Tremor is the rhythmic shaking of a body part and is a common and disabling problem seen in diseases such as Parkinson’s disease and Essential Tremor. At present there is no single diagnostic test to determine the cause of a person’s tremor. This project aims to combine the use of sensors that measure tremor and muscle activity with clinical assessment to develop new tests for reliably diagnosing and monitoring tremor, a key step to treating patients correctly and conducting future drug trials.
Predicting Treatment Response To Onabotulinumtoxin-a In MS-related Tremor: A Combined Clinical, Electrophysiological And Neuroimaging Approach.
Funder
National Health and Medical Research Council
Funding Amount
$546,359.00
Summary
Shaking (tremor) of the upper limbs occur in many people with multiple sclerosis (MS). We have previously shown that botulinum toxin (Botox) injections could help reduce tremor. This study aims to study the effect of Botox in a larger group of people with MS and will include detailed MRI scans and electrical tremor monitoring tests to define the underlying changes in the brain that causes tremor. The results will help make Botox available as a tremor treatment for people with MS.
Tremor And Cognition In Multiple Sclerosis: Implementing Novel Treatments And Computerized Monitoring Strategies.
Funder
National Health and Medical Research Council
Funding Amount
$303,014.00
Summary
This research program aims to study two disabling symptoms of multiple sclerosis namely upper limb shaking, or tremor, and memory dysfunction. The first project will develop a new treatment for MS arm tremor, Botulinum toxin injections, into routine clinical practice. The second project aims to make available a computerised test of memory that can be done in clinic waiting rooms or at home. This will help neurologists to rapidly pick up changes in memory in a person with MS and improve care.
Motor Unit Synchronisation And Neuromuscular Performance
Funder
National Health and Medical Research Council
Funding Amount
$198,500.00
Summary
The fine control of force is important for many everyday tasks such as writing, grasping objects between index finger and thumb, and fastening buttons. Factors that influence the ability to control force include the coordinated activation of groups of muscle fibres called single motor units. This proposal focuses on the concept that the coordinated activation of motor units is influenced by muscle activity and can impair the ability to produce finely controlled muscle contractions. The goal of t ....The fine control of force is important for many everyday tasks such as writing, grasping objects between index finger and thumb, and fastening buttons. Factors that influence the ability to control force include the coordinated activation of groups of muscle fibres called single motor units. This proposal focuses on the concept that the coordinated activation of motor units is influenced by muscle activity and can impair the ability to produce finely controlled muscle contractions. The goal of these studies is to explore the boudary conditions of the adaptive nature of the nervous system to examine how coordinated motor unit activity influences these aspects of neuromuscular performance. The outcomes of these experiments will identify if altering muscle activity influences the control of movement by altering single motor unit activity. These results will have direct application to the interpretation of abnormal movement control and tremor that is observed in certain neurological diseases such as Parkinson's disease. Furthermore, new information will be gained on the adaptability of the motor system and its role in the execution of fine motor tasks that may aid in the development of rehabilitation strategies following stroke or spinal cord injury.Read moreRead less
Speech and chewing are accomplished automatically by the jaw muscles which have both the power to chew meat and even bone, and the precision to make extremely fine adjustments to the shape of the mouth that enable speech. The brain needs constant inputs from sensory receptors in and around the mouth to control these muscles. We will investigate how these sensory mechanisms automatically fine-tune the activity of the jaw muscles and the mechanisms that keep the jaw in its normal position when the ....Speech and chewing are accomplished automatically by the jaw muscles which have both the power to chew meat and even bone, and the precision to make extremely fine adjustments to the shape of the mouth that enable speech. The brain needs constant inputs from sensory receptors in and around the mouth to control these muscles. We will investigate how these sensory mechanisms automatically fine-tune the activity of the jaw muscles and the mechanisms that keep the jaw in its normal position when the subject is sitting quietly, or when the head is moving up and down during running. This normal rest position of the jaw is a vital point of reference for dentists who are making false teeth and for surgeons who are restoring damaged faces, but it is not known what mechanisms are responsible for it. Anyone who has experienced a sore tooth or sore jaw muscles will know that pain adversely affects normal chewing. A common symptom is limitation of jaw movements. We will determine how pain affects the control of jaw muscles. This is important for people with chronic facial pain from arthritis of the jaw joint or from grinding their teeth while they are asleep. Even if it is not possible to eliminate their pain, we hope to suggest approaches which will alleviate its effects. Another part of our study involves a computer model of the chewing system. Computer models enable scientists to examine the effect of various interventions such as surgery or orthodontics on a model before these are tried on humans. It is also possible to use such a virtual patient to answer important functional questions that cannot be examined in humans because the methods are unavailable, or because the procedures would be ethically unacceptable. The current version of the computer model is quite sophisticated anatomically, but lacks important information on the control systems that activate the muscles. We will collaborate with the developers of the model by providing this information.Read moreRead less