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A Neuro Physio Podcast

Matt Wingfield & Erin Bicknell

Welcome to A Neuro Physio Podcast. Erin and Matt chat openly with experienced people in the neuro physio world. We highlight the personal story and career pathway of our guests as they share clinical pearls applicable to modern neurological physio practice.

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22 episodes
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October 15 · 1 hr 7 min
Dr Ashan Weerakoddy
Dr Ashan Weerakoddy is an APA titled Neurological Physiotherapist with a PhD in Implementation Science in stroke rehab and a Graduate Diploma in Neurological Rehabilitation. Ashan’s PhD focussed on the implementation of Constraint Induced Movement Therapy across seven sites of a Rehabilitation in the Home (RITH) Early Supported Discharge (ESD) service. He talks extensively about the implementation aspects of this large project, what we can learn from his work for any quality improvement initiative, and important aspects of effective CIMT. Ashan now runs his own mobile neuro physio business Cortex Rehab in Perth, Australia. He talks to us about this move along with his passion for community based neuro rehab. 1.31 Career pathway 5.10 Working in the NT 10.10 Falling in love with community work 16.10 PhD inception 24.03 CIMT implementation project 31.26 Methodological rigour vs pragmatism implementing the intervention 38.40 TDF framework 41.40 CIMT misconceptions 48.31 CIMT courses in Aus and USA 49.38 Ashan’s blog 52.40 Ashan’s private work 56.50 CIMT vs other UL therapy options 58.55 Post-show debrief Links & resources Ashan's Linked In Neurological Physiotherapy Perth | Mobile Neuro Rehab | Cortex Neuro Rehab Ashan’s blog Researchgate for PhD studies UAB CIMT course Ashan’s CIMT course Stroke Ed CIMT course UAB studies - transfer package impact on grey matter: Method for enhancing real-world use of a more-affected arm in chronic stroke: The Transfer Package of CI Therapy Remodeling the brain: plastic structural brain changes produced by different motor therapies after stroke Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
S3 · E2
September 16 · 1 hr 18 min
Haseel Bhatt - Parkinson's and Functional Movement Disorders
Haseel Bhatt is a neurological physiotherapist, researcher and adjunct lecturer at the University of Toronto. He holds a Bachelor of Science in Kinesiology and completed graduate studies at the Movement Disorders Research and Rehabilitation centre in Waterloo, Ontario, Canada before studying physiotherapy. His primary research focus has been in Functional Movement Disorders and freezing of gait in Parkinson’s disease and he now runs his own practice Neurology Rehab in the Durham Region, Ontario. Haseel regularly posts evidence-based educational content on his Instagram page @parkinsonsphysiotherapy We cover his unique career pathway, why he developed his social media page, the latest in evidence-based Parkinson’s management including how to assess for targeted intervention. We also discuss the right time and care for FND, anxiety as a cause of freezing of gait, visuo-motor issues in PD and burnout in neuro physio. Let us know what you think! 1.45 Career pathway 7.10 Transitioning from research to clinical 13.05 Social media as an allied health professional 18.40 FND - Evidence-based physio on social media, rehab readiness 26.00 Haseel’s approach to explaining FND 29.05 What are we missing in physio for Parkinson’s? 36.05 eye movements in Parkinson’s 44.55 Body systems assessment in Parkinson’s 52.51 Burnout in neuro physio Resources/links: Haseel’s physiotherapy practice website https://neurologyrehab.com/ Instagram: @parkinsonsphysiotherapy Haseel's Courses FND PT/OT 2-Day Course Waitlist (clinician-focused): https://neurologyrehab.kit.com/2bb52170b8 Self-Paced FOG Course (for caregivers and patients with PD-FOG): https://courses.neurologyrehab.com/courses/freezing-course Articles Haseel discussed in the episode: Exercise & physiotherapy efficacy for Parkinson's Nature Reviews Neurology updated review Anxiety & Neuropsychiatric Symptoms (Non-Pharmacological Approaches) Anxiety is associated with freezing of gait and attentional set-shifting in Parkinson's disease Does anxiety cause freezing of gait in Parkinson's disease? Factors Influencing Triage to Rehabilitation in Functional Movement Disorder Integrated model of care for functional movement disorder: targeting brain, mind and body Eye Training & Gait Stability Functional Dystonia Rehabilitation Doorway Sampling & Freezing Tracy Tan's work on PD gaze in cluttered environments (graduate thesis) Eghotez Martens on illuminated doorways and freezing - second most freezing when only seeing the doorframe illuminated Lab findings on doorway sampling during dual-task (when FOG is most vulnerable) Mini BESTest International Consortium for Freezing of Gait – Updated definition of FOG Ky Wynne Journal of Physiotherapy - Burnout in physiotherapy article Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can. A Neuro Physio | Facebook A Neuro Physio Podcast (@aneurophysio) / X LinkedIn Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
