Research_

Healthy ageing, physical activity & rehabilitation

Promoting injury prevention, healthy ageing and physical activity in society
We aim to reduce the global impact of injuries, ageing and inactivity through prevention and rehabilitation.

The musculoskeletal system is critical to healthy ageing, physical activity and the rehabilitation of people following injury and disease.

We focus on the prognosis, treatment and prevention of musculoskeletal problems that impede healthy ageing, physical activity and rehabilitation.

We conduct qualitative and quantitative research with an emphasis on translating research findings into practice and public health initiatives.  

Our current projects

We hope the findings of this project lead to the development of home-based exercise programs to improve strength, balance and reduce falls and improve shoulder functioning in older people.

The aim of this project is to compare the effectiveness of two home-based exercise programs – one aimed at improving lower limb strength and balance for preventing falls and the other aimed at improving upper limb strength and mobility to reduce shoulder dysfunction.

Participants are taught the exercises in a group workshop setting and then complete their exercises at home three times each week for 12 months.

Participants are provided with a calendar to record their exercises and falls each month, and a program manual and exercise weights.

This project is no longer recruiting.

Lead investigator: Professor Cathie Sherrington

Investigator team: Professor Anne Tiedemann, Professor Kirsten Howard, Professor Emeritus Adrian Bauman, Associate Professor Karen Ginn, Dr Paul Van Den Dolder, Dr Susan Furber

For more information about this project, please contact Professor Cathie Sherrington.

This project has received ethics approval from the University of Wollongong and Illawarra Shoalhaven Local Health District.

This is a NHMRC Partnership Grant (2014–2019).

ACTRN12615000865516

We hope the findings of this project lead to increased physical activity, decreased risk of falling and improved eating habits in older people.

The aim is to evaluate the effectiveness of two 12 month healthy ageing strategies among people who attend established, community-based groups.

The first intervention is a physical activity and fall prevention intervention, including telephone-based health coaching and written information on physical activity and falls.

The second is a nutrition intervention involving telephone-based health coaching and written information about eating habits.

The trial also aims to establish the impact of these interventions on physical activity, eating habits, weight (body mass index), goal attainment, mobility confidence, quality of life, fear of falling, risk-taking behaviour, well-being, and mood.

This project is no longer recruiting.

Lead investigator: Professor Cathie Sherrington

Investigator team: Professor Anne Tiedemann, Professor Kirsten Howard, Professor Dafna Merom, Professor Chris Rissel, Professor Stuart Smith, Associate Professor Allison Tong

For more information about this project, please contact Professor Anne Tiedemann.

This project has received ethics approval from the University of Sydney Human Research Ethics Committee.

This is a NHMRC Project Grant (2015–2018).

ACTRN12615001190594

We hope the findings of this project lead to the development of a yoga-based exercise program to prevent falls in people aged 65 and over.

The aim of this project is to assess the effectiveness of a 40 week yoga program, compared with an advice booklet, on falls. 

We will also assess the effectiveness of the program on other key indicators of healthy ageing, such as mental health, establish the cost-effectiveness of the intervention, and measure the yoga program’s potential for implementation.

Participants allocated to the yoga-based exercise group will attend 40 weeks of twice-weekly, one-hour yoga classes in established yoga studios in Sydney with experienced yoga teachers.

Participants will be asked to complete a home-based yoga program for at least two extra 20-minute sessions each week.

For more information about this project, please contact us at: sph.sagetrial@sydney.edu.au

Lead investigator: Professor Anne Tiedemann

Investigator team: Professor Cathie Sherrington, Professor Stephen Lord, Professor Kirsten Howard, Professor Emeritus Adrian Bauman, Professor Chris Rissel, Emeritus Professor Robert Cumming, Professor Roberta Shepherd, Associate Professor Patrick Kelly, Professor Kaarin Anstey, Dr Anne Grunseit, Romina Sesto

This project has received ethics approval.

The sponsor of this trial is the University of Sydney.

Funding is from the National Health and Medical Research Council.

The aim of this trial is to assess the effectiveness of the Ironbark fall prevention program on reducing the number of falls in Aboriginal and Torres Strait Islander people who are 45 years and older.

This group is compared to control participants who receive a healthy ageing program.

The Ironbark program includes interactive discussion about fall risk factors, combined with balance and strength training.

It was created after a successful New South Wales pilot and will now run across New South Wales, South Australia and Western Australia.

This study is not yet recruiting participants.

Lead investigator: Professor Rebecca Ivers

Investigator team: Professor Cathie Sherrington, Professor Anne Tiedemann

For more information on this George Institute for Global Health trial, please contact jcoombes@georgeinstitute.org.au

This study is funded through the NHMRC.

We hope the findings of this project lead to enhanced promotion of physical activity by health professionals for people aged 50+ and people of all ages with a physical disability.

The aim of the project is to to collaboratively develop and test a strategy to support health professionals to promote PA to their patients – including older adults and children/adolescents/adults with physical disabilities – within their daily clinical practice.

The project is currently recruiting participants for phase one of the study-collaborative implementation strategy development.

In this phase we will conduct interviews, focus groups, workshops and surveys with health professionals, exercise providers and consumers to identify barriers to PA promotion and collaboratively develop the evidence-based implementation strategies and intervention elements.

