Professor Coralie English
Professor
School of Health Sciences
- Email:coralie.english@newcastle.edu.au
- Phone:(02) 4913 8102
Placing lived experience at the centre of stroke research
Professor Coralie English is working with multidisciplinary, global collaborations to improve the lives of people living with stroke.
Coralie centres people with lived experience of stroke in every stage of her research and practice. Essential to her practice is gathering a collaborative team: whether it’s locally in the lab, over coffee mornings, research Roundtables or through international collaborations. Coralie knows that the best research is a group effort well-led.
“What really excites me about the work that I do is having the opportunity to work on projects and ideas that will help improve the lives of people living with stroke,” Coralie says. “I love that I have the opportunity to work with the real stroke experts - people living with stroke.”
Working as a clinician in a hospital inspired Coralie to get into research. “Back then I’d be treating people and thought ‘This can’t be all that we do. There must be better ways of helping people…’”
“The work I’m doing now around physical activity very much draws on my physiotherapy-specific skills,” Coralie says. “I love working in multi-disciplinary team and I quite like it when people at conferences ask: ‘What were you trained in?’”
“There’s actually not a forma; speciality for stroke in medicine: you can be a neurologist, or a geriatrician or a rehabilitation physician working in stroke,” Coralie explains. “So there’s a great term that doctors often use where they talk about being a ‘Strokeologist’, which isn’t a real term but I quite like thinking of myself as a Strokeologist and an Enthusiologist,” Coralie adds.
Living guidelines for better outcomes
As Co-Chair of the Stroke Clinical Guidelines, Coralie oversaw the development of the world’s first Living Clinical Guideline for Stroke. After the most recent static update of the Guidelines that happened between 2015-2017, the Stroke Foundation was awarded MRFF funding to test an Australian-first model of Living Clinical Guidelines, and Coralie continued in her Co-Chair role to oversee this work. “We always knew that the problem with static guidelines was that they become out-of-date so quickly.”
“They’ve now been rebranded as the Australian and New Zealand Guidelines and we’ve already demonstrated that we’ve made real savings to lives and reduced costs in stroke care,” Coralie adds. “These are the only living stroke guideline in the world, and was the first Australian living guideline for any condition, and they’re now being accessed by people world-wide”.
“As well as being regularly updated, they’re linked to the Stroke Foundation’s clinical audit projects, meaning we can constantly audited how well we are doing in getting best evidence treatments and care to people with stroke.”
A recent consumer-led initiative honed-in on which of the recommendations should be a priority for research and implementation. “We asked the consumers ‘which guidelines should we really be focussing on?’”
Active listening gets results
It’s through hearing from people living with stroke that Coralie’s research gathers momentum. One in four people worldwide will have a stroke in their lifetime, with almost half of those likely to have further strokes. Coralie’s research hinges on the fact that recurrent strokes are largely preventable, with physical activity and diet being the key modifiable risk factors.
This is why Coralie, a trained physiotherapist, works closely with dietitians, clinicians and (again) most importantly – people living with stroke. Which is where the latest part of her research comes in. Up to 80% of people who’ve had a stroke suffer debilitating fatigue which not only significantly impacts their quality of life – it also impedes their ability to exercise and even eat well.
Which is why it’s consistently rated a top research priority for people living with stroke.
“The thing about working with stroke survivors is that it’s changed what I’m working on with my research as well,” Coralie adds. “Fatigue is a major issue for so many people but it’s something that nobody’s really known how to address. We’re now stepping up into that space and working on how to tackle it.”
Coralie is also developing the i-REBOUND website, partnering with the Stroke Foundation and people living with stroke to showcase resources to assist people with stroke to move more and eat well.
A multi-faceted approach
“There’s huge variations in how people are impacted by stroke, because no two brains are the same and everyone’s brain is affected by stroke differently,” Coralie says. “But I think there’s complexities in every disease group and often the hidden disabilities are more difficult to deal with as well.”
“For people living with stroke, language and communication difficulties can be overwhelming. However, thanks to the work of the Stroke Foundation and the Centre for Research Excellence in Aphasia – there’s been a massive change in how we can work on this,” Coralie says. “It’s now no longer acceptable to exclude people with aphasia from research because you’re unsure if they can give informed consent.”
Rachael Peak is a member of Coralie’s team who’s a stroke survivor living with aphasia. “Ray brings so much to our team,” says Coralie. “As both a team member and part of the advisory group. Having her in the team shows us every day that people with stroke are not just their stories and can make a valuable contribution to research. She also reminds us of our need to concentrate on our communication and slow down, pause and give people time to respond.”
It was another team member, researcher and consumer advocate Gillian Mason, who got Coralie thinking about working first-hand with stroke survivors. “Working with our “Stroke Experts” (which I what I call survivors) has really improved what we’re doing. They’ve informed us on how to best present information around using diet and exercise to keep people healthy – and what we can do to empower people to live a better life.”
Leadership through sponsorship
Balancing a range of leadership roles at the University, HMRI and the local health district, Coralie embraces the opportunity to support others along the way. “Being known as a leader of a team that’s collegiate and supportive means that people want to join it, so that you have that critical mass of people that support each other,” Coralie says.
“One of the lovely things about working as Deputy Head of School for Research in my school is seeing what can be done with just a little bit of nudging around equity and diversity,” Coralie says.
“When you’ve got true champions in leadership positions it doesn’t take much to suggest trying to do something in a different way and see it make a big difference.”
With team member based in Newcastle, Sydney and Melbourne, along with international collaborators – Coralie has big plans. For big results. “We need to bring teams together not just locally, but nationally and internationally to address these issues at a national and international level.”
Placing lived experience at the centre of stroke research
Professor Coralie English is working with multidisciplinary, global collaborations to improve the lives of people living with stroke.
Career Summary
Biography
Professor Coralie English is a leading Stroke Researcher who centres the patient in all her research. Working collaboratively in Australia and internationally, Professor English co-led the development of the world’s first Living Guidelines for Stroke. Continually updated by the Stroke Foundation in line with new research, these guidelines inform best practice in stroke treatment and clinical care and have been implemented nationally and globally.
People living with stroke drive Professor English’s work, and she is currently working to understand and address the impact of fatigue in recovery and rehabilitation after stroke. Professor English has been collaborating with international stroke researchers as part of the Stroke Recovery and Rehabilitation Roundtables since 2016. She played an instrumental role in setting up the International Stroke Rehabilitation and Recovery Alliance and led the group investigating what the flagship projects would look like and setting the priorities for high- and low-income countries.
Professor English has been working alongside a leading Professor Gillian Mead in the UK and stroke experts around the world since December 2021, in Chairing a Roundtable topic on post-stroke fatigue. The group will meet to finalise their work in Vienna in December 2022.
This work will set a roadmap for future research and outline what we know, highlight the gaps in knowledge, and point to where we should be headed to achieve breakthroughs. This is important because fatigue is a major issue for the majority of people who have had a stroke, and impacts on their lives significantly, yet we know very little about what causes it, and how we can treat or manage it.
Two of Professor English’s most significant research discoveries feature in Stoke Clinical Guidelines; the establishment of group circuit class therapy as an effective model of service delivery after stroke and the importance of a Mediterranean-style diet as a dietary intervention to reduce recurrent stroke risk.
It’s through her work with people with stroke that Professor English has been working on how to successfully implement this research into practice. Learnings from people with stroke enabled Professor English and her team to reframe the conversation on diet and exercise in terms of positivity and empowerment – rather than a deficit-based approach.
Professor English led the establishment of the Stroke Research Register, Hunter – which provides a valuable connection between researchers and people with lived experience of a stroke or transient ischemic attack (TIA). It has >700 people with lived experience of as members, and is used by researchers and clinicians Australia-wide.
In 2022 Professor English was appointed to the Board of the Stroke Foundation, which she saw as the next step in providing better treatment and recovery options for stroke survivors and their families.
Professor English is Deputy Head of School, Research in the School of Health Sciences at the University of Newcastle; Theme Lead: Heart and Stroke Research Program at HMRI and Research and Innovation Conjoint at Hunter New England Local Health District.
Professor English contributes to national and international professional committees, including
- Co-Chair Clinical Guidelines for Stroke Management (2017 update) and Living Guidelines Project (Stroke Foundation)
- Cochrane Stroke Group Editorial Board
- Data Safety Monitoring Board "Recovery-focussed community support to Avoid readmimssions and improve Participation after Stroke (ReCAPS) trial"
- Management Committee International Society of Physical and Rehabilitation Medicine 2022 congress
- Young Stroke Professionals Committee of the World Stroke Organisation (2014 to 2019)
- Steering Committee, Virtual International Stroke Trials (Rehabilitation)
- Stroke Society of Australasia Management Committee (2011-2015)
- Australian Stroke Coalition (2013-2015)
- Physiotherapy Research Foundation grant review committee (2011-2014)
- Australian Stroke Clinical Registry Research Task Group (2009-current)
Research Expertise
- Understanding the impact of sedentary behaviour and prolonged sitting in people with stroke.
- Developing and testing interventions to reduce sitting time in people with stroke, both during rehabilitation and in long-term survivorship.
- Measurement of sitting time and physical activity using body worn sensors and accelerometers.
- Developing and testing effective models of providing intensive task-specific training for people with stroke, including group circuit class therapy and 7-day week therapy.
- Understanding drivers of sitting time and physical activity in hospital settings, and in long-term survivorship.
- Understanding post-stroke fatigue and the role of physical activity in this condition.
- Use of wearable activity monitors to increase physical activity levels of stroke survivors in hospital and in the community.
- Driving excellence in practice in physiotherapy for stroke rehabilitation.
Qualifications
- Doctor of Philosophy, University of South Australia
- Bachelor of Applied Science (Physiotherapy)(Hons), University of South Australia
Keywords
- Mobility
- Physical activity
- Physiotherapy
- Rehabilitation
- Sedentary behaviour
- Sitting time
- Stroke
- Walking
Languages
- English (Mother)
- German (Working)
Fields of Research
Code | Description | Percentage |
---|---|---|
321099 | Nutrition and dietetics not elsewhere classified | 10 |
420799 | Sports science and exercise not elsewhere classified | 10 |
420199 | Allied health and rehabilitation science not elsewhere classified | 80 |
Professional Experience
UON Appointment
Title | Organisation / Department |
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Professor | University of Newcastle School of Health Sciences Australia |
Academic appointment
Dates | Title | Organisation / Department |
---|---|---|
28/6/2015 - | Senior Research Fellow (adjunct) | University of South Australia Australia |
14/10/2014 - | Senior Lecturer (adjunct) | University of Tasmania Australia |
1/7/2014 - | Senior Research Fellow (honorary) | Florey Institute of Neuroscience and Mental Health Australia |
1/7/2010 - 30/6/2014 | Postdoctoral Research Fellow | Florey Institute of Neuroscience and Mental Health Australia |
1/2/2006 - 28/6/2015 | Senior Lecturer | University of South Australia Australia |
Professional appointment
Dates | Title | Organisation / Department |
---|---|---|
1/9/2007 - 2/8/2008 | Physiotherapist | Neurophysiotherapy Services Australia |
1/2/1997 - 31/1/2004 |
Physiotherapist Included several senior and managerial roles |
Royal Adelaide Hospital Health Department of South Australia Australia |
Awards
Research Award
Year | Award |
---|---|
2007 |
Ruth Grant Award for Postgraduate Research Australian Physiotherapy Association |
1996 |
Cardiorespiratory Undergraduate Award for Research Australian Physiotherapy Association |
Invitations
Keynote Speaker
Year | Title / Rationale |
---|---|
2013 | Circuit class therapy and 7-day a week therapy. Are they effective? |
2010 | Scybala, Sarcopenia and Supermen. The importance of physical activity after stroke |
2010 | Scybala, sarcopenia and superman. The importance of physical activity after stroke |
Panel Participant
Year | Title / Rationale |
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2013 | Practical ways to increase dosage of practice in stroke rehabilitation |
Speaker
Year | Title / Rationale |
---|---|
2015 | Exercise prescription after stroke |
2014 | Circuit class therapy and 7-Day Week Therapy for Increasing Rehabilitation Intensity of Therapy. Results of the CIRCIT Trial |
2014 | Enhancing mobility outcomes after stroke |
2013 | Is 7-day week therapy effective for stroke survivors |
2013 | Practical Ways to Increase Practice |
2012 | Improving mobility after stroke |
2003 |
Is task-related circuit training an effective means of providing rehabilitation to an acute stroke sample Is National Neurological Physiotherapy Conference |
Publications
For publications that are currently unpublished or in-press, details are shown in italics.
Chapter (2 outputs)
Year | Citation | Altmetrics | Link | ||
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2019 |
English C, Bowen A, Hebert D, Bernhardt J, 'Rehabilitation after stroke. Evidence, practice and new directions.', Warlow's Stroke Practical Management, Wiley-Blackwell, New York, US 867-878 (2019)
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2012 | English CK, 'Group Circuit Class Therapy for Stroke Survivors - A Review of the Evidence and Clinical Implications', Group Circuit Class Therapy for Stroke Survivors - A Review of the Evidence and Clinical Implications, Intech - Open Access Publisher, Online (2012) |
Journal article (157 outputs)
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2024 |
Kuppuswamy A, Billinger S, Coupland KG, English C, Kutlubaev MA, Moseley L, et al., 'Mechanisms of Post-Stroke Fatigue: A Follow-Up From the Third Stroke Recovery and Rehabilitation Roundtable.', Neurorehabil Neural Repair, 38 52-61 (2024) [C1]
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2024 |
Hendrickx W, Wondergem R, Pisters MF, Lecluse C, English C, Visser-Meily JMA, Veenhof C, 'Factors related to high-risk movement behaviour in people with stroke who are highly sedentary and inactive.', Disabil Rehabil, 1-9 (2024) [C1]
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2024 |
Chun CTN, MacDonald-Wicks L, English C, Lannin NA, Patterson A, 'Scoping Review of Available Culinary Nutrition Interventions for People with Neurological Conditions.', Nutrients, 16 (2024) [C1]
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2024 |
English C, Simpson DB, Billinger SA, Churilov L, Coupland KG, Drummond A, et al., 'A roadmap for research in post-stroke fatigue: Consensus-based core recommendations from the third Stroke Recovery and Rehabilitation Roundtable.', Neurorehabil Neural Repair, 38 7-18 (2024) [C1]
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2024 |
Clancy B, Bonevski B, English C, Callister R, Baker AL, Collins C, et al., 'Health risk factors in Australian Stroke Survivors: A latent class analysis.', Health Promot J Austr, 35 37-44 (2024) [C1]
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2024 |
Zacharia K, Ramage E, Galloway M, Burke M, Hankey GJ, Lynch E, et al., 'The Diet Quality of Australian Stroke Survivors in a Community Setting', CEREBROVASCULAR DISEASES, 53 184-190 (2024) [C1]
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2024 |
Said CM, Ramage E, McDonald CE, Bicknell E, Hitch D, Fini NA, et al., 'Co-designing resources for rehabilitation via telehealth for people with moderate to severe disability post stroke.', Physiotherapy, 123 109-117 (2024) [C1]
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2024 |
English C, Simpson DB, Billinger SA, Churilov L, Coupland KG, Drummond A, et al., 'A roadmap for research in post-stroke fatigue: Consensus-based core recommendations from the third Stroke Recovery and Rehabilitation Roundtable.', Int J Stroke, 19 133-144 (2024) [C1]
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2024 |
English C, Ramage ER, Attia J, Bernhardt J, Bonevski B, Burke M, et al., 'Secondary prevention of stroke. A telehealth-delivered physical activity and diet pilot randomized trial (ENAbLE-pilot).', Int J Stroke, 19 199-208 (2024) [C1]
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2023 |
Blackwell S, Crowfoot G, Davey J, Drummond A, English C, Galloway M, et al., 'Management of post-stroke fatigue: an Australian health professional survey', DISABILITY AND REHABILITATION, 45 3893-3899 (2023) [C1]
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2023 |
Mahmood A, Nayak P, Deshmukh A, English C, N M, Solomon M J, B U, 'Measurement, determinants, barriers, and interventions for exercise adherence: A scoping review', Journal of Bodywork and Movement Therapies, 33 95-105 (2023) [C1] Background: Adherence to exercise interventions is the cornerstone of a successful rehabilitation program. However, there is limited evidence on multifaceted components of exercis... [more] Background: Adherence to exercise interventions is the cornerstone of a successful rehabilitation program. However, there is limited evidence on multifaceted components of exercise adherence. Therefore, we aimed to summarize the existing literature on measurement, determinants, barriers, theoretical frameworks, and evidence-based interventions that support exercise adherence. Methods: We conducted a scoping review based on the PRISMA extension for scoping reviews guidelines and searched the literature in PubMed, Cochrane Databases of Systematic Reviews, ScienceDirect, and Web of Science. Two reviewers independently screened articles. The included articles were subjected to data extraction and qualitative synthesis. Results: A total of 72 articles were included for this review. Data synthesis showed that there are no gold standard methods of measuring exercise adherence; however, questionnaires and daily logs are commonly used tools. The determinants of adherence are personal, disease-related, therapy-related, provider-related, and health system-related. The common barriers to adherence are the absence of a caregiver, low health literacy, poor communication by healthcare providers, cost, and lack of access to health facilities. Few evidence-based interventions used for supporting adherence are behavioral strategies, improving self-efficacy, motivational therapy, and mHealth or multimedia. Conclusion: Non-adherence to exercises is a challenge for healthcare providers. There are no standard guidelines for the evaluation and management of non-adherence to exercises. Future studies should aim at developing objective measures of exercise adherence and investigate the long-term effects of adherence strategies in different disease populations. It is an under-researched area and requires multipronged strategies to improve adherence levels among patients.
