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Epworth Monash Rehabilitation Medicine Unit Annual Report

June 2013 – June 2014

Professor John Olver

Victor Smorgon Chair of Rehabilitation Medicine, Monash University

Director of Rehabilitation, Epworth Healthcare

Introduction The appointment of an inaugural Victor Smorgon Chair of Rehabilitation was made through a collaboration of Epworth HealthCare and Monash University in July 2009. The Epworth Monash Rehabilitation Medicine Unit (EMReM) which has been designated as a research arm of Epworth Rehabilitation, commenced in July 2010. In line with the objectives of the chair of rehabilitation medicine, individuals have been supported in higher level degrees and research projects. This is the fourth annual report of the EMReM unit and outlines major research projects, papers published in refereed journals, grants awarded and conference presentations. Throughout the past year, the EMReM team (consisting of 21 individuals) have been productive in our research efforts. Staff have been involved in 21 various research projects, produced 21 papers published in refereed journals and collectively gained $147,673 in grants. In addition, staff have presented research at 52 conferences and have had 17 poster presentations.

John Olver MBBS MD FAFRM (RACP)

Victor Smorgon Chair of Rehabilitation Monash University

Director of Rehabilitation Epworth Healthcare

EMReM Annual Report June 2013 – June 2014 2

Table of Contents Introduction ................................................................................................................................ 2

Unit Staff ..................................................................................................................................... 5

Snapshot of EMReM Progress ....................................................................................................... 6

Number of Research Projects........................................................................................................... 6

Number of Publications .................................................................................................................... 6

Supervised Masters/PhD/Registrar Research Projects ................................................................... 7

In Progress Projects ............................................................................................................... 8

Melanie Drummond: The Consequences of Olfactory Impairment following Traumatic Brain Injury ............................................................................................................................................................ 8

Babak Farr: Investigating the outcomes of multi-trauma rehabilitation in a stand-alone facility compared to an acute hospital based rehabilitation facility .............................................................. 8

Bridget Hill: Development of a Patient-Report Outcome Measure for the assessment of adults with traumatic brachial plexus Injury ......................................................................................................... 9

Nathan Johns: Rehabilitation following total knee replacement to improve cardiovascular fitness, function and quality of life in the elderly – a pilot study .................................................................... 9

Margaret Mealings: Participation at school following TBI ................................................................ 10

Elizabeth Moore: The influence of adjunctive therapy on outcome following botulinum neurotoxin (BoNTA) injection for focal spasticity in adults with neurological conditions .................................. 10

Peter New: A Study of patient flow through inpatient rehabilitation and potential for improvements ................................................................................................................................... 11

Completed Projects.............................................................................................................. 12

Maria Jenelyn Alviar: Application of the WHO-International Classification of Functioning, Disability and Health in Outcomes Assessment in Hip and Knee Arthroplasty ................................................ 12

Yan Chow: An Australian study investigating the influence of age on functional outcomes in hospitalised rehabilitation patients following a Severe Traumatic Brain Injury ............................... 12

Pearl Chung: Use of the International Classification of Functioning, Disability and Health (ICF) to describe caregiver issues in Acquired Brain Injury ........................................................................... 13

Brinda Thirugnanam: Investigating the relevance of information provided to the Person Responsible during family meetings for patients with a Traumatic Brain Injury ............................. 13

Research Projects/Clinical Trials ................................................................................................. 14

In Progress Projects ............................................................................................................. 15

Jeremy Buckmaster and Casey Brownlie: A pilot study to evaluate a Road Trauma Education Program............................................................................................................................................. 15

Bianca Fedele: Investigating the nature of the circadian sleep wake cycle and sleep architecture in patients in post-traumatic amnesia following traumatic brain injury: a pilot study ........................ 15

John Olver: A Randomized Double-Blind, Placebo Controlled, Multicenter, Phase 3 Study to Evaluate the Cardiovascular Safety of Naldemedine for the Treatment of Opioid-induced Constipation in Subjects with Non-malignant Pain Receiving Opioid Therapy ................................ 16

John Olver: Retrospective Audit of Medication Use in Patients who have suffered Traumatic Brain Injury and have been admitted to the ERR Traumatic Brain Unit Rehabilitation Unit ..................... 16


John Olver: The use of a Post Stroke Checklist (PSC) to identify persistent long-term problems amongst post stroke survivors .......................................................................................................... 17

John Olver: To Establish a Database Recording Patient Outcomes Post Botulinum Toxin Injection for Spasticity from Chronic Neurological Conditions ........................................................................ 17

Michael Ponsford: Audit of Elective Joint Replacement and Hip Fracture Rehabilitation Outcomes .......................................................................................................................................................... 18

Completed Projects.............................................................................................................. 19

John Olver: A Phase III multicentre double-blind prospective randomized placebo controlled study assessing the efficacy and safety of Dysport used for the treatment of lower limb spasticity in adult subjects with hemiparesis due to stroke or traumatic brain injury ........................................ 19

John Olver: A Phase III prospective multicentre open label extension study to assess the long term safety and efficacy of repeated treatment of Dysport intramuscular injection in the treatment of lower limb spasticity in adult subjects with spastic hemiparesis due to stroke or traumatic brain injury ................................................................................................................................................. 19

Fran Wise: Attitudes to Obesity in Cardiac Rehabilitation Health Professionals ............................. 20

Publications in Refereed Journals ............................................................................................... 21

Papers Attributed to Epworth HealthCare and Monash University ............................................... 21

Papers Attributed to Epworth HealthCare ..................................................................................... 22

Book Chapters ................................................................................................................................ 23

Abstracts......................................................................................................................................... 23

Presentations ............................................................................................................................ 24

Invited Presentations ..................................................................................................................... 24

Free Papers ..................................................................................................................................... 27

Posters .................................................................................................................................... 28

Research Grants ......................................................................................................................... 30

Courses Completed .................................................................................................................... 30

Awards ...................................................................................................................................... 30

Teaching and Education ............................................................................................................. 31

EPWORTH MONASH REHABILITATION MEDICINE UNIT ........................................................................ 32


Unit Staff


Snapshot of EMReM Progress Number of Research Projects Since June 2013, EMReM has supported 21 projects of various types (four of which have been completed within the last 12 months). EMReM has particularly started to be involved in clinical trial and registrar projects. These include:-

Number of Publications In the last 12 months, EMReM researchers have published 27 various publications (e.g. papers, abstracts, book chapters) and have been invited speakers and presented at 69 conferences/events (including poster presentations).


