Retour

Explorez tous les épisodes du podcast A Neuro Physio Podcast

Plongez dans la liste complète des épisodes de A Neuro Physio Podcast. Chaque épisode est catalogué accompagné de descriptions détaillées, ce qui facilite la recherche et l'exploration de sujets spécifiques. Suivez tous les épisodes de votre podcast préféré et ne manquez aucun contenu pertinent.

Rows per page:

1–47 of 47

TitreDateDurée
Professor Janice Eng - Stroke rehab, Large translational trials, 11 May 202600:59:07

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.

4.43 Intro

5.30 sec Career Pathway 

8.05 Filling the neuro evidence gap

10.45 Control groups in clinical trials 

13.40 Capturing meaningful improvements with outcome measures 

18.55 Impact of sufficiently funded trials 

20.55 How Janice changed practice across the world 

25.12 Clinicians hesitant about high volume independent practice  

29.30 GRASP program 

31.30 FAME program 

34.53 Walk n’Watch 

37.29 Feedback on performance, do clinicians or patients benefit? 

41.08 Avoiding boredom doing reps 

43.50 Gender issues in rehab trials 

50.15 Matt & Erin's reflection

Links & Resources

Janice's Home Page | Neurorehabilitation Research Program

REACH scale Everyday Arm-use - 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.

A Neuro Physio | Facebook

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.

Dr Vivienne Travlos - Neuro-respiratory, MND, NMD10 Dec 202401:07:58

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.

Dr Kim Jennings - Implementation of The Bobath Concept29 Jan 202401:15:14

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.

Dr Simon Mills - Postural Alignment in ABI10 Nov 202200:54:31

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.

Professor Susan Hillier - Afferent Feedback, Body Schema, Systematic Reviews27 Sep 202201:03:00

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.

Professor Nora Shields - PA in Young People with Disability30 Aug 202201:01:40

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.

Professor Leeanne Carey - Sensation26 Jul 202201:00:04

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.

Dr Kelly Bower - Technology in rehabilitation28 Jun 202200:58:39

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.

Dr Heidi Janssen - Environmental Enrichment24 May 202200:54:27

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.

Professor Sheila Lennon - World Physiotherapy, Bobath research, Multiple Sclerosis26 Apr 202201:01:30

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.

Paul Fink - Father, Motivational Speaker, Podcast host, Stroke Survivor29 Mar 202200:51:34

Paul Fink survived a large left fronto-temporo-parietal brain haemorrhage secondary to an AVM aneurysm at the age of 34. His attitude to life is one we should all learn from and it continues to help him achieve his goals 8 years on. Paul's new podcast My Stroke of Luck aims to share this wisdom. What he's doing for the stroke community and what he teaches us about providing rehab is impressive.
10.06 Intro
12:35 Current work - public speaking, blog, podcast
15.04 Impact of Paul's blog on stroke survivors
18.14 Paul's stroke & rehab experience
24.46 Resilience, My Stroke of Luck podcast
32.40 Global aphasia
38.30 Dealing with a negative mindset
42.43 Giving back to the stroke community
47.58 Paul's current rehab

Links:

Paul’s website

Paul’s Podcast on apple podcasts

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.

Professor Steven Wolf - UL rehab, Asking Why, Future of Neuro rehab22 Feb 202201:00:10

Our discussion with Dr Steve Wolf from Emory University in Atlanta, Georgia. A true legend of the field he shares with us snippets of his illustrious career, his newest research including vagus nerve stimulation to induce cortical neurplasticity, and his predictions for the future of neuro rehab.
3.53 Introduction
5.35 Career Pathway
8.15 History of physio in the US
10.40 Suspended from PT school
14.16 PhD - EMG biofeedback for muscle co-activation
16.55 Foundations of CIMT
18.45 Posturography - Tai Chi - Falls prevention studies
23.30 Mechanisms of neuro PT intervention
24.03 Steve's must-have attributes in the field
26.25 Vagus nerve stimulation
35.00 Upper limb outcome measures
39.31 Personalised care
41.29 Telerehab & technology - the future
45.36 Patients of today expect tech
50.51 Physio - Patient partnership
52.55 Peer support as a rehab tool
53.52 Imaging - in PT curriculum & to demonstrate treatment effectiveness

Papers and References

The EXCITE trial

Falls and tai chi

Wolf Motor Function Test

Steve’s Google Scholar page

Links

Emory Profile

Research Gate Page

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/Prof Simone Dorsch - Strength training after stroke, Dosage & Intensity, Personalising practise07 Oct 202401:10:23

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.

