Associate Professor Peter Malliaras

BPhysio (Hons), PhD

Telephone: +61  3 9904 4502
Facsimile: +61 3 9904 4812
Email: peter.malliaras@monash.edu

Profile:

Peter  Malliaras is an Associate Professor in the Department of Physiotherapy. His  research focus is musculoskeletal disorders, sports medicine and tendinopathy. In 2006 he  completed his PhD in tendinopathy identifying novel risk factors, and since has  undertaken post-doctoral research in the UK and Australia. Peter maintains a  strong clinical focus, specializing in difficult tendinopathy cases and  delivering clinical postgraduate education for clinicians in Australia and  internationally.

Awards

2005: Best Lower Limb paper (first author), 2005 Sports Medicine  Australia Conference ‘Patellar tendons with pain and normal imaging’

2006:  Official team member, Commonwealth Games,  Australia

2013: Best Sports Paper: APA conference,  Melbourne. ‘Achilles and patellar tendinopathy  loading programs’

Research Areas

Musculoskeletal  Disorders
Sports  Medicine
Tendinopathy

Teaching responsibilities

PTY 2031 Theme 5 – Research

Publications

  1. Cook JL, Malliaras  P, De Luca J, Ptasznik R, Morris M & Goldie P(2004).Neovascularisation and pain  in abnormal patellar tendons of active jumping athletes. Clin J Sports  Med. 14: 296-299
  2. Cook JL, Malliaras  P, De Luca J, Ptasznik R, Morris M & Khan K (2005). High reproducibility of  patellar tendon vascularity assessed by colour Doppler ultrasonography: a  reliable measurement tool for quantifying tendon pathology. Br J Sports Med.  39:700-703
  3. Cook JL. Malliaras P (2005).  Vascularity and pain in the patellar tendon of adult jumping athletes: a 5  month longitudinal study Br J Sports Med. 2005, 39(7):458-461
  4. Cook JL, Kiss Z, Ptasznik R  & Malliaras P (2005). Is vascularity more evident  after exercise? Implications for tendon imaging. Am J Roent. 185:1138-1140
  5. Malliaras P, Cook J, Ptasznik R  & Thomas S (2006). Prospective study of change in patellar tendon pain and  tendon imaging over a season. Br J Sports Med. 40: 272-274.
  6. Malliaras P & Cook JL  (2006). Patellar tendons with pain and normal imaging. Imaging and pain status  over a season. Clin J Sports Med. 16: 388-391.
  7. Malliaras P, Cook JL & Kent  P (2006). Reduced ankle dorsiflexion range may increase the risk of patellar  tendon injury among volleyball players. J Sci Med Sport. 9: 304-309
  8. Malliaras P, Cook JL & Kent  P (2007). Anthropometric risk factors for patellar tendon injury among  volleyball players. Br J Sports Med. 41: 259-263
  9. Garau G, Rittweger J, Malliaras P,  Longo UG & Maffulli N (2008). Traumatic patellar tendinopathy. Disab Rehab.  30: 1616-1620
  10. Malliaras P, Richards PJ, Garau  G and Maffulli N (2008). Achilles Tendon Doppler Flow May Be Associated With  Mechanical Loading Among Active Athletes. Am J Sports Med. 36: 2210-2215
  11. Malliaras P, Hogan A, Nawrocki  A, Crossley K, Schache A (2009). Hip flexibility and strength measures:  reliability and association with athletic groin pain. Br J Sports Med.  43:739-744
  12. Malliaras P, Richards P, Garau  G, Maffulli N & Cook J (2010). Temporal sequence of gray-scale ultrasound  changes and their association with neovascularity and pain in the patellar  tendon. Br J Sports Med. 44: 944-947
