A5005146585- Balance, Gait, and Falls Prevention
- Cerebral Palsy and Movement Disorders
- Stroke Rehabilitation and Recovery
- Frailty in Older Adults
- Dementia and Cognitive Impairment Research
- Hip and Femur Fractures
- Physical Activity and Health
- Atrial Fibrillation Management and Outcomes
- Intensive Care Unit Cognitive Disorders
- Cardiac Arrhythmias and Treatments
- Pelvic and Acetabular Injuries
- Cardiac, Anesthesia and Surgical Outcomes
- Animal Ecology and Behavior Studies
- Bone health and osteoporosis research
- Nutrition and Health in Aging
- Ecology and biodiversity studies
- Nosocomial Infections in ICU
- Older Adults Driving Studies
- Musculoskeletal pain and rehabilitation
- Injury Epidemiology and Prevention
- Noise Effects and Management
- Prenatal Substance Exposure Effects
- Mental Health and Patient Involvement
- Art Therapy and Mental Health
- Telemedicine and Telehealth Implementation
Neuroscience Research Australia
2016-2025
UNSW Sydney
2016-2025
St James's University Hospital
2023
Freeman Hospital
2022
Prince of Wales Hospital
2012-2021
The University of Sydney
2016-2019
James Cook University Hospital
2002-2018
Prince of Wales Hospital
2011
Weatherford (Norway)
2010
Withington Community Hospital
1991-1999
Background.Older people with cognitive impairment have an elevated fall risk, 60% falling annually. There is a lack of evidence for prevention in this population, part due to limited understanding risk factors. This study examined older emphasis on identifying explanatory and modifiable
Abstract Background People with dementia have a disproportionately high rate of falls and fractures poorer outcomes, yet there is currently no evidence to guide prevention in this population. Methods A randomised trial design was used test feasibility study components acceptability home hazard reduction balance strength exercise fall program. The program tailored participant’s individual cognitive levels implemented as carer-supported intervention. Feasibility recruitment, retention...
Objectives To document patient characteristics, care pathways, healthcare use and costs of fall-related emergency department (ED) presentations by older adults. Participants methods All fallers aged ≥70 years, presenting to the ED a 450-bed metropolitan university hospital in Sydney, Australia (1 April 2007 through 31 March 2009) were studied. Data collected from electronic information system, clinical records system database. Population estimates for 2008 local areas served used estimate...
Objectives: to explore the associations between spatiotemporal gait parameters and falls in cognitively impaired older people investigate whether sensorimotor neuropsychological factors mediate association performance falls. Design: prospective cohort study with a 1 year follow-up. Setting: community-dwelling sample. Participants: sixty-four participants (62–96 years of age) cognitive impairment. Measurements: analysis functions were assessed all participants. Falls identified prospectively...
Cognitively impaired older people fall twice as often their cognitively intact counterparts. There is, however, limited information on factors that increase the risk of falls in this population. This study aimed to determine whether a group (CIG) perform worse than matched (NCIG) profile physical performance and mobility tests.One hundred thirty-eight 276 age gender community-dwelling adults (>60 years) took part study. Participants completed detailed battery from which composite scores were...
Background/Aims: Cognitively impaired older people are at twice the risk of falls compared to cognitively intact, with approximately 60% falling once or more per year. This study aimed investigate sensorimotor and balance factors for in people. Methods: 177 community-dwelling mild moderate cognitive impairment (Mini-Mental State Examination < 24, Addenbrooke's Cognitive Examination-Revised 83) were assessed using Physiological Profile Assessment (PPA). Falls recorded prospectively 12 months...
ABSTRACT Background: Older people with dementia are at increased risk of physical decline and falls. Balance mood significant predictors falls in this population. The aim study was to determine the effect a tailored home-based exercise program community-dwelling older dementia. Methods: Forty-two participants mild moderate were recruited from routine health services. All offered six-month home-based, carer-enhanced, progressive, individually program. Physical activity, quality life,...
To determine if wrist-worn sensor parameters can predict incident dementia in individuals aged 60 + years and to compare prediction with other tools. Observational cohort study. Community PARTICIPANTS: The comprised 47,371 participants without dementia, years, who participated the UK Biobank study (mean age=67 ± 4 years; 52 % female). Nineteen digital biomarkers were extracted from up-to-7-day accelerometry data at baseline. Univariable multivariable Cox proportional hazard models examined...