Supervised Masters/PhD/Registrar Research Projects In Progress Projects

Researcher Project Title Institution

Melanie Drummond (PhD)

The Consequences of Olfactory Impairment following Traumatic Brain Injury

La Trobe University

Babak Farr (Registrar project)

Investigating the outcomes of multi-trauma rehabilitation in a stand-alone facility compared to an acute hospital based rehabilitation facility

Fellowship of Rehabilitation Medicine

Bridget Hill (PhD) Development of a Patient-Report Outcome Measure for the assessment of adults with traumatic brachial plexus Injury

Griffith Health Institute of Griffith University

Nathan Johns (PhD) (Delayed PhD)

Rehabilitation following total knee replacement to improve cardiovascular fitness, function and quality of life in the elderly – a pilot study

Monash University

Margaret Mealings (PhD)

Participation at school following TBI La Trobe University

Elizabeth Moore (Masters)

The influence of adjunctive therapy on outcome following botulinum neurotoxin (BoNTA) injection for focal spasticity in adults with neurological conditions

The University of Melbourne

Peter New (PhD) A Study of patient flow through inpatient rehabilitation and potential for improvements

Monash University

Completed Projects

Researcher Project Title Institution

Maria Jenelyn Alviar (PhD)

Application of the WHO-International Classification of Functioning, Disability and Health in Outcomes Assessment in Hip and Knee Arthroplasty

The University of Melbourne

Yan Chow (Registrar Project)

An Australian study investigating the influence of age on functional outcomes in hospitalised rehabilitation patients following a Severe Traumatic Brain Injury

-

Pearl Chung (Masters)

Use of the International Classification of Functioning, Disability and Health (ICF) to describe caregiver issues in Acquired Brain Injury

Monash University

Brinda Thirugnanam (Registrar Project)

Investigating the relevance of information provided to the Person Responsible during family meetings

Fellowship of Rehabilitation Medicine


In Progress Projects

Melanie Drummond: The Consequences of Olfactory Impairment following Traumatic Brain Injury

Objectives The aims of this study are to: To identify the incidence of OI (as measured by the PST and the UPSIT) following TBI in a consecutive sample of adults admitted to the Brain Injury Rehabilitation Program at Epworth Hospital, Richmond Campus in Victoria, Australia To investigate the natural progression of olfactory dysfunction following TBI in the context of recovery (6 + 12 months post injury) To identify acute factors that are associated with long term olfactory outcome Completion of the study will also facilitate the development of a ‘best practice’ protocol to facilitate reliable screening for the presence of olfactory impairment in individuals who have sustained a traumatic brain injury (TBI). Collaborating Organisations Term Grants Investigators EMReM La Trobe University

27 May 2009 – – February 2016.

Victoria Brain Injury Association (Scholarship): $3000 Epworth HealthCare (Scholarship): $10,000 Epworth Research Institute Small Grant (2013): $2,700

Melanie Drummond (PI)1 John Olver Jacinta Douglas

Babak Farr: Investigating the outcomes of multi-trauma rehabilitation in a stand-alone facility compared to an acute hospital based rehabilitation

facility Objectives This study will be a retrospective audit of routinely collected outcome data at Epworth HealthCare. The aim of this project is to

investigate whether moving a multi-trauma rehabilitation unit from an acute hospital to a freestanding centre has impacted the patient outcomes of the rehabilitation program. The outcomes of interest include: - length of stay, changes in functional independence measures (FIM change), type of injuries and rates of transfer back to acute care. A secondary aim is to compare outcomes (namely length of stay and FIM change) at each site with benchmark and national averages. Collaborating Organisations Term Grants Investigators EMReM Epworth Rehabilitation, Richmond

June 2014 – February 2015

Nil Babak Farr (PI) John Olver Bianca Fedele

1 PI = Principal Investigator


Bridget Hill: Development of a Patient-Report Outcome Measure for the assessment of adults with traumatic brachial plexus Injury Objectives The aim of this project is to develop a new patient-report outcome measure to assess functional outcome in adults following

traumatic brachial plexus injury (BPI). The instrument will be an evaluative, unidimensional measure; the construct to be assessed is activity of the upper limb as defined by the International Classification of Functioning, Disability and Health. Collaborating Organisations Term Grants Investigators EMReM Griffith Health Institute of Griffith University Queensland The Alfred Hospital Royal Melbourne Hospital Mr Scott Ferris Plastic and Reconstructive Microsurgeon private practice Hand and Upper Limb Centre, Perth

01 Jul 2009 – 31 Dec 2015 Epworth Research Institute (2012-2013): $2,860 Epworth Healthcare (2009- 2010): 10,000 Epworth Monash Rehabilitation Medicine Unit: $12,500 Sir Edmund Herring Memorial Scholarship (2012): $16,000

Andrea Bialocerkowski (PI) Bridget Hill Gavin Williams Julie Pallant (University of Melbourne) John Olver

Nathan Johns: Rehabilitation following total knee replacement to improve cardiovascular fitness, function and quality of life in the elderly – a pilot study

Objectives The pilot study aims to demonstrate that a 6-week aerobic exercise based rehabilitation program can improve cardiovascular fitness, function and quality of life. This pilot study will also establish that this new program is practical to run and administer in preparation for a larger Randomised Controlled Trial of the same program which will assess the impact of improved fitness on longer term mortality.

Collaborating Organisations Term Grants Investigators

EMReM Epworth Rehabilitation, Brighton

(delayed PhD)

Epworth Research Institute (2012-2013): $4,900

Nathan Johns (PI) John Olver


Margaret Mealings: Participation at school following TBI

Objectives The aim of this research project is to explore the perspectives of students returning to study following brain injury, in particular to explore the impact on their sense of self and well-being in the context of their school participation. The project will be a longitudinal, mixed methods study engaging with participants over a period of 2 years.

Collaborating Organisations Term Grants Investigators EMReM Health Sciences at LaTrobe University

01 Jan 2009 – Approx. 2015

Epworth Scholarship (2010): $5,000 VBIRA Education Scholarship (2010): $3,000

Margaret Mealings (PI) Jacinta Douglas John Olver

Elizabeth Moore: The influence of adjunctive therapy on outcome following botulinum neurotoxin (BoNTA) injection for focal spasticity in adults with neurological conditions

Objectives This project aims to investigate the influence of adjunctive therapy on outcome following BoNTA injection for focal spasticity in adults with neurological conditions. The group of adults will be provided with a prescribed program from an experienced clinician following their injection designed to maximise their outcome. The rate of adherence to the prescribed program will be examined to determine if adherence to therapy improves outcome. This pilot study will contribute to the limited body of evidence for adjunctive therapy following BoNTA injection and more importantly influence the direction of future research studies. More specifically the 3 aims of the study are:

1) To compare adherence rates to a prescribed therapy program between those who achieved their predetermined rehabilitation goals and those who failed to do so 3 months following BoNTA injection.

2) To determine if there is a difference between non-functional and functional goal attainment 3 months following BoNTA injection.

3) To describe the content and dosage of adjunctive therapies provided and the relationship to the identified goal contribute to the limited body of evidence for adjunctive therapy following BoNTA injection

Collaborating Organisations Term Grants Investigators EMReM The University of Melbourne

3 years part time Epworth HealthCare Scholarship (2012-2013) $10,000

Elizabeth Moore (PI) Professor John Olver Dr Gavin Williams Dr Adam Bryant


Peter New: A Study of patient flow through inpatient rehabilitation and potential for improvements

Objectives The aims of this thesis are to study access and discharge barriers for patients admitted into rehabilitation. The primary objectives are: Measure the time sequence for key process for patients referred and accepted into the rehabilitation units to explore if there

are inefficiencies that can be improved upon. Measure the prevalence of ‘exit block’ for patients from inpatient rehabilitation. Where barriers for discharge are identified,

to record the cause of the barrier and the time it took for the barrier to be resolved, and to develop prediction models for length of stay in hospital and the occurrence of barriers to discharge.

