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Rose Centre for Stroke Recovery and Research

17 October 2023

UC's Rose Centre for Stroke Recovery and Research is a state of the art facility at St Georges Medical Centre. It helps people with swallowing and communication disorders recover function or improve sufficiently to gain the best possible quality of life. Learn more about the Rose Centre for Stroke Recovery and Research.

Rose Centre Logo

The Rose Centre was established in 2014 through the generosity of Mrs Shirley Rose, who spent many of her final years tending to the disability created by stroke in her husband.

This new state of the art facility builds on the successes of the current Swallowing Rehabilitation Research Laboratory and will extend this research and clinical expertise to address all aspects of rehabilitation in this population.

Participate in research

The greatest contributor to excellent research is the community of research participants who offer their time and allow us to study their swallowing. We are always recruiting both healthy adults and patients with swallowing and communication impairments for research.

More information

See our Current projects page for a listing of what we are working on now.

Contact Professor Maggie-Lee Huckabee or the researcher listed for each project.

Stroke by numbers

Stroke is the second most common cause of death worldwide and a common cause of disability in adults in developed countries.

The incidence of stroke in New Zealand is high compared to other developed countries with over 9000 new stroke events each year and over 2500 deaths attributable to this condition.

Each day, approximately 24 New Zealanders will have a stroke. At any point in time, there will be over 60,000 New Zealanders who have survived their initial event but are living with the disabilities arising from stroke.

We encourage our patients to take an active role in the development of rehabilitation strategies for themselves and future patients. 


Stroke isn't about numbers, it's about people

Eric was a 33 year old fireman with Urban Search and Rescue when an undiagnosed and asymptomatic blood condition resulted in a series of strokes. Following lengthy acute and post acute hospitalisations, Eric was discharged home, but continued to have significant swallowing, speech and physical motor impairments.

Not all strokes occur in the elderly. Approximately 25% of all first strokes in New Zealand occur in individuals under 65 years of age. Only 50% of these are able to return to full time work by 6 months.

Health systems have developed comprehensive clinical rehabilitation services for individuals in the acute and post acute phases; services are particularly well developed for elderly stroke patients. There are also well developed services for young patients who have suffered disability due to accidental injury. However, funding for and access to rehabilitation services are more restricted for stroke patients under the age of 65 years.

The consequences of stroke are devastating for all ages, but for patients like Eric, disability is a very long term impediment to supporting a family, engaging in a career, and interacting effectively with friends and family. This emphasizes the need for rehabilitation research.

