Department of Rehabilitation Medicine
Royal Prince Alfred Hospital
Level 7, KGV Bldg, Missenden Rd, CAMPERDOWN NSW 2050
29 Booth Street, Balmain NSW 2041
The Rehabilitation Medicine Department continues to focus on research in post stroke rehabilitation outcomes. The department conducts a monthly Spasticity Clinic on Level 4, QE2 Building RPAH. Patients with persistent moderate to severe spasticity, with or without pain, interfering with activity and personal care, preferably residing in Sydney LHD are assessed and managed in this clinic. Therapeutic options including botulinum toxin injections in conjunction with rehabilitation therapy are considered. The current projects are focused on upper limb outcomes following stroke.
The establishment of "In-reach" Rehabilitation at RPAH gives the department opportunities for future research projects with focus on innovative models of care. CO-Rehab team is a medically coordinated, multidisciplinary allied health team delivering early rehabilitation to patients within the acute setting.
The Rehabilitation Medicine Department is committed to benchmarking against evidence based guidelines and improving the quality of the service we deliver with the best possible use of available resources. As on previous occasions, in 2016 we were an active participant in the National Stroke Foundation: National Stroke Audit of Rehabilitation Services. Quality Improvement Initiatives that were a direct result of our participation include setting up of a regular multidisciplinary Stroke Education session for post stroke in-patients and their carers at Balmain Hospital.
In 2017 the Rehabilitation Medicine Department was invited to participate in a research study in rehabilitation services for patients with stroke and/or hip fracture in NSW/ACT. The purpose of the study is to investigate the current rehabilitation services provided both in hospital (inpatient) and after discharge (outpatient) for patients with stroke or hip fracture in NSW. The coordinating site is St Vincent's Hospital. Dr I.Nair will be the principle investigator for the Balmain site.
- 2012-present - A comparative open label study comparing the efficacy of structured physiotherapy vs non structured physiotherapy in reducing post-stroke spasticity related shoulder pain in patients treated with Botulinum toxin A
- 2014 - present - An International, Multicenter, Observational, Prospective, Longitudinal Cohort Study To Assess The Impact Of Integrated Spasticity Management Including Repeated Bot-A Injections On Patient-Centred Goal Attainment In Adult Subjects Suffering From Upper Limb Spasticity - ULIS III
- 2015 - present - A Randomized, Double-blind, Placebo-controlled Study to Assess the Efficacy and Safety of AXS-02 (Disodium Zoledronate Tetrahydrate) Administered Orally to Subjects with Complex Regional Pain Syndrome Type-I (CREATE-1)
- A/Professor Arun Aggarwal: Senior Staff Specialist Rehabilitation Medicine
- Dr Indu Nair: Senior Staff Specialist Rehabilitation Medicine
- Dr Darren Lee: Senior Staff Specialist Rehabilitation Medicine
- Dr Jayanthini Ganeshkumar: Staff Specialist Rehabilitation Medicine
- Dr Ali Tahayori: Staff Specialist Rehabilitation Medicine
Publications and Presentations
- O. Zekry, S. Gibson A. Aggarwal. Sub-anaesthetic Subcutaneous Ketamine Infusion Therapy in the Treatment of Chronic Non-Malignant Pain. J. of Pain & Palliative Care Pharmacotherapy Apr 2016: 1-8
- K. Pirapakaran, A. Aggarwal. The Use of Low-Dose Sodium Valproate in the Management of Neuropathic Pain: Illustrative Case Series. Internal Medicine Journal Jul 2016: 849-852
- A. Aggarwal, J. Ganeshkumar, D. Lee. Role of Botulinum Toxin in Post-Stroke Spasticity Related Shoulder Pain. J of Anasthesia & Pain Medicine Jan 2017 Vol 2: 1-3
- A. Aggarwal 36th Australian Pain Society ASM 2016 Poster Presentation - The Use of Low-Dose Sodium Valproate in the Management of Neuropathic Pain: Illustrative Case Series
- J. Ganeshkunar, D. Lee, A. Aggarwal IASP 16th World Congress of Pain. Poster Presentation 2016 - Comparative Open label Study Comparing the Efficacy of Structured Physiotherapy vs Non-Structured Physiotherapy in Reducing Post-Stroke Spasticity Related Shoulder Pain in patients Treated with Botulinum Toxin A
- A. Aggarwal, S. Gibson, A. Helou, E. Kilburn-Watt. IASP 16th World Congress of Pain. Poster Presentation 2016 - The Prevalance of Biochemical and Neuroendocrine Changes in Chronic Non-Malignant Pain
- A. Aggarwal - Invited Speaker - Wuxi 2nd People's Hospital Workshop, China - Sub-anaesthetic Subcutaneous Ketamine Infusion Therapy in the Treatment of Chronic Non-Malignant Pain
- A. Aggarwal - Invited Speaker - Neuro-Talk 16, Beijing - Role of Botulinum Toxin in the Management of Post-Stroke Shoulder Pain Related Spasticity and Trigeminal Neuralgia
- A. Aggarwal - Invited Speaker - TNA Sydney AGM, Sydney - Differential Diagnosis & Management: TN/SUNCT/Cluster Headache
- A. Aggarwal - Invited Speaker - Mid-North Coast GP Network - Coffs Harbour - Pain Management MasterClass - A Practical Approach to Chronic Pain Management - Pharmocotherapies, use of Opioids and Ask the Experts
- A. Aggarwal - Invited Speaker - Central Coast GP's - Toowoon Bay - Chronic Pain Management...time to rethink your approach?
- A. Aggarwal - Invited Speaker - Western Sydney GP and Webinar - Chronic Pain: Insights into Opioid Induced Constipation
- A. Aggarwal - Invited Speaker - Hunter Postgraduate Medical Institute - Pain Management Masterclass - A Practical Approach to Chronic Pain Management
- A. Aggarwal - Invited Speaker - North Shore GP Network - Lindfield - Chronic Pain: Simplifying Management in General Practice
- A. Aggarwal - Invited Speaker - Inner West GP's Meeting - Strathfield - Pain UnPlugged - Stripping Back the Complexity of Chronic Pain Management
- A. Aggarwal - Invited Speaker - Armidale GP's - Managing Chronic Pain Can Be Challenging in General Practice
- A. Aggarwal - Invited Speaker - Tamworth - Chronic Pain Management...Time to Rethink Your Approach
- I.Nair - Investigator in AROC 'Intensity of Therapy Study' Protocol No X12-0180 & LNR/12/RPAH/305 'Using a national database to research the impact of variations in rehabilitation therapy intensity on outcomes in the subacute inpatient rehabilitation setting'. Completed December 2012.
- I.Nair -Co author : Predictors of transfer to rehabilitation for trauma patients admitted to a Level 1 trauma centre - a model derivation and internal validation study
Reference: JINJ5358 Journal title: 'Injury' published May 2013
- I.Nair - 2017 : Principal Investigator Balmain : Integrating NSW Healthcare for stroke and hip fracture - Mapping the relationship between the availability of outpatient services and inpatient rehabilitation length of stay in NSW hospitals. (Multi-centre study- Principal Site St Vincent's Hospital)
Contact details for department
Head of Department: Dr Indu Nair FAFRM (RACP)
Department/Unit: Department of Rehabilitation Medicine
Telephone: RPAH (02) 9515 9815 Balmain (02) 9395 2111
Facsimile: (02) 9515 9801