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2023 |
Delbridge A, Davey J, Galloway M, Drummond A, Lanyon L, Olley N, et al., 'Exploring post-stroke fatigue from the perspective of stroke survivors: what strategies help? A qualitative study.', Disabil Rehabil, 1-7 (2023) [C1]
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2023 |
Allan LP, Beilei L, Cameron J, Olaiya MT, Silvera-Tawil D, Adcock AK, et al., 'A Scoping Review of mHealth Interventions for Secondary Prevention of Stroke: Implications for Policy and Practice.', Stroke, 54 2935-2945 (2023) [C1]
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2023 |
Bernhardt J, Churilov L, Dewey H, Donnan G, Ellery F, English C, et al., 'A phase III, multi-arm multi-stage covariate-adjusted response-adaptive randomized trial to determine optimal early mobility training after stroke (AVERT DOSE).', Int J Stroke, 18 745-750 (2023) [C1]
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2023 |
Galloway M, Marsden DL, Callister R, Erickson KI, Nilsson M, English C, 'How little is enough? The feasibility of conducting a dose-escalation study for exercise training in people with stroke.', J Stroke Cerebrovasc Dis, 32 107190 (2023) [C1]
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2023 |
Fini NA, Simpson D, Moore SA, Mahendran N, Eng JJ, Borschmann K, et al., 'How should we measure physical activity after stroke? An international consensus.', International journal of stroke : official journal of the International Stroke Society, 18 1132-1142 (2023) [C1]
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2023 |
Ali M, Tibble H, Brady MC, Quinn TJ, Sunnerhagen KS, Venketasubramanian N, et al., 'Prevalence, Trajectory, and Predictors of Poststroke Pain: Retrospective Analysis of Pooled Clinical Trial Data Set', Stroke, 54 3107-3116 (2023) [C1] BACKGROUND: Poststroke pain remains underdiagnosed and inadequately managed. To inform the optimum time to initiate interventions, we examined prevalence, trajectory, and particip... [more] BACKGROUND: Poststroke pain remains underdiagnosed and inadequately managed. To inform the optimum time to initiate interventions, we examined prevalence, trajectory, and participant factors associated with poststroke pain. METHODS: Eligible studies from the VISTA (Virtual International Stroke Trials Archives) included an assessment of pain. Analyses of individual participant data examined demography, pain, mobility, independence, language, anxiety/depression, and vitality. Pain assessments were standardized to the European Quality of Life Scale (European Quality of Life 5 Dimensions 3 Level) pain domain, describing no, moderate, or extreme pain. We described pain prevalence, associations between participant characteristics, and pain using multivariable models. RESULTS: From 94 studies (n>48 000 individual participant data) in VISTA, 10 (n=10 002 individual participant data) included a pain assessment. Median age was 70.0 years (interquartile range [59.0-77.1]), 5560 (55.6%) were male, baseline stroke severity was National Institutes of Health Stroke Scale score 10 (interquartile range [7-15]). Reports of extreme pain ranged between 3% and 9.5% and were highest beyond 2 years poststroke (31/328 [9.5%]); pain trajectory varied by study. Poorer independence was significantly associated with presence of moderate or extreme pain (5 weeks-3 months odds ratio [OR], 1.5 [95% CI, 1.4-1.6]; 4-6 months OR, 1.7 [95% CI, 1.3-2.1]; >6 months OR, 1.5 [95% CI, 1.2-2.0]), and increased severity of pain (5 weeks-3 months: OR, 1.2 [95% CI, 1.1-1.2]; 4-6 months OR, 1.1 [95% CI, 1.1-1.2]; >6 months, OR, 1.2 [95% CI, 1.1-1.2]), after adjusting for covariates. Anxiety/depression and lower vitality were each associated with pain severity. CONCLUSIONS: Between 3% and 9.5% of participants reported extreme poststroke pain; the presence and severity of pain were independently associated with dependence at each time point. Future studies could determine whether and when interventions may reduce the prevalence and severity of poststroke pain.
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2022 |
Mahmood A, Deshmukh A, Natarajan M, Marsden D, Vyslysel G, Padickaparambil S, et al., 'Development of strategies to support home-based exercise adherence after stroke: a Delphi consensus.', BMJ Open, 12 e055946 (2022) [C1]
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2022 |
English C, Ceravolo MG, Dorsch S, Drummond A, Gandhi DB, Halliday Green J, et al., 'Telehealth for rehabilitation and recovery after stroke: State of the evidence and future directions.', Int J Stroke, 17 487-493 (2022) [C1]
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2022 |
Simpson DB, Jose K, English C, Gall SL, Breslin M, Callisaya ML, 'Factors influencing sedentary time and physical activity early after stroke: a qualitative study', Disability and rehabilitation, 44 3501-3509 (2022) [C1]
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2022 |
Morton S, Hall J, Fitzsimons C, Hall J, English C, Forster A, et al., 'A qualitative study of sedentary behaviours in stroke survivors: non-participant observations and interviews with stroke service staff in stroke units and community services', Disability and Rehabilitation, 44 5964-5973 (2022) [C1] Purpose: Sedentary behaviour (SB) is associated with negative health outcomes and is prevalent post-stroke. This study explored SB after stroke from the perspective of stroke serv... [more] Purpose: Sedentary behaviour (SB) is associated with negative health outcomes and is prevalent post-stroke. This study explored SB after stroke from the perspective of stroke service staff. Methods: Qualitative mixed-methods study. Non-participant observations in two stroke services (England/Scotland) and semi-structured interviews with staff underpinned by the COM-B model of behaviour change. Observations were analysed thematically; interviews were analysed using the Framework approach. Results: One hundred and thirty-two observation hours (October - December 2017), and 31 staff interviewed (January ¿June 2018). Four themes were identified: (1) Opportunities for staff to support stroke survivors to reduce SB; (2) Physical and psychological capability of staff to support stroke survivors to reduce SB; (3) Motivating factors influencing staff behaviour to support stroke survivors to reduce SB; (4) Staff suggestions for a future intervention to support stroke survivors to reduce SB. Conclusions: Staff are aware of the consequences of prolonged sitting but did not relate to SB. Explicit knowledge of SB was limited. Staff need training to support stroke survivors to reduce SB. Sedentary behaviour in the community was not reported to change markedly, highlighting the need to engage stroke survivors in movement from when capable in hospital, following through to home.Implications for rehabilitation Stroke survivor sedentary behaviour is influenced, directly and indirectly, by the actions and instructions of stroke service staff in the inpatient and community setting. The built and social environment, both in the inpatient and community settings, may limit opportunities for safe movement and can result in stroke survivors spending more time sedentary. Stroke service staff appreciate the benefit of encouraging stroke survivors to stand and move more, if it is safe for them to do so. Staff would be amenable to encourage stroke survivors to reduce sedentary behaviour, provided they have the knowledge and resources to equip them to support this.
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2022 |
Mahmood A, Nayak P, English C, Deshmukh A, Shashikiran U, Manikandan N, Solomon JM, 'Adherence to home exercises and rehabilitation (ADHERE) after stroke in low-to-middle-income countries: A randomized controlled trial', Topics in Stroke Rehabilitation, 29 438-448 (2022) [C1] Background: Adherence to prescribed exercises is essential for home-based programs to be effective, but evidence for strategies to enhance exercise adherence in people with stroke... [more] Background: Adherence to prescribed exercises is essential for home-based programs to be effective, but evidence for strategies to enhance exercise adherence in people with stroke is lacking. Objectives: To determine the effect of adherence strategies on the proportion of people with stroke who adhere to prescribed home-based exercises and their level of adherence at 6 and 12¿weeks of intervention. Our secondary objective was to determine the effect of the combined intervention on mobility and quality of life post-stroke. Methods: We conducted an RCT among people with stroke (Exp¿=¿27, Con¿=¿25) living in semi-urban India. Both groups received standard hospital care and a home exercise program. The experimental group also received adherence strategies delivered over five sessions. Adherence was measured using the Stroke-Specific Measure of Adherence to Home-based Exercises (SS-MAHE), mobility using Mobility Disability Scale, and quality of life using the Stroke Impact Scale. Results: The experimental group had better exercise adherence compared to the control group both at six (mean difference [MD] 45, 95% CI 40, 64, p <¿.001) and 12¿weeks (MD 51, 95% CI 39, 63, p <¿.001). The experimental group also had better mobility at 12¿weeks (median (IQR), experimental 42 (57), median (IQR), control 95 (50), p =¿.002). There was no difference in the quality of life scores between groups at six or 12¿weeks. Conclusion: The adherence strategies were effective in improving exercise adherence and mobility post-stroke but did not improve quality of life. Trial registration: CTRI/2018/08/015212.
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2022 |
Clancy B, Bonevski B, English C, Baker AL, Turner A, Magin P, et al., 'Access to and Use of Internet and Social Media by Low-Morbidity Stroke Survivors Participating in a National Web-Based Secondary Stroke Prevention Trial: Cross-sectional Survey', Journal of Medical Internet Research, 24 e33291-e33291 [C1]
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2022 |
Sammut M, Haracz K, Shakespeare D, English C, Crowfoot G, Fini N, et al., 'Physical Activity After Transient Ischemic Attack or Mild Stroke Is Business as Usual', Journal of Neurologic Physical Therapy, 46 189-197 (2022) [C1] Background and Purpose: Regular, sustained moderate-to-vigorous physical activity (MVPA) is a recommended strategy to reduce the risk of recurrent stroke for people who have had t... [more] Background and Purpose: Regular, sustained moderate-to-vigorous physical activity (MVPA) is a recommended strategy to reduce the risk of recurrent stroke for people who have had transient ischemic attack (TIA) or mild stroke. This study aimed to explore attitudes toward, and experience of engaging in physical activity by adults following a TIA or mild stroke. Methods: Constructivist grounded theory methodology informed data collection and analysis. Interviews from 33 adults with TIA or mild stroke (mean age 65 [SD 10] years, 48% female, 40% TIA) were collected. Results: Business as usual characterized physical activity engagement post-TIA or mild stroke. Most participants returned to prestroke habits, as either regular exerciser or nonexerciser, with only a small number making changes. Influencing factors for physical activity participation included information, challenges, strategies, and support. Business as usual was associated with a perceived lack of information to suggest a need to change behaviors. Nonexercisers and those who decreased physical activity emphasized challenges to physical activity, while regular exercisers and those who increased physical activity focused on strategies and support that enabled participation despite challenges. Discussion and Conclusion: Information about the necessity to engage in recommended physical activity levels requires tailoring to the needs of the people with TIA or mild stroke. Helpful information in combination with support and strategies may guide how to navigate factors preventing engagement and might influence the low level of physical activity prevalent in this population. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1 available at: Http://links.lww.com/JNPT/A376).
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2022 |
Johansson JF, Lam N, Ozer S, Hall J, Morton S, English C, et al., 'Systematic review of process evaluations of interventions in trials investigating sedentary behaviour in adults.', BMJ Open, 12 e053945 (2022) [C1]
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2022 |
Hill K, English C, Campbell BCV, McDonald S, Pattuwage L, Bates P, et al., 'Feasibility of national living guideline methods: The Australian Stroke Guidelines', Journal of Clinical Epidemiology, 142 184-193 (2022) [C1] Objective: Maintaining clinical guideline currency has been one challenge to traditional guideline development. This paper describes the methods used to maintain a large national ... [more] Objective: Maintaining clinical guideline currency has been one challenge to traditional guideline development. This paper describes the methods used to maintain a large national guideline for stroke management. Study design and setting: The Australian Stroke Clinical Guidelines are developed to meet Australian National Health and Medical Research Council (NHMRC) standards. Monthly surveillance is conducted for new systematic reviews and randomised controlled studies. Included studies undergo data extraction followed by preparation of updated evidence-to-decision frameworks which are used to inform updates, or development of new recommendations. Small writing groups made up of clinical experts and those with lived experience review and agree on changes, which are finally reviewed by a multidisciplinary Guidelines Steering Group. Draft changes are developed and published using the online MAGICapp platform, with dissemination and promotion via traditional methods as well as social media. Results: Each month approximately 350 abstracts are considered, covering 96 clinical topics and taking on average 16 h to review. There have been four major guideline updates covering 34 new and updated recommendations. Conclusion: It is feasible to use ¿living¿ methods to maintain the Australian Clinical Guidelines for Stroke Management. Further work is now needed to understand the impact of living guidelines.
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2022 |
English C, Wondergem R, Hendrickx W, Pisters MF, 'People with Stroke Are Most Sedentary in the Afternoon and Evening.', Cerebrovasc Dis, 51 511-516 (2022) [C1]
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2022 |
McGill K, Sackley C, Godwin J, Gavaghan D, Ali M, Ballester BR, et al., 'Using the Barthel Index and modified Rankin Scale as Outcome Measures for Stroke Rehabilitation Trials; A Comparison of Minimum Sample Size Requirements.', Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 31 106229 (2022) [C1]
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2022 |
Bezuidenhout L, Joseph C, Thurston C, Rhoda A, English C, Conradsson DM, 'Telerehabilitation during the COVID-19 pandemic in Sweden: a survey of use and perceptions among physiotherapists treating people with neurological diseases or older adults.', BMC health services research, 22 555 (2022) [C1]
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2022 |
Turner T, McDonald S, Wiles L, English C, Hill K, 'How frequently should "living" guidelines be updated? Insights from the Australian Living Stroke Guidelines.', Health research policy and systems, 20 73 (2022) [C1]
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2022 |
Bird M-L, Peel F, Schmidt M, Fini NA, Ramage E, Sakakibara BM, et al., 'Mobility-Focused Physical Outcome Measures Over Telecommunication Technology (Zoom): Intra and Interrater Reliability Trial.', JMIR rehabilitation and assistive technologies, 9 e38101 (2022) [C1]
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2022 |
Lannin NA, Ada L, English C, Ratcliffe J, Faux S, Palit M, et al., 'Long-term effect of additional rehabilitation following botulinum toxin-A on upper limb activity in chronic stroke: the InTENSE randomised trial', BMC NEUROLOGY, 22 (2022) [C1]
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2022 |
Cameron J, Lannin NA, Harris D, Andrew NE, Kilkenny MF, Purvis T, et al., 'A mixed-methods feasibility study of a new digital health support package for people after stroke: the
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2022 |
Sammut M, Fini N, Haracz K, Nilsson M, English C, Janssen H, 'Increasing time spent engaging in moderate-to-vigorous physical activity by community-dwelling adults following a transient ischemic attack or non-disabling stroke: a systematic review', Disability and Rehabilitation, 44 337-352 (2022) [C1] Purpose: The risk of recurrent stroke following a transient ischaemic attack (TIA) or non-disabling stroke is high. Clinical guidelines recommend this patient population accumulat... [more] Purpose: The risk of recurrent stroke following a transient ischaemic attack (TIA) or non-disabling stroke is high. Clinical guidelines recommend this patient population accumulate at least 150 minutes of moderate-to-vigorous physical activity each week to reduce the risk of recurrent stroke. We aimed to identify interventions that increase time adults spend in moderate-to-vigorous physical activity following TIA or non-disabling stroke. Method: We searched thirteen databases for articles of secondary prevention interventions reporting outcomes for duration in moderate-to-vigorous physical activity or exercise capacity. Results: Eight trials were identified (n = 2653). Of these, three (n = 198) reported changes in time spent in moderate-to-vigorous physical activity. Only one trial (n = 70), reported significant change in time spent engaging in moderate-to-vigorous physical activity (between-group difference: 11.7 min/day [95% CI 4.07¿19.33]) when comparing participation in a six-month exercise education intervention to usual care. No trial measured moderate-to-vigorous physical activity after intervention end. Conclusion: Despite recommendations to participate in regular physical activity at moderate-to-vigorous intensity for secondary stroke prevention, there is very little evidence for effective interventions for this patient population. There is need for clinically feasible interventions that result in long-term participation in physical activity in line with clinical guidelines. Trial registration: Protocol registration: PROSPERO CRD42018092840Implications for rehabilitation There is limited evidence of the effectiveness of interventions that aim to increase time spent engaging in moderate-to-vigorous physical activity (MVPA) for people following a TIA or non-disabling stroke. A program comprising aerobic and resistance exercises =2 per week, supervised by a health professional (supplemented with a home program) over at least 24 weeks appears to be effective in assisting people adhere to recommended levels of moderate to vigorous physical activity after TIA or non-disabling stroke. Secondary prevention programs which include health professional supervised exercise sessions contribute to better adherence to physical activity guidelines; didactic sessions alone outlining frequency and intensity are unlikely to be sufficient.
