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Training To Enhance Lower Limb Motor Control In Hemiplegic Cerebral Palsy.
Funder
National Health and Medical Research Council
Funding Amount
$107,204.00
Summary
Currently very few evidence based methods that can improve control in muscles affected by cerebral palsy (CP) exist. This project will investigate whether it is possible to increase strength and co-ordination in legs muscles affected by CP through targeted training. The project will also determine if non-invasive brain stimulation during training may enhance motor learning and if positive gains in strength and co-ordination might enhance the ability to do tasks like walking or climbing stairs.
Implementing Neuroprotective Strategies For Fetal Growth Restriction
Funder
National Health and Medical Research Council
Funding Amount
$782,370.00
Summary
Fetal growth restriction (FGR) is a serious and common complication of pregnancy that is a principal cause of injury to the developing fetal brain. In turn, damage to the developing brain during pregnancy may cause cerebral palsy and other cognitive and behavioural deficits. This proposal builds on my work to date characterising the mechanisms that contribute to neuropathology in FGR infants, by implementing targeted strategies to protect or repair the FGR brain.
Injury to the developing brain, whether sustained during pregnancy or at birth, is the underlying cause of many cognitive and motor disabilities, including cerebral palsy. This project will identify the cellular pathways that cause developmental brain injury in preterm and term infants, and then administer umbilical cord blood stem cells at different timepoints to assess their efficacy at reducing brain injury. This project will inform treatment with cord blood stem cells in high risk infants.
COMBIT: Randomised Controlled Trial Of Novel Upper Neurorehabilitation For Congenital Hemiplegia
Funder
National Health and Medical Research Council
Funding Amount
$486,588.00
Summary
Cerebral palsy is the most common disability in children - there are over one million children with the hemiplegic form in the industrialised world. Rehabilitation to improve hand use impacts on daily care, access to education and vocational aspirations, and consumes a great deal of time and money. Our team wishes to test a novel COMbined Constraint and BImanual Training study (COMBIT) in a randomized controlled trial investigating upper limb function, participation and mechanisms of action of t ....Cerebral palsy is the most common disability in children - there are over one million children with the hemiplegic form in the industrialised world. Rehabilitation to improve hand use impacts on daily care, access to education and vocational aspirations, and consumes a great deal of time and money. Our team wishes to test a novel COMbined Constraint and BImanual Training study (COMBIT) in a randomized controlled trial investigating upper limb function, participation and mechanisms of action of the intervention.Read moreRead less
HABIT-ILE: A Randomised Trial Of Hand Arm Bimanual Intensive Training Including Lower Extremity Training For Children With Bilateral Cerebral Palsy
Funder
National Health and Medical Research Council
Funding Amount
$1,100,903.00
Summary
In Australia, 35,000 people have cerebral palsy, and between 60-70% experience difficulties with movement on both sides of their body. There are currently no effective interventions for children with bilateral CP to improve their ability to use their hands, walk and perform daily life tasks. We have promising data about a new intervention, called HABIT-ILE, which we will test in 80 children with cerebral palsy and compare results to usual care.
New And Improved Treatment Strategies For Neonatal Seizures
Funder
National Health and Medical Research Council
Funding Amount
$883,209.00
Summary
Around 10% of neonates in Australia are diagnosed with seizures each year. Seizures worsen neurodevelopmental outcome following hypoxic brain injury. Despite evidence of the limited effectiveness and potential neurotoxicity of current anti-seizure medication, treatment has not changed for many decades. The objective of this study is to optimise treatment of neonatal seizures with a compound that is effective and does not cause harm, or indeed provides neuroprotection for the compromised brain.
Early Detection And Early Intervention For Cerebral Palsy
Funder
National Health and Medical Research Council
Funding Amount
$2,088,220.00
Summary
Cerebral Palsy (CP) is Australia’s 5th expensive health condition. Early Detection and effective early interventions are vitally needed to improve long-term outcomes. This fellowship develops and tests novel interventions to optimise neuroplasticity by improving early detection and physical, cognitive, psychological and health outcomes in children with CP. Earlier accurate detection of CP will ensure effective treatments utilise critical periods of brain development.
The Impact Of Strength Training On Calf Muscle Structure And Function In Youth And Adolescents With Cerebral Palsy
Funder
National Health and Medical Research Council
Funding Amount
$89,857.00
Summary
Muscle spasticity is a primary cause of disability in individuals with cerebral palsy; however their muscles also do not develop properly: they are weak and resistant to stretch. Strength training causes muscle adaptations that increase strength and decrease stiffness. This study will examine the impact of a strength training intervention on muscle structure and function using innovative imaging techniques, motion analysis and measures of muscle strength and stretch, translating into better cons ....Muscle spasticity is a primary cause of disability in individuals with cerebral palsy; however their muscles also do not develop properly: they are weak and resistant to stretch. Strength training causes muscle adaptations that increase strength and decrease stiffness. This study will examine the impact of a strength training intervention on muscle structure and function using innovative imaging techniques, motion analysis and measures of muscle strength and stretch, translating into better conservative intervention planning.Read moreRead less
Cerebral Palsy is most common childhood physical disability. While the brain injury is static, disability can be progressive and lifelong. This fellowship aims to develop and test novel interventions to optimise neuroplasticity by improving early detection and physical, cognitive, psychological and health outcomes in children with CP. Earlier accurate detection of CP will ensure effective treatments utilise critical periods of brain development and are translated into evidence based guidelines.
ACTIVE STRIDES-CP: Randomised Trial Of Intensive Rehabilitation (Combined Intensive Gait And Cycling Training) For Children With Moderate To Severe Bilateral Cerebral Palsy
Funder
National Health and Medical Research Council
Funding Amount
$2,401,294.00
Summary
In Australia, 35,000 people have cerebral palsy, and 40% experience moderate to severe difficulties with movement and reduced participation in physical activity. There are currently no effective interventions for children with moderate to severe CP to improve their ability to move, perform daily life tasks and engage in physically active leisure. We have promising data about a new intervention, called Active Strides-CP, which we will test in 150 children with CP and compare to usual care.