S3 · E1
May 11 · 59 min
Professor Janice Eng - Stroke rehab, Large translational trials,
Professor Janice Eng, OC, is a University Killam Professor and Canada Research Chair, University of British Colombia Department of Physical Therapy. Janice is currently the co-director of the Centre for Aging SMART at Vancouver Coastal Health. Her work includes the GRASP upper limb program, the FAME fitness and mobility program, robotic exoskeleton research and her most recent Walk n’ Watch multi-site trial. Having published over 300 peer-reviewed journal articles, we discuss how her work is focussed on how to effectively and safely deliver high doses of therapy in complex healthcare environments, and make sure it is implemented widely in clinical practice. 20 sec Career Pathway 2min 45 sec Filling the evidence gap in neuro 5min 33sec Managing control groups in clinical trials 8min 54sec Capturing meaningful improvements with outcome measures 13min 28sec Importance of sufficiently funded trials 15min 40sec Success of Janice’s trials changing practice across the world 20min 29sec Resistance from clinicians about repetitive, task-specific & independent practice 24min 28 sec GRASP program 26 55sec FAME program 29.17 sec Walk n’Watch 32.52 Who benefits from feedback on performance, clinicians or patients? 36.00 Avoiding boredom doing reps 39.14 Gender issues in rehab trials Links & Resources REACH scale for Everyday Arm-use in the Community and Home extremity REACH | Neurorehabilitation Research Program Rating of Everyday Arm-Use in the Community and Home (REACH) Scale for Capturing Affected Arm-Use after Stroke: Development, Reliability, and Validity - PMC Full article: A biomechanical analysis of the effectiveness of the Graded Repetitive Arm Supplementary Program (GRASP) for chronic stroke rehabilitation - Movement quality (speed, smoothness) improved in GRASP GRASP – GRASP | Neurorehabilitation Research Program FAME - FAME – Fitness and Mobility Exercise Program – A Group Exercise Program for People after Stroke Walk ‘n Watch Walk ‘n Watch | Neurorehabilitation Research Program Safety and effectiveness of the Walk ‘n Watch structured, progressive exercise protocol delivered by physical therapists for inpatient stroke rehabilitation in Canada: a phase 3, multisite, pragmatic, stepped-wedge, cluster-randomised controlled trial - ScienceDirect Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can. Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
S2 · E9
Dec 10, 2024 · 1 hr 7 min
Dr Vivienne Travlos - Neuro-respiratory, MND, NMD
Dr Vivienne Travlos is a Respiratory Physiotherapist at the MND Association of Western Australia and Principal Physio at Breathe Physio. She has a PhD, MSc of (Management of hildhood Disability) a GradCert in university teaching. This episode is all you want to know about neuro respiratory. We chat neuromuscular disorders, respiratory pathophysiology and disease, night respiration, airway clearance, assessment and measurement, intervention according to severity. Also heard answers to listeners questions - evidence base, physio role across the complex disability continuum of care. 2.03 Welcome & Career Pathway 8.59 PhD – Adolescents with NMD physical health & mental wellbeing 12.59 What are neuromuscular disorders? What resp issues occur? 18.25 Night respiration issues 21.49 NIV 26.15 Lung volume recruitment 31.00 Airway clearance 39.46 EBP in neuro respiratory 43.19 Key outcome measures 49.22 Lung tissue integrity 52.49 Future proofing 1.00.44 Reflection Links & Resources Email: vivienne.travlos@gmail.com Physiotherapists: A vital part of MND multi-disciplinary care Viviennes' LinkedIn Vivienne's phd papers/ research gate Neuro Respiratory Physiotherapy Academy (Jac Agostinello) MND Western Australia MND Victoria Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
S2 · E8
Oct 7, 2024 · 1 hr 10 min
A/Prof Simone Dorsch - Strength training after stroke, Dosage & Intensity, Personalising practise
A/Prof Simone Dorsch is a lecturer in neurological physiotherapy at Australian Catholic University in Sydney and a Director at the StrokEd collaboration. Simone holds a Masters of Health Science (Neurological Physiotherapy) and a PhD in increasing strength after stroke from University of Sydney. We spend time talking about strength training after stroke, dose and intensity of practice, courses offered by Stroke Ed including the Upper Limb Stroke Rehab Massive Online Open Course (MOOC) that ran for the first time in June 2024. There’s chats about empowerment in rehab, the family role, personalising practise and what interventions we should and shouldn’t be using. 0 Intro 23.00 Current roles & career 45.00 MOOC UL stroke rehab 14.45 Stroke Ed courses 17.50 Coaching 21.10 How much to ‘talk’ as a physio 24.20 Empowerment & engagement 29.05 Strength training 32.45 Clinical reasoning framework of TST 35.10 What interventions we should be doing 38.30 Teaching how to practice - how not to scare people off 41.30 Hands-on approaches 44.30 Personalising practise 53.20 Family empowerment 57.10 Definition of Bobath in studies Links Simone’s ACU profile Simone’s X Simone’s phd papers/ research gate LinkedIn Stroke Ed website Caitlin reed episode link Other StrokeEd presenters episodes: Dr Annie McCluskey Dr Kate Scrivener Resources Articles discussed in episode: Xu Wen Eng 2014 Factors Affecting the Ability of the Stroke Survivor to Drive Their Own Recovery outside of Therapy during Inpatient Stroke Rehabilitation Bobath Systematic reviews: https://www.sciencedirect.com/science/article/pii/S183695532030103X' https://www.sciencedirect.com/science/article/pii/S1836955322001151 Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
