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

Neurology Research

Research projects undertaken in neurological physiotherapy have included stroke outcomes, aerobic exercise and lifestyle interventions for secondary stroke prevention, as well as vestibular rehabilitation, motor fatigue in prior-Polio patients and gait impairment in Cervical Spondylotic Myelopathy patients.

Research in this area is undertaken both in our Movement Laboratory in RCSI and in clinical sites, such as Beaumont, Royal Victoria Eye and Ear hospitals and the Adelaide and Meath hospital, Dublin (incorporating the National Children's hospital) (AMNCH).

Stroke Rehabilitation in Ireland (SRI) Study (Jan - Dec 2013)

Research team
Frances Horgan, Anne Hickey, Samantha Smith, Miriam Wiley, Sean Murphy, Desmond O'Neill, Mark delargy, David Williams, Seamus Cowman, Cliona McCormack, Maev-Ann Wren, Karen Kearns, Paddy Gillespie.
Description
The SRI Study will examine rehabilitation services for stroke patients in the Irish health-care system, identifying patterns of use and assessing implications (economic, health outcomes) of existing and new models of care.
Collaborations
ESRI, NUIG, Mater University Hospital, AMNCH Tallaght Hospital, National Rehabilitation Hospital, RCSI Departments of Nursing, Physiotherapy, Psychology , Geriatric and Stroke Medicine.
Funding
Irish Heart Foundation

Documenting the experiences and levels of self-reported long-term need in stroke survivors at 1-5 years (May-November 2013)

Research team
PI Dr. Frances Horgan, co-applicants Dr. Rose Galvin Physiotherapy/HRB Primary Care Research Centre RCSI, Mr. Chris Macey and Ms. Cliona McCormack, Irish Heart Foundation
Description
The burden of stroke is predicted to increase over the years ahead because of the rapid rise in the elderly population in both the developed and developing world. This increase will require increased provision of health care services, however at present services to meet the rehabilitation needs of stroke survivors are not always available. The aim of this study is to document the experiences and levels of self reported long-term need in stroke survivors at 1-5 year. Stroke survivors will be recruited from the Volunteer Stroke Scheme and over 20 stroke support groups nationwide. The findings of this study will inform the ongoing development of community support groups to facilitate reintegration of survivors in the community after stroke.
Collaborations
IHF, Volunteer Stroke Scheme, Voluntary Stroke Support Groups
Funding
National Disability Authority Research Promotion Scheme 2013

Action on Secondary Prevention Interventions and Rehabilitation in Stroke (ASPIRE-S) (2011-2013)

Research team
David Williams, Hannah McGee, Anne Hickey, Emer Shelley, Frances Horgan.
Description
This project will evaluate the adequacy of secondary prevention and rehabilitation intervention six months post-stroke, which will provide important information, currently unavailable in Ireland, on the management of stroke patients at home and will help to inform a future strategy on the management of stroke in the community.
Collaborations
Departments of Geriatric Medicine, Psychology, Epidemiology and Physiotherapy RCSI, with Connolly hospital and Mater University hospital
Funding
Health Research Board

National Survey of Stroke Services in Primary Care in Ireland – a Study of Allied Health Professionals.

Research team
Su-Zann Scott, L Keating
Description
A postal survey was sent to physiotherapists, speech & language therapists and occupational therapists, working in primary care teams to ascertain a baseline level of services currently available to stroke patients in primary care in Ireland.
Presentation
Poster presented at 14th Annual Stroke Study Day, Dublin, April 2011.

Stroke Knowledge in an Irish semi-rural Community Dwelling Cohort (2009-10)

Research team
G O’ Callaghan, F Horgan
Description
Levels of stroke knowledge are poorly established within Ireland. This study established levels of knowledge among men and women aged >40 years in an Irish community, and determined the impact of a single 90-minute education session on stroke knowledge.
Collaborations
Mullingar Regional Hospital and RCSI School of Physiotherapy
Publication
O'Callaghan G, Murphy S, Loane D, Farrelly E, Horgan F. (2011)?Stroke Knowledge in an Irish Semi-Rural Community-Dwelling Cohort and Impact of a Brief Education Session. J Stroke Cerebrovasc Dis. Apr 19. PMID: 21511494

Cost of Stroke in Ireland (COSI) Study (2009-2010)