Calculate the impact on access for inpatient beds in rehabilitation and length of stay from a number of simulation models testing hypothetical scenarios to address the major exit blocks identified by way of alternate care pathways.


Department of Epidemiology and Preventive Medicine, Monash University Rehabilitation and Aged Services, Medicine Program, Monash Health EMReM

12 Oct 2009 – 12 Oct 2015

Nil Peter New (PI) John Olver Justin Stoelwinder Peter Cameron


Completed Projects Maria Jenelyn Alviar: Application of the WHO-International Classification of Functioning, Disability and Health in Outcomes Assessment in Hip and

Knee Arthroplasty Objectives Outcomes assessment in the field of arthroplasty rehabilitation will continue to increase in importance as global trends in

osteoarthritis and arthroplasty procedures continue to rise. A unified framework of functioning that will serve as common language is necessary. Knowing what relevant outcomes to assess paves the way for better and improved tools of assessment. It is envisaged that the ICF will have a positive influence on outcomes assessment in this field. The primary aim of this study is to use the ICF Osteoarthritis core set as starting point in developing a clinical measure of functioning in persons undergoing hip and knee joint replacement. Collaborating Organisations Term Grants Investigators EMReM Royal Melbourne Hospital The University of Melbourne

01 Feb 2010 – June 2014 Epworth Research Institute Grant (2011): $10,000

John Olver (PI) Maria Jenelyn Alviar Caroline Brand / Fary Khan Richard de Steiger Andrew Bucknill Marinis Pirpiris

Yan Chow: An Australian study investigating the influence of age on functional outcomes in hospitalised rehabilitation patients following a Severe

Traumatic Brain Injury Objectives The purpose of this study is to compare functional outcomes of patients aged 18 to 40 years old to patients aged 65 years old and

over, who have been admitted to Epworth Rehabilitation, Richmond, Victoria following a severe traumatic brain injury (TBI). Outcome measures which will be used include the functional independence measure (FIM) score, length of stay and discharge destination. This study aims to identify if there is a significant difference in recovery during the inpatient phase after severe TBI in people 65 years old and over. Thus, it may aid in long-term management plans. Collaborating Organisations Term Grants Investigators EMReM Epworth HealthCare Rehabilitation

16 Feb 2012 – 16 Oct 2013

Nil

Yan Chow (PI) John Olver


Pearl Chung: Use of the International Classification of Functioning, Disability and Health (ICF) to describe caregiver issues in Acquired Brain Injury

Objectives The aims of the study are to measure the effect size and variance of CSI and CRA among caregivers of patients with brain tumour (pwBT) and patients with stroke (pwS) in the Australian population, for testing the hypothesis that inpatient rehabilitation reduces caregiver strain for caregivers of pwBT and pwS.

Collaborating Organisations Term Grants Investigators EMReM Epworth Rehabilitation, Richmond

05 Dec 2011 – 2013

Nil

Pearl Chung (PI) John Olver Fary Khan Bianca Fedele

Brinda Thirugnanam: Investigating the relevance of information provided to the Person Responsible during family meetings for patients with a Traumatic Brain Injury

Objectives The aim of this project is to evaluate the relevance of information provided during family meetings by the treating rehabilitation team to the person responsible for patients with a traumatic brain injury. The second part of this project aims to assess the understanding of language used by the treating rehabilitation team during one family meeting. This will be assessed by asking two independent individuals from a non medical background to evaluate a transcript from one of the family meetings and identify complex words used. Collaborating Organisations Term Grants Investigators EMReM College of Australian Fellowship of Rehabilitation Medicine

2012 – 2013

Nil Brinda Thirugnanam (PI) Professor John Olver Bianca Fedele


Research Projects/Clinical Trials In Progress Projects

Researcher Project Title

Jeremy Buckmaster and Casey Brownlie

A pilot study to evaluate a Road Trauma Education Program (This project is in the analysis and paper writing stages)

Bianca Fedele Investigating the nature of the circadian sleep wake cycle and sleep architecture in patients in post-traumatic amnesia following traumatic brain injury: a pilot study

John Olver A Randomized Double-Blind, Placebo Controlled, Multicenter, Phase 3 Study to Evaluate the Cardiovascular Safety of Naldemedine for the Treatment of Opioid-induced Constipation in Subjects with Non-malignant Pain Receiving Opioid Therapy

Retrospective Audit of Medication Use in Patients who have suffered Traumatic Brain Injury and have been admitted to the ERR Traumatic Brain Unit Rehabilitation Unit

The use of a Post Stroke Checklist (PSC) to identify persistent long-term problems amongst post stroke survivors

To Establish a Database Recording Patient Outcomes Post Botulinum Toxin Injection for Spasticity from Chronic Neurological Conditions Retrospective Audit of Medication Use in Patients who have suffered Traumatic Brain Injury and have been admitted to the ERR Traumatic Brain Unit Rehabilitation Unit

Michael Ponsford Audit of Elective Joint Replacement and Hip Fracture Rehabilitation Outcomes

Completed Projects

Researcher Project Title

John Olver A Phase III multicentre double-blind prospective randomized placebo controlled study assessing the efficacy and safety of Dysport used for the treatment of lower limb spasticity in adult subjects with hemiparesis due to stroke or traumatic brain injury

A Phase III prospective multicentre open label extension study to assess the long term safety and efficacy of repeated treatment of Dysport intramuscular injection in the treatment of lower limb spasticity in adult subjects with spastic hemiparesis due to stroke or traumatic brain injury

Fran Wise Attitudes to Obesity in Cardiac Rehabilitation Health Professionals (Paper currently in-press)


In Progress Projects

Jeremy Buckmaster and Casey Brownlie: A pilot study to evaluate a Road Trauma Education Program

Objectives To determine the effectiveness of a road trauma program in changing the attitudes towards road safety of secondary school students. As clinicians working within the Acquired Brain Injury Rehabilitation unit at Epworth HealthCare, we recognise the significant impact and far reaching consequences that road trauma has on not only patients but their families and their extended community. Since 2009, it is recognised that patients admitted post road trauma were typically aged under twenty-five with the highest sub group being males aged nineteen to twenty one. This supports consideration of educational programs targeting adolescents. The current study aims to evaluate the effectiveness of an existing road trauma program aimed at school aged students. It also aims to determine the effectiveness of the existing road trauma program with the addition of personal accounts of trauma from rehabilitation staff and TBI patients. Collaborating Organisations Term Grants Investigators

EMReM 2011 – 2014

Epworth Research Grant (2010): $10,000

Jeremy Buckmaster (PI) Casey Brownlie (PI) John Olver Bianca Fedele

Bianca Fedele: Investigating the nature of the circadian sleep wake cycle and sleep architecture in patients in post-traumatic amnesia following traumatic brain injury: a pilot study

Objectives This will be a pilot study investigating the nature of the circadian sleep wake cycle and sleep architecture for patients in PTA compared to post-PTA resolution following a moderate to severe TBI. The aims of this (pilot) study are to gain essential information from a small cohort to allow the design of a larger scale study.