S2 · E7
Aug 27, 2024 · 48 min
James McQuillan - Australian Steelers, person with SCI
We are chatting with James McQuillan one of the Australian Steelers – the Aussie wheelchair rugby team. Not just that but an Australian Steeler who has had an incredible journey from recreational sportsman to national representative in just over 11 months. In this episode James shares his story, the injury that led him to having a SCI, how he came to be part of the Steelers, and all about Wheelchair Rugby as a sport. He also tells us about being an elite sportsman, his SCI rehab journey, nerve & tendon transfer surgeries to get more function in his upper limbs and some tips for working with people with SCI. Enjoy! 2.00 Intro 2.34 sec Bio 6.44 Wheelchair Rugby 11.48 Classification 13.05 Getting into para sport 17.53 Equipment required 17.54 Fitness for elite wheelchair rugby & SCI 21.46 Role in Aussie Steelers 25.55 Nerve transfer & Tendon transfer surgeries 30.31 Rehab – knowledge, motivation, prioritising 36.12 What rehab clinicians did well 45.12 Reflection Resources Forged In Steel - Australian Steelers documentary Paralympics media release SCI PT guidelines sciptguide.com Paralympics websites https://www.9now.com.au/paralympic-games-paris-2024 https://www.paralympic.org.au/ https://olympics.com/en/paris-2024/paralympic-games Austin Health Nerve & tendon transfer team Links Instagram @jamesmcquillan5 James' LinkedIn ANZ Smashing through barriers Paris 2024 Profile Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
S2 · E6
Jul 29, 2024 · 1 hr 10 min
Dr Jessica Nolan - Lateropulsion
Dr Jess Nolan recently completed her PhD on Lateropulsion. Jess is a physio from Perth, Australia. Her credentials include BSc (Physio) - Curtin Uni, Grad Dip (Neuro Rehab) – UWA, member of ANZSO Emerging Stroke Clinician Scientist Committee, and Physio Working Party for the Stroke Foundation Living Guidelines. Jess worked as a senior physio, a physio coordinator of stroke services and is now at Curtin University in a teaching & research role. This episode is all about Jess’ PhD journey and results. Lots of lateropulsion clinical application in this one. 2.00 sec Intro 2.28 Career pathway/Interest in Lateropulsion 8.45 What is lateropulsion? Can it be mild? 13.20 Prevalence 14.05 Outcome Measures 18.29 Verticality 22.38 Assessing SVV – bucket method 23.00 PhD results - LOS needs, ANSNAP LOS predication accuracy, 1 year outcomes 37.10 Unknown pathophysiology of lateropulsion 40.20 Other components of lateropulsion – SPV – graviception, vestib impairment 43.35 Treatment 49.22 Fear of falling 50.45 Education 53.01 Treatment 2.0 56.28 What’s next for this work 1.04.17 Erin & Matt's reflection Articles discussed in episode: Lateropulsion prevalence: Dai 2022 systematic review Assessment of verticality: Piscicelli & Pérennou 2017 Lesion location: Van Der Waal 2023 systematic review Thalamic involvement: Rosenzopf 2023 Treatment approaches: Paci 2023 scoping review Lateropulsion outcome measures: Koter 2017 4 Point Pusher Score validation: Chow 2019 Lateropulsion & falls (inpatient): Lewis, Heinemann...Nolan 2024 Links Jessica's Linkedin Twitter @jessnolan__ Check out the episode webpage for Jess' PhD papers Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
S2 · E5
Jun 24, 2024 · 58 min
Dr Emily Ramage - Codesign, World Stroke Emerging Leader, ENAbLE trial
This episode is all about codesign. Dr Emily Ramage is a neuro physio & expert in an approach to codesign called Integrated Knowledge Translation. She’s used the methodology through her PhD (codesign of a PA intervention aimed at reducing secondary stroke risk) & in other projects which she speaks about in the episode. Emily's PhD work was piloted as part of the ENAbLE pilot trial involving physical activity AND diet intervention, we heard about it in our episode with Coralie English (season 1 Website Apple podcasts) Emily’s recently been an Allied Health Research Translation lead in Victoria & an Implementation Research Associate for the international AVERT program at the Florey in Melbourne. She’s affiliated with the University of Newcastle, the University of Melbourne & is a member of the Emerging Leader’s Group for the International Stroke Recovery and Rehabilitation Alliance. 