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Our first event
Introducing The Gray Centre for Mobility and Activity
This virtual session on Oct. 21 presented a selection of the latest research and treatments in mobility and activity health care.
Watch a recording of the event.
Hear presentations from:
Sue Peters, PhD
Wireless Neuroimaging During Mobility to Predict Recovery Trajectories after Stroke
Stroke survivors say their top rehabilitation priority is to regain the ability to walk. Yet, one out of three stroke survivors do not walk in their community after discharge from rehabilitation. Though a stroke damages the brain, clinicians fail to use brain measures to guide the rehabilitation process. The problem is that there are no proven neuroimaging predictors of mobility recovery. Excitingly, wireless neuroimaging can now allow us to discover more ecologically valid data. Learn more about the possibilities of collecting neuroimaging data using wireless technology during mobility tasks (e.g., overground walking, stairs) at multiple timepoints during a patient’s rehabilitation stay.
Swati Mehta, PhD
Virtual Physical Activity Programming During Pandemic
The current pandemic has reduced access to safe, monitored physical activity (PA) programs for persons with spinal cord injury (SCI). Inactivity can contribute to a multitude of secondary complications including worsening physiological and psychosocial health. Learn about the use of telerehabilitation for continuing activity engagement without the risk of virus exposure.
Dr. Manuel Montero-Odasso
Mobility and Cognition. The Collision of 2 Giants
Until recently, cognitive and mobility research in older persons has been performed in silos, creating knowledge gaps and obscuring the shared mechanisms that cause both cognitive and mobility impairments. Considering cognitive and mobility impairments separately is not only inefficient but it does not acknowledge the reality that leads to insidious disability in older people caused by dementia and falls. Learn more about our research in cognition and mobility.
Stephanie Cornell, MPT
Who, What, When? Using Technology in Rehab
Parkwood Institute is home to specialized rehabilitation programs with access to some of the most advanced rehab technologies in Canada. Effective and appropriate use of rehab technology means that our patients receive the best care possible, when they need it. But there needs to be a coordinated plan in place to ensure both competency in technology use and sustainability over the long-term. Learn more about our training, education and evaluation model for utilizing rehabilitation technology in practice.
Recipients of the Gray Centre 2022 Catalyst Grant Competition
The Gray Centre for Mobility and Activity recently completed the 2022 Catalyst Grant Competition. Catalyst grants are intended to provide seed funding to develop innovative research and clinical ideas and better position these projects to secure subsequent larger grants from external agencies. The Catalyst Grant Evaluation Committee reviewed several very strong proposals and selected four studies for funding:
Evaluation of a novel technique for lumbar medial branch denervation to treat chronic mechanical low spinal pain originating from the facet joint:
Lead Investigator: Dr. Eldon Loh
A common treatment for chronic mechanical low back pain is to guide a small radiofrequency electrode towards specific joints in the spine and destroy the surrounding sensory nerves that are signaling pain to the brain. When successful there is substantial pain relief for the patient but the results are inconsistent, likely due to inaccurate site targeting of the electrode. In this work, Dr. Eldon Loh and his colleagues will first test in cadavers the safety and efficacy of a potentially more accurate method of guiding the electrode to these spinal joints. If successful, this method will then be used clinically in a small cohort of consenting patients to determine whether a larger randomized control trial testing this novel method should be conducted.
Pilot of an online, integrated behaviour change and physical activity program for those with neurological conditions:
Lead Co-Investigators: Swati Mehta PhD, Dalton Wolfe PhD
There is significant disparity in access to physical activity programs for people with mobility impairments, which greatly impacts mobility, function and long-term wellbeing. Swati Mehta, PhD, Dalton Wolfe, PhD, and their colleagues will test an online, group-based intervention consisting of exercise and behaviour activation strategies targeting these and other outcomes. Importantly, this programming will be applied to patient groups across several clinical programs at Parkwood Institute.
Study into the effect of transcutaneous vagus nerve stimulation on upper limb function in individuals with paralysis caused by spinal cord injury
Lead Co-Investigators: Drs. Keith Sequeira, Eldon Loh, and David Allison, PhD
The vagus nerve normally plays an important role in many of the body’s functions. Unfortunately, following spinal cord injury the activity of the vagus nerve is commonly reduced. Artificially stimulating the vagus nerve through a process known as vagus nerve stimulation (VNS) can help to increase the activity of this nerve and new evidence from animal models has shown that this treatment can improve physical recovery after spinal cord injury. For this study, Drs. Keith Sequeira, Eldon Loh, and David Allison, PhD, will test whether VNS in addition to traditional rehabilitation services lead to better mobility outcomes for patients with spinal cord injury compared to traditional rehabilitation services alone.
Evaluation of the perspectives of individuals with chronic neurological conditions regarding existing activity programs at Parkwood Institute:
Lead Investigator: Janelle Unger, PhD
One of the main goals of the Gray Centre is to expand the mobility and activity programming that Parkwood Institute offers to community members living with chronic conditions. A critical component to this expansion is evaluating existing programs to identify their strengths and challenges. In this work, Janelle Unger, PhD, and her colleagues will conduct a large series of interviews to explore the lived experiences of individuals participating in Parkwood Institute’s existing activity programs. The research team will then develop recommendations for how to best modify these current programs and optimally develop future program and service provisions.
The Gray Centre is excited to support these innovative projects. Congratulations to all the 2022 catalyst grant recipients.