Neck/shoulder pain is a common complaint, with evidence suggesting rates in adolescence have increased line computer use. The study aimed to examine the influence of gender on relationships between use, habitual posture and neck/shoulder pain. Adolescents (n = 1483) participating 14 year follow-up Raine Study cohort were surveyed for sitting Females used computers less than males (52% vs. 45% up 7 h per week). sat much more upright greater anterior pelvic tilt (9.4° 0.4°). reported higher 1...

Objective To determine the early predictors of respiratory hospital admissions in young people with cerebral palsy (CP). Design A 3-year prospective cohort study using linked data. Patients Children and CP, aged 1 to 26 years. Main outcome measures Self-reported carer-reported symptoms were (as defined by International Statistical Classification Diseases Related Health Problems 10th Revision codes) during following 3 Results 482 participants (including 289 males) recruited. They years (mean...

The aim of this paper is to present the Australian Spasticity Assessment Scale (ASAS) and report studies its interrater reliability. ASAS identifies presence spasticity by confirming a velocity-dependent increased response rapid passive movement quantifies it using an ordinal scale.The rationale procedure for described. Twenty-two participants with spastic CP (16 males; age range 1y 11mo-15y 3mo) who had not botulinum neurotoxin-A within 4 months, or bony soft tissue surgery 12 were...

The purpose of this study is to evaluate effects a running intervention on ability and participation in children with cerebral palsy.Children palsy (9-18 years) Gross Motor Function Classification System levels I-III were randomly assigned 12-week or usual care. Primary outcomes included improvement (assessed by Goal Attainment Scaling, high level mobility the High-Level Mobility Assessment Tool) Participation Environment Measure for Children Youth). Secondary aerobic anaerobic fitness...

This study aimed to track alterations in muscle volume for 6 months children with cerebral palsy (CP) after the first exposure botulinum neurotoxin A (BoNT-A), a commonly used focal spasticity treatment.Eleven ambulant (eight males, three females) spastic CP, mean age 8 years 10 (SD 3y 1mo) participated. Participants received injections affected gastrocnemius. The of gastrocnemius, soleus, tibialis anterior, and hamstrings was measured using magnetic resonance imaging. Muscle normalized bone...

Aim To determine if neuromuscular electrical stimulation ( NMES ) applied to the ankle dorsiflexors during gait improves muscle volume and strength in children with unilateral spastic cerebral palsy CP ). Method Thirty‐two (15 females, 17 males; mean age 10y 8mo, range 5y 5mo–18y 1mo) a Gross Motor Function Classification System of level I or II were randomly assigned either 8‐week daily treatment group control (usual conventional treatments). Outcomes at week 8 (post‐ 14 (carryover)...

To determine if robotic assisted gait training (RAGT) using surface muscle electrical stimulation and locomotor enhances mobility outcomes when compared to alone in children with cerebral palsy (CP).Forty (18 females, 22 males; mean age 8y 1mo, SD 2y 1mo; range 5y 1mo-12y 11mo) CP Gross Motor Function Classification System levels (GMFCS) III, IV, V were randomly assigned the RAGT (RAGT+LT) group or only (dosage for both: three 1-hour sessions a week 6 weeks). Outcomes assessed at baseline T1...

In Brief Purpose: To determine the effects of functional electrical stimulation (FES) on main impairments affecting gait in children with unilateral spastic cerebral palsy. Methods: A 20-week, multiple single-subject A-B-A design included a 6-week pre-FES phase, an 8-week FES and post-FES phase. Twelve children, aged 5 to 16 years, wore device (the Walk Aide) daily for 8 weeks. Weekly measures ankle range motion, selective motor control, dorsiflexion plantar flexion strength, gastrocnemius...

Study Design Prospective cohort study of the Western Australian Pregnancy Cohort (Raine) Study. Background Low back pain (LBP) commonly develops in adolescence and is a significant risk factor for adult LBP. A broad range factors have been associated with development adolescent LBP, but prior literature has limitations related to characterization LBP scope considered. Objective This aimed identify potential contributing without impact, at 17 years age, utilizing exposures 14 age. Methods...

