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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 ...


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 ...


Can A Single Session Of Motor Imagery Promote Motor Learning Of Locomotion In Older Adults? A Randomized Controlled Trial, Vaughan P. Nicholson, Justin W. L. Keogh, Nancy L. Low Choy Jan 2018

Can A Single Session Of Motor Imagery Promote Motor Learning Of Locomotion In Older Adults? A Randomized Controlled Trial, Vaughan P. Nicholson, Justin W. L. Keogh, Nancy L. Low Choy

Faculty of Health Sciences Publications

Purpose: To investigate the influence of a single session of locomotor-based motor imagery training on motor learning and physical performance. Patients and methods: Thirty independent adults aged > 65 years took part in the randomized controlled trial. The study was conducted within an exercise science laboratory. Participants were randomly divided into three groups following baseline locomotor testing: motor imagery training, physical training, and control groups. The motor imagery training group completed 20 imagined repetitions of a locomotor task, the physical training group completed 20 physical repetitions of a locomotor task, and the control group spent 25 minutes playing mentally stimulating games ...


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 ...


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 ...


Use Of A Short-Form Balance Confidence Scale To Predict Future Recurrent Falls In People With Parkinson Disease [Accepted Manuscript], Michael H. Cole, Jodi Rippey, Geraldine A. Naughton, Peter A. Silburn Jan 2016

Use Of A Short-Form Balance Confidence Scale To Predict Future Recurrent Falls In People With Parkinson Disease [Accepted Manuscript], Michael H. Cole, Jodi Rippey, Geraldine A. Naughton, Peter A. Silburn

Faculty of Health Sciences Publications

Objectives: To assess whether the 16-item Activities-specific Balance Confidence scale (ABC-16) and short-form 6-item Activities-specific Balance Confidence scale (ABC-6) could predict future recurrent falls in people with Parkinson disease (PD) and to validate the robustness of their predictive capacities.

Design: Twelve-month prospective cohort study.

Setting: General community.

Participants: People with idiopathic PD (N=79).

Interventions: Clinical tests were conducted to assess symptom severity, balance confidence, and medical history. Over the subsequent 12 months, participants recorded any falls on daily fall calendars, which they returned monthly by reply paid post.

Main Outcome Measures: Logistic regression and receiver operating characteristic analyses estimated ...


Implementing A Complex Rehabilitation Intervention In A Stroke Trial: A Qualitative Process Evaluation Of Avert, Julie A. Luker, Louise E. Craig, Leanne Bennett, Fiona Ellery, Peter Langhorne, Olivia Wu, Julie Bernhardt Jan 2016

Implementing A Complex Rehabilitation Intervention In A Stroke Trial: A Qualitative Process Evaluation Of Avert, Julie A. Luker, Louise E. Craig, Leanne Bennett, Fiona Ellery, Peter Langhorne, Olivia Wu, Julie Bernhardt

Faculty of Health Sciences Publications

Background: The implementation of multidisciplinary stroke rehabilitation interventions is challenging, even when the intervention is evidence-based. Very little is known about the implementation of complex interventions in rehabilitation clinical trials. The aim of study was to better understand how the implementation of a rehabilitation intervention in a clinical trial within acute stroke units is experienced by the staff involved. This qualitative process evaluation was part of a large Phase III stroke rehabilitation trial (AVERT). Methods: A descriptive qualitative approach was used. We purposively sampled 53 allied health and nursing staff from 19 acute stroke units in Australia, New Zealand and ...


Muscle Activation Patterns In The Nordic Hamstring Exercise: Impact Of Prior Strain Injury [Accepted Manuscript], Matthew N. Bourne, David Opar, Morgan Williams, Aiman Al Najjar, Anthony J. Shield Jan 2016

Muscle Activation Patterns In The Nordic Hamstring Exercise: Impact Of Prior Strain Injury [Accepted Manuscript], Matthew N. Bourne, David Opar, Morgan Williams, Aiman Al Najjar, Anthony J. Shield

Faculty of Health Sciences Publications

This study aimed to determine: (a) the spatial patterns of hamstring activation during the Nordic hamstring exercise (NHE); (b) whether previously injured hamstrings display activation deficits during the NHE; and (c) whether previously injured hamstrings exhibit altered cross-sectional area (CSA). Ten healthy, recreationally active men with a history of unilateral hamstring strain injury underwent functional magnetic resonance imaging of their thighs before and after six sets of 10 repetitions of the NHE. Transverse (T2) relaxation times of all hamstring muscles [biceps femoris long head (BFlh); biceps femoris short head (BFsh); semitendinosus (ST); semimembranosus (SM)] were measured at rest and immediately ...


