Portrait of Prof Steve Lord

Research clinics

Portrait of Prof Steve Lord

Fallscreen

What is FallScreen©? FallScreen© is a falls risk calculator and has two forms: a short form and a long form. The short form is designed as a screening instrument suitable for General Practice surgeries, acute hospitals, and long-term care institutions. It takes only 15 minutes to administer and contains five items: a single assessment of vision, peripheral sensation, lower limb strength, reaction time and body sway. The long form is designed as a comprehensive instrument suitable for Rehabilitation and Physical Therapy and Occupational Therapy settings and for dedicated Falls Clinics. It takes 45 minutes to administer and contains 15 items: three assessments of vision (high and low contrast visual acuity and edge contrast sensitivity), three assessments of peripheral sensation (tactile sensitivity, vibration sense and proprioception), assessments of three lower limb muscle groups (knee extensors, knee flexors and ankle dorsiflexors), assessments of both hand and foot reaction time and four assessments of body sway (sway on floor and foam with eyes open and closed). Prof Stephen Lord's Physiological Profile Assessment (PPA) has been marketed through Neuroscience Research Australia (formerly the Prince of Wales Medical Research Institute) as POWMRI FallScreen®. These tools are now used in over 150 research and clinical settings within Australia and across the world, Belgium, Canada, China, Denmark, Finland, Korea, Malta, New Zealand, Norway, Poland, Singapore, Sweden, Switzerland, Taiwan, USA and UK. Click here to download an article on the Physiological Profile Assessment The physiological assessments Visual function is measured using a dual contrast visual acuity chart, the "Melbourne Edge Test" and a device for measuring depth perception. Lower limb sensation is assessed with tests of proprioception, touch sensitivity and vibration sense. The strength of three muscle groups in both legs is measured: the knee flexors and extensors and ankle dorsiflexors. Simple reaction time is assessed using movement of the finger as the response, and choice reaction time is assessed using a step as the response. Body sway on a firm and compliant (foam rubber) surface with eyes open is assessed using a swaymeter that measures displacements of the body at the level of the waist. These assessments are simple, 'low-tech' and readily accepted by older subjects. All have high external validity and test-retest reliability and are described in detail in our published papers (1-7). When combined in multivariate discriminant analyses, we have found that these tests can predict those at risk of falling with 75% accuracy in both community and institutional settings. Short form tests Click here for more information on the long form physiological test battery. The FallScreen© internet program For both the short and long forms, a computer software program assess each person's performance in relation to the normative database complied from large population studies (6,7). The program produces a falls risk assessment report for each subject which includes the following four components: a graph indicating the person's overall falls risk score, a profile of individual test performance results, a table indicting individual test performances in relation to age-matched norms, a written report which explains the results and makes recommendations for improving performances and compensating for any deficit areas identified. The graph indicating the person's overall falls risk score is a single index score based on a discriminant function analysis developed for our research studies which accurately discriminates between elderly fallers and non-fallers. This graph presented the person's falls risk score in relation to persons of the same age and in relation to falls risk criteria ranging from low to extreme. The profile of test performance results presents the subject's scores in each of the tests in standard (z score) format. As the scores have been standardised the test results can be compared with each other. The table indicting individual test performances in relation to age-matched norms also identifies deficit areas. Finally, the written report summarises the findings and makes individual recommendations for reducing falls risk. It provides an excellent basis for targeting interventions to improve or compensate for impairments in the following physiological domains: strength, balance, speed and co-ordination, vision, peripheral sensation and therefore reduce the risk of falling in older people. Click here to log into the Fallscreen© website NB: By accessing this software, you acknowledge that you have read, understood and agree to the Terms of Sale and Licence Agreementaccompanying this software. How to obtain a license to use FallScreen© For information about obtaining the test devices, instructor training and internet access to FallScreen©, email: fallscreen@neura.edu.au. Click here for more details about falls assessment kits. Access to the previous Fallscreen© website As of mid 2013 the previous Fallscreen© website has been deprecated. Access to the previous website is still temporarily avaliable. Please note that it is not recommended that you continue to use the previous website as it may be removed at any time. It is recommended that you export all of your existing data from the previous website as soon as possible. Registered users click here to access the previous Fallscreen© website A summary of this research and a demonstration of FallsScreen can be found in the following paper: Lord SR, Menz HB, Tiedemann A. A physiological profile approach to falls risk assessment and prevention. Physical Therapy 2003;83:237-252. PDF

