Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn

Care of the Older Person Research

Care of the Older Person research projects have included the evaluation of footwear on balance in elderly patients attending a day hospital, psychometric evaluation of balance assessments, outcomes of inpatient rehabilitation in an acute hospital setting. Research in this area is undertaken in clinical sites such as Beaumont and St James' Hospital Dublin.

Falls Related EvEnts after StrokE - The FREESE Study (October 2013-2016)

Research team
Frances Horgan, Mary Walsh (PhD student) [RCSI Physiotherapy], David Williams, Julie O'Connell, Joan McCormack [Beaumont], Morgan Crowe, Imelda Noone, Anna Donohue [SVUH], Ronan Collins, Nicola Cogan, Elaine Barker [Tallaght], Joseph Harbison, Suzanne Walsh, Niamh Murphy [James'], Sean Murphy, Susie Doyle, Tara Daly, Elaine Reynolds [Mater].
Description
The FREESE study will produce the first detailed falls data in an Irish stroke population; Researchers will gather information on falls among 140 recently discharged stroke patients of the Dublin Area Teaching Hospitals (DATHS) for the first 12 months after their stroke. They will look at the factors present at discharge that contribute to an increased falls risk, and will assess the impact and costs of falls. This information will help health policymakers and health care workers to improve education about falls after stroke and to plan coordinated services to prevent falls after stroke.
Collaborations
Department of Geriatric and Stroke Medicine of the DATHS hospitals; Beaumont, St Vincent's, Mater, St James' and Tallaght hospitals.
Funding
Irish Research Council

Outcomes of Older People in a Post Acute Inpatient Rehabilitation Unit (2009-2010)

Research team
Sinead Colemen, Frances Horgan, Conal Cunningham, Niamh Murphy
Description
The aim of this research was to evaluate changes in strength, mobility, balance, endurance, frailty and quality of life following a six-week multidisciplinary inpatient rehabilitation programme
Collaborations
Department of Physiotherapy and Medicine for the Elderly (MEDEL) St James hospital, School of Physiotherapy RCSI
Publication(s)
Coleman SA, Cunningham CJ, Walsh JB, Coakley D, Harbison J, Casey M, Murphy N, Horgan NF (2011) Outcomes among older people in a post-acute inpatient rehabilitation unit. Disability and Rehabilitation (In Press)

 

Validating the Four Square Step Test (FSST) in an Irish Day Hospital Population (2009)

Research team
Frances Horgan, Aideen Henry, Orla Deegan, Conal Cunningham, Niamh Murphy, Bronagh Conroy
Description
The aim of this project is to determine the inter rater and test-retest reliability and concurrent validity of a Four Square Step Test (FSST) in elderly day hospital patients.
Collaborations
School of Physiotherapy RCSI, Department of Physiotherapy and Medicine for the Elderly (MEDEL) St James hospital,
Funding
RCSI Research Grant

Foot and Ankle Problems as a Risk Factor for Falls amongst Elderly Patients attending a Day Hospital (2008)

Research team
Frances Horgan, Laura McKenna, Lise-Ann O’Neill, Orla Deegan, Conal Cunningham, Niamh Murphy, Sheila McCarthy
Description
The aim of the project is to investigate the associations of foot and ankle problems with falls among elderly patients attending a day hospital
Collaborations
School of Physiotherapy RCSI, Department of Physiotherapy and Medicine for the Elderly (MEDEL) St James hospital
Funding
RCSI Research Grant

Validating a Steadiness Score in an Irish Day Hospital Population (2007)

Research team
Frances Horgan, Laura McKenna, Eleanor Phillips, Karen Sayers, Niamh Murphy, Conal Cunningham, Maura O'Sullivan
Description
The aim of the project is to determine the internal consistency and construct validity of a steadiness questionnaire in elderly day hospital patients
Collaborations
School of Physiotherapy RCSI and Department of Physiotherapy and Medicine for the Elderly (MEDEL) ST James hospital
Funding
HRB Summer Student Grant
Presentations
Poster HRB Meeting December 2007 and RCSI Annual Research Day 2008 ‘Validating a steadiness score in an Irish day hospital population’

Factors associated with Slipper Wearing at Home among Older Day Hospital Patients (2007)

Research team
Frances Horgan, Laura McKenna, Karen Sayers, Niamh Murphy, Conal Cunningham, Maura O'Sullivan
Description
The aim of the project is to explore the factors associated with slipper (rather than shoe) wearing at home among elderly patients attending two day hospitals.
Collaborations
School of Physiotherapy RCSI and Department of Physiotherapy and Medicine for the Elderly (MEDEL) St James hospital
Funding
RCSI Summer Student Grant
Presentation
Poster at the RCSI Annual Research Day 2008: ‘Factors associated with slipper wearing at home among older day hospital patients’.

The Effects of Usual Footwear on Balance in Elderly Women attending a Day Hospital (2005 – 2006)

Research team
Frances Horgan, Fiona Crehan, Ciaran Donegan, Alan Moore, Anne Marie O’Grady, Fiona Keogan, Martina Curran
Description
This study examined the effects of footwear on balance in a sample of older women attending a day hospital in a crossover trial with a quasi-randomised allocation. Wearing their own footwear significantly improved participants' balance compared to being barefoot. The greatest benefit of footwear was seen in those with the poorest balance.
Collaborations
School of Physiotherapy RCSI, Department of Physiotherapy and Medicine for the Elderly, Beaumont hospital
Funding
RCSI Summer Student Grant
Publication
Horgan NF, Crehan F, Bartlett E, Keogan F, O'Grady AM, Moore AR, Donegan CF, Curran M (2009) The effects of usual footwear on balance amongst elderly women attending a day hospital. Age Ageing. Jan;38(1):62-7