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2021 |
Mahmood A, Nayak P, Kok G, English C, Manikandan N, Solomon JM, 'Factors influencing adherence to home-based exercises among community-dwelling stroke survivors in India: a qualitative study', European Journal of Physiotherapy, 23 48-54 (2021) [C1] Purpose: To explore the factors influencing adherence to home-based exercises among community-dwelling stroke survivors using Intervention Mapping (IM) approach. Material and meth... [more] Purpose: To explore the factors influencing adherence to home-based exercises among community-dwelling stroke survivors using Intervention Mapping (IM) approach. Material and methods: Qualitative interviews were conducted with ten stroke survivors living in semi-urban regions of India. The data were analysed using Atlas.Ti8 software and categorised using the Social Ecological Model. Results: The mean age of the stroke participants was 61 ± 11¿years. Key factors such as lack of awareness about stroke recovery and exercises, poor perceived recovery, hopelessness and lack of emphasis on exercises by healthcare professionals led to non-adherence while commitment, continued supervision, supportive family and society facilitated adherence. Some cultural specific factors such as opting for folk medicine over rehabilitation and social stigma were also identified. Conclusions: The factors which influenced adherence to home-based exercises in stroke are existent at the individual, interpersonal, organisational and community level. This study can lead to the development of effective interventions for promoting exercise adherence among stroke survivors in low and middle income countries (LMICs).
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2021 |
English C, Weerasekara I, Carlos A, Chastin S, Crowfoot G, Fitzsimons C, et al., 'Investigating the rigour of research findings in experimental studies assessing the effects of breaking up prolonged sitting extended scoping review', Brazilian Journal of Physical Therapy, 25 4-16 (2021) [C1] Objectives: Sedentary behaviour research is a relatively new field, much of which has emerged since the widespread acceptance of clinical trial registration. The aim of this study... [more] Objectives: Sedentary behaviour research is a relatively new field, much of which has emerged since the widespread acceptance of clinical trial registration. The aim of this study was to investigate the trial registration and related issues in studies investigating the effect of frequent activity interruptions to prolonged sitting-time. Methods: Secondary analysis of a scoping review including systematic searches of databases and trial registries. We included experimental studies investigating the effects of frequent activity interruptions to prolonged sitting-time. Results: We identified 32 trials published in 45 papers. Only 16 (50%) trials were registered, with all 16 trials being completed and published. Of the unregistered trials, we identified three (19%) for which similarities in the sample size and participant demographics across papers was suggestive of duplicate publication. Identification of potential duplicate publications was difficult for the remaining 13 (81%). Results from 53 (76%) of the 70 registered outcomes were published, but 11 (69%) registered trials reported results from additional outcomes not prospectively registered. A total of 46 different outcomes (out of 53 reported outcome measures, similar measures were collated) were reported across all trials, 31 (67%) of which were collected in =2 trials. Conclusions: We found direct evidence of trial registration issues in experimental trials of breaking up sitting-time. The lack of prospective registration of all trials, and the large number of outcomes measured per trial are key considerations for future research in this field. These issues are unlikely to be confined to the field of sedentary behaviour research.
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2021 |
Zacharia K, Patterson AJ, English C, Ramage E, Galloway M, Burke M, et al., 'i-Rebound after Stroke-Eat for Health: Mediterranean Dietary Intervention Co-Design Using an Integrated Knowledge Translation Approach and the TIDieR Checklist', NUTRIENTS, 13 (2021) [C1]
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2021 |
Ramage ER, Fini N, Lynch EA, Marsden DL, Patterson AJ, Said CM, English C, 'Look Before You Leap: Interventions Supervised via Telehealth Involving Activities in Weight-Bearing or Standing Positions for People After Stroke-A Scoping Review', PHYSICAL THERAPY, 101 (2021) [C1]
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2021 |
Lannin NA, Coulter M, Laver K, Hyett N, Ratcliffe J, Holland AE, et al., 'Public perspectives on acquired brain injury rehabilitation and components of care: A Citizens Jury', Health Expectations, 24 352-362 (2021) [C1]
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2021 |
Hendrickx W, Riveros C, Askim T, Bussmann JBJ, Callisaya ML, Chastin SFM, et al., 'An Exploration of Sedentary Behavior Patterns in Community-Dwelling People with Stroke: A Cluster-Based Analysis', Journal of Neurologic Physical Therapy, 45 221-227 (2021) [C1] Background and Purpose: Long periods of daily sedentary time, particularly accumulated in long uninterrupted bouts, are a risk factor for cardiovascular disease. People with strok... [more] Background and Purpose: Long periods of daily sedentary time, particularly accumulated in long uninterrupted bouts, are a risk factor for cardiovascular disease. People with stroke are at high risk of recurrent events and prolonged sedentary time may increase this risk. We aimed to explore how people with stroke distribute their periods of sedentary behavior, which factors influence this distribution, and whether sedentary behavior clusters can be distinguished? Methods: This was a secondary analysis of original accelerometry data from adults with stroke living in the community. We conducted data-driven clustering analyses to identify unique accumulation patterns of sedentary time across participants, followed by multinomial logistical regression to determine the association between the clusters, and the total amount of sedentary time, age, gender, body mass index (BMI), walking speed, and wake time. Results: Participants in the highest quartile of total sedentary time accumulated a significantly higher proportion of their sedentary time in prolonged bouts (P < 0.001). Six unique accumulation patterns were identified, all of which were characterized by high sedentary time. Total sedentary time, age, gender, BMI, and walking speed were significantly associated with the probability of a person being in a specific accumulation pattern cluster, P < 0.001 - P = 0.002. Discussion and Conclusions: Although unique accumulation patterns were identified, there is not just one accumulation pattern for high sedentary time. This suggests that interventions to reduce sedentary time must be individually tailored. Video Abstract available for more insight from the authors (see the Video Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A343).
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2021 |
Weerasekara I, Baye J, Burke M, Crowfoot G, Mason G, Peak R, et al., 'What do stroke survivors' value about participating in research and what are the most important research problems related to stroke or transient ischemic attack (TIA)? A survey', BMC MEDICAL RESEARCH METHODOLOGY, 21 (2021) [C1]
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2021 |
Simpson DB, Breslin M, Cumming T, de Zoete SA, Gall SL, Schmidt M, et al., 'Sedentary time and activity behaviors after stroke rehabilitation: Changes in the first 3 months home', Topics in Stroke Rehabilitation, 28 42-51 (2021) [C1] Background: Sedentary time is prevalent following stroke, limiting functional improvement, and increasing cardiovascular risk. At discharge we examined: 1) change in sedentary tim... [more] Background: Sedentary time is prevalent following stroke, limiting functional improvement, and increasing cardiovascular risk. At discharge we examined: 1) change in sedentary time and activity over the following 3 months¿ and 2) physical, psychological or cognitive factors predicting any change. A secondary aim examined cross-sectional associations between factors and activity at 3 months. Methods: People with stroke (n¿=¿34) were recruited from two rehabilitation units. An activity monitor (ActivPAL3) was worn for 7 days during the first week home and 3 months later. Factors examined included physical, psychological, and cognitive function. Linear mixed models (adjusted for waking hours) were used to examine changes in sedentary time, walking, and step count over time. Interaction terms between time and each factor were added to the model to determine if they modified change over time. Linear regression was performed to determine factors cross-sectionally associated with 3-month activity. Results: ActivPAL data were available at both time points for 28 (82%) participants (mean age 69 [SD 12] years). At 3 months, participants spent 39 fewer minutes sedentary (95%CI -70,-8 p =¿.01), 21¿minutes more walking (95%CI 2,22 p =¿.02) and completed 1112 additional steps/day (95%CI 268,1956 p =¿.01), compared to the first week home. No factors predicted change in activity. At 3 months, greater depression (ß 22¿mins (95%CI 8,36) p =¿.004) and slower gait speed (ß¿-¿43¿mins 95%CI -59,-27 p =¿0.001) were associated with more sedentary time and less walking activity, respectively. Conclusions: Sedentary time reduced and walking activity increased between discharge home and 3 months later. Interventions targeting mood and physical function may warrant testing to reduce sedentary behavior 3 months following discharge.
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2021 |
Heiland EG, Tarassova O, Fernstrom M, English C, Ekblom O, Ekblom MM, 'Frequent, Short Physical Activity Breaks Reduce Prefrontal Cortex Activation but Preserve Working Memory in Middle-Aged Adults: ABBaH Study', FRONTIERS IN HUMAN NEUROSCIENCE, 15 (2021) [C1]
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2021 |
Jayawardana KS, Crowfoot G, Janssen H, Nayak P, Solomon JM, English CK, 'Comparing the physical activity of stroke survivors in high-income countries and low to middle-income countries', Physiotherapy Research International, 26 (2021) [C1] Background: Low physical activity levels in people with stroke may contribute to higher risk of cardiovascular disease morbidity and mortality. Differences in economic status, cul... [more] Background: Low physical activity levels in people with stroke may contribute to higher risk of cardiovascular disease morbidity and mortality. Differences in economic status, culture and the built environment may influence the applicability of interventions developed in high income countries (HIC) for stroke survivors in low to middle-income countries (LMIC). Purpose: To compare physical activity levels of stroke survivors in HIC and LMIC and to explore the influence of lower limb impairment on physical activity levels. Methods and Materials: An exploratory secondary analysis of observational data on physical activity levels of stroke survivors from Australia (HIC) and India (LMIC). Physical activity variables (step count, light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA)) were measured by accelerometery. Comparisons of physical activity levels between (a) Australian and Indian stroke survivors and (b) participants with and without lower limb impairments were performed using independent t-tests or Mann-Whitney U tests. Results: There were no significant differences in physical activity levels between (i) Australian and Indian stroke survivors (step count mean difference 201 steps [-1375 to 974], LPA mean difference -24 min [-22 to 69], MVPA mean difference 2 min [-8 to 3]), and (ii) stroke survivors with and without lower limb impairments in either country. Conclusion: Stroke survivors were highly inactive in both countries. Despite differences in economic status, cultural influences and the built environment, the physical activity of stroke survivors in Australia and India did not differ. People with and without lower limb impairment also had similar physical activity levels.
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2021 |
Mackie P, Crowfoot G, Janssen H, Holliday E, Dunstan D, English C, 'The Effects of Interrupting Prolonged Sitting With Frequent Bouts of Light-Intensity Standing Exercises on Blood Pressure in Stroke Survivors: A Dose Escalation Trial', JOURNAL OF PHYSICAL ACTIVITY & HEALTH, 18 988-997 (2021) [C1]
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2021 |
Mackie P, Crowfoot G, Gyawali P, Janssen H, Holliday E, Dunstan D, English C, 'Acute effects of frequent light-intensity standing-based exercises that interrupt 8 hours of prolonged sitting on postprandial glucose in stroke survivors: A dose-escalation trial', Journal of Physical Activity and Health, 18 644-652 (2021) [C1] Background: Interrupting prolonged sitting can attenuate postprandial glucose responses in overweight adults. The dose¿response effect in stroke survivors is unknown. The authors ... [more] Background: Interrupting prolonged sitting can attenuate postprandial glucose responses in overweight adults. The dose¿response effect in stroke survivors is unknown. The authors investigated the effects of interrupting 8 hours of prolonged sitting with increasingly frequent bouts of light-intensity standing-based exercises on the postprandial glucose response in stroke survivors. Methods: Within-participant, laboratory-based, dose-escalation trial. Participants completed three 8-hour conditions: prolonged sitting and 2 experimental conditions. Experimental conditions involved light-intensity standing-based exercises of increasing frequency (2 × 5 min to 6 × 5 min bouts). Postprandial glucose is reported. Results: Twenty-nine stroke survivors (aged 66 y) participated. Interrupting 8 hours of prolonged sitting with light-intensity standing-based exercises every 90 minutes significantly decreased postprandial glucose (positive incremental area under the curve; -1.1 mmol/L·7 h; 95% confidence interval, -2.0 to -0.1). In the morning (08:00¿11:00), postprandial glucose decreased during the 4 × 5 minutes and 6 × 5 minutes conditions (positive incremental area under the curve; -0.8 mmol/L·3 h; 95% confidence interval, -1.3 to -0.3 and -0.8 mmol/L·3 h; 95% confidence interval, -1.5 to -0.2, respectively) compared with prolonged sitting. Conclusion: Interrupting 8 hours of prolonged sitting at least every 90 minutes with light-intensity standing-based exercises attenuates postprandial glucose in stroke survivors. During the morning, postprandial glucose is attenuated when sitting is interrupted every 60 and 90 minutes.
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2021 |
Sammut M, Haracz K, English C, Shakespeare D, Crowfoot G, Nilsson M, Janssen H, 'Participants perspective of engaging in a gym-based health service delivered secondary stroke prevention program after tia or mild stroke', International Journal of Environmental Research and Public Health, 18 (2021) [C1] People who have had a transient ischemic attack (TIA) or mild stroke have a high risk of recurrent stroke. Secondary prevention programs providing support for meeting physical act... [more] People who have had a transient ischemic attack (TIA) or mild stroke have a high risk of recurrent stroke. Secondary prevention programs providing support for meeting physical activity recommendations may reduce this risk. Most evidence for the feasibility and effectiveness of secondary stroke prevention arises from programs developed and tested in research institute settings with limited evidence for the acceptability of programs in ¿real world¿ community settings. This qualitative descriptive study explored perceptions of participation in a secondary stroke prevention program (delivered by a community-based multidisciplinary health service team within a community gym) by adults with TIA or mild stroke. Data gathered via phone-based semi-structured interviews midway through the program, and at the end of the program, were analyzed using constructivist grounded theory methods. A total of 51 interviews from 30 participants produced two concepts. The first concept, ¿What it offered me¿, describes critical elements that shape participants¿ experience of the program. The second concept, ¿What I got out of it¿ describes perceived benefits of program participation. Participants perceived that experiences with peers in a health professional-led group program, held within a community-based gym, supported their goal of changing behaviour. Including these elements during the development of health service strategies to reduce recurrent stroke risk may strengthen program acceptability and subsequent effectiveness.
