A Neuro Physio Podcast

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 & ResourcesREACH 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 - ScienceDirectLike 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.

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 Pathway8.59 PhD – Adolescents with NMD physical health & mental wellbeing12.59 What are neuromuscular disorders? What resp issues occur?18.25 Night respiration issues21.49 NIV26.15 Lung volume recruitment31.00 Airway clearance39.46 EBP in neuro respiratory43.19 Key outcome measures49.22 Lung tissue integrity52.49 Future proofing1.00.44 ReflectionLinks & ResourcesEmail: [email protected]: A vital part of MND multi-disciplinary careViviennes' LinkedInVivienne's phd papers/ research gateNeuro Respiratory Physiotherapy Academy (Jac Agostinello)MND Western AustraliaMND VictoriaLike 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 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 Intro23.00 Current roles & career45.00 MOOC UL stroke rehab14.45 Stroke Ed courses17.50 Coaching21.10 How much to ‘talk’ as a physio24.20 Empowerment & engagement29.05 Strength training32.45 Clinical reasoning framework of TST35.10 What interventions we should be doing38.30 Teaching how to practice - how not to scare people off41.30 Hands-on approaches44.30 Personalising practise53.20 Family empowerment57.10 Definition of Bobath in studiesLinksSimone’s ACU profile Simone’s X Simone’s phd papers/ research gateLinkedIn Stroke Ed websiteCaitlin reed episode link Other StrokeEd presenters episodes:Dr Annie McCluskey Dr Kate Scrivener ResourcesArticles 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 RehabilitationBobath Systematic reviews: https://www.sciencedirect.com/science/article/pii/S183695532030103X'https://www.sciencedirect.com/science/article/pii/S1836955322001151Like 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.

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 Intro2.34 sec Bio6.44 Wheelchair Rugby11.48 Classification13.05 Getting into para sport17.53 Equipment required17.54 Fitness for elite wheelchair rugby & SCI21.46 Role in Aussie Steelers 25.55 Nerve transfer & Tendon transfer surgeries30.31 Rehab – knowledge, motivation, prioritising36.12 What rehab clinicians did well 45.12 ReflectionResourcesForged In Steel - Australian Steelers documentaryParalympics media release SCI PT guidelines sciptguide.comParalympics websiteshttps://www.9now.com.au/paralympic-games-paris-2024https://www.paralympic.org.au/https://olympics.com/en/paris-2024/paralympic-gamesAustin Health Nerve  & tendon transfer teamLinksInstagram @jamesmcquillan5James' LinkedInANZ Smashing through barriersParis 2024 ProfileLike 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 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 Intro2.28 Career pathway/Interest in Lateