Affiliation: University of Melbourne
- Inactive and alone: physical activity within the first 14 days of acute stroke unit careJulie Bernhardt
National Stroke Research Institute, Austin Health, Heidelberg Repatriation Hospital, Heidelberg, Victoria, Australia
Stroke 35:1005-9. 2004..The purpose of this study was to determine the physical activity patterns of stroke patients managed within acute stroke units as a first step in developing an early mobilization protocol...
- Evolution of brain activation with good and poor motor recovery after strokeLeeanne M Carey
National Stroke Research Institute, Austin Health, Heidelberg West, Victoria, Australia, LaTrobe University, Bundoora, Victoria, Australia
Neurorehabil Neural Repair 20:24-41. 2006..To characterize the evolution of brain activation in stroke patients with variable motor recovery and quantify changes relative to healthy controls...
- Not all stroke units are the same: a comparison of physical activity patterns in Melbourne, Australia, and Trondheim, NorwayJulie Bernhardt
National Stroke Research Institute, Level 1, Neurosciences Building, Heidelberg Repatriation Hospital, 300 Waterdale Road, Heidelberg, 3081 Victoria, Australia
Stroke 39:2059-65. 2008....
- A Very Early Rehabilitation Trial (AVERT)Julie Bernhardt
National Stroke Research Institute, Level 1, Neurosciences Building, Austin Health, Heidelberg Repatriation Hospital, 300 Waterdale Road, Heidelberg Heights, 3081 Vic, Australia
Int J Stroke 1:169-71. 2006
- Mobilization after thrombolysis (rtPA) within 24 hours of acute stroke: what factors influence inclusion of patients in A Very Early Rehabilitation Trial (AVERT)?Linnéa Muhl
AVERT, Early Intervention Research Program, The Florey Institute of Neurosciences and Mental Health, Austin Campus, 245 Burgundy St, Heidelberg 3084, Vic, Australia
BMC Neurol 14:163. 2014..Patients treated with rtPA can be recruited if the physician allows (447 included to date). This study aimed to identify factors that might influence the inclusion of rtPA treated patients in AVERT...
- A qualitative exploration of discharge destination as an outcome or a driver of acute stroke careJulie A Luker
international Centre for Allied Health Evidence, University of South Australia, GPO Box 2471, 5000 Adelaide, South Australia
BMC Health Serv Res 14:193. 2014..This qualitative study was part of a larger mixed methods study...
- Does evidence really matter? Professionals' opinions on the practice of early mobilization after strokeAnna Sjöholm
Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden
J Multidiscip Healthc 4:367-76. 2011..The evidence base, however, is limited and clear definitions of what constitutes early mobilization are lacking...
- When should rehabilitation begin after stroke?Julie Bernhardt
Florey Institute or Neuroscience and Mental Health, Melbourne, Vic, Australia
Int J Stroke 8:5-7. 2013..But what is 'early', and what kinds of therapies should, or can, we begin soon after stroke onset? In this commentary, some of the barriers and drivers for early rehabilitation research and practice are explored...
- Patients' age as a determinant of care received following acute stroke: a systematic reviewJulie A Luker
international Centre for Allied Health Evidence, University of South Australia, Adelaide, South Australia
BMC Health Serv Res 11:161. 2011..Our aim was to systematically review evidence of the quality of care provided to patients with acute stroke related to their age. Quality of care was determined by compliance with recommended care processes...
- Little therapy, little physical activity: rehabilitation within the first 14 days of organized stroke unit careJulie Bernhardt
National Stroke Research Institute, Austin Health, Heidelberg, Australia
J Rehabil Med 39:43-8. 2007..To examine rehabilitation interventions and resulting physical activity patterns of patients managed in acute stroke units to help inform development of a randomized controlled trial of very early rehabilitation...