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2021 |
English C, MacDonald-Wicks L, Patterson A, Attia J, Hankey GJ, 'The role of diet in secondary stroke prevention', LANCET NEUROLOGY, 20 150-160 (2021) [C1]
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2021 |
Geldens N, Crowfoot G, Sweetapple A, Vyslysel G, Mason G, English C, Janssen H, 'Patient readiness for risk-reduction education and lifestyle change following transient ischemic attack', Disability and Rehabilitation, 43 400-405 (2021) [C1] Purpose: Patient readiness for secondary prevention and lifestyle change following transient ischemic attack is not well understood. Understanding patient perspectives about the t... [more] Purpose: Patient readiness for secondary prevention and lifestyle change following transient ischemic attack is not well understood. Understanding patient perspectives about the timing and delivery of secondary prevention education is essential to promote meaningful risk factor reduction in this population. Materials and methods: A single, semi-structured, telephone interview was conducted with ten individuals (7 male, 3 female) within three months following a transient ischemic attack. Interviews explored transient ischemic attack experiences and post-event education. Data were analyzed using inductive thematic analysis. Results: Individuals had a variety of experiences with secondary prevention education. Four themes emerged from these experiences including ¿what the hell happened?¿, ¿I mustn¿t have been quite ready¿, ¿what should I be doing?¿ and ¿we all see it in different ways.¿ Individual knowledge, personal experience of transient ischemic attack, socio-environmental factors, and the format and content of education influenced patient readiness to receive secondary prevention education and adopt lifestyle changes. Conclusion: Readiness for risk-reduction education and lifestyle change following transient ischemic attack is individual and complex. Logistical factors including the location, time, and cost of education, timing of education delivery, and patient perspectives should be considered in the development and delivery of secondary prevention interventions for these people.Implications for rehabilitation Risk reduction and lifestyle change following transient ischemic attack is vital to prevent recurrent stroke. Patients are ready to receive risk reduction and lifestyle advice approximately one week after their transient ischemic attack. Programs designed to provide risk reduction and lifestyle education should be informed by the unique requirements of this population. Uptake of participation in secondary prevention programs may be maximized by offering flexibility in terms of timing post-event and modes of delivery (e.g. Telehealth).
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2021 |
Saunders DH, Mead GE, Fitzsimons C, Kelly P, van Wijck F, Verschuren O, et al., 'Interventions for reducing sedentary behaviour in people with stroke', Cochrane Database of Systematic Reviews, 2021 (2021) [C1] Background: Stroke survivors are often physically inactive as well as sedentary,and may sit for long periods of time each day. This increases cardiometabolic risk and has impacts ... [more] Background: Stroke survivors are often physically inactive as well as sedentary,and may sit for long periods of time each day. This increases cardiometabolic risk and has impacts on physical and other functions. Interventions to reduce or interrupt periods of sedentary time, as well as to increase physical activity after stroke, could reduce the risk of secondary cardiovascular events and mortality during life after stroke. Objectives: To determine whether interventions designed to reduce sedentary behaviour after stroke, or interventions with the potential to do so, can reduce the risk of death or secondary vascular events, modify cardiovascular risk, and reduce sedentary behaviour. Search methods: In December 2019, we searched the Cochrane Stroke Trials Register, CENTRAL, MEDLINE, Embase, CINAHL, PsycINFO, Conference Proceedings Citation Index, and PEDro. We also searched registers of ongoing trials, screened reference lists, and contacted experts in the field. Selection criteria: Randomised trials comparing interventions to reduce sedentary time with usual care, no intervention, or waiting-list control, attention control, sham intervention or adjunct intervention. We also included interventions intended to fragment or interrupt periods of sedentary behaviour. Data collection and analysis: Two review authors independently selected studies and performed 'Risk of bias' assessments. We analyzed data using random-effects meta-analyses and assessed the certainty of the evidence with the GRADE approach. Main results: We included 10 studies with 753 people with stroke. Five studies used physical activity interventions, four studies used a multicomponent lifestyle intervention, and one study used an intervention to reduce and interrupt sedentary behaviour. In all studies, the risk of bias was high or unclear in two or more domains. Nine studies had high risk of bias in at least one domain. The interventions did not increase or reduce deaths (risk difference (RD) 0.00, 95% confidence interval (CI) -0.02 to 0.03; 10 studies, 753 participants; low-certainty evidence), the incidence of recurrent cardiovascular or cerebrovascular events (RD -0.01, 95% CI -0.04 to 0.01;¿10 studies, 753 participants; low-certainty evidence), the incidence of falls (and injuries) (RD 0.00, 95% CI -0.02 to 0.02; 10 studies, 753 participants; low-certainty evidence), or incidence of other adverse events (moderate-certainty evidence). Interventions did not increase or reduce the amount of sedentary behaviour time (mean difference (MD) +0.13 hours/day, 95% CI -0.42 to 0.68; 7 studies, 300 participants; very low-certainty evidence). There were too few data to examine effects on patterns of sedentary behaviour. The effect of interventions on cardiometabolic risk factors allowed very limited meta-analysis. Authors' conclusions: Sedentary behaviour research in stroke seems important, yet the evidence is currently incomplete, and we found no evidence for beneficial effects. Current World Health Organization (WHO) guidelines recommend reducing the amount of sedentary time in people with disabilities, in general. The evidence is currently not strong enough to guide practice on how best to reduce sedentariness specifically in people with stroke. More high-quality randomised trials are needed, particularly involving participants with mobility limitations. Trials should include longer-term interventions specifically targeted at reducing time spent sedentary, risk factor outcomes, objective measures of sedentary behaviour (and physical activity), and long-term follow-up.
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2020 |
Simpson DB, Bird ML, English C, Gall SL, Breslin M, Smith S, et al., ' Connecting patients and therapists remotely using technology is feasible and facilitates exercise adherence after stroke ', Topics in Stroke Rehabilitation, 27 93-102 (2020) [C1] Purpose: Repetitive task practice after stroke is important to improve function, yet adherence to exercise is low. The aim of this study was to determine whether using the interne... [more] Purpose: Repetitive task practice after stroke is important to improve function, yet adherence to exercise is low. The aim of this study was to determine whether using the internet, a tablet application, and a chair sensor that connected to a therapist was feasible in monitoring adherence and progressing a functional exercise at home. Methods: Ten participants with stroke completed a 4-week sit-to-stand exercise using the technology at home (ACTRN12616000051448). A therapist remotely monitored exercise adherence, progressed goals, and provided feedback via the app. Measures of feasibility (design, recruitment/withdrawals, adherence, safety, participant satisfaction and estimates of effect on function) were collected. Results: Participants' mean age was 73.6 years [SD 9.9 years]. The system was feasible to deliver and monitor exercise remotely. All participants completed the study performing a mean 125% of prescribed sessions and 104% of prescribed repetitions. Participants rated the system usability (78%), enjoyment (70%) and system benefit (80%) as high. No adverse events were reported. The mean pre- and post-intervention difference in the total short performance physical battery score was 1.4 (95% CI 0.79, 2.00). Conclusions: It was feasible and safe to prescribe and monitor exercises using an app and sensor-based system. A definitive trial will determine whether such technology could facilitate greater exercise participation after stroke.
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2020 |
Lannin NA, Ada L, English C, Ratcliffe J, Faux SG, Palit M, et al., 'Effect of Additional Rehabilitation After Botulinum Toxin-A on Upper Limb Activity in Chronic Stroke The InTENSE Trial', STROKE, 51 556-562 (2020) [C1]
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2020 |
Hendrickx W, Vlietstra L, Valkenet K, Wondergem R, Veenhof C, English C, Pisters MF, 'General lifestyle interventions on their own seem insufficient to improve the level of physical activity after stroke or TIA: a systematic review', BMC NEUROLOGY, 20 (2020) [C1]
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2020 |
Zacharia K, Patterson AJ, English C, MacDonald-Wicks L, 'Feasibility of the AusMed Diet Program: Translating the Mediterranean Diet for Older Australians', NUTRIENTS, 12 (2020) [C1]
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2020 |
Hall J, Morton S, Fitzsimons CF, Hall JF, Corepal R, English C, et al., 'Factors influencing sedentary behaviours after stroke: findings from qualitative observations and interviews with stroke survivors and their caregivers', BMC PUBLIC HEALTH, 20 (2020) [C1]
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2020 |
Gyawali P, Chow WZ, Hinwood M, Kluge M, English C, Ong LK, et al., 'Opposing Associations of Stress and Resilience With Functional Outcomes in Stroke Survivors in the Chronic Phase of Stroke: A Cross-Sectional Study', FRONTIERS IN NEUROLOGY, 11 (2020) [C1]
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2020 |
Mahmood A, Solomon JM, English C, Bhaskaran U, Menon G, Manikandan N, 'Measurement of adherence to home-based exercises among community-dwelling stroke survivors in India', Physiotherapy Research International, 25 (2020) [C1]
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2020 |
Hall J, Morton S, Hall J, Clarke DJ, Fitzsimons CF, English C, et al., 'A co-production approach guided by the behaviour change wheel to develop an intervention for reducing sedentary behaviour after stroke.', Pilot and feasibility studies, 6 (2020) [C1]
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2019 |
English C, Bayley M, Hill K, Langhorne P, Molag M, Ranta A, et al., 'Bringing stroke clinical guidelines to life', INTERNATIONAL JOURNAL OF STROKE, 14 337-339 (2019) [C1]
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2019 |
Rawling GH, Williams RK, Clarker DJ, English C, Fitzsimons C, Holloway I, et al., 'Exploring adults' experiences of sedentary behaviour and participation in non-workplace interventions designed to reduce sedentary behaviour: a thematic synthesis of qualitative studies', BMC PUBLIC HEALTH, 19 (2019) [C1]
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2019 |
Mackie P, Weerasekara I, Crowfoot G, Janssen H, Holliday E, Dunstan D, English C, 'What is the effect of interrupting prolonged sitting with frequent bouts of physical activity or standing on first or recurrent stroke risk factors? A scoping review', PLoS ONE, 14 1-24 (2019) [C1]
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2019 |
Galloway M, Marsden DL, Callister R, Erickson KI, Nilsson M, English C, 'What is the dose-response relationship between exercise and cardiorespiratory fitness after stroke? A systematic review', Physical Therapy, 99 821-832 (2019) [C1] Background. Exercise after stroke improves cardiorespiratory fitness and walking capacity; however, the effect of altering exercise dose (via frequency, intensity, time, and type)... [more] Background. Exercise after stroke improves cardiorespiratory fitness and walking capacity; however, the effect of altering exercise dose (via frequency, intensity, time, and type) on fitness or walking capacity is unclear. Purpose. The purpose of this study was to synthesize the current evidence for the effects of different doses of exercise on cardiorespiratory fitness and walking capacity in people after stroke. Data Sources. Seven relevant electronic databases were searched using keywords relating to stroke and cardiorespiratory fitness. Study Selection. Trials that compared more than 1 dose of exercise for people (? 18 years old) after stroke and measured peak oxygen consumption or 6-minute walk test distance as an outcome were included. Two reviewers independently appraised all trials. Data Extraction. Two reviewers independently extracted data from included articles. Intervention variables were extracted in accordance with the Template for Intervention Description and Replication checklist. Data Synthesis. Data were synthesized narratively. Nine trials involving 279 participants were included. Three of 5 trials comparing exercise intensity showed that higherintensity training was associated with greater improvements in cardiorespiratory fitness. The effects of other exercise dose components (frequency, time, and type) on fitness were not determined. Overall, walking capacity improved as program length increased. Limitations. All trials had a high risk of bias, and most had a high rate of attrition. Most trials included people more than 6 months after stroke and who walked independently, limiting the generalizability of the findings. Conclusions. Exercising at an intensity greater than 70% of heart rate reserve can be more effective in increasing cardiorespiratory fitness after stroke than exercising at lower intensities. More trials that compare exercise doses by manipulating only 1 dose parameter at a time for people after stroke are needed.
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2019 |
Gallowayphd M, Marsden DL, Callister R, Nilsson M, Erickson KI, English C, 'The feasibility of a telehealth exercise program aimed at increasing cardiorespiratory fitness for people after stroke', International Journal of Telerehabilitation, 11 9-28 (2019) [C1] Background: Accessing suitable fitness programs post-stroke is difficult for many. The feasibility of telehealth delivery has not been previously reported. Objectives: To assess t... [more] Background: Accessing suitable fitness programs post-stroke is difficult for many. The feasibility of telehealth delivery has not been previously reported. Objectives: To assess the feasibility of, and level of satisfaction with home-based telehealth-supervised aerobic exercise training post-stroke. Methods: Twenty-one ambulant participants (= 3 months post-stroke) participated in a home-based telehealth-supervised aerobic exercise program (3 d/week, moderate-vigorous intensity, 8-weeks) and provided feedback via questionnaire post-intervention. Session details, technical issues, and adverse events were also recorded. Results: Feasibility was high (83% of volunteers met telehealth eligibility criteria, 85% of sessions were conducted by telehealth, and 95% of participants rated usability favourably). Ninety-five percent enjoyed telehealth exercise sessions and would recommend them to others. The preferred telehealth exercise program parameters were: frequency 3 d/week, duration 20-30 min/session, program length 6-12 weeks. Conclusion: The telehealth delivery of exercise sessions to people after stroke appears feasible and may be considered as a viable alternative delivery means for providing supervised exercise post-stroke.
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2019 |
Denham AMJ, Wynne O, Baker AL, Spratt NJ, Turner A, Magin P, et al., '"This is our life now. Our new normal": A qualitative study of the unmet needs of carers of stroke survivors', PLOS ONE, 14 (2019) [C1]
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2019 |
Hendrickx W, Riveros C, Askim T, Bussmann JBJ, Callisaya ML, Chastin SFM, et al., 'Identifying factors associated with sedentary time after stroke. Secondary analysis of pooled data from nine primary studies.', Topics in Stroke Rehabilitation, 26 327-334 (2019) [C1] Background: High levels of sedentary time increases the risk of cardiovascular disease, including recurrent stroke. Objective: This study aimed to identify factors associated with... [more] Background: High levels of sedentary time increases the risk of cardiovascular disease, including recurrent stroke. Objective: This study aimed to identify factors associated with high sedentary time in community-dwelling people with stroke. Methods: For this data pooling study, authors of published and ongoing trials that collected sedentary time data, using the activPAL monitor, in community-dwelling people with stroke were invited to contribute their raw data. The data was reprocessed, algorithms were created to identify sleep-wake time and determine the percentage of waking hours spent sedentary. We explored demographic and stroke-related factors associated with total sedentary time and time in uninterrupted sedentary bouts using unique, both univariable and multivariable, regression analyses. Results: The 274 included participants were from Australia, Canada, and the United Kingdom, and spent, on average, 69% (SD 12.4) of their waking hours sedentary. Of the demographic and stroke-related factors, slower walking speeds were significantly and independently associated with a higher percentage of waking hours spent sedentary (p = 0.001) and uninterrupted sedentary bouts of >30 and >60 min (p = 0.001 and p = 0.004, respectively). Regression models explained 11¿19% of the variance in total sedentary time and time in prolonged sedentary bouts. Conclusion: We found that variability in sedentary time of people with stroke was largely unaccounted for by demographic and stroke-related variables. Behavioral and environmental factors are likely to play an important role in sedentary behavior after stroke. Further work is required to develop and test effective interventions to address sedentary behavior after stroke.
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2019 |
Cumming TB, Holliday E, Dunstan D, English C, 'Television Viewing Time and Stroke Risk: Australian Diabetes Obesity and Lifestyle Study (1999-2012)', Journal of Stroke and Cerebrovascular Diseases, 28 963-970 (2019) [C1] Introduction: Having a low level of physical activity is an established risk factor for stroke, but little is known about the importance of common sedentary behavior¿television vi... [more] Introduction: Having a low level of physical activity is an established risk factor for stroke, but little is known about the importance of common sedentary behavior¿television viewing¿to stroke risk. Methods: We conducted a retrospective analysis of data that were collected as part of the longitudinal Australian Diabetes, Obesity, and Lifestyle study. Stroke events reported during the study (between baseline assessment in 1999-2000 and April 2011) were confirmed using adjudication based on medical records. Baseline data on minutes per week spent watching television were used as the exposure variable. Other variables were collected in assessments at wave 2 (2004-05) and wave 3 (2011-2012). Univariable and multivariable logistic regression analyses were performed. Results: Among the full Australian Diabetes, Obesity, and Lifestyle study population (n = 11,247), there were 153 participants with confirmed stroke during the study period, and 9207 participants with no stroke in this period. Participants who went on to have their first stroke during the study had significantly higher levels of TV viewing time at baseline than those who did not have a stroke (P =.001). This association was not present (P =.83), however, when age and sex were included in the regression model. Conclusion: In the Australian Diabetes, Obesity, and Lifestyle study dataset, there was no evidence that more TV viewing is independently associated with risk of stroke, although analyses may have been underpowered.