The purpose of this study was to determine the orthotic and therapeutic effects daily community applied FES ankle dorsiflexors in a randomized controlled trial. We hypothesized that children receiving eight-week treatment would demonstrate gait spasticity as well better mobility balance skills compared controls not FES. This trial involved 32 (mean age 10 yrs 3 mo, SD mo; 15 females, 17 males) with unilateral spastic cerebral palsy Gross Motor Function Classification System I or II randomly...

Objective: There is evidence that mood disorders are associated with impaired parasympathetic nervous system function and consequently increased morbidity mortality. Our study addresses whether this impairment persists into remission in unipolar bipolar disorders. Methods: Heart Rate Variability was measured groups of subjects during remission, Bipolar Affective Disorder I ( n = 29), recurrent Major Depressive 41) a healthy control group 38), the bedtime period. Results: found to be lower...

The aim of this study was to explore the relationship between emotional health and wellbeing support needs perinatal women during COVID-19 pandemic, understand their experiences need for support. This is a potentially vulnerable group critical developmental phase infants. A mixed methods design used collect quantitative qualitative data that provided robust insight into unique needs. total 174 who were either pregnant or post-birth participated. main findings demonstrated in cohort...

To determine the incidence of common adverse events after botulinum toxin A (BoNT-A) injections in children with cerebral palsy (CP) and to identify whether severity CP influences events.This was an observational study patients attending a BoNT-A clinic at tertiary paediatric hospital (2010-2014). Data examined included procedural time injection follow-up. Systemic were defined as lower respiratory tract illnesses, generalized weakness, dysphagia, death. Severity categorized by Gross Motor...

Background Despite the traumatic and fatal nature of motor neurone disease (MND) caring experiences being described as unrelenting, little is known about risk psychiatric morbidity Prolonged Grief Disorder (PGD) for family caregivers. Methods: A cross-sectional survey caregivers bereaved in 2016-2018 was distributed by five MND Associations Australia (2019). Validated tools PGD (PG-13), anxiety, depression, functioning were included. Multinomial logistic regression used to compare factors...

Objective Determine the adherence to and effectiveness of an 8-week home exercise programme for children with disabilities delivered using Physitrack, online prescription tool, compared traditional paper-based methods. Design Single-blinded, parallel-groups, randomised controlled trial (RCT). Setting Intervention took place in participants’ homes Western Australia. Participants Children aged 6 17 years, neurodevelopmental including cerebral palsy (CP), receiving community therapy services....

OBJECTIVE: To evaluate the accuracy, clinical utility, and usability of a wireless fetal maternal heartbeat monitor to heart rate (FHR). METHODS: We conducted prospective, single-center study convenience sample women aged 18 years or older with singleton pregnancy at least 12 weeks gestation. Fetal recordings were performed using both cardiotocography accuracy. Clinicians used in clinic. Women device, unassisted, during clinic visit home. Obstetricians assessed utility FHR traces. rated...

Abstract Background An inconsistent relationship between physical activity and neck/shoulder pain (NSP) in adolescents has been reported the literature. Earlier studies may be limited by not assessing sufficient detail. The aim of this study was to comprehensively examine association NSP level nature activity, type sedentary adolescents. Methods A cross-sectional analysis using data from 924 Western Australian Pregnancy Cohort (RAINE) performed. Complete were available for 643 (54.6% female)...

Abstract Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) are commonly encountered in the primary care setting, though accurate and timely diagnosis is problematic. Using technology like that employed speech recognition technology, we developed a smartphone-based algorithm for rapid AECOPD. The incorporates patient-reported features (age, fever, new cough), audio data from five coughs can be deployed by novice users. We compared accuracy to expert clinical assessment. In...

In adults with advanced lung disease, do the 6-minute walk test (6MWT) and 1-minute sit-to-stand (1minSTS) elicit similar cardiorespiratory responses? Can distance (6MWD) be estimated from 1minSTS result? Prospective observational study using data collected during routine clinical practice. Eighty (43 males) a mean age of 64 years (SD 10) forced expiratory volume in 1 second 1.65 L 0.77). Participants completed 6MWT 1minSTS. During both tests, oxygen saturation (SpO2), pulse rate, dyspnoea...