Volitional And Non-volitional Control Of Human Balance: Normal Physiology And Changes With Ageing
Funder
National Health and Medical Research Council
Funding Amount
$383,066.00
Summary
How does the brain control balance when we stand? Our research shows that two very distinct processes operate to produce distinct postural, perceptual and cardiovascular outcomes. These experiments investigate the neurophysiology that coordinates these systems and what happens with age. The results will fundamentally change views on balance control. Balance problems are common in neurological disorders and old age. Knowing how balance works will improve diagnosis, treatment and rehabilitation.
The Influence Of Human Cortical Rhythms On The Induction Of Plasticity
Funder
National Health and Medical Research Council
Funding Amount
$298,898.00
Summary
The human brain has a great capacity to reorganise. This capacity is known as plasticity and is behind our ability to learn new skills. Plasticity is important for recovery from brain injury. The recently developed technique of transcranial magnetic stimulation can be used to manipulate plasticity in the human brain This approach offers new and exciting therapeutic opportunities. This project is aimed at optimising this technique.
Characterising Post Stroke Neuroplasticity In Humans – Identifying A Critical Window For Rehabilitation
Funder
National Health and Medical Research Council
Funding Amount
$764,419.00
Summary
Despite major investment in care for stroke patients, almost all have persisting disability. Stroke causes loss of brain cells that cannot be replaced. Some recovery is possible through compensatory mechanisms. In addition, intact cells around the stroke undergo growth that is critical for recovery. Animal studies suggest these changes take place in a “critical window” after stroke. Applying therapies in this window should improve outcomes. We will use novel approaches to define the “critical wi ....Despite major investment in care for stroke patients, almost all have persisting disability. Stroke causes loss of brain cells that cannot be replaced. Some recovery is possible through compensatory mechanisms. In addition, intact cells around the stroke undergo growth that is critical for recovery. Animal studies suggest these changes take place in a “critical window” after stroke. Applying therapies in this window should improve outcomes. We will use novel approaches to define the “critical window” in patients after strokeRead moreRead less
Mechanisms Underlying Impaired Neuroplasticity In Adolescents Born Preterm
Funder
National Health and Medical Research Council
Funding Amount
$528,449.00
Summary
Preterm birth can lead to learning and motor deficits. We have preliminary evidence that these deficits last into adolescence and are due to a limited ability of the brain to reorganise (plasticity). We will confirm and characterise the learning/motor deficits seen in adolescents born preterm and explore if impaired plasticity is responsible. This project will provide vital information for the development of novel interventions to help children born prematurely to achieve best outcomes.
Experience drives changes in the connections between neurons in the brain. This neuroplasticity is a fundamental property of the nervous system, critical for learning and memory, but also important for recovery from injury and development of some nervous system disorders. This study will improve understanding of how, with practice, the human brain adapts to functional demands in the development of motor skill. Musicians are used as exemplars of fine motor skill who show long-term experience-driv ....Experience drives changes in the connections between neurons in the brain. This neuroplasticity is a fundamental property of the nervous system, critical for learning and memory, but also important for recovery from injury and development of some nervous system disorders. This study will improve understanding of how, with practice, the human brain adapts to functional demands in the development of motor skill. Musicians are used as exemplars of fine motor skill who show long-term experience-driven plasticity in the brain. This study will provide specific and detailed quantitative information about how motor cortex circuits important for control of the hand are altered in musicians. The study will also improve understanding of basic mechanisms involved in short-term neuroplasticity associated with motor learning in musicians and non-musicians, and hemispheric or training-related differences in these properties which may contribute to different abilities to use the hand for fine motor tasks.Read moreRead less
Cortical Plasticity And Fine Motor Skills In Older Adults
Funder
National Health and Medical Research Council
Funding Amount
$244,255.00
Summary
Even in healthy individuals, the ageing process is usually associated with a progressive reduction in the performance of various motor skills, such as writing, placing keys in keyholes and fastening buttons. These deficits in manual performance may be due to an age-related decline in the ability of the brain to modify its connections (plasticity) when learning new motor skills. This brain plasticity is a fundamental property of the nervous system, where it is critical for learning and memory, bu ....Even in healthy individuals, the ageing process is usually associated with a progressive reduction in the performance of various motor skills, such as writing, placing keys in keyholes and fastening buttons. These deficits in manual performance may be due to an age-related decline in the ability of the brain to modify its connections (plasticity) when learning new motor skills. This brain plasticity is a fundamental property of the nervous system, where it is critical for learning and memory, but is also important for recovery from brain injury. The goal of the proposed studies is to examine the extent of brain plasticity when performing fine motor skills in older adults, and relate this to motor performance and learning in the elderly. We will use three complementary approaches that will employ novel techniques of magnetic brain stimulation to achieve this goal. These studies will be the first to ascertain a link between deficits in brain plasticity and impaired manual performance in older adults. Furthermore, these studies will be the first to examine interventions designed to promote brain plasticity and motor performance in older adults. Because the majority of patients requiring neurological rehabilitation are in an older age group, it is important to understand the extent of brain plasticity in the elderly. This new information may ultimately lead to innovative therapeutic or rehabilitation strategies to retain or improve fine motor skills in the elderly and promote functional recovery from brain injury.Read moreRead less
