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Full-Text Articles in Medicine and Health Sciences

Measuring Community Walking In Stroke Survivors Using Physiotherapists’ Perspectives And The International Classification Of Functioning, Health And Disability (Icf) Framework, Neelam Nayak May 2019

Measuring Community Walking In Stroke Survivors Using Physiotherapists’ Perspectives And The International Classification Of Functioning, Health And Disability (Icf) Framework, Neelam Nayak

Theses

Community walking is a multifactorial task and an important functional goal for stroke survivors. Measuring community walking is challenging because there is not a good understanding of what is considered successful community walking or how this could be measured. Physiotherapists currently use a range of measures to assess community walking. Furthermore, the factors contributing to community walking that are captured by these measures are not yet well understood. This thesis, comprising two studies, explores these gaps. The first study is a qualitative exploration of physiotherapists’ perspectives of community walking measurement in stroke survivors. Physiotherapists experienced in stroke rehabilitation were recruited ...


Controlled Ecological Evaluation Of An Implemented Exercise-Training Programme To Prevent Lower Limb Injuries In Sport: Population-Level Trends In Hospital-Treated Injuries, Caroline F. Finch, Shannon E. Gray, Muhammad Akram, Alex Donaldson, David G. Lloyd, Jill L. Cook Jan 2019

Controlled Ecological Evaluation Of An Implemented Exercise-Training Programme To Prevent Lower Limb Injuries In Sport: Population-Level Trends In Hospital-Treated Injuries, Caroline F. Finch, Shannon E. Gray, Muhammad Akram, Alex Donaldson, David G. Lloyd, Jill L. Cook

Faculty of Health Sciences Publications

Objective: Exercise-training programmes have reduced lower limb injuries in trials, but their population-level effectiveness has not been reported in implementation trials. This study aimed to demonstrate that routinely collected hospital data can be used to evaluate population-level programme effectiveness. Method: A controlled ecological design was used to evaluate the effect of FootyFirst, an exercise-training programme, on the number of hospital-treated lower limb injuries sustained by males aged 16–50 years while participating in community-level Australian Football. FootyFirst was implemented with ‘support’ (FootyFirst+S) or ‘without support’ (FootyFirst+NS) in different geographic regions of Victoria, Australia: 22 clubs in region 1 ...


Should We Provide Outreach Rehabilitation To Very Old People Living In Nursing Care Facilities After A Hip Fracture? A Randomised Controlled Trial, Maria Crotty, Maggie Killington, Enwu Liu, Ian D. Cameron, Susan Kurrle, Billingsley Kaambwa, Owen Davies, Michelle D. Miller, Mellick Chehade, Julie Ratcliffe Jan 2019

Should We Provide Outreach Rehabilitation To Very Old People Living In Nursing Care Facilities After A Hip Fracture? A Randomised Controlled Trial, Maria Crotty, Maggie Killington, Enwu Liu, Ian D. Cameron, Susan Kurrle, Billingsley Kaambwa, Owen Davies, Michelle D. Miller, Mellick Chehade, Julie Ratcliffe

Faculty of Health Sciences Publications

Objective to determine whether a 4-week postoperative rehabilitation program delivered in Nursing Care Facilities (NCFs) would improve quality of life and mobility compared with receiving usual care. Design parallel randomised controlled trial with integrated health economic study. Setting NCFs, in Adelaide South Australia. Subjects people aged 70 years and older who were recovering from hip fracture surgery and were walking prior to hip fracture. Measurements primary outcomes: mobility (Nursing Home Life-Space Diameter (NHLSD)) and quality of life (DEMQOL) at 4 weeks and 12 months. Results participants were randomised to treatment (n = 121) or control (n = 119) groups. At 4 weeks ...


Differences In Brain Processing Of Proprioception Related To Postural Control In Patients With Recurrent Non-Specific Low Back Pain And Healthy Controls, Nina Goossens, Lotte Janssens, Karen Caeyenberghs, Geneviève Albouy, Simon Brumagne Jan 2019

Differences In Brain Processing Of Proprioception Related To Postural Control In Patients With Recurrent Non-Specific Low Back Pain And Healthy Controls, Nina Goossens, Lotte Janssens, Karen Caeyenberghs, Geneviève Albouy, Simon Brumagne

Faculty of Health Sciences Publications

Patients with non-specific low back pain (NSLBP) show an impaired postural control during standing and a slower performance of sit-to-stand-to-sit (STSTS) movements. Research suggests that these impairments could be due to an altered use of ankle compared to back proprioception. However, the neural correlates of these postural control impairments in NSLBP remain unclear. Therefore, we investigated brain activity during ankle and back proprioceptive processing by applying local muscle vibration during functional magnetic resonance imaging in 20 patients with NSLBP and 20 controls. Correlations between brain activity during proprioceptive processing and (Airaksinen et al., 2006) proprioceptive use during postural control, evaluated ...