- A very early rehabilitation trial for stroke (AVERT): phase II safety and feasibilityJulie Bernhardt
National Stroke Research Institute, Level 1, Neurosciences Building, Heidelberg Repatriation Hospital, 300 Waterdale Rd, Heidelberg, 3081 Victoria, Australia
Stroke 39:390-6. 2008..Very early rehabilitation, with an emphasis on mobilization, may contribute to improved outcomes after stroke. We hypothesized that a very early rehabilitation protocol would be safe and feasible...
- More options and better job security required in career paths of physiotherapist researchers: an observational studyJulie Bernhardt
National Stroke Research Institute, University of Melbourne, Heidelberg Heights, VIC 3081, Australia
Aust J Physiother 54:135-40. 2008..What career paths have physiotherapist researchers taken? What should career paths for physiotherapist researchers look like?..
- The effect of physical activity on cognitive function after stroke: a systematic reviewToby B Cumming
Stroke Division, Florey Neuroscience Institutes, Melbourne, Australia
Int Psychogeriatr 24:557-67. 2012..We aimed to evaluate the relationship between increased physical activity after stroke and cognitive performance...
- 'Better wear out sheets than shoes': a survey of 202 stroke professionals' early mobilisation practices and concernsMonica Skarin
Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at Gothenburg University, Goteborg, Sweden
Int J Stroke 6:10-5. 2011..This study aims to examine different health professionals' concerns regarding early mobilisation in acute stroke. In this study, early mobilisation was defined as frequent out of bed activities within the first 24 h after stroke onset...
- Bed rest or mobilization after rt-PA? A case-crossover study of factors influencing clinical decision making in stroke servicesJason Ha
Florey Neuroscience Institutes, Austin Campus, Heidelberg, Vic, Australia
Int J Stroke 8:172-9. 2013..Treatment with recombinant tissue plasminogen activator is standard care in Australia, but there are no evidence-based practice guidelines about first out of bed activity (mobilization) after recombinant tissue plasminogen activator...
- The NIH stroke scale can establish cognitive function after strokeToby B Cumming
National Stroke Research Institute, Melbourne, Vic, Australia
Cerebrovasc Dis 30:7-14. 2010..Cognitive impairment is an important but underrecognised consequence of stroke. We investigated whether a subset of items from the NIH Stroke Scale (NIHSS) could yield valid information on cognitive status in a group of stroke patients...
- Gender and being born overseas influences the amount of acute stroke therapyLuke Cosgrave
Stroke Division, Florey Neuroscience Institute, Melbourne, Australia
J Rehabil Med 45:130-6. 2013..To identify patient factors that influence the amount, frequency and intensity of physical and occupational therapy received by patients each weekday within 14 days of stroke...
- Very early mobilization after stroke fast-tracks return to walking: further results from the phase II AVERT randomized controlled trialToby B Cumming
Florey Neuroscience Institute, Australia
Stroke 42:153-8. 2011..We hypothesized that introducing earlier and more intensive out-of-bed activity after stroke would reduce time to unassisted walking and improve independence in activities of daily living...
- Changes to volumetric bone mineral density and bone strength after stroke: a prospective studyKaren Borschmann
School of Health Science, LaTrobe University, Melbourne, Victoria, Australia Stroke Division, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Heidelberg, Victoria, Australia
Int J Stroke 10:396-9. 2015..The primary aim of this study is to investigate the time course and magnitude of changes in volumetric bone mineral density within the first year after stroke, and to examine relationships with physical activity and motor recovery...
- Selection for inpatient rehabilitation after severe stroke: what factors influence rehabilitation assessor decision-making?Sharon Hakkennes
School of Physiotherapy, Faculty of Health Sciences, La Trobe University, Melbourne, Australia
J Rehabil Med 45:24-31. 2013..This study aimed to identify factors that assessors considered important in decision-making regarding suitability for inpatient rehabilitation after acute severe stroke...
