VicCPchild- Prospective Cohort Study Of Children With Cerebral Palsy
Funder
National Health and Medical Research Council
Funding Amount
$613,587.00
Summary
Cerebral palsy is the most common cause of physical disability in children affecting 1 in 500 young Australians. While the brain lesion is static, the musculoskeletal problems are progressive and require lifelong management (cost of US$946,000 over life per person). Only large prospective population-based studies give a true indication of the incidence of physical problems, determine the pathway(s) to outcome and determine the best pathways to successful treatment and efficient resource allocati ....Cerebral palsy is the most common cause of physical disability in children affecting 1 in 500 young Australians. While the brain lesion is static, the musculoskeletal problems are progressive and require lifelong management (cost of US$946,000 over life per person). Only large prospective population-based studies give a true indication of the incidence of physical problems, determine the pathway(s) to outcome and determine the best pathways to successful treatment and efficient resource allocation. The broad aim of this project is: This population based cohort study (n - 240) aims to determine the pathway to motor outcome from diagnosis at 18 months to 5 years based on the nature of the brain injury at 24 months (structural MRI of the nature, location and timing of the brain lesion). Secondary Aims: Determine the rate of musculoskeletal deformity (hip displacement, spasticity, muscle contracture). Potential impact of medical co-morbidities (nutrition, epilepsy, respiratory problems) Patterns of participation and HRQOL. Patterns of medical resource use: treatment costs and outcomes. This study will: Allow clinicians to better the likely functional outcomes of children with CP from an earlier age based on the rate and limit of gross motor development and nature and severity of the brain lesion, determine the nature and timing of physical deformities to aid prevention and treatment; provide information on resource use for future planning and organisation of medical and therapy services. This in turn will give more accurate prognostic counseling as well as target areas for early therapy. Our multidisciplinary research group is uniquely placed to conduct this world-first study with access to two entire birth years of children linked to our Victorian Cerebral Palsy Register. Recruitment is conducted at both the Royal Children's Hospital and the Monash Medical centre in order to ensure state wide referral and easy access for families.Read moreRead less
Inclusion of young children with disabilities in mainstream early childhood services. The aim of this APAI doctoral project is to investigage the barriers to, and factors which facilitate effective inclusion of young children with disabilities in mainstream early childhood services in the Australian funding, policy and practice context. The proposed project combines quantitative and qualitative methods to examine the process and outcomes of inclusion in long day care, preschool and family day ca ....Inclusion of young children with disabilities in mainstream early childhood services. The aim of this APAI doctoral project is to investigage the barriers to, and factors which facilitate effective inclusion of young children with disabilities in mainstream early childhood services in the Australian funding, policy and practice context. The proposed project combines quantitative and qualitative methods to examine the process and outcomes of inclusion in long day care, preschool and family day care. The findings will inform policy and practice by enabling early childhood agencies to be more responsive and to better tailor their services to individual child and family needs.Read moreRead less
Intellectual disability in courts and police cells. Benefit to the nation accrues because offenders with intellectual disability will be accurately identified early in their contact with the criminal justice system (CJS), and appropriate diversions from the CJS as well as rehabilitation programs can be implemented, thus producing cost-savings in all jurisdictions. The community benefits because offenders with ID can receive appropriate service provision, based on evidence provided by this study ....Intellectual disability in courts and police cells. Benefit to the nation accrues because offenders with intellectual disability will be accurately identified early in their contact with the criminal justice system (CJS), and appropriate diversions from the CJS as well as rehabilitation programs can be implemented, thus producing cost-savings in all jurisdictions. The community benefits because offenders with ID can receive appropriate service provision, based on evidence provided by this study. The individual's ties to the community will be maintained and on the community will be supported to assist the individual. Justice health systems, in staff management and training areas, will benefit. The outcomes will benefit educational programs for the judiciary, police and lawyers.Read moreRead less
Financing and management of lifetime care for adults with acquired disabilities and high care needs. Lifetime care for adults with acquired disabilities is of growing public concern. Substantial levels of unmet need, poorly coordinated services and inadequacy of care arrangements to guarantee lifetime care are pressing concerns. Coordinating multi-sector and service inputs is an ongoing problem for policy makers and providers in Australia. The proposed project will develop an empirical understan ....Financing and management of lifetime care for adults with acquired disabilities and high care needs. Lifetime care for adults with acquired disabilities is of growing public concern. Substantial levels of unmet need, poorly coordinated services and inadequacy of care arrangements to guarantee lifetime care are pressing concerns. Coordinating multi-sector and service inputs is an ongoing problem for policy makers and providers in Australia. The proposed project will develop an empirical understanding of how current systems of financing and management of lifetime care operate at policy and service delivery levels for adults with acquired disabilities. This provides a strategic foundation for policy development and enhanced lifetime care arrangements that will be of relevance to other populations. Read moreRead less
Home Based Rehabilitation To Reduce Falls And Disability In Parkinson Disease.
