- Botulinum Toxin and Related Neurological Disorders
- Stroke Rehabilitation and Recovery
- Cerebral Palsy and Movement Disorders
- Muscle activation and electromyography studies
- Shoulder Injury and Treatment
- Acute Ischemic Stroke Management
- Musculoskeletal pain and rehabilitation
- Hereditary Neurological Disorders
- Neurological disorders and treatments
- Transcranial Magnetic Stimulation Studies
- Balance, Gait, and Falls Prevention
- Lower Extremity Biomechanics and Pathologies
- HIV/AIDS Research and Interventions
- Foot and Ankle Surgery
- Focus Groups and Qualitative Methods
- Mobile Health and mHealth Applications
- Adolescent Sexual and Reproductive Health
- Tendon Structure and Treatment
- Vestibular and auditory disorders
- Intellectual Property Law
- Intraoperative Neuromonitoring and Anesthetic Effects
- Sports injuries and prevention
- Autoimmune Neurological Disorders and Treatments
- Total Knee Arthroplasty Outcomes
- Motor Control and Adaptation
Edith Cowan University
2020-2024
Fremantle Hospital
2021-2023
VillageReach
2020-2023
South Metropolitan Health Service
2021-2023
Government of Western Australia Department of Health
2021-2023
The University of Western Australia
2009-2018
The University of Notre Dame Australia
2016
Western University
2015
Combat Capabilities Development Command Soldier Center
2012
Royal Perth Hospital
2003-2010
Lower limb disorders of movement and muscle tone in adults significantly impact quality life. The management the patient with hypertonia is complex requires a multidisciplinary team working family/carers. Botulinum neurotoxin type A (BoNT‐A) has been used as component this to reduce lower hypertonia, increase passive range motion associated pain requirements for bracing. Adjunctive treatments augment effect BoNT‐A include electrical stimulation injected muscles stretching. When determining...
Aim: To examine the relationship between patient/family engagement in goal planning, satisfaction with setting process and associated attainment functional gains during rehabilitation. Method: A prospective cohort analysis of consecutively completed episodes for patients discharged over a 1-year period (January–December 2013) specialist neurological rehabilitation service UK. Participants were adults (n=83) disabilities (mean±SD age: 42.8 ±15.0 years; programme length: 98 ± 47 days; male to...
Objective: To examine the safety and efficacy of onabotulinumtoxinA (Botox) for plantarflexor overactivity following stroke. Design: Double-blind randomized controlled trial, open-label extension phase. Setting: Neurology rehabilitation facilities. Subjects: Eighty-five subjects with lower limb hypertonia received 200 U ( n = 28) or 300 saline 29) injection. Primary measures: Plantarflexor Ashworth scores at 12 weeks post injection adverse events. Secondary self-reported spasm frequency...
Prevalence and correlates of HIV testing were examined in a sample 957 unmarried recent college students the United States. Participants asked about testing, past-six-months sexual activities, lifetime treatment for sexually transmitted infections (STI), past-year health service utilization, DSM-IV criteria alcohol other drug (AOD) dependence during 2008–2009 academic year. Two five (41.9%wt) ever tested HIV. Holding constant demographics, was positively related to AOD dependence, frequency...
To explore factors influencing physical activity (PA) reported by people living in rural/semi-rural communities the south of England post-stroke, and to understand relationships between personal, interpersonal environmental barriers self-reported levels PA.A survey was mailed patients NHS Trusts who were identified as potential participants. Self-reported PA levels, type, frequency tabulated. Spearman's rank correlation coefficient used associations level and: age, gender, function, fear...
Purpose A person with post-stroke lateropulsion actively pushes themselves toward their hemiplegic side, or resists moving onto non-hemiplegic side. This study aimed to determine the association of severity with: • Change in function (Functional Independence Measure – FIM) and (Four-Point Pusher Score 4PPS) during inpatient rehabilitation; Inpatient rehabilitation length stay (LOS); Discharge destination from rehabilitation.Methods Retrospective data for 1,087 participants (aged ≥65 years)...
Objective People exhibiting post-stroke lateropulsion actively push their body across the midline to more affected side and/or resist weight shift toward less side. Despite its prevalence and associated negative rehabilitation outcomes, no clinical practice guidelines exist for of lateropulsion. We aimed develop consensus-based recommendations managing using an international expert panel. Design This Delphi panel process conformed with Guidance on Conducting Reporting Studies...
Post-stroke lateropulsion is prevalent and associated with poor rehabilitation outcomes; however, data regarding long-term function are lacking.
Objectives This randomised controlled crossover trial examined the efficacy of botulinum toxin type A (BoNT-A) injection, plus an exercise programme, to remediate chronic anterior knee pain (AKP) associated with quadriceps muscle imbalance. Methods 24 individuals refractory AKP received either BoNT-A (500 U Dysport) or same volume saline injection vastus lateralis (VL) and performed home exercises focusing on re-training medialis (VM) muscle. All subjects were offered open-label at 12 weeks....
Post-stroke lateropulsion is prevalent and has been associated with varied lesion locations, but existing imaging studies are limited by small participant cohorts. Evidence to guide rehabilitation also limited. Improved understanding of localization post-stroke may inform more targeted intervention approaches.
Many children are surviving prematurity and serious childhood illnesses due to advances in technology medical care. As a result, more entering public school systems with complex health care needs intellectual developmental disabilities. School nurses responsible for caring these children; however, many feel unprepared lack education on disability studies nursing school, difficulty effective communication, of experience. A qualitative study was conducted explore the perceptions challenges who...
Purpose: We examined the feasibility and outcome of electromyographically triggered electrical muscle stimulation (EMG-ES) plus unilateral or bilateral task specific practice on arm function in chronic stroke survivors with moderate-severe hemiplegia
<ns4:p>In the field of adolescent sexual and reproductive health (ASRH), candid youth perspectives are necessary for understanding nuances surrounding contraceptive access use. Methods data collection leveraging technological solutions may provide avenues increased privacy adolescents. With use WhatsApp other smartphone-based messaging applications as platforms qualitative methodologies, public researchers find to adolescents through utilizing mediums that already engage with in their daily...