Bridging The Gap Between Laboratory And Clinic Using Low Cost, High Tech Physical Function Assessment Tools
Funder
National Health and Medical Research Council
Funding Amount
$428,065.00
Summary
Gold-standard testing protocols for assessing standing balance, gait and activities of daily living is often a primary focus for therapeutic interventions. They often incorporate multiple force platforms and 3D motion analysis, which provide valuable information however the time, cost and infrastructure required excludes their use in normal clinical practice. This fellowship examines the potential efficacy of low cost, widely available alternatives such as video gaming devices and smart phones.
Balance disorders are very common, but particularly in those conditions that involve the brain 'balance centres' are often difficult for doctors to diagnose. When diseases are difficult to diagnose, then recommending helpful treatment is particularly challenging. We will use a group of specialized tests to better understand these balance conditions in order to help patients receive accurate diagnoses and therefore, better treatment.
Balance disorders are very common, but particularly in those conditions that involve the brain 'balance centres' are often difficult for doctors to diagnose. When diseases are difficult to diagnose, then recommending helpful treatment is particularly challenging. We will use a group of specialized tests to better understand these balance conditions in order to help patients receive accurate diagnoses and therefore, better treatment.
Assessment Of Vestibular Function And Balance In Humans
Funder
National Health and Medical Research Council
Funding Amount
$205,500.00
Summary
This proposal focuses upon the function of the vestibular apparatus and the related problem of impaired balance. The vestibular apparatus contains receptors which help us to maintain balance. Their clinical assessment is difficult because they are small and lie deep within the skull. With previous NH and MRC support, I have been able to develop a series of new tests to assess the function of the vestibular apparatus and these are having significant clincal impact. Amongst the findings has been a ....This proposal focuses upon the function of the vestibular apparatus and the related problem of impaired balance. The vestibular apparatus contains receptors which help us to maintain balance. Their clinical assessment is difficult because they are small and lie deep within the skull. With previous NH and MRC support, I have been able to develop a series of new tests to assess the function of the vestibular apparatus and these are having significant clincal impact. Amongst the findings has been a clear demonstration that vestibular function declines with age, starting relatively early. This proposal builds upon the findings of the previous application. Two main types of investigations are planned. In one a new technique of activating the vestibular apparatus (localised skull vibration) will be used to study the brain areas that receive its signals (evoked potentials). This will be the first time that it has been possible to study the connections between the balance organs and the cortex of the brain in intact humans. I will apply the technique to patients with disturbed vestibular function to improve our knowledge of how the brain adapts to disease of these organs. In the second part of this study, a series of recordings will be done measuring sway under a variety of conditions both in normal volunteers and in patients with some common disease states affecting balance. This should reveal new information about both the factors that affect normal balance function and why balance is disturbed in these diseases.Read moreRead less
Optimising The Diagnosis And Management Of Treatment Refractory Benign Positioning Vertigo
Funder
National Health and Medical Research Council
Funding Amount
$286,466.00
Summary
Benign Positioning Vertigo, the most common and correctable cause of dizziness, is caused by freely floating calcium carbonate crystals in the semicircular canals of the inner ear. Localizing the affected semicircular canal holds the key to effective treatment.A proportion of sufferers will not respond to conventional repositioning treatments due to incorrect diagnoses. This study will explore refractory BPV in detail, develop test methods that accurately localize the affected canal and devise t ....Benign Positioning Vertigo, the most common and correctable cause of dizziness, is caused by freely floating calcium carbonate crystals in the semicircular canals of the inner ear. Localizing the affected semicircular canal holds the key to effective treatment.A proportion of sufferers will not respond to conventional repositioning treatments due to incorrect diagnoses. This study will explore refractory BPV in detail, develop test methods that accurately localize the affected canal and devise treatments for resistant BPV subtypes.Read moreRead less
The aim of my project grant is to develop a portable electrodiagnostic test to classify balance disorders by compiling a statistically validated database of eye movement patterns associated with specific balance disorders. What is unique about this electrodiagnostic balance disorder test, which distinguishes it from but also complement conventional balance function tests, is its ability not only to show an impairment of balance function, but it can differentiate between balance disorders.
This research program is aimed at finding effective prevention strategies for the important issue of falls in older people. It will: a) conduct studies to improve our understanding of fall risk in people with Parkinson’s disease and dementia; b) undertake a study to improve our management of dizziness; c) seek treatments for fear of falling, and d) evaluate home exercise interventions for older people at risk of falls and strength and cued walking training for people with Parkinson’s disease.
High Speed Video To Assess Eye Movements In Vestibular Dysfunction - A Validation Study
Funder
National Health and Medical Research Council
Funding Amount
$133,351.00
Summary
Dizziness affects a third of the population during their lives. Abnormal eye movements are often the best guide as to what has gone wrong in the dizzy person. The problem is that these eye movements can be difficult to see, and hence measure, as a way of diagnosing and then treating the dizziness. Video-oculography holds great promise for helping doctors identify the cause, and in many cases offer simple curative treatment, for dizziness.
Vestibular Reflexes Evoked By Brief Lateral Head Acclerations: A New Measure Of Utricular Function
Funder
National Health and Medical Research Council
Funding Amount
$225,357.00
Summary
The vestibular (balance) organs are difficult to investigate as they lie deep within bone. Disease of these organs may cause severe vertigo, imbalance and difficulty with vision. This project attempts to build on earlier developments in my laboratory and thereby improve understanding and diagnosis of these disorders. This grant relates to a new form of stimulation which may allow simple assessment of an important part of the vestibular apapratus, the utricle.
I am a physiologist investigating how the brain controls balance and movement. Many neurological disorders cause unsteady balance and problems with movement, and consequently a poor quality of life. I study people with disorders of the sensory and movement processing areas of the brain to discover how the brain combines different sensory information to control balance. This work will improve understanding of human balance and movement, and lead to new clinical techniques for assessment and treat ....I am a physiologist investigating how the brain controls balance and movement. Many neurological disorders cause unsteady balance and problems with movement, and consequently a poor quality of life. I study people with disorders of the sensory and movement processing areas of the brain to discover how the brain combines different sensory information to control balance. This work will improve understanding of human balance and movement, and lead to new clinical techniques for assessment and treatment.Read moreRead less