Below is a list of current Research and Quality projects that are currently being or have been undertaken by Physiotherapists at Western health as well as a list of Achievements:
Title of Research Project
Researchers (Title, first and last name)
In simple terms, explain the aim of this research project and the most significant achievement/milestone reached
Explain why this research is important for our community
(Internal and External by individual and their department/institution)
Ethics Approval/Governance Authorisation (include reference number)
Optimal timeframe to implement pulmonary rehabilitation for people with Chronic Obstructive Pulmonary Disease (COPD)
Dr Clarice Tang
Associate Professor Annemarie Southcott
Dr Lizzie Skinner
Ms Kathryn Barker
Associate Professor Felicity Blackstock
This pilot study aims to investigate the optimal timeframe to implement pulmonary rehabilitation for people with COPD so as to ensure increase participation and completion rates in pulmonary rehabilitation.
Identifying the optimal timeframe of implementing pulmonary rehabilitation for people with COPD will enable clinicians to be able to encourage patients to participate and complete pulmonary rehabilitation at the right time. This will in turn have an effect in optimising the benefits of this highly effective evidence-based intervention.
Physiotherapy department, Western Health
Respiratory and sleep disorder unit, Western Health
Physiotherapy discipline, La Trobe University
Physiotherapy department, University of Western Sydney
Approved by Western Health Low Risk Ethics Panel on the 10/03/2016. Project reference HREC/16/WH/11.
PAIVE - Preventing Atrophy in Immobile Vulnerable Elderly
Ms Lucy Troup,
Mrs Kelly Fleury,
Dr Kimberley Haines,
Professor Gustavo Duque,
Ms Rita Kinsella
To establish whether a high dose exercise program or use of NMES is more effective in maintaining quadriceps strength and function compared to a low dose exercise program (control) during the NWB period in an elderly, cognitively intact, inpatient population. $20000 research grant received from the Western Health Research Foundation.
There is no current research evidence to guide frequency and type of exercise required to achieve optimal outcomes for an elderly, non weight bearing, cognitively intact inpatient population.
Optimal care of this patient cohort is vital to minimise length of stay for this patient group which aligns with organisational priorities. The results will ultimately inform and guide our physiotherapy practice at Western Health and beyond.
Western Health Physiotherapy Department in collaboration with the Australian Institute of Musculoskeletal Science (AIMSS)
High risk ethics application being prepared for submission in March.
IMPROVinG outcomes in community-Acquired Pneumonia (IMPROVe-GAP)
Professor Edward Janus, A/Prof Harin Karunajeewa, Ms Melanie Lloyd, Dr Elizabeth Skinner, Professor Anne-Maree Kelly, Ms Melina Shackell, Dr Clarice Tang, Ms Stephanie Lowe, Dr Parul Bali, Dr Soe Ko Ko.
This study aims to improve evidence-based clinical management of community-acquired pneumonia within the General Medicine units, and combines best-practice medical, nutrition and physiotherapy interventions. Recruitment of a target 1000 patients is currently underway.
Routine implementation of evidence-based interventions has the potential to accelerate time to recovery, and reduce hospital length-of-stay and readmissions.
Haines, T, Monash University
Karahalios, A, University of Melbourne
Approved by Melbourne Health High Risk Ethics Committee on 15 June 2016. Project reference HREC/16/MH/014.
icuRESOLVE – ICU Recovery Solutions Co-Designed with Survivors
Dr Kimberley Haines, Ms Belinda MacLeod-Smith, Ms Clare Holdsworth, Ms Kate Cranwell, Mr Grey Searle, Prof Bodil Rasmussen, Dr Elizabeth Skinner, Ms Samantha Bates, Assoc/Prof Craig French, Assoc/Prof Lynne Maher
The aim of this project is to co-design a peer support model with survivors of critical care and staff then test the efficacy of this model to reduce negative psychological outcomes (anxiety, depression, PTSD) and improve positive psychological outcomes (social support, resilience) in patients and families.
This world-first research will evaluate the use of co-design methods in critical care and identify whether a novel approach to improving recovery (enhanced social support) reduces Post-Intensive Care Syndrome.
The Society of Critical Care Medicine’s international THRIVE Peer Support Collaborative
High risk ethics application under review at Melbourne Health.
Does a pre-operative functional pelvic floor exercise program provide improved post-operative urinary incontinence outcomes when compared with standard strength training in men undergoing radical prostatectomy? A pilot study.
