- Balance, Gait, and Falls Prevention
- Cerebral Palsy and Movement Disorders
- Hip and Femur Fractures
- Stroke Rehabilitation and Recovery
- Frailty in Older Adults
- Chronic Disease Management Strategies
- Injury Epidemiology and Prevention
- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Dementia and Cognitive Impairment Research
- Musculoskeletal pain and rehabilitation
- Geriatric Care and Nursing Homes
- Physical Activity and Health
- Pelvic and Acetabular Injuries
- Bone health and osteoporosis research
- Parkinson's Disease Mechanisms and Treatments
- Health disparities and outcomes
- Nutrition and Health in Aging
- Cardiovascular Syncope and Autonomic Disorders
- Intensive Care Unit Cognitive Disorders
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Aging and Gerontology Research
- Health Systems, Economic Evaluations, Quality of Life
- Heart Rate Variability and Autonomic Control
Neuroscience Research Australia
2016-2025
UNSW Sydney
2016-2025
South Eastern Sydney Local Health District
2022-2024
Prince of Wales Hospital
2013-2023
Amsterdam University Medical Centers
2022
University of Amsterdam
2022
Akron General Medical Center
2021
Prince of Wales Hospital
2012-2021
The Task Force for Global Health
2021
VA San Diego Healthcare System
2021
To gain an understanding of elderly people's fear falling by exploring the prevalence and determinants perceived physiological fall risk to understand role disparities in cause falls.Prospective cohort study.Community sample drawn from eastern Sydney, Australia.500 men women aged 70-90 years.Baseline assessment medical, physiological, neuropsychological measures, with estimated profile assessment, falls efficacy scale international. Participants were followed up monthly for over one...
As outlined in Chapter 6, research studies have identified a broad range of medical conditions which contribute to falls risk. These include chronic and degenerative diseases, such as stroke, Parkinson's disease, arthritis, foot problems, cognitive impairment peripheral neuropathy diabetes cataracts vestibular disorders. However, attributing degree risk specific diagnosis is often problematic because the severity these varies considerably among individuals. Furthermore, impairments...
falls and fall-related injuries are common in older adults, have negative effects on functional independence quality of life associated with increased morbidity, mortality health related costs. Current guidelines inconsistent, no up-to-date, globally applicable ones present.
Objective: this study aimed to perform a comprehensive validation of the 16-item and 7-item Falls Efficacy Scale International (FES-I) by investigating overall structure measurement properties, convergent predictive validity responsiveness change. Method: five hundred community-dwelling older people (70–90 years) were assessed on FES-I in conjunction with demographic, physiological neuropsychological measures at baseline 12 months. monitored monthly fear falling every 3 Results: properties...
<b>Objectives</b> To gain an understanding of elderly people's fear falling by exploring the prevalence and determinants perceived physiological fall risk to understand role disparities in cause falls. <b>Design</b> Prospective cohort study. <b>Setting</b> Community sample drawn from eastern Sydney, Australia. <b>Participants</b> 500 men women aged 70–90 years. <b>Main outcome measures</b> Baseline assessment medical, physiological, neuropsychological measures, with estimated profile...
OBJECTIVE: To identify the interrelationships and discriminatory value of a broad range objectively measured explanatory risk factors for falls. DESIGN: Prospective cohort study with 12‐month follow‐up period. SETTING: Community sample. PARTICIPANTS: Five hundred community‐dwelling people aged 70 to 90. MEASUREMENTS: All participants underwent assessments on medical, disability, physical, cognitive, psychological measures. Fallers were defined as who had at least one injurious fall or two...
OBJECTIVES: To primarily ascertain the effect of Otago Exercise Program (OEP) on physiological falls risk, functional mobility, and executive functioning after 6 months in older adults with a recent history to OEP during 1‐year follow‐up period. DESIGN: Randomized controlled trial. SETTING: Dedicated clinics. PARTICIPANTS: Seventy‐four aged 70 who presented healthcare professional fall. INTERVENTION: The OEP, home‐based program that consists resistance training balance exercises....
Falls are a frequent and serious complication of Parkinson's disease related partly to an underlying cholinergic deficit that contributes gait cognitive dysfunction in these patients. Gait can lead increased variability from one step another, raising the likelihood falls. In ReSPonD trial we aimed assess whether ameliorating this with acetylcholinesterase inhibitor rivastigmine would reduce variability.We did randomised, double-blind, placebo-controlled, phase 2 at North Bristol NHS Trust...
<h3>Objective:</h3> To determine whether falls can be prevented with minimally supervised exercise targeting potentially remediable fall risk factors, i.e., poor balance, reduced leg muscle strength, and freezing of gait, in people Parkinson disease. <h3>Methods:</h3> Two hundred thirty-one disease were randomized into or usual-care control groups. Exercises practiced for 40 to 60 minutes, 3 times weekly 6 months. Primary outcomes rates proportion fallers during the intervention period....
Abstract This randomized controlled trial with blinded assessment aimed to determine the effect of a 6‐month minimally supervised exercise program on fall risk factors in people Parkinson's disease (PD). Forty‐eight participants PD who had fallen or were at falling into control groups. The group attended monthly class and exercised home three times weekly. intervention targeted leg muscle strength, balance, freezing. primary outcome measure was falls score. no major adverse events showed...
Falls are a major cause of morbidity in Parkinson's disease (PD). The objective this study was to identify predictors falls PD and develop simple prediction tool that would be useful routine patient care. Potential predictor variables (falls history, severity, cognition, leg muscle strength, balance, mobility, freezing gait [FOG], fear falling) were collected for 205 community-dwelling people with PD. monitored prospectively 6 months using monthly diaries. In total, 125 participants (59%)...
Background: the Timed Up and Go Test (TUGT) has been recommended as a simple screening tool to identify those at risk of falling. However, subsequent detailed assessment is required underlying falls factors provide direction for optimal targeted intervention strategies.