Professor Prue Morgan - Adults with Cerebral Palsy, Clinical teaching tips25 Jan 202200:54:00

Professor Prue Morgan is head of department at Monash University, Melbourne - Australia. She is a self professed yes person and expert in adults with cerebral palsy. We discuss her career journey, her passion for cerebral palsy and teaching philosophy.
4:45 - Career path
8:00 - Why cerebral palsy
10:40 - Drop of in care for adults with CP
11:50 - Filling the gaps in CP care
13:00 - Keeping the passion
14:20 - Neuroplastic potential vs compensate for success
16:05 - key principles of working with CP
18:30 - Team and importance of seating and positioning
21:40 - Fatigue in CP
23:30 - Barriers to participation in CP
26:25 - Resources to assist CP knowledge for therapists
30:15 - Prue's PhD
34:00 - Transitioning into Academia
35:30 - Teaching tips for successful student placements
40:15 - Value of observation
43:00 - Importance of feedback to grow and learn
44:55 - Developing evaluation skills in students
46:20 - Committee work and taking opportunities

References and Papers:

Gait function and decline in adults with cerebral palsy: a systematic review

Prue’s research output

Links:

Prue’s Monash Uni 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.

Dr Annie McCluskey - Stroke rehab UL, sexuality28 Dec 202100:49:27

Dr Annie McCluskey is a powerhouse of the stroke rehabilitation world in Australia. She established the StrokeEd collaboration with her partner Karl Schurr (physiotherapist) as well as making significant research contributions in the areas of sexuality, intimacy and upper limb rehabilitation. We hope you enjoy this episode as much as we did recording it.
4:50 - Current role
6.23 - COVID story
7:25 - Clinical career
9.15 - StrokeEd collaboration & workshops
13.35 - How the workshops can benefit people of varying experience levels
15:20 - Coaching for motor skill learning
20:00 - Barriers to implementation of EBP
23:15 - Making change post COVID
24:20 - Telerehab benefits
27:50 - Models of knowledge translation
31:00 - The myth of no evidence in stroke rehab
33:25 - Sexuality & Intimacy post stroke
39:25 - Sexuality/Intimacy PDs
42:05 - Including people with post complex impairments in research
44.20 - PTs & OTs should work together


Papers and References

Annie’s Publication List

Links

Stroke Ed Webpage
Twitter @anniemccluskey2  @stroke_ed
Facebook Annie McCluskey    StrokeEd

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.

Ann Rahmann - Older Adults, Vestibular, Aquatic Rehab23 Nov 202100:56:40

Ann is the ultimate clinical expert with decades of clinical experience and a desire to keep bettering herself time and time again. Her latest venture is in the APA Gerontology fellowship specialisation training program. She already has her PhD, a Grad Cert in Physio and is an APA Titled Gerontological Physio. She has held multiple academic university and clinical lead roles, and is on the faculty for Vestibular Education Australia. Her clinical passions are older adult, vestibular and aquatic rehabilitation and this episode does not disappoint on any of those fronts.
4:01 - Career pathway
8:10 - Juggling part time roles
9:20 - Current role
10:25 - Under-dosing exercise in older adults
14:00 - Patient beliefs, anxieties and our role
17:30 - Risk aversion in hospital
23:10 - How Ann maximises therapy in her unit
24:50 - Hydrotherapy for older adults
29:10 - Registrar training for APA Fellowship
36:50 - Driving clinician level research
43:35 - Importance of vestibular "phone a friend"
45:10 - Central vestibular dysfunction
48:10 - Tips for teaching vestibular pathophysiology
54:10 - Ann's vestibular courses

Links

email: ann.rahmann@uqconnect.edu.au

@AnnRahmPT

6 day vestibular competency course

2 day introduction to vestibular course

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.

Dharsha Petrie - Functional Neurological Disorder26 Oct 202101:01:12

Dharsha is one of the most experienced FND physios in Australia and her passion for this clinical group is exceptional. There are so many pearls in this episode about education, diagnosis, sustainable carry-over of treatment, prognostic and perpetuating factors, triggers, symptom management plans and more. We also answer listener questions you submitted.

3:40 – Career pathway
8:30 – Career pivot points
9:28 – Why FND?
11:21 Rapid changes in function lead to misconceptions
12:21 – Educate other team members & patients
14:35 – Functional MRI changes
17:20 – Sustainable carry over of function
18:50 – Treatment team
24:28 – Interacting with health professionals about FND
30:13 – Perpetuating factors & presentations
34:40 – Prognostic factors
35:50 – Symptom Profiles – Weakness, Dystonia, Sensory
37:29 – Physio Assessment of FND
40:30 – Treating Functional Dystonia
43:19 – Listener Questions
58:05 – Symptom Management Plans 

Papers and References

Implicit motor imagery using laterality recognition in functional movement disorders

Functional neurological disorders: effective teaching for health professionals

Beatrice Garcin –  Motor functional neurological disorders: An update 

Links

FND Australia Website 

Symptom Management Plan 

Neuro Symptoms.Org

APA Online learning – Part 1

APA Online learning – Part 2

Dharsha's email: dharsha.petrie@health.qld.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.

