Can unloading footwear improve clinical care of people with knee osteoarthritis? Osteoarthritis is a public health problem imposing major economic and personal burden. It is the fourth highest cause of morbidity in Australia and national health expenditure in 2007 was $2.03 billion. Footwear can reduce knee load which is linked to disease pathogenesis. Specially-designed unloading shoes will be evaluated in a clinical trial and biomechanical studies to determine their efficacy at reducing sympto ....Can unloading footwear improve clinical care of people with knee osteoarthritis? Osteoarthritis is a public health problem imposing major economic and personal burden. It is the fourth highest cause of morbidity in Australia and national health expenditure in 2007 was $2.03 billion. Footwear can reduce knee load which is linked to disease pathogenesis. Specially-designed unloading shoes will be evaluated in a clinical trial and biomechanical studies to determine their efficacy at reducing symptoms, mechanical mechanism of pain relief, patient sub-groups that best respond to treatment and whether combined treatment with medial arch supports changes knee biomechanics. Outcomes will impact clinical practice and relieve suffering of people with knee osteoarthritis. Findings will also guide future shoe developments for arthritis. Read moreRead less
The early osteoarthritis (OA) phenotype. Australia like many other developed countries is undergoing a major demographic shift involving significant growth in the aged population. From both a patient perspective and a societal perspective, research into the underlying determinants of osteoarthritis such as those outlined in this proposal are of great importance to the aged population. Nearly one in five Australians has arthritis; indeed more Australians have arthritis than any other national hea ....The early osteoarthritis (OA) phenotype. Australia like many other developed countries is undergoing a major demographic shift involving significant growth in the aged population. From both a patient perspective and a societal perspective, research into the underlying determinants of osteoarthritis such as those outlined in this proposal are of great importance to the aged population. Nearly one in five Australians has arthritis; indeed more Australians have arthritis than any other national health priority condition. From an individual point-of-view, the pain and disability due to osteoarthritis (OA) can lead to loss of independence and diminished in quality of life for older adults.Read moreRead less
Program evaluation of the osteoarthritis awareness hub. Persons with osteoarthritis generally have poor knowledge about their disease and its appropriate management. The aim of this project is to evaluate whether improved knowledge, and management decisions of persons with osteoarthritis, can ultimately lead to improved health outcomes.
Knee osteoarthritis: Getting moving with physiotherapy. Knee osteoarthritis (OA) is a prevalent chronic musculoskeletal condition causing pain, disability and reduced quality-of-life. Further rises in the prevalence of knee OA and associated patient and economic costs are expected due to an ageing population and increasing risk factors for OA such as obesity. This research will provide important information about the role of modified footwear and gait retraining in management of knee OA which ca ....Knee osteoarthritis: Getting moving with physiotherapy. Knee osteoarthritis (OA) is a prevalent chronic musculoskeletal condition causing pain, disability and reduced quality-of-life. Further rises in the prevalence of knee OA and associated patient and economic costs are expected due to an ageing population and increasing risk factors for OA such as obesity. This research will provide important information about the role of modified footwear and gait retraining in management of knee OA which can influence current clinical practice. This has the potential to reduce the burden of knee OA from both an individual and societal perspective. Furthermore, the research will result in a commercially available shoe suitable for people with knee OA. Read moreRead less
Development of a Prothrombogenic Bone Graft Substitute. The clinical demand for bone is massive and to counter this bone can be either harvested from the patient or bone substitutes are used. The success or failure of a bone substitute is determined the instant it come into contact with blood. The surfaces of traditional biomaterials induce a foreign body reaction. The aim of this project is to test the bone forming capacity of a biomaterial that is optimised to produce a natural response from ....Development of a Prothrombogenic Bone Graft Substitute. The clinical demand for bone is massive and to counter this bone can be either harvested from the patient or bone substitutes are used. The success or failure of a bone substitute is determined the instant it come into contact with blood. The surfaces of traditional biomaterials induce a foreign body reaction. The aim of this project is to test the bone forming capacity of a biomaterial that is optimised to produce a natural response from the blood. This response will lead to the formation new viable tissue and eventually bone. Such a material will cause faster bone healing, less pain from graft sites, shorter hospital stays and shorter waiting lists. Read moreRead less
Three-dimensional Simulation of Trabecular Bone Remodelling. Nearly 2 million Australians currently suffer from osteoporosis. Statistics indicate that 25% of Australian women and 17% of men will develop an osteoporotic fracture. The cost of osteoporosis is $7.4 billion per annum; the numbers of affected individuals and costs are expected to continue increasing. Clearly, improvements to osteoporosis diagnosis, fracture risk assessment, and effective treatments are still urgently needed. The p ....Three-dimensional Simulation of Trabecular Bone Remodelling. Nearly 2 million Australians currently suffer from osteoporosis. Statistics indicate that 25% of Australian women and 17% of men will develop an osteoporotic fracture. The cost of osteoporosis is $7.4 billion per annum; the numbers of affected individuals and costs are expected to continue increasing. Clearly, improvements to osteoporosis diagnosis, fracture risk assessment, and effective treatments are still urgently needed. The proposed project aims to create a tool for understanding the mechanisms of bone loss and predicting the effects of osteoporosis therapies. It represents a solid contribution to the knowledge base necessary for advancing osteoporosis research and ultimately reducing the incidence of osteoporotic fracture.Read moreRead less
Towards a cost-effective therapy for osteoporosis using Australian indigenous emu oil. Emu oil has a potent anti-inflammatory property. This project aims to show in rodents whether its use can overcome the inflammatory condition and osteoporosis caused by aging, menopause and cancer chemotherapy. This research could lead to development of an emu oil-based therapy for major health problems and have immense social and economic implications.
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
Mindfulness and coping in chronic illness: insights from a study of joint replacement surgery. This study investigates whether participation in a mental health enhancement program (mindfulness) will improve the recovery of patients undergoing total joint replacement. This will benefit patients by promoting psychological well-being which has direct effects on pain and physical function after surgery.
Better prevention and management of disabling back pain. This project will establish a program of back pain research within an inter-disciplinary research centre focused on the prevention and management of physical disability.