  13. Malliaras P,  Richards PJ, Garau G & Maffulli, N (2011). Achilles tendon shape and echogenicity on  ultrasound among active badminton players. Scand J Med Sci Sport. 22: 149-155
  14. Malliaras P & Cook J (2011). Changes in anteroposterior patellar tendon  diameter support a continuum of pathological changes. Br J Sports Med. 45:  1048-1051
  15. Williams J, Tzortziou-Brown V, Perry M, Malliaras  P & Kipps C (2012). Hydration strategies of runners in the London  Marathon. Clin J Sports Med. 22: 152-156
  16. de Groot R, Malliaras P,  Munteanu S, Payne C, Morrissey D & Maffulli N (2012). Foot posture and  patellar tendon pain among adult volleyball players. Clin J Sports Med. 22:  157-159
  17. Jhigan S, Perry M, O’Driscoll G, Lewin C, Teatino R, Malliaras P & Morrissey D (2012). Do ultrasound  abnormalities in asymptomatic Achilles tendons of elite soccer players predict  symptoms one year later? Muscle Ligament Tendon. 1: 51-56.
  18. Tardioli A, Malliaras P &  Maffulli N (2012). Immediate and short-term effects of exercise on tendon  structure: biochemical, biomechanical and imaging responses. Br Med Bull. 103(1): 169-202
  19. Malliaras P, Chan O, Grewal S,  Martinez de Albornoz Torrente P, Morrissey D & Maffulli N. (2012) Doppler  ultrasound signal in Achilles tendinopathy reduces immediately after activity.  Int J Sports Med. 33(6): 480-4
  20. Price J, Malliaras P &  Hudson Z. (2012) Current practices in determining return to play following head  injury in professional football in the UK. Br J Sports Med 46(14): 1000-3
  21. Barton C, Kennedy A, Twycross-Lewis R, Woledge R, Malliaras P & Morrissey D (2012). Gluteal muscle  activation during squatting exercises with and without a Swiss ball. Phys Ther  Sport 39(7): 532-40
  22. Dhamu H, Malliaras P,  Twycross-Lewis R & Maffulli N. (2012) A systematic review of resting left  ventricular systolic and diastolic function and adaptation in elite  weightlifters. Br Med Bull. 104:129-41
  23. Littlewood C, Malliaras P,  Mawson S, May S & Walters S (2013). Development of a self-managed exercise  program for rotator cuff tendinopathy. Physiother. 99(4):358-62
  24. Littlewood C, Malliaras P,  Mawson S, May S & Walters S (2013). Self-managed loaded exercise versus  usual physiotherapy treatment for rotator cuff tendinopathy: a pilot randomized  controlled trial. Physiother. 100:54-60
  25. Littlewood C, Malliaras P,  Mawson S, May S & Walters S (2013). Patients with rotator cuff tendinopathy  can successfully self-manage, but with certain caveats: a qualitative study.  Physiother. 100:80-5
  26. Malliaras P, Kamal B, Nowell A,  Farley T, Dhamu H, Simpson V, Morrissey D, Langberg H, Maffulli N & Reeves  N (2013). Patellar tendon adaptation in relation to load intensity and  contraction type. J Biomech. 46:1893-9
  27. Comin J, Cook J, Malliaras P,  McCormack M, Calleja M, Clarke A & Connell D (2013). The prevalence and  clinical significance of sonographic tendon abnormalities in asymptomatic  ballet dancers: a 24-month longitudinal study. Br J Sports Med. 47(2):89-92