EMReM Epworth Rehabilitation, Richmond

07 June 2012 – 07 June 2014

Epworth Research Institute (2012-2013): $6,251

Bianca Fedele (PI) John Olver Michelle Caldecott Robert Giles


John Olver: A Randomized Double-Blind, Placebo Controlled, Multicenter, Phase 3 Study to Evaluate the Cardiovascular Safety of Naldemedine for

the Treatment of Opioid-induced Constipation in Subjects with Non-malignant Pain Receiving Opioid Therapy

Objectives The study objective is to evaluate the long-term safety of naldemedine for the treatment of constipation due to opioid therapy. The primary aim is to evaluate the cardiovascular safety profile of naldemedine and placebo in subjects with non-malignant chronic pain receiving a stable opioid therapy regimen for ≥ 1 month and having opioid-induced constipation (OIC). Collaborating Organisations Term Grants Investigators Epworth HealthCare EMReM

August 2014 - onwards Funded by sponsor

John Olver (PI) Stephen de Graaff (SI)2 Clare Orme Catherine Savage

John Olver: Retrospective Audit of Medication Use in Patients who have suffered Traumatic Brain Injury and have been admitted to the ERR Traumatic

Brain Unit Rehabilitation Unit

Objectives The aim of the present study is to rationalize the use of medication and review practice in line with evidence-based guidelines. Francisco et al. (2007) reported that for neurobehavioral impairments post traumatic brain injury (TBI) randomised control trials do not exist for every scenario and therefore consensus and best practice guidelines are needed. Therefore, the use of medication and practice will be measured against Francisco et al. report of current medication preferences for managing neurobehavioral sequelae of TBI. An additional aim is to utilize the database as a teaching tool regarding medication use post traumatic brain injury. This may result in a reduction in the use of potential harmful psychoactive drugs in patients with traumatic brain injury.

Collaborating Organisations Term Grants Investigators EMReM Epworth Rehabilitation, Richmond

01 Jan 2003 – 31 Dec 2015

Nil

John Olver (PI) Rose Acher Bianca Fedele

2 SI = Sub-Investigator


John Olver: The use of a Post Stroke Checklist (PSC) to identify persistent long-term problems amongst post stroke survivors Objectives This research project aims to identify the frequency of commonly reported long-term problems in Australian stroke survivors using a

scale known as the Post Stroke Checklist (PSC). The PSC consists of 11 long term issues that patients can experience post stroke (e.g. pain, mood, cognitive, communication etc) and identifies the appropriate course of action for each issue. The PSC has been designed to identify common long-term issues and enable a more appropriate mechanism for care for post stroke survivors. A secondary aim is to determine patients’ overall satisfaction with the PSC. This study intends to recruit 300 patients who were admitted to the Acute Stroke Unit at the Alfred Hospital or the Acute Stroke Program at Epworth HealthCare. Collaborating Organisations Term Grants Investigators EMReM Epworth HealthCare The Alfred Hospital

27 Mar 2014 – 27 Mar 2016 (Epworth) 10 Apr 2014 – 27 Mar 2016 (Alfred)

Nil

John Olver (PI) Judith Frayne Richard Gerraty Bianca Fedele Kelly Bertram Jorge Zavala

John Olver: To Establish a Database Recording Patient Outcomes Post Botulinum Toxin Injection for Spasticity from Chronic Neurological Conditions Objectives The present study has collected data since September 2009 when the Spasticity Clinic commenced. The Spasticity Clinic runs bi-

weekly where patients are reviewed and evaluated. Treatment is then initiated which may involve physiotherapy, occupational therapy, splinting or the use of Botulinum Toxin if spasticity is seen to be a significant problem. Patients are then reviewed at 8 weeks after the treatment starts to determine their response and measure their outcomes. Baseline and follow-up data are collected through the Spasticity Management Clinic form which is as per normal patient evaluation. The study aims to optimize treatment protocols including muscle selection and dose ranges to achieve better outcomes and greater goal achievement for patients. It also aims to use the database to refine outcome measures of function post Botulinum Toxin injection. Collaborating Organisations Term Grants Investigators EMReM Epworth Rehabilitation, Richmond

01 Jan 2009 – Ongoing Nil

John Olver (PI) Gavin Williams Claire Swanton Jeremy Buckmaster Kathy Howley Elizabeth Moore Rachel Suda/Bianca Fedele


Michael Ponsford: Audit of Elective Joint Replacement and Hip Fracture Rehabilitation Outcomes

Objectives To monitor complications and measure functional outcome of patients coming to rehabilitation after hip and knee replacement and hip fracture. We will also be looking at establishing a protocol for prophylaxis of thromboembolism. In addition, it is expected the current study will assist in optimizing future rehabilitation programs to achieve best functional outcomes e.g. length of stay, discharge destination and complications.

Collaborating Organisations Term Grants Investigators EMReM Epworth Rehabilitation

01 Jan 2004 – Ongoing Nil

Michael Ponsford (PI) John Olver Bianca Fedele


Completed Projects

John Olver: A Phase III multicentre double-blind prospective randomized placebo controlled study assessing the efficacy and safety of Dysport used for the treatment of lower limb spasticity in adult subjects with hemiparesis due to stroke or traumatic brain injury

Objectives The primary study objective is to assess the efficacy of Dysport compared to placebo at Week 4 on the change from baseline in the gastrocnemius-soleus complex (GSC) muscle tone (knee extended) in hemiparetic subjects with lower limb spasticity due to stroke or traumatic brain injury. The secondary study objectives will include assessments of the efficacy of Dysport compared to placebo on changes in the Physician’s Global Assessment (PGA). Collaborating Organisations Term Grants Investigators Epworth HealthCare Epworth Monash Rehabilitation Medicine Unit (EMReM)

13 Jun 2012 – 20 Dec 2013

Funded by sponsor (Ipsen)

John Olver (PI) Steve de Graaff (SI) Barry Rawicki (SI) Bianca Fedele/Catherine Savage Bernadette Dornom Elizabeth Moore Paul Fairbank Nataliya Shkuratova

John Olver: A Phase III prospective multicentre open label extension study to assess the long term safety and efficacy of repeated treatment of Dysport

intramuscular injection in the treatment of lower limb spasticity in adult subjects with spastic hemiparesis due to stroke or traumatic brain injury

Objectives The primary study objective is to assess the long term safety of Dysport in hemiparetic subjects with lower limb spasticity due to stroke or traumatic brain injury over repeated treatment cycles. Collaborating Organisations Term Grants Investigators Epworth HealthCare Epworth Monash Rehabilitation Medicine Unit (EMReM)

22 June 2013 – 20 Dec 2014

Funded by sponsor (Ipsen)

John Olver (PI) Steve de Graaff (SI) Barry Rawicki (SI) Bianca Fedele/Catherine Savage Bernadette Dornom Elizabeth Moore Paul Fairbank Nataliya Shkuratova


Fran Wise: Attitudes to Obesity in Cardiac Rehabilitation Health Professionals

Objectives Studies have suggested that health professionals’ negative attitudes can generate disparities in the delivery of health services and interfere with the implementation of effective obesity prevention efforts. The aim of this project is to identify the attitudes and beliefs of Cardiac Rehabilitation health professionals toward overweight/obese patients, and compare these to a cohort of non-Cardiac Rehabilitation health professionals working in other areas of rehabilitation. All clinical rehabilitation staff at Epworth and Caulfield Hospitals, in addition to members of the Victorian Association of Cardiac Rehabilitation, will be invited to complete an anonymous on-line survey that includes questionnaires measuring beliefs and attitudes regarding obesity, in addition to a measure of empathy.

