REACH: Randomised Trial Of EArly Rehabilitation In Congenital Hemiplegia
Funder
National Health and Medical Research Council
Funding Amount
$972,777.00
Summary
Infants with asymmetric brain lesions are at high risk of congenital hemiplegia. This study compares modified CIMT to an equal dose of bimanual training in 150 infants recruited at 3-6 months. Both therapies will be parent-delivered supported by experienced clinicians. Outcomes include use of the impaired hand in bimanual tasks, cognitive and motor development at 12 and 24 months c.a. with measures of neural structure and functional connectivity at 24 months. Early interventions that attenuate
Sound practice: Supporting sustainable careers in orchestral musicians through Occupational Health and Safety initiatives. This project will produce new knowledge about musician health, well-being and injury prevention and management. It will establish the first injury surveillance system for musicians internationally and the first set of rigorous studies to evaluate the effectiveness of injury management interventions for orchestral musicians. We will establish musician-specific assessment prot ....Sound practice: Supporting sustainable careers in orchestral musicians through Occupational Health and Safety initiatives. This project will produce new knowledge about musician health, well-being and injury prevention and management. It will establish the first injury surveillance system for musicians internationally and the first set of rigorous studies to evaluate the effectiveness of injury management interventions for orchestral musicians. We will establish musician-specific assessment protocols, practices and interventions leading to effective OHS policies, thus enabling global improvement in OHS in the music industry, preventing economic and personal loss from premature career termination due to injury, and assisting, through mentoring, the new generation of young orchestral musicians.Read moreRead less
The development of chronicity following whiplash injury: the fear-avoidance model versus a neurobiological stress model. The economic burden of musculoskeletal conditions is second only to cardiovascular disease and Whiplash Associated Disorders are one of most economically costly musculoskeletal conditions. This project brings together leading Australian multiprofessional spinal pain researchers to investigate physiological and psychological processes involved in the development of chronic pain ....The development of chronicity following whiplash injury: the fear-avoidance model versus a neurobiological stress model. The economic burden of musculoskeletal conditions is second only to cardiovascular disease and Whiplash Associated Disorders are one of most economically costly musculoskeletal conditions. This project brings together leading Australian multiprofessional spinal pain researchers to investigate physiological and psychological processes involved in the development of chronic pain after whiplash injury. The results will improve the understanding of the processes and inter-relationships between these processes in the development of chronic whiplash pain thus leading to the development of improved early intervention strategies in order to prevent the transition to chronicity. Read moreRead less
Bilateral Cochlear Implants for Children: Does a Second Implant Improve Language, Psychosocial and Other Outcomes? Severe-profound congenital hearing loss engenders significant costs to society. In 2005, specialised education cost -- on average $25,000 per child, loss of productivity cost -- $6.7 billion, and social security benefits were paid to approximately 129,000 individuals who were unemployed due to hearing loss. If bilateral cochlear implantation results in improved language, social dev ....Bilateral Cochlear Implants for Children: Does a Second Implant Improve Language, Psychosocial and Other Outcomes? Severe-profound congenital hearing loss engenders significant costs to society. In 2005, specialised education cost -- on average $25,000 per child, loss of productivity cost -- $6.7 billion, and social security benefits were paid to approximately 129,000 individuals who were unemployed due to hearing loss. If bilateral cochlear implantation results in improved language, social development, and academic outcomes, the community benefits arising will be greatly improved quality of life for these individuals and significant savings to society. In partnership with Cochlear Ltd, this study will provide some of the first data worldwide comparing the effects of an additional implant on language, social and educational outcomes.Read moreRead less
Prediction of outcome following whiplash injury: a multicentre international prospective study. The main aim of this study is to validate a set of biological and psychological prognostic indicators of outcome following whiplash injury that we have previously identified in a single centre prospective cohort. Validation will be in the context of a large multicentre international cohort. This will allow stakeholders involved in whiplash such as health care and insurance providers to predict with co ....Prediction of outcome following whiplash injury: a multicentre international prospective study. The main aim of this study is to validate a set of biological and psychological prognostic indicators of outcome following whiplash injury that we have previously identified in a single centre prospective cohort. Validation will be in the context of a large multicentre international cohort. This will allow stakeholders involved in whiplash such as health care and insurance providers to predict with confidence both those persons at risk of developing chronic symptoms as well as those with a good chance of full recovery. Furthermore the validation of the predictive capacity of these indicators will, for the first time, provide predictive markers that are amenable to specific early multiprofessional treatment interventions.Read moreRead less