Dr. Marlena Klaic - Implementation Science28 Sep 202101:00:18

This month we're doing what it says on the packet - implementation science! Marlena is an expert in this field having completed her PhD in the field in 2018. An OT by background, she is the Allied Health Research Translation Lead at Royal Melbourne Hospital. Now a post-doctoral researcher, she also has post-graduate quals in clinical rehabilitation (neurological rehabilitation) and is completing her Masters in Applied Statistics.In addition to chatting about implementing research into clinical practice we talk about her other passion - using assistive technologies in neuro rehab.

5:32 – Career pathway
7:33 – Allied Health Research Translation Leads in Victoria, Australia
13:46 – Next steps – post-doc researcher implementation science 
16:14 – Strategic approach to supporting clinicians bridge the research-translation gap
21.06 – The art and science of Implementation Science 
25:24 – Implementation Frameworks 
30:31 – Frameworks can speed up the process 
33:29 – Quantitative and Qualitative Research in Implementation Science
35.48 – Implementation of Robotics
41:35 – De-implementing and changing your practice
44:46 – Hand Hub at Royal Melbourne Hospital
52:28 – How soon do Allied Health professionals lose confidence performing evidence-based activities?

Papers and References

How soon do allied health professionals lose confidence to perform EBP activities? A cross-sectional study

Does the Theory of Planned Behaviour Explain Allied Health Professionals’ Evidence-Based Practice Behaviours?

Links

Loop profile

ORCID page

Research gate  

University of Melbourne profile  

Linked In  

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.

Angela Mucic - Brand Physio, Disability & becoming a Business Consultant24 Aug 202100:42:28

Angela Mucic is the Learning and Development Manager at Neuro Rehab Allied Health Network, she's a business consultant with an MBA and a passion for helping Allied Health business find the place where they can succeed.
3.23 Intro
4.22 – Career pathway
9.09 – Switching career trajectory
11.50 – Communicating with consumers
13.42 – Building varied professional & life experience
14.53 – Current role
18.20 – Physio brand
24.50 – Promoting neuro physio
26.50 – People want to go to normal gyms
28.19 – Leaving clinical but continuing to draw on it
31.07 – The future of the NDIS
36.38 – Advice for following Ange’s career

Links

NeuroRehab Allied Health Network (NRAH) 

https://au.linkedin.com/in/angelamucic

Facebook for NRAH 

Email: angela.m@nrah.com.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.

Helena Esmonde - Vestibular Assessment27 Jul 202100:53:07

A great episode summarising thorough vestibular assessment as well as practical intervention advice, especially regarding vestibular migraine. Helena runs the Vestibular First website - check it out for vestibular PD and new evidence, as well as infrared goggles and other vestibular equipment.
4.05 Physio training in the US
5.00 State specific qualifications
7.25 Career pathway
13.10 Education in vestibular conditions
14.40 Vestibular migraine “the cranky brain”
19.00 Helena’s vestibular assessment
25.50 Hyperventilation test
28.00 Head Shake Tests
30.05 Central signs
30.50 Vibration Test
32.30 Hyperventilation test again
34.30 Infrared goggles
36.10 Diagnosing in physiotherapy – US vs Aus
38.40 Vestibular training programs in the US for internationals
40.26 Helena’s business – Vestibular First 
47.00 Vestibular First Educational Hub
51.00 Have Helena as your mentor

Links

Vestibular Courses: 

Susan Herdman courses – use google for courses in your area
Emory –  https://www.emorydpt.org/ce-about-us/live-courses/
Sue Whitney – competency based training accepting international physios https://www.shrs.pitt.edu/pt/continuing-education/advanced-vestibular-physical-therapy-certificate-program
Evidence CEU – online –https://evidenceceu.learnworlds.com/pages/home
North49 Therapy  – Canada https://www.north49therapy.com/vestibulartherapytraining/img_5842/
Becky Bliss – Helena recommends for vestibular webinars. Runs courses via various US groups. https://healthprofessions.missouri.edu/personnel/rebecca-bliss/ 


Papers and References

https://vestibularfirst.com/

Twitter, Facebook, Instagram - @vestibularfirst

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.

Professor Coralie English - Stroke, Collaboration and Co-design22 Jun 202100:49:23

We sit down with Professor Coralie English to discuss her research, her role as a 'serial collaborator' and all the other normal bits that you have come to expect from A Neuro Physio Podcast.
4.00 Meaning in career
5.30 Career pathway
9.21 Mentors
12.07 Career post PhD
15.04 Breaking Up Sitting Time (BUST)
21.08 Stroke survivors and behaviour change
23.40 i-Rebound
26.58 Jargon busting and adapting language 
28.30 Being a serial collaborator 
32.10 celebrating the development of others
32.35 SRRR and ISRRA
42.06 Australian stroke guidelines

Papers and References Discussed:

List of Coralie’s publications

Links:

Newcastle University Profile

Twitter @Coralie_English

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.

