Physical Activity Coaching For Adults With Physical Disabilities: A Pragmatic Randomised Controlled Trial.
Funder
National Health and Medical Research Council
Funding Amount
$1,371,185.00
Summary
People with impaired mobility can achieve substantial benefits from appropriate physical activities but face many barriers to being active so require targeted interventions and health professional support. This trial (n=600) will test the effectiveness and cost-effectiveness of an enhanced physical activity coaching intervention (home-visit from a physiotherapist, phone coaching, technology) with phone coaching alone and with no intervention.
Little evidence supports interventions to improve mobility outcomes in frail older adults hospitalised for movement rehabilitation. This large randomised controlled trial investigates whether increasing the amount of physical activity during inpatient rehabilitation improves mobility and is cost effective. Frail older Australians are very high users of health services. This study will provide evidence for intensive physical therapy that is easily delivered, with significant benefits to older adu ....Little evidence supports interventions to improve mobility outcomes in frail older adults hospitalised for movement rehabilitation. This large randomised controlled trial investigates whether increasing the amount of physical activity during inpatient rehabilitation improves mobility and is cost effective. Frail older Australians are very high users of health services. This study will provide evidence for intensive physical therapy that is easily delivered, with significant benefits to older adults and the aged care health system.Read moreRead less
Unloading Shoes For Knee Osteoarthritis: A Double-blind Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$772,743.00
Summary
This is a clinical trial that will evaluate the effectiveness of unloading shoes for managing the symptoms of knee osteoarthritis. This trial will evaluate whether unloading shoes can reduce pain and physical dysfunction, compared to control (non-unloading) shoes, after 6 months. Patient characteristics that may influence the effectiveness of the unloading shoes will also be evaluated. If effective, unloading shoes could be made commercially available as a self-management strategy to patients wi ....This is a clinical trial that will evaluate the effectiveness of unloading shoes for managing the symptoms of knee osteoarthritis. This trial will evaluate whether unloading shoes can reduce pain and physical dysfunction, compared to control (non-unloading) shoes, after 6 months. Patient characteristics that may influence the effectiveness of the unloading shoes will also be evaluated. If effective, unloading shoes could be made commercially available as a self-management strategy to patients with knee osteoarthritis .Read moreRead less
IMproving Physical ACtivity With Treadmill Training Following Stroke: The Stroke-IMPACT Trial
Funder
National Health and Medical Research Council
Funding Amount
$736,065.00
Summary
Stroke is a leading cause of disability amongst Australians. After stroke, activity levels are low, with few people able to exercise at an intensity which will reduce the risk of future cardiovascular events. This project examines the effectiveness of combining a high intensity treadmill training program with a self management approach to improve activity levels, mobility, cardiovascular risk profile in stroke survivors, increasing their independence and reducing the burden of care.
Can Real-time Biofeedback Of Foot Clearance Data Be Used To Assist With Gait Rehabilitation Following Stroke?
Funder
National Health and Medical Research Council
Funding Amount
$587,143.00
Summary
A new intervention for falls-risk minimization is proposed by providing additional visual sensory information to increase foot-ground clearance in order to walk more safely.A randomised controlled trial will be employed to assess the effects of biofeedback on foot-ground clearance during gait training. The outcome will be innovative biofeedback-based gait training that could significantly enhance existing stroke rehabilitation programs.
Telerehabilitation For Chronic Obstructive Pulmonary Disease
Funder
National Health and Medical Research Council
Funding Amount
$697,942.00
Summary
Pulmonary rehabilitation is a very effective treatment for chronic lung disease, but is accessible to less than 10% of Australians who need it. Telerehabilitation, the delivery of rehabilitation directly into the home using the internet, offers new opportunities to improve access and uptake. This trial will test whether telerehabilitation can improve wellbeing and reduce health care costs in people with chronic respiratory disease living in metropolitan and regional Australia.
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.
Functional Electrical Stimulation Assisted Cycling (eStimCycle):A Novel Intervention To Improve Outcomes In The Critically Ill
Funder
National Health and Medical Research Council
Funding Amount
$868,811.00
Summary
The legacy of critical illness leaves millions of survivors worldwide with long lasting deficits in physical and brain function as well as anxiety, depression and post-traumatic stress disorder. Early rehabilitation may prevent or minimise these effects. This study evaluates the effectiveness of functional electrical stimulation of muscles with assisted in-bed cycling (eStimCycle) on muscle bulk, strength, physical and brain function at hospital discharge, 6 and 12 months.
Physiotherapist Led Stress Inoculation Intervention Integrated With Exercise For Acute Whiplash Injury
Funder
National Health and Medical Research Council
Funding Amount
$518,960.00
Summary
Physical and mental health outcomes following whiplash injury due to a road traffic crash are poor. Early stress system responses are associated with poor recovery. This study will investigate the effectiveness of a physiotherapist led stress inoculation intervention integrated with currently recommended exercise rehabilitation to improve health outcomes after whiplash injury.
The Physiological Basis Of Motor Adaptation In Pain
Funder
National Health and Medical Research Council
Funding Amount
$317,214.00
Summary
People in pain move differently, yet the physiological basis for altered movement in pain is poorly understood. This lack of understanding has led to treatments for persistent pain that target generic symptoms with limited effect. The current study is the first to examine how different aspects of the nervous system are altered in pain and how this relates to movement. This information will guide the development of new treatment strategies for persistent pain in future.