Multi-Segment Spine Kinematics: Relationship With Dance Training And Low Back Pain [Accepted Manuscript], Christopher T. V. Swain, Douglas G. Whyte, Christina L. Ekegren, Paul Taylor, Kate Mcmaster, Connor Lee Dow, Elizabeth J. Bradshaw Jan 2019

Multi-Segment Spine Kinematics: Relationship With Dance Training And Low Back Pain [Accepted Manuscript], Christopher T. V. Swain, Douglas G. Whyte, Christina L. Ekegren, Paul Taylor, Kate Mcmaster, Connor Lee Dow, Elizabeth J. Bradshaw

Faculty of Health Sciences Publications

Background: Spine posture, range of motion (ROM) and movement asymmetry can contribute to low back pain (LBP). These variables may have greater impact in populations required to perform repetitive spine movements, such as dancers; however, there is limited evidence to support this.

Research question: What is the influence of dance and LBP on spinal kinematics?

Methods: In this cross-sectional study, multi-segment spinal kinematics were examined in 60 female participants, including dancers (n = 21) and non-dancers (n = 39) with LBP (n = 33) and without LBP (n = 27). A nine-camera motion analysis system sampling at 100 Hz was used to assess standing ...


Distinct Skeletal Muscle Molecular Responses To Pulmonary Rehabilitation In Chronic Obstructive Pulmonary Disease: A Cluster Analysis, Anita E. M. Kneppers, Roy A. M. Haast, Ramon C. J. Langen, Lex B. Verdijk, Pieter A. Leermakers, Harry R. Gosker, Luc J. C. Van Loon, Mitja Lainscak, Annemie M. W. J. Schols Jan 2019

Distinct Skeletal Muscle Molecular Responses To Pulmonary Rehabilitation In Chronic Obstructive Pulmonary Disease: A Cluster Analysis, Anita E. M. Kneppers, Roy A. M. Haast, Ramon C. J. Langen, Lex B. Verdijk, Pieter A. Leermakers, Harry R. Gosker, Luc J. C. Van Loon, Mitja Lainscak, Annemie M. W. J. Schols

Faculty of Health Sciences Publications

Background Pulmonary rehabilitation (PR) is a cornerstone in the management of chronic obstructive pulmonary disease (COPD), targeting skeletal muscle to improve functional performance. However, there is substantial inter‐individual variability in the effect of PR on functional performance, which cannot be fully accounted for by generic phenotypic factors. We performed an unbiased integrative analysis of the skeletal muscle molecular responses to PR in COPD patients and comprehensively characterized their baseline pulmonary and physical function, body composition, blood profile, comorbidities, and medication use. Methods Musculus vastus lateralis biopsies were obtained from 51 COPD patients (age 64 ± 1 years, sex 73% men ...


Improving Screening And Physiotherapy Management Of Vestibular Disorders In The Hospital Setting, Vicky Stewart Jun 2018

Improving Screening And Physiotherapy Management Of Vestibular Disorders In The Hospital Setting, Vicky Stewart

Theses

Vestibular disorders significantly impact a person’s quality of life and daily function with symptoms such as dizziness, vertigo, visual disturbances and balance impairment. Vestibular disorders commonly cause hospital presentations and are often under diagnosed and therefore mis-managed in the emergency department (ED) and acute medical environment (AME). There is a lack of research assisting clinicians in identifying and managing vestibular disorders in these settings. There is also limited evidence concerning the effectiveness of a physiotherapy vestibular service in the acute hospital setting for managing non-emergent vestibular disorders (non-life threatening).

The primary aim of this thesis was to improve the ...


Measuring The Effects Of Chest Physiotherapy On Respiratory Function In Mechanically Ventilated Infants And Children, Bronagh Mcalinden Mar 2018

Measuring The Effects Of Chest Physiotherapy On Respiratory Function In Mechanically Ventilated Infants And Children, Bronagh Mcalinden

Theses

No abstract provided.


Pain Education For Clinicians In Geriatrics: A Study Into Changes In Clinician Attitudes And Beliefs, Audrey P. Wang, Georgia Fisher, Jillian Hall Jan 2018

Pain Education For Clinicians In Geriatrics: A Study Into Changes In Clinician Attitudes And Beliefs, Audrey P. Wang, Georgia Fisher, Jillian Hall

Faculty of Health Sciences Publications

A lack of recognition of chronic pain in older adults has fundamental healthcare implications. A practice gap exists that affects evidence-based practice for chronic pain assessment and management specific to older adults. Psychologically informed practice (PIP) has been proposed as a method of enabling health professionals to deliver biopsychosocial pain assessment and management in their practice. The aim of this study was to test the feasibility of a single one-day structured educational program to both introduce the concept of PIP and to shift the attitudes, beliefs and orientation towards patients of clinicians working in the geriatric rehabilitation setting. An observational ...