Natalie Fini - Physical Activity after Stroke, Academic & Neuro leadership18 May 202100:43:18

Nat Fini is our first returning guest having previously given us an update of supports from the Australian Physio Association (APA) at the start of the pandemic. We chat about Nat's transition from clinical neuro lead into academia alongside completing her PhD in physical activity (PA) and exercise after stroke. She shares her inspirations, how she over-achieves at networking (spoiler, she's naturally good at it), and her leadership work in the APA and other advocacy groups.
0.09 - Previous episode recap
2.05 - Bio
3.23 - Intro
4.17 - Current role at UoM & affiliations
5.12 - Career pathway
11.56 - Getting into academia
13.59 - Staying relevant in clinical work
14.36 - PhD exercise and PA after stroke
18.57 - How to get stroke survivors active
21.19 - Overcoming barriers to PA after stroke
22.27 - Behaviour change strategies & long term planning
24.48 - PhD publications & beyond
26.00 - New research questions - what's the right dosage?
27.10 - Mentors - a range is helpful
32.07 - APA work
35.56 - Getting involved & managing commitments
38.57 - Networking on social media

Episode webpage for Nat's links/references/papers https://aneurophysio.com/nataliefini/

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.

Fran Brander - Upper Limb @ Queen Square21 Apr 202100:52:26

Fran Brander is a Consultant Physiotherapist at the renowned National Hospital for Neurology and Neurosurgery. She is the lead physiotherapist in the Upper Limb Program and chats about research into clinical practice, being ambitious in our treatment of the upper limb post brain injury and philosophy of upper limb treatment.
3.23 - Introduction
4.33 - Career pathway
6.42 - Consult Physiotherapists (UK)
10.13 - National Hospital for Neurology & Neurosurgery - Queen Square London
12.00 - Rehabilitation Units in the UK - Levels
14.44 - UCL Upper Limb Service
18.18 - Arguing for funding
21.42 - Patient selection
24.37 - Being a national health service
26.55 - Program structure
32.44 - Hands on or hands off
35.47 - Tech in the program
40.28 - What is the most important component?
44.15 - Application of the model to other services

Links:

Ward Lab

Fran’s Twitter Account

Papers:

User Perceptions of the Upper Limb Program

Outcomes of the Upper Limb Program

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.

James McQuillan - Australian Steelers, person with SCI 27 Aug 202400:48:34

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.

Melissa McConaghy - PD Warrior16 Mar 202100:50:24

PD Warrior creator Melissa tells us lots about Parkinson's Disease, how she developed her renowned private practice Advanced Rehab Centre and the PD Warrior program, about becoming a physio entrepreneur, and why she doesn't feel pressure to conduct research.

2.22 – Intro

3.37 – Career pathway

4.20 – Developing PD Warrior

6.10 – PD Warrior framework (4 Pillars)

11.22 – Home practice

15.20 – PD Warrior courses

16.55 – Education for self management

18.38 – Exercise mainstream in PD

22.31 – Clinical expert vs research

24.47 – PD Warrior in Parkinson’s Plus

27.28 – Liaising with neurologists

28.54 – PD medications & when to exercise

30.14 – Developing Advanced Rehab Centre

32.41 – Entrepreneurship in physiotherapy

37.00 – Passion & drive

37.31 – Neuro physio specialisation

40.15 – Peer review in practice

42.10 – Employing the right people

43.40 – Doing media

45.21 – Lexo Robotic Gait Trainer



Links

Melissa’s Webpage

The New Parkinson’s Treatment Exercise is Medicine (book)

PD Warrior Webpage

PD Warrior Courses

Insight to PD conference 2021

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.

Ettie Ben-Shabat - Brain Imaging16 Feb 202100:52:40

Ettie teaches is a senior clinician neurological physiotherapist and educator teaching brain imaging courses. She shares how she developed her passion for using brain scans in clinical practice and her wealth of knowledge about imaging and neuroanatomy. Her case studies paint a brilliant picture of why we should all be using brain imaging in to guide our clinical reasoning. Find Ettie at Reneu@Rehab -brainrehabilitation.org
2:30 - Intro
2:59 - Career pathway
4:20 - Clinical Mentor
9:00 - PhD
12:30 - Brain Imaging: Function vs Structural
17:35 - What can we read from brain imaging?
21:00 - Using brain imaging to inform clinical choices
22:00 - Case studies discussion using neuroimaging
28:05 - TMS and current implications to practice
30:10 - Clinical relevance of imaging findings
33:55 - Learning brain imaging
41:40 - Radiologists vs Rehab Clinician's perspective of imaging
42:30 - Brain imaging PD courses
44:00 - Teaching techniques
46:40 - You don't need to have it all planned out!
49:55 - Research, clinical and teaching: wearing different hats

Papers and References
Imaging research 

Spasticity Research

Links
Brain imaging Courses

Brain rehabilitation webpage

Brain rehabilitation Facebook page

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.