Funder
National Health and Medical Research Council
Funding Amount
$805,599.00
Summary
Falls occur in more than half of the 80,000 Australians living with Parkinson disease. This research will examine the extent to which a program of home rehabilitation using exercises, movement strategies and falls education is effective in reducing the number of falls, the injuries from falls and disability. We will also examine the effects of home based rehabilitation on quality of life. We shall compare the outcomes of the integrated rehabilitation home program with a life-skills program.
Novel Early Warning System for Hypoglycaemia. An innovative technique will be developed for early detection of low blood glucose level (hypoglycaemia), a life-threatening complication affecting millions of people with Type 1 diabetes worldwide. Real-time analysis of the effectiveness of skin impedance, ECG (in particular heart rate and QT interval), and EEG (alpha wave) will be combined with robust adaptive neural networks to provide a novel theoretical and practical basis for developing a non-i ....Novel Early Warning System for Hypoglycaemia. An innovative technique will be developed for early detection of low blood glucose level (hypoglycaemia), a life-threatening complication affecting millions of people with Type 1 diabetes worldwide. Real-time analysis of the effectiveness of skin impedance, ECG (in particular heart rate and QT interval), and EEG (alpha wave) will be combined with robust adaptive neural networks to provide a novel theoretical and practical basis for developing a non-invasive hypoglycaemia monitor. This device has the potential to save lives, improve quality of life for people with diabetes and their carers, and put Australia at the forefront in this $US5 billion pa industry.Read moreRead less
Innovative hands-free technology to give the severely disabled greater mobility control. Half of the serious neurological injuries in Australia result in tetraplegia. Combined with other disabilities that involve severe mobility impairments the cost to the community economically, psychologically and socially is huge. This new Australian technology will facilitate effective sharing of control between a disabled person and a computer control system, taking advantage of their unique strengths and e ....Innovative hands-free technology to give the severely disabled greater mobility control. Half of the serious neurological injuries in Australia result in tetraplegia. Combined with other disabilities that involve severe mobility impairments the cost to the community economically, psychologically and socially is huge. This new Australian technology will facilitate effective sharing of control between a disabled person and a computer control system, taking advantage of their unique strengths and enabling each to aid the other in areas of weakness. The social and personal benefits are potentially very large. Scope also exists to significantly reduce healthcare costs and to develop a new industry in hands-free technology.Read moreRead less
Moving beyond crisis management: Creating a future for people with disabilities living with ageing parents. The needs of thousands of people with disabilities being cared for by ageing parents are beyond the capacity of our existing formal mechanisms for providing care. In order to mitigate this national crisis in support, this research will establish effective, resource efficient support strategies where there are currently no plans in place for future care arrangements. By enhancing the capaci ....Moving beyond crisis management: Creating a future for people with disabilities living with ageing parents. The needs of thousands of people with disabilities being cared for by ageing parents are beyond the capacity of our existing formal mechanisms for providing care. In order to mitigate this national crisis in support, this research will establish effective, resource efficient support strategies where there are currently no plans in place for future care arrangements. By enhancing the capacity of the community to provide support the benefit of existing formal supports will be extended to address the needs of more families. This project will position Australian disability research and support at the forefront of international efforts to legitimize the claim of people with disabilities and their families on community resources.Read moreRead less