Romosozumab For The Treatment Of Osteoporosis, Michael Mcclung Jan 2018

Romosozumab For The Treatment Of Osteoporosis, Michael Mcclung

Faculty of Health Sciences Publications

Romosozumab, a specific inhibitor of sclerostin, is a unique approach to therapy for postmenopausal osteoporosis and related disorders. The elucidation of sclerostin deficiency as the molecular defect of syndromes of high bone mass with normal quality, and the pivotal role of sclerostin as a mediator of osteoblastic activity and bone formation, provided the platform for the evaluation of inhibitors of sclerostin to activate bone formation. An extensive preclinical program and 2 large fracture endpoint trials with romosozumab, a sclerostin-binding antibody, have been completed. This review will highlight the results of those studies and describe the current status of romosozumab as ...


The Effect Of Targeted Exercise On Knee-Muscle Function In Patients With Persistent Hamstring Deficiency Following Acl Reconstruction - Study Protocol For A Randomized Controlled Trial, Bo Bregenhof, Uffe Jørgensen, Per Aagaard, N. Nissen, Mark Creaby, Jonas Thorlund, Carsten Jensen, Trine Torfing, Anders Holsgaard-Larsen Jan 2018

The Effect Of Targeted Exercise On Knee-Muscle Function In Patients With Persistent Hamstring Deficiency Following Acl Reconstruction - Study Protocol For A Randomized Controlled Trial, Bo Bregenhof, Uffe Jørgensen, Per Aagaard, N. Nissen, Mark Creaby, Jonas Thorlund, Carsten Jensen, Trine Torfing, Anders Holsgaard-Larsen

Faculty of Health Sciences Publications

Background
Anterior cruciate ligament (ACL) reconstruction, using hamstring auto-graft is a common surgical procedure, which often leads to persistent hamstring muscle-strength deficiency and reduced function. The purpose of this randomized controlled trial (RCT) is to investigate the effect of a combined, progressive, strength and neuromuscular exercise intervention on knee muscle strength, functional capacity and hamstring muscle-tendon morphology in ACL-reconstructed patients with persistent hamstring muscle-strength deficiency compared with controls.
Methods/design
The study is designed as a multicenter, parallel-group RCT with balanced randomization (1:1) and blinded outcome assessments (level of evidence: II) and will be reported in accordance with the ...


Effectiveness Of Cognitive Orientation To Daily Occupational Performance Over And Above Functional Hand Splints For Children With Cerebral Palsy Or Brain Injury: A Randomized Controlled Trial, Michelle Jackman, Iona Novak, Natasha Lannin, Elspeth Froude, Laura Miller, Claire Galea Jan 2018

Effectiveness Of Cognitive Orientation To Daily Occupational Performance Over And Above Functional Hand Splints For Children With Cerebral Palsy Or Brain Injury: A Randomized Controlled Trial, Michelle Jackman, Iona Novak, Natasha Lannin, Elspeth Froude, Laura Miller, Claire Galea

Faculty of Health Sciences Publications

Background: Functional hand splinting is a common therapeutic intervention for children with neurological conditions. The aim of this study was to investigate the effectiveness of the Cognitive Orientation to daily Occupational Performance (CO-OP) approach over and above conventional functional hand splinting, and in combination with splinting, for children with cerebral palsy or brain injury. Methods: A multisite, assessor-blinded, parallel, randomized controlled trial was conducted in Australia. Participants (n = 45) were randomly allocated to one of three groups; (1) splint only (n = 15); (2) CO-OP only (n = 15); (3) CO-OP + splint (n = 15). Inclusion: age 4–15 years; diagnosis of cerebral ...


A Qualitative Investigation Of The Perceived Influence Of Adolescents’ Motivation On Relationships Between Domain-Specific Physical Activity And Positive And Negative Affect [Accepted Manuscript], Rhiannon Lee White, Rebecca Olson, Phillip Parker, Thomas Astell-Burt, Chris Lonsdale Jan 2018

A Qualitative Investigation Of The Perceived Influence Of Adolescents’ Motivation On Relationships Between Domain-Specific Physical Activity And Positive And Negative Affect [Accepted Manuscript], Rhiannon Lee White, Rebecca Olson, Phillip Parker, Thomas Astell-Burt, Chris Lonsdale

Faculty of Health Sciences Publications

Background

Evidence shows that the relationship between physical activity and mental wellbeing varies across different life domains. However, little is known about the reasons for such variation. We aimed to explore motivation as a potential underlying factor that may explain some of the variation, by qualitatively examining adolescents’ physical activity experiences and perceived affective outcomes during leisure-time, active travel, and physical education.