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2019 |
Hanna E, Janssen H, Crowfoot G, Mason G, Vyslysel G, Sweetapple A, et al., 'Participation, Fear of Falling, and Upper Limb Impairment are Associated with High Sitting Time in People with Stroke', OCCUPATIONAL THERAPY IN HEALTH CARE, 33 181-196 (2019) [C1]
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2018 |
Cumming TB, Yeo AB, Marquez J, Churilov L, Annoni JM, Badaru U, et al., 'Investigating post-stroke fatigue: An individual participant data meta-analysis', Journal of Psychosomatic Research, 113 107-112 (2018) [C1] Objective: The prevalence of post-stroke fatigue differs widely across studies, and reasons for such divergence are unclear. We aimed to collate individual data on post-stroke fat... [more] Objective: The prevalence of post-stroke fatigue differs widely across studies, and reasons for such divergence are unclear. We aimed to collate individual data on post-stroke fatigue from multiple studies to facilitate high-powered meta-analysis, thus increasing our understanding of this complex phenomenon. Methods: We conducted an Individual Participant Data (IPD) meta-analysis on post-stroke fatigue and its associated factors. The starting point was our 2016 systematic review and meta-analysis of post-stroke fatigue prevalence, which included 24 studies that used the Fatigue Severity Scale (FSS). Study authors were asked to provide anonymised raw data on the following pre-identified variables: (i) FSS score, (ii) age, (iii) sex, (iv) time post-stroke, (v) depressive symptoms, (vi) stroke severity, (vii) disability, and (viii) stroke type. Linear regression analyses with FSS total score as the dependent variable, clustered by study, were conducted. Results: We obtained data from 14 of the 24 studies, and 12 datasets were suitable for IPD meta-analysis (total n = 2102). Higher levels of fatigue were independently associated with female sex (coeff. = 2.13, 95% CI 0.44¿3.82, p = 0.023), depressive symptoms (coeff. = 7.90, 95% CI 1.76¿14.04, p = 0.021), longer time since stroke (coeff. = 10.38, 95% CI 4.35¿16.41, p = 0.007) and greater disability (coeff. = 4.16, 95% CI 1.52¿6.81, p = 0.010). While there was no linear association between fatigue and age, a cubic relationship was identified (p < 0.001), with fatigue peaks in mid-life and the oldest old. Conclusion: Use of IPD meta-analysis gave us the power to identify novel factors associated with fatigue, such as longer time since stroke, as well as a non-linear relationship with age.
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2018 |
Simpson DB, Breslin M, Cumming T, de Zoete S, Gall SL, Schmidt M, et al., 'Go Home, Sit Less: The Impact of Home Versus Hospital Rehabilitation Environment on Activity Levels of Stroke Survivors', ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 99 2216-2221 (2018) [C1]
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2018 |
Lynch EA, Jones TM, Simpson DB, Fini NA, Kuys SS, Borschmann K, et al., 'Activity monitors for increasing physical activity in adult stroke survivors', Cochrane Database of Systematic Reviews, 2018 (2018) [C1]
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2018 |
English C, Janssen H, Crowfoot G, Bourne J, Callister R, Dunn A, et al., 'Frequent, short bouts of light-intensity exercises while standing decreases systolic blood pressure: Breaking Up Sitting Time after Stroke (BUST-Stroke) trial', International Journal of Stroke, 13 932-940 (2018) [C1] Background: Stroke survivors sit for long periods each day. Uninterrupted sitting is associated with increased risk of cardiovascular disease. Breaking up uninterrupted sitting wi... [more] Background: Stroke survivors sit for long periods each day. Uninterrupted sitting is associated with increased risk of cardiovascular disease. Breaking up uninterrupted sitting with frequent, short bouts of light-intensity physical activity has an immediate positive effect on blood pressure and plasma clotting factors in healthy, overweight, and type 2 diabetic populations. Aim: We examined the effect of frequent, short bouts of light-intensity physical activity on blood pressure and plasma fibrinogen in stroke survivors. Methods: Prespecified secondary analyses from a three-armed randomized, within-participant, crossover trial. Participants were 19 stroke survivors (nine female, aged 68 years old, 90% able to walk independently). The experimental conditions were sitting for 8 h uninterrupted, sitting with 3 min bouts of light-intensity exercise while standing every 30 min, or sitting with 3 min of walking every 30 min. Blood pressure was measured every 30 min over 8 h and plasma fibrinogen at the beginning, middle, and end of each day. Intention-to-treat analyses were performed using linear mixed models including fixed effects for condition, period, and order, and a random intercept for participant to account for repeated measures and missing data. Results: Sitting with 3 min bouts of light-intensity exercise while standing every 30 min decreased systolic blood pressure by 3.5 mmHg (95% CI 1.7¿5.4) compared with sitting for 8 h uninterrupted. For participants not taking antihypertensive medications, sitting with 3 min of walking every 30 min decreased systolic blood pressure by 5.0 mmHg (95% CI -7.9 to 2.0) and sitting with 3 min bouts light-intensity exercise while standing every 30 min decreased systolic blood pressure by 4.2 mmHg (95% CI -7.2 to -1.3) compared with sitting for 8 h uninterrupted. There was no effect of condition on diastolic blood pressure (p = 0.45) or plasma fibrinogen levels (p = 0.91). Conclusion: Frequent, short bouts of light-intensity physical activity decreases systolic blood pressure in stroke survivors. However, before translation into clinical practice, the optimal duration and timing of physical activity bouts needs to be determined. Clinical trial registration: Australian and New Zealand Clinical Trials Registry http://www.anzctr.org.au ANZTR12615001189516.
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2018 |
English C, Janssen H, Crowfoot G, Callister R, Dunn A, Mackie P, et al., 'Breaking up sitting time after stroke (BUST-stroke)', International Journal of Stroke, 13 921-931 (2018) [C1] Objectives: People with stroke sit for long periods each day, which may compromise blood glucose control and increase risk of recurrent stroke. Studies in other populations have f... [more] Objectives: People with stroke sit for long periods each day, which may compromise blood glucose control and increase risk of recurrent stroke. Studies in other populations have found regular activity breaks have a significant immediate (within-day) positive effect on glucose metabolism. We examined the effects of breaking up uninterrupted sitting with frequent, short bouts of light-intensity physical activity in people with stroke on post-prandial plasma glucose and insulin. Methods: Randomized within-participant crossover trial. We included people between 3 months and 10 years post-stroke, ambulant with minimal assistance and not taking diabetic medication other than metformin. The three experimental conditions (completed in random order) were: sitting for 8 h uninterrupted, sitting with 3 min bouts of light-intensity exercise while standing every 30 min, or sitting with 3 min of walking every 30 min. Meals were standardized and bloods were collected half- to one-hourly via an intravenous cannula. Results: A total of 19 participants (9 female, mean [SD] age 68.2 [10.2]) completed the trial. The majority (n = 12, 63%) had mild stroke symptoms (National Institutes of Stroke Scale score 0¿13). There was no significant effect of experimental condition on glucose (mean [SD] positive incremental area [+iAUC] mmol·L·h-1 under the curve during sitting 42.3 [29.5], standing 47.4 [23.1], walking 44.6 [26.5], p = 0.563) or insulin (mean + iAUC pmol·L·h-1 sitting 14,161 [7,560], standing 14,043 [8,312], walking 14,008 [8,269], p = 0.987). Conclusion: Frequent, short bouts of light-intensity physical activity did not have a significant effect on post-prandial plasma glucose and insulin in this sample of people with stroke. Further studies are needed to identify strategies that improve inactivity-related glucose metabolism after stroke.
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2018 |
Tinlin L, Fini N, Bernhardt J, Lewis LK, Olds T, English C, 'Best practice guidelines for the measurement of physical activity levels in stroke survivors: a secondary analysis of an observational study.', Int J Rehabil Res, 41 14-19 (2018) [C1]
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2018 |
Lannin NA, Ada L, Levy T, English C, Ratcliffe J, Sindhusake D, Crotty M, 'Intensive therapy after botulinum toxin in adults with spasticity after stroke versus botulinum toxin alone or therapy alone: a pilot, feasibility randomized trial.', Pilot and feasibility studies, 4 (2018) [C1]
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2017 |
Simpson D, Callisaya ML, English C, Thrift AG, Gall SL, 'Self-Reported Exercise Prevalence and Determinants in the Long Term After Stroke: The North East Melbourne Stroke Incidence Study', Journal of Stroke and Cerebrovascular Diseases, 26 2855-2863 (2017) [C1] Background Exercise has established benefits following stroke. We aimed to describe self-reported exercise 5 and 10 years after stroke, change in exercise over time, and to identi... [more] Background Exercise has established benefits following stroke. We aimed to describe self-reported exercise 5 and 10 years after stroke, change in exercise over time, and to identify factors associated with long-term exercise. Methods Data on exercise (defined as 20 minutes' duration, causing sweating and increased heart rate) were obtained by questionnaire from a population-based stroke incidence study with 10-year follow-up. For change in exercise between 5 and 10 years (n = 276), we created 4 categories of exercise (no exercise, ceased exercising, commenced exercising, continued exercising). Multinomial regression determined associations between exercise categories and exercising before stroke, receiving exercise advice and functional ability and demographic factors. Results The prevalence of exercise at 5 years (n = 520) was 18.5% (n = 96) (mean age 74.7 [standard deviation {SD} 14] years, 50.6% male) and 24% (n = 78) at 10 years. In those with data at both 5 and 10 years (mean age 69 [standard deviation 14] years, 52.9% male), 15% (n = 42) continued exercising, 10% (n = 27) commenced exercising, 14% (n = 38) ceased exercising, and 61% (n = 169) reported no exercise. Continued exercise was associated with younger age (relative risk [RR].47 95% confidence interval [CI].25-0.89), greater Barthel score (RR 2.97 95% CI 1.00-8.86), independent walking (RR 2.32 95% CI 1.16-4.68), better quality of life (RR 10.9 95% CI 2.26-52.8), exercising before stroke (RR 16.0 95%CI 4.98-51.5), and receiving advice to exercise (RR 2.99 95% CI 1.73-5.16). Conclusions Few people exercise after stroke and fewer commence exercise long term. Innovative interventions to promote and maintain exercise are required after stroke.
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2017 |
Bayley MT, Bowen A, English C, Teasell R, Eng JJ, 'Where to now? AVERT answered an important question, but raised many more.', International journal of stroke : official journal of the International Stroke Society, 12 683-686 (2017) [C1]
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2017 |
Scott H, Lannin NA, English C, Ada L, Levy T, Hart R, Crotty M, 'Addition of botulinum toxin type A to casting may improve wrist extension in people with chronic stroke and spasticity: A pilot double-blind randomized trial.', Edorium Journal of Disability and Rehabilitation, 3 30-35 (2017) [C1]
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2017 |
Kwakkel G, Lannin NA, Borschmann K, English C, Ali M, Churilov L, et al., 'Standardized measurement of sensorimotor recovery in stroke trials: Consensus-based core recommendations from the Stroke Recovery and Rehabilitation Roundtable', International Journal of Stroke, 12 451-461 (2017) [C1] Finding, testing and demonstrating efficacy of new treatments for stroke recovery is a multifaceted challenge. We believe that to advance the field, neurorehabilitation trials nee... [more] Finding, testing and demonstrating efficacy of new treatments for stroke recovery is a multifaceted challenge. We believe that to advance the field, neurorehabilitation trials need a conceptually rigorous starting framework. An essential first step is to agree on definitions of sensorimotor recovery and on measures consistent with these definitions. Such standardization would allow pooling of participant data across studies and institutions aiding meta-analyses of completed trials, more detailed exploration of recovery profiles of our patients and the generation of new hypotheses. Here, we present the results of a consensus meeting about measurement standards and patient characteristics that we suggest should be collected in all future stroke recovery trials. Recommendations are made considering time post stroke and are aligned with the international classification of functioning and disability. A strong case is made for addition of kinematic and kinetic movement quantification. Further work is being undertaken by our group to form consensus on clinical predictors and pre-stroke clinical data that should be collected, as well as recommendations for additional outcome measurement tools. To improve stroke recovery trials, we urge the research community to consider adopting our recommendations in their trial design.
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2017 |
English C, Hillier SL, Lynch EA, 'Circuit class therapy for improving mobility after stroke', COCHRANE DATABASE OF SYSTEMATIC REVIEWS, (2017) [C1]
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2017 |
Meretoja A, Acciarresi M, Akinyemi RO, Campbell B, Dowlatshahi D, English C, et al., 'Stroke doctors: Who are we? A World Stroke Organization survey', International Journal of Stroke, 12 858-868 (2017) [C1]
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2017 |
Van Kessel G, Hillier S, English C, 'Physiotherapists attitudes toward circuit class therapy and 7 day per week therapy is influenced by normative beliefs, past experience, and perceived control: A qualitative study', Physiotherapy Theory and Practice, 33 850-858 (2017) [C1] Introduction: Attitudes are recognized as influencing research implementation. However, little is known about the process by which physiotherapists¿ attitudes and beliefs shape th... [more] Introduction: Attitudes are recognized as influencing research implementation. However, little is known about the process by which physiotherapists¿ attitudes and beliefs shape their use of 7-day per week therapy and circuit class therapy research findings. Understanding beliefs may assist in addressing barriers to research uptake. Methods: Fifteen physiotherapists from six rehabilitation centers who ranged in seniority, experience, and education levels consented to be interviewed. The transcribed interviews were analyzed using a qualitative content analysis drawing on the Theory of Planned Behavior. Findings: Participants felt that they had autonomy in adopting new approaches when the evidence was supported by social norms. Participants believed that 7-day per week therapy delivers a seamless service that increases physiotherapy time, which helps maintain patient improvement, but needs to accommodate patient choice and expectations. Circuit class therapy was viewed positively as it provides more physiotherapy time, increases patient social interaction, and motivation. However, this was qualified by a belief that patients would not receive individualized, quality of movement focused therapy, particularly for patients with limited capacities. Conclusion: Implementation of a new approach depends on the past experience, coherence with individual beliefs regarding important elements of therapy content, and opportunities to control barriers to implementation.
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2016 |
MacIsaac R, Ali M, Peters M, English C, Rodgers H, Jenkinson C, et al., 'Derivation and Validation of a Modified Short Form of the Stroke Impact Scale', Journal of the American Heart Association : Cardiovascular and Cerebrovascular Disease, 5 (2016) [C1]
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2016 |
English C, Healy GN, Olds T, Parfitt G, Borkoles E, Coates A, et al., 'Reducing Sitting Time After Stroke: A Phase II Safety and Feasibility Randomized Controlled Trial', ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 97 273-280 (2016) [C1]
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2016 |
English C, Shields N, Brusco NK, Taylor NF, Watts JJ, Peiris C, et al., 'Additional weekend therapy may reduce length of rehabilitation stay after stroke: A meta-analysis of individual patient data', Journal of Physiotherapy, 62 124-129 (2016) [C1] Questions: Among people receiving inpatient rehabilitation after stroke, does additional weekend physiotherapy and/or occupational therapy reduce the length of rehabilitation hosp... [more] Questions: Among people receiving inpatient rehabilitation after stroke, does additional weekend physiotherapy and/or occupational therapy reduce the length of rehabilitation hospital stay compared to those who receive a weekday-only service, and does this change after controlling for individual factors? Does additional weekend therapy improve the ability to walk and perform activities of daily living, measured at discharge? Does additional weekend therapy improve health-related quality of life, measured 6 months after discharge from rehabilitation? Which individual, clinical and hospital characteristics are associated with shorter length of rehabilitation hospital stay? Design: This study pooled individual data from two randomised, controlled trials (n = 350) using an individual patient data meta-analysis and multivariate regression. Participants: People with stroke admitted to inpatient rehabilitation facilities. Intervention: Additional weekend therapy (physiotherapy and/or occupational therapy) compared to usual care (5 days/week therapy). Outcome measures: Length of rehabilitation hospital stay, independence in activities of daily living measured with the Functional Independence Measure, walking speed and health-related quality of life. Results: Participants who received weekend therapy had a shorter length of rehabilitation hospital stay. In the un-adjusted analysis, this was not statistically significant (MD -5.7 days, 95% CI -13.0 to 1.5). Controlling for hospital site, age, walking speed and Functional Independence Measure score on admission, receiving weekend therapy was significantly associated with a shorter length of rehabilitation hospital stay (ß = 7.5, 95% CI 1.7 to 13.4, p = 0.001). There were no significant between-group differences in Functional Independence Measure scores (MD 1.9 points, 95% CI -2.8 to 6.6), walking speed (MD 0.06 m/second, 95% CI -0.15 to 0.04) or health-related quality of life (SMD -0.04, 95% CI -0.26 to 0.19) at discharge. Discussion: Modest evidence indicates that additional weekend therapy might reduce rehabilitation hospital length of stay. Clinical Trial Registration: ACTRN12610000096055, ACTRN12609000973213. [English C, Shields N, Brusco NK, Taylor NF, Watts JJ, Peiris C, et al. (2016) Additional weekend therapy may reduce length of rehabilitation stay after stroke: a meta-analysis of individual patient data. Journal of Physiotherapy 62: 124-129].
