A5083851854- Stroke Rehabilitation and Recovery
- Cerebral Palsy and Movement Disorders
- Acute Ischemic Stroke Management
- Balance, Gait, and Falls Prevention
- Musculoskeletal pain and rehabilitation
- Telemedicine and Telehealth Implementation
- Occupational Therapy Practice and Research
- Cardiac Health and Mental Health
- Physical Activity and Health
- Children's Physical and Motor Development
- Nutrition and Health in Aging
- Hearing Loss and Rehabilitation
- Assistive Technology in Communication and Mobility
- Health Sciences Research and Education
- Effects of Vibration on Health
- Cardiac, Anesthesia and Surgical Outcomes
- Child Nutrition and Feeding Issues
- Botulinum Toxin and Related Neurological Disorders
- Health Policy Implementation Science
- Older Adults Driving Studies
- Infant Health and Development
- Healthcare Systems and Public Health
- Dietary Effects on Health
- Delphi Technique in Research
- Medical Practices and Rehabilitation
Macquarie University
2015-2025
Royal Rehabilitation Centre
2020
The University of Sydney
2011-2014
Bankstown Lidcombe Hospital
2011-2014
The George Institute for Global Health
2011-2013
Washington County Schools
1953
People with mobility limitations can benefit from rehabilitation programmes that provide a high dose of exercise. However, since providing exercise is logistically challenging and resource-intensive, people in spend most the day inactive. This trial aims to evaluate effect addition affordable technology usual care on physical activity admitted inpatient aged neurological units compared alone. A pragmatic, assessor blinded, parallel-group randomised recruiting 300 consenting patients reduced...
Background Digitally enabled rehabilitation may lead to better outcomes but has not been tested in large pragmatic trials. We aimed evaluate a tailored prescription of affordable digital devices addition usual care for people with mobility limitations admitted aged and neurological rehabilitation. Methods findings conducted pragmatic, outcome-assessor-blinded, parallel-group randomised trial 3 Australian hospitals Sydney Adelaide recruiting adults 18 101 years old undertaking inpatient Both...
To describe the dose of lower limb exercise completed during admission to a stroke unit, establish predictors and explore relationship between walking outcomes.Inception cohort study.Two hundred consecutively-admitted people with stroke.Repetitions throughout were tallied. Possible recorded within 48 h admission. Walking velocity was assessed at beginning end hospital stay.Data available for 191 (96%) participants on discharge. The mean daily 288 repetitions (standard deviation (SD) 242),...
Abstract Background Maintaining mobility in the long term after stroke can be challenging. Furthermore, access to ongoing physiotherapy or exercise programs is limited. There a need investigate new models of service delivery improve longer stroke. A booster program may solution, facilitating short-term on an as-needed basis. The aim this project determine feasibility conducting clinical trial short-term, high-dose (HiWalk) and measure outcomes order estimate power for future efficacy trial....
The association between device-based (activPAL) and self-reported [Incidental Exercise Planned Questionnaire (IPEQ)] measures of physical activity has not been investigated. This study aimed to determine the activPAL IPEQ in a sample community-dwelling older people after stroke. Data from an exploratory analysis embedded within randomized trial was used. Spearman correlation used assess relationship (upright time step count) (self-reported total exercise time) at three timepoints [months 0 (...
LiFE is a habit-forming functional exercise program that not widely used in stroke but could facilitate and support long-term physical activity. The purpose of this study was to determine, people after participating the Falls After Stroke Trial: (1) beliefs behaviours, (2) differences between usual care participants (3) participants, perceptions program. Participants (n = 49) were consecutively invited complete 43-item survey about behaviours. also provided feedback. Data analysed using...
The coronavirus disease 2019 (COVID-19) pandemic has necessitated adoption of telerehabilitation in services where face-to-face consultations were previously standard. We aimed to understand barriers implementing a clinical service and design behavior support strategy for clinicians implement telerehabilitation. A hybrid implementation study included pre- post-intervention questionnaires, identification key using the theoretical domains framework, development targeted intervention....