Evaluating The Effects Of Increasing Physical Activity To Optimize Rehabilitation Outcomes In Hospitalized Older Adults (Move Trial): Study Protocol For A Randomized Controlled Trial, Catherine M. Said, Meg E. Morris, Jennifer L. Mcginley, Cassandra Szoeke, Barbara Workman, Danny Liew, Keith David Hill, Michael Clifford Woodward, Joanne E. Wittwer, Leonid Churilov, Cameron Ventura, Julie Bernhardt Jan 2015

Evaluating The Effects Of Increasing Physical Activity To Optimize Rehabilitation Outcomes In Hospitalized Older Adults (Move Trial): Study Protocol For A Randomized Controlled Trial, Catherine M. Said, Meg E. Morris, Jennifer L. Mcginley, Cassandra Szoeke, Barbara Workman, Danny Liew, Keith David Hill, Michael Clifford Woodward, Joanne E. Wittwer, Leonid Churilov, Cameron Ventura, Julie Bernhardt

Faculty of Health Sciences Publications

Background: Older adults who have received inpatient rehabilitation often have significant mobility disability at discharge. Physical activity levels in rehabilitation are also low. It is hypothesized that providing increased physical activity to older people receiving hospital-based rehabilitation will lead to better mobility outcomes at discharge. Methods/Design: A single blind, parallel-group, multisite randomized controlled trial with blinded assessment of outcome and intention-to-treat analysis. The cost effectiveness of the intervention will also be examined. Older people ( age > 60 years ) undergoing inpatient rehabilitation to improve mobility will be recruited from geriatric rehabilitation units at two Australian hospitals. A computer-generated blocked stratified randomization ...


Instrumenting Gait Assessment Using The Kinect In People Living With Stroke : Reliability And Association With Balance Tests, Ross Clark, Stephanie Vernon, Benjamin Mentiplay, Kimberley Miller, Jennifer Mcginley, Yong Hao Pua, Kade Paterson, Kelly Bower Jan 2015

Instrumenting Gait Assessment Using The Kinect In People Living With Stroke : Reliability And Association With Balance Tests, Ross Clark, Stephanie Vernon, Benjamin Mentiplay, Kimberley Miller, Jennifer Mcginley, Yong Hao Pua, Kade Paterson, Kelly Bower

Faculty of Health Sciences Publications

Background: The Microsoft Kinect has been used previously to assess spatiotemporal aspects of gait; however the reliability of this system for the assessment of people following stroke has not been established. This study examined the reliability and additional information that the Kinect provides when instrumenting a gait assessment in people living with stroke. Methods: The spatiotemporal variables of step length, step length asymmetry, foot swing velocity, foot swing velocity asymmetry, peak and mean gait speed and the percentage difference between the peak and mean gait speed were assessed during gait trials in 30 outpatients more than three months post-stroke and ...


Sexual Counseling And Cardiovascular Disease: Practical Approaches, Elaine E. Steinke, Tiny Jaarsma Jan 2015

Sexual Counseling And Cardiovascular Disease: Practical Approaches, Elaine E. Steinke, Tiny Jaarsma

Faculty of Health Sciences Publications

Patients with cardiovascular disease and their partners expect health care providers to provide sexual counseling to assist them in maintaining sexual quality of life. Evidence suggests however, that there is a gap in integrating evidence into practice and that relatively few cardiac patients receive sexual counseling. This can result in negative psychological, physical, and quality of life outcomes for couples who may needlessly decide sexual activity is too risky and cease all sexual activity. Two scientific statements now exist that provide ample guidance to health care providers in discussing this important topic. Using a team approach that includes physicians, nurses ...