Portrait of Prof Olivier Piguet

Frontier

FRONTIER investigates the neurological, psychological and biological basis of brain function in frontotemporal dementia (FTD) and healthy ageing. More about Research Information regarding referral criteria ARC Centre of Excellence in Cognition and its Disorders Website FRONTIER News FRONTIER Family & Support Person Information Day: 11am-4pm Friday June 10th 2016 This day is open to any family member or carer of a person with Frontotemporal Dementia. To RSVP please email name, contact details and number attending to: s.homewood@neura.edu.au. See program here 2018 ISFTD International Conference awarded to Sydney The bid led by A/Prof Olivier Piguet to host the 2018 International Conference on frontotemporal dementias in Sydney was successful. More information will following in the coming weeks. FRONTIER 2015 Newsletter Read here all the updates and news that has happened through the year here. FRONTIER Executive Screen (FES) The FES (a short bedside screening instrument to test the integrity of executive function) is now available. Muireann Irish awarded L’Oreal Women in Science Fellowship – 9 August 2015 Dr Muireann Irish was awarded a L’Oreal-UNESCO Australia & New Zealand for Women in Science Fellowship. Muireann was selected from over 400 candidates. This prestigious fellowship is in recognition for her work on memory and dementia.More information can be found here:http://loreal.scienceinpublic.com.auand a short video of Muireann speaking about her work is at: http://loreal.scienceinpublic.com.au/memory Prof John Hodges receives life achievement award – 19 July 2015 Professor John Hodges was awarded the Bengt Winblad Lifetime Achievement Award in Alzheimer’s Disease Research for his work in cognition in neurodegenerative conditions. He was presented the award at the opening session at the Alzheimer’s Association Conference in Washington DC, USA. Media release Available now – Revised Younger Onset Dementia (YOD) booklet produced by Alzheimer’s Australia and FRONTIER. Phd Project Opportunities details here FRONTIER Communications Podcasts Listen to Professor Hodges (Ep1 and 2) and Associate Professor Olivier Piguet (Ep 10) discussing dementia, corticobasal syndrome and the ACE Mobile Carers, patients & volunteers One of the aims of FRONTIER is to provide information and support for patients, carers and their families. More about Carers FRONTIER Publications Ahmed, R.M., Irish, M., Henning, E., Dermody, N., Bartley, L., Kiernan, M.C., Piguet, O., Farooqi, S., Hodges, J.R. (in press) Assessment of Eating Behavior Disturbance and Associated Neural Networks in Frontotemporal Dementia. JAMA Neurology, Jan 25. [Epub ahead of print] Kumfor, F., Landin-Romero, R., Devenney, E., Hutchings, R., Grasso, R., Hodges, J.R., Piguet O. (2016) On the right side? A longitudinal study of left- vs. rightl-ateralised semantic dementia. Brain, 139(Pt 3), 986-998. Leyton, C., Britton, A.K., Hodges, J.R., Halliday, G.M., Kril, J.J. (2016) Distinctive pathological mechanism involved in primary progressive aphasias. Neurobiology of Aging, 38, 82-92. Wong, S., Bertoux, M., Savage, G., Hodges, J.R., Piguet, O., Hornberger, M. (in press) Comparison of prefrontal atrophy and episodic memory performance in dysexecutive Alzheimer’s disease and behavioural-variant frontotemporal dementia. Journal of Alzheimer’s Disease, Feb 25. [Epub ahead of print] For other publications click here FRONTIER Resources Younger Onset Dementia (YOD) impacts on thousands of Australians – from the immediate family and friends to those in the community who, often by chance, have to cope with YOD sufferers. Younger Onset Dementia can begin to affect people in their 40’s – in the prime of their lives. The five-chapter, 38 page online booklet produced by the Neuroscience Research Australia (formerly Prince of Wales Medical Research Institute (POWMRI), is based on 20 years of research and is designed to help those living with or exposed to people showing early onset dementia signs as well as those confirmed to already have symptoms. Download the guide here. Test downloads FRONTIER has developed 8 clinical assessments which are freely available. More information and instructions are available here. New ACE mobile available now. Download here. Related Downloads 2016 FTD Information Day Flyer (PDF)