Collaborating Organisations Term Grants Investigators EMReM Epworth HealthCare, Richmond Cardiac Rehabilitation Unit, Caulfield Hospital

13 Jun 12 – 01 Dec 12

Nil

Frances Wise (PI) John Olver


Publications in Refereed Journals Papers Attributed to Epworth HealthCare and Monash University (Publications from Researchers associated with Epworth Monash Rehabilitation Medicine Unit)

1. Gutenbrunner, C., Bethge, M., Stucki, G., Li, J., Lains, J., Olver, J., Frontera, W., von Groote, P.,

Giustini, A. & Imamura, M. 2014, 'Dissemination, analysis, and implementation of the world report on disability: the roadmap of the international society for physical and rehabilitation medicine', American Journal of Physical Medicine & Rehabilitation, vol. 93, no. 1 Suppl 1, pp. S68-72.

2. Imamura, M., Gutenbrunner, C., Stucki, G., Li, J., Lains, J., Frontera, W., Olver, J., Özçakar, L.,

Delisa, J. & Melvin, J. 2014, ‘The International Society of Physical and Rehabilitation Medicine (ISPRM): The way forward II’, Journal of Rehabilitation Medicine, vol. 46, pp.97-107.

3. Kinsella, G.J., Olver, J., Ong, B., Gruen, R. & Hammersley, E. 2014, ‘Mild Traumatic Brain Injury in Older Adults: Early Cognitive Outcome’, The Journal of the International Neuropsychological Society, Pre publish, available on line, doi: 10.1017/S1355617714000447

4. Migliorini, M., Callaway, L. & New, P. 2013, ‘Preliminary investigation into subjective well-being,

mental health, resilience, and spinal cord injury’, The Journal of Spinal Cord Medicine, vol. 36, no. 6, pp. 660-665.

5. New, P.W. 2014, ‘Reducing process barriers in acute hospital for spinal cord damage patients

needing spinal rehabilitation unit admission’, Spinal Cord, vol. 52, no. 6, pp. 472-476. 6. New, P.W. & Astrakhantseva, I. 2014, ‘Rehabilitation outcomes following infections causing spinal

cord myelopathy’, Spinal Cord, vol. 52, no. 6, pp. 444-448.

7. New, P.W. & Marshall, R. 2014, ‘International Spinal Cord Injury Data Sets for non-traumatic spinal cord injury’, Spinal Cord, vol. 52, no. 2, pp. 123-132.

8. New, P.W., Cripps, R.A. & Lee, B.B. 2014, ‘Global maps for non-traumatic spinal cord injury epidemiology: towards a living data repository’, Spinal Cord, vol. 52, no. 2, pp. 97-109.

9. New, P.W., Scivoletto, G., Smith, É., Townson, A., Gupta, A., Reeves, R.K., Post, M.W.M, Eriks-Hoogland, I. & Gill, Z.A. 2013, ‘International survey of perceived barriers to admission and discharge from spinal cord injury rehabilitation units’, Spinal Cord, vol. 51, no. 12, pp. 893-897.

10. New, P.W., Andrianopoulos, N., Cameron, P.A., Olver, J.H. & Stoelwinder, J.U. 2013, ‘Reducing

the length of stay for acute hospital patients needing admission into inpatient rehabilitation: a multicentre study of process barriers’, Internal Medicine Journal, vol. 43, no.9, pp.1005-1011.

11. Ponsford, J., Downing, M., Olver, J., Ponsford, M., Acher, R., Carty, M. & Spitz, G. 2014,

‘Longitudinal follow-up of patients with traumatic brain injury: Outcome at 2, 5, and 10-years post-injury, Journal of Neurotrauma, vol. 31, no. 1, pp.64-77.


12. Vervoordeldonk, J.J., Post, M.W.M, New, P.W. & Van Asbeck, F.W.A. 2013, ‘Rehabilitation of patients with non-traumatic spinal cord injury in the Netherlands: aetiology, length of stay and functional outcome’, Topics in Spinal Cord Injury Medicine, vol. 19, no. 3, pp. 195-201.

13. Wise, F.M. & Olver, J.H. 2013, ‘A 66-year-old male with multiple cerebral and cerebellar infarcts

due to idiopathic Hypereosinophilic Syndrome’, Journal of Clinical Neuroscience, vol. 20, no.10, pp.1442-1443.

Papers Attributed to Epworth HealthCare 1. Foo, J., Paterson, P., Williams, G. & Clark, R. 2013, ‘Low-cost evaluation and real-time feedback of

static and dynamic weight bearing asymmetry in patients undergoing in-patient physiotherapy rehabilitation for neurological conditions’, Journal of NeuroEngineering and Rehabilitation, vol. 10, pp. 1-8.

2. Hill, B., Kahn, M., Pallant, J. & Williams, G. 2014, ‘Assessment of the internal construct validity of

the revised High-level Mobility Assessment Tool for traumatic orthopaedic injuries’, Clinical Rehabilitation, vol. 28, no. 5, pp. 491 - 498.

3. Wells, C., Kolt, G., Marshall, M. & Hill, B. & Bialocerkowski, A. 2014, ‘The effectiveness of Pilates

exercise in people with chronic low back pain: A systematic review’, PLOS One, vol. 9, no. 7, pp.1-14.

4. Wells, C., Kolt, G.S., Marshall, M., Hill, B. & Bialocerkowski, A. 2013, ‘Can Systematic Review

Findings on Treatment Effectiveness Be Trusted? The Case of Pilates Exercise and Chronic Low Back Pain’, Journal of Yoga and Physical Therapy, vol. 3, no. 4, pp. 1-2.

5. Williams, G., Lai, D, Schache, A. & Morris, M. 2014, ‘Classification of Gait Disorders Following TBI’,

Pre publish, available on line, doi: 10.1097/htr.0000000000000038 6. Williams, G., Hill, B. & Kahn, M. 2014, ‘The concurrent validity and responsiveness of the high-

level mobility assessment tool for mobility limitations in people with multitrauma orthopedic injuries’, PM & R, vol. 6, no. 3, pp. 235-40.

7. Williams, G., Schache, A. & Morris, M. 2013, ‘Self-selected walking speed predicts ability to run

following traumatic brain injury’, Journal of Head Trauma Rehabilitation, vol. 28, no. 5, pp. 379-385.

8. Williams, G., Schache, A. & Morris, M. 2013, ‘Mobility following TBI: relationships with ankle joint

power generation and motor skill level’, Journal of Head Trauma Rehabilitation, vol. 28, no. 5, pp. 371-78.


Book Chapters 1. Bickenbach, J., Boldt, I., Brinkhof, M., Chamberlain, J., Cripps, R., Fitzharris, M., Lee, B., Marshall,

R., Meier, S., Neukamp, M., New, P., Nicol, R., Officer, A., Perez, B., von Groote, P. & Wing, P. 2013, ‘A global picture of spinal cord injury’, in Bickenbach, Officer, Shakespeare & von Groote (ed.), International Perspectives on Spinal Cord Injury, WHO, Geneva, Chapter 2, pp. 11-42.