1.47 Introduction 2.05 Career pathway 6.55 Doing a PhD as a mum 11.45 When a PhD is advertised by a researcher team 19.10 End-user collaboration in research 20.20 Emily’s PhD – codesign of PA for secondary stroke risk 25.32 What does codesign mean? 36.00 Power differentials in codesign 39.51 Running IKT workshops – communication; knowledge & language diversity 45.02 Will codesign become a check box? 48.00 World Stroke Organisation Future Leader Program Articles/Resources discussed in episode: Fit for purpose. Co-production of complex behavioural interventions. A practical guide and exemplar of co-producing a telehealth-delivered exercise intervention for people with stroke Secondary prevention of stroke. A telehealth-delivered physical activity and diet pilot randomized trial (ENAbLE-pilot) iREBOUND ISRRR – International Stroke Recovery and Rehabilitation Alliance Stroke Foundation module – Working effectively with people with lived experience to design, conduct and promote stroke research Links Link in Marlena Klaic’s ep Victorian AH Research Translation Lead: Website Apple podcasts Link to Prof Coralie English’s ep: Website Apple podcasts Emily’s LinkedIn World Stroke Bio Twitter @emilyrramage Email – emily.ramage@florey.com.au Episode webpage: http://aneurophysio.com/emily-ramage Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
S1 · E6
May 27, 2024 · 1 hr 17 min
Dr Julie Vaughan-Graham
Dr Julie Vaughan-Graham is an IBITA Basic and Advanced Tutor, holds a Masters degree in neuro rehabilitation and a PhD investigating the clinical reasoning process of expert Bobath physiotherapists. She owns her own clinical practice in Toronto, and developed the online iNeuroRehab training courses. Julie also holds a post-doctoral fellowship and adjunct lecturer position with the Department of Physical Therapy, University of Toronto. This episode focuses on The Bobath Concept, clinical reasoning and the Model of Bobath Clinical practice which Julie co-developed. It picks up from our previous Bobath episodes with Janet Stevens (season 1) and Dr Kim Jennings (season 2), going deeper, and addressing some of the criticisms of the Bobath concept. 2.00 Introduction 2.41 Career pathway 16.20 PhD findings – How Bobath instructors problem solve & clinically reason 22.00 Model of Bobath Clinical Practice 26.48 Bobath and the RCT 28.45 Applying the Bobath concept – Hemiplegic UL example 36.47 Using sensory cues in Bobath 43.38 Using the Bobath Concept is a skill to develop 47.25 Neuroscience & Bobath 53.50 Movement diagnosis & hypotheses 57.53 Discrete interventions vs Bobath Concept (a framework of intervention) Papers and References IBITA Model of Bobath Clinical Practice Julie's ResearchGate Professional & Scholarly activities Links Julie’s private practice in Toronto, Canada iNeuroRehab Julie's LinkedIn Candanian Bobath Instructors Association profile Janet Steven’s episode Webpage Apple podcasts Dr Kim Jennings episode Webpage Apple podcasts Episode webpage: https://aneurophysio.com/julie-vaughan-graham/ Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
S2 · E4
Apr 29, 2024 · 46 min
Dr Sarah Milne - Friedreich's Ataxia & the cerebellum
This month we are chatting with Dr. Sarah Milne from Murdoch Children’s Research Institute who is also the Coordinator of the Friedreich's Ataxia Clinic at Monash Health in Melbourne, Australia. Sarah is an expert in hereditary cerebellar ataxias and after completing her PhD in 2018 she is trying to bolster the evidence base about the right rehab for people with Friedreich’s Ataxia. This episode will appeal to people treating Friedreich’s Ataxia or any of the inherited cerebellar ataxias, and to anyone who sees people with cerebellar pathology. Also of interest are the chats about challenges of rehabilitation research. The audio quality in this episode isn’t up to our usual standard with a lot of static happening – sorry! 2.01 Intro & career pathway 4.38 Friedreich’s ataxia 7.00 How is Friedreich’s ataxia different to the hereditary cerebellar ataxias? 8.36 Phenotypes in neurological conditions and the RCT paradigm 11.20 PhD results 15.02 State of the Friedreich’s ataxia evidence 16.49 Ataxia outcome measures 20.03 Ataxia assessment 24.25 Compensation vs optimal cerebellar functioning 27.00 What can imaging tell us about cerebellar conditions? 29.55 Treatment 36.16 Efficacy vs Effectiveness, challenges of rehab trials 39.23 Aquatic physio for this population 41.43 Episode reflection Links Research Gate PhD - 4 studies – Pilot rehabilitation trial for people with Friedreich’s Ataxia. Clinical audit of LL spasticity relationship with ataxia severity & function. Sensitivity of balance, gait measures and instrumented measures of gait & balance change over time. LinkedIn University of Melbourne profile Articles discussed: Brain Changes Associated with Postural Training in Patients with Cerebellar Degeneration Home aerobic training for cerebellar degenerative diseases: a randomized controlled trial Cycling regimen induces spinal circuitry plasticity and improves leg muscle coordination in individuals with spinocerebellar ataxia Predictors of loss of ambulation in Friedreich's ataxia Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can. Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