Sonia Denisenko - Masters of Public Health, Principal Policy Officer, Health System Design19 Jan 202100:46:05

We talk about her varied career journey - Sonia has had about 5 careers as clinician, researcher, project manager, educator and in public health. She explains in detail her career trajectory, taking advantage of tangents, how a Masters of Public Health and volunteering with the Australian Physiotherapy Association supported her path. Sonia also touches on what skills physios do and don't bring to public health roles and we get some insights into life at the Department of Health during the pandemic. Finally, Sonia describes her legacy at the Victorian Clinical Stroke Network establishing vital stroke units and telemedicine, and a few tips on QI cycles!
1.21 - Intro
1.43 - Career pathway
6.40 - Neuro Outcome Measures Manual
11.30 - Working at the Victorian Department of Health
12.06 - APA Committee & Titling as an APA Neuro Physio
13.14 - Masters of Public Health, PhD or MBA?
15.55 - Skills physios bring to public health
19.00 - Sonia's average day since COVID pandemic
20.55 - Establishing community day-hospitals in Victoria
22.50 - Sonia's average day pre COVID
27.01 - Remote working before COVID
28.33 - Victorian Clinical Stroke Network - 10 stroke units across Victoria
33.30 - APA Neurology Committee - broadening perspectives
35.37 - Interested in a public health career?
38.03 - Safer Care Victoria, Opportunities for secondments
40.16 - Quality improvement methodology

References and Papers:

Sonia’s ResearchGate
https://www.researchgate.net/scientific-contributions/Sonia-Denisenko-2035133440

Links:

Contact Sonia

Twitter @SoniaDenisenko

LinkedIn Sonia Denisenko

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.

Professor Suzanne Kuys - Clinical Masters & Research Higher Degree tips, Stroke Rehab15 Dec 202000:48:50


2.34 – Intro

2.53 – Career pathway

5.40 – Queensland Health Advanced Clinician

9.40 – Starting PhD – Increasing active therapy using a treadmill

14.25 – Demonstrating to physios that treadmills are beneficial for gait training

18.55 – Current research – the IMPACT trials. 

21.55 – The PhD journey

24.02 – Where to start when you’re thinking about doing research – get talking to people

26.31 – Ideas for contacting research mentors

28.00 – Average work day

31.06 – Moving from clinical to academia

36.59 – Undergraduate Physio courses at ACU

38.06 – Master of Rehabilitation programs at ACU

43.22 – Some of Suzanne’s current honours and PhD student research


Papers and References
Effect of Treadmill Walking at High Intensity During Rehabilitation Following Stroke

Links

ACU email address: Suzanne.Kuys@acu.edu.au

ACU staff webpage: https://rexr.acu.edu.au/framework/browse.php?srperid=9060

Research Gate Page: https://www.researchgate.net/profile/Suzanne_Kuys

Twitter @suzannekuys

Episode webpage: http://aneurophysio.com/suzannekuys

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.

Michelle Shannon - Architecture in Healthcare17 Nov 202000:45:14

Have you given much thought to how the environment influences the recovery from acquired brain injuries? Michelle Shannon has! Michelle chats to us about her story and where she finds herself now, thinking in depth about the hospital environment - sights, sounds and all the other things we clinicians don't always think about.
1:33 - Intro
2:54 - Pathway to PhD
7:10 - Building up experience in research
12:31 - How can the environment influence outcomes?
17:44 - Flexible furnishings
19:39 - What patient groups is this relevant for?
20:29 - Living lab model
21:57 - Giving patients environmental options
25:11 - What can we change now?
28:17 - Changing the environment in outpatient care
29:40 - Physios doing too much for their patients
31:58 - Affordance of the environment to encourage interaction
33:28 - Opportunities for social, cognitive and physical rehab
36:05 - Mental practice & Observing other people
37:15 - Single room designs
40:58 - Architect knowledge in designing hospitals


Papers and References
Can the physical environment itself influence neurological patient activity?

Application of Theory in Studies of Healthcare Built Environment Research

Links

Twitter

Michelle’s Twitter


Full show notes: https://aneurophysio.com/michelleshannon/

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.