2. Bodine, C., Burne, B., Burns, A., Cardenas, D., Craven, C., Harvey, L., Inglis, G., Jensen, M., Jessup, N., Kennedy, P., Krassioukov, A., Levi, R., Li, J., Lukersmith, S., Marshall, R., Middleton, J., Morris, C., New, P., Officer, A., Snoek, G. & Xiong, X. 2013, ‘Health care and rehabilitation needs’ in Bickenbach, Officer, Shakespeare, von Groote (ed.), International Perspectives on Spinal Cord Injury, WHO, Geneva, Chapter 4, pp. 65-92.

3. Brown, B., Campbell, R., Coetzee, G., Fitzharris, M., Hoque, F., Katoh, S., Kobusingye, O., Li, J., Marshall, R., Mikton, C., New, P., Officer, A., Ohry, A., Seirlis, A., von Groote, P., Wang, D., Weerts, E., Wee, J. & Zeilig, G. 2013, ‘Prevention of spinal cord injury’ in Bickenbach, Officer, Shakespeare, von Groote (ed.), International Perspectives on Spinal Cord Injury, WHO, Geneva, Chapter 3, pp. 43-64.

4. Kinsella, G.J., Olver, J., Ong, B., Hammersley, E. & Plowright, B. 2014, ‘Traumatic Brain Injury in Older Adults: Does Age Matter?’, in Levin, Shum & Chan (ed.), ‘Understanding Traumatic Brain Injury: A Review of the Research and Future Directions’, Oxford University Press, USA, Chapter 16, pp.356-369.

Abstracts

1. Williams, G., Kahn, M. & Randall, A. 2013, ‘Strength training for mobility in neurological rehabilitation is not task-specific: A focused review’, American Journal of Physical Therapy and Rehabilitation, vol. 28, no. 1S, pp. 1075.

2. Wise, F., Harris, D., Sheppard, R. & Patrick, J. 2014, ‘Eating Behaviours and Predicting Weight Loss

in Cardiac Rehabilitation Patients’, Global Heart, vol. 9, no. 1S, pp. e160.


Presentations Invited Presentations 1. Brownlie, C. & Buckmaster, J. 2014, ‘Road Trauma Education: Creating greater understanding of

‘choices and consequences’ in adolescents’, Alfred ICU special interest group, 6th June 2014. Melbourne, Australia.

2. Buckmaster, J. & Brownlie, C. 2014, ‘Road Trauma Education: Creating greater understanding of ‘choices and consequences’ in adolescents’, Epworth Rehabilitation Richmond ABI Team Meeting, 27th February 2014. Melbourne, Australia.

3. Buckmaster, J. & Brownlie, C. 2014, ‘Road Trauma Education: Creating greater understanding of

‘choices and consequences’ in adolescents’, Presentation to the Traffic safety Education Senior Program Officers, 6th May 2014. Melbourne, Australia.

4. Drummond, M. 2014, ‘An Invisible Problem. The incidence of olfactory impairment following TBI’, Speech Pathology Australia National Conference, 18-21st May 2014. Melbourne, Australia.

5. Hill, B. 2014, ‘Thinking outside the square: To rehab or not to rehab is that the question?’, Alfred Allied Health Trauma conference, April 2014. Melbourne, Australia.

6. Hill, B., Williams, G., Olver, J. & Bialocerkowski, A. 2014, ‘Development of the Brachial Assessment Tool (BRAT) for the Assessment of Activity following Adult Traumatic Brachial Plexus Injury’, Epworth Grand Round, April 2014, Melbourne, Australia.

7. Hill, B. 2014, ‘Assessment of upper limb peripheral nerve injury’, National Rehabilitation Registrars Training Day, March 2014, Melbourne, Australia.

8. Hill, B. 2014, ‘What is rehabilitation?’, In-service at The Alfred Hospital Intensive Care Unit (ICU) study day, February 2014, Melbourne, Australia.

9. Hill, B. 2013, ‘Brachial plexus and peripheral nerve injury’, Masterclass at Linking the Chain Biomechanics of the Upper limb 2013 Australian Hand Therapy Association (AHTA) National Conference, 18th October 2013. Lorne, Australia.

10. Hill, B., Williams, G., Olver, J. & Bialocerkowski, A. 2013, ‘Activity Limitations in Adult Traumatic Brachial Plexus Injury based on the ICF Comprehensive Hand Core Set’, Australian Hand Therapy Association WA chapter, July 2013, Perth, Australia.

11. Hill, B. 2013, ‘Brachial Plexus Injury’, In-service at St John of God Rehabilitation, October 2013,

Frankston, Australia.

12. Hill, B. 2013, ‘Scapulothoracic Dissociation. The terrible Tirade’, In-service at Royal Melbourne Hospital, September 2013, Melbourne, Australia.

13. Hill B. 2013, ‘Brachial Plexus outcome assessment’, In-service at National Upper Limb Prosthetic

bi-annual training course Caulfield Rehabilitation Center, June 2013, Melbourne, Australia.


14. New, P.W. 2014, ‘What I learnt from doing a PhD in ‘patient flow through inpatient rehabilitation and potential for improvements’, MONARC (Monash Ageing Research Centre), 30th June 2014. Melbourne, Australia.

15. New, P.W. 2014, ‘Medical and surgical management of spasticity’, Monash Health Spasticity Workshop, 14th June 2014. Melbourne, Australia.

16. New, P.W. 2014, ‘An overview of non-traumatic spinal cord injury’, 1st International & 3rd National conference Physical Medicine & Rehabilitation, 5th April 2014. Rawalpindi, Pakistan.

17. New, P.W. 2013, ‘Clinical Pathway to Treat SCI Patients With Spasticity’, Medtronic Ability

Network Meeting, 27th October 2013. Istanbul, Turkey. 18. New, P.W. 2013, ‘Between a rock and a hard place: The challenge of managing SCI resulting from

earthquakes in developing countries’, 21st Annual Scientific Meeting of the Australasian Faculty of Rehabilitation Medicine (AFRM), 20th September 2013. Sydney, Australia.

19. Olver, J. 2014, ‘Innovations in Stroke Rehabilitation’, 8th World Congress for NeuroRehabilitation

(WCNR) 2014, 8 – 12 April 2014. Istanbul, Turkey. 20. Olver, J. 2014, ‘Outcome across a spectrum of sequelae up to 10 years post Traumatic Brain

Injury (TBI)’, 8th World Congress for NeuroRehabilitation (WCNR) 2014, 8 – 12 April 2014. Istanbul, Turkey.

21. Olver, J. 2014, ‘New Developments in Major Trauma Rehabilitation’, Accident Compensation

Council (ACC) Conference on Rehabilitation, 2nd April 2014. Auckland, New Zealand. 22. Olver, J. 2014, ‘Rehabilitation Focused on High Levels of Activity following Acquired Brain Injury

(ABI)’, Epworth Registrar In-service, 5th March 2014. Melbourne, Australia. 23. Olver, J. 2014, ‘Rehabilitation Focused on High Levels of Activity following Acquired Brain Injury

(ABI)’, 7th International Hokkaido Trauma Conference 2014, 14th January 2014. Hokkaido, Japan.