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2016 |
Cumming TB, Packer M, Kramer SF, English C, 'The prevalence of fatigue after stroke: A systematic review and meta-analysis', International Journal of Stroke, 11 968-977 (2016) [C1] Background: Fatigue is a common and debilitating symptom after stroke. The last decade has seen rapid expansion of the research literature on post-stroke fatigue, but prevalence r... [more] Background: Fatigue is a common and debilitating symptom after stroke. The last decade has seen rapid expansion of the research literature on post-stroke fatigue, but prevalence remains unclear. Aims: To estimate post-stroke fatigue prevalence and to identify the contributing factors to fatigue, by conducting a systematic review and meta-analysis. Summary of review: We included all studies of adult stroke survivors that used a recognized assessment scale for fatigue (search date September 2014). Two reviewers independently reviewed all full texts for inclusion. Data were extracted by one reviewer and independently cross-checked by a second. Risk of bias was evaluated using a critical appraisal tool. From an overall yield of 921 studies, 101 full text papers were screened, and 49 of these met inclusion criteria. The most widely used measure of fatigue was the Fatigue Severity Scale (n = 24 studies). Prevalence estimates at a cut-off score of > or = 4 were available for 22 of these 24 studies (total n = 3491), and ranged from 25 to 85%. In random effects meta-analysis, the pooled prevalence estimate was 50% (95% CI 43¿57%), with substantial heterogeneity (I2 = 94%). Neither depression status nor time point post-stroke explained the heterogeneity between studies. In post-hoc analysis, fatigue prevalence was found to be lower in the four Asian studies (35%; 95% CI 20¿50; I2 = 96%). Conclusions: Our results confirm that fatigue is a widespread issue for stroke survivors, although it may be less prevalent in Asia. Further research is needed to explain the wide variability in prevalence estimates between studies.
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2016 |
Thorp AA, Kingwell BA, English C, Hammond L, Sethi P, Owen N, Dunstan DW, 'Alternating sitting and standing increases the workplace energy expenditure of overweight adults', Journal of Physical Activity and Health, 13 24-29 (2016) [C1] Background: To determine whether alternating bouts of sitting and standing at work influences daily workplace energy expenditure (EE). Methods: Twenty-three overweight/obese offic... [more] Background: To determine whether alternating bouts of sitting and standing at work influences daily workplace energy expenditure (EE). Methods: Twenty-three overweight/obese office workers (mean ± SD; age: 48.2 ± 7.9 y, body mass index: 29.6 ± 4.0 kg/m2) undertook two 5-day experimental conditions in an equal, randomized order. Participants wore a "metabolic armband" (SenseWear Armband Mini) to estimate daily workplace EE (KJ/8 h) while working (1) in a seated work posture (SIT condition) or (2) alternating between a standing and seated work posture every 30 minutes using a sit-stand workstation (STAND-SIT condition). To assess the validity of the metabolic armband, a criterion measure of acute EE (KJ/min; indirect calorimetry) was performed on day 4 of each condition. Results: Standing to work acutely increased EE by 0.7 [95% CI 0.3-1.0] KJ/min (13%), relative to sitting (P =.002). Compared with indirect calorimetry, the metabolic armband provided a valid estimate of EE while standing to work (mean bias: 0.1 [-0.3 to 0.4] KJ/min) but modestly overestimated EE while sitting (P =.005). Daily workplace EE was greatest during the STAND-SIT condition (mean condition difference [95% CI]: 76 [8-144] KJ/8-h workday, P =.03). Conclusions: Intermittent standing at work can modestly increase daily workplace EE compared with seated work in overweight/obese office workers.
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2016 |
Lewis LK, Rowlands AV, Gardiner PA, Standage M, English C, Olds T, 'Small Steps: Preliminary effectiveness and feasibility of an incremental goal-setting intervention to reduce sitting time in older adults', Maturitas, 85 64-70 (2016) [C1] Objective This study aimed to evaluate the preliminary effectiveness and feasibility of a theory-informed program to reduce sitting time in older adults. Design Pre-experimental (... [more] Objective This study aimed to evaluate the preliminary effectiveness and feasibility of a theory-informed program to reduce sitting time in older adults. Design Pre-experimental (pre-post) study. Thirty non-working adult (=60 years) participants attended a one hour face-to-face intervention session and were guided through: a review of their sitting time; normative feedback on sitting time; and setting goals to reduce total sitting time and bouts of prolonged sitting. Participants chose six goals and integrated one per week incrementally for six weeks. Participants received weekly phone calls. Outcome measures Sitting time and bouts of prolonged sitting (=30 min) were measured objectively for seven days (activPAL3c inclinometer) pre- and post-intervention. During these periods, a 24-h time recall instrument was administered by computer-assisted telephone interview. Participants completed a post-intervention project evaluation questionnaire. Paired t tests with sequential Bonferroni corrections and Cohen's d effect sizes were calculated for all outcomes. Results Twenty-seven participants completed the assessments (71.7 ± 6.5 years). Post-intervention, objectively-measured total sitting time was significantly reduced by 51.5 min per day (p = 0.006; d = -0.58) and number of bouts of prolonged sitting by 0.8 per day (p = 0.002; d = -0.70). Objectively-measured standing increased by 39 min per day (p = 0.006; d = 0.58). Participants self-reported spending 96 min less per day sitting (p < 0.001; d = -0.77) and 32 min less per day watching television (p = 0.005; d = -0.59). Participants were highly satisfied with the program. Conclusion The 'Small Steps' program is a feasible and promising avenue for behavioral modification to reduce sitting time in older adults.
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2016 |
Bennett L, Luker J, English C, Hillier S, 'Stroke survivors' perspectives on two novel models of inpatient rehabilitation: Seven-day a week individual therapy or five-day a week circuit class therapy', Disability and Rehabilitation, 38 1397-1406 (2016) [C1] Purpose: To explore stroke survivors perspectives of two novel models of inpatient physiotherapy, which provide an increased amount of therapy: five days a week circuit class ther... [more] Purpose: To explore stroke survivors perspectives of two novel models of inpatient physiotherapy, which provide an increased amount of therapy: five days a week circuit class therapy and seven days a week individual therapy. Method: This is a qualitative descriptive study using semi-structured interviews and thematic analysis. The participants were 10 purposively sampled stroke survivors in the post-acute phase of recovery, who had experienced seven days a week individual therapy or five days a week circuit group therapy during inpatient rehabilitation. Results: Three main themes emerged from the data: Too much, too little or just right; My experience - alone and together; and Meeting my needs. Findings revealed considerable variety in participants beliefs, priorities and preferences regarding how intensely they could work; their experience of success and challenge individually and collectively; and their need to have their own unique individual needs met. Lack of choice seemed to be a linking concept between the themes. Conclusion: In order to provide patient-centred services, novel methods of increased therapy must take into consideration the individual needs and preferences of the people accessing them. One model may not meet all these needs, hence a "menu" of options for therapy sessions (different timing, frequency, duration, content, rest and supervision) may be required to accommodate the diversity of patient needs, preferences and capacities.Implications for RehabilitationPeople with stroke have diverse needs and preferences regarding the modes of delivering more therapy during rehabilitation.These diverse needs may not be met by one rigid service model.Therapists and service providers could engage their clients in a dialogue about the need for more therapy and how it can be delivered.This dialogue could include options of the various ways to increase their therapy.Therapists need to provide clear reasons and education around therapy components, including rest time and practice schedules.
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2016 |
Lewis LK, Hunt T, Williams MT, English C, Olds TS, 'Sedentary Behavior in People with and without a Chronic Health Condition: How Much, What and When?', AIMS PUBLIC HEALTH, 3 503-519 (2016) [C1]
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Nova | |||||||||
2015 |
English C, Veerbeek J, 'Is more physiotherapy better after stroke?', INTERNATIONAL JOURNAL OF STROKE, 10 465-466 (2015) [C3]
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2013 |
Gomersall SR, Rowlands AV, English C, Maher C, Olds TS, 'The ActivityStat Hypothesis The Concept, the Evidence and the Methodologies', SPORTS MEDICINE, 43 135-149 (2013)
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2013 |
Ali M, English C, Bernhardt J, Sunnerhagen KS, Brady M, 'More outcomes than trials: a call for consistent data collection across stroke rehabilitation trials', INTERNATIONAL JOURNAL OF STROKE, 8 18-24 (2013)
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2013 |
Kaur G, English C, Hillier S, 'Physiotherapists systematically overestimate the amount of time stroke survivors spend engaged in active therapy rehabilitation: an observational study', JOURNAL OF PHYSIOTHERAPY, 59 45-51 (2013)
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Show 154 more journal articles |
Review (7 outputs)
Year | Citation | Altmetrics | Link | ||
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2013 |
English C, 'A useful site for consumers, families and busy clinicians', JOURNAL OF PHYSIOTHERAPY (2013)
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2013 | Mead G, Bernhardt J, English CK, 'Exercise after stroke', World Stroke Academy (2013) | ||||
2011 |
English C, 'Patients spend an alarmingly high proportion of the day sedentary', INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION (2011)
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Show 4 more reviews |
Conference (95 outputs)
Year | Citation | Altmetrics | Link | ||
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2023 |
Pogrebnoy D, Davey J, Burke M, Beh B, English K, Schelfhaut B, et al., '
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2023 |
Pogrebnoy D, Dennett A, Simpson D, MacDonald-Wicks L, Patterson A, English C, 'What can we learn from websites for people with chronic illness to help survivors of stroke manage their cardiovascular risk factors? A Systematic Review and Meta-Analysis', INTERNATIONAL JOURNAL OF STROKE (2023)
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2023 |
Pogrebnoy D, MacDonald-Wicks L, Patterson A, Dennett A, Czerenkowski J, Cullen R, English C, 'i-Rebound after stroke: A pilot feasibility study of a co-designed website with resources to reduce secondary stroke risk', INTERNATIONAL JOURNAL OF STROKE (2023)
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2015 | English C, Bernhardt J, Crotty M, Esterman A, Hillier S, 'Time spent in physiotherapy sessions during sub-acute rehabilitation does not predict recovery of walking ability', INTERNATIONAL JOURNAL OF STROKE (2015) [E3] | ||||
2015 | English C, Healy G, Coates A, Olds T, Bernhardt J, 'Targeting sedentary behaviour and sitting time in stroke survivors. A new paradigm for addressing recurrent stroke risk', INTERNATIONAL JOURNAL OF STROKE (2015) [E3] | ||||
2015 | van Kessel G, Hillier S, English C, 'What are physiotherapists' attitudes and beliefs about the implementation of circuit class therapy and 7 day a week therapy? A qualitative study', INTERNATIONAL JOURNAL OF STROKE (2015) [E3] | ||||
2015 | Packer M, English C, Cumming T, 'Fatigue after stroke: A systematic review and meta-analysis of prevalence', INTERNATIONAL JOURNAL OF STROKE (2015) [E3] | ||||
2015 | English C, Coates A, Olds T, Healy G, Parfitt G, Borkoles E, Bernhardt J, ''Sit less, move more': A phase II safety and feasibility trial', INTERNATIONAL JOURNAL OF STROKE (2015) [E3] | ||||
2015 |
Simpson D, Callisaya M, English C, Thrift A, Gall S, 'Exercise after stroke: The North East Melbourne Stroke Incidence Study (NEMESIS)', INTERNATIONAL JOURNAL OF STROKE (2015) [E3]
|
||||
2014 |
English C, Coates A, Olds T, Healy G, Bernhardt J, 'Exploring patterns of inactivity and use-of-time in People after Stroke (EPIPS)', INTERNATIONAL JOURNAL OF STROKE (2014)
|
||||
2014 | Hundertmark L, English C, Hillier SL, Bernhardt J, 'What do Australian physiotherapists think about circuit class therapy and 7-day a week therapy?', INTERNATIONAL JOURNAL OF STROKE (2014) | ||||
2014 | English C, Hillier S, Olds T, Coates A, Bernhardt J, 'Addressing the second highest risk factor for stroke. Are we sitting down on the job?', INTERNATIONAL JOURNAL OF STROKE (2014) | ||||
2014 |
Hillier S, English C, Bernhardt J, Crotty M, Esterman A, Segal L, 'Circuit class and 7-day week therapy for increasing rehabilitation intensity of therapy after stroke (CIRCIT): Six month follow-up and cost analysis of the CIRCIT RCT', INTERNATIONAL JOURNAL OF STROKE (2014)
|
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2013 | Crotty M, Sherrington C, English C, van den Berg M, 'Stroke rehabilitation - strategies to increase activity', AUSTRALASIAN JOURNAL ON AGEING (2013) | ||||
2013 | English C, Manns P, Tucak C, Bernhardt J, 'From sitting to running: how active are stroke survivors across the activity continuum? A systematic review', INTERNATIONAL JOURNAL OF STROKE (2013) | ||||
2013 | Schurr K, Scrivener K, English C, 'Practical ways to increase practice', INTERNATIONAL JOURNAL OF STROKE (2013) | ||||
Show 92 more conferences |
Other (1 outputs)
Year | Citation | Altmetrics | Link | ||
---|---|---|---|---|---|
2017 |
English C, 'Commentary', ( issue.2 pp.117-117): AUSTRALIAN PHYSIOTHERAPY ASSOC (2017)
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Preprint (3 outputs)
Year | Citation | Altmetrics | Link | |||||
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2023 |
Pogrebnoy D, Dennett AM, Simpson DB, MacDonald-Wicks L, Patterson AJ, English C, 'Effects of Using Websites on Physical Activity and Diet Quality for Adults Living With Chronic Health Conditions: Systematic Review and Meta-Analysis (Preprint) (2023)
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2021 |
Clancy B, Bonevski B, English C, Baker AL, Turner A, Magin P, et al., 'Access to and Use of Internet and Social Media by Low-Morbidity Stroke Survivors Participating in a National Web-Based Secondary Stroke Prevention Trial: Cross-sectional Survey (Preprint) (2021)
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2021 |
Hall JF, Corepal R, Crocker TF, Lam N, Burton L-J, Birch K, et al., 'A systematic review and meta-analysis of non-workplace interventions to reduce time spent sedentary in adults (2021)
|
Grants and Funding
Summary
Number of grants | 39 |
---|---|
Total funding | $8,918,443 |
Click on a grant title below to expand the full details for that specific grant.