Is There A Potential Relationship Between Prior Hamstring Strain Injury And Increased Risk For Future Anterior Cruciate Ligament Injury? [Accepted Manuscript], David Opar, Benjamin Serpell Jan 2014

Is There A Potential Relationship Between Prior Hamstring Strain Injury And Increased Risk For Future Anterior Cruciate Ligament Injury? [Accepted Manuscript], David Opar, Benjamin Serpell

Faculty of Health Sciences Publications

Hamstring strain injuries (HSIs) are the most prevalent injury in a number of sports, and while anterior cruciate ligament (ACL) injuries are less common, they are far more severe and have long-term implications, such as an increased risk of developing osteoarthritis later in life. Given the high incidence and severity of these injuries, they are key targets of injury preventive programs in elite sport. Evidence has shown that a previous severe knee injury (including ACL injury) increases the risk of HSI; however, whether the functional deficits that occur after HSI result in an increased risk of ACL injury has yet ...


Evaluation Of The Internal Construct Validity Of The Personal Care Participation Assessment And Resource Tool (Pc-Part) Using Rasch Analysis, Susan W. Darzins, Christine Imms, Marilyn Di Stefano, Nicholas Taylor, Julie Pallant Jan 2014

Evaluation Of The Internal Construct Validity Of The Personal Care Participation Assessment And Resource Tool (Pc-Part) Using Rasch Analysis, Susan W. Darzins, Christine Imms, Marilyn Di Stefano, Nicholas Taylor, Julie Pallant

Faculty of Health Sciences Publications

Abstract

Background

The Personal Care Participation Assessment and Resource Tool (PC-PART) is a 43-item, clinician-administered assessment, designed to identify patients’ unmet needs (participation restrictions) in activities of daily living (ADL) required for community life. This information is important for identifying problems that need addressing to enable, for example, discharge from inpatient settings to community living. The objective of this study was to evaluate internal construct validity of the PC-PART using Rasch methods.

Methods

Fit to the Rasch model was evaluated for 41 PC-PART items, assessing threshold ordering, overall model fit, individual item fit, person fit, internal consistency, Differential Item Functioning ...


Comparison Of Error-Based And Errorless Learning For People With Sever Traumatic Brain Injury : Study Protocol For A Randomized Control Trial, Tamara Ownsworth, Jennifer Fleming, R Tate, David Ho Keung Shum, Janelle Griffin, Julia Schmidt, Amanda Lane-Brown, Melissa Kendall, Mathilde Chevignard Jan 2013

Comparison Of Error-Based And Errorless Learning For People With Sever Traumatic Brain Injury : Study Protocol For A Randomized Control Trial, Tamara Ownsworth, Jennifer Fleming, R Tate, David Ho Keung Shum, Janelle Griffin, Julia Schmidt, Amanda Lane-Brown, Melissa Kendall, Mathilde Chevignard

Faculty of Health Sciences Publications

Background Poor skills generalization poses a major barrier to successful outcomes of rehabilitation after traumatic brain injury (TBI). Error-based learning (EBL) is a relatively new intervention approach that aims to promote skills generalization by teaching people internal self-regulation skills, or how to anticipate, monitor and correct their own errors. This paper describes the protocol of a study that aims to compare the efficacy of EBL and errorless learning (ELL) for improving error self-regulation, behavioral competency, awareness of deficits and long-term outcomes after TBI.

Methods/Design This randomized, controlled trial (RCT) has two arms (EBL and ELL); each arm entails 8 ...


The Role Of Neuromuscular Inhibition In Hamstring Strain Injury Recurrence [Accepted Manuscript], Jackson Fyfe, David Opar, Morgan Williams, Anthony Shield Jan 2013

The Role Of Neuromuscular Inhibition In Hamstring Strain Injury Recurrence [Accepted Manuscript], Jackson Fyfe, David Opar, Morgan Williams, Anthony Shield

Faculty of Health Sciences Publications

Hamstring strain injuries are amongst the most common and problematic injuries in a wide range of sports that involve high speed running. The comparatively high rate of hamstring injury recurrence is arguably the most concerning aspect of these injuries. A number of modifiable and nonmodifiable risk factors are proposed to predispose athletes to hamstring strains. Potentially, the persistence of risk factors and the development of maladaptations following injury may explain injury recurrence. Here, the role of neuromuscular inhibition following injury is discussed as a potential mechanism for several maladaptations associated with hamstring re-injury. These maladaptations include eccentric hamstring weakness, selective ...