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Trial registered on ANZCTR
Registration number
ACTRN12616001308482
Ethics application status
Approved
Date submitted
16/08/2016
Date registered
19/09/2016
Date last updated
22/05/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Improving biomechanical risk factors for non-contact knee injury: the effect of kinesiotape and motor control retraining on postural stability and lower limb biomechanics of a single leg squat and single leg landing task in healthy females
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Scientific title
Improving biomechanical risk factors for non-contact knee injury: the effect of kinesiotape and motor control retraining on postural stability and lower limb biomechanics of a single leg squat and single leg landing task in healthy females
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Secondary ID [1]
289908
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Nil
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Universal Trial Number (UTN)
U1111-1186-2123
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Non-contact knee injury
299872
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Condition category
Condition code
Physical Medicine / Rehabilitation
299778
299778
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0
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Physiotherapy
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Musculoskeletal
300153
300153
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0
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Other muscular and skeletal disorders
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Injuries and Accidents
300154
300154
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0
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Other injuries and accidents
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
There will be multiple interventions within this study, and it will be broken down into three separate three-way cross-over trials performed at the same site with different participants which will then be combined for data analysis. Note that for all trials, participants will be randomly allocated to one of 6 sequences (ABC, ACB, BAC, BCA, CAB, CBA) so that there are equal numbers in each sequence.
Sub Trial 1. Trunk Motor Retraining - Washout Period 1 Week
Control (C): No intervention performed
Intervention A: a single session of isolated trunk motor retraining, with the therapist guiding 5x 10 second contractions of transversus abdominis (with 10sec rest periods), with real time ultrasound used for visual feedback
Intervention B: a single session of global trunk motor retraining, with the therapist guiding a 5x 10 second plank on elbows and toes (with 10 sec rest periods) with verbal feedback from therapist re: correct exercise form
Sub Trial 2: Hip Motor Retraining - Washout Period 1 Week
Control (C): No intervention performed
Intervention A: a single session of isolated hip motor retraining, with the therapist guiding two separate sets of 5x 5 second contractions of gluteus minimus and quadratus femoris respectively (with 5 sec rest periods) - real time ultrasound used as visual feedback
Intervention B: a single session of global hip motor retraining, with the therapist guiding 5x 10 sec arabesques and 5x 10sec McConnell wall push (with 10sec rest periods) - verbal feedback from therapist re:correct exercise form
Sub Trial 3: Kinesiotaping - Washout Period 1 Week
Control (C): No intervention performed
Intervention A: application of kinesiotape to the ankle joint by the therapist with effects measured immediately after application, with the tape removed after the session is complete. Tape will be applied in a sling, from the anterior tibia, travelling medially and inferiorly to move underneath the arch of the foot, and back up to the anterior tibia via the lateral aspect of the foot and leg. This will be applied with 50% stretch
Intervention B: application of kinesiotape to the hip joint by the therapist with effects measured immediately after application, with the tape removed after the session is complete. Taping will be in a spiral external rotation pattern beginning from the lateral femoral condyle, crossing the thigh anteriorly, over the greater trochanter then posteriorly to the PSIS , applied with 50% stretch.
All interventions will be supervised by a qualified APA Sports Physiotherapist. Strategies to improve adherence are irrelevant as all exercises will be performed in a single session and monitored and guided by the researchers
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Intervention code [1]
295590
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Prevention
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Comparator / control treatment
This study will be controlled by use of a crossover trial - the participants will act as their own control. Each participant will also undergo a control session where they complete a baseline and post-intervention assessment without receiving any intervention.
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Control group
Active
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Outcomes
Primary outcome [1]
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2D frontal plane measure of knee valgus (frontal plane projection angle) during a single leg squat and single leg jump measured by video capture and analysis of anatomical markers using Dartfish Biomechanical Analysis software
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Assessment method [1]
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Timepoint [1]
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Immediately after intervention
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Primary outcome [2]
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Centre of Pressure (COP) calculations from a force plate and accompanying software - COP velocity during a single leg squat and single leg jump.
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Assessment method [2]
299245
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Timepoint [2]
299245
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Immediately after intervention
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Secondary outcome [1]
326823
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2D frontal plane lateral trunk flexion angle during a single leg squat and single leg jump measured by video capture and analysis of anatomical markers using Dartfish Biomechanical Analysis software
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Assessment method [1]
326823
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Timepoint [1]
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Immediately after intervention
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Secondary outcome [2]
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2D sagittal plane hip flexion angle during a single leg squat and single leg jump measured by video capture and analysis of anatomical markers using Dartfish Biomechanical Analysis software
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Assessment method [2]
327742
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Timepoint [2]
327742
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Immediately after intervention
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Secondary outcome [3]
327754
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2D sagittal plane knee flexion angle during a single leg jump measured by video capture and analysis of anatomical markers using Dartfish Biomechanical Analysis software
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Assessment method [3]
327754
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Timepoint [3]
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Immediately after intervention
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Secondary outcome [4]
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Centre of Pressure (COP) calculations from a force plate and accompanying software - COP length during a single leg squat and single leg jump
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Assessment method [4]
334028
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Timepoint [4]
334028
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Immediately After Intervention
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Secondary outcome [5]
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Centre of Pressure (COP) calculations from a force plate and accompanying software - COP average radial displacement during a single leg squat and single leg jump.