Research team
Frances Horgan, Anne Hickey, Hannah McGee, Emer Shelley, Miriam Wiley, Eithne Sexton, Samantha Smith, Sean Murphy, Maeve Royston, Peter Kelly, Desmond O'Neill, Ronan Conroy, David Whitford
Description
The COSI study, examined the costs of stroke and transient ischaemic attack (TIA) in Ireland in 2007, and costs incurred by the national government, private health organisations, and individuals
Collaborations
ESRI, Mullingar Regional Hospital, Mater University Hospital, AMNCH Tallaght hospital, RCSI Departments of Nursing, Physiotherapy, Psychology, General Practice, and Epidemiology
Funding
Irish Heart Foundation.
Publication
Smith S, Horgan F, Sexton E, Cowman S, Hickey A, Kelly P, McGee H, Murphy S, O'Neill D, Royston M, Shelley E, Wiley M. (2011) The cost of stroke and transient ischaemic attack in Ireland - a prevalence-based estimate. Age Ageing 2011 Dec 1. [Epub ahead of print]

Irish National Audit of Stroke Care (2006-2009)

Research team
Frances Horgan, Anne Hickey, Hannah McGee, Desmond O'Neill, Emer Shelley, Miriam Wiley, Sean Murphy, Maeve Royston, Ronan Conroy, David Whitford
Description
This was the first audit of stroke services in the Republic of Ireland. The audit involved six separate surveys involving all areas of healthcare involved in stroke care. The individual studies were hospital based - the organisational audit and clinical audit; and community based - a survey of general practitioners; of allied health professionals and public health nurses, of patients and their carers, and of nursing home managers and residents. INASC report.
Collaborations
ESRI, Mullingar Regional Hospital, AMNCH Tallaght hospital, RCSI Departments of Nursing, General Practice, Psychology, Physiotherapy and Epidemiology
Funding Irish Heart Foundation and the Department of Health and Children
Publications
INASC Final Report (2009) http://www.irishheart.ie/media/pub/strokereports/ihf_stroke_audit_final.pdf
Horgan F, McGee H, Hickey A, Whitford DL, Murphy S, Royston M, Cowman S Shelley E, Conroy R, Wiley M, O'Neill D. (2011) From Prevention To Nursing Home Care-A Comprehensive National Audit of Stroke Care. Cerebrovascular Diseases, 32:385-392
Cowman S, Royston M, Hickey A, Horgan F, McGee H, O'Neill D. (2010) Stroke and Nursing Home care: a national survey of nursing homes. BMC Geriatr. Jan 27;10:4.
Whitford DL, Hickey A, Horgan F, O'Sullivan B, McGee H, O'Neill D (2008),Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study. BMC Fam Pract. Apr 29;10:27.PMID: 19402908 [PubMed - in process]

Health Related Quality of Life in Stroke Survivors attending the Volunteer Stroke Scheme (2007 - 2008)

Research team
Frances Horgan, Conal Cunningham, Robert Coen, Anne Copeland, David Hevey, Claire Tobin
Description
The Volunteer Stroke Scheme (VSS) provides patients with the opportunity to participate in community-based therapeutic activities and physiotherapy sessions. This study provided the first profile of VSS attendees in terms of their functioning across the range of recommended WHO International Classification of Functioning, Disability and Health (ICF) outcomes.
Collaborations:
Mercer's Institute for Successful Ageing and MEDEL St James's hospital, Department of Psychology Trinity College Dublin, Volunteer Stroke Scheme
Funding:
Volunteer Stroke Scheme
Publication
Tobin C, Hevey D, Horgan NF, Coen RF, Cunningham CJ (2008) Health-related quality of life of stroke survivors attending the volunteer stroke scheme. Ir J Med Sci. Mar;177(1):43-7. Epub 2008 Feb 2.

The Impact of an Arm Ergometry Training Programme on Cardiovascular Fitness, Energy Cost of Walking and Fatigue in Prior Polio Patients

Research team
Deirdre Murray, Roisin Moloney, Orla Hardiman, Frances Horgan, Dara Meldrum
Description
A single blinded, randomised controlled trial of a home based programme, of arm ergometry using is being evaluated in Polio survivors. Primary outcomes include cardiovascular fitness, fatigue and quality of life. This trial is currently recruiting (Dec 2011). Clinicaltrials.gov identifier: NCT 01271530
Collaborations
Beaumont Hospital Dublin
Funding
Post Polio Support Group Ireland

An Investigation of Subjective and Motor Fatigue in Prior Polio Patients and the Relationship with Energy Cost of Walking

Research team
Deirdre Murray, Dara Meldrum, Prof. Orla Hardiman.
Description
Thirty Polio survivors were compared with 30 age and sex matched controls in this study. A range of measures relevant to Polio survivors were examined including muscle strength and fatigue, subjective fatigue, pain, mobility and quality of life.
Collaborations
Beaumont hospital Dublin
Funding
Post Polio Support Group Ireland