Dr Stefan Tino Kulnik
Faculties, departments and locations
- Faculty of Health, Science, Social Care and Education
- Centre for Health and Social Care Research
- St George's
Honorary Research Fellow
- Email:
- [email protected]
About
I am a Principal Investigator at the Ludwig Boltzmann Institute for Digital Health and Prevention in Salzburg, Austria, and a guest lecturer at FH Campus Wien - University of Applied Sciences, Vienna, Austria. Having worked as a postdoctoral researcher at the Faculty of Health, Social Care and Education from 2016 to 2021, I am pleased to continue my affiliation as Honorary Research Fellow with the Faculty's Emergency, Cardiovascular, and Critical Care Research (ECCCR) group led by Professor Tom Quinn.
I qualified as a physiotherapist in Vienna, Austria, and have worked clinically in Germany, the United States and the United Kingdom, in cardio-respiratory care, neurology, geriatrics and rehabilitation. I am a registered member of the UK Health and Care Professions Council, the Chartered Society of Physiotherapy in the UK, and Physio Austria. Pursuing my interest in research, I completed a masters in clinical practice at St George's, University of London, and a PhD in clinical neuroscience at King's College London.
My research interests are varied and include current physiotherapy and rehabilitation practice, sustainable behaviour change in the context of rehabilitation, the lived experience of disability, self-management for people who are living with long-term conditions, and assessment and treatment of ineffective cough. I have a particular interest in applied clinical research, mixed-methods approaches, multi-disciplinary collaboration, participatory approaches and service user involvement in research.
Qualifications
- PhD, Clinical Neuroscience
- MRes, Clinical Practice
- Diploma, Physiotherapy
Domains
- March 2019, Co-Investigator. National Institute for Health Research (NIHR) Research for Patient Benefit: 'Chin tuck against resistance with feedback: swallowing rehabilitation in frail older people - a feasibility study'. Chief Investigator: Dr David Smithard. £247,049
- December 2018, Principal Investigator. Anglo-Austrian Society Otto Harpner Fund: 'Experiences and attitudes towards research among physiotherapists in Austria'. £500
- July 2017, Principal Investigator. St George's Hospital Charity Research Grant: 'Experiences of visitors to a regional major trauma intensive care unit'. £7,913
- January 2017, Principal Investigator. Kingston University First Grants Scheme: 'Self-management of the severely impaired arm following stroke'. £9,117
Publications
Configurations and outcomes of acute hospital care for frail and older patients with moderate to major trauma : a systematic review
Halter, Mary, Jarman, Heather, Moss, Phil, Kulnik, Stefan Tino, Baramova, Desislava, Gavalova, Lucia, Cole, Elaine, Crouch, Robert and Baxter, Mark, 2023, BMJ Open (13), 2, pp e066329
Use of co‐design methodology in the development of cardiovascular disease secondary prevention interventions : a scoping review
Talevski, Jason, Kulnik, Stefan T., Jessup, Rebecca L., Falls, Roman, Cvetanovska, Natali and Beauchamp, Alison, 2022, Health Expectations
Doing nothing? An ethnography of patients' (In)activity on an acute stroke unit
Costa, Alessia, Jones, Fiona, Kulnik, Stefan T, Clarke, David, Honey, Stephanie and Robert, Glenn, 2022, Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine (26), 4, pp 457-474
Inhalation therapy with nebulized capsaicin in a patient with oropharyngeal dysphagia post stroke : a clinical case report
Pekacka-Egli, Anna Maria, Herrmann, Jana, Spielmanns, Marc, Goerg, Arthur, Schulz, Katharina, Zenker, Eveline, Windisch, Wolfram and Kulnik, Stefan Tino, 2022, Geriatrics (7), 2, pp 27
