Effectiveness Of Training Somatosensation In The Hand After Stroke: A Randomized Controlled Trial.
Funder
National Health and Medical Research Council
Funding Amount
$180,660.00
Summary
Stroke is a leading cause of death and disability, requiring provision of rehabilitation services to help minimize impairment and its impact on the ability to resume daily activities. The ability to feel textures and objects through touch and to know where one s limbs are in space are impaired in up to 85% of people who have suffered a stroke. People with this loss are handicapped by difficulties in exploring objects through touch and in performing everyday tasks that require grasp and manipulat ....Stroke is a leading cause of death and disability, requiring provision of rehabilitation services to help minimize impairment and its impact on the ability to resume daily activities. The ability to feel textures and objects through touch and to know where one s limbs are in space are impaired in up to 85% of people who have suffered a stroke. People with this loss are handicapped by difficulties in exploring objects through touch and in performing everyday tasks that require grasp and manipulation of objects. Yet clinicians are either not treating the problem or are using methods without a sound theoretical basis and controlled evidence to support their application. We have systematically investigated optimal methods of sensory training across different sensory abilities using a series of single-subject experiments. Marked improvement in the ability to discriminate trained and related untrained texture stimuli and limb positions was achieved and maintained in most participants. These findings have provided the foundation for development a scientifically based and clinically focused sensory retraining program that has apparently excellent therapeutic potential. The purpose of the proposed study is to test the effectiveness of this scientifically based, clinical sensory retraining program in a broad group of stroke clients using the internationally recommended randomized controlled group design. The program will train a range of functionally important sensory discrimination tasks, i.e. texture discrimination, limb position sense and tactual object recognition, in clinical and home environments. Demonstration of clinically important and statistically significant training effects will provide the evidence necessary to recommend the introduction of the program into routine health service delivery. Investigation of patient characteristics that may impact on the ability to benefit from training will assist in the targeting of services to appropriate individuals.Read moreRead less
Tailored Activities To Reduce Challenging Behaviours In Persons With Dementia Living At Home: The TAP Trial
Funder
National Health and Medical Research Council
Summary
Dementia is the greatest single contributor to the burden of disability for older people. Challenging behaviours are common and associated with reduced quality of life for the person with dementia and the caregiver. The Tailored Activities Program, delivered by occupational therapists, is novel. It targets the capacity of the person with dementia and provides a systematic way to match both capacity and personal interest to activity. We will conduct a randomized trial to test its effectiveness.
Client Centred Palliative Rehabilitation: An Evaluation Of Its Efficacy
Funder
National Health and Medical Research Council
Funding Amount
$90,570.00
Summary
�I don�t want to sit here waiting to die�. Many people towards end of life want their palliative care to continue to be rehabilitative as well as supportive, yet no study to formally evaluate the effectiveness of a patient-centred palliative rehabilitation program has been conducted in Australia. This study aims to identify patient and carer-centred rehabilitation goals such as independence in self care, and develop, trial and evaluate a rehabilitation program to address these goals. The program ....�I don�t want to sit here waiting to die�. Many people towards end of life want their palliative care to continue to be rehabilitative as well as supportive, yet no study to formally evaluate the effectiveness of a patient-centred palliative rehabilitation program has been conducted in Australia. This study aims to identify patient and carer-centred rehabilitation goals such as independence in self care, and develop, trial and evaluate a rehabilitation program to address these goals. The program would be transfer stage conditions such as cancer, cardiac or renal failure.Read moreRead less
A Telehealth Intervention To Delay Functional Decline In Community-dwelling People With Dementia
Funder
National Health and Medical Research Council
Funding Amount
$476,399.00
Summary
Telehealth programs are becoming increasingly popular as a way to increase the accessibility of services and reduce the costs associated with health professionals travelling to the client's home. This project will examine whether an evidence based intervention that delays functional decline can be delivered via videoconferencing and whether this method of delivery is as effective.
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.
Effectiveness Of Occupational Therapy Homevisits To Improve Participation After Stroke
Funder
National Health and Medical Research Council
Funding Amount
$1,774,083.00
Summary
This randomized controlled trial will determine the effectiveness of occupational therapy pre-discharge homevisits for people after stroke, with health economic evaluation conducted alongside to determine the cost-benefits. Recruiting adults from Australian rehabilitation hospitals, this study is designed to provide guidance for hospitals, policy-makers and clinical practice guideline developers on whether occupational therapy homevisits improve the level of community participation after stroke.
A Network Of Sites And ‘up-skilled’ Therapists To Deliver Best Practice Stroke Rehabilitation Of The Upper Limb.
Funder
National Health and Medical Research Council
Funding Amount
$955,910.00
Summary
We aim, through our partnership, to bring better therapy to more stroke survivors. Effective therapies are available to improve hand function but survivors are not currently receiving these. We will systematically address this evidence-practice gap using knowledge-transfer methods to up-skill therapists and change practice behaviours. A network of sites and up-skilled therapists will deliver this therapy and sustain change. A template will guide future translational activities.