Method

We conducted computer-assisted-self-interviews with 144 adolescents (M age = 14.42 years) about physical activity experiences they believed led to positive and negative affect. The participants were asked when the activities occurred, their reason for participation, and with ...


Changing Practice In The Assessment And Treatment Of Somatosensory Loss In Stroke Survivors: Protocol For A Knowledge Translation Study, Liana Cahill, Natasha Lannin, Yvonne Mak-Yuen, Megan Turville, Leeanne Carey Jan 2018

Changing Practice In The Assessment And Treatment Of Somatosensory Loss In Stroke Survivors: Protocol For A Knowledge Translation Study, Liana Cahill, Natasha Lannin, Yvonne Mak-Yuen, Megan Turville, Leeanne Carey

Faculty of Health Sciences Publications

Background
The treatment of somatosensory loss in the upper limb after stroke has been historically overshadowed by therapy focused on motor recovery. A double-blind randomized controlled trial has demonstrated the effectiveness of SENSe (Study of the Effectiveness of Neurorehabilitation on Sensation) therapy to retrain somatosensory discrimination after stroke. Given the acknowledged prevalence of upper limb sensory loss after stroke and the evidence-practice gap that exists in this area, effort is required to translate the published research to clinical practice. The aim of this study is to determine whether evidence-based knowledge translation strategies change the practice of occupational therapists and physiotherapists ...


Participants' Experiences Of A Sexual Counseling Intervention During Cardiac Rehabilitation: A Nested Qualitative Study Within The Charms Pilot Randomized Controlled Trial, Maureen D'Eath, Molly Byrne, Patrick J. Murphy, Tiny Jaarsma, Jenny Mcsharry, Andrew W. Murphy, Sally Doherty, Chris Noone, Dympna Casey Jan 2018

Participants' Experiences Of A Sexual Counseling Intervention During Cardiac Rehabilitation: A Nested Qualitative Study Within The Charms Pilot Randomized Controlled Trial, Maureen D'Eath, Molly Byrne, Patrick J. Murphy, Tiny Jaarsma, Jenny Mcsharry, Andrew W. Murphy, Sally Doherty, Chris Noone, Dympna Casey

Faculty of Health Sciences Publications

Background:
International guidelines recommend sexual assessment and counseling be offered to all patients with cardiovascular disease during cardiac rehabilitation. However, sexual problems are infrequently addressed. The Cardiac Health and Relationship Management and Sexuality (CHARMS) intervention is a complex, multilevel intervention designed to increase the provision of sexual counseling in cardiac rehabilitation. It was piloted in 2 cardiac rehabilitation centers to assess the acceptability and feasibility of the intervention and to inform and refine a definitive cluster randomized controlled trial protocol.
Objectives:
The aim of this study was to explore the experiences, perceptions, and opinions of patients, partners, and cardiac rehabilitation ...


Trunk Exercises Improve Gait Symmetry In Parkinson Disease: A Blind Phase Ii Randomised-Controlled Trial [Accepted Manuscript], Ryan P. Hubble, Geraldine Naughton, Peter A. Silburn, Michael H. Cole Jan 2018

Trunk Exercises Improve Gait Symmetry In Parkinson Disease: A Blind Phase Ii Randomised-Controlled Trial [Accepted Manuscript], Ryan P. Hubble, Geraldine Naughton, Peter A. Silburn, Michael H. Cole

Faculty of Health Sciences Publications

Objective: Deficits in step-to-step symmetry and trunk muscle activations have been linked to falls in Parkinson disease. Given such symptoms are poorly managed with anti-parkinsonian medications, alternate therapies are needed. This blind phase II randomized controlled trial sought to establish whether exercise can improve step-to-step symmetry in Parkinson disease. Design: Twenty-four Parkinson disease patients with a falls history completed baseline assessments of symptom severity, balance confidence, mobility, and quality of life. Step-to-step symmetry was assessed by deriving harmonic ratios from three-dimensional accelerations collected for the head and trunk. Patients were randomly assigned to either 12 wks of exercise and falls ...