Neuromuscular adaptations to training, cross training and passive physical interventions: A neurophysiological approach to understanding human performance and musculoskeletal injury. The expected national benefit arising from this research is three fold: (i) developing knowledge of approaches taken to improve exercise performance across the spectrum of novice to elite levels of participation, (ii) improved understanding of the physiological basis for widely applied interventions used to facilita ....Neuromuscular adaptations to training, cross training and passive physical interventions: A neurophysiological approach to understanding human performance and musculoskeletal injury. The expected national benefit arising from this research is three fold: (i) developing knowledge of approaches taken to improve exercise performance across the spectrum of novice to elite levels of participation, (ii) improved understanding of the physiological basis for widely applied interventions used to facilitate exercise, performance, as well as injury prevention and rehabilitation, and (iii) increasing the pool of world-class researchers who will make a substantial difference to the health and wellbeing of the community through one post-doctoral and two doctoral programs. This project will cement existing tertiary-industry sector collaboration, which will ensure long-standing benefits to the community.Read moreRead less
Competing demands on the axial muscles: Effects, consequences, compensations and mechanisms. Back and neck pain are major health issues and are associated with considerable cost to society and an individual's quality of life. A major issue is to identify factors that increase the chance of developing pain. This project will investigate a novel and innovative possibility; that competition between the many functions of the trunk muscles may increase the possibility for injury. We will study how th ....Competing demands on the axial muscles: Effects, consequences, compensations and mechanisms. Back and neck pain are major health issues and are associated with considerable cost to society and an individual's quality of life. A major issue is to identify factors that increase the chance of developing pain. This project will investigate a novel and innovative possibility; that competition between the many functions of the trunk muscles may increase the possibility for injury. We will study how the nervous system coordinates functions as diverse and movement of the spine, breathing, and control of head and eye movement. A key issue will be to identify whether situations arise in which control of the spine is compromised, potentially leading to increased risk of pain and injury. Such data can aid prevention and rehabilitation.Read moreRead less
Physiological, bahavioural and functional motor abilities in children with undifferentiated tongue movements during speech. A subgroup of children with speech disorders who have difficulty moving parts of their tongue independently during speech has been identified. This study aims to investigate if this is a unique phenomenon of the tongue during speech, or indicative of more generalized patterns of motor movement. This will enable us to explore the similarities between patterns of movement in ....Physiological, bahavioural and functional motor abilities in children with undifferentiated tongue movements during speech. A subgroup of children with speech disorders who have difficulty moving parts of their tongue independently during speech has been identified. This study aims to investigate if this is a unique phenomenon of the tongue during speech, or indicative of more generalized patterns of motor movement. This will enable us to explore the similarities between patterns of movement in the articulators during speech and non-speech tasks and the upper limb. In turn, this will inform the debate about motor control mechanisms for speech and other body movements, which would lead to more effective treatment regimes.Read moreRead less
Determinants of successful community transition for individuals with acquired brain injury and their families. Transition home following acquired brain injury (ABI) is a critical phase in which individuals and families are vulnerable. Unsuccessful transitions are characterised by events such as financial crisis, family breakdown, loss of work, social isolation, and institutionalisation. ABI does not discriminate, but there is a higher rate in Indigenous, rural and remote communities and amongst ....Determinants of successful community transition for individuals with acquired brain injury and their families. Transition home following acquired brain injury (ABI) is a critical phase in which individuals and families are vulnerable. Unsuccessful transitions are characterised by events such as financial crisis, family breakdown, loss of work, social isolation, and institutionalisation. ABI does not discriminate, but there is a higher rate in Indigenous, rural and remote communities and amongst younger people. The societal impact of ABI includes loss of income and livelihood, health and welfare dependence, and long-term accommodation support. Research into the determinants of successful transition will alleviate the personal, social and economic burden of ABI and inform policy and program priorities for appropriate Australian Government bodies.Read moreRead less