We stand without falling by using silent senses from muscles and the balance organs of the inner ear to unconsciously detect and control our movements. Since the leg muscles provide both the force and the sense, and critically rely on good circulation, they are vitally important. I propose to study how these sensory and muscle functions are used to control balance, posture and stepping reflexes, making it easier to identify older people who will fall and design new preventative strategies.
Human Movement Control: Basic And Applied Neurophysiology
Funder
National Health and Medical Research Council
Funding Amount
$948,684.00
Summary
My research targets mechanisms underlying human movement, ways in which they can be deranged, and ways in which interventions can diminish impairments. It focuses on gaps in understanding and in clinical practice. Work in our broad ‘Motor Impairment’ NHMRC Program underpin my research. It is supplemented by new work on respiratory neurophysiology which has already delivered basic and clinical insight into neural control of the main breathing muscles and more recently upper airway muscles.
INVESTIGATING PROPRIOCEPTION AND SENSORIMOTOR CONTROL IN HUMANS DEVOID OF FUNCTIONAL MUSCLE SPINDLES
Funder
National Health and Medical Research Council
Funding Amount
$335,983.00
Summary
Specific genetic mutations can lead to widespread changes in the body. Here we are looking at congenital Hereditary and Sensory Autonomic Neuropathy type III (HSAN III). Affected individuals have difficulty walking, which progressively worsens over time. This series of experiments aims to increase our understanding of the underlying neurophysiological disturbances in HSAN III.
I am a clinician neuroscientist studying the physiology and pathophysiology of how the human brain, spinal cord and muscles produce voluntary and automatic movements.
Activity In Central Cough Networks In Patients With Cough Hypersensitivity
Funder
National Health and Medical Research Council
Funding Amount
$459,499.00
Summary
Excessive cough associated with an airways disease represents the most common reason for doctor consultations. However, the current therapeutic options for relieving excessive cough are limited. This proposal will provide unprecedented insights into the brain mechanisms that contribute to the development of cough disorders in airways disease.
Neural Mechanisms Underlying Human Grasp And Manipulation
Funder
National Health and Medical Research Council
Funding Amount
$396,100.00
Summary
We rely on hand function in a multitude of simple tasks that we tend to take for granted but that are essential in our everyday lives; some examples are turning on a tap, doing up shoelaces, or holding a cup. Many people in the community are disabled by impaired hand function resulting from lesions of the central nervous system or peripheral nerve lesions. The size of the problem is enormous; manual dexterity is affected in approximately 20,000 new stroke patients each year in Australia as well ....We rely on hand function in a multitude of simple tasks that we tend to take for granted but that are essential in our everyday lives; some examples are turning on a tap, doing up shoelaces, or holding a cup. Many people in the community are disabled by impaired hand function resulting from lesions of the central nervous system or peripheral nerve lesions. The size of the problem is enormous; manual dexterity is affected in approximately 20,000 new stroke patients each year in Australia as well as in other neurological diseases such as neuropathies, nerve injuries, cerebral palsy and many others. The broad aim of this study is to investigate the poorly understood neural mechanisms that underlie sensorimotor control of hand function. We will target a specific aspect of manual dexterity that is crucial for the execution of common everyday tasks, like pouring liquid from a bottle, in which the digits are subjected to torsional loads. In order to maintain stable grasps, the motor control system must rapidly and automatically adjust the grip forces employed to meet the demands imposed by the changing torsion. This is only possible because of sensory feedback from the hand, a large component of which arises from the cutaneous mechanoreceptive afferent fibres. In the first two years we will use a combined approach of neural recording from peripheral nerves in anaesthetised monkeys and psychophysics experiments in normal humans to answer the general question: how does the population of cutaneous afferents provide precise feedback about torsion on the digits? In the third year we will perform key experiments in humans, using microneurography to record from their peripheral nerves. This will establish any differences between human and monkey mechanoreceptors.Read moreRead less
Brain Dynamics And Sensorimotor Integration Associated With Speech Production In Humans Who Stutter
Funder
National Health and Medical Research Council
Funding Amount
$304,383.00
Summary
Stuttering is a chronic communication disorder that arises from problems in the brain processes that control speech. This research will use a new and extremely fast method of brain imaging to study the parts of the human brain that underlie speech production. We will identify brain problems that contribute to stuttering at the time when stuttering first begins. Identification of brain problems is likely to significantly improve the efficacy of stuttering treatment.
Pain And Trunk Muscle Control: Effects, Mechanisms And Consequences
Funder
National Health and Medical Research Council
Funding Amount
$296,452.00
Summary
Twenty-one percent of Australians report long-term back problems. This makes back pain the most common chronic pain in Australia and most prevalent disorder among the National Health Priority Areas. For the majority with recurrent and chronic problems, the cause is unknown but changes in control of the spine are thought to be important. It is well accepted that pain and injury to the low back affect the way that we control the back muscles and this leads to changes in spinal function. However, d ....Twenty-one percent of Australians report long-term back problems. This makes back pain the most common chronic pain in Australia and most prevalent disorder among the National Health Priority Areas. For the majority with recurrent and chronic problems, the cause is unknown but changes in control of the spine are thought to be important. It is well accepted that pain and injury to the low back affect the way that we control the back muscles and this leads to changes in spinal function. However, despite considerable investigation of this problem, there is a distinct lack of consensus for how the control of movement is changed during pain, why it changes, and whether these changes lead to further problems in the long term. The objective of this series of studies is to determine how the adaptation to pain changes the control of the spine. We will use a range of techniques that include tests of the strategies used by the brain to control the spine and mathematical models to estimate the effect that these changes have on the spine when people are given back pain by injecting sterile salty water into the back muscles. These studies will be backed up by measures of mechanical properties of the spine and by comparison to people with clinical pain. This combination of methods has not been used previously and is likely to help resolve the problem of how muscle control is chaged in back pain. We will also test a range of hypotheses regarding how pain has its effect on muscle activity. A final series of studies aims to determine whether the failure of these changes in muscle control to resolve after an epiosde of back pain leads to increased recurrence of pain in the long-term. The importance of this project is highlighted by the significance of back pain as a major health issue, the lack of consensus regarding the effect and mechanisms of pain on trunk muscle control (despite extensive investigation), and the potential for the findings to guide rehabilitation and management.Read moreRead less