Psychophysiological Indices Of Recovery After Traumatic Brain Injury
Funder
National Health and Medical Research Council
Funding Amount
$302,123.00
Summary
Traumatic brain injury, the most common form of brain injury in young Australian adults, is a devastating problem causing social isolation, poor employment outcomes and reliance on government services. This project will contribute to the development of improved rehabilitation programs through a better understanding of the cognitive and emotion perception deficits following traumatic brain injury.
Hypertonic Saline (HTS) In Head Injured Patients - A Multicentre, Prehospital, Prospective Randomised Clinical Trial
Funder
National Health and Medical Research Council
Funding Amount
$247,269.00
Summary
Head injury is common in patients with major trauma, many of whom are young adults. The extent of head injury has a major influence on patient outcome. Low blood pressure after trauma worsens the extent of brain injury by decreasing its blood supply at a critical stage. Much of this secondary brain injury occurs before the patient reaches hospital. Hypertonic saline (HTS) is an intravenous salt solution which has been used in intensive care patients for many years to decrease brain swelling in h ....Head injury is common in patients with major trauma, many of whom are young adults. The extent of head injury has a major influence on patient outcome. Low blood pressure after trauma worsens the extent of brain injury by decreasing its blood supply at a critical stage. Much of this secondary brain injury occurs before the patient reaches hospital. Hypertonic saline (HTS) is an intravenous salt solution which has been used in intensive care patients for many years to decrease brain swelling in head injured patients. We know that HTS can be given to patients before they reach hospital, is safe, and acts by rapidly increasing blood pressure and decreasing brain swelling. Accordingly HTS may minimise secondary brain injury and lead to increased survival. Importantly, HTS is likely to dramatically improve neurological function of survivors without any significant risk of side effects. This study is designed to determine the effectiveness of prehospital HTS in head injured trauma patients with traumatic coma and low blood pressure.Read moreRead less
Determining The Cellular Mechanism Underlying Diffuse Axonal Injury Following Brain Trauma
Funder
National Health and Medical Research Council
Funding Amount
$400,885.00
Summary
Traumatic head injury causes transient stretch injury to the nerve cell processes within the brain. This leads to a poorly understood series of cellular changes within nerve cells which may ultimately lead to their breakage and subsequent neurological disability. This project seeks to understand how this nerve cell damage forms, and explores new potential interventions which may protect the brain.
Cerebral Circulation In Sleep - Physiology & Pathophysiology
Funder
National Health and Medical Research Council
Funding Amount
$779,650.00
Summary
Prolonged, repetitive episodes of obstructed breathing during sleep (known as obstructive sleep apnoea syndrome or OSA) is a common medical problem that afflicts both adults and children. As many as 200,000 Australian adults and 100,000 children are affected. OSA has major medical consequences, amongst the most serious being cardiovascular disease and stroke. This experimental study investigates the blood flow to the brain and heart in normal sleep, and in sleep disrupted by OSA, as many of the ....Prolonged, repetitive episodes of obstructed breathing during sleep (known as obstructive sleep apnoea syndrome or OSA) is a common medical problem that afflicts both adults and children. As many as 200,000 Australian adults and 100,000 children are affected. OSA has major medical consequences, amongst the most serious being cardiovascular disease and stroke. This experimental study investigates the blood flow to the brain and heart in normal sleep, and in sleep disrupted by OSA, as many of the problems associated with OSA may have their origin in disturbance of blood flow to the brain and heart.Read moreRead less
Cerebral Circulation In Sleep: Impact Of Endothelial Dysfunction
Funder
National Health and Medical Research Council
Funding Amount
$313,026.00
Summary
Prolonged, repetitive episodes of obstructed breathing during sleep (known as obstructive sleep apnoea syndrome or OSA) is a common medical problem that afflicts both children and adults. As many as 200,000 Australian adults and 300,000 children are affected. OSA has major medical consequences, amongst the most serious being cognitive deficits in children and vascular disease and stroke in adults. This experimental study investigates blood flow to the brain in normal sleep, and in sleep disrupte ....Prolonged, repetitive episodes of obstructed breathing during sleep (known as obstructive sleep apnoea syndrome or OSA) is a common medical problem that afflicts both children and adults. As many as 200,000 Australian adults and 300,000 children are affected. OSA has major medical consequences, amongst the most serious being cognitive deficits in children and vascular disease and stroke in adults. This experimental study investigates blood flow to the brain in normal sleep, and in sleep disrupted OSA, as many of the problems associated with OSA may have their origin in disturbance of blood flow to the brain.Read moreRead less
A Clinical Trial Of The Effect Of Neuropsychological Treatments In Increasing Community Participation After Brain Injury
Funder
National Health and Medical Research Council
Funding Amount
$365,700.00
Summary
Traumatic brain injury is very common, with more than 2,000 people surviving serious brain injury in NSW each year. The survivors are most commonly young adult males and many are left with permanent brain damage, invariably affecting cognitive abilities. The impact of cognitive impairments on the person's capacity to resume their premorbid lifestyle is enormous. In one of our studies we found that 40% did not work but nor did they have any meaningful occupational activity to replace work. The cu ....Traumatic brain injury is very common, with more than 2,000 people surviving serious brain injury in NSW each year. The survivors are most commonly young adult males and many are left with permanent brain damage, invariably affecting cognitive abilities. The impact of cognitive impairments on the person's capacity to resume their premorbid lifestyle is enormous. In one of our studies we found that 40% did not work but nor did they have any meaningful occupational activity to replace work. The current project targets this large group of people in particular. The study aims to develop and test two alternative, intensive cognitive treatment programs that are geared to increasing community participation, everyday activities and psychological well-being. To date, no such therapies have been evaluated using powerful methodological designs. As a result of the study we will be able to incorporate the standardised interventions into a format that can be easily applied to Brain Injury Rehabilitation Services in Australia. The programs will not only improve the functioning of the individuals with brain injury, but will have a flow-on effect for their families and the community at large.Read moreRead less
Physiotherapist Led Stress Inoculation Intervention Integrated With Exercise For Acute Whiplash Injury
Funder
National Health and Medical Research Council
Funding Amount
$518,960.00
Summary
Physical and mental health outcomes following whiplash injury due to a road traffic crash are poor. Early stress system responses are associated with poor recovery. This study will investigate the effectiveness of a physiotherapist led stress inoculation intervention integrated with currently recommended exercise rehabilitation to improve health outcomes after whiplash injury.
Pre-clinical Evaluation Of Nano-membrane Dressings To Promote Wound Healing
Funder
National Health and Medical Research Council
Funding Amount
$188,600.00
Summary
This project will investigate whether a novel type of wound dressing can promote faster wound healing and reduce scarring. Time taken to heal is one of the best predictors of whether a wound will heal with significant scarring. The faster wounds heal the better. We have identified a new dressing with specific nano-scale pores that may promote faster healing. This dressing will be tested in the best model of human wound healing with the potential to progress to clinical trials if successful.
Whiplash Injury: Classification, Prediction And Directives For Improved Management Strategies.
Funder
National Health and Medical Research Council
Funding Amount
$331,674.00
Summary
Whiplash is a costly condition with many people developing chronic symptoms. This research aims to improve the diagnosis and classification of the condition from the time of injury until either recovery or the development of persistent pain. This will facilitate the early identification of those at risk of poor recovery and will lay the foundations for the development of improved early management, particularly in primary care.