- Enhancing physical activity in older adults receiving hospital based rehabilitation: a phase II feasibility studyCatherine M Said
Physiotherapy Department, Austin Health, Heidelberg West, Vic, Australia
BMC Geriatr 12:26. 2012..Increased physical activity may improve mobility. The objective of this Phase II study was to evaluate the feasibility of a randomized controlled trial (RCT) of enhanced physical activity in older adults receiving rehabilitation...
- An early mobilization protocol successfully delivers more and earlier therapy to acute stroke patients: further results from phase II of AVERTRenske van Wijk
Florey Neuroscience Institutes, Austin Campus, Melbourne, Australia
Neurorehabil Neural Repair 26:20-6. 2012....
- The importance of cognition to quality of life after strokeToby B Cumming
Stroke Division, Florey Institute of Neuroscience and Mental Health, Melbourne, 3084, Australia Department of Florey, University of Melbourne, Melbourne, 3084, Australia Electronic address
J Psychosom Res 77:374-9. 2014..There is some evidence that post-stroke cognitive impairment is associated with poor quality of life, but the relative importance of deficits in different cognitive domains has not been established...
- Measuring activity levels at an acute stroke ward: comparing observations to a deviceSharon F Kramer
Stroke Division, Florey Neuroscience Institute, 245 Burgundy Street, Heidelberg, Melbourne, VIC 3084, Australia School of Physiotherapy, La Trobe University, Melbourne, VIC 3086, Australia
Biomed Res Int 2013:460482. 2013..Our aim was to establish whether a device containing a dual-axis accelerometer provides similar information to behavioural mapping on physical activity patterns early after stroke...
- Cutting a long story short: reaction times in acute stroke are associated with longer term cognitive outcomesToby B Cumming
Stroke Division, Florey Neuroscience Institutes, Melbourne, Australia
J Neurol Sci 322:102-6. 2012..We aimed to test whether acute measures of attention correlate with attentional function at 3 months post-stroke...
- Australian Clinical Guidelines for Acute Stroke Management 2007Kelvin Hill
National Stroke Foundation, Melbourne, Vic, Australia
Int J Stroke 3:120-9. 2008
- The modified Rankin Scale in acute stroke has good inter-rater-reliability but questionable validityHenry Zhao
School of Medicine, University of Melbourne, Victoria, Australia
Cerebrovasc Dis 29:188-93. 2010..We prospectively studied the interrater reliability of the mRS in acutely hospitalised stroke patients and examined the effect of prior experience with the scale and use of a decision tool on the interrater agreement of trained raters...
- The montreal cognitive assessment: short cognitive evaluation in a large stroke trialToby B Cumming
National Stroke Research Institute, Florey Neuroscience Institutes, Melbourne, Australia
Stroke 42:2642-4. 2011..Cognitive function is often ignored in stroke research trials. The brief Montreal Cognitive Assessment (MoCA) may be sensitive to stroke-related cognitive deficits...
- Hemispatial neglect and rehabilitation in acute strokeToby B Cumming
National Stroke Research Institute, 300 Waterdale Rd, Heidelberg Heights, Victoria 3081, Australia
Arch Phys Med Rehabil 90:1931-6. 2009....
- The effect of very early mobilisation after stroke on psychological well-beingToby B Cumming
Neurosciences Building, Heidelberg Repatriation Hospital, 300Waterdale Rd, Heidelberg Heights, Victoria 3081, Australia
J Rehabil Med 40:609-14. 2008..The immobility common to patients after acute stroke has the potential to increase negative mood symptoms. We evaluated the effect of very early mobilization after stroke on levels of depression, anxiety and irritability...
- Exercise preferences are different after strokeGeraldine Banks
School of Physiotherapy, La Trobe University, Melbourne, VIC 3086, Australia
Stroke Res Treat 2012:890946. 2012..Conclusion. Stroke survivors have different exercise preferences, and a better understanding of these preferences can be used to inform rehabilitation programs and increase adherence...
