Camila is an enthusiastic Lecturer in Physiotherapy with vast clinical expertise in neurological physiotherapy, with postgraduate clinical qualifications in Neurological Physiotherapy applied to the chronic and acute patient (adult and paediatric).
She also has experience in teaching undergraduate and postgraduate programs in Health Sciences in Australia and overseas.
During her PhD, she conducted quantitative and qualitative clinical research testing an innovative exercise program for people with spinal cord injuries. Moreover, Camila has published in peer-reviewed journals, oral and poster presentations at international conferences.
She is currently the Clinical and Research Advisor for the NeuroMoves Exercise clinics across Australia.
Can supervise: YES
Camila is passionate about improving rehabilitation outcomes for people with neurological conditions.
Her main research interests are:
- Activity-based therapies for people with spinal cord injuries.
- Prognostic factors for functional recovery after stroke.
- Use of technology (robotics, virtual reality and exoskeletons) to improve rehabilitation outcomes for people with neurological conditions.
de Oliveira, CQ, Middleton, JW, Refshauge, K & Davis, GM 2019, 'Activity-Based Therapy in a Community Setting for Independence, Mobility, and Sitting Balance for People With Spinal Cord Injuries.', Journal of Central Nervous System Disease, vol. 11, pp. 1179573519841623-1179573519841623.View/Download from: Publisher's site
Introduction:Activity-based therapy (ABT) aims to activate the neuromuscular system below the level of the spinal cord lesion and promote recovery of motor tasks through spinal reorganisation, motor learning and changes to muscles and sensory system. We investigated the effects of a multimodal ABT program on mobility, independence and sitting balance in individuals with spinal cord injury (SCI). Methods:Retrospective clinical data from 91 adults who independently enrolled in four community-based ABT centres in Australia were analysed. The multimodal ABT program was delivered for 3 to 12 months, one to four times per week. Assessments were undertaken every 3 months and included the Modified Rivermead Mobility Index (MRMI), Spinal Cord Independence Measure (SCIM) and seated reach distance (SRD). A linear mixed model analysis was used to determine time-based and other predictors of change. Results:There was a significant improvement after 12 months for all outcome measures, with a mean change score of 4 points in the SCIM (95% confidence interval [CI]: 2.7-5.3, d = 0.19), 2 points in the MRMI (95% CI: 1-2.3, d = 0.19) and 0.2 in the SRD (95% CI: 0.1-2.2, d = 0.52). Greater improvements occurred in the first 3 months of intervention. There were no interaction effects between time and the neurological level of injury, American Spinal Injury Association Impairment Scale classification, or duration post-injury for most outcomes. Conclusions:A community-based ABT exercise program for people with SCI can lead to small improvements in mobility, independence and balance in sitting, with greater improvements occurring early during intervention.
Eitivipart, AC, de Oliveira, CQ, Arora, M, Middleton, J & Davis, GM 2019, 'Overview of Systematic Reviews of Aerobic Fitness and Muscle Strength Training after Spinal Cord Injury.', Journal of neurotrauma, vol. 36, no. 21, pp. 2943-2963.View/Download from: Publisher's site
The number of systematic reviews on the effects of exercise on aerobic fitness and muscle strength in people with spinal cord injury (SCI) has recently increased. However, the results of some of these reviews are inconclusive or inconsistent. To strengthen recommendations, this overview was undertaken to assimilate evidence about the effectiveness of different types of physical activities, exercises, and therapeutic interventions for improving aerobic fitness and muscle strength in people with SCI. Cochrane Overview of reviews methods were adopted to undertake this overview. An online search was conducted in August 2018 on eight databases based on predefined search criteria. Potential systematic reviews were screened, selected, and assessed on methodological quality by two independent authors, and discussed and resolved with a third author, when necessary. Only systematic reviews published in the English language were included. The protocol was registered on PROSPERO. Overall, 16 systematic reviews were included (aerobic fitness, n = 10; muscle strength, n = 15). For all 16 reviews, the quality of evidence was rated as "critically low." Despite low evidence, this overview strengthens the existing guidelines for people with SCI, providing specific advice on exercise domains (types, intensities, frequency, and duration) for improving aerobic fitness and muscle strength. The evidence from this overview suggests that ergometry training with/without additional therapeutic interventions (20 min, moderate to vigorous intensity, twice weekly for 6 weeks) may improve aerobic fitness; similarly, resistance training with/without additional therapeutic interventions (three sets of 8-10 repetitions, moderate to vigorous intensity, twice weekly for 6 weeks) may improve muscle strength.