Therapeutic applications of capsaicin in humans to target conditions of the respiratory system : a scoping review
Toukan, Nour, Kulnik, Stefan Tino, Lewko, Agnieszka and ElShaer, Amr, 2022, Respiratory Medicine (194), pp 106772
Health literacy interventions for secondary prevention of coronary artery disease : a scoping review
Beauchamp, Alison, Talevski, Jason, Niebauer, Josef, Gutenberg, Johanna, Kefalianos, Emmanuel, Mayr, Barbara, Sareban, Mahdi and Kulnik, Stefan Tino, 2022, Open Heart (9), 1, pp 1895
Experiences and attitudes toward scientific research among physiotherapists in Austria : a cross-sectional online survey
Kulnik, Stefan Tino, Latzke, Markus, Putz, Peter, Schlegl, Constance, Sorge, Martina and Meriaux-Kratochvila, Silvia, 2022, (38), 9, pp 1289-1304
Effects of finding the speech-language pathologist likeable on postlaryngectomy speech intelligibility outcomes
Feiner, Marlies, Keszte, Judith, Meyer, Alexandra, Kulnik, Stefan T., Maasz, Martin, Lothaller, Harald, Fuchs, Michael, Hormes, Karl, Oeken, Jens, Vogel, Hans-Joachim, Koscielny, Sven, Pabst, Friedemann and Singer, Susanne, 2021, Folia Phoniatrica et Logopaedica (73), 6, pp 577-58
Introducing patient and public involvement practices to healthcare research in Austria : strategies to promote change at multiple levels
Kaisler, Raphaela E, Kulnik, Stefan Tino, Klager, Elisabeth, Kletecka-Pulker, Maria, Schaden, Eva and Stainer-Hochgatterer, Andreas, 2021, BMJ Open (11), 8, pp e045618
Physiotherapists' job satisfaction according to employment situation : findings from an online survey in Austria
Latzke, Markus, Putz, Peter, Kulnik, Stefan Tino, Schlegl, Constance, Sorge, Martina and Mériaux-Kratochvila, Silvia, 2021, Physiotherapy Research International (26), 3, pp e1907
Predictive value of cough frequency in addition to aspiration risk for increased risk of pneumonia in dysphagic stroke survivors : a clinical pilot study
Pekacka-Egli, Anna Maria, Kazmierski, Radoslaw, Lutz, Dietmar, Kulnik, Stefan Tino, Pekacka-Falkowska, Katarzyna, Maszczyk, Adam, Windisch, Wolfram, Boeselt, Tobias and Spielmanns, Marc, 2021, Brain Sciences (11), 7, pp 847
Clinical and radiological results after Internal Brace suture versus the all-inside reconstruction technique in anterior cruciate ligament tears 12 to 18 months after index surgery = Klinische und radiologische Ergebnisse nach Naht des vorderen Kreuzbandes mittels Internal-Brace- und All-inside-Kreuzbandersatzplastik nach 12–18 Monaten nach Operation
Mattiassich, Georg, Ortmeier, Reinhold, Kindermann, Harald, Barthofer, Jürgen, Vasvary, Imre, Kulnik, Stefan Tino, Katzensteiner, Klaus and Leister, Iris, 2021, Sportverletzung Sportschaden (35), 3, pp 103-114
Agreement and reliability of repeated bedside respiratory muscle strength measurements in acute and subacute stroke
Lewko, Agnieszka, Sidaway, Marta, Kulnik, Stefan Tino and Krawczyk, Maciej, 2021, Physiotherapy Research International (26), 2, pp e1892
Kitchen-related tasks used in occupational therapy during rehabilitation of adults with acquired brain injury : a systematic review
Mohapatra, Sushmita and Kulnik, Stefan Tino, 2021, British Journal of Occupational Therapy (84), 1, pp 22-41
When values get in the way of conversations : reflections on dealing with discriminatory remarks and behaviours in qualitative interviewing
Kulnik, S.T., Egbunike, J. and Francois, J., 2020, International Journal of Qualitative Methods (19)
Mobile technologies to promote physical activity during cardiac rehabilitation : a scoping review
Meinhart, Florian, Stütz, Thomas, Sareban, Mahdi, Kulnik, Stefan Tino and Niebauer, Josef, 2020, Sensors (21), 1, pp 65
