Collaborative approaches to the prevention of work related injuries in railway workers. RailCorp NSW is a large employer within the NSW transport industry sector and as such has a high potential exposure to occupational injury. RailCorp has committed to the safety of its employees through its efforts towards a systematic identification of injury risk factors to create a safer workplace as well as creating a 'risk aware safety culture'. Interventions which are effective in reducing the incidenc ....Collaborative approaches to the prevention of work related injuries in railway workers. RailCorp NSW is a large employer within the NSW transport industry sector and as such has a high potential exposure to occupational injury. RailCorp has committed to the safety of its employees through its efforts towards a systematic identification of injury risk factors to create a safer workplace as well as creating a 'risk aware safety culture'. Interventions which are effective in reducing the incidence and severity of work related injuries have not only immediate benefits both in terms of human (workforce retention, job satisfaction, job performance, etc) and financial factors for RailCorp management and its employees but has wider applications to other comparable complex high risk industries.
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Improved identification of patients 'at risk' of depression, and optimal targeting of rehabilitation post-stroke through novel brain imaging and biomarkers. Use of novel brain imaging and biomarkers for identification of stroke survivors at risk of depression and recurrent stroke will permit early access to preventative and effective treatments for depression and improve capacity to benefit from rehabilitation. Development of predictive models to guide selection of most optimal rehabilitation st ....Improved identification of patients 'at risk' of depression, and optimal targeting of rehabilitation post-stroke through novel brain imaging and biomarkers. Use of novel brain imaging and biomarkers for identification of stroke survivors at risk of depression and recurrent stroke will permit early access to preventative and effective treatments for depression and improve capacity to benefit from rehabilitation. Development of predictive models to guide selection of most optimal rehabilitation strategies based on viable brain will maximise the capacity for persons with stroke to reach their full potential for recovery and ensure rehabilitation is more targeted and cost efficient. Improved capacity to benefit from treatment will have ongoing benefits for activity participation and productive living in Australians who experience stroke.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
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
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
Effectiveness Of Training Somatosensation In The Hand After Stroke: A Randomized Controlled Trial.
Funder
National Health and Medical Research Council
Funding Amount
$180,660.00
Summary
Stroke is a leading cause of death and disability, requiring provision of rehabilitation services to help minimize impairment and its impact on the ability to resume daily activities. The ability to feel textures and objects through touch and to know where one s limbs are in space are impaired in up to 85% of people who have suffered a stroke. People with this loss are handicapped by difficulties in exploring objects through touch and in performing everyday tasks that require grasp and manipulat ....Stroke is a leading cause of death and disability, requiring provision of rehabilitation services to help minimize impairment and its impact on the ability to resume daily activities. The ability to feel textures and objects through touch and to know where one s limbs are in space are impaired in up to 85% of people who have suffered a stroke. People with this loss are handicapped by difficulties in exploring objects through touch and in performing everyday tasks that require grasp and manipulation of objects. Yet clinicians are either not treating the problem or are using methods without a sound theoretical basis and controlled evidence to support their application. We have systematically investigated optimal methods of sensory training across different sensory abilities using a series of single-subject experiments. Marked improvement in the ability to discriminate trained and related untrained texture stimuli and limb positions was achieved and maintained in most participants. These findings have provided the foundation for development a scientifically based and clinically focused sensory retraining program that has apparently excellent therapeutic potential. The purpose of the proposed study is to test the effectiveness of this scientifically based, clinical sensory retraining program in a broad group of stroke clients using the internationally recommended randomized controlled group design. The program will train a range of functionally important sensory discrimination tasks, i.e. texture discrimination, limb position sense and tactual object recognition, in clinical and home environments. Demonstration of clinically important and statistically significant training effects will provide the evidence necessary to recommend the introduction of the program into routine health service delivery. Investigation of patient characteristics that may impact on the ability to benefit from training will assist in the targeting of services to appropriate individuals.Read moreRead less
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
Participation following traumatic brain injury in rural, regional and remote areas. The results of this project will lead to improved rehabilitation programs and better outcomes for people with brain injury, especially in regional, rural and remote areas, by targeting the ultimate goal more directly: participation - getting people back into their home, work and community roles. Participation is associated with improved social networks, wellbeing, independence and quality of life, so health care ....Participation following traumatic brain injury in rural, regional and remote areas. The results of this project will lead to improved rehabilitation programs and better outcomes for people with brain injury, especially in regional, rural and remote areas, by targeting the ultimate goal more directly: participation - getting people back into their home, work and community roles. Participation is associated with improved social networks, wellbeing, independence and quality of life, so health care burdens and costs are reduced, and people can lead more productive lives. The project's emphasis on country areas will benefit rural health care, and also help specialist metropolitan brain injury services to understand the specific rehabilitation issues facing people from the bush.Read moreRead less