S2 · E3
Mar 27, 2024 · 59 min
Dr. Kate Scrivener - Therapy dose, Stroke Mobility Outcomes, Teaching Neuro
Dr. Kate Scrivener is a Senior Lecturer of Physiotherapy at Macquarie University, Sydney, Australia where she’s an educator and researcher. She’s also an educator with the Stroke Ed collaboration and that energy for education & innovation has seen her develop the REPS app and website - a set of exercise programs designed to help stroke survivors exercise at home, and the TRAIN program - a clinician’s guide to effective task specific training. Until recently she also worked clinically at Concentric Rehab in Sydney. She’s the lead investigator on the HiWalk trial and is involved in a number of other projects we didn’t get to talk about in the episode. Kate’s episode zeros in on a number of her passion areas: - Education - making neuro easier to understand for students and implementing evidence into practice for practicing physios. - Improving mobility, especially in the chronic phase in the community - Increasing dose of therapy All this culminates in her HiWalk trial which has just finished recruitment. There’s plenty to take away from this episode. 2.02 Intro – Work roles & life balance, neuro career 7.17 Teaching Neuro 10.21 TRAIN modules 11.42 Career pathway 15.19 Stroke Ed courses – practical ways to apply stroke guidelines 19.44 Australian NSF guidelines – to what setting do they apply? 20.44 Interest in rehab in community sector 23.48 HiWalk project 28.19 Intervention research pipeline - basing research trials on intervention feasibility 31.47 Interest in walking after stroke, PhD 35.48 We need clinical researchers 36.34 Do you need a PhD to be a clinician researcher? 41.22 HiWalk intervention package 43.10 Are reps the best way to quantify dose? 52.10 Kate’s favourite ways to increase dose of therapy 55.36 Post episode reflection Links Macquarie Uni profile Linked In profile ResearchGate REPS app – download on Android or link TASK program website TRAIN program – A clinician’s guide to effective task specific training Articles discussed in the episode Stroke survivors have fallen into a ‘black hole’ editorial Schneider 2016 systematic review – amount of additional usual therapy to improve activity after stroke Kate’s PhD articles – Exercise dose and mobility outcomes post stroke see Kate's ResearchGate Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
S2 · E2
Feb 26, 2024 · 1 hr 4 min
Professor Barby Singer - Hypertonicity, Education, APA Career Pathway Framework
Barby Singer is a Professor in the School of Medical & Health Science at Edith Cowan University in Perth, Western Australia. She is an APA Neurological Physiotherapist, a Fellow of the Australian College of Physiotherapists by Original Contribution in 2011 and has more than 40 years of clinical and academic experience in neurological rehabilitation. Barby has been a key leader in Australia for post-graduate neurological education both at the tertiary level and at the Australian Physiotherapy Association. She has held various roles in the Australian College of Physiotherapists and her passion for positive changes has led to a number of changes in the examination process for Fellowship by Specialisation and the new career pathway framework. In 2021 she was bestowed with the APA’s elite Honoured Member status. Barby holds a PhD in hypertonicity management, a Post Graduate Diploma in Health Sciences (Neurosciences), a Master of Science and a Diploma Physio which she completed way back in 1980 in Auckland, NZ. Barby’s research interests include management of spasticity for people with acquired brain injury, self management support for people with long term neuro conditions, measuring outcomes in neuro rehab and interventions to improve recovery of arm function after acquired brain injury. There is a ton to unpack with Barby but this episode focuses on here thoughts on clinical education both for clinician learning and for patient management, the APA career pathway framework, hypertonicity, and serial casting. We also talk about Advanced practice and physio specialisation in countries and whether pay is sufficient for these highly trained physios. So lots to check out, we hope you enjoy it. 2.02 Intro 3.23 Barby’s varied career 4.40 Physios need to be educators 8.47 APA career framework 12.11 Rural specialist 15.29 Clinical Mentorship in the new career framework 17.47 Industry shortage 21.04 Remuneration for advanced or specialist Physios 24.47 Advanced practice opportunities in neuro 26.19 Barby’s interest in hypertonicity & PhD 31.37 Anterior knee pain botulinum toxin 34.38 Spasticity definition & measurement 38.10 Hypertonicity management - where we’ve gone wrong 43.17 Role of serial casting 52.29 Working with PhD students 58.11 Episode reflection Links Barby’s Edith Cowan University Profile page Barby’s ResearchGate Barby’s Linked In APA career pathway framework Papers Barby talks about in the episode: Sutherland et al., 2022 - Do randomised controlled trials evaluating functional outcomes following botulinum neurotoxin-A align with focal spasticity guidelines? A systematic review Williams et al., 2020 A synthesis and appraisal of clinical practice guidelines, consensus statements and Cochrane systematic reviews for the management of focal spasticity in adults and children Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