Adults with "hearing loss" have an increased falls risks. There may be association between hearing impairment and walking performance under dual-task (DT) triple-task (TT) conditions. The aim of this study was to identify DT TT effects on speed, step length, cadence in adults impairment, previous falls, physical limitations.The observational included 73 community-dwelling older people seeking audiology services. Data were collected sociodemographic characteristics, fear falling, limitations,...
Responsiveness of a measurement tool is its ability to detect change over time. The aim this study was determine the responsiveness and floor/ceiling effects ten-metre walk test (10mWT), Step Test Motor Assessment Scale (MAS) lower limb items.An inception cohort conducted, including 190 stroke survivors admitted comprehensive unit. 10mWT, MAS were administered within 48 hours admission repeated in before discharge. analysed with Effect Size (ES), Standardised Response Mean (SRM) median-based...
Background. Predicting walking outcomes poststroke is a challenge for clinicians. Objective. To identify the extent to which exercise dose (repetitions of leg movements) in first week comprehensive stroke unit stay predicts discharge mobility. Methods. A cohort study was conducted on 200 consecutive people admitted who required physical therapy. Results. Discharge and predictor data were available 191 survivors (99%). On admission, 86 participants able walk, average velocity 0.42 m/s....
The Falls After Stroke Trial (FAST) intervention involves habit-forming functional exercise and mobility practice which may increase physical activity. This substudy of FAST explores activity in community-dwelling people after stroke comparing the to usual care.
Effective rehabilitation should include high levels of physical activity. The impact the environmental design on activity has had minimal consideration.This study investigates inpatients undergoing in a new facility with innovative and multidisciplinary care, comparing weekday weekend levels, as well changes over 12-month period.An observational reporting participants' location, people present, body position, type 2 weekdays 1 day using behavior mapping techniques. Fifteen participants were...
Question: To determine the uptake of an app-based supplemental exercise programme in a rehabilitation setting and effect such on length stay function compared to usual care physiotherapy. Design: Randomized controlled trial with random allocation assessor blinding. Participants: A total 144 individuals mixed diagnoses (orthopaedic, neurological, reconditioning) admitted for inpatient sub-acute rehabilitation. Interventions: Participants were randomly allocated physiotherapy (control group)...
Rationale People with stroke experience falls at more than twice the rate of general older population resulting in high fall-related injuries. However, there are currently no effective interventions that prevent after stroke. Aims To determine effect and cost-benefit an innovative, home-based, tailored intervention to reduce Sample size estimate A total 370 participants will be recruited order able detect a clinically important between-group difference 30% lower 80% power two-tailed...
There is a known positive relationship between time in therapy and outcomes. Effective rehabilitation should therefore include larger doses of therapy. However, individuals participating inpatient have low levels activity throughout the day. This level inactivity may limit potential. New technologies which deliver personalised exercise programs track spent on exercises lead to greater improve functional outcomes rehabilitation. pilot randomised control trial aimed investigate whether an...
People with long term disability after stroke should have access to the services they need, when require them Over recent years, management of has undergone major changes in Australia, including introduction stroke-equipped ambulances, improved delivery thrombolysis, and formation acute units.1 However, despite more people surviving, many are left lifelong disability.2 Furthermore, ongoing support perceived be inadequate by stroke.3 This means that living may not opportunity achieve their...
Hearing impairment is associated with reduced balance and walking performance whilst multitasking. Multitask training to improve performance, has not been assessed in this population. This feasibility study recruited participants from a University Clinic who attended weekly group multitask for one month. Feasibility outcomes included completion rates, participant-reported acceptability adverse events. Walking were the 6-minute walk test (6MWT) performance. Twenty-two individuals invited...
What are clinical physiotherapists' perceptions about delivering two interventions during a randomised trial: the MOBILISE trial?Mixed methods study using semi-structured interviews involving closed- and open-ended questions.Thirteen physiotherapists involved in intervention for trial.All thirteen (100%) had preference their patients to get one of interventions, mostly dependent on individual patient. Most were frustrated if not allocated preferred but 62% satisfied with they delivered 100%...