Comment on 'Concordant validity of a digital peak cough flow meter to assess voluntary cough strength in individuals with ALS'
Kulnik, Stefan Tino, 2020, Dysphagia (35), 5, pp 874-875
Managing the severely impaired arm after stroke : a mixed-methods study with qualitative emphasis
Kulnik, Stefan, Mohapatra, Sushmita, Gawned, Sara and Jones, Fiona, 2020, Disability and Rehabilitation (42), 13, pp 1826-1834
Accuracy in the assessment of cough peak flow : good progress for a "work in progress"
Kulnik, Stefan Tino, Lewko, Agnieszka, MacBean, Victoria and Spinou, Arietta, 2020, Respiratory Care (65), 1, pp 133-134
Despite communication and cognitive impairment : person-centred goal-setting after stroke : a qualitative study
Dörfler, Elisa and Kulnik, Stefan Tino, 2020, Disability and Rehabilitation (42), 25, pp 3628-3637
Experiences of long-distance visitors to intensive care units at a regional major trauma centre in the United Kingdom : a cross-sectional survey
Kulnik, Stefan Tino, Wulf, Anna-Karynka and Brunker, Christopher, 2019, Intensive and Critical Care Nursing (55), pp 102754
Confidence and willingness among laypersons in the UK to act in a head injury situation : a qualitative focus group study
Kulnik, Stefan Tino, Halter, Mary, Hilton, Ann, Baron, Aidan, Garner, Stuart, Jarman, Heather, Klaassen, Barry and Oliver, Emily, 2019, BMJ Open (9), 11, pp e033531
The problem with self-management : problematising self-management and power using a Foucauldian lens in the context of stroke care and rehabilitation
Fletcher, Simon, Kulnik, Stefan Tino, Demain, Sara and Jones, Fiona, 2019, PLoS ONE (14), 6, pp e0218517
Functional performance testing and return to sport criteria in patients after anterior cruciate ligament injury 12-18 months after index surgery : a cross-sectional observational study
Leister, Iris, Kulnik, Stefan Tino, Kindermann, Harald, Ortmaier, Reinhold, Barthofer, Jurgen, Vasvary, Imre, Katzensteiner, Klaus and Mattiassich, Georg, 2019, Physical Therapy in Sport (37), pp 1-9
"I'm still me - I'm still here!" Understanding the person's sense of self in the provision of self-management support for people with progressive neurological long-term conditions
Kulnik, Stefan Tino, Hollinshead, Lucinda and Jones, Fiona, 2019, Disability and Rehabilitation (41), 11, pp 1296-1306
A gift from experience : co-production and co-design in stroke and self-management
Kulnik, Stefan Tino, Postges, Heide, Townsend, Rosemary, Micklethwaite, Paul and Jones, Fiona, 2019, Design for Health (3), 1, pp 98-118
Could reflex cough induced through nebulized capsaicin achieve airway clearance in patients with acute retention of lung secretions?
Kulnik, Stefan Tino, 2018, Medical Hypotheses (119), pp 104-109
Reference values for fatigued versus non-fatigued limb symmetry index measured by a newly designed single-leg hop test battery in healthy subjects : a pilot study
Leister, Iris, Mattiassich, Georg, Kindermann, Harald, Ortmaier, Reinhold, Barthofer, Jurgen, Vasvary, Imre, Katzensteiner, Klaus, Stelzhammer, Christine and Kulnik, Stefan Tino, 2018, Sport Sciences for Health (14), 1, pp 105-113
A qualitative study of views on disability and expectations from community rehabilitation service users
Kulnik, Stefan T. and Nikoletou, Dimitra, 2017, Health and Social Care in the Community (25), 1, pp 43-53
Implementing an interprofessional model of self-management support across a community workforce : a mixed-methods evaluation study
Kulnik, Stefan, Poestges, Heide, Brimicombe, Lucinda, Hammond, John A. and Jones, Fiona, 2017, Journal of Interprofessional Care (31), 1, pp 75-84
Cough frequency monitors : can they discriminate patient from environmental coughs?