24. Olver, J. 2013, ‘Between a rock and a hard place – The evolving use of AROC data in TBI audit’,

AROC Brain Injury Benchmarking Workshop, 18th November 2013. Sydney, Australia. 25. John Olver completed a series of Lectures and Workshops with other Epworth HealthCare Staff

between the 10-12th November 2013 for the 2nd Brain Injury Rehabilitation Course 2013 in Malaysia. These included:-

- Olver, J. & Moore, E. 2013, ‘High Level Mobility in Traumatic Brain Injury’, 12th November - Olver, J. 2013, ‘Pharmacological intervention in traumatic brain injury’, 12th November - Olver, J. & Moore, E. 2013, ‘Balance and vestibular disorders in brain injury’, 12th November - Olver, J., Moore, E., Buckmaster, J. & Mealings, M. 2013, ‘Evidence based Research in

Traumatic Brain Injury’, 12th November - Olver, J. & Moore, E. 2013, ‘Spasticity and Mobility in Traumatic Brain Injury’, 11th November


- Olver, J. 2013, ‘Overview of spasticity management in brain injury’, 11th November - Olver, J. 2013, ‘Longterm outcome post traumatic brain injury’, 10th November - Olver, J. 2013, ‘Overview of Traumatic Brain Injury Rehabilitation’, 10th November 26. Olver, J. 2013, ‘Hemiplegic Shoulder Subluxation: How to Manage’, Neuro Rehabilitation Team

In-service, 28th October 2013. Melbourne, Australia.

27. Olver, J. 2013, ‘Clinical Institutes Forum on Epworth’s Growth Strategy: Rehabilitation, Psychiatry and Pain Management Clinical Institute’, Medical Services Strategies Meeting, 11th October 2013. Melbourne, Australia.

28. Olver, J. 2013, ‘Physical Medicine & Rehabilitation Towards the Future’, Asian Congress of Neuro

Rehabilitation (ACNR) 2013, 4th October 2013. Jakarta, Indonesia.

29. Olver, J. 2013, ‘Stroke Rehabilitation and Post Stroke Review’, Asian Congress of Neuro Rehabilitation (ACNR) 2013, 4th October 2013. Jakarta, Indonesia.

30. Olver, J. 2013, ‘Hemiplegic Shoulder Subluxation: How to Manage’, Asian Congress of Neuro

Rehabilitation (ACNR) 2013, 3rd October 2013. Jakarta, Indonesia. 31. Olver, J. 2013, ‘Stroke Rehabilitation:- Post Stroke Review’, Stroke Association of Victoria, 25th

September 2013. Melbourne, Australia. 32. Olver, J. 2013, ‘Medical Physical and Psychosocial Outcomes up to Ten Years Post Traumatic

Brain Injury’, Grand Round – Brain Injury Awareness Week, 14th August 2013. Melbourne, Australia.

33. Olver, J. 2013, ‘Real Time Stroke Outcome Data – Epworth Rehabilitation (2008-22nd June 2013),

Epworth HealthCare Neuro Professional Development Session, 22nd July 2013. Melbourne, Australia.

34. Olver, J. 2013, ‘Background to Spasticity Management’, Ipsen Spasticity Management Seminar,

20-21st July 2013. Melbourne, Australia.

35. Williams, G. 2013, ‘Strength training for walking in neurological rehabilitation is not task-specific: A systematic review’, Presented to the Australian Physiotherapy Association Conference, 17-20th October 2013. Melbourne, Australia.


Free Papers 1. Chow, Y. 2013, ‘Influence of age on functional outcomes in rehabilitation inpatients following a

severe traumatic brain injury’, Annual Australasian Faculty of Rehabilitation Medicine (AFRM) research awards night, 13th November 2013. Melbourne, Australia.

2. New, P.W., Scivoletto, G., Smith, E., Townson, A., Gupta, A., Reeves, R., Post, M.W.M., Eriks-Hoogland, I., Gill, Z.A. & Belci, M. 2013, ‘International survey of perceived barriers to admission and discharge from spinal cord injury rehabilitation units’, International Spinal Cord Society 52nd Annual Meeting, 28-30th October 2013. Istanbul, Turkey.

3. New, P.W., Hidalgo, K., Botting, C., McDougall, K., Dhir, M., Stockman, K. & Liersch, S. 2013, ‘Meeting the challenges in rehabilitation of activity based funding and the drive to improve patient flow as a result of the four hour emergency department treatment rule’, 21st Annual Scientific Meeting of the Australasian Faculty of Rehabilitation Medicine (AFRM), 17-20 September 2013. Sydney, Australia.

4. New, P.W., Warren, N., Walford, K. & Susilo, A. 2013, ‘Exploring the psychological and emotional consequences for spinal cord disease patients experiencing delays in admission into or discharge from rehabilitation: A mixed methods approach’, Australian and New Zealand Spinal Cord Society 20th Annual Scientific Meeting, 23rd August 2013. Sydney, Australia.

5. Williams, G., Lai, D., Schache, A. & Morris, M. 2013, ‘Classification of Gait Disorders Following

Traumatic Brain Injury’, Australian Physiotherapy Association Conference, 17-20th October 2013. Melbourne, Australia.

6. Williams, G., Schache, A. & Morris, M. 2013, ‘Running abnormalities after traumatic brain injury’,

Australian Physiotherapy Association Conference, 17-20th October 2013. Melbourne, Australia.

7. Williams, G., Kahn, M. & Randall, A. 2013, ‘Strength training for mobility in neurological

rehabilitation is not task-specific: A systematic review’, Australian Physiotherapy Association Conference, 17-20th October 2013. Melbourne, Australia.

8. Wise, F., Harris, D. & Olver, J. 2013, ‘Development and Validation of a Brief Cardiac Depression

Scale’, Australian Cardiovascular Health and Rehabilitation Association (ACRA), 23rd Annual Scientific Meeting conference, 12-14th August 2013. Melbourne, Australia.

9. Wise, F., Harris, D. & Olver, J. 2013, ‘Does Anhedonia predict outcomes in cardiac rehabilitation

patients?’, Australian Cardiovascular Health and Rehabilitation Association (ACRA), 23rd Annual Scientific Meeting conference, 12-14th August 2013. Melbourne, Australia.

10. Wise, F., Harris, D., Sheppard, R. & Patrick, J. 2013, ‘Attitudes to Obesity in Rehabilitation

Professionals’, Australian Cardiovascular Health and Rehabilitation Association (ACRA), 23rd Annual Scientific Meeting conference, 12-14th August 2013. Melbourne, Australia.


Posters 1. Hill, B., Williams, G. & Bialocerkowski, A. 2013, ‘Clinimetric evaluation of questionnaires used to

assess activity following traumatic Brachial Plexus Injury in Adults: A systematic review’, at Linking the Chain Biomechanics of the Upper limb 2013 Australian Hand Therapy Association (AHTA) National Conference, 18-20th October 2013. Lorne, Australia.

2. Kahn, M. & Williams, G. 2014, ‘Clinical tests of ankle plantarflexor strength do not predict ankle power generation during walking’, Epworth Research Institute Research Week, 26-30th May 2014. Melbourne, Australia.

3. Murphy, A., New, P., Rawicki, B., Gardiner, R., Cameron, D. & Moreau, M. 2013, ‘Utilising three dimensional gait analysis to optimise mobility outcomes in incomplete spinal cord injuries’, 21st Annual Scientific Meeting of the Australasian Faculty of Rehabilitation Medicine (AFRM), 17-20 September 2013. Sydney, Australia.