20234 grants / $1,646,993
ESTEEM After Stroke: Improving access to stroke rehabilitation for regional Australians$1,514,537
Funding body: Department of Health and Aged Care
Funding body | Department of Health and Aged Care |
---|---|
Project Team | Doctor Heidi Janssen, Dr Marie-Louise Bird, Professor Michael Nilsson, Doctor Liam Johnson, Dr Liam Johnson, Professor Neil Spratt, Professor Coralie English, Conjoint Professor Chris Levi, Doctor Carlos Garcia Esperon, Dr Christine Shiner, Doctor Kirsti Haracz, Doctor Dawn Simpson, Dr Christopher Oldmeadow, Doctor Christopher Oldmeadow |
Scheme | MRFF - CRI - Clinician Researchers: Nurses, Midwives and Allied Health |
Role | Investigator |
Funding Start | 2023 |
Funding Finish | 2026 |
GNo | G2200912 |
Type Of Funding | C1300 - Aust Competitive - Medical Research Future Fund |
Category | 1300 |
UON | Y |
Co-design and testing of a novel 'fatigue protectometer' to tackle post-stroke fatigue$79,944
Funding body: National Stroke Foundation
Funding body | National Stroke Foundation |
---|---|
Project Team | Doctor Dawn Simpson, Ms Julie Davey, Professor Avril Drummond, Professor Coralie English, Mr David Flood, Mrs Alicia Harris, Doctor Lucette Lanyon, Ms Gillian Mason, Professor Lorimer Moseley, Ms Emily Ramage |
Scheme | Early and Early-Mid Career Researcher Seed Grants |
Role | Investigator |
Funding Start | 2023 |
Funding Finish | 2024 |
GNo | G2200937 |
Type Of Funding | C1700 - Aust Competitive - Other |
Category | 1700 |
UON | Y |
A Centre of Research Excellence to Accelerate Stroke Trial Innovation and Translation$35,000
Funding body: NHMRC (National Health & Medical Research Council)
Funding body | NHMRC (National Health & Medical Research Council) |
---|---|
Project Team | Professor Coralie English, Professor Richard Lindley, Professor Christopher Bladin, Dr Dominique Cadilhac, Dr Bruce Campbell, Professor Leonid Churilov, Associate Professor Caleb Ferguson, Doctor Kathryn Hayward, Professor Sandy Middleton, Professor Vincent Thijs |
Scheme | Centres of Research Excellence (CRE) |
Role | Lead |
Funding Start | 2023 |
Funding Finish | 2024 |
GNo | G2300785 |
Type Of Funding | C1100 - Aust Competitive - NHMRC |
Category | 1100 |
UON | Y |
Harnessing the power of co-design to develop digital solutions and improve health self-efficacy after stroke$17,512
Funding body: Department of Health and Aged Care
Funding body | Department of Health and Aged Care |
---|---|
Project Team | Professor Coralie English, Associate Professor Niranjan Bidargaddi, Professor Billie Bonevski, Professor Leonid Churilov, Professor Robyn Clark, Associate Professor Erin Godecke, Doctor Elizabeth Lynch, Adrian O'Malley |
Scheme | MRFF - PPHRI - Consumer-Led Research |
Role | Lead |
Funding Start | 2023 |
Funding Finish | 2024 |
GNo | G2300195 |
Type Of Funding | C1300 - Aust Competitive - Medical Research Future Fund |
Category | 1300 |
UON | Y |
20221 grants / $10,000
Physical activity and dietary interventions to reduce secondary stroke risk: The ENAbLE Pilot Randomised Controlled Trial$10,000
Funding body: NHMRC (National Health & Medical Research Council)
Funding body | NHMRC (National Health & Medical Research Council) |
---|---|
Project Team | Professor Coralie English, Doctor Margaret Galloway, Professor Graeme Hankey, Professor Richard Lindley, Elizabeth Lynch, Doctor Amanda Patterson, Ms Emily Ramage, Catherine Said, Mrs Karly Zacharia |
Scheme | Program Grant |
Role | Lead |
Funding Start | 2022 |
Funding Finish | 2022 |
GNo | G2101222 |
Type Of Funding | C1100 - Aust Competitive - NHMRC |
Category | 1100 |
UON | Y |
20212 grants / $104,073
“i-REBOUND after stroke” – development of an online program to prevent recurrent stroke and support long-term health and well-being$99,073
Funding body: National Stroke Foundation
Funding body | National Stroke Foundation |
---|---|
Project Team | Professor Coralie English, Doctor Amanda Patterson, Associate Professor Lesley MacDonald-Wicks, Ms Jude Czerenkowski, Ms Meredith Burke, Erin Godecke, Doctor Lee Ashton, Dr Elizabeth Lynch, Elizabeth Lynch, Ms Emily Ramage, Mrs Karly Zacharia |
Scheme | Nancy and Vic Allen Stroke Prevention Memorial Fund |
Role | Lead |
Funding Start | 2021 |
Funding Finish | 2022 |
GNo | G2000967 |
Type Of Funding | C3200 – Aust Not-for Profit |
Category | 3200 |
UON | Y |
Improving fatigue after stroke: the Nottingham Fatigue after Stroke, Australia study (NotFAST2-Aus). $5,000
Funding body: Hunter Medical Research Institute
Funding body | Hunter Medical Research Institute |
---|---|
Project Team | Doctor Margaret Galloway, Professor Coralie English, Doctor Dawn Simpson |
Scheme | Research Grant |
Role | Investigator |
Funding Start | 2021 |
Funding Finish | 2021 |
GNo | G2101067 |
Type Of Funding | C3300 – Aust Philanthropy |
Category | 3300 |
UON | Y |
20203 grants / $117,972
ENAbLE: Secondary prevention of stroke. A physical activity and diet pilot randomised controlled trial$61,316
Funding body: Hunter Medical Research Institute
Funding body | Hunter Medical Research Institute |
---|---|
Project Team | Professor Coralie English, Doctor Amanda Patterson, Associate Professor Lesley MacDonald-Wicks, Professor Neil Spratt, Ms Meredith Burke, Ms Heidi Janssen, Ms Di Marsden, Associate Professor Michael Pollack |
Scheme | Research Grant |
Role | Lead |
Funding Start | 2020 |
Funding Finish | 2020 |
GNo | G2000563 |
Type Of Funding | C3300 – Aust Philanthropy |
Category | 3300 |
UON | Y |
Physical activity and dietary interventions to reduce secondary stroke risk: The ENAbLE Pilot Randomised Controlled Trial$49,997
Funding body: National Stroke Foundation
Funding body | National Stroke Foundation |
---|---|
Project Team | Professor Coralie English, Doctor Amanda Patterson, Ms Emily Ramage, Mrs Karly Zacharia, Doctor Margaret Galloway, AProf Catherine Said, Dr Elizabeth Lynch |
Scheme | Early Career Seed Grant |
Role | Lead |
Funding Start | 2020 |
Funding Finish | 2021 |
GNo | G1900958 |
Type Of Funding | C1700 - Aust Competitive - Other |
Category | 1700 |
UON | Y |
RISE interventie: minder na een beroerte (“RISE intervention: reducing sitting time after stroke”)$6,659
Funding body: Netherlands Organisation for Scientific Research (NOW) Taskforce for Applied Research (SIA RAAK)
Funding body | Netherlands Organisation for Scientific Research (NOW) Taskforce for Applied Research (SIA RAAK) |
---|---|
Project Team | Professor Coralie English, Dr Martijn Pisters |
Scheme | Research Grant |
Role | Lead |
Funding Start | 2020 |
Funding Finish | 2024 |
GNo | G2000915 |
Type Of Funding | C3800 – International Govt - Other |
Category | 3800 |
UON | Y |
20191 grants / $5,000
Sit less, move more after stroke. An international perspective$5,000
Funding body: National Heart Foundation of Australia
Funding body | National Heart Foundation of Australia |
---|---|
Project Team | Professor Coralie English |
Scheme | Collaboration and Exchange Awards |
Role | Lead |
Funding Start | 2019 |
Funding Finish | 2019 |
GNo | G1801280 |
Type Of Funding | C3200 – Aust Not-for Profit |
Category | 3200 |
UON | Y |
20183 grants / $4,518,301
Determining Optimal early rehabilitation after StrokE (AVERT-Dose): A multi-arm covariate-adjusted, response-adaptive randomised controlled trial.$4,359,564
The main aim of the AVERT DOSE trial is to identify the best early mobility training program for people with ischaemic stroke (i.e. caused by a blood clot in the brain) of mild and moderate severity.
For more information see trial website
Funding body: National Health and Medical Research Council
Funding body | National Health and Medical Research Council |
---|---|
Project Team | Julie Bernhardt, Geoff Donnan, Leonid Churliov, Peter Langhorne, Jaraj Pandian, Helen Dewey, V Srikanth, Coralie English, Marjorie Moodie, Sandy Middleton |
Scheme | Project Grant |
Role | Investigator |
Funding Start | 2018 |
Funding Finish | 2022 |
GNo | |
Type Of Funding | C1100 - Aust Competitive - NHMRC |
Category | 1100 |
UON | N |
Service change and Supporting Lifestyle and Activity Modification after TIA (S+SLAM-TIA)$83,909
Funding body: The Nancy and Vic Allen Stroke Prevention Fund
Funding body | The Nancy and Vic Allen Stroke Prevention Fund |
---|---|
Project Team | Doctor Heidi Janssen, Conjoint Professor Chris Levi, Ms GILLIAN Mason, Doctor Gary Crowfoot, Professor Coralie English, Professor John Attia |
Scheme | Stroke Prevention Grant |
Role | Investigator |
Funding Start | 2018 |
Funding Finish | 2020 |
GNo | G1801093 |
Type Of Funding | C3200 – Aust Not-for Profit |
Category | 3200 |
UON | Y |
Breaking up sitting time to reduce hypertension and secondary stroke risk. BUST-BP- Dose$74,828
Funding body: National Heart Foundation of Australia
Funding body | National Heart Foundation of Australia |
---|---|
Project Team | Professor Coralie English, Professor David Dunstan, Professor Neil Spratt, Doctor Gary Crowfoot |
Scheme | Vanguard Grant |
Role | Lead |
Funding Start | 2018 |
Funding Finish | 2018 |
GNo | G1700810 |
Type Of Funding | C1700 - Aust Competitive - Other |
Category | 1700 |
UON | Y |
20175 grants / $623,197
Reducing sitting time for secondary stroke prevention$524,620
Funding body: National Heart Foundation of Australia
Funding body | National Heart Foundation of Australia |
---|---|
Project Team | Professor Coralie English |
Scheme | Future Leader Fellowship |
Role | Lead |
Funding Start | 2017 |
Funding Finish | 2020 |
GNo | G1600656 |
Type Of Funding | C1700 - Aust Competitive - Other |
Category | 1700 |
UON | Y |
Development and evaluation of strategies to reduce sedentary behaviour in patients after stroke and improve outcomes$48,818
Funding body: National Institute for Health Research
Funding body | National Institute for Health Research |
---|---|
Project Team | Mrs Sue Oxley, Professor Coralie English, Mrs Gill Carter, Professor Amanda Farrin, Dr Claire Fitzsimons, Professor Rebecca Lawton, Professor Anita Patel, Dr Renee Romeo, Professor Gillian Mead, Professor Anne Forster, Dr David Clarke, Dr Karen Birch, Mrs Ivana Holloway |
Scheme | Research Grant |
Role | Lead |
Funding Start | 2017 |
Funding Finish | 2024 |
GNo | G1701434 |
Type Of Funding | C3800 – International Govt - Other |
Category | 3800 |
UON | Y |
BUST-Stroke: 'Breaking up sitting time after stroke' a new paradigm for reducing recurrent stroke risk$20,000
Funding body: Hunter Medical Research Institute
Funding body | Hunter Medical Research Institute |
---|---|
Project Team | Professor Coralie English, Doctor Heidi Janssen, Professor Rohan Walker, Professor Neil Spratt, Emeritus Professor Robin Callister, Doctor Amanda Patterson, Associate Professor Julie Bernhardt, Professor David Dunstan |
Scheme | Project Grant |
Role | Lead |
Funding Start | 2017 |
Funding Finish | 2017 |
GNo | G1700572 |
Type Of Funding | C3300 – Aust Philanthropy |
Category | 3300 |
UON | Y |
Determining the minimum dose of exercise required to improve cardiorespiratory fitness in stroke survivors$19,863
Funding body: National Stroke Foundation
Funding body | National Stroke Foundation |
---|---|
Project Team | Professor Coralie English, Ms Margaret Galloway, Doctor Dianne Marsden, Emeritus Professor Robin Callister, Dr Trevor Russell |
Scheme | Research Grant |
Role | Lead |
Funding Start | 2017 |
Funding Finish | 2017 |
GNo | G1601123 |
Type Of Funding | C3200 – Aust Not-for Profit |
Category | 3200 |
UON | Y |
Assessment for stroke recovery$9,896
Funding body: NSW Ministry of Health
Funding body | NSW Ministry of Health |
---|---|
Project Team | Doctor Lin Kooi Ong, Doctor Gary Crowfoot, Doctor Heidi Janssen, Doctor Dianne Marsden, Doctor Jodie Marquez, Professor Coralie English, Professor Rohan Walker |
Scheme | Medical Research Support Program (MRSP) |
Role | Investigator |
Funding Start | 2017 |
Funding Finish | 2017 |
GNo | G1701224 |
Type Of Funding | C2400 – Aust StateTerritoryLocal – Other |
Category | 2400 |
UON | Y |
20163 grants / $57,910
Aerobic Exercise and Consecutive Task-specific Training for the upper Limb after stroke (the AExacTT Study)$33,388
Funding body: Hunter New England Local Health District
Funding body | Hunter New England Local Health District |
---|---|
Project Team | Professor Coralie English, Emeritus Professor Robin Callister |
Scheme | Hunter Stroke Service Equipment Grant |
Role | Lead |
Funding Start | 2016 |
Funding Finish | 2016 |
GNo | G1601275 |
Type Of Funding | C2300 – Aust StateTerritoryLocal – Own Purpose |
Category | 2300 |
UON | Y |
BUST-Stroke “Breaking Up Sitting Time after Stroke. A new paradigm for reducing recurrent stroke risk”$21,745
Funding body: John Hunter Hospital Charitable Trust
Funding body | John Hunter Hospital Charitable Trust |
---|---|
Project Team | Professor Coralie English, Doctor Heidi Janssen, Professor Neil Spratt |
Scheme | Research Grant |
Role | Lead |
Funding Start | 2016 |
Funding Finish | 2016 |
GNo | G1600566 |
Type Of Funding | Other Public Sector - State |
Category | 2OPS |
UON | Y |
Educator providing courses through CPDlife platform $2,777
Funding body: CPDLife
Funding body | CPDLife |
---|---|
Project Team | Professor Coralie English |
Scheme | Research Project |
Role | Lead |
Funding Start | 2016 |
Funding Finish | 2017 |
GNo | G1601162 |
Type Of Funding | C3100 – Aust For Profit |
Category | 3100 |
UON | Y |
20152 grants / $1,086,451
InTENSE: Intensive therapy after botulinum toxin injection for people with stroke.$1,036,713
This project aims to investigate the clinical benefits of providing intensive, evidence-based movement training plus anti-spasticity medication (BoNT-A) compared to anti-spasticity medication (BoNT-A) alone.