What Do Randomized Controlled Trials Say About Virtual Rehabilitation In Stroke? A Systematic Literature Review And Meta-Analysis Of Upper-Limb And Cognitive Outcomes, Anna Aminov, Jeff Rogers, Sandy Middleton, Karen Caeyenberghs, Peter Wilson Jan 2018

What Do Randomized Controlled Trials Say About Virtual Rehabilitation In Stroke? A Systematic Literature Review And Meta-Analysis Of Upper-Limb And Cognitive Outcomes, Anna Aminov, Jeff Rogers, Sandy Middleton, Karen Caeyenberghs, Peter Wilson

Faculty of Health Sciences Publications

Background: Virtual-reality based rehabilitation (VR) shows potential as an engaging and effective way to improve upper-limb function and cognitive abilities following a stroke. However, an updated synthesis of the literature is needed to capture growth in recent research and address gaps in our understanding of factors that may optimize training parameters and treatment effects. Methods: Published randomized controlled trials comparing VR to conventional therapy were retrieved from seven electronic databases. Treatment effects (Hedge’s g) were estimated using a random effects model, with motor and functional outcomes between different protocols compared at the Body Structure/Function, Activity, and Participation levels ...


Muscle Force Contributions To Knee Joint Loading, Nirav Maniar Dec 2017

Muscle Force Contributions To Knee Joint Loading, Nirav Maniar

Theses

Anterior cruciate ligament (ACL) injuries are one of the most common knee injuries suffered by athletic populations. ACL injuries are particularly burdensome due to potential surgical requirements, extensive rehabilitation time and associated financial costs for the individual and the community. Additionally, ACL injuries are associated with increased risk of early onset knee osteoarthritis. As such, ACL injury preventative and rehabilitative strategies are of paramount importance.

ACL injuries typically occur during non-contact dynamic tasks, such as unanticipated sidestep cutting. At the time of injury, the knee joint experiences relatively large degrees of knee valgus and rotation (either internal or external) and ...


Gait Outcomes Of Older Adults Receiving Subacute Hospital Rehabilitation Following Orthopaedic Trauma: A Longitudinal Cohort Study, Saira A. Mathew, Paul N. Varghese, Suzanne S. Kuys, Kristiann C. Heesch, Steven M. Mcphail Jan 2017

Gait Outcomes Of Older Adults Receiving Subacute Hospital Rehabilitation Following Orthopaedic Trauma: A Longitudinal Cohort Study, Saira A. Mathew, Paul N. Varghese, Suzanne S. Kuys, Kristiann C. Heesch, Steven M. Mcphail

Faculty of Health Sciences Publications

Objectives: This study aimed to describe gait speed at admission and discharge from inpatient hospital rehabilitation among older adults recovering from orthopaedic trauma and factors associated with gait speed performance and discharge destination. Design: A longitudinal cohort study was conducted. Setting: Australian tertiary hospital subacute rehabilitation wards. Participants: Patients aged ≥60 years recovering from orthopaedic trauma (n=746, 71% female) were eligible for inclusion. Interventions: Usual care (multidisciplinary inpatient hospital rehabilitation). Primary and secondary outcome measures: Gait speed was assessed using the timed 10 m walk test. The proportion of patients exceeding a minimum gait speed threshold indicator (a priori ...


Criteria For Progressing Rehabilitation And Determining Return To Play Clearance Following Hamstring Strain Injury: A Systematic Review [Accepted Manuscript], Jack Hickey, Ryan G. Timmins, Nirav Maniar, Morgan Williams, David Opar Jan 2017

Criteria For Progressing Rehabilitation And Determining Return To Play Clearance Following Hamstring Strain Injury: A Systematic Review [Accepted Manuscript], Jack Hickey, Ryan G. Timmins, Nirav Maniar, Morgan Williams, David Opar

Faculty of Health Sciences Publications

Background

Rehabilitation progression and return-to-play (RTP) decision making following hamstring strain injury (HSI) can be challenging for clinicians, owing to the competing demands of reducing both convalescence and the risk of re-injury. Despite an increased focus on the RTP process following HSI, little attention has been paid to rehabilitation progression and RTP criteria, and subsequent time taken to RTP and re-injury rates.

Objective

The aim of this systematic review is to identify rehabilitation progression and RTP criteria implemented following HSI and examine the subsequent time taken to RTP and rates of re-injury.

Methods

A systematic literature review of databases MEDLINE ...


Health Professionals' Views On The Barriers And Enablers To Evidence-Based Practice For Acute Stroke Care: A Systematic Review, Leonard Baatiema, Michael E. Otim, George Mnatzaganian, Ama De-Graft Aikins, Judith Coombes, Shawn Somerset Jan 2017

Health Professionals' Views On The Barriers And Enablers To Evidence-Based Practice For Acute Stroke Care: A Systematic Review, Leonard Baatiema, Michael E. Otim, George Mnatzaganian, Ama De-Graft Aikins, Judith Coombes, Shawn Somerset

Faculty of Health Sciences Publications

Background: Adoption of contemporary evidence-based guidelines for acute stroke management is often delayed due to a range of key enablers and barriers. Recent reviews on such barriers focus mainly on specific acute stroke therapies or generalised stroke care guidelines. This review examined the overall barriers and enablers, as perceived by health professionals which affect how evidence-based practice guidelines (stroke unit care, thrombolysis administration, aspirin usage and decompressive surgery) for acute stroke care are adopted in hospital settings. Methodology: A systematic search of databases was conducted using MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, PsycINFO, Cochrane Library ...