Donate to the Rose Centre

  • Guiu Hernandez E, Gozdzikowska K, Apperley O, Huckabee M.L (accepted Oct 2017)). The Effect of Topical Nasal Anaesthetic (TNA) on Tolerability and Pharyngeal Pressure in Healthy Adults: A Double-Blind Study. Laryngoscope. doi pending.
  • Mills C, Jones R, Huckabee ML (2017 in press). Measuring voluntary and reflexive cough strength in healthy individuals. Respiratory Medicine. 
  • Apperley O, Medlicott NJ, Rich A, Hanning S, Huckabee ML (2017) A clinical trial of a novel emulsion for potential use as a saliva substitute in patients with radiation induced xerostomia. Jour of Oral Rehab, published online 25 July 2017. doi:10.1111/joor.12545.
  • Perry S, Huckabee ML (2017) Does diurnal variation in cough reflex testing exist in healthy young adults? Respiratory Physiology and Neurobiology 239:70-74
  • Perry SE, Winkelman CJ, Huckabee ML (2017). Variability in Ultrasound Measurement of Hyoid Bone Displacement and Submental Muscle Size Using 2 Methods of Data Acquisition Folia Phoniatrica et Logopaedica 205-210
  • Huckabee, M. L., McIntosh, T., Fuller, L., Curry, M., Thomas, P., Walshe, M., ... & den Engel‐Hoek, L. (2017). The Test of Masticating and Swallowing Solids (TOMASS): reliability, validity and international normative data. International Journal of Language & Communication Disorders. Published online 05 July 2017. DOI:10.1111/1460-6984.12332.
  • Calvo, I., Sunday, K. L., Macrae, P., & Humbert, I. A. (2017). Effects of chin-up posture on the sequence of swallowing events. Head and Neck, 39(5), 947-959. doi:10.1002/hed.24713
  • Guedes, R., Azola, A., Macrae, P., Sunday, K., Mejia, V., Vose, A., & Humbert, I. A. (2017). Examination of swallowing maneuver training and transfer of practiced behaviors to laryngeal vestibule kinematics in functional swallowing of healthy adults. Physiology and Behavior, 174, 155-161. doi:10.1016/j.physbeh.2017.03.018. 
  • Al-Toubi A, Daniels SK, Huckabee ML, Corey DM, Doeltgen SH (2016) Behavioural and neurophysiological disruption of corticobulbar motor systems and their effects on sequential pharyngeal swallowing. Physiology and Behavior 165:69-76
  • Kelly HE, Shaw GM, Brett CN, Greenwood FM, Huckabee ML (2016) The effect of titrated fentanyl on suppressed cough reflex in healthy adult volunteers Anaesthesia 71(5):529-534 01 
  • Lamvik, K., Guiu-Hernandez, E., Jones, R., Huckabee, M-L. (2016). Characterization and correction of pressure drift in the ManoScan™ high resolution manometry system: In vitro and in vivo. Neurogastroenterology and Motility. 28(5):732-42. doi: 10.1111/nmo.12770.
  • Omari, T., Savilampi, J., Kokkinn, K., Schar, M., Lamvik, K., Doeltgen, S., Cock, C. (2016). The Reliability of Pharyngeal High-Resolution Manometry with Impedance and Derivation of Measures of Swallowing Function. International Journal of Otolaryngology. Epub 2016 Apr 14. doi: 10.1155/2016/2718482.
  • Macrae, P. (2016). Swallowing impairment after stroke. INTERNATIONAL JOURNAL OF STROKE, 11, 3. Retrieved from
  • Kallesen, M., Psirides, A., & Huckabee, M. L. (2016). Comparison of cough reflex testing with videoendoscopy in recently extubated intensive care unit patients. Journal of critical care, 33, 90-94.
  • Al-Toubi AK, Doeltgen SH, Daniels SK, Corey DM, Huckabee ML. (2015) Pharyngeal pressure differences between four types of swallowing in healthy participants Physiology and Behavior 140:132-138.
  • Ombler K, Huckabee ML (2015) Infection control in cough reflex testing: An equipment-based bacterial contamination study. Speech, Language and Hearing 18(1):25-29 
  • Huckabee, M.L., Macrae, P., Lamvik K. (2015). Expanding instrumental options for dysphagia diagnosis and research: Ultrasound and Manometry. Folia Phoniatrica et Logopaedia. 67(6):269-84. doi: 10.1159/000444636.
  • Lamvik, K., Huckabee, M-L. (2015). The Rose Centre for Stroke Recovery and Research: Harnessing Biotechnology in Rehabilitation and Research. EP Lab Digest, 15(2), 17-19.
  • Lamvik, K., Jones, R., Huckabee, M-L. (2015). The capacity for volitional control of pharyngeal swallowing in healthy adults. Physiology and Behavior 1(152): 257-63. doi: 10.1016/j.physbeh.2015.09.026.
  • Anderson, C., Macrae, P., Taylor-Kamara, I., Serel, S., Vose, A., & Humbert, I. A. (2015). The perturbation paradigm modulates error-based learning in a highly automated task: Outcomes in swallowing kinematics. Journal of Applied Physiology, 119(4), 334-341. doi:10.1152/japplphysiol.00155.2015. 
  • Azola, A. M., Greene, L. R., Taylor-Kamara, I., Macrae, P., Anderson, C., & Humbert, I. A. (2015). The relationship between submental surface electromyography and hyo-laryngeal kinematic measures of mendelsohn maneuver duration. Journal of Speech, Language, and Hearing Research, 58(6), 1627-1636.doi:10.1044/2015_JSLHR-S-14-0203
  • Young, J. L., Macrae, P., Anderson, C., Taylor-Kamara, I., & Humbert, I. A. (2015). The sequence of swallowing events during the chin-down posture. American Journal of Speech-Language Pathology, 24(4), 659-670. doi:10.1044/2015_AJSLP-15-0004
  • Kallesen, M., Psirides, A., & Huckabee, M. L. (2015). Recovery of cough after extubation after coronary artery bypass grafting: a prospective study. Journal of critical care, 30(4), 758-761.

For earlier publications, and conference presentations, please see Professor Huckabee’s UC SPARK Profile and Dr Phoebe Macrae's SPARK profile.

  • Erfmann K, Guiu Hernandez E, Macrae P, Jones R, Huckabee M.L (in preparation). The influence of cerebellar transcranial direct current stimulation (tDCS) on motor learning in swallowing
  • Guiu Hernandez E, Gozdzikowska K., Jones R, Huckabee M.L (under review). Radial asymmetry in pharyngeal pressure: Comparison of unidirectional and circumferential manometric measures
  • Gozdzikowska K, Guiu Hernandez E, Huckabee M.L (in preparation). Reliability of Clinical Analyses of Swallowing using Pharyngeal High-resolution Manometry.
  • Guiu Hernandez E, Gozdzikowska K., Jones R, Huckabee M.L (in preparation). Pharyngeal Swallowing during Wake and Sleep States.
  • Perry S, Fink J, Huckabee ML (under review). The effect of a dysphagia management protocol on the rate of pneumonia in patients with acute stroke.
  • Davies, S., Tompkins, G., Huckabee, M-L. (under review). The relationship between oral bacteria, cough reflex sensitivity and pneumonia in patients with acute stroke and dysphagia
  • Emslie A, Jones RJ, Anderson T, Huckabee ML (under review). Test of masticating and swallowing solids (TOMASS): Sensitivity to dysphagia in Parkinson’s disease
  • den Engel‐Hoek, L., U Franke, Huckabee, M. L., Adams S (in preparation). The Test of Masticating and Swallowing Solids-Paediatric (TOMASS-P): reliability, validity and international normative data.
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