Preventing Falls

RESEARCH STUDY

PREVENTING FALLS IN OLDER ADULTS WITH COGNITIVE IMPAIRMENT OR DEMENTIA

This study aims to determine whether an individualised exercise and home hazard reduction program can reduce the rates of falls in older people living in the community with cognitive impairment or dementia.

The Intervention program involves:-
• A personal exercise program to improve strength and balance and home hazard reduction program delivered by experienced therapists.
• Support and advice to carers to help their family member/friend to perform the exercises.

Note: As this is a research study only half of the participants will be randomly allocated to receive the intervention program and the other half will not. This will be determined randomly like when tossing a coin.

To participate, you must be:

  • 65 years of age or older
  • English-speaking (due to the assessments we use)
  • Community-dwelling or live in a retirement village
  • Living in the Sydney metropolitan area
  • With cognitive impairment or dementia
  • Has a family member or close friend with regular face-to-face contact (carer) >3.5hrs/week
  • No acute medical illnesses or progressive neurological disease such as Parkinson’s

This study will involve assessments of your fall risk, using measures of strength, balance, vision, reaction time and walking. You will be asked some questions about your general health, physical activities, medication use and falls history.

If you are interested in participating or have any questions, please contact the I-FOCIS Research Team on 02 9399 1851 or by email atiFOCIS@neura.edu.au

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Caress the Detail: A Comprehensive MRI Atlas of the in Vivo Human Brain

This project aims to deliver the most comprehensive, detailed and stereotaxically accurate MRI atlas of the canonical human brain. In human neuroscience, researchers and clinicians almost always investigate images obtained from living individuals. Yet, there is no satisfactory MRI atlas of the human brain in vivo or post-mortem. There are some population-based atlases, which valiantly solve a number of problems, but they fail to address major needs. Most problematically, they segment only a small number of brain structures, typically about 50, and they are of limited value for the interpretation of a single subject/patient. In contrast to population-based approaches, the present project will investigate normal, living subjects in detail. We aim to define approximately 800 structures, as in the histological atlas of Mai, Majtanik and Paxinos (2016), and, thus, provide a “gold standard” for science and clinical practice. We will do this by obtaining high-resolution MRI at 3T and 7T of twelve subjects through a collaboration with Markus Barth from the Centre for Advanced Imaging at the University of Queensland (UQ). The limited number of subjects will allow us to image each for longer periods, obtaining higher resolution and contrast, and to invest the required time to produce unprecedented detail in segmentation. We will produce an electronic atlas for interpreting MR images, both as a tablet application and as an online web service. The tablet application will provide a convenient and powerful exegesis of brain anatomy for researchers and clinicians. The open access web service will additionally provide images, segmentation and anatomical templates to be used with most common MR-analysis packages (e.g., SPM, FSL, MINC, BrainVoyager). This will be hosted in collaboration with UQ, supporting and complementing their population-based atlas.
PROJECT