  28. Comin J, Malliaras P, Baquie  P, Barbour T & Connell D (2013). Return  to Competitive Play After Hamstring Injuries Involving Disruption of the  Central Tendon. Am J Sports Med. 41(1):111-5
  29. Laupheimer M; Perry M; Malliaras  P; Berdejo-del-Fresno D; Maffulli N; Hemmings S. (2013). Resveratrol: A  review of basic science and potencial indications in sports and exercise  medicine. J Sport Health Res. 5(3):237-250.
  30. Drumm O, Chan O, Malliaras P,  Morrissey D & Maffulli N (2014). High-volume image-guided injection for  recalcitrant medial collateral ligament injuries of the knee. Clin Radiol.  69:e211-e215
  31. Aweid O, Gallie R, Morrissey D, Crisp T, Maffulli N, Malliaras P & Padhiar N (2014). Medial tibial pain  pressure threshold algometry in runners. Knee Surg Sports Traumatol Arthrosc.  22:1549-55.
  32. Lack S, Barton C, Malliaras P,  Twycross-Lewis R, Woledge R & Morrissey D (2014). The effect of  anti-pronation foot orthoses on hip and knee kinematics and muscle activity  during a functional step-up task in healthy individuals: A laboratory study.  Clin Biomech. 29:177-82
  33. Morton S, Morrissey D, Valle X, Chan O,  Langberg, Malliaras P.  (2014). Equivalence of online and clinician administration of a patellar  tendinopathy risk factor and severity questionnaire. 25(5):670-7
  34. Malliaropoulos N, Korakakis V, Christodoulou D, Padhiar N, Pyne D, Glakas G,  Nauck T, Malliaras P, Lohrer  H. (2014) Development and validation of a questionnaire (FASH – functional  assessment scale for acute hamstring injuries): to measure the severity and  impact of symptoms on function and sports ability in patients with acute  hamstring injures. Br J Sports Med. 48(22):1607-12
  35. Ooi C, Schneider M, Malliaras P,  Chadwick M, Connell D. (2015) Diagnostic Performance of Axial-Strain  Sonoelastography in Confirming Clinically Diagnosed Achilles Tendinopathy:  Comparison with B-Mode Ultrasound and Color Doppler Imaging. Ultrasound Med  Biol 41(1):15-25
  36. Ooi CC, Schneider ME, Malliaras P, Jones D, Saunders S, McMahon A, Connell D.  (2015) Sonoelastography of the Achilles Tendon: Prevalence and Prognostic Value  Among Asymptomatic Elite Australian Rules Football Players. Clin J Sports Med.  In press
  37. Malliaropoulos N, Kakoura L, Tsitas K,  Christodoulou D, Siozos A, Malliaras  P, Maffulli N. (2015) Active knee range of motion assessment in elite  track and field athletes: normative values. Muscles, Ligaments & Tendons J.  5(3):  203-207
  38. Tsaklis P, Malliaropoulos N, Mendiguchia J,  Korakaki V, Tsapralis K, Pyne D, Malliaras  P. (2015) Muscle and intensity based hamstring exercise classification  in elite female track and field athletes: implications for exercise selection  during rehabilitation. J Sports Med. 6:1-9
  39. Ooi CC, Schneider ME, Malliaras P, Counsel P, Connell D. (2015) Prevalence of  morphological and mechanical stiffness alterations of mid Achilles tendons in  asymptomatic marathon runners before and after a competition. Skeletal Radiol.  44(8):1119-40
  40. Ooi CC, Richards P, Maffulli N, Ede D,  Schneider ME, Connell D, Morrissey D, Malliaras  P. (2015) A soft patellar tendon on ultrasound elastography is  associated with pain and functional deficit in volleyball players. J Sci Med  Sports In press