Ms Alesha Sayner, Ms Sarah Davies, Dr Kimberley Haines, Dr Emily Karahalios, Dr Irmina Nahon, Ms Cindy Ogluszko
This randomized controlled pilot study aims to compare 2 modes of pre-operative pelvic floor muscle training (PFMT) in men undergoing radical prostatectomy (RP). It will investigate whether one group demonstrates superior continence outcomes post operatively. It is also a feasibility study assessing whether a larger scale and multi- site study can be developed in future.
This project has been awarded the 2016 Western Health Research Grant to the amount of $8, 000.
Low numbers of studies exist in men’s health physiotherapy. This study will contribute to ongoing investigation in this field and identify feasible elements for development of a larger study. Identifying management strategies that result in improved post-operative continence outcomes will assist in improving patient quality of life and drive appropriate management pathways for this population.
Western Health Physiotherapy Department
Western Continence Service – Western Health
Approved by Western Health Low Risk Ethics Panel on 07/11/2016. Project reference HREC/16/WH/143
Society of Critical Care Medicine (U.S) THRIVE Grants
K Haines, B MacLeod-Smith, C Holdsworth, E Skinner, S Bates, C French, L Maher.
icuRESOLVE - Intensive Care Unit Recovery Solutions Co-Led through Survivor Engagement, Society of Critical Care Medicine, $71,500, 2016-2019
Canadian Institutes of Health Research: Project Scheme
D Brooks, M Beauchamp, R Goldstein, A Marques, G Dechman, R Moineddin R, P Camp, A Lee, A Holland, J Alison, E Skinner, D Spencer et al. Randomized Controlled Trial of Balance Training for Falls Reduction in Individuals with COPD Canadian Institutes of Health Research, $902,111, 2016-2019
NHMRC Project Grant
C Hodgson, B Gabbe, S Webb, J Presneill, P Young, T Iwashyna, M Bailey, A Higgins, C Tipping, E Skinner, H Buhr, M Saxena, M Harrold, R Bellomo, Treatment of invasively ventilated adults with Early Activity and Mobilisation (TEAM), National Health and Medical Research Council, $1,467,137, 2016-2021
HCF Research Grant
E Janus, H Karunajeewa, E Skinner, M Lloyd, IMPROVE-GAP Investigators. The IMPROVE-GAP Project HCF, $300,000, 2016
Western Health Research Grant
L Troup, K Fleury, K Haines, R Kinsella, G Duque. PAIVE - Preventing Atrophy in Immobile Vulnerable Elderly WH Foundation, $20,000, 2016.
K Haines, B MacLeod-Smith, C Holdsworth, E Skinner, S Bates, C French, L Maher. icuRESOLVE - Intensive Care Unit Recovery Solutions Co-Led through Survivor Engagement, Western Health Research Foundation, $12,000,
Does a pre-operative functional pelvic floor exercise program provide improved post-surgical urinary incontinence outcomes when compared with a strength training program in men undergoing radical prostatectomy? A pilot study. WH Foundation, $8,000, 2016.
Melanie Lloyd, Pilot evaluation of a new model of care to optimise evidence based management of peripheral vertigo in the acute hospital setting, WH Foundation, $20,000
Best Allied Health Presentation, WH Research Week
K Haines, What about the caregivers? Psychosocial outcomes of informal caregivers of the critically ill. WH Foundation,$1,500, 2016.
N Watson, Patient interactions with the health service following wrist fracture, surgical repair and immobilisation: a qualitative study. WH Foundation, $1500, 2017
Kendall francis Prize for Best Surgical Research Presentation
N Watson, A randomised control trial comparing one, three or six weeks of immobilisation on function and pain following open reduction and internal fixation for distal radius fractures in adults, 2017
Robert Smith Prize for Best Critical Care Research Presentation
Christine Polmear, The effect of intensive care unit admission on smokers' attitudes and their liklihood of quitting smoking, 2017Best Poster WH Research Week
C Poupard, A Review of an Amputee Rehabiliation Service to describe patient outcomes and evaluate its effectiveness in reducing acute length of stay at Western Hospital Footscray. WH Foundation, $1,500, 2016.
ANZCA Open e-Poster Prize
Boden I, Browning L, Skinner E, Reeve J, El-Ansary D, Robertson I, Denehy L Lung Infection Post Surgery (Major Abdominal) with Pre-Operative Physiotherapy (LIPSMACK:POP) ANZCA, 2016.