Completed Training Fellowship: Jane Galvin Host Organisation: Murdoch Childrens Research Institute TAC Funding: $61,200 Mentor: Professor Vicki Anderson Fellowship Project: An investigation of the relationship between upper limb motor performance & participation following paediatric TBI Aims: This project aimed to measure and describe recovery and development of fine motor skills and arm use following paediatric brain injury. The project also aimed to understand the impact of fine motor skills on children’s participation in daily activities such as dressing, and school based tasks such as writing and cutting. Methods: Children were recruited to participate in this study during their inpatient stay following traumatic brain injury. Children were aged between 6 and 16 years. Fine motor skills were assessed, along with children’s abilities in self care, school tasks and participation in the community based activities. Assessments were completed at 3, 6 and 12 months post injury. Results: This study is ongoing, however preliminary results suggest that children who have sustained severe TBI’s demonstrate difficulties with hand and arm movement that have a significant impact on their ability to participate in all daily activities. Cognitive difficulties in the most severely injured group impact on their ability to complete formalised assessments in the first 6 months of recovery, making it difficult to quantify their movement abilities. Children who sustained moderate TBI’s demonstrate difficulties with speed and dexterity of movement which impacts on their ability to complete handwriting and other tasks at the same speed as their peers. Conclusions: Children who sustain moderate or severe traumatic brain injuries demonstrate difficulties with coordination of their hands and arms that impact on their ability to complete daily activities. Further study is required to confirm the preliminary results of this study. This information provides baseline data to assist with benchmarking outcomes and measuring the impact of new interventions. Career Development Jane participated in the following activities funded during the course of her TAC Fellowship: Short Courses: Epidemiology and Analytic Methods 1 & 2 Media Training for Scientists Science Writing International Exchange: She was selected to be part of a TAC delegation who visited Canada as part of an international research exchange with the Ontario Neurotrauma Foundation. The delegation travelled to Toronto, Hamilton and Ottawa in Canada during May 2009. Mentorship: She supervised three honours students who completed their degrees. She mentored two Research Australia Youth Ambassadors for a half day each in November 2008 and December 2009 as part of Research Australia’s public awareness ‘Thank You’ Day campaign. Knowledge Translation: She has been involved in writing clinical guidelines around the assessment of upper limb function following paediatric brain injury. Post Fellowship Career Development: Jane is currently enrolled in a PhD and her focus over the next two years will be on completing it. She will continue to be involved in development of other projects related to neurotrauma, and establishing a research program within the rehabilitation service at the Royal Children’s Hospital. The projects that have developed during the time of the fellowship and that will be continuing include: Measuring participation following paediatric brain injury Evaluation of a parent information management package in paediatric rehab Measuring motor skills of children diagnosed with Acute lymphoblastic leukaemia (ALL) Benchmarking of inpatient paediatric rehabilitation services in Australasia Benchmarking of ambulatory and community based services for paediatric rehabilitation in Australia and Canada Feedback on the Fellowship from Jane Galvin: “The Fellowship has been an amazing opportunity to expand my skills and networks in research. The opportunities for additional learning through sponsorship of media training, professional writing and seminar sessions have improved both my confidence and skills at presenting. The research exchange to ONF in Toronto provided an invaluable experience of networking with international leaders in the area of paediatric rehabilitation, but also with Australian colleagues. Everyone at TAC has been extremely helpful and supportive throughout the Fellowship. The ability to dedicate time to research as a result of the Fellowship has been invaluable, and has provided an opportunity to begin to develop research skills and expertise, and to demonstrate this through publications and presentation.” Publications: GALVIN J, FROUDE E, IMMS C. Sensory processing abilities of children who have sustained traumatic brain injuries. American Journal of Occupational Therapy. 2009;63(6):701-709. GALVIN J, MANDALIS, A. Executive skills and their functional implications: Approaches to rehabilitation after childhood TBI, Developmental Neurorehabilitation. 2009;12(5):352-360. GALVIN J, FROUDE EH, MCALEER J. Participation in home, school and community life following paediatric ABI. Australian Occupational Therapy Journal. 2010;57(2):118-126. CHEVIGNARD MP, CATROPPA C, GALVIN J, ANDERSON V. Development of an open ended ecological task to assess executive functioning in children post TBI: A cooking task. Brain Impairment. 2010;11(2):125-143. DAVIS E, GALVIN J, SOO C. Reliability of the Assisting Hand Assessment (AHA) for children and youth with ABI. Brain Impairment. 2010;11(2):113-124. GALVIN J, RANDALL, M, HEWISH S, RICE J, & MACKAY MT. Family-centred outcome measurement following paediatric stroke. Australian Occupational Therapy Journal. 2010;57(3):152158. GALVIN J, LIM J, STEER K, EDWARDS J, LEE K. Predictors of functional ability of Australian children with Acquired Brain Injury following inpatient rehabilitation. Brain Injury. 2010; 24(7-8): 1008-1016. STEWART J, GALVIN J, FROUDE EH, LENTON P. Evaluation of an Australian adaptation of The Keeping It Together (KIT) information resource for parents of children with additional needs. Australian Occupational Therapy Journal. 2010; 57(4): 268-275. LEVAC E, GALVIN J. Facilitating clinical decision-making about the use of virtual reality within paediatric motor rehabilitation: Application of a classification framework. Developmental Neurorehabilitation. 2011;14(3):177-184. GALVIN J, HEWISH S, RICE J, MACKAY MT. Functional outcome following paediatric stroke. Developmental Neurorehabilitation. 2011:14(2):67-71. Presentations: GALVIN J, FROUDE E, MCALEER J. Participation following paediatric brain injury. Australian Society for the Study of Brain Impairment (ASSBI) Conference; 2009 May 7-9, Sydney, Australia. GALVIN J, LIM J, STEER K, EDWARDS J. Functional outcomes after inpatient rehabilitation following paediatric brain injury. Australian Society for the Study of Brain Impairment (ASSBI) Conference; 2009 May 7-9, Sydney, Australia. GALVIN J, RANDALL M, RICE J, HEWISH S, MACKAY M. Functional outcomes and parent / child concerns following paediatric stroke. Australian Society for the Study of Brain Impairment (ASSBI) Conference; 2009 May 7-9, Sydney, Australia. HICKEY L, GALVIN J, CLARK M, WALLEY K, STEER K, EDWARDS J. Family goal planning and the rehabilitation process: What is important to families? Australian Society for the Study of Brain Impairment (ASSBI) Conference; 2009 May 7-9, Sydney, Australia. LEVAC DE, GALVIN J. A comparative analysis of virtual reality systems within motor rehabilitation for children and youth with acquired brain injury: Development of a treatment model. IBIA Conference; 2010 March 10-14, Washington DC, USA. GALVIN J, ANDERSON V, MCDONALD R, CATROPPA C. Virtual reality and children with TBI: Pilot and possibilities. International Neuropscyhological Society, 6th Satellite Symposium on Neuropsychological Rehabilitation. 2009 August 3-4, Tallinn, Estonia.