developing a number of international collaborations, as well as maintaining and developing strong inks with local service providers and service users

Grants & contracts

Vice Chancellor's Community Research Award (2013) £9932. Exploring the challenges for people with MS in living with severe impairment. (Co-applicant) Physiotherapy Research Foundation (2011) £19915 ‘An investigation of the risk factors for falls in people with MS’ (Lead Applicant) CEPPL Innvoations Fund (2009) £6820 ‘An exploration of clinical educators' perceptions of Physiotherapy students who are studying on a Problem Based Learning (PBL) undergraduate programme’ (Lead Applicant)

Key publications are highlighted

Journals
Articles
Gunn HJ, Andrade J, Paul L, Miller L, Creanor S, Green C, Marsden J, Ewings P, Berrow M & Vickery J 2017 'Balance Right in Multiple Sclerosis (BRiMS): a guided self-management programme to reduce falls and improve quality of life, balance and mobility in people with secondary progressive multiple sclerosis: a protocol for a feasibility randomised controlled trial' Pilot and Feasibility Studies , DOI PEARL
Gunn HJ, Endacott R, Haas B, Marsden J & Freeman J 2017 'Development of a balance, safe mobility and falls management programme for people with multiple sclerosis' Disability and Rehabilitation , DOI PEARL
Hoang PD, Baysan M, Gunn H, Cameron M, Freeman J, Nitz J, Low Choy NL & Lord SR 2016 'Fall risk in people with MS: A Physiological Profile Assessment study' Multiple Sclerosis Journal – Experimental, Translational and Clinical 2, 205521731664113-205521731664113 , DOI PEARL
Nilsagård Y, Gunn H, Freeman J, Hoang P, Lord S, Mazumder R & Cameron M 2015 'Falls in people with MS—an individual data meta-analysis from studies from Australia, Sweden, United Kingdom and the United States' Multiple Sclerosis Journal 21, (1) 92-100 , DOI PEARL
Gunn H, Markevics S, Haas B, Marsden J & Freeman J 2015 'Systematic Review: The Effectiveness of Interventions to Reduce Falls and Improve Balance in Adults With Multiple Sclerosis' Archives of Physical Medicine and Rehabilitation 96, (10) 1898-1912 , DOI PEARL
Coote S, Sosnoff JJ & Gunn H 2014 'Fall Incidence as the Primary Outcome in Multiple Sclerosis Falls-Prevention Trials' International Journal of MS Care 16, (4) 178-184 , DOI
Gunn H, Creanor S, Haas B, Marsden J & Freeman J 2014 'Frequency, Characteristics, and Consequences of Falls in Multiple Sclerosis: Findings From a Cohort Study' Archives of Physical Medicine and Rehabilitation 95, (3) 538-545 , DOI
Gunn H, Cattaneo D, Finlayson M, Freeman J & Sosnoff JJ 2014 'Home or Away? Choosing a Setting for a Falls-Prevention Program for People with Multiple Sclerosis' International Journal of MS Care 16, (4) 186-191 , DOI
Gunn HJ, Newell P, Haas B, Marsden JF & Freeman JA 2013 'Identification of risk factors for falls in multiple sclerosis: a systematic review and meta-analysis' Phys Ther 93, (4) 504-513 Author Site , DOI
Gunn H, Creanor S, Haas B, Marsden J & Freeman J 2013 'Risk factors for falls in multiple sclerosis: an observational study' Multiple Sclerosis Journal 19, (14) 1913-1922 , DOI
Gunn,H., Hunter, H. & Haas B 2012 'Problem Based Learning in physiotherapy education: a practice perspective' Physiotherapy 98, (4) 335-340 , DOI
Gunn H & Freeman J 2012 'Repeated falls: A key outcome or an adverse event?' Physiotherapy Research International 17, (1) 1-3 , DOI
Gunn HJ, Hunter H & Haas B 2011 'Problem Based Learning in physiotherapy education: a practice perspective' Physiotherapy , DOI PEARL
Gunn H & Goding L 2009 'Continuing Professional Development of physiotherapists based in community primary care trusts: a qualitative study investigating perceptions, experiences and outcomes' Physiotherapy 95, (3) 209-214 , DOI
Editorial comments
Gunn HJ & Freeman J 2012 'Repeated falls: A key outcome or an adverse event?' Physiotherapy Research International 17, (1) 1-3
Conference Papers
Gunn H, Andrade J, Paul L, Miller L, Creanor S, Green C, Marsden J, Ewings P, Berrow M & Vickery J 2017 'Balance Right in Multiple Sclerosis (BRiMS): A guided self-management programme to reduce falls and improve quality of life, balance and mobility in people with secondary progressive multiple sclerosis: a protocol for a feasibility randomised controlled trial' 22nd Annual RIMS Conference 2017 878-878 , DOI PEARL
Dennett R, Gunn H & Freeman J 2017 'Effectiveness and User Experience of Web-based Interventions for Increasing Physical Activity in People with Multiple Sclerosis: A Comprehensive Systematic Review' 886-886
Gunn H, Endacott R, Haas B, Marsden J & Freeman J 2015 'Developing a falls management intervention for people with MS: a nominal group study' 526-526
Finlayson M, Cattaneo D, Cameron M, Coote S, Freeman J, Gunn H, Jonsdottir J, Matsuda P, Peterson E & Sosnoff J 2015 'The international MS falls prevention research network: development and direction' 520-521
Robens S, Fox E, Grose J, Gunn H & Freeman J 2014 'Social isolation amongst severely impaired people with multiple sclerosis (MS): choice, control and identity' 968-969
Gunn H, Nilsagard Y, Cameron M, Hoang P, Mazumder R, Freeman J & Lord S 2013 'Falls in people with multiple sclerosis: an international perspective' 45-45
Gunn H, Freeman J, Marsden J, Haas B, Creanor S & Zajicek J 2012 'Risk factors associated with falls in people with multiple sclerosis' S19-S19
Gunn HJ, Marsden J, Haas B, Creanor S, Zajieck J & Freeman J 2012 'Risk factors for falls in Multiple Sclerosis' RIMS Hamburg S15-S24
Gunn H, Hunter H & Haas BM 0 'An exploration of clinical educators’ perceptions of Physiotherapy students who are studying on a Problem Based Learning (PBL) undergraduate programme' Negotiating Problem Based Learning - 9th Finnish Problem-based Learning Conference Tempere, Finland 02/04/2009 03/04/2009