The Role Of Afferent Input In The Development Of Focal Task Specific Dystonia
Funder
National Health and Medical Research Council
Funding Amount
$213,000.00
Summary
The term dystonia is used to describe a condition that is characterised by abnormal muscle activation patterns. This leads to impaired control of voluntary movements. Depending upon which part of the body is affected, dystonia may be classified as generalised (affecting two or more body segments), hemi (involving one side), segmental (involving adjacent body parts or a segment), or focal (affecting one part of the body). Many of the focal dystonias are also task specific and the aim of this prop ....The term dystonia is used to describe a condition that is characterised by abnormal muscle activation patterns. This leads to impaired control of voluntary movements. Depending upon which part of the body is affected, dystonia may be classified as generalised (affecting two or more body segments), hemi (involving one side), segmental (involving adjacent body parts or a segment), or focal (affecting one part of the body). Many of the focal dystonias are also task specific and the aim of this proposal is to investigate these task-specific focal dystonias. Task-specific focal dystonia is common in the community and causes considerable suffering and loss of productivity. For example, writer's cramp (a common form of task specific focal dystonia) is probably the commonest cause of writing difficulty in patients in whom this is the sole complaint. No treatment regimen has been shown to be effective in alleviating it's often debilitating symptoms. The aim of these studies is to further define the pathophysiological changes seen in task-specific dystonia and investigate the mechanisms responsible for their generation. Using the techniques of transcranial magnetic stimulation and peripheral nerve stimulation we will investigate the organisation of the motor cortex in this condition and examine the influence of afferent input on intrinsic cortical circuitry. We hypothesise that the motor regions of the brain are more sensitive to the particular repeated patterns of sensory information reaching the brain during repetitive movement and this results in abnormal alterations in organisation that may be responsible for the symptoms of dystonia. Additionally, we predict that it may be possible to reverse these organisational changes by applying novel patterns of nerve stimulationRead moreRead less
Strengthening Functional Connectivity In The Ageing Brain.
Funder
National Health and Medical Research Council
Funding Amount
$320,891.00
Summary
Age-related deficits in the ability to perform meaningful, voluntary movements markedly increase the likelihood of experiencing falls, a major cause of injury among older adults. Using advanced neurophysiological techniques, this project will (1) define the role of functional connectivity decline in age-related movement deficits and (2) gain a mechanistic understanding of improvements in voluntary movement control through a promising intervention for reversing age-related functional decline.
Mechanisms Of Cortical And Respiratory Degenerations In Amyotrophic Lateral Sclerosis
Funder
National Health and Medical Research Council
Funding Amount
$333,900.00
Summary
This study will be the first to chronicle how and when motor neurons (MNs) in the brain and spinal cord degenerate before, during and after ALS symptoms in 2 different mouse models. The MNs studied control breathing muscles and are a key disease progression and mortality indicator in patients. I expect drastic shape and electrical abnormalities, providing information useful to clinicians about how and when brain and spinal cord MNs degenerate, uncovering new therapeutic targets and time-points.
Improving Oral health is a priority of the NHMRC Strategic Plan 2003-06. The proposed research is consistent with this priority as we will achieve a better understanding of the cortical control of human jaw muscles, which serves as the foundation for understanding conditions in which their function is impaired, and the development of rational therapies for these conditions. Transcranial magnetic stimulation will be used to activate the motor cortex and corticobulbar descending pathway to the jaw ....Improving Oral health is a priority of the NHMRC Strategic Plan 2003-06. The proposed research is consistent with this priority as we will achieve a better understanding of the cortical control of human jaw muscles, which serves as the foundation for understanding conditions in which their function is impaired, and the development of rational therapies for these conditions. Transcranial magnetic stimulation will be used to activate the motor cortex and corticobulbar descending pathway to the jaw muscles. The AIM 1 study will provide important new information about the functional organisation of the motor cortex in the control of jaw muscles during speech. This information is needed to improve understanding of dysarthria, a common disturbance of speech due to impaired muscular control following unilateral cortical stroke, and less common conditions involving speech motor control such as spasmodic dysphonia (a cranial dystonia) and dysprosody (disturbance of speech articulation and rhythm found in Parkinson s disease). The AIM 2 and 3 studies will provide a comprehensive characterization of cortical inhibitory mechanisms that are an important but poorly understood component of the cortical control of jaw muscles. This information is necessary to understand normal function, and the mechanisms of disturbances to jaw muscle function with neurological disease or injury. The AIM 4 studies will show whether impaired cortical inhibition contributes to the pathophysiology of two poorly understood disorders affecting jaw muscles (bruxism and oromandibular dystonia). Current therapies for these conditions are unsatisfactory, due to a limited understanding of the mechanisms involved. If cortical inhibition is abnormal in these conditions this will lead to novel treatment therapies (e.g., drugs to correct the imbalance, or strategies to induce plastic change in the cortex).Read moreRead less