Improving Neurobehavioural Development In Preterm Infants: A Randomised Controlled Trial Of A Neonatal Intervention
Funder
National Health and Medical Research Council
Funding Amount
$680,920.00
Summary
Up to 50% of preterm infants will have one or more developmental difficulties. While medical complications are implicated in these problems, recent evidence points to the added effect of the infant's early environment. Hospitalised premature infants experience stress from necessary but painful hospital procedures, overstimulation and maternal deprivation. Evidence, largely from animal studies, suggests stressful early experience negatively affects brain development. We also know that premature i ....Up to 50% of preterm infants will have one or more developmental difficulties. While medical complications are implicated in these problems, recent evidence points to the added effect of the infant's early environment. Hospitalised premature infants experience stress from necessary but painful hospital procedures, overstimulation and maternal deprivation. Evidence, largely from animal studies, suggests stressful early experience negatively affects brain development. We also know that premature infants find it difficult to handle stress as they are highly disorganised neurobehaviourally. The primary aim of this study is to assess the effectiveness of a parent-based intervention in enhancing neurobehavioural development at two years of age in very premature infants. It is predicted that this stress-reduction intervention will also enhance medical stability,normal brain development, parent-child interaction and parental mental health. The intervention to be trialled involves intensive training of parents of very premature infants, and in the 12 weeks following birth the parents will be the change agents. A randomised controlled trial comparing intervention and control groups will be undertaken to assess the effectiveness of this intervention. Assessments of early brain and 2 year intellectual, emotional and behavioural development will provide important outcome measures. A major strength of this study is the inclusion of advanced Magnetic Resonance Imaging (MRI) technology as it enables differences in brain development between the intervention and control group to be assessed, the association between brain and neurobehavioural development to be explored, and the impact of stress on early brain development to be investigated. This intervention is relatively simple and inexpensive, and would be a valuable contribution to neonatal care if found to be effective in enhancing brain and neurobehavioural development.Read moreRead less
The influence of resistance training upon movement control in the elderly. The primary aim of this applied research project is to investigate the impact of resistance training in the elderly. We will assess the responses to training that occur in the elderly, and determine the time course and persistence of adaptation. It is anticipated that the knowledge derived will be applied by clinicians and health practitioners in the design of resistance training programmes for the elderly, and thereby en ....The influence of resistance training upon movement control in the elderly. The primary aim of this applied research project is to investigate the impact of resistance training in the elderly. We will assess the responses to training that occur in the elderly, and determine the time course and persistence of adaptation. It is anticipated that the knowledge derived will be applied by clinicians and health practitioners in the design of resistance training programmes for the elderly, and thereby enhance the performance of tasks encountered in daily living.Read moreRead less
Preparatory processes in rapid interceptive action. This project investigates the nature of the processes involved in preparing to act in response to a moving object: actions that elite sportspeople perform with amazing precision: timing to within a few thousandths of a second is routine when hitting a ball in tennis and cricket. The average person can be capable of something similar and it means being ready to make the right movement at the right time. Understanding the preparatory processes in ....Preparatory processes in rapid interceptive action. This project investigates the nature of the processes involved in preparing to act in response to a moving object: actions that elite sportspeople perform with amazing precision: timing to within a few thousandths of a second is routine when hitting a ball in tennis and cricket. The average person can be capable of something similar and it means being ready to make the right movement at the right time. Understanding the preparatory processes involved will be a significant scientific advance and knowledge of their workings and limits can contribute to the development of strategies for improving safety in dynamic environments such as city roads. This project will put an Australian laboratory at the cutting edge in this area of research.Read moreRead less
Experimental and computational assessment of the mechanical, musculo-skeletal and neuromuscular contributions to rhythmic multi-joint arm movements. The human body is a complex mechanical system that is controlled by a vast neural network comprising many millions of connections. To date, realistic descriptions of the interactions between these neuro-mechanical features have proved elusive. This project seeks to develop a mathematical model that accurately describes the essential features of the ....Experimental and computational assessment of the mechanical, musculo-skeletal and neuromuscular contributions to rhythmic multi-joint arm movements. The human body is a complex mechanical system that is controlled by a vast neural network comprising many millions of connections. To date, realistic descriptions of the interactions between these neuro-mechanical features have proved elusive. This project seeks to develop a mathematical model that accurately describes the essential features of the control system for human movement, and yet is simple enough to inform the design of artificial devices to generate or assist movement. The knowledge derived should improve mechanical and neural prosthetic systems, and guide rehabilitation protocols. The work will ultimately provide a considerable benefit to the community by reducing the social cost of a range of movement disorders.Read moreRead less
