Dr Brian Hoare

B.O.T, PhD

Brian is a Senior Paediatric Occupational Therapist at Monash Children’s Hospital, Melbourne with 15 years clinical experience working with children with cerebral palsy. He completed his PhD at LaTrobe University, Melbourne in 2010 which focused on the treatment of young children with unilateral cerebral palsy (hemiplegia). Brian completed a post-doctoral position at Karolinska Institute, Sweden in 2012 and is Managing Director of CPteaching and CPtoys.

[tabgroup] [tab title=”About” id=”t1″]Brian has been a full-time occupational therapist (OT) at Monash Children’s, Southern Health since 2000 where he is currently the senior OT for the Victorian Paediatric Rehabilitation Service (VPRS).
While maintaining a full-time clinical caseload, Brian completed his PhD in 2010. In 2011 Brian took leave from his clinical position to undertake a 9-month post-doctoral position at Karolinska Institute, Sweden with Professor Ann-Christin Eliasson and Associate Professor Lena Krumlinde-Sundholm.

Brian’s doctoral research evaluated the effects of upper limb therapy following Botulinum toxin-A in children aged 18 months to 6 years with unilateral cerebral palsy (CP). Brian’s research findings have been disseminated widely through publications in high quality, peer reviewed journals. These papers, along with two Cochrane reviews, provide the highest-level of evidence supporting upper limb therapy for children with CP. Brian’s work has contributed significantly to establishing clinical best-practice both in Australia and internationally, and established him as an OT expert in the field of paediatric CP. As a clinician, Brian provides family-centered, highly specialised interventions. He has established clinical protocols for therapy following interventions such as Botulinum toxin-A; played a pivotal role in the clinical implementation of modified constraint-induced movement therapy in Australia; and described the theoretical framework and clinical implementation of bimanual occupational therapy. His expertise is evident in publications and his frequent invitations to provide education about upper limb interventions. [/tab] [tab title=”Publications” id=”t2″] Publications: 17
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Intensive therapy following upper limb botulinum toxin A injection in young children with unilateral cerebral palsy: a randomized trial
Developmental Medicine and Child Neurology | December 2012
Authors: Dr Brian Hoare, Christine Imms, Elmer Villanueva, Hyam Barry Rawicki, Thomas Matyas, Leeanne Carey
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Linking Cerebral Palsy Upper Limb Measurements to the International Classification of Functioning, Disability and Health Journal of Rehabilitation Medicine | 2011
Authors: Dr Brian Hoare, Christine Imms, Melinda Randall
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Botulinum toxin A as an adjunct to treatment in the management of the upper limb in children with spastic cerebral palsy (UPDATE). The Cochrane Library | 2010
Authors: Dr Brian Hoare, Christine Imms, Leeanne Carey, Elmer Villanueva, Barry Rawicki
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Botulinum toxin assessment, intervention and follow-up for paediatric upper limb hypertonicity: international consensus statement. European Journal of Neurology | 2010
Authors: Dr Brian Hoare, Darcy Fehlings, Iona Novak, Stefan Berweck, Susan Stott, Remo Russo
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Test-retest and alternate forms reliability of the assisting hand assessment. Journal of Rehabilitation Medicine | 2009
Authors: Dr Brian Hoare, Marie Holmefur, Pauline Aarts, Lena Krumlinde-Sundholm
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Preliminary evidence suggests that hand-arm bimanual intensive therapy (HABIT) improves bimanual upper limb performance in children with mild to moderate hemiplegic cerebral palsy. Australian Occupational Therapy Journal | 2009
Authors: Dr Brian Hoare, Margaret Wallen
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Occupational therapists should be more involved in the Cochrane Collaboration. Australian Occupational Therapy Journal | 2009
Authors: Dr Brian Hoare, Margaret Wallen
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Botulinum toxin-A in children with cerebral palsy. Treatment of the upper limb following injection International Handbook of Occupational Therapy Interventions | 2009
Authors: Dr Brian Hoare
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Unravelling the cerebral palsy upper limb Developmental Medicine and Child Neurology | 2008
Authors: Dr Brian Hoare
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Constraint-induced movement therapy in the treatment of the upper limb in children with hemiplegic cerebral palsy: a Cochrane systematic review.
The Cochrane Library | 2007
Authors: Dr Brian Hoare, Christine Imms, Leeanne Carey, Jason Wasiak
