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Supported Treadmill Training To Establish Walking In Non-ambulatory Patients Early After Stroke
Funder
National Health and Medical Research Council
Funding Amount
$341,349.00
Summary
This project will improve the health and well being of people affected by stroke. Stroke is the most common disabling neurological condition in adults and consumes up to 5% of health care expenditure in developed countries, estimated by the National Stroke Foundation at $1-2 billion per year in Australia. Some 48,000 people suffer a stroke each year in Australia, with approximately one third of these people requiring inpatient rehabilitation and 70% of them are unable to walk on admission to reh ....This project will improve the health and well being of people affected by stroke. Stroke is the most common disabling neurological condition in adults and consumes up to 5% of health care expenditure in developed countries, estimated by the National Stroke Foundation at $1-2 billion per year in Australia. Some 48,000 people suffer a stroke each year in Australia, with approximately one third of these people requiring inpatient rehabilitation and 70% of them are unable to walk on admission to rehabilitation. This randomised controlled trial will investigate whether treadmill walking with partial weight support via an overhead harness is effective at establishing independent walking (i) more often, (ii) earlier and (iii) with a better quality of walking, than current treatment for stroke patients who cannot walk. We will measure (i) whether patients achieve independent walking and (ii) the time taken to achieve independent walking. We will also measure parameters of walking such as speed, step length and step width to evaluate the effect of treadmill training on the quality of walking. Furthermore, by measuring participation in the community at 6 months, we will evaluate the long-term effect of this innovative treatment. Given that independence in walking is a major factor in the decision to discharge patients from inpatient care, earlier independent walking should result in a reduction in length of hospital stay which will save about $800 per patient per day in a teaching hospital setting. Identifying rehabilitation strategies which enhance walking outcome will not only improve quality of life of both stroke patients and their carers by reducing disability and handicap but also reduce the cost of rehabilitation.Read moreRead less
Participation following traumatic brain injury in rural, regional and remote areas. The results of this project will lead to improved rehabilitation programs and better outcomes for people with brain injury, especially in regional, rural and remote areas, by targeting the ultimate goal more directly: participation - getting people back into their home, work and community roles. Participation is associated with improved social networks, wellbeing, independence and quality of life, so health care ....Participation following traumatic brain injury in rural, regional and remote areas. The results of this project will lead to improved rehabilitation programs and better outcomes for people with brain injury, especially in regional, rural and remote areas, by targeting the ultimate goal more directly: participation - getting people back into their home, work and community roles. Participation is associated with improved social networks, wellbeing, independence and quality of life, so health care burdens and costs are reduced, and people can lead more productive lives. The project's emphasis on country areas will benefit rural health care, and also help specialist metropolitan brain injury services to understand the specific rehabilitation issues facing people from the bush.Read moreRead less
An investigation of respiration in stuttering. Australia leads the world in stuttering research, and this project will maintain that profile. The research aims to establish if breathing has a causal role in stuttering. The new knowledge produced will support or weaken current theories of the cause of stuttering and will contribute to understanding the nature of the disorder. In particular, it will be applied to develop more effective and efficient treatments for chronic stuttering.
Establishing the relationship between anxiety and stuttering. The present project will establish basic knowledge about the disorder of stuttering, which will contribute to offsetting the personal and community costs of the disorder by guiding empirical investigations into its nature and the development of future treatments. Further benefits at the population level will occur by provision to the public of basic information about the disorder assembled from this project. By conveying information f ....Establishing the relationship between anxiety and stuttering. The present project will establish basic knowledge about the disorder of stuttering, which will contribute to offsetting the personal and community costs of the disorder by guiding empirical investigations into its nature and the development of future treatments. Further benefits at the population level will occur by provision to the public of basic information about the disorder assembled from this project. By conveying information from the present project to clinicians who treat stuttering patients, the project will benefit Australians who stutter.Read moreRead less
Children with speech impairment: A population study of prevalence, severity, impact and service provision. Compared to the general community, adults who had a speech impairment as a child typically achieve lower levels of education, have greater literacy problems, experience significant social problems and discrimination, and have decreased occupational opportunities. The social and economic cost of untreated speech impairment for individuals, schools and society is large. This landmark study wi ....Children with speech impairment: A population study of prevalence, severity, impact and service provision. Compared to the general community, adults who had a speech impairment as a child typically achieve lower levels of education, have greater literacy problems, experience significant social problems and discrimination, and have decreased occupational opportunities. The social and economic cost of untreated speech impairment for individuals, schools and society is large. This landmark study will identify strengths and limitations in the health and education sectors regarding appropriate and holistic services for children with speech impairment combining identified prevalence, severity and impact data.Read moreRead less
Better prevention and management of disabling back pain. This project will establish a program of back pain research within an inter-disciplinary research centre focused on the prevention and management of physical disability.