Brendon Haslam - Pain in Neurology13 Oct 202000:49:32

If you're interested in pain in neurological pathologies then this episode will fill up your CPD bucket. Brendon Haslam is soon to complete his PhD in chronic UL pain post stroke, is part of the faculty of educators at the renowned NOI group, and works clinically in private neuro practice. Topics in this podcast cover recognition of pain in the neuro population, pain beliefs of stroke survivors, role of somatosensory deficits, principles of intervention, and of course, Brendon's career pathway.
1.55 - Intro
2.20 - Career pathway
8.20 - Is pain under recognised in the neuro population
11.43 - Prevalence & beliefs about pain in stroke population & PhD
15.59 - Educating stroke survivors about pain
17.29 - Should we be so cautious of hemiplegic shoulders?
19.00 - Principles of intervention for pain in the neuro population
21.02 - Somatosensory retraining early post stroke
22.43 - Risk profiling chronic pain post stroke
24.30 - Redefine pain2
6.15 - Pain neuroscience education
27.03 - Resources for clinicians to educate themselves & patients
28.24 - Somatosensation, body schema & pain
31.49 - Concept of negative neuroplastic adaptation
33.30 - NOI workshops
35.49 - Empowering patients to question their therapists
37.26 - Reward based learning & positive neuroplastic change
40.12 - Upcoming NOI courses
40.51 - Complex regional pain syndrome
46.12 - Somatosensation clinics in Australia

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.

Professor Lisa Harvey - Questioning our practice, Spinal Cord Injury, Motor retraining15 Sep 202000:55:48

This episode is full of interesting topics - compensation vs recovery, commercialising return to walking, whether we're losing problem solving skills in neuro physio. Add to this how to better teach motor skills and approaches to spinal cord injury rehabilitation across the lifespan and you've got a jam-packed episode!
1.58 - Intro
2.25 - Career pathway
6.44 - Passion for research
7.24 - First research project - stretch in SCI
9.20 - Questioning our practice
10.56 - What has changed in SCI over time
12.50 - Treadmill & robotic therapies - friend or foe?
15.40 - Compensation vs Recovery
19.27 - Should physios do more to celebrate people living amazing lives with disability?
21.40 - Specificity of treatment - are physios using a sledgehammer approach?
23.46 - elearnSCI.org & effective online learning
26.54 - Collaborating = reach
29.20 - Change in SCI demographics over time
30.51 - Approaching elderly vs young
31.50 - Do shoulders wear out in SCI?
34.24 - Patient-centred decision making & supporting through uncertainty
36.32 - physiotherapyexercises.com
43.32 - Hot off the press - early, intensive motor training national trial
46.01 - Strategy in grant applications
47.47 - Power of consumer groups
48.05 - Teaching motor skill learning

Links
PhysioExercises Webpage

eLearn SCI page

The University of Sydney Profile

Papers and References

Lisa’s Book: Management of Spinal Cord Injury

Article: Physiotherapy rehabilitation for people with spinal cord injuries

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.

Caitlin Reid - TBI, patient empowerment, salience11 Aug 202000:37:13

Caitlin Reid is a young physiotherapist who has also experienced a traumatic brain injury. She shares her story to inspire neuro therapists to give the power back to the patient. In this episode we chat about what it's like to be a young person in a neuro rehab setting, how to adapt programs to different personalities, and about learning to become a better coach and motivator. Caitlin also shares what's she's changed in her practice after her experience.
1.30 - Introduction
1.49 - Career pathway
2.56 - Brain injury story
5.20 - Being in PTA
6.00 - Sharing experience for good
7.20 - Empowering your patients
9.29 - Physios as motivators and coaches - adapting language
14.06 - Uncertainty in rehab and recovery
15.42 - Dealing with dense hemiplegia
16.53 - Therapy scheduling, fatigue
19.44 - Being a young brain injury survivor
20.44 - Benefits of rehab outdoors
22.11 - Therapy content - Goals-based intervention
24.02 - Setting targets and PBs
24.47 - Principles of neuroplasticity in Caitlin's rehab
28.20 - CIMT + Body Schema
30.08 - Motor imagery, Mirror therapy & Returning to netball
33.31 - Caitlin's key message - empowerment
34.25 - What Caitlin has changed in her practice

Links
Caitlin’s Twitter

Concentric Rehab

Papers and References

Principles of Experience-Dependent Neural Plasticity

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.