Phase 2 of the study is a Type 2 hybrid effectiveness-implementation cluster randomised trial (2023 onwards).

In Phase 2 we will test the effectiveness of the implementation strategies and intervention elements in a Type 2 hybrid cluster randomised trial recruiting 800 participants across 30 sites.

Lead investigator: Professor Cathie Sherrington

Investigator team: Our team comprises of academics, public health experts and health economists from the University of Sydney, UNSW, Western Sydney University and Australian Catholic University, as well as multi-disciplinary clinicians from five Local Health Districts (Sydney, Western Sydney, South-Western Sydney, South-Eastern Sydney and Sydney Children Hospitals Network). Partner organisations include Disability Sport Australia, Australian Physiotherapy Association, Clinical Excellence Commission, iCare and Belgravia Leisure.

For more information about this project, please contact Kate Purcell.

This project has received ethics approval from Local Health District Ethics Committees and is being funded by an NHMRC Partnership Grant.

We hope the findings of this project lead to improved physical activity levels in adults who have difficulty walking.

The aim is to evaluate the effectiveness of two physical activity interventions on adults with self-reported walking difficulty.

The participant will be allocated to one of three groups.

The first intervention includes: a tailored physical activity plan based on a face-to-face assessment with a physiotherapist; six months of phone-based health coaching; use of technology to keep you active and access to online resources.

The second intervention is a less intensive health-coaching program involving a phone consultation with a physiotherapist, monthly text messages to follow up and access to online resources.

The third group will receive no intervention for the first six months and then receive the second intervention for the second six months.

The project will be conducted over 12 months.

This project is no longer recruiting.

Lead investigator: Professor Cathie Sherrington

Investigator team: Professor Anne Tiedemann, Professor Lisa Harvey, Associate Professor Leanne Hassett, Professor Rana Hinman, Professor Maria Crotty, Professor Tammy Hoffmann, Professor Nicholas Taylor

For more information about this project, please contact Associate Professor Leanne Hassett.

This is a NHMRC Project Grant (2018–2021).

We hope the findings of this project will lead to improved physical activity levels in patients receiving brief physical activity counselling as part of their physiotherapy treatment.

BEHAVIOUR is a hybrid type II cluster randomised controlled trial.

The aim is to evaluate the effectiveness of a multi-faceted implementation strategy compared to usual care on increasing the proportion of patients receiving brief physical activity counselling as part of hospital-based physiotherapy care, and subsequently improving the physical activity levels among these patients.

Physiotherapists in the intervention group will be assigned to receive the multi-faceted implementation strategy immediately to support them to incorporate brief physical activity counselling into their routine care.

The main implementation strategies will include education training, creating a learning collaborative, tailored strategies to address community referral barriers, facilitation and audit and feedback.

The control group will receive an updated version of the implementation strategy at the end of the trial.

The trial will be conducted with physiotherapists across all hospitals in South Western Sydney Local Health District and will include participants from culturally and linguistically diverse backgrounds.

Lead investigator: Associate Professor Leanne Hassett

Investigator team: Professor Cathie Sherrington, Professor Sarah Dennis, Professor Kirsten Howard, Dr Alison Pearce, Dr Marina Pinheiro, Professor Colin Greaves, Dr Bernadette Brady, Dr Lauren Christie, Matthew Jennings, Balwinder Sidhu

This study is funded through the MRFF preventive & public health grant (2020–2023) and NHMRC TRIP Fellowship (2019–2020).

We hope the findings of this project will lead to improved physical activity levels in people living with moderate to severe traumatic brain injury (TBI).

The aim of this project is to develop clinical practice guidelines for physical activity in people across all ages living with moderate-to-severe traumatic brain injury (TBI) in Australia.

A plan will also be developed for the effective implementation of these guidelines.

The first stage involves evaluating the fit of the 2020 WHO physical activity and sedentary behaviour guidelines for people living with disability to those living with a moderate-to-severe TBI.

This includes considering the evidence available regarding physical activity in TBI, preferences for physical activity, perspectives of relevant stakeholders and the feasibility of guideline implementation.

Stage two involves auditing brain injury rehabilitation services across Australia to understand how physical activity is delivered and promoted to identify current practice and where practice inconsistencies exist.

The third stage involves adapting the WHO guidelines into national clinical practice guidelines for people living with TBI, informed from stages one and two.

The final stage involves the development of a plan for implementation of these national practice guidelines based on the identification of barriers and facilitators.

Lead investigator: Associate Professor Leanne Hassett

Investigator team: Professor Cathie Sherrington, Professor Kirsten Howard, Professor Anne Tiedemann, Professor Emeritus Adrian Bauman, Associate Professor Grahame Simpson, Dr Abby Haynes, Professor Gavin Williams, Associate Professor Sean Tweedy, Professor Luke Wolfenden, Professor Maria Crotty, Associate Professor Adam Scheinberg, Gabrielle Vassallo Nick Rushworth

Collaborating Organisations: Brain Injury Australia, Connectivity TBI; icare NSW; Heads Together for ABI

Research team: Sakina Chagpar, Belinda Wang, Dr Liam Johnson

This study is funded through the MRFF 2020 Traumatic Brain Injury Mission, Stream 2-incubator (2021–2023).