Falls and broken bones are costly health problems among the elderly, even more so when there is a growing older population aged over 65 years. In Australia about 1 million older people have at least one fall each year and about 40-60% will sustain major injuries including broken bones. Therefore there is a need to identify effective ways to reduce falls and improve outcomes of those who break a bone, especially of the hip.
The corticospinal pathway is the major route from the brain to the spinal cord for the control of voluntary movement in people. Little is known about how transmission through this pathway might alter with activity. It is known that, elsewhere in the brain, connections between nerve cells can be made stronger or weaker by specific patterns of activity and it is thought that such changes underlie learning and memory. We propose that similar changes might happen in the spinal cord at the connection ....The corticospinal pathway is the major route from the brain to the spinal cord for the control of voluntary movement in people. Little is known about how transmission through this pathway might alter with activity. It is known that, elsewhere in the brain, connections between nerve cells can be made stronger or weaker by specific patterns of activity and it is thought that such changes underlie learning and memory. We propose that similar changes might happen in the spinal cord at the connection between the nerve cells which carry signals from the brain and the nerve cells which carry the signals out to the muscle. This project will demonstrate that the connections in the pathway from the brain to the muscle can be strengthened or weakened in a controlled way by imposed patterns of activity. In addition, we know that after voluntary contractions, there are dramatic changes in the way signals in this pathway are transmitted to muscles. After brief strong voluntary contractions, muscle responses are immediately reduced. After longer contractions in which the muscles become fatigued, the reduction is followed by an increase in responses which can last many minutes. Thus, this project will also study changes in the pathway from the brain to the muscle after natural activity. The effects of changes induced by artificial or natural activity on the control of voluntary movement will also be investigated. Understanding how activity drives changes in the pathway that controls voluntary movement is important for all situations that involve learning motor tasks. These include normal development and learning of motor skills, as well as rehabilitation after all kinds of nerve or muscle injury. It is also important in understanding motor changes that occur when activity is altered by disorders like spinal cord injury or stroke. Improved understanding of the processes occuring should allow improvement in rehabilitation therapies.Read moreRead less
Orthopaedic medicine utilises precise control of critical aspects of the bone healing response. This proposal looks at a novel, and powerful neural-based method for controlling these processes. This will be done by modulating the activity of the neuropeptide Y1 receptor, recently identified on osteoblastic cells and capable of powerful, inverse regulation of bone formation activity. Harnessing these effects will provide a critical tool for existing surgical practice.
Gene Variants Related To Bone Density And Fracture.
Funder
National Health and Medical Research Council
Funding Amount
$330,375.00
Summary
Bone density and osteoporosis have a genetic component. Identifying genes that are involved in determining bone density may permit advances in controlling osteoporosis. We have identified a variant that is related to bone density high enough to protect individuals four fold against Colle's fracture, the common wrist fracture seen in women. In addition, some people with bone fracture at the hip, or low bone density, have mutations in this gene. The gene is a master regulator of the cells that mak ....Bone density and osteoporosis have a genetic component. Identifying genes that are involved in determining bone density may permit advances in controlling osteoporosis. We have identified a variant that is related to bone density high enough to protect individuals four fold against Colle's fracture, the common wrist fracture seen in women. In addition, some people with bone fracture at the hip, or low bone density, have mutations in this gene. The gene is a master regulator of the cells that make bone: this gives hope that it may be possible to alter bone formation through this master regulator.Read moreRead less
Bone Fragility: The Neglected Role Of Cortical Porosity
Funder
National Health and Medical Research Council
Funding Amount
$620,381.00
Summary
Cortical (outer shell) or compact bone constitutes 80% of the skeleton. It is not solid as implied by its name but made of inter-connected canals resembling a network of roads. We recently discovered that most of the bone loss with age occurs from these canals, not from t rabecular bone as currently believed. This suggests to know why and how bone breaks requires the study of the morphology of these canals and how they change with age. This is what we propose to do. It has never been done.
Development And Validation Of A Finite Element Model For Orthopaedic Screw Insertion Into Trabecular Bone
Funder
National Health and Medical Research Council
Funding Amount
$420,454.00
Summary
Osteoporosis is a disease of the bones that results in reduced bone strength and susceptibility to fragility fractures. Due to the spongy nature of osteoporotic bone, surgeons face major difficulties in obtaining secure fixation of bone screws. Our aim is to develop and validate a computer model of orthopaedic screw insertion into trabecular bone based on micro-computed tomography image data. This will allow an assessment of the most appropriate screw designs for stable fixation of implants.
Fragility Fractures: The Neglected Role Of Cortical Porosity
Funder
National Health and Medical Research Council
Funding Amount
$865,474.00
Summary
We just discovered that bone lost with age occurs mostly from pores within the cortex (outer shell) of the bone; These pores become larger (porosity) making bones fragile. This process is poorly detected by bone density (currently used tool) so that most people with weak bones are missed. To address this issue, we have for the first time, develop a technology to accurately quantify porosity in living peoples. With teams around the world, we aim here to fill this gap in the diagnosis.