Funding body: National Health and Medical Research Council
Funding body | National Health and Medical Research Council |
---|---|
Project Team | Natasha Lannin |
Scheme | Project Grant |
Role | Investigator |
Funding Start | 2015 |
Funding Finish | 2018 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
Sitting less. A new paradigm for reducing recurrent stroke risk.$49,738
Funding body: National Stroke Foundation
Funding body | National Stroke Foundation |
---|---|
Project Team | Professor Coralie English, Emeritus Professor Robin Callister, Professor David Dunstan, Associate Professor Julie Bernhardt |
Scheme | Seed Grant |
Role | Lead |
Funding Start | 2015 |
Funding Finish | 2015 |
GNo | G1500587 |
Type Of Funding | Grant - Aust Non Government |
Category | 3AFG |
UON | Y |
20141 grants / $3,000
Increasing intensity of stroke inpatient rehabilitation. A survey of Australian physiotherapists’ attitudes, perceived barriers and enablers to circuit class therapy and 7-day a week therapy$3,000
Funding body: National Stroke Foundation
Funding body | National Stroke Foundation |
---|---|
Project Team | Laura Hundertmark |
Scheme | Honours Grant |
Role | Investigator |
Funding Start | 2014 |
Funding Finish | 2014 |
GNo | |
Type Of Funding | Aust Competitive - Non Commonwealth |
Category | 1NS |
UON | N |
20131 grants / $5,000
Sit less, move more. A randomised controlled trial of reducing sitting time in stroke survivors$5,000
Funding body: University of South Australia
Funding body | University of South Australia |
---|---|
Scheme | Grant Development Scheme |
Role | Lead |
Funding Start | 2013 |
Funding Finish | 2013 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
20122 grants / $13,000
Sit less move more. A randomised controlled trial of reducing sitting time in stroke survivors$10,000
Funding body: University of South Australia
Funding body | University of South Australia |
---|---|
Scheme | Ten really good grants scheme |
Role | Lead |
Funding Start | 2012 |
Funding Finish | 2012 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
Stroke survivors perspectives on two novel models of inpatient rehabilitation$3,000
Funding body: National Stroke Foundation
Funding body | National Stroke Foundation |
---|---|
Project Team | Leanne Cavanagh |
Scheme | Honours Grant |
Role | Investigator |
Funding Start | 2012 |
Funding Finish | 2012 |
GNo | |
Type Of Funding | Aust Competitive - Non Commonwealth |
Category | 1NS |
UON | N |
20112 grants / $39,950
Sitting Time AfteR Stroke (STARS). A safety and feasibility study$20,000
Funding body: National Stroke Foundation
Funding body | National Stroke Foundation |
---|---|
Scheme | Nancy and Vic Allen Stroke Prevention Grant |
Role | Lead |
Funding Start | 2011 |
Funding Finish | 2013 |
GNo | |
Type Of Funding | Aust Competitive - Non Commonwealth |
Category | 1NS |
UON | N |
Exploring Patterns of Inactivity and use of time in People after Stroke (EPIPS)$19,950
Key publications
Funding body: National Stroke Foundation
Funding body | National Stroke Foundation |
---|---|
Scheme | Small Project Grant |
Role | Lead |
Funding Start | 2011 |
Funding Finish | 2012 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
20103 grants / $649,000
Circuit Class Therapy and 7-day week therapy for Increasing Rehabilitation Intensity of Therapy after Stroke. (CIRCIT) $503,500
This multi-centre 3-armed randomised controlled trial investigated the effectiveness of two alternative models of physiotherapy service provision; 7-day week therapy and group circuit class therapy. Key publications include
Funding body: National Health and Medical Research Council
Funding body | National Health and Medical Research Council |
---|---|
Project Team | Susan Hillier |
Scheme | Project Grant |
Role | Investigator |
Funding Start | 2010 |
Funding Finish | 2015 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
Improving cardiovascular health after stroke $142,500
Key publications
Funding body: National Health and Medical Research Council
Funding body | National Health and Medical Research Council |
---|---|
Scheme | Training Fellowship |
Role | Lead |
Funding Start | 2010 |
Funding Finish | 2014 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
Ummm, about an hour? How accurate are physiotherapists at estimating therapy time in stroke rehabilitation?$3,000
Key publications
Funding body: National Stroke Foundation
Funding body | National Stroke Foundation |
---|---|
Project Team | Gurpreet Kaur |
Scheme | Honours Grant |
Role | Investigator |
Funding Start | 2010 |
Funding Finish | 2010 |
GNo | |
Type Of Funding | Aust Competitive - Non Commonwealth |
Category | 1NS |
UON | N |
20091 grants / $3,000
Intra-rater reliability of sonographic measures and early changes in muscle thickness in individuals hospitalised after stroke$3,000
Key publications
Funding body: National Stroke Foundation
Funding body | National Stroke Foundation |
---|---|
Project Team | Laura Fisher |
Scheme | Honours Grant |
Role | Investigator |
Funding Start | 2009 |
Funding Finish | 2009 |
GNo | |
Type Of Funding | Aust Competitive - Non Commonwealth |
Category | 1NS |
UON | N |
20081 grants / $10,000
Circuit class therapy for inpatient rehabilitation after stroke (CIRCIT).$10,000
Funding body: University of South Australia
Funding body | University of South Australia |
---|---|
Project Team | Susan Hillier |
Scheme | Ten really good grants scheme |
Role | Investigator |
Funding Start | 2008 |
Funding Finish | 2008 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
20071 grants / $10,000
Measuring whole body skeletal muscle mass using ultrasound. A model prediction study$10,000
Funding body: University of South Australia
Funding body | University of South Australia |
---|---|
Project Team | Kerry Thoirs |
Scheme | Divisional Research Development Grant Scheme |
Role | Investigator |
Funding Start | 2007 |
Funding Finish | 2007 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
20031 grants / $6,000
Is task-related circuit training an effective means of providing rehabilitation to an acute stroke sample?$6,000
Funding body: Royal Adelaide Hospital
Funding body | Royal Adelaide Hospital |
---|---|
Scheme | Allied Health Research Grant |
Role | Lead |
Funding Start | 2003 |
Funding Finish | 2004 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
20022 grants / $9,596
Is task-related training an effective means of providing rehabilitation to an acute stroke sample?$5,097
Funding body: Royal Adelaide Hospital
Funding body | Royal Adelaide Hospital |
---|---|
Scheme | Allied Health Research Grant |
Role | Lead |
Funding Start | 2002 |
Funding Finish | 2003 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
Is task-related training an effective means of providing rehabilitation to an acute stroke sample?$4,499
Funding body: Physiotherapy Research Foundation
Funding body | Physiotherapy Research Foundation |
---|---|
Scheme | Seed Funding |
Role | Lead |
Funding Start | 2002 |
Funding Finish | 2002 |
GNo | |
Type Of Funding | Aust Competitive - Non Commonwealth |
Category | 1NS |
UON | N |
Research Supervision
Number of supervisions
Current Supervision
Commenced | Level of Study | Research Title | Program | Supervisor Type |
---|---|---|---|---|
2024 | PhD | The Development and Testing of a Co-Designed Post-Stroke Fatigue Education Intervention Using a Biopsychosocial Framework Approach | PhD (Physiotherapy), College of Health, Medicine and Wellbeing, The University of Newcastle | Principal Supervisor |
2022 | PhD | A Co-designed Culinary Skills Development Program for Stroke Survivors to Accommodate Fatigue and Impact on Diet Quality and Sodium Intake | PhD (Nutrition & Dietetics), College of Health, Medicine and Wellbeing, The University of Newcastle | Co-Supervisor |
2020 | PhD | The Feasibility of Developing and Implementing an Online Platform Promoting Physical Activity and Dietary Changes to Reduce Secondary Stroke Risk | PhD (Physiotherapy), College of Health, Medicine and Wellbeing, The University of Newcastle | Principal Supervisor |
2019 | PhD | Post-Stroke Health Risk Factors: Support Options and Opportunities | PhD (Psychiatry), College of Health, Medicine and Wellbeing, The University of Newcastle | Co-Supervisor |
2018 | PhD | “Development of a sedentary behavior intervention for people with stroke” | Physiotherapy, Utrecht Univeristy | Co-Supervisor |
Past Supervision
Year | Level of Study | Research Title | Program | Supervisor Type |
---|---|---|---|---|
2024 | PhD | The Role of Diet in Recurrent Stroke Risk | PhD (Nutrition & Dietetics), College of Health, Medicine and Wellbeing, The University of Newcastle | Co-Supervisor |
2022 | PhD | From Business as Usual to Making Changes: Perceptions of Physical Activity and Secondary Stroke Prevention after Transient Ischemic Attack or Mild Stroke | PhD (Physiotherapy), College of Health, Medicine and Wellbeing, The University of Newcastle | Co-Supervisor |
2022 | PhD | From Co-production to Practice: Developing a Telehealth Delivered Intervention to Reduce Stroke Risk | PhD (Physiotherapy), College of Health, Medicine and Wellbeing, The University of Newcastle | Principal Supervisor |
2021 | PhD | Breaking Up Prolonged Sitting Time After Stroke | PhD (Physiotherapy), College of Health, Medicine and Wellbeing, The University of Newcastle | Principal Supervisor |
2020 | PhD | Development and testing of adherence-enhancing strategies for home-based physical exercise program in community dwelling stroke survivors’ | Physiotherapy, Manipal Academy of Higher Education | Co-Supervisor |
2020 | PhD | The Study of Health Outcomes in the Printing Industry: Hearing and Balance Impairments Associated to Combined Exposure to Noise and Ototoxic Volatile Organic Compounds | PhD (Environ & Occupat Hlth), College of Health, Medicine and Wellbeing, The University of Newcastle | Principal Supervisor |
2020 | PhD | An investigation of sedentary and exercise behaviour post stroke and factors contributing to this behaviour | Physiotherapy, University of Tasmania | Co-Supervisor |
2019 | PhD | An Exploration of Low Doses of Exercise on Cardiorespiratory Fitness in People with Chronic Stroke | PhD (Physiotherapy), College of Health, Medicine and Wellbeing, The University of Newcastle | Principal Supervisor |
2018 | Honours | “An exploration of the differences in stroke survivor physical activity between Australia and India” | Physiotherapy, School of Health Sciences, Faculty of Health and Medicine, University of Newcastle | Principal Supervisor |
2017 | Honours | Patient readiness for risk-reduction education and lifestyle change following Transient Ischemic Attack | Physiotherapy, School of Health Sciences, Faculty of Health and Medicine, University of Newcastle | Principal Supervisor |
2017 | Honours | “Breaking up sitting time after stroke.: The relationship between activity participation and sedentary behaviour (BUST-Parti)” | Physiotherapy, School of Health Sciences, Faculty of Health and Medicine, University of Newcastle | Principal Supervisor |
2017 | Honours | Sitting more than standing after stroke: Perceptions from stroke survivors and their carers | Physiotherapy, School of Health Sciences, Faculty of Health and Medicine, University of Newcastle | Principal Supervisor |
2017 | Honours | How does the culture of a stroke rehabilitation unit influence patients’ therapeutic physical activity levels outside therapy – an ethnographical approach | Health, University of South Australia | Co-Supervisor |
2016 | Honours | Activity Monitors after Stroke | Physiotherapy, Priority Research Centre for Stroke and Brain Injury, University of Newcastle | Principal Supervisor |
2016 | Honours | Reactivity and minimum wear time in community dwelling stroke survivors | Physiotherapy, Priority Research Centre for Stroke and Brain Injury, University of Newcastle | Principal Supervisor |
2016 | Honours | Post-stroke fatigue. An individual patient data meta-analysis | Physiotherapy, Priority Research Centre for Stroke and Brain Injury, University of Newcastle | Principal Supervisor |
2014 | Honours | Sitting time, physical activity and fatigue in stroke survivors-an observational cross sectional study. | Health, University of South Australia | Principal Supervisor |
2014 | Honours | Increasing intensity of stroke inpatient rehabilitation: a survey of Australian physiotherapists’ attitudes, perceived barriers and enablers to circuit class therapy and 7-day a week therapy | Physiotherapy, University of South Australia | Principal Supervisor |
2013 | PhD |
Testing the ‘Activitystat’ Hypothesis <p>Key publications</p><p><a href="http://www.ncbi.nlm.nih.gov/pubmed/26023914" target="_blank">Gomersall S, Maher C, English C, Rowlands A, Olds T Time regained: When people stop a physical activity program, how does their time use change? A randomised controlled trial. PLOS ONE accepted 9th April 2015</a><a href="http://www.ncbi.nlm.nih.gov/pubmed/26023914" target="_blank">3. Gomersall S, Maher C, English C, Rowlands A, Olds T Time regained: When people stop a physical activity program, how does their time use change? A randomised controlled trial. PLOS ONE 2015 May 29;10(5):e0126665</a></p><p><a href="http://www.ncbi.nlm.nih.gov/pubmed/24602689" target="_blank">Gomersall S, Norton K, Maher C, English C, Olds T In search of lost time: When people start an exercise program, where does the time come from? A randomised controlled trial. Journal of Science and Medicine in Sport Jan;18(1):43-8</a></p><p><a href="http://www.ncbi.nlm.nih.gov/pubmed/23329607" target="_blank">Gomersall SR, Rowlands AV, English C, Maher C, Olds, TS (2013) &lsquo;The activitystat hypothesis: the concept, the evidence, and the methodologies&rsquo;, Sports Medicine 43: 135-149</a></p><p><a href="http://www.ncbi.nlm.nih.gov/pubmed/23043381" target="_blank">Gomersall SR, Maher C, Norton K, Dollman J, Tomkinson G, Esterman A, English C, Lewis N, Olds TS (2012) &lsquo;Testing the activitystat hypothesis: a randomised controlled trial protocol&rsquo;, BMC Public Health, 2012 Oct 8;12:851</a></p> |
Human Movement, University of South Australia | Co-Supervisor |
2013 | Honours | Does Bont-A toxin improve the effectiveness of casting in improving range of movement in stroke survivors with spasticity | Occupational Therapy, La Trobe University | Co-Supervisor |
2012 | Honours | Stroke survivors’ perspectives on two novel models of inpatient rehabilitation | Physiotherapy, University of South Australia | Co-Supervisor |
2011 | Honours |
Ummm, about an hour? How accurate are physiotherapists at estimating therapy time in stroke rehabilitation? <p>Key publications</p><p><a href="http://www.ncbi.nlm.nih.gov/pubmed/23419915" target="_blank">Kaur G, English C, Hillier S (2013) Physiotherapists systematically overestimate the amount of time stroke survivors spend engaged in active therapy during inpatient rehabilitation: an observational study. Journal of Physiotherapy 59: 45-51 </a></p><p><a href="http://www.hindawi.com/journals/srt/2012/820673/" target="_blank">Kaur G, English C, Hillier S. (2012) "How physically active are people with stroke in therapy sessions aimed at improving motor function? A Systematic Review&rdquo; Stroke Research and Treatment vol. 2012, Article ID 820673, 9 pages, 2012. doi:10.1155/2012/820673</a></p> |
Physiotherapy, University of South Australia | Principal Supervisor |
2010 | Honours |
Intra-rater reliability of sonographic measures and early changes in muscle thickness in individuals hospitalised after stroke <p>Key publications</p><p><a href="http://www.ncbi.nlm.nih.gov/pubmed/22324054" target="_blank">English C, Fisher L, Thoirs K (2012) The reliability of real time ultrasound for measuring skeletal muscle size in human limbs in-vivo: A systematic review. Clinical Rehabilitation 26(10) 934-44 </a></p><p><a href="http://www.ncbi.nlm.nih.gov/pubmed/22266233" target="_blank">English C, Thoirs K, Fisher L, McLennan H, Bernhardt J (2012) Ultrasound is a reliable measure of muscle thickness in acute stroke patients, for some, but not all anatomical sites Ultrasound in Medicine and Biology 38(3) 368-76 </a></p><p></p> |
Physiotherapy, University of South Australia | Co-Supervisor |
2008 | Honours |
The reliability and feasibility of using ultrasound to measure skeletal muscle thickness in persons early after stroke <p>Key publications</p><p><a href="http://www.ncbi.nlm.nih.gov/pubmed/22266233" target="_blank">English C, Thoirs K, Fisher L, McLennan H, Bernhardt J (2012) Ultrasound is a reliable measure of muscle thickness in acute stroke patients, for some, but not all anatomical sites Ultrasound in Medicine and Biology 38(3) 368-76 </a></p> |
Physiotherapy, University of South Australia | Principal Supervisor |
2007 | Honours |
An observational analysis of activity levels during group circuit class therapy and individual physiotherapy sessions for stroke survivors receiving inpatient rehabilitation <p>Key publications</p><p><a href="http://connection.ebscohost.com/c/articles/36516011/how-much-physical-activity-do-people-recovering-from-stroke-do-during-physiotherapy-sessions" target="_blank">Elson T, English C and Hillier S: (2009) How much physical activity do people recovering from stroke do during physiotherapy sessions. International Journal of Therapy and Rehabilitation 16 (2):78-84</a></p> |
Physiotherapy, University of South Australia | Co-Supervisor |
Research Collaborations
The map is a representation of a researchers co-authorship with collaborators across the globe. The map displays the number of publications against a country, where there is at least one co-author based in that country. Data is sourced from the University of Newcastle research publication management system (NURO) and may not fully represent the authors complete body of work.
Country | Count of Publications | |
---|---|---|
Australia | 248 | |
United Kingdom | 59 | |
Canada | 23 | |
United States | 23 | |
Netherlands | 18 | |
More... |
News
News • 31 Aug 2022
World-first stroke recovery program launches in Newcastle
An online resource portal, co-designed by people living with stroke with researchers from HMRI and the University of Newcastle, is offering specialised support on the journey to recovery.
News • 11 Aug 2022
Five things you need to know about stroke
During National Stroke Week (8 – 14 August) the University of Newcastle and HMRI are on a mission to raise awareness about risk factors and rehabilitation research.
News • 11 Dec 2017
Newcastle researchers awarded $750,000 to help heart health
Six Hunter researchers will focus on helping Australians have better heart health by investigating the causes, treatment and prevention of heart disease, after securing more than $750,000 in funding from the Heart Foundation.
News • 6 Sep 2017
Australia sets the standard in stroke treatment and care
Australian stroke patients are set to receive the latest and world’s best stroke treatment and care following the launch of new Clinical Guidelines for Stroke Management at Parliament House.
News • 5 Dec 2016
UON Heart Foundation 2017 Research Funding
Five UON health researchers have been awarded highly competitive Heart Foundation Australia funding to investigate the causes, treatment and prevention of heart, stroke and blood vessel disease.
News • 2 Aug 2016
ABC NEWS: World-first study looking at sedentary lifestyles of stroke patients
Dr Coralie English is leading a team of UON researchers who are investigating the health effects of a sedentary lifestyle on stroke patients.
News • 15 Feb 2016
World-first stroke trial led by University of Newcastle researchers underway in the Hunter
Stroke survivors who sit for long periods throughout the day could improve their health simply by performing short but frequent bouts of light physical activity.
Professor Coralie English
Position
Professor
Physiotherapy Program
School of Health Sciences
College of Health, Medicine and Wellbeing
Contact Details
coralie.english@newcastle.edu.au | |
Phone | (02) 4913 8102 |
Office
Room | ICT-379 |
---|---|
Building | ICT Building |
Location | Callaghan University Drive Callaghan, NSW 2308 Australia |