This study evaluated psychometric properties of the Iconographical Falls Efficacy Scale (Icon-FES) to measure fear falling in cognitively impaired older people. Icon-FES uses pictures as visual cues prompt responses. A total 50 community-dwelling people with moderate cognitive impairment were assessed on Icon-FES, Scale-International, and various physical measures. Overall structure measurement item response theory, good. Internal consistency was high (Cronbach's alpha = 0.97). Distribution...
Background:While gait has been linked with cognition, few studies have contrasted the strength of relationships between speed and cognitive domains in people impairment (CI). Objectives:Investigate association global function cognitiv e older CI. Method:Three-hundred-and-nine community-dwelling CI (mean age 82 years, 47% female, mean 0.62±0.23 m/s) were included using baseline data from Intervention-Falls Older Cognitively Impaired Study (iFOCIS). Usual (m/s) was measured over 2.4 m. Global...
Understanding the characteristics of physical activity and daily-life gait in older people with dementia may help identify those at risk negative health outcomes inform targeted interventions. Questionnaires are often used to assess but be more affected by recall bias provide little information about characteristics. The aim study was differences levels between community-dwelling mild moderate (n = 45; mean age 81±6 years, 42% female) age-sex matched (1:2) cognitively-healthy controls 90)....
Objective Mild cognitive impairment (MCI) is considered an intermediate stage between normal function and dementia. Fall risk increased in this group, but there limited literature exploring specific fall factors that may be addressed prevention strategies. The aim of study was to examine for falls older people with MCI, focusing on cognitive, psychological physical factors. Methods Participants ( n = 266, 45% women) were community-dwelling aged 70–90 years who met the criteria MCI....
To determine the relationship between three postoperative physiotherapy activities (time to first walk, activity on day after surgery, and frequency), outcomes of hospital length stay (LOS) discharge destination hip fracture.
Objective: To develop and internally validate a simple falls prediction tool for rehabilitation settings.Design: Prospective cohort study.Participants: A total of 533 inpatients.Methods: Possible predictors were collected from medical records, interview physical assessment.Falls during inpatient stays monitored.Results: Fourteen percent participants fell.A multivariate model to predict included: male gender (odds ratio (OR) 2.70, 95% confidence interval (CI) 1.57-4.64),central nervous system...
Abstract Background The evidence to support effective fall prevention strategies in older people with cognitive impairment (CI) is limited. aim of this randomized controlled trial (RCT) was determine the efficacy a intervention CI. Method RCT involving 309 community-dwelling group (n = 153) received an individually prescribed home hazard reduction and home-based exercise program during 12-month study period. control 156) usual care. primary outcome rate falls. Secondary outcomes included...
The impact of pain on the physical performance patients in aged care rehabilitation is not known. study sought to assess 1) prevalence older people being discharged from inpatient rehabilitation; 2) association between self-reported and 3) this population, after adjusting for potential confounding factors.This was an observational cross-sectional 420 at two units. Physical assessed using Lower Limb Summary Performance Score. Pain with questions about extent which participants were troubled...
Objectives: The aim of this study was to investigate physical decline over 1-year in a cohort older people across the cognitive spectrum.Methods: Physical function assessed using Physiological Profile Assessment (PPA) 593 participants (cognitively normal [CN]: n = 342, mild impairment [MCI]: 77, dementia: 174) at baseline and 490 available for reassessment later. Neuropsychological performance activity (PA) were baseline.Results: Median PPA scores CN, MCI dementia groups 0.41 (IQR...
Abstract Objective To assess the feasibility and safety of StandingTall —an individually tailored, progressive exercise program delivered through tablet computers—in community‐dwelling older people with dementia. Methods Fifteen dementia (mean age = 83 ± 8 years; Montreal Cognitive Assessment 16 5) received for 12 weeks caregiver assistance. Feasibility were assessed using System Usability Scale (SUS; scores 0‐100; a priori target >65), Physical Activity Enjoyment (PACES‐8; 8‐56),...