S2 · E1
Jan 29, 2024 · 1 hr 15 min
Dr Kim Jennings - Implementation of The Bobath Concept
Dr Kim Jennings is an Advanced Bobath tutor with over 35 years of clinical expertise. Kim became a Bobath Tutor in 2000 and an Advanced Tutor in 2012. She holds a clinical doctorate in physiotherapy at La Trobe University investigating barriers and facilitators to implementation of the Bobath concept and a Master of Public Health from Monash University. We get the lowdown about what sparked her interest in Bobath, what makes people choose to apply it or not apply it in practice, how the concept has changed over time, and where Bobath sits in evidence based practice. She also tells us all about a Clinical Doctorate and what her research found about factions in the neuro physio community. If you'd like to listen to more of an intro to The Bobath Concept check out Season 1, Episode 9 with Janet Stevens https://aneurophysio.com/janetstevens/ https://podcasts.apple.com/au/podcast/a-neuro-physio-podcast/id1493324068?i=1000484935724 3.00 Intro 3.30 Bobath career pathway 9.03 Working with culturally diverse populations 11.19 IBITA – Tutors around the world 14.30 Who are Bobath courses for? 16.40 How Bobath has changed over time 26.00 What is a clinical doctorate? 29.50 Kim’s research - Implementation of the Bobath concept 45.24 The lack of RCT evidence for Bobath 53.50 Personalisation of rehab 55.10 The need for more research 1:08.40 Episode reflection Links Australian Bobath Training Association https://www.bobathaustralia.org/ International Bobath Instructors Training Association https://ibita.org/ British Bobath Tutors Association https://www.bbta.org.uk/ The Bobath Concept has Changed - paper in Journal of Physiotherapy Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
S1 · E36
Nov 10, 2022 · 54 min
Dr Simon Mills - Postural Alignment in ABI
Dr. Simon Mills is the principal clinician in the South Australian Brain Injury Rehabilitation Service. He recently completed his PhD (University of Adelaide) in postural alignment and recovery of mobility after acquired brain injury, focusing on brain injury survivors with severe mobility impairment. Simon has 20 years clinical experience and his research interests include methods for clinical assessment, biomechanics and enhancing effectiveness of rehab intervention. Intro 4.05 Career Pathway 4.48 Simon’s PhD – postural alignment and mobility in ABI 9.25 The emphasis people put on regaining mobility 14.43 Physio role in cognition 20.46 Measurement of postural alignment 24.40 Why is postural alignment important? 31.04 Interpreting postural observations to find impairments 35.15 Application of results across populations 42.14 Future development of Simon’s research 46.10 Simon's PhD – Postural alignment and recovery of mobility after acquired brain injury – focused on severe mobility impairment Papers: Improvement in postural alignment is associated with recovery of mobility after complex acquired brain injury: An observational study Improving physical mobility is critical for wellbeing in people with severe impairment after an acquired brain injury: a qualitative study Is there a relationship between postural alignment and mobility for adults after acquired brain injury? A systematic review Research gate - https://www.researchgate.net/profile/Simon-Mills-3 Twitter - @SimonJMillsPT Email - Simon.Mills@sa.gov.au Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
S1 · E35
Sep 27, 2022 · 1 hr 3 min
Professor Susan Hillier - Afferent Feedback, Body Schema, Systematic Reviews
Professor Susan Hillier is a Professor of Neuroscience and Rehabilitation and Dean of Research in Allied Health and Human Performance at the University of South Australia. Her teaching and research interests are broadly in neuroscience and rehabilitation. She has particular interest in the role of afferent stimulation and training using multi-modal feedback. Susan is also trained in Feldenkrais and works clinically at the university private practice. She is especially experienced in Cochrane and other Systematic reviews. We cover most of these topics in this episode! – check out the show notes below. Intro 6.16 Proprioception Research 7.15 Sensory perception 10.00 Feldenkrais training 15.50 The Neuroscience Behind Body Image workshops 23.30 Afferent Feedback – know what you're doing to make better choices 26.00 Clinical Reasoning & Generating new ideas in practice 30.20 Supervising PhD students 35.15 Obtaining grant funding 37.57 Gender discrepancy in research 40.08 Systematic reviews 49.06 Prof Hillier's Research Gate https://www.researchgate.net/profile/Susan-Hillier Uni SA profile https://people.unisa.edu.au/susan.hillier Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
#34
Aug 30, 2022 · 1 hr 1 min
Professor Nora Shields - PA in Young People with Disability