4. New, P. & Sharifi, P. 2013, ‘Retrospective study of the outcomes following rehabilitation for degenerative disorders of the vertebral column causing spinal cord damage’, International Spinal Cord Society 52nd Annual Meeting, 28-30th October 2013. Istanbul, Turkey.

5. New, P.W., Stockman, K., Cameron, P.C., Olver, J.H. & Stoelwinder, J.U. 2013, ‘Hypothetical modelling of process changes for improvements to patient flow in rehabilitation’, 21st Annual Scientific Meeting of the Australasian Faculty of Rehabilitation Medicine (AFRM), 17-20 September 2013. Sydney, Australia.

6. Rice, V., Williams, G., Clark, R., Paterson, K. & Byrne, C. 2014, ‘A systematic review: Existing methods for measuring leg strength for mobility performance in neurological populations. Are they clinically adequate?’, Epworth Research Institute Research Week, 26-30th May 2014. Melbourne, Australia.

7. Stolwyk, R., O’Connell, E., Thrift, A.G., Redpath, C., Byrne, E. & New, P.W. 2013, ‘Characterising neurobehavioural change following stroke: preliminary findings’. 21st Annual Scientific Meeting of the Australasian Faculty of Rehabilitation Medicine (AFRM), 17-20 September 2013. Sydney, Australia.

8. Williams, G., Banky, M. & Olver, J. 2014, ‘Distribution of lower limb spasticity does not influence mobility outcome following Traumatic Brain Injury (TBI): An Observational Study’, Epworth Research Week, 26-30th May 2014. Melbourne, Australia.

9. Williams, G., Lai, D., Schache, A. & Morris, M.E. 2014, ‘Classification of Gait Disorders Following Traumatic Brain Injury’, Epworth Research Week, 26-30th May 2014. Melbourne, Australia.

10. Williams, G., Clark, R., Hansson, J. & Paterson, K. 2014, ‘ Feasibility of Ballistic Strengthening Exercises in Neurological Rehabilitation’, Epworth Research Week, 26-30th May 2014. Melbourne, Australia.

11. Williams, G., Lai, D., Schache, A. & Morris, M.E. 2014, ‘Classification of Gait Disorders Following Traumatic Brain Injury’, International Brain Injury Association’s (IBIA) Tenth World Congress on Brain Injury, 19-22nd March 2014. San Francisco, USA.


12. Williams, G., Kahn, M. & Randall, A. 2014, ‘Strength training for mobility in neurological rehabilitation is not task-specific: A systematic review’, International Brain Injury Association’s (IBIA) Tenth World Congress on Brain Injury, 19-22nd March 2014. San Francisco, USA.

13. Williams, G., Kahn, M. & Randall, A. 2013, ‘Strength training for mobility in neurological rehabilitation is not task-specific: A systematic review’, 17th International Movement Disorders Congress, 16-20th June 2013. Sydney, Australia.

14. Wise, F., Harris, D., Sheppard, R. & Patrick, J. 2014, ‘Eating Behaviours and Predicting Weight Loss in Cardiac Rehabilitation Patients’, World Congress of Cardiology, 4-7th May, Melbourne, Australia.

15. Wise, F.M., Harris, D.W. & Olver, J.H. 2014, ‘Longer-term Participation Restriction Following Mild Stroke in the Elderly’, 8th World Congress for NeuroRehabilitation (WCNR) 2014, 8 – 12 April. Istanbul, Turkey.

16. Wise, F.M., Harris, D.W. & Olver, J.H. 2014, ‘Psychosocial Adjustment and its Determinants following Mild Stroke’, 8th World Congress for NeuroRehabilitation (WCNR) 2014, 8 – 12 April. Istanbul, Turkey.

17. Wise, F.M., Harris, D.W. & Olver, J.H. 2014, ‘Acute Predictors of Social Integration following Mild Stroke’, 8th World Congress for NeuroRehabilitation (WCNR) 2014, 8 – 12 April. Istanbul, Turkey.


Research Grants

Researcher Grant / Amount

Peter New Computer modelling of changes to process and systems of care that simulate the potential for improvements in the flow of patients from acute hospital to rehabilitation. RACP 2014 Pfizer Research Entry Scholarship ($35,000)

Gavin Williams

Received RACV Sir Edmund Herring Memorial Scholarship for “TBStrong: Improving Mobility after Traumatic Brain Injury” ($54,000) Received Mr Kingsley Mills Research grant (ERI 2014) for “Neuroplasticity and motor recovery following TBI” ($48,673)

Fran Wise Received Caulfield Hospital Research Grant for “Cognitive change following cardiac rehabilitation” ($10,000)

Courses Completed


John Olver Attended Cleveland Clinic’s Executive Visitors’ Program which included: - reviewing the structure of their research and teaching programs and meeting with rehabilitation staff (March 26-28th 2014)

“Applied Good Clinical Practice (GCP) Training For Investigational Sites And Sponsor Representatives” through the Association of Regulatory and Clinical Scientists (ARCS ) Australia (March, 2014)

Awards


Peter New Henry Burger Prize for Clinical Research (Monash Health Senior Medical Staff). Awarded for the best published clinical research by a member of the Senior Medical Staff, with preference given to work with a strong and direct bearing on clinical medicine. Prize given in relation to the 3 publications during 2013 on patient flow in rehabilitation, which were part of PhD-related work (2013)

John Olver Recipient of a Member in the General Division of the Order of Australia (AM) “for significant service to medicine, particularly the treatment and rehabilitation of acquired brain injuries” (2014)

Fran Wise

Darren Harris

John Olver

Recipients of the People’s Choice Award at the 23rd Annual Australian Cardiovascular Health and Rehabilitation Association (ACRA) conference for the paper “Attitudes to Obesity in Rehabilitation Health Professionals” (2013)


Teaching and Education

Researcher/s Teaching/Education Type

Bridget Hill ‘Amputation or repair’ School of Prosthetics and Orthotics, La Trobe University, Melbourne, Australia

John Olver

Michael Ponsford

Hary Widijaja

Stephen de Graaff

Fortnightly tutorials on Topics in Traumatic Brain Injury, Orthopaedic Injury and Pain Management to Registrars at Epworth Rehabilitation Richmond and Camberwell (2010-Current)

John Olver Professor Olver developed a 6-week inaugural fellowship in traumatic brain injury (TBI) rehabilitation at Epworth HealthCare (which commenced in February 2014). This is a new program introduced at Epworth HealthCare where attendees are introduced to the various facets of multidisciplinary rehabilitation. There have been two attendees to date, both of which reside internationally in Malaysia (2014-onwards)

John Olver

Michael Ponsford

Stephen de Graaff

Monthly in-service on topics in Traumatic Brain Injury, Orthopaedic Injury and Pain Management to all Victorian Registrars (includes in-service for the rehabilitation division) (2010-Current)

Gavin Williams

Guest lecturer at University of Melbourne, La Trobe, ACU, CSU, Victoria University on topics such as:-

- Retraining mobility following TBI

- Retraining high-level mobility and running following

neurological injury

- Physiotherapy management following TBI

- Spasticity management in neurological rehabilitation

- Strength training for neurological clients


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