- Stroke rehabilitation in China: a systematic review and meta-analysisWen wen Zhang
The Florey Institute of Neuroscience and Mental Health, Austin Campus, Melbourne, Australia
Int J Stroke 9:494-502. 2014..Poststroke rehabilitation is not standard in China, and trials with no treatment controls have been possible. We believed aggregation of these data represented a unique opportunity to examine the 'effect size' of this intervention...
- Quality of life: an important outcome measure in a trial of very early mobilisation after strokeKaren Tyedin
School of Physiotherapy, La Trobe University, Melbourne, Australia
Disabil Rehabil 32:875-84. 2010..03 adjusted for age; p = 0.04 adjusted for stroke severity). Conclusions. VEM may help improve long-term quality of life after stroke, particularly in relation to functional independence, but this requires further examination...
- Commentary on Arias M & Smith L (2007) Early mobilization of acute stroke patients. Journal of Clinical Nursing 16, 282-288Fiona Ellery
Neuroscience Trials Australia, Melbourne, Vic, Australia
J Clin Nurs 17:1957-8; discussion 1958. 2008
- Are patients with intracerebral haemorrhage disadvantaged in hospitals?Renee Sheedy
Barwon Health, Geelong, Vic, Australia La Trobe University, Melbourne, Vic, Australia
Int J Stroke 9:437-42. 2014....
- Physical activity and sedentary behaviors in people with stroke living in the community: a systematic reviewCoralie English
C English, PhD, School of Health Sciences CEA 14, international Centre for Allied Health Evidence, University of South Australia, PO Box 2471, Adelaide, South Australia 5001, Australia, and Stroke Division, Florey Institute of Neurosciences and Mental Health, Melbourne, Victoria, Australia
Phys Ther 94:185-96. 2014..The pattern in which sedentary time is accumulated is important-with prolonged periods of sitting time being particularly deleterious. People with stroke are at high risk for cardiovascular disease, including recurrent stroke...
- Physical activity patterns of acute stroke patients managed in a rehabilitation focused stroke unitTanya West
School of Health Sciences, La Trobe University, Melbourne, VIC 3086, Australia Physiotherapy Department, Royal Perth Hospital, Perth, WA 6000, Australia
Biomed Res Int 2013:438679. 2013..This study describes the physical activity undertaken by patients within 14 days after stroke admitted to a comprehensive stroke unit...
- Acute stroke patients--early hospital managementHelen M Dewey
Inpatient Stroke Services, Austin Health, Melbourne, Victoria
Aust Fam Physician 36:904-12. 2007..Patients with acute stroke have improved outcomes when managed in a stroke unit providing multidisciplinary care, including early rehabilitation...
- Stepping towards prevention of bone loss after stroke: a systematic review of the skeletal effects of physical activity after strokeKaren Borschmann
Melbourne Brain Centre, Florey Neuroscience Institutes, Heidelberg, Vic, Australia
Int J Stroke 7:330-5. 2012..Interventions are likely to be beneficial if implemented soon after stroke, when bone loss appears to be rapid and pronounced...
- Motor impairment and recovery in the upper limb after stroke: behavioral and neuroanatomical correlatesLeeanne M Carey
National Stroke Research Institute, Austin Health, Level 2, Neurosciences Building, Banksia St, Heidelberg West, Victoria, Australia 3081
Stroke 36:625-9. 2005..We therefore aimed to characterize the relationship between motor impairment, motor recovery, and task-related changes in regional cerebral blood flow (DeltarCBF) longitudinally...
- Strapping the hemiplegic shoulder prevents development of pain during rehabilitation: a randomized controlled trialAmy Griffin
Cedar Court Rehabilitation Hospital and Broadmeadows Health Service, Broadmeadows, Victoria, Australia
Clin Rehabil 20:287-95. 2006..To determine whether strapping (therapeutic or placebo) the 'at risk' shoulder prevented or delayed development of hemiplegic shoulder pain better than standard care...
- Mobilisation 'in bed' is not mobilisationJulie Bernhardt
Cerebrovasc Dis 24:157-8; author reply 159. 2007