Bilateral Movement Therapy In Post-stroke Hemiparesis
Funder
National Health and Medical Research Council
Funding Amount
$265,993.00
Summary
Stroke is the leading cause of long-term disability in adults in Australia, accounting for approximately 25% of all disability. A common motor disability resulting from stroke is hemiparesis, weakness or paralysis on one side of the body. This disability severely impairs an individual's capacity to perform activities of daily living, making them dependent on relatives and health professionals for daily care. By developing effective interventions to treat stroke-induced hemiparesis both the disab ....Stroke is the leading cause of long-term disability in adults in Australia, accounting for approximately 25% of all disability. A common motor disability resulting from stroke is hemiparesis, weakness or paralysis on one side of the body. This disability severely impairs an individual's capacity to perform activities of daily living, making them dependent on relatives and health professionals for daily care. By developing effective interventions to treat stroke-induced hemiparesis both the disability caused by stroke and the associated personal and financial costs will be lessened. A number of interventions focusing on the affected side (unilateral), including active movements and muscle stimulation are being investigated as possible treatments for stroke-induced hemiparesis. Recent evidence suggests that involving the unaffected side simultaneously (bilateral therapies) could be effective, and may provide addtional benefits over unilateral therapies. The aim of this research is to thoroughly examine the effectiveness of bilateral therapies by incorporating them into established interventions. The findings from these studies will aid in the development and refinement of movement therapies aimed at promoting recovery from stroke-induced hemiparesis.Read moreRead less
The Role Of Afferent Input In The Development Of Focal Task Specific Dystonia
Funder
National Health and Medical Research Council
Funding Amount
$213,000.00
Summary
The term dystonia is used to describe a condition that is characterised by abnormal muscle activation patterns. This leads to impaired control of voluntary movements. Depending upon which part of the body is affected, dystonia may be classified as generalised (affecting two or more body segments), hemi (involving one side), segmental (involving adjacent body parts or a segment), or focal (affecting one part of the body). Many of the focal dystonias are also task specific and the aim of this prop ....The term dystonia is used to describe a condition that is characterised by abnormal muscle activation patterns. This leads to impaired control of voluntary movements. Depending upon which part of the body is affected, dystonia may be classified as generalised (affecting two or more body segments), hemi (involving one side), segmental (involving adjacent body parts or a segment), or focal (affecting one part of the body). Many of the focal dystonias are also task specific and the aim of this proposal is to investigate these task-specific focal dystonias. Task-specific focal dystonia is common in the community and causes considerable suffering and loss of productivity. For example, writer's cramp (a common form of task specific focal dystonia) is probably the commonest cause of writing difficulty in patients in whom this is the sole complaint. No treatment regimen has been shown to be effective in alleviating it's often debilitating symptoms. The aim of these studies is to further define the pathophysiological changes seen in task-specific dystonia and investigate the mechanisms responsible for their generation. Using the techniques of transcranial magnetic stimulation and peripheral nerve stimulation we will investigate the organisation of the motor cortex in this condition and examine the influence of afferent input on intrinsic cortical circuitry. We hypothesise that the motor regions of the brain are more sensitive to the particular repeated patterns of sensory information reaching the brain during repetitive movement and this results in abnormal alterations in organisation that may be responsible for the symptoms of dystonia. Additionally, we predict that it may be possible to reverse these organisational changes by applying novel patterns of nerve stimulationRead moreRead less
Molecular And Cellular Changes Following A Cortical Injury: What Role Do They Play In Regeneration?
Funder
National Health and Medical Research Council
Funding Amount
$499,625.00
Summary
Damage to the visual areas of the brain is common after, for example stroke, neurotrauma or hypoxia. The injury often manifests in the form of a scar caused by a specific type of brain cell (astrocyte). This scar acts as a barrier to the cells which transmit information (neurones), preventing re-establishment of connectivity, thus functional recovery. We will see if we can reduce this scar and enhance re-connectivity after injury by blocking some of the molecules that brain cells express.
Epilepsy: Is It An Inherent State Of Cortical Hyper-excitability?
Funder
National Health and Medical Research Council
Funding Amount
$370,640.00
Summary
Transcranial magnetic stimulation (TMS) is a safe way to study the human brain and changes associated with epilepsy. I will use TMS to examine the effect of refractory epilepsy and recurrent seizures on the brain over time and how this differs to well controlled epilepsy and provoked isolated seizures. I will also explore the potential of using TMS to predict responsiveness to medication soon after starting treatment.
Developmental Plasticity In The Nonhuman Primate Visual Cortex
Funder
National Health and Medical Research Council
Funding Amount
$464,417.00
Summary
A phenomenon that has puzzled many for a number of years is why damage to the visual brain during infancy has far less of an impact on visual capacity than the same lesion suffered later in life. This project hopes to uncover this mystery and see how brain 'wiring' is altered to compensate.
Humans, like all animals, receive similar, although not identical, visual input via the eyes. This information is combined in the brain to form a single view of the outside world. In this proposal we aim to understand how single neurons in the brain process the combined information received from both eyes. This work will increase our understanding of the underlying cellular mechanisms responsible for sight, and determine what changes occur when visual input is impaired through blindness.
Combined TMS-EEG For Early Diagnosis Of Alzheimer’s Disease
Funder
National Health and Medical Research Council
Funding Amount
$603,767.00
Summary
Early diagnosis of Alzheimer's disease is key to more effective early intervention. Current biomarkers are expensive and are not suited for detecting the subtle changes in brain function that occur during the initial stages of the disease. Non-invasive brain stimulation is pain-free and inexpensive, and can directly probe brain function in conscious humans. This project will investigate whether these techniques might be used to identify markers of early brain dysfunction in Alzheimer’s disease.
The Influence Of Human Cortical Rhythms On The Induction Of Plasticity
Funder
National Health and Medical Research Council
Funding Amount
$298,898.00
Summary
The human brain has a great capacity to reorganise. This capacity is known as plasticity and is behind our ability to learn new skills. Plasticity is important for recovery from brain injury. The recently developed technique of transcranial magnetic stimulation can be used to manipulate plasticity in the human brain This approach offers new and exciting therapeutic opportunities. This project is aimed at optimising this technique.
Investigating The ‘Silent Epidemic’ Of Mild Traumatic Brain Injury: A TMS-EEG Study
Funder
National Health and Medical Research Council
Funding Amount
$318,768.00
Summary
Mild traumatic brain injury (mTBI) is common following an impact to the head. These injuries can affect brain function for many years after the initial incident, are associated with the development of serious conditions such as depression or Alzheimer’s disease, and increase the risk of suicide. This project will use cutting edge neurophysiological techniques to better understand how mTBI affects the brain, and to identify new strategies for restoring brain function following injury.