External Therapeutic Device To Support Rehabilitation Of The Hand Following Trauma Or Surgery
Funder
National Health and Medical Research Council
Funding Amount
$175,000.00
Summary
The loss of hand function will affect every aspect of an individual’s life. This includes the ability to feed and care for themselves and the ability to work and participate in family life. For people recovering from problems such as trauma, burns or surgery affecting the hand, careful management of hand rehabilitation can influence the outcome for the patient significantly. In order to reduce the possibility of mobility difficulties occurring, including loss of joint range of motion, muscle and ....The loss of hand function will affect every aspect of an individual’s life. This includes the ability to feed and care for themselves and the ability to work and participate in family life. For people recovering from problems such as trauma, burns or surgery affecting the hand, careful management of hand rehabilitation can influence the outcome for the patient significantly. In order to reduce the possibility of mobility difficulties occurring, including loss of joint range of motion, muscle and tendon sheath adhesions or non-functional scar tissue formation, continuous passive motion (CPM) is often indicated. Additionally, for people with reduced mobility of the hand due to upper limb paralysis, such as those with cervical spinal cord injury, stroke, cerebral palsy or peripheral nerve injury, disregard for management of the maintenance of the joint range of motion of the effected hand will result in contracture and limited joint range of motion. Such syndromes will reduce hand function, which is already limited by paralysis, and will negatively affect potential outcomes for aggressive rehabilitation techniques, such as tendon transfer surgery and functional neuromuscular stimulation. Therefore, in such cases, CPM is also indicated. Current devices applying CPM have shown to be effective in minimising the syndromes indicated above and these results are summarised in the Background and Research Plan attached to this proposal. Unfortunately, the use of such devices is not always prescribed by clinicians. This is due, mainly, to the limitations of these devices that are in the marketplace. These limitations include lack of secure finger placement, lack of portability, the inability to provide specialised therapy to specific joints and inflexible programming. This proposal introduces an improved device to be developed and these improvements form the proposal aims below. Given such an improved device, which can overcome many of the problems with current CPM machines, it is likely that that the clinical application of CPM will achieve the greater degree of prescription and application in hand rehabilitation. These improvements should overcome the clinical reticence to use these devices and restore a balance by increasing their use to the level that the scientific literature indicates they should have. The overall aim of the proposal is to take the device to a stage where it is ready for clinical trial.Read moreRead less
The Feasibility Of Introducing A Targeted Physical And Cognitive Activity Programme In For Patients In Intensive Care
Funder
National Health and Medical Research Council
Funding Amount
$216,463.00
Summary
Survival from critical illness can be associated with a legacy of physical weakness, inability to think clearly and anxiety; patients can’t function as they once did. I am a physiotherapist focused on improving the outcomes of survivors of intensive care. I intend to develop a physical and cognitive activity programme that can be commenced early in the intensive care unit (ICU) admission aimed at improving the devastating effects that an ICU admissions can have on physical and mental function.
Taking A Break For Brain Health: Interacting Effects Of Exercise Bouts With Breaks In Sitting Time On Cognitive And Cerebrovascular Function In Overweight Adults
Funder
National Health and Medical Research Council
Funding Amount
$775,055.00
Summary
Whether people do or do not exercise or not, there are serious health consequences – including adult-onset diabetes and heart disease – arising from the 7 to 10 hours of sitting that most Australian adults do each day. Exercise helps to delay Alzheimer's disease and other declines in brain function with ageing. This study will test whether, among overweight adults, combining exercise with breaking up prolonged sitting time can improve markers of brain health and mental functioning.
A Scalable Intervention For Increasing Vigorous Physical Activity Among Older Adolescents: The ‘ Burn To Learn ’ Cluster RCT
Funder
National Health and Medical Research Council
Funding Amount
$636,912.00
Summary
Physical inactivity has been described as a global pandemic and only 15% of Australian adolescents are sufficiently active. The pressure to perform in major school assessments drives many older adolescents to sacrifice physical activity to maximise academic performance. Our team has designed a time-efficient solution to increase physical activity in senior high school students using high intensity interval training which will be evaluated using a cluster randomised controlled trial.
Creating An Evidence Base For Balanced Sun Exposure Messages For Optimal Health
Funder
National Health and Medical Research Council
Funding Amount
$408,388.00
Summary
Both too much and too little sun exposure result in risks to health, but there are considerable uncertainties in our understanding of the detail, for both risks and benefits. This project focuses on key research gaps that need to be filled before a balanced sun exposure message, appropriate for Australians of different skin types and living in different locations, can be developed and disseminated.
The Effectiveness Of Social Dancing As A Strategy To Prevent Falls In Older People: A Cluster Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$594,024.00
Summary
Exercise is an effective intervention to prevent falls by the elderly, particularly programs that included balance enhancement. Dance is a series of multi- directional coordinated rhythmic movements with additional mental and social components. This study will determine if participating in 12 months of social dancing is an effective option to prevent falls among the elderly, and whether dancing can improve the motor-cognitive risk factors for falling.
Maternal Gut Microbiome During Pregnancy Influences Offspring Atopy And Asthma.
Funder
National Health and Medical Research Council
Funding Amount
$46,622.00
Summary
Allergic diseases such as food allergy and asthma have increased significantly as our exposure to bacteria has reduced. Many studies have explored exposure to bacteria in early life but few have examined the maternal bacteria we are exposed to while we develop in the womb. New studies indicate that we are exposed to many different components of our mothers gut bacteria and this might change our developing immune system and determine whether or not we get diseases like food allergy and asthma.
Platelet And Endothelial Function In Atrial Fibrillation
Funder
National Health and Medical Research Council
Funding Amount
$105,825.00
Summary
Atrial fibrillation is the most common heart rhythm disturbance in the adult population and leads to substantial increased death and disability from stroke. In this research scheme, we will study the contribution of platelet (clot forming cells) and endothelial (lining of blood vessels) dysfunction in atrial fibrillation. The successful outcome of this project will lead to a better understanding of the underlying mechanisms of clot formation and may lead to a better target for future drugs.