Professor Nora Shields is a prolific researcher in the youth disability space. Dr Shields is a professor of physiotherapy at La Trobe university in Melbourne, Australia. She hails from Ireland completing her Physiotherapy degree and PhD at Trinity College in Dublin, and also holds a Graduate Certificate in Higher Education. Dr Shields developed a program called FitSkills, an innovative program which facilitates young people with disability (YPWD) to exercise with a physiotherapy student mentor, addressing the lack of social support barrier to physical activity for YPWD. Nora tells us about the program and how it’s making a difference to the lives of YPWD as well as physio students. We also chat about the less general skills you learn by doing a PhD and explore some of the social and societal barriers preventing YPWD living their best lives. Nora’s bio – 3.23 Intro – 5.16 Career pathway – 6.16 PhD - inelectro therapy – 11.44 Skills you gain in a PhD – writing – 16.03 Physical activity in disability benefits – 19.22 Barriers – 22.52 FitSkills story – 27.34 Contact theory in fit skills – 37.04 Importance of experience with YPWD for Physios & health workforce – 38.32 YPWD in the workforce – 44.46 FitSkills early outcomes – 46.24 New project Gym Spark – 51.56 Final thoughts - Prevention, Brain Health & Adult care of YPWD – 55.19 Prof Shield’s Latrobe Uni profile (contact details & publications tab) https://scholars.latrobe.edu.au/nshields LinkedIn - https://au.linkedin.com/in/nora-shields-a401226 Research Gate - https://www.researchgate.net/profile/Nora-Shields Twitter - @DrNoraShields Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
S2 · E33
Jul 26, 2022 · 1 hr
Professor Leeanne Carey - Sensation
This episode is all about understanding the impact of sensory deficit on function after stroke on function, and what to do about it. Dr.Leeanne Carey is the Head of the Neurorehabilitation and Recovery Research Group co-located at the Florey Institute of Neuroscience and Mental Health and La Trobe University. She's also a professor in Occupational therapy at La Trobe university and the developer of SENSe therapy (study of the effectiveness of neurorehabilitation on sensation). We cover the powerful problem of sensory loss, how it can hide from clinicians but why it should be front of mind. There are plenty of clinical takeaways and links and resources to find out more, including referring your patients for sense therapy and attending a course yourself. Intro - 3.42 Career pathway - 7.17 SENSe implementation / knowledge translation projects - 13.16 SENSe training approach & workshops - 17.16 Computer interface sensory assessment & learning - 24.53 More about PhD - 28.42 Task specific training vs transfer in sensory training - 31.17 Which modality is most important in the sense approach? - 37.10 Functional MRI changes with sense sensory training - 42.20 Where does sense fit into the sensation literature? - 43.37 Clinical impact of sensory loss - 46.09 Sensory impact is a hidden problem for clinicians - 48.22 Do clinicians who are more skilled get better sensory outcomes? - 52.18 SENSe for lower limb - 54.26 Therapy accessibility - via therapy - 55.10 OT/PT joint UL therapy - 'call to arms' - 57.18 Leeanne’s La Trobe University Profile page Stroke survivors with upper limb somatosensory issues may be eligible to participate in a program of SENSe Therapy at one of the following SENSe Therapy Centres: Victoria: Florey Institute of Neuroscience and Mental Health (Austin Campus), or Alfred Health (Caulfield General Hospital), Melbourne. New South Wales: Hunter New England Health (Rankin Park site), Newcastle. South Australia: UniSA Health, Adelaide. Details: https://sensetherapy.net.au/stroke-survivors-families/where-can-i-get-sense-therapy/ Contact: i.Koukoulas@latrobe.edu.au SENSe therapy is also being provided at several health care networks in Victoria and NSW All papers and references can be found on the SENSe website Recent Stroke Foundation webinars about SENSe Assessment webinar: https://www.youtube.com/watch?v=o4OwN100bvk Therapy webinar: https://www.youtube.com/watch?v=S-t0gLf5cRg Also available at: https://informme.org.au/resources/loss-of-sensation – a great sensation resource page, see the videos at the bottom including an earlier presentation by SENSe team member Dr Liana Cahill Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
S1 · E32
Jun 28, 2022 · 58 min
Dr Kelly Bower - Technology in rehabilitation