Kulnik, Stefan, Williams, Natalie M., Kalra, Lalit, Moxham, John and Birring, Surinder S., 2016, Journal of Thoracic Disease (8), 11, pp 3152-3159
Higher cough flow is associated with lower risk of pneumonia in acute stroke
Kulnik, Stefan T, Birring, Surinder S, Hodsoll, John, Moxham, John, Rafferty, Gerrard F and Kalra, Lalit, 2016, Thorax (71), pp 474-475
Should we train respiratory muscles after stroke?
Kulnik, Stefan Tino, 2015, Neurology (85), 7, pp 560-561
Does respiratory muscle training improve cough flow in acute stroke? Pilot randomised controlled trial
Kulnik, Stefan Tino, Birring, Surinder Singh, Moxham, John, Rafferty, Gerrard Francis and Kalra, Lalit, 2015, Stroke (46), 2, pp 447-453
Accuracy of portable devices in measuring peak cough flow
Kulnik, Stefan Tino, MacBean, Victoria, Birring, Surinder Singh, Moxham, John, Rafferty, Gerrard Francis and Kalra, Lalit, 2015, Physiological Measurement (36), 2, pp 243-257
A pilot study of respiratory muscle training to improve cough effectiveness and reduce the incidence of pneumonia in acute stroke
Kulnik, Stefan Tino, Rafferty, Gerrard Francis, Birring, Surinder S, Moxham, John and Kalra, Lalit, 2014, Trials (15), 123
WHODAS 2.0 in community rehabilitation: a qualitative investigation into the validity of a generic patient-reported measure of disability
Kulnik, Stefan T. and Nikoletou, Dimitra, 2014, Disability and Rehabilitation (36), 2, pp 146-154
Self-management
Jones, Fiona and Kulnik, Stefan Tino (2018). In: Lennon, Sheila, (eds.), Verheyden, Geert, (eds.) and Ramdharry, Gita, (eds.), Physical management for neurological conditions. London, U.K.: Elsevier, pp 379-396
An exploration of current mobilisation practice on Austrian hyperacute stroke units: an online survey
Stockreiter, A., Adonis, A., Kulnik, S. and Davenport, S.(2020). In: ESO-WSO 2020 Virtual Conference, 07-09 Nov 2020 :Online
The potential of objective physical activity measurements in cardiac rehabilitation – a scoping review
Meinhart, F., Stütz, T., Kulnik, S.T., Sareban, M. and Niebauer, J.(2020). In: Österreichische Kardiologische Gesellschaft Jahrestagung 2020 [Annual Meeting of the Austrian Society of Cardiology 2020], 01-03 Nov 2020 :Online
Attitudes towards scientific research among undergraduate physiotherapy students in Austria
Kulnik, Stefan Tino, Latzke, Markus, Putz, Peter, Schlegl, Constance, Sorge, Martina and Meriaux-Kratochvila, Silvia(2020). In: 5th European Congress : Physiotherapy Education : Europe Region World Physiotherapy Online 2020, 11 Sep 2020 :Leuven, Belgium (held online)
Opportunities to become involved in scientific research within Austrian physiotherapists' practice environments : perceived importance versus realisation
Kulnik, Stefan Tino, Latzke, Markus, Putz, Peter, Schlegl, Constance, Sorge, Martina and Meriaux-Kratochvila, Silvia(2020). In: 5th European Congress : Physiotherapy Education : Europe Region World Physiotherapy Online 2020, 11 Sep 2020 :Leuven, Belgium (held online)
Test-retest reliability of respiratory muscle testing in stroke
Lewko, Agnieszka, Kulnik, Stefan Tino, Sidaway, Marta and Krawczyk, Maciej(2019). In: ERS International Congress 2019, 28 Sep - 02 Oct 2019 :Madrid, Spain
Using mixed methods in exploring the efficacy of technology and implementing self-management in stroke
Tedesco Triccas, L. and Tino Kulnik, S.(2019). In: Third Congress on Neurorehabilitation and Neural Repair : from Science to Evidence-based Practice, 22-24 May 2019 :Maastricht, Netherlands
Association between respiratory muscle strength and measures of stroke severity and function
Krawczyk, M., Sidaway, M., Kulnik, S. and Lewko, A.(2019). In: Third Congress on Neurorehabilitation and Neural Repair : from Science to Evidence-based Practice, 22-24 May 2019 :Maastricht, Netherlands
Sense of self in self-management in neurological conditions
Kulnik, Stefan Tino(2019). In: Performing and Picturing Patienthood : Exploring Graphic Illness Narratives, 04-05 Apr 2019 :London, U.K.