An inverse control approach to resolving the neural basis of spatial and muscular dependencies in coordinated multi-limb movements. Each year 48,000 Australians suffer from stroke with many survivors left with problems that limit limb function. With reduced duration of hospital care, the opportunities for retraining in the period immediate following stroke are rapidly diminishing. Effective and efficient strategies of rehabilitation that will maximise the level of recovery following stroke will ....An inverse control approach to resolving the neural basis of spatial and muscular dependencies in coordinated multi-limb movements. Each year 48,000 Australians suffer from stroke with many survivors left with problems that limit limb function. With reduced duration of hospital care, the opportunities for retraining in the period immediate following stroke are rapidly diminishing. Effective and efficient strategies of rehabilitation that will maximise the level of recovery following stroke will result in benefits expressed in terms of enhanced quality of life and functional life-span, as well as significantly reduced costs of health care. In understanding the fundamental principles underlying the stability and adaptability of movement coordination, this research is likely to make a significant contribution to the design of programs for movement rehabilitation.Read moreRead less
Cortical Mechanisms Mediating Bilateral Interactions Between the Upper Limbs. Each year 40,000 Australians suffer from stroke with many survivors left with problems that limit limb function. With reduced duration of hospital care, the opportunities for retraining in the period immediate following stroke are rapidly diminishing. Effective and efficient strategies of rehabilitation that will maximise the level of recovery following stroke will result in benefits expressed in terms of enhanced qual ....Cortical Mechanisms Mediating Bilateral Interactions Between the Upper Limbs. Each year 40,000 Australians suffer from stroke with many survivors left with problems that limit limb function. With reduced duration of hospital care, the opportunities for retraining in the period immediate following stroke are rapidly diminishing. Effective and efficient strategies of rehabilitation that will maximise the level of recovery following stroke will result in benefits expressed in terms of enhanced quality of life and functional life-span, as well as significantly reduced costs of health care. In understanding the fundamental principles underlying the stability and adaptability of movement coordination, this research is likely to make a significant contribution to the design of programs for rehabilitation of the upper limb.Read moreRead less
The neural basis of interlimb coordination. The aims of the proposed research program are to increase our understanding the control of voluntary movement. It is expected that the outcomes of this research program will have eventual application to a number of acquired movement deficits, in particular those arising from spinal cord and brain injury. This research will also be of diagnostic value in determining the integrity of the motor pathways, in both acquired and developmental movement disorde ....The neural basis of interlimb coordination. The aims of the proposed research program are to increase our understanding the control of voluntary movement. It is expected that the outcomes of this research program will have eventual application to a number of acquired movement deficits, in particular those arising from spinal cord and brain injury. This research will also be of diagnostic value in determining the integrity of the motor pathways, in both acquired and developmental movement disorders.Read moreRead less
Spatio-Temporal Precision of Interceptive Action. Interceptive actions like hitting a moving target require precise, accurate positioning and timing. This project aims to empirically document how spatial and temporal constraints affect performance of interceptions and to quantify the speed-accuracy trade-off for interceptions. The speed-accuracy trade-off for movements aimed at stationary targets has been extensively documented - slower movements are more accurate. There has been no correspondin ....Spatio-Temporal Precision of Interceptive Action. Interceptive actions like hitting a moving target require precise, accurate positioning and timing. This project aims to empirically document how spatial and temporal constraints affect performance of interceptions and to quantify the speed-accuracy trade-off for interceptions. The speed-accuracy trade-off for movements aimed at stationary targets has been extensively documented - slower movements are more accurate. There has been no corresponding documentation for interception. This project will fill the gap and provide a rich data set for developing an understanding of interception through modeling work. An understanding of the factors governing interception has potential applications in road safety, sports and neurological rehabilitation.Read moreRead less
Interceptive Action: Performance, Neuromotor Control and Learning. Natural, everyday environments are dynamic. People, animals and other objects move around and human behaviour must be geared to these motions: people must anticipate where things are going and when they will get there so that undesirable collisions and contacts can be avoided and desirable ones achieved. This project investigates basic modes of interacting with dynamic environments - intercepting and evading objects in motion. T ....Interceptive Action: Performance, Neuromotor Control and Learning. Natural, everyday environments are dynamic. People, animals and other objects move around and human behaviour must be geared to these motions: people must anticipate where things are going and when they will get there so that undesirable collisions and contacts can be avoided and desirable ones achieved. This project investigates basic modes of interacting with dynamic environments - intercepting and evading objects in motion. The aim is to extend our understanding of the principles, control mechanisms and brain structures involved. Such understanding has the potential to contribute to areas such as road safety, autonomous robotics, sports training and neurological rehabilitation.Read moreRead less
Improving the identification of juvenile firesetters at high risk of recidivism. Young firesetters are not only responsible for some fifth of all fires, they also are at risk of becoming adult arsonists. Australian fire services provide educational programs for young firesetters but about a third may continue to light fires. This project will allow clarification of variables most associated with ongoing firesetting behaviour (recidivism), better prediction of high risk juveniles, understanding ....Improving the identification of juvenile firesetters at high risk of recidivism. Young firesetters are not only responsible for some fifth of all fires, they also are at risk of becoming adult arsonists. Australian fire services provide educational programs for young firesetters but about a third may continue to light fires. This project will allow clarification of variables most associated with ongoing firesetting behaviour (recidivism), better prediction of high risk juveniles, understanding of the predictive value of a screening tool, valid assessment of recidivism rates and an increased understanding of mental health agency involvement with firesetter families. These outcomes will help improve programs involving juvenile firesetters, thereby reducing arson and the high cost of uncontrolled fire.Read moreRead less