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Surgery for equinovarus deformity in Friedreich’s ataxia improves mobility and independence. Clinical Orthopedics and Related Research | 2005
Authors: Dr Brian Hoare, Martin Delatycki, Annette Holian, Louise Corben, Barry Rawicki, Christine Blackburn, Melanie Toy, Andrew Churchyard
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Upper-limb injections of botulinum toxin-A in children with cerebral palsy: a critical review of the literature and clinical implications for occupational therapists. American Journal of Occupational Therapy | 2004
Authors: Dr Brian Hoare, Christine Imms
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Does intramuscular botulinum toxin A injection improve upper-limb function in children with hemiplegic cerebral palsy? Medical Journal of Australia | 2003
Authors: Dr Brian Hoare, Jason Wasiak, Kim Hender
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[/tab] [tab title=”Presentations” id=”t3″] presentations : 22
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Botulinum Toxin and Cerebral Palsy: Implications for Occupational Therapy Practice 13th World Congress of Occupational Therapists (WFOT) | Stockholm, Sweden | 2002
Presenters : Dr Brian Hoare
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Using the Assisting Hand Assessment for treatment planning. European Academy of Childhood Disability (EACD) | Vilnius, Lithuania | 2009
Presenters : Dr Brian Hoare, Krumlinde-Sundholm, L
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Intensive upper limb therapy following Botulinum toxin-A in young children with hemiplegic cerebral palsy: Results from a Randomised Controlled Trial Australasian Academy of Cerebral Palsy and Developmental Medicine (AusACPDM) | Christchurch, New Zealand | 2010
Presenters : Hoare, B., Imms, C., Carey, L., Rawicki, B.
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Promoting optimal upper extremity outcomes through childhood and adolescence for individuals with cerebral palsy Australasian Academy of Cerebral Palsy and Developmental Medicine (AusACPDM) | Christchurch, New Zealand | 2010
Presenters : Imms, C., Randall, M., Greaves, S., Duncan, J., Hoare, B.
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Intensive upper limb therapy following Botulinum toxin-A in young children with hemiplegic cerebral palsy: Results from a Randomised Controlled Trial 15th World Congress of Occupational Therapists (WFOT) | Santiago, Chile | 2010
Presenters : Hoare, B., Imms, C., Carey, L., Rawicki, B.
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Botulinum toxin-A in the upper limb in children with cerebral palsy. State of the evidence French National Symposium: Upper Limb and Botulinum-toxin in Children with Cerebral Palsy | Lyon, France | 2010
Presenters : Hoare, B., Wallen, M., Imms, C., Rawicki, H. B., Carey, L
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Modified constraint induced movement therapy versus bimanual occupational therapy French National Symposium: Upper Limb and Botulinum-toxin in Children with Cerebral Palsy | Lyon, France | 2010
Presenters : Hoare, B., Imms, C., Rawicki, H. B., Carey, L.
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Foundations of manual ability: addressing the impact of upper extremity impairment The International Society of Prosthetics and Orthotics Conference 2010: Multidisciplinary Perspectives on the Management of Children and Young Adults with Cerebral Palsy | Melbourne, Australia | 2010
Presenters : Dr Brian Hoare
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Occupational Therapy: Promoting adaptation, occupational engagement & wellbeing The International Society of Prosthetics and Orthotics Conference 2010: Multidisciplinary Perspectives on the Management of Children and Young Adults with Cerebral Palsy | Melbourne, Australia | 2010
Presenters : Dr Brian Hoare, Imms, C.
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Implementing evidence-based upper extremity interventions through childhood and adolescence for individuals with cerebral palsy Occupational Therapy Australia 24th National conference and Exhibition | Gold Coast, Australia | 2011
Presenters : Imms, C., Hoare, B., Randall, M., Greaves, S., Novak, I.
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Bimanual occupational therapy is as effective as modified constraint-induced therapy following botulinum toxin-a in young children with hemiplegic cerebral palsy. Australasian Academy of Cerebral Palsy and Developmental Medicine (AusACPDM) | Brisbane, Australia | 2012
Presenters : Imms, C., Hoare, B., Rawicki, H. B., Carey, L
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Evidence Based Practice: A Collaborative Approach OT Australia 22nd National Conference and Exhibition | Melbourne, Australia | 2003
Presenters : Hoare, B