The problem with self-management : problematising self-management and power using a Foucauldian lens in the context of stroke care and rehabilitation.
Fletcher, Simon, Kulnik, Stefan Tino, Demain, Sara and Jones, Fiona(2018). In: Qual-World 2018 : Qual-World Virtual Conference, 03-04 Dec 2018 :Online
Experiences of visitors to a regional major trauma intensive care unit (VISIT-ICU)
Kulnik, Stefan Tino, Brunker, Christopher and Wulf, Anna-Karynka(2018). In: London Major Trauma System Symposium, 12 Jun 2018 :London, U.K.
Beyond clinicians' predictions : adding value through an encouraging and empowering approach to stroke self-management.
Kulnik, S.T., Mohapatra, S., Gawned, S. and Jones, F.(2018). In: Upper Limb Stroke Rehabilitation Summer School, 19-21 Sep 2018 :Leuven, Belgium
'If it works, fine. If it doesn't, have hope.' : a qualitative study to explore individuals' experiences of managing their severely affected arm after stroke
Kulnik, ST, Mohapatra, S, Gawned, S, Shamah, S, Amo, K and Jones, F(2017). In: 12th UK Stroke Forum Conference, 28-30 Nov 2017 :Liverpool, U.K.
Patient centred care
Kulnik, Stefan Tino(2016). In: 4th European Congress of ER-WCPT, the European Region of the World Confederation of Physical Therapy : Advancing Physiotherapy : Demonstrating Value and Impact, 11-12 Nov 2016 :Liverpool, U.K.
Assessment of cough in dysphagia - added value or fancy fad?
Kulnik, Stefan Tino(2016). In: 6th UK Swallowing Research Group Conference (UKSRG), 04-05 Feb 2016 :London, U.K.
Cough frequency in acute stroke
Kulnik, ST, Birring, SS, Rafferty, GF, Moxham, J and Kalra, L(2015). In: British Thoracic Society Winter Meeting 2015, 02-04 Dec 2015 :London, U.K.
Higher peak expiratory flow of voluntary cough is associated with lower risk of pneumonia in acute stroke patients who are at risk of aspiration
Kulnik, S, Rafferty, G, Birring, S, Moxham, J and Kalra, L(2014). In: 9th UK Stroke Forum Conference, 02-04 Dec 2014 :Harrogate, U.K.
Pilot study of respiratory muscle training (RMT) to improve cough and reduce the incidence of pneumonia in acute stroke (ISRCTN40298220)
Kulnik, S, Rafferty, G, Birring, S, Moxham, J and Kalra, L(2014). In: 9th World Stroke Congress, 22-25 October 2014 :Istanbul, Turkey
WHODAS 2.0 in community rehabilitation a qualitative exploration of content and construct validity of a generic disability measure
Kulnik, Stefan Tino and Nikoletou, Dimitra(2012). In: 18th European Congress of Physical and Rehabilitation Medicine, 28 May - 01 Jun 2012 :Thessaloniki, Greece