Janet Stevens - The Bobath Concept14 Jul 202000:51:22

We chat with founding member of the Australian Bobath Training Association Janet Stevens about her career and inspirations for working hard everyday to be a better physiotherapist. We touch on what the Bobath concept is, hear her take on some of the key components of the concept and how she is implementing the concept in world of telehealth.   
1.55 Introduction
2.56 Career pathway 
10.30 Bobath instructor training 
13.01 Clinician as limiting factor to patient potential 
15:06 Short career span of neuro physio
17:10 What is Bobath?
19:14 What is facilitation
21:58 Repetition in Bobath 
24.30 Neurophysiology 
28.26 Bobath publications 
29:08 Telehealth with Bobath
33:38 Carers to help treatment 
36:50 Teaching during covid
40.33 Careers in the Bobath Concept 
43:31 Pathways to learning Bobath 
45:04 Tutor training 
46:48 IBITA as an organisation

Links

https://www.bobathaustralia.org/

Papers and References Discussed

The Bobath Concept in Contemporary Practice

The Bobath concept – a model to illustrate clinical practice

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.

Associate Professor Cathy Said - Falls in neuro conditions & older adults16 Jun 202000:47:14

1.46 – Intro
2.20 – Cathy’s current role
3.35 – Career pathway and developing interest in research
5.35 – Part time vs FT PhD
PhD
9.26 – Transition to community walking post stroke
12.04 – Refining PhD question with supervisors
14.06 – Walking is not enough – impairments from the PhD
Improving falls risk & PA in Neuro & Aged populations
18.45 –  Tech innovations
21.40  – Biofeedback for foot clearance in stroke
23.00 – Can it be used in clinical practice?
26.59 – Challenges of gait retaining & rehab fitting it all in
28.38 – Translating falls evidence to practice in the current model of care
Clinical Research
29.49 – Research grants tips
34.06 – NHMRC health professionals training fellowship
Career progression
35.34 – Balancing with life with career progression
37.52 – A/prof of physio roles
42.20 – Researcher mum life

Papers and References Discussed
Effect of stroke on step characteristics of obstacle crossing
               https://www.archives-pmr.org/article/S0003-9993(01)02683-1/fulltext

Control of lead and trail limbs during obstacle crossing following stroke
               https://academic.oup.com/ptj/article/85/5/413/2805010

Links
https://www.safeexerciseathome.org.au/

Our Previous Episode with Cathy Discussing www.safeexerciseathome.org.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.

Dr Jessica Nolan - Lateropulsion29 Jul 202401:10:46

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.

Associate Professor Gavin Williams - TBI, Power training, High level mobility26 May 202000:44:04

Erin and Matt sit down and chat with A/Prof Gavin Williams to hear his thoughts on Traumatic Brain Injury management, returning to higher levels of mobility, strength training, spasticity and trail blazing the clinical academic role with Epworth Healthcare, Melbourne, Australia.
1:50 - Introduction
2:10 - Career Pathway
3:00 - Inspiration behind the HiMAT
4:25 - Why TBI and why running? 
7:15 - What to consider when treating TBI patients
9:45 - Avoiding compensations, are we delaying independence?
11:00 - The mobility hierarchy
13:30 - Safety and Improving higher level mobility
16:55 - Spasticity in Neurological Rehabilitation
19:50 - The state of spasticity and the current arguments
21:30 - SPECIFICITY!
23:12 - Observation and bias
25:10 - How Gavin created an army of researchers at Epworth Healthcare
27:00 - Fellowship, management or researcher: Mentors are essential
28:55 - Bridging the gap between researcher and clinician
33:40 - How to start your research journey
35:25 - Where Gavin's research is going now

Links:
Contact Gavin:
gavin.williams@epworth.org.au

Twitter

Gavin’s Twitter page

References and Papers:
Gavin’s University of Melbourne Profile
                https://findanexpert.unimelb.edu.au/profile/28437-gavin-williams

Episode webpage: https://aneurophysio.com/gavinwilliams/

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.

Safe Exercise At Home (Physical activity during COVID and beyond)13 May 202000:21:25

Associate Professor Cathy Said and an alliance of high profile gerontology researchers and clinicians have published a website supporting older adults to remain physically active during COVID-19.www.safeexerciseathome.org.au. Cathy tells us about the website, how it is useful for older adults and for physiotherapists, and about the group of national and international experts who developed it. Look out for an upcoming full podcast episode with Cathy about her own research.
Full show notes: https://aneurophysio.com/safeexerciseathome/

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.

Katrina Williams - Cerebellum & Vestibular21 Apr 202000:49:10

Katrina is a clinician researcher and educator at the University of Queensland and Specialist Neurological Physiotherapist (awarded by the Australian College of Physiotherapists). Find out how she came to be so interested in neurodegenerative diseases and why expertise in vestibular and ataxia is so valuable in this area. We also talk about her research investigating the sensory, motor and vestibular functions of the balance system and how she has racked up so many letters behind her name (and counting!).
1.41 - Intro
2:29 - Career pathway
Neurodegenerative Diseases, Ataxia and the Cerebellum
7:50 - Developing Interest in Ataxia
9:00 - Treating the cerebellum the way it's designed
10:50 - Early intervention in Neurodegenerative diseases
14:00 - Diet & gut health in degenerative diseases
15:25 - Developing passion in Neurodegenerative diseases
17:35 - Approach to different cerebellar pathologies
21:00 - Different types of ataxia 
Vestibular
23:45 - Vestibular screening: change or adaptation?
26:00 - Vestibular issues in older people
28:05 - Understanding Vesibular Function Testing
33:25 - Building Vestibular KnowledgeCareer Progression
36:10 - Australian College of Physiotherapists Fellowship
39:20 - PhD: integration of sensory, vestibular and motor systems in MS
42:52 - Life Balance
47:37 - Contacting Katrina

Full show notes: http://aneurophysio.com/podcast/katrinawilliams/

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.