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Group-based upper limb strength training in children with cerebral palsy: A prospective single group pilot study. Australasian Academy of Cerebral Palsy and Developmental Medicine (AusACPDM) | Brisbane, Australia | 2012
Presenters : Cauchi, A., Hoare, B., Irlam, J., Lannin, N.
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Linking cerebral palsy upper limb measures to the International Classification of Functioning, Disability and Health. Australasian Academy of Cerebral Palsy and Developmental Medicine (AusACPDM) | Brisbane, Australia | 2012
Presenters : Hoare, B., Imms, C., Randall, M.
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Constraint Induced Movement Therapy in the treatment of the Upper Limb in Children with Cerebral Palsy OT Australia 22nd National Conference and Exhibition | Melbourne, Australia | 2003
Presenters : Imms, C., Hoare, B., Randall, M., Greaves, S., Novak, I.
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Constraint Induced Therapy in Cerebral Palsy: In Profile Skills for Kids Paediatric Occupational Therapy Symposium | Melbourne, Australia | 2005
Presenters : Hoare, B., Wallen, M
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Intensive therapy following Botulinum toxin A in young children with cerebral palsy: A randomized controlled trial of constraint induced movement therapy 14th World Congress of Occupational Therapists (WFOT) | Sydney, Australia | 2006
Presenters : Hoare B
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Botulinum toxin-A in the upper limb in children with cerebral palsy. State of the evidence. Australasian Academy of Cerebral Palsy and Developmental Medicine (AusACPDM) | Brisbane, Australia | 2008
Presenters : Hoare, B., Wallen, M., Imms, C., Rawicki, H. B., Carey, L.
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Activity level assessment of the upper limb in children with hemiplegic cerebral palsy. Treatment innovation and its impact on measurement. Australasian Academy of Cerebral Palsy and Developmental Medicine (AusACPDM) | Brisbane, Australia | 2008
Presenters : Hoare, B., Imms, C., Carey, L.
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Intensive therapy following Botulinum toxin-A in children with cerebral palsy: A randomized controlled trial of constraint induced movement therapy Southern Health Research Week | Melbourne, Australia | 2008
Presenters : Imms, C., Hoare, B., Randall, M., Greaves, S., Novak, I.
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Using the Assisting Hand Assessment for treatment planning International Academy of Cerebral Palsy Congress | Sydney, Australia | 2009
Presenters : Hoare, B., Krumlinde-Sundholm, L., Randall, M.
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Retest and alternate forms reliability of the Assisting Hand Assessment International Cerebral Palsy Conference | Sydney, Australia | 2009
Presenters : Holmefur, M., Aarts, P., Hoare, B., Krumlinde-Sundholm, L [/tab][tab title=”Research Projects” id=”t4″]
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Alternate forms and test-retest reliability of the Assisting Hand Assessment.
Multicentre reliability trial with Monash Children’s (Melbourne), Karolinska Institute (Sweden) and Sint Maartenskliniek (The Netherlands). | 2007-2008
Authors : Hoare, B., Holmefur, M., Krumlinde-Sundholm, L., Eliasson, A-C., Aarts, P.
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Paediatric Intrathecal Baclofen Therapy in Australia: Multicentre prospective audit of outcomes.
Multicentre trial with Monash Children’s, Royal Children’s Hospital (Melbourne), Royal Children’s Hospital (Brisbane), Princess Margaret Hospital for Children (Perth), Westmead Children’s Hospital (Sydney) and Women’s and Children’s Hospital (Adelaide). | 2010 to current
Authors : Hutana, G., Hoare, B., Bear, N., Kentish, M., Stewart, K.
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How well does the Revised Melbourne Assessment of Unilateral Upper Limb Function (RMA) measure change when children move their arms and hands differently?
Multicentre reliability trial with Monash Children’s and Royal Children’s Hospital Melbourne | 2010 to current
Authors : Randall, M., Imms, C., Hoare, B.
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Cognition and Bimanual Upper Limb Performance in Children with Hemiplegic Cerebral Palsy
Multicentre trial with Monash Children’s (Melbourne), Royal Children’s Hospital (Melbourne), Royal Children’s Hospital (Brisbane), Cerebral Palsy Alliance (NSW), Women’s and Children’s Hospital (Adelaide), Princess Margaret Hospital (Perth) | 2010 to current
Authors : Hoare, B., Crichton, A., Harvey, A., Novak, I., Ditchfield, M., Villanueva, E., Rawicki, B., Dagia, C., Russo, R., Valentine, J., Thorley, M
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Validation of the Adult-Assisting Hand Assessment (Ad-AHA) for stroke
Karolinksa Institute Sweden | 2010 to current
Authors : Hoare, B., Krumlinde-Sundholm, L.

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