Reviews

  1. Malliaras P & Maffulli N  (2008). A review of eccentric training programs in the treatment of lateral  elbow tendinopathy (Invited review): Disability Rehabil. 30: 1590-1596  (INVITED)
  2. Aweid O, Del Buono A, Malliaras P,  Iqbal H, Morrissey D, Maffulli N & Padhiar N (2012). Systematic review and  recommendations for intracompartmental pressure monitoring in diagnosing  chronic exertional compartment syndrome of the leg. Clin J Sports Med. 22(4):  356-70
  3. Rowe B, Hemmings S, Barton C, Malliaras  P, Maffulli N & Morrissey D (2012). Conservative management of  mid-portion Achilles tendinopathy: a mixed methods study, integrating  systematic review and clinical reasoning. Sports Med.39(11): 941-6
  4. Malliaropoulos N, Mendiguchia J, Pehlivanidis H, Papadopoulos S, Valle X, Malliaras P & Maffulli N.  (2012) Hamstring exercises for track and field athletes: injury and exercise  biomechanics, and possible implications for exercise selection and primary  prevention. Br J Sports Med. 46(12): 846-51
  5. Herman K, Barton C, Malliaras P & Morrissey D. 2012 The effectiveness of neuromuscular warm-up strategies,  that require no additional equipment, for preventing lower limb injuries during  sports participation: a systematic review. Biomed Cent. 10:75
  6. Malliaras P, Barton C, Reeves N  & Langberg H (2013). Achilles and patellar tendinopathy loading programs: a  systematic review comparing clinical outcomes and identifying potential  mechanisms for effectiveness. Sports Med.43(4):267-86
  7. Littlewood C, Malliaras P,  Bateman M, Stace R, May S & Walters S (2013). The central nervous system -  An additional consideration in ‘rotator cuff tendinopathy’ and a potential  basis for understanding response to loaded therapeutic exercise. Man Ther.  18:468-72
  8. Barton C, Lack S, Malliaras P & Morrissey D (2013). Gluteal muscle activity and patellofemoral pain  syndrome: a systematic review. Br J Sports Med. 47:207-214 \
  9. Malliaras P (2013). Tendon  Injury Rehabilitation Under Review. In Australasian Scientist. Nov 2013
  10. Ooi C, Malliaras P, Schneider  M & Connell D (2014). “Soft, hard,  or just right?” Applications and limitations of axial-strain sonoelastography  and shear-wave elastography in the assessment of tendon injuries. Skeletal  Radiol. 43(1):1-12
  11. Malliaras  P & Purdam C (2014). Proximal Hamstring Tendinopathy Assessment and  Management. Sport Health. 32(1): 21-9
  12. Valle X, Tol J, Hamilton B, Rodas G, Malliaras P, Malliaropoulos N,  Rizo V, Moreno M, Jardi J. (2015) Hamstring Muscle Injuries, a Rehabilitation  Protocol Purpose. Asian J Sports Med. 6(4):e25411
  13. Littlewood C, Malliaras P, Chance-Larsen K. (2015) Therapeutic exercise  for rotator cuff tendinopathy: a systematic review of contextual factors and  prescription parameters. In J Rehabil Res. 38(2):95-106
  14. Malliaras  P, Cook J, Purdam C, Rio E. (2015) Patellar Tendinopathy: Clinical  Diagnosis, Load Management, and Advice for Challenging Case Presentations. J  Orthop Sports Phys Ther. 45(11):887-898.
  15. Barton C, Bonnano D, Carr J, Neal B, Malliaras P, Franklyn-Miller A,  Menz H. (2016). Running retraining to treat lower limb injuries: a  mixed-methods study of current evidence synthesised with expert opinion. Br J  Sports Med. In press
  16. Kloskowska P, Morrissey D, Small C, Malliaras P & Barton C. Movement  Patterns and Muscular Function Before and After Onset of Sports-Related Groin  Pain: A Systematic Review with Meta-analysis. Sports Med. In press
  17. Goom T, Malliaras  P, Reiman M & Purdam P. (2016) Proximal Hamstring Tendinopathy:  Clinical Aspects of Assessment and Management. . J Orthop Sports Phys Ther.  46(6): 483-493.

Book Chapters

  1. Silbernagel K, Malliaras P & Karlsson J (2011). Non-invasive conservative management: current concepts. In: Problems  around the Achilles tendon insertion. 1st Ed.
  2. Malliaras P, Antoniou N &  Morrissey D (2013). Rehabilitation of Musculoskeletal Injuries in Extreme  Sports. In: Adventure and Extreme  Sports Injuries:  Epidemiology, Treatment, Rehabilitation and Prevention.  1st Ed. Springer
  3. Silbernagel K, Malliaras P,  Brorsson A & Karlsson J  (2013). Non-invasive non-surgical treatment and rehabilitation for midportion  and insertional Achilles tendinopathy. In: Problems around the Achilles tendon. 2nd Ed.
  4. Langberg H, Malliaras P,  Morrissey D, Chan O, Boesen M, Boesen A (in  press). High volume image guided injections of the Achilles tendon. In: Advanced Techniques in Musculoskeletal Medicine & Physiotherapy using  minimally invasive therapies in practice.1st Ed.

Editorials

  1. Stasinopoulos D & Malliaras P (2016). Is it time to abandon the myth that  eccentric training is best practice? Biol Exer. 12 (1), 15-21