COVID-19 Australian Physiotherapy Association Update - Natalie Fini07 Apr 202000:33:40

Associate Professor Cathy Said and an alliance of high profile gerontology researchers and clinicians have published a website supporting older adults to remain physically active during COVID-19.www.safeexerciseathome.org.au. Cathy tells us about the website, how it is useful for older adults and for physiotherapists, and about the group of national and international experts who developed it. Look out for an upcoming full podcast episode with Cathy about her own research.

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.

Katie Davies - Concussion, Indications for casting10 Mar 202000:43:00

Our discussion with clinician and principal physiotherapist at Neurological Rehabilitation Group in Melbourne, Katie Davies.Katie tells us about her career pathway and how clinical supervision has been important to her growth as a physiotherapist. She speaks about her research and work in community and sports-related persistent concussion, as well as her unique use of casting in clinical practice.
1:20 - Intro
1.45 - Career pathway
7.50 - Supervision and Mentoring at NRG
10.30 - Developing interest in concussion
12.25 - Paediatric concussion research
13.45 - Physio role in concussion
18.50 - Concussion assessment
20.56 - Paediatric persistent concussion intervention
25.00 - Outcome measures in persistent concussionCasting in Clinical Practice 
30.58 - Serial casting and dynamic casting
35.40 - Working with Prosthetists & Orthotists
38.00 - Splints as a diagnostic tool
41.50 - Learning to Cast PD course

Link to episode webpage for Katie's links/references/papers:http://aneurophysio.com/podcast/katiedavies/

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.

Dr Karen Borschmann - Post stroke bone health & glycaemic control11 Feb 202000:46:33

We chat with Dr Karen Borschmann about her career pathway that has led her back to Melbourne, Australia. Now working for The Florey Institute of Neuroscience and Mental Health and St Vincent's Health Karen talks about her research into bone health following stroke as well as introducing us to the Stroke Recovery and Rehabilitation Roundtable.
Introduction 0:59
Career Pathway 1:25
Bone health and glycaemic control post stroke 7:45
Upcoming exercise trial 17:23
Physio role in diabetes management 20:25
Brain inflammation 23:38
Animal studies 26:20
SRRR 31:30 
Stroke service provision for young stroke survivors 38:00 

Link to episode webpage for Karen's links/references/papers: http://aneurophysio.com/podcast/karenborschmann/

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/Prof James McLoughlin - Motor Control, MS, Concussion01 Jan 202000:44:39

Our inaugural episode is with clinical academic Dr James McLoughlin. James tells us about his career progression starting in Adelaide, to time at St George's Hospital and Queen's Square University College, London, and his work back at Flinders University, Adelaide as Associate Professor in the Masters of Clinical Rehabilitation program. James has a diverse approach to clinical practice which he implements at his own clinic - Advanced Neuro Rehab. He runs courses in Vestibular and Motor Control and holds a Masters of Clinical Neuroscience and a PhD in balance and gait.
Introduction: 1:31 
Career Pathway: 2:56 
Walking mechanics: 11:08 
Using splints: 14:30 
Influence on clinical practice: 16:36 
Robotics and the current landscape: 20:25 
Professional development course: 24:00 
Concussion: 26:15 
Using Technology in rehab: 27:47 
Flinders University Neuro Masters: 34:52 
Raise the profile of the clinician: 37:58 
Do physios need to choose a career path?: 39:35 

Episode webpage for James' links/references/papers: http://aneurophysio.com/podcast/jamesmcloughlin/

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.

Dr Emily Ramage - Codesign, World Stroke Emerging Leader, ENAbLE trial24 Jun 202400:58:08

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.

Dr Julie Vaughan-Graham27 May 202401:17:20

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.

Dr Sarah Milne - Friedreich's Ataxia & the cerebellum29 Apr 202400:46:06

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 publis

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.

Dr. Kate Scrivener - Therapy dose, Stroke Mobility Outcomes, Teaching Neuro27 Mar 202400:59:35

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.

Professor Barby Singer - Hypertonicity, Education, APA Career Pathway Framework26 Feb 202401:04:42

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.

© My Podcast Data