Improving Postural Stability In People With Parkinson's Disease Using Textured Insoles.
Funder
National Health and Medical Research Council
Funding Amount
$968,538.00
Summary
Falls are a major health and injury problem for people with Parkinson's disease (PD). In this study we propose to undertake a randomised control trial to determine the efficacy of textured insoles to improve postural stability and reduce falls risk in people with Parkinson’s disease. The success of such an inexpensive device would result in improved health outcomes for individuals and large savings in health care through a reduction in fall-related injuries.
Dynamic Postural Stability And Falls Prediction In Older People During Walking In Real-world Environments.
Funder
National Health and Medical Research Council
Funding Amount
$680,793.00
Summary
The increased occurrence of falls with advancing age (33-50% of people aged >65 years) is a significant cause of mortality (1014 deaths in 1998), morbidity, and disability, affecting not only the individuals concerned, but the health care system (45,069 fall related hospitalizations in 1998 in Australia) and the broader community (National falls Prevention Initiative, 2004). Although there are a number of falls risk tests, most rely on determination of body sway while standing when the body i ....The increased occurrence of falls with advancing age (33-50% of people aged >65 years) is a significant cause of mortality (1014 deaths in 1998), morbidity, and disability, affecting not only the individuals concerned, but the health care system (45,069 fall related hospitalizations in 1998 in Australia) and the broader community (National falls Prevention Initiative, 2004). Although there are a number of falls risk tests, most rely on determination of body sway while standing when the body is static rather than in motion. Given that up to 70% of falls occur during walking and performing transfers, there is a clear need to develop tests of falls risk prediction that incorporate indices of postural stability measured during more dynamic activities. Test development needs to be underpinned by clear evidence of how age-related sensory and motor deficits affect postural stability during walking. The studies outlined in this application will develop and utilise new accelerometer-based technologies to determine the fundamental mechanisms underlying balance control during walking in older people. Specifically, this project will aim to develop a clear understanding of how changes in factors as vision, neuromuscular function (strength, stiffness) and proprioception contribute to the overall decline in stability and balance during walking in older people. Combined with physiological assessment measures developed by the research team, the research will allow the development of a more definitive predictive test of stability and falls risk. This test will be able to be used by health professionals for assessment of older people to determine the most effective therapeutic and-or exercise interventions to target those individuals at risk. This technology will also be adaptable to a biofeedback device to allow individuals to monitor their own stability.Read moreRead less
I am an applied physiologist determining risk factors for falls and strategies for prevention in older people and clinical groups with balance disorders. I pursue this research primarily through epidemiological studies.
Lifestyle (LIFE) Versus Structured Balance And Strength Training To Reduce Falls In The Elderly: A Randomized Trial
Funder
National Health and Medical Research Council
Funding Amount
$650,968.00
Summary
Thirty to thirty five percent of persons who are 70 or older fall each year. The magnitude of problems as a result of falling is reflected by the fact that the costs of fall injuries of the elderly to the health system is already more than double that of road injury. It is estimated that these costs will rise substantially and alarmingly in the next 30 to 50 years if we cannot find effective and sustainable ways to make an impact on the incidence of falls in older people. The aim of this project ....Thirty to thirty five percent of persons who are 70 or older fall each year. The magnitude of problems as a result of falling is reflected by the fact that the costs of fall injuries of the elderly to the health system is already more than double that of road injury. It is estimated that these costs will rise substantially and alarmingly in the next 30 to 50 years if we cannot find effective and sustainable ways to make an impact on the incidence of falls in older people. The aim of this project is to improve the capacity of people living at home to avoid falls. The project will evaluate the effectiveness of an integrated lifestyle approach to balance and strength exercise (LIFE) and a structured balance and strength exercise program to reducing falls in people who are at high risk . The control group will comprise a gentle flexibility exercise program as this is known to have no effect on reducing falls. In the lifestyle approach (LIFE), older people will be taught how to do balance and strength training and integrate it into their lifestyle so that it is embedded within their daily activity and weekly routines. It is expected that this integrated lifestyle approach to balance and strength training will be effective in reducing falls and will be sustainable over a a one-year period. This study will also determine for which groups of people LIFE is most effective . The research is a three-arm randomized trial that will be conducted with 381 people who are 70 years or over, who have experienced at least two falls in the past year or had an injurious fall. The notion of balance training is not well understood by allied health professionals or older people - a product of this project will be an alternative balance and strength intervention (LIFE) that offers, in a user friendly and simplified manner, a way of operationalizing the principles of balance and strength training for use by older people within their daily lives.Read moreRead less