Hospital Arrival Times And Post-Imaging Delays In Stroke Thrombolysis Implementation, Hiroyuki Kawano, Andrew Bivard, Mark W. Parsons, Christine L. Paul, Martin Krause, Catherine D'Este, Christopher F. Bladin, Richard I. Lindley, John R. Attia, Frans Henskens, Mark Longworth, Sandy Middleton, Annika Ryan, Erin Kerr, Robert W. Sanson-Fisher, Christopher R. Levi, Thrombolysis Implementation In Stroke (Tips) Study Group Jan 2017

Hospital Arrival Times And Post-Imaging Delays In Stroke Thrombolysis Implementation, Hiroyuki Kawano, Andrew Bivard, Mark W. Parsons, Christine L. Paul, Martin Krause, Catherine D'Este, Christopher F. Bladin, Richard I. Lindley, John R. Attia, Frans Henskens, Mark Longworth, Sandy Middleton, Annika Ryan, Erin Kerr, Robert W. Sanson-Fisher, Christopher R. Levi, Thrombolysis Implementation In Stroke (Tips) Study Group

Faculty of Health Sciences Publications

Background: Rapid alteplase delivery for ischemic stroke patients has been shown to increase the likelihood of disability-free life. Identification of barriers to rapid alteplase delivery and streamlining processes around imaging assessments are important. Our aim was to examine the relationships between hospital arrival time and postimaging processes in stroke thrombolysis. Methods: De-identified data of patients who underwent intravenous alteplase therapy at 20 hospitals in Australia were entered into the Thrombolysis ImPlementation in Stroke (TIPS) audit tool. During the pre-intervention phase, 601 patients who received alteplase ≤ 270 minutes of stroke onset were analysed. Onset-to-door (OTD), door-to-needle (DTN), door-to-imaging (DTI), and imaging-to-needle ...


Reach: Study Protocol Of A Randomised Trial Of Rehabilitation Very Early In Congenital Hemiplegia, Roslyn N. Boyd, Jenny Ziviani, Leanne Sakzewski, Iona Novak, Nadia Badawi, Kerstin Pannek, Catherine Elliott, Susan Greaves, Andrea Guzzetta, Koa Whittingham, Jane Valentine, Cathy Morgan, Margaret Wallen, Ann-Christin Eliasson, Lisa Findlay, Robert Ware, Simona Fiori, Stephen Rose Jan 2017

Reach: Study Protocol Of A Randomised Trial Of Rehabilitation Very Early In Congenital Hemiplegia, Roslyn N. Boyd, Jenny Ziviani, Leanne Sakzewski, Iona Novak, Nadia Badawi, Kerstin Pannek, Catherine Elliott, Susan Greaves, Andrea Guzzetta, Koa Whittingham, Jane Valentine, Cathy Morgan, Margaret Wallen, Ann-Christin Eliasson, Lisa Findlay, Robert Ware, Simona Fiori, Stephen Rose

Faculty of Health Sciences Publications

Objectives: Congenital hemiplegia is the most common form of cerebral palsy (CP). Children with unilateral CP show signs of upper limb asymmetry by 8 months corrected age (ca) but are frequently not referred to therapy until after 12 months ca. This study compares the efficacy of infant-friendly modified constraint-induced movement therapy (Baby mCIMT) to infant friendly bimanual therapy (Baby BIM) on upper limb, cognitive and neuroplasticity outcomes in a multisite randomised comparison trial. Methods and analysis: 150 infants (75 in each group), aged between 3 and 6 months ca, with asymmetric brain injury and clinical signs of upper extremity asymmetry ...