In this episode, we explore using technology in your clinical practice in a really practical and realistic way with Dr. Kelly Bower who completed her PhD in technology use in rehabilitation. Join us as we discuss Wii, Kinect, newer rehab-specific devices, the evidence base, barriers & facilitators in the clinic and what patients get out of tech - be ready for some surprises here! Kelly also shares her journey through PhD to educator & researcher whilst remaining a clinician. Her story will help others searching for a similar path. Intro - 3.56 Career pathway - 6.12 Phd research - Wii balance board as Ax & intervention - 11.23 Using Wii balance board as a force platform or as a clinical OM - 16.01 The motivation of tech for both intervention and tracking progress - 20.00 What is it about tech that is interesting? - 21.24 What are the limitations? - 24.23 Linking use of tech to goals - a tailored intervention - 25.22 Evidence base variability - 26.40 Clinicians' thoughts on tech - 31.45 Advice for addressing barriers - 34.20 Best devices? - 35.49 Kelly developing a video game - 39.00 Emerging tech rehab devices - 46.54 How Kelly balances her workload (pun intended!) - 49.40 Links Kelly’s University Profile Resources to support selection and clinical implementation: Website on using the Kinect in rehabilitation A Clinical Decision-Making Framework for the Use of Video Gaming as a Therapeutic Modality Papers and References Clinical feasibility of the Nintendo Wii™ for balance training post-stroke: Clinical feasibility of interactive motion-controlled games for stroke rehabilitation What factors influence clinicians’ use of technology in neurorehabilitation? Quiet standing postural control variables in subacute stroke Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
S1 · E31
May 24, 2022 · 54 min
Dr Heidi Janssen - Environmental Enrichment
Heidi is the queen of the concept of environmental enrichment to maximise recovery potential post stroke and other neurological conditions. She shares all about her work in this episode, including her latest venture partnering with end users to develop a community model for environmental enrichment (ESTEEM). We also chat about the Yarning Up After Stroke program she co-leads, designed to help Aboriginal and Torres Strait Islander stroke survivors take control of their stroke recovery. 4.06 Intro 4.39 Current roles & Career pathway 6.45 Perspective as a clinician in health system and researcher 8.15 Engaging with the community to ascertain research priorities 11.00 Environmental enrichment (EE) community model 15.34 Good intervention development - Basic science to clinical research to clinical practice 18.23 Competing demands in research 19.34 Components of ESTEEM community group What carers want out of EE groups How to measure these components 26.25 Rehabilitation in a utopian world 28.20 Overcoming barriers in EE research 32.50 Virtual vs Reality in EE 36.48 Crucial elements of EE 38.21 How to apply EE in the clinic 42.25 Being a change agent of EE 44.15 Yarning Up After Stroke Papers and References Enriched environment research Links Dr. Janssen’s Newcastle University profile ESTEEM study Yarning Up After Stroke Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
S1 · E30
Apr 26, 2022 · 1 hr 1 min
Professor Sheila Lennon - World Physiotherapy, Bobath research, Multiple Sclerosis
Emeritus Professor Sheila Lennon is semi-retired but still manages to keep driving powerful change for neuro patients. She's from Flinders university in Adelaide South Australia, has worked all over the world, and stays involved on the Physiotherapy Board of Australia and the Chartered society of Physiotherapy in the UK. She's a clinician and educator, continues clinical work for the MS society, has been an important contributor to our global body World Physiotherapy and has edited neurology textbooks. This episode covers her divisive research on the bobath concept, her thoughts on the complex interventions we provide and whether they are effective, clinical reasoning frameworks and her passionate work in self-management in multiple sclerosis. Sheila has fantastic perspectives on physio from her broad worldview 3:30 - Intro 4:24 - Experience around the world 13:00 - Be a healthy sceptic 15:30 - Keeping the passion 19:25 - Sheila's career growth 20:45 - Balancing part time PhD 22:40 - Bobath and theoretical assumptions 28:35 - Complex interventions 31:10 - Taking the RCT to interventions 33:15 - Is the RCT the gold standard for physio research 36:28 - Work with MS 42:25 - What is unique for physio management of MS 44:55 - The importance of motivation 48:05 - Reflection and clinical reasoning 51:20 - New inclusions to undergrad 53:30 - Flinders University Chronic Disease Management 55:30 - INPA References and Papers: Self-Management: – Feasibility of an integrated stroke self-management programme: a cluster randomised controlled trial – Self-management programmes for people post stroke: a systematic review Bobath: – The Effectiveness of the Bobath Concept in Stroke Rehabilitation – Gait outcome following outpatient physiotherapy based on the Bobath concept in people post stroke – The Bobath concept: a critical review of the theoretical assumptions that guide physiotherapy practice in stroke rehabilitation Links: APA National Neurology Group on-demand lecture on Self-management-focused-falls-prevention for people with MS INPA Please contact Sheila on sheila.lennon@flinders.edu.au if you are interested in obtaining free access to materials for clients and therapists on the MSFP program offered by the MS Society of SA Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.

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