Gene therapy to enhance auditory prosthesis performance for cochlear implants. The cochlear implant is the most effective neural prosthesis, restoring hearing to the deaf. The research aims to develop a new type of implant compatible with delivery of therapeutic genes to the cells lining the cochlea. Gene therapy DNA constructs will be developed that will enhance neural survival and growth, improving cochlear implant performance. The research will provide advances in understanding how to tran ....Gene therapy to enhance auditory prosthesis performance for cochlear implants. The cochlear implant is the most effective neural prosthesis, restoring hearing to the deaf. The research aims to develop a new type of implant compatible with delivery of therapeutic genes to the cells lining the cochlea. Gene therapy DNA constructs will be developed that will enhance neural survival and growth, improving cochlear implant performance. The research will provide advances in understanding how to transfer genes into cochlear tissue, as well as development of gene cassettes for effective neural repair. The work will advance the field of bionics, an area where Australia is establishing international preeminence.Read moreRead less
Collaborative approaches to the prevention of work related injuries in railway workers. RailCorp NSW is a large employer within the NSW transport industry sector and as such has a high potential exposure to occupational injury. RailCorp has committed to the safety of its employees through its efforts towards a systematic identification of injury risk factors to create a safer workplace as well as creating a 'risk aware safety culture'. Interventions which are effective in reducing the incidenc ....Collaborative approaches to the prevention of work related injuries in railway workers. RailCorp NSW is a large employer within the NSW transport industry sector and as such has a high potential exposure to occupational injury. RailCorp has committed to the safety of its employees through its efforts towards a systematic identification of injury risk factors to create a safer workplace as well as creating a 'risk aware safety culture'. Interventions which are effective in reducing the incidence and severity of work related injuries have not only immediate benefits both in terms of human (workforce retention, job satisfaction, job performance, etc) and financial factors for RailCorp management and its employees but has wider applications to other comparable complex high risk industries.
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Speaking my language: International speech acquisition in Australia. It is important to differentiate between children who have communication impairment (difficulty learning all languages) from those who only have difficulty learning subsequent language(s). Communication impairment in multilingual children is both undiagnosed and over-diagnosed due to lack of culturally-sensitive measurement tools. Early intervention can ameliorate communication impairment in children and can reduce subsequent e ....Speaking my language: International speech acquisition in Australia. It is important to differentiate between children who have communication impairment (difficulty learning all languages) from those who only have difficulty learning subsequent language(s). Communication impairment in multilingual children is both undiagnosed and over-diagnosed due to lack of culturally-sensitive measurement tools. Early intervention can ameliorate communication impairment in children and can reduce subsequent educational, social and occupational outcomes of untreated communication impairment. By working with people around the world, this Fellowship will result in the development of the International Speech Assessment designed to differentially identify children and to specify holistic early intervention goals.Read moreRead less
Neurocognitive substrates of naming facilitation in aphasia. This research directly addresses the national research priority goal of ageing well, ageing productively, by providing foundational knowledge for improved outcomes in the growing population of individuals in Australia with language impairments from age-related disease. Outcomes of the proposed research will include (1) development of a new theory of word production which can improve treatment of language impairment, (2) an enhanced und ....Neurocognitive substrates of naming facilitation in aphasia. This research directly addresses the national research priority goal of ageing well, ageing productively, by providing foundational knowledge for improved outcomes in the growing population of individuals in Australia with language impairments from age-related disease. Outcomes of the proposed research will include (1) development of a new theory of word production which can improve treatment of language impairment, (2) an enhanced understanding of the cognitive and brain mechanisms involved in word production and its treatment after stroke, and (3) postgraduate training in state-of-the-art cognitive neuroimaging and language neuroscience research. Read moreRead less