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Assessment method [5]
334029
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Timepoint [5]
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Immediately After Intervention
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Secondary outcome [6]
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Centre of Pressure (COP) calculations from a force plate and accompanying software - COP area of 95% ellipse during a single leg squat and single leg jump.
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Assessment method [6]
334030
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Timepoint [6]
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Immediately after intervention
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Secondary outcome [7]
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Force Plate Data Output - Peak Vertical Force (as calculated by force plate software) during a single leg squat and single leg jump.
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Assessment method [7]
334031
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Timepoint [7]
334031
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Immediately after intervention
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Secondary outcome [8]
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Force Plate Data Output - Peak Posterior Shear Force (as calculated by force plate software) during a single leg squat and single leg jump.
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Assessment method [8]
334032
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Timepoint [8]
334032
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Immediately after intervention
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Eligibility
Key inclusion criteria
Female aged 18-35
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Minimum age
18
Years
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Maximum age
35
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
6 Month history of lower limb, abdominal or spinal pathology injury or surgery, chronic ankle instability, any history of serious knee injury, vestibular or balance impairments, cognitive impairments, non-english speaking, severe cardiopulmonary, neuromuscular or integumentary disorders
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
N/A
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Participants will be assigned a numeric identifier, with each identifier being randomly allocated to one of 6 sequences via use of an online software (randomizer.org)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
N/A
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
ANOVA and a post-hoc least significant difference test will be used for data analysis. Note that the target number of participants was determined primarily by the likely maximum number of participants that will be able to be recruited.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
3/10/2016
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Actual
6/03/2017
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Date of last participant enrolment
Anticipated
6/03/2017
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Actual
20/04/2017
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Date of last data collection
Anticipated
5/05/2017
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Actual
5/05/2017
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Sample size
Target
100
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Accrual to date
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Final
43
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment postcode(s) [1]
14019
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2640 - Thurgoona
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Charles Sturt University
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Address [1]
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Charles Sturt University
School of Community Health
Elizabeth Mitchell Drive, Thurgoona, NSW 2640
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Country [1]
294276
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Australia
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Primary sponsor type
University
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Name
Charles Sturt University
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Address
Charles Sturt University School of Community Health
Elizabeth Mitchell Drive
Thurgoona, NSW 2640
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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N/A
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Address [1]
293111
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N/A
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Country [1]
293111
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Charles Sturt University Human Research Ethics Commitee
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Ethics committee address [1]
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School of Community Health PO Box 789 ALBURY NSW 2640
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
295707
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12/08/2016
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Approval date [1]
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15/09/2016
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Ethics approval number [1]
295707
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H16140
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Summary
Brief summary
Non-contact knee injuries (especially those involving the ligaments of the knee) are prevalent in the female athlete population. The risk of knee injury has been largely correlated with several specific biomechanical patterns including knee valgus and lateral trunk flexion during dynamic tasks, as well as measures of postural control. The research team is interested in whether novel injury prevention strategies could help to reduce these risk factors during dynamic tasks (single leg squat and single leg landing). Specifically, we are interested to see if risk factors for knee injury can be reduced following one of the following three interventions. 1. contracting specific muscles of the trunk, known as trunk motor control retraining, for a few moments at a time over a 5 minute period prior to performing a single leg squat and single leg jump task that will be captured using a force plate and motion analysis software for examination of joint angles. 2. contracting specific muscles of the hip, known as hip motor control retraining, for a few moments at a time over a 5 minute period prior to performing a single leg squat and single leg jump task that will be captured using a force plate and motion analysis software for examination of joint angles. 3. application of a soft, flexible sports tape, called kinesio tape applied to joints of the lower limb prior to performing a single leg squat and single leg jump task that will be captured using a force plate and motion analysis software for examination of joint angles. The research team is also interested in relationships between participant height, body composition, leg dominance, and biomechanics, which will be measured using image capture technology and a force plate. The intervention groups will consist of females aged between 18-35 because this is the population most considered 'high risk' for serious knee injury. The aim of the study is to investigate the effects of trunk motor control retraining, hip motor control retraining and application of kinesio tape on biomechanical risk factors for non-contact knee injury during a single leg squat and a single leg landing in female athletes. Participants will be asked to attend three data collection sessions, spread out over a minimum period of three weeks (in order to include for a washout period). The first session will include completion of a health and activity questionnaire and gathering of participant details, such as height and weight. In each of the three visits, participants will either undergo a control session OR trunk muscle retraining OR hip muscle retraining OR application of sports tape to the lower limb, with analysis of a single leg squat and a single leg landing via motion capture ( the sequence will be randomly allocated)
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Miss Sophie Dahlenburg
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Address
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Charles Sturt University, Elizabeth Mitchell Drive
Room 422, Building 673 (Gordon Beavan Building)
PO Box 789
Thurgoona, NSW, 2640
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Country
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Australia
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Phone
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+61478689461
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Sophie Dahlenburg
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Address
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Charles Sturt University, Elizabeth Mitchell Drive
Room 422, Building 673 (Gordon Beavan Building)
PO Box 789
Thurgoona, NSW, 2640
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Country
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Australia
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Phone
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+61478689461
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Sophie Dahlenburg
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Address
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Charles Sturt University, Elizabeth Mitchell Drive
Room 422, Building 673 (Gordon Beavan Building)
PO Box 789
Thurgoona, NSW, 2640
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Country
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Australia
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Phone
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+61478689461
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF