The Stroke and Rehabilitation Research group (SRR) brings together a group of highly skilled researchers working in the area of stroke care and recovery and in rehabilitation more broadly.
The purpose of our group is to foster a collaborative and supportive environment for applied, interdisciplinary research into stroke and rehabilitation. Our research interests include stroke care, particularly as it relates to allied health interventions across the continuum of acute hospitalisation, rehabilitation care and long term health and well -being of stroke survivors.
From the wider rehabilitation perspectives we also have interest and expertise in driving and dementia, and preventing falls and fall injury. Because of our research links, we are able to undertake translational and implementation research taking information from the neuroscience bench or the published evidence into the clinical or community setting. We have specialist knowledge and skills in randomised controlled trials in clinical settings, neurophysiological assessments (including transcranial magnetic stimulation [TMS]]), qualitative research methods and mixed method designs.
We are a dynamic and enthusiastic team of researchers, all with strong clinical backgrounds. We are passionate about promoting research and evidence generation in both stroke and rehabilitation more broadly, which is relevant and applied to the clinical setting.
Dr Susan Hillier
Dr Shylie Mackintosh
Dr Michelle McDonnell
Dr Coralie English
Gabrielle Brunner - Therapist-devised exercise programs conducted by family members for inpatients following an acquired brain injury: a pilot RCT.
Leanne Cavanagh - Stroke survivors' perspectives on two novel models of inpatient rehabilitation: seven-day a week therapy or five-day a week circuit class therapy.
Kylie Wall - Screening cognitive skills in early stroke.
Gurpreet Kaur - "Umm, about an hour?" How accurate are physiotherapists at estimating therapy time in rehabilitation after stroke?
Shoshanna Williams - The lived experience of occupational adaptation for people living in the community following stroke.
Laura Fisher - Intra-rater reliability of sonographic measures and early changes in muscle thickness in individuals hospitalised after stroke.
Linda Schouten - Overcoming the long term effects of stroke: Qualitative perceptions of involvement in a group rehabilitation programme.
Holly McLennan - The reliability and feasibility of using ultrasound to measure skeletal muscle thickness in persons early after stroke.
Tony Elson - An observational analysis of activity levels during group circuit class therapy and individual physiotherapy sessions for stroke survivors receiving inpatient rehabilitation.
Turning up the intensity of physical rehabilitation
How to improve outcomes for your clients by enhancing your clinical skills
Saturday 13th April and Sunday 5th May
Presenters: Coralie English and Susan Hillier
In this 2-day, practical workshop participants will learn about the ‘whys’, ‘hows’ and ‘what tos’ of implementing intensive practice for people receiving rehabilitation for motor disorders. Participants will be provided with practical strategies to increase intensity of rehabilitation and will be guided through completion of either an audit of clinical practice, or a small implementation project. The workshop is supported by the National Stroke Foundation, and will have a focus on stroke in particular, but will be relevant to people working with clients with other neurological disabilities.
For further information, click here for the workshop learning objectives and registration form or email Coralie.English@unisa.edu.au
Some of our key collaborators include:
Key projects and interests
What are the barriers to maintaining or increasing physical activity levels following stroke?
Researchers Michelle McDonnell M and Shylie Mackintosh
Increased levels of physical activity has the potential to prevent disability and recurrent strokes. However, a number of issues including physical impairments may limit post-stroke exercise and recovery. We are investigating attitudes of stroke survivors towards exercising after stroke, in an effort to identify barriers to participation in exercise in people following stroke. This will help to guide public policy regarding the design and likely success of programs to increase physical activity following stroke.
CIRCIT trial (Circuit class therapy for Increasing Rehabilitation Intensity of Therapy. A pragmatic randomised controlled trial)
Researchers: Susan Hillier, Coralie English, Maria Crotty (Department of Rehabilitation and Aged Care, Flinders University), Leonie Segal (Health Economics and Policy Group, UniSA), Julie Bernhardt (Stroke Division, Florey Neuroscience Institutes), Adrian Esterman (Sansom Research Institute)
For people receiving rehabilitation after stroke, maximizing the amount of physical therapy they receive is vital to maximizing their functional outcomes. But the most effective and cost-effective way of organizing therapy services to maximize patient therapy input is not known. This exciting and novel trial is comparing different models of delivering a greater amount of physical therapy (mobility and upper limb related) to people in rehabilitation post-stroke. These are: Usual care therapy (5 days a week), Usual care therapy provided over 7 days a week and Group circuit class therapy (up to 3 hours day, 5 days a week). The trial is currently running at three sites in Adelaide, one in Perth and one in Melbourne.
A recently published book chapter lead by Coralie English has been released on open access publisher (see publications list for chapter details and link).
This book chapter brings together the current evidence for circuit class therapy, and importantly where evidence is lacking. It also discusses the theoretical underpinnings to circuit class therapy and has a great section on the practicalities of implementation. The final table includes a comprehensive list of activities and exercises quoted in the literature. This project was a collaborative effort with Coralie English, Liz Lynch and Ingrid van der Port. Liz was until recently Principle Physiotherapist , Stroke Rehabilitation Unit at Hampstead Rehab Centre and is a new PhD candidate in iCAHE (Susan Hilier supervisor), and Ingrid is a fellow CCT researcher in the Netherlands.
EPIPS (Exploring Patterns of Inactivity in People after Stroke)
Researchers: Coralie English, Julie Bernhardt (Stroke Division, Florey Neuroscience Institutes), Alison Coates (Nutritional Physiology Research Centre), Tim Olds (Health and Use of Time group)
Sitting time is detrimental to our health, and stroke survivors are among the most sedentary members of society. This observational study is using state of the art technology to objectively measure patterns of activity and sedentary time as well as energy expenditure and use-of-time in people living in the community with stroke-related disability.
Music therapy in stroke
Researchers: Susan Hillier. Leah Trotta (Hampstead Rehabilitation Centre , Susan Cameron (RAH)
Music therapy can have a positive effect on mood and mental health status. This pilot RCT is investigating the feasibility and preliminary effectiveness of music therapy on an inpatient stroke rehabilitation ward. Outcomes of interest are quality of life and mood indicators.
EXSTRaCOG (Exercise to improve cognition following stroke)
Researchers: Michelle McDonnell, Shylie Mackintosh, Susan Hillier, Adrian Esterman, Jon Buckley, Michael Ridding (The University of Adelaide), Robert Penhall (Centre for Physical Activity in Ageing), Bob Barnard (Centre for Physical Activity in Ageing), Janet Bryan (Psychology, UniSA)
Regular physical activity is associated with improved cognitive performance throughout the lifespan, but can it help those 66% of people following stroke who suffer from cognitive impairment? This randomised controlled trial will investigate the potential benefits of exercise on cognition and the mechanisms involved, including vascular and neuroplastic mechanisms.
PLEX: Plasticity and Exercise
Researchers: Michelle McDonnell, Jon Buckley, Michael Ridding (The University of Adelaide), John Semmler (The University of Adelaide)
Individuals who regularly undertake large amounts of physical activity have a greater potential for plasticity within the motor areas of the brain, but can one session confer benefits as well? This study investigates whether a single session of aerobic exercise increases excitability and neuroplasticity in the motor cortex. A second phase of the study will involve people following stroke to determine whether exercise can promote functionally beneficial plasticity and improve learning post-stroke.
Attached is a list of selected research publications involving members of the Stroke and Rehabilitation Group
Stroke and Rehabilitation Group publications (PDF 239KB)
Coralie English firstname.lastname@example.org