Effectiveness And Cost-Effectiveness Of Embedded Simulation In Occupational Therapy Clinical Practice Education: Study Protocol For A Randomised Controlled Trial, Christine Imms, Eli Mang Yee Chu, Stephen Guinea, Loretta Sheppard, Elspeth Heather Froude, Rob Carter, Susan W. Darzins, Samantha Ashby, Susan Gilbert-Hunt, Nigel Gribble, Kelli Nicola-Richmond, Merrolee Penman, Elena Gospodarevskaya, Erin Mathieu, Mark Symmons Jan 2017

Effectiveness And Cost-Effectiveness Of Embedded Simulation In Occupational Therapy Clinical Practice Education: Study Protocol For A Randomised Controlled Trial, Christine Imms, Eli Mang Yee Chu, Stephen Guinea, Loretta Sheppard, Elspeth Heather Froude, Rob Carter, Susan W. Darzins, Samantha Ashby, Susan Gilbert-Hunt, Nigel Gribble, Kelli Nicola-Richmond, Merrolee Penman, Elena Gospodarevskaya, Erin Mathieu, Mark Symmons

Faculty of Health Sciences Publications

: Clinical placements are a critical component of the training for health professionals such as occupational therapists. However, with growing student enrolments in professional education courses and workload pressures on practitioners, it is increasingly difficult to find sufficient, suitable placements that satisfy program accreditation requirements. The professional accrediting body for occupational therapy in Australia allows up to 200 of the mandatory 1000 clinical placement hours to be completed via simulation activities, but evidence of effectiveness and efficiency for student learning outcomes is lacking. Increasingly placement providers charge a fee to host students, leading educators to consider whether providing an internal program ...


Feasibility Of Motor Imagery Training For Children With Developmental Coordination Disorder: A Pilot Study, Imke L. J. Adams, Bouwein Smits-Engelsman, Jessica M. Lust, Peter H. Wilson, Bert Steenbergen Jan 2017

Feasibility Of Motor Imagery Training For Children With Developmental Coordination Disorder: A Pilot Study, Imke L. J. Adams, Bouwein Smits-Engelsman, Jessica M. Lust, Peter H. Wilson, Bert Steenbergen

Faculty of Health Sciences Publications

Children with Developmental Coordination Disorder (DCD) experience movement difficulties that may be linked to processes involved in motor imagery (MI). This paper discusses recent advances in theory that underpin the use of MI training for children with DCD. This knowledge is translated in a new MI training protocol which is compared with the cognitive orientation to daily occupational performance (CO-OP). Children meeting DSM-5 criteria for DCD were assigned to MI (n = 4) or CO-OP (n = 4) interventions and completed nine treatment sessions, including homework exercises. Results were positive, with two children in the MI group and three in the CO-OP ...


Impact Of The Nordic Hamstring And Hip Extension Exercises On Hamstring Architecture And Morphology: Implications For Injury Prevention [Accepted Manuscript], Matthew N. Bourne, Steven J. Duhig, Ryan Timmins, Morgan Williams, David Opar, Aiman Al Najjar, Graham K. Kerr, Anthony J. Shield Jan 2017

Impact Of The Nordic Hamstring And Hip Extension Exercises On Hamstring Architecture And Morphology: Implications For Injury Prevention [Accepted Manuscript], Matthew N. Bourne, Steven J. Duhig, Ryan Timmins, Morgan Williams, David Opar, Aiman Al Najjar, Graham K. Kerr, Anthony J. Shield

Faculty of Health Sciences Publications

Background: The architectural and morphological adaptations of the hamstrings in response to training with different exercises have not been explored.

Purpose: To evaluate changes in biceps femoris long head ( BFLH ) fascicle length and hamstring muscle size following 10-weeks of Nordic hamstring exercise ( NHE ) or hip extension ( HE ) training.

Methods: 30 recreationally active male athletes ( age, 22.0±3.6 years; height, 180.4±7 cm; weight, 80.8±11.1 kg ) were allocated to 1 of 3 groups: ( 1 ) HE training ( n=10 ), NHE training ( n=10 ), or no training ( control, CON ) ( n=10 ). BFLH fascicle length was assessed before ...


Physiotherapy For Cystic Fibrosis In Australia And New Zealand: A Clinical Practice Guideline, Brenda M. Button, Christine Wilson, Ruth Dentice, Narelle S. Cox, Anna Middleton, Esta Tannenbaum, Jennifer Bishop, Robyn Cobb, Kate Burton, Michelle Wood, Fiona Moran, Ryan Black, Summar Bowen, Rosemary Day, Julie Depiazzi, Katherine Doiron, Michael Doumit, Tiffany Dwyer, Alison Elliot, Louise Fuller, Kathleen Hall, Matthew Hutchins, Melinda Kerr, Annemarie L. Lee, Christina Mans, Lauren O'Connor, Ranjana Steward, Angela Potter, Tshepo Rasekaba, Rebecca Scoones, Ben Tarrant, Nathan Ward, Samantha West, Dianne White, Lisa Wilson, Jamie Wood, Anne E. Holland Jan 2016

