Supported Treadmill Training To Establish Walking In Non-ambulatory Patients Early After Stroke
Funder
National Health and Medical Research Council
Funding Amount
$341,349.00
Summary
This project will improve the health and well being of people affected by stroke. Stroke is the most common disabling neurological condition in adults and consumes up to 5% of health care expenditure in developed countries, estimated by the National Stroke Foundation at $1-2 billion per year in Australia. Some 48,000 people suffer a stroke each year in Australia, with approximately one third of these people requiring inpatient rehabilitation and 70% of them are unable to walk on admission to reh ....This project will improve the health and well being of people affected by stroke. Stroke is the most common disabling neurological condition in adults and consumes up to 5% of health care expenditure in developed countries, estimated by the National Stroke Foundation at $1-2 billion per year in Australia. Some 48,000 people suffer a stroke each year in Australia, with approximately one third of these people requiring inpatient rehabilitation and 70% of them are unable to walk on admission to rehabilitation. This randomised controlled trial will investigate whether treadmill walking with partial weight support via an overhead harness is effective at establishing independent walking (i) more often, (ii) earlier and (iii) with a better quality of walking, than current treatment for stroke patients who cannot walk. We will measure (i) whether patients achieve independent walking and (ii) the time taken to achieve independent walking. We will also measure parameters of walking such as speed, step length and step width to evaluate the effect of treadmill training on the quality of walking. Furthermore, by measuring participation in the community at 6 months, we will evaluate the long-term effect of this innovative treatment. Given that independence in walking is a major factor in the decision to discharge patients from inpatient care, earlier independent walking should result in a reduction in length of hospital stay which will save about $800 per patient per day in a teaching hospital setting. Identifying rehabilitation strategies which enhance walking outcome will not only improve quality of life of both stroke patients and their carers by reducing disability and handicap but also reduce the cost of rehabilitation.Read moreRead less
Physiological And Neurophysiological Assessment Of Lip And Tongue Function For Speech In Multiple Sclerosis
Funder
National Health and Medical Research Council
Funding Amount
$356,250.00
Summary
Speech difficulties are commonly experienced by people with multiple sclerosis (MS) and can have a devastating, restrictive effect on social interactions, work and education opportunities, ultimately reducing quality of life. Research has shown that a major factor underlying impaired speech in MS is disturbed functioning of the structures that articulate speech, particularly the tongue and lips. In order to effectively treat these speech disturbances, it is imperative that the nature and severit ....Speech difficulties are commonly experienced by people with multiple sclerosis (MS) and can have a devastating, restrictive effect on social interactions, work and education opportunities, ultimately reducing quality of life. Research has shown that a major factor underlying impaired speech in MS is disturbed functioning of the structures that articulate speech, particularly the tongue and lips. In order to effectively treat these speech disturbances, it is imperative that the nature and severity of the tongue and lip impairments be identified, so that specific treatment methods can be employed to directly target those impairments. The present project will use state-of-the-art technology to track and record movements of the tongue and lips during speech and to investigate how well the neural command pathways leading from the brain to the lip and tongue muscles are functioning in persons with MS. The results of the study will direct the development of more specific and effective speech therapy procedures that will empower persons with MS with intelligible speech.Read moreRead less
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.
Improving quality of life in chronic aphasia: reducing depression and increasing social connection and life participation through community aphasia groups. Aphasia, a communication disability resulting from brain injury and experienced by over 80,000 Australians, impacts significantly on social connection, well being and mental health. This program of research defines excellent community aphasia groups, an important preventative health measure and investigates their impact for Australians with a ....Improving quality of life in chronic aphasia: reducing depression and increasing social connection and life participation through community aphasia groups. Aphasia, a communication disability resulting from brain injury and experienced by over 80,000 Australians, impacts significantly on social connection, well being and mental health. This program of research defines excellent community aphasia groups, an important preventative health measure and investigates their impact for Australians with aphasiaRead 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