de Oliveira, CQ, Refshauge, K, Middleton, J, de Jong, L & Davis, GM 2017, 'Effects of Activity-Based Therapy Interventions on Mobility, Independence, and Quality of Life for People with Spinal Cord Injuries: A Systematic Review and Meta-Analysis', JOURNAL OF NEUROTRAUMA, vol. 34, no. 9, pp. 1726-1743.View/Download from: Publisher's site
Bochkezanian, V, Raymond, J, De Oliveira, CQ & Davis, GM 2015, 'Can combined aerobic and muscle strength training improve aerobic fitness, muscle strength, function and quality of life in people with spinal cord injury? A systematic review', Spinal Cord, vol. 53, no. 6, pp. 418-431.View/Download from: Publisher's site
© 2015 International Spinal Cord Society. Study design: A systematic review. Objectives: The aim of this systematic review was to establish whether combined aerobic training and muscle strength training is effective in improving aerobic fitness, muscle strength, function and/or quality of life (QoL) in people with spinal cord injury (SCI). Settings: Faculty of Health Sciences. University of Sydney, NSW, Australia. Methods: A search was conducted for randomized controlled trials (RCTs), controlled trials, uncontrolled clinical trials, case series and cross-over studies involving exercise interventions that included a combination of aerobic and strength components, either in circuit-mode or in sequence for people with SCI. Methodological quality was independently rated using the PEDro scale and key findings were extracted from trials by two reviewers. Results: The search identified 7981 abstracts, from which nine trials met the inclusion criteria. From the nine selected trials, seven reported aerobic outcomes, two of which showed a statistically significant within-group difference in aerobic fitness. Five studies reported muscle strength outcomes, four of them showed a statistically significant within-group mean difference on at least one outcome measure. Two studies looked at QoL, one of them found a statistically significant between-group difference on one outcome measure. Conclusion: Our systematic review showed that literature on SCI population is scarce, of low quality and findings of existing studies are inconsistent. Thus, further RCTs with larger number of participants are needed to make a definite conclusion about the influence of combined aerobic and muscle strength training on aerobic fitness, muscle strength and QoL in people with SCI.
Nascimento, LR, de Oliveira, CQ, Ada, L, Michaelsen, SM & Teixeira-Salmela, LF 2015, 'Walking training with cueing of cadence improves walking speed and stride length after stroke more than walking training alone: A systematic review', Journal of Physiotherapy, vol. 61, no. 1, pp. 10-15.View/Download from: Publisher's site
© 2014 Australian Physiotherapy Association. Question: After stroke, is walking training with cueing of cadence superior to walking training alone in improving walking speed, stride length, cadence and symmetry? Design: Systematic review with meta-analysis of randomised or controlled trials. Participants: Adults who have had a stroke. Intervention: Walking training with cueing of cadence. Outcome measures: Four walking outcomes were of interest: walking speed, stride length, cadence and symmetry. Results: This review included seven trials involving 211 participants. Because one trial caused substantial statistical heterogeneity, meta-analyses were conducted with and without this trial. Walking training with cueing of cadence improved walking speed by 0.23 m/s (95% CI 0.18 to 0.27, I2=0%), stride length by 0.21 m (95% CI 0.14 to 0.28, I2=18%), cadence by 19 steps/minute (95% CI 14 to 23, I2=40%), and symmetry by 15% (95% CI 3 to 26, random effects) more than walking training alone. Conclusions: This review provides evidence that walking training with cueing of cadence improves walking speed and stride length more than walking training alone. It may also produce benefits in terms of cadence and symmetry of walking. The evidence appears strong enough to recommend the addition of 30minutes of cueing of cadence to walking training, four times a week for 4 weeks, in order to improve walking in moderately disabled individuals with stroke. Review Registration: PROSPERO (CRD42013005873). [Nascimento LR, de Oliveira CQ, Ada L, Michaelsen SM, Teixeira-Salmela LF (2015) Walking training with cueing of cadence improves walking speed and stride length after stroke more than walking training alone: a systematic review.
Quel De Oliveira, C 2018, 'Activity-based therapy after SCI: Participants’ perceptions and experiences.'.
Perceived effects, life context, experiences and feelings of people with SCI who participated in a community-based multimodal ABT exercise program using a qualitative research methodology.