Physiotherapy For Cystic Fibrosis In Australia And New Zealand: A Clinical Practice Guideline, Brenda M. Button, Christine Wilson, Ruth Dentice, Narelle S. Cox, Anna Middleton, Esta Tannenbaum, Jennifer Bishop, Robyn Cobb, Kate Burton, Michelle Wood, Fiona Moran, Ryan Black, Summar Bowen, Rosemary Day, Julie Depiazzi, Katherine Doiron, Michael Doumit, Tiffany Dwyer, Alison Elliot, Louise Fuller, Kathleen Hall, Matthew Hutchins, Melinda Kerr, Annemarie L. Lee, Christina Mans, Lauren O'Connor, Ranjana Steward, Angela Potter, Tshepo Rasekaba, Rebecca Scoones, Ben Tarrant, Nathan Ward, Samantha West, Dianne White, Lisa Wilson, Jamie Wood, Anne E. Holland

Faculty of Health Sciences Publications

Physiotherapy management is a key element of care for people with cystic fibrosis (CF) throughout the lifespan. Although considerable evidence exists to support physiotherapy management of CF, there is documented variation in practice. The aim of this guideline is to optimize the physiotherapy management of people with CF in Australia and New Zealand. A systematic review of the literature in key areas of physiotherapy practice for CF was undertaken. Recommendations were formulated based on National Health and Medical Research Council (Australia) guidelines and considered the quality, quantity and level of the evidence; the consistency of the body of evidence; the ...


Toppits: Trial Of Proton Pump Inhibitors In Throat Symptoms. Study Protocol For A Randomised Controlled Trial, Gillian Watson, James O'Hara, Paul Nicholas Carding, Jan Lecouturier, Deborah Stocken, Tony Fouweather, Janet Wilson Jan 2016

Toppits: Trial Of Proton Pump Inhibitors In Throat Symptoms. Study Protocol For A Randomised Controlled Trial, Gillian Watson, James O'Hara, Paul Nicholas Carding, Jan Lecouturier, Deborah Stocken, Tony Fouweather, Janet Wilson

Faculty of Health Sciences Publications

Background: Persistent throat symptoms and Extra Oesophageal Reflux (EOR) are among the commonest reasons for attendance at a secondary care throat or voice clinic. There is a growing trend to treat throat symptom patients with proton pump inhibitors (PPIs) to suppress stomach acid, but most controlled studies fail to demonstrate a significant benefit of PPI over placebo. In addition, patient views on PPI use vary widely. Methods/design: A UK multi-centre, randomised, controlled trial for adults with persistent throat symptoms to compare the effectiveness of treatment with the proton pump inhibitor (PPI) lansoprazole versus placebo. The trial includes a six-month ...


The Measurement Of Visual Ability In Children With Cerebral Palsy: A Systematic Review [Accepted Manuscript], Belinda Deramore Denver, Elspeth Froude, Peter Rosenbaum, Sarah Wilkes-Gillan, Christine Imms Jan 2016

The Measurement Of Visual Ability In Children With Cerebral Palsy: A Systematic Review [Accepted Manuscript], Belinda Deramore Denver, Elspeth Froude, Peter Rosenbaum, Sarah Wilkes-Gillan, Christine Imms

Faculty of Health Sciences Publications

AIM To identify and evaluate measures of visual ability utilised with children with cerebral palsy (CP).

METHOD Eight databases were searched for measures of visual ability. Key selection criteria for measures were: (1) use with children with CP, and (2) focus of visual ability measurement at Activities and Participation domain of the International Classification of Functioning, Disability and Health (ICF). The Consensus-based Standards for the Selection of Measurement Instruments (COSMIN) Checklist was used to assess psychometric properties.

RESULTS From 6763 papers retrieved, 25 were relevant and 19 measures of visual ability were identified. Only ten measures were supported with evidence ...


Increasing The Amount Of Usual Rehabilitation Improves Activity After Stroke: A Systematic Review, Emma J. Schneider, Natasha A. Lannin, Louise Ada, Julia Schmidt Jan 2016

Increasing The Amount Of Usual Rehabilitation Improves Activity After Stroke: A Systematic Review, Emma J. Schneider, Natasha A. Lannin, Louise Ada, Julia Schmidt

Faculty of Health Sciences Publications

Questions: In people receiving rehabilitation aimed at reducing activity limitations of the lower and/or upper limb after stroke, does adding extra rehabilitation (of the same content as the usual rehabilitation) improve activity? What is the amount of extra rehabilitation that needs to be provided to achieve a beneficial effect? Design: Systematic review with meta-analysis of randomised trials. Participants: Adults aged 18 years or older that had a diagnosis of stroke. Intervention: Extra rehabilitation with the same content as usual rehabilitation aimed at reducing activity limitations of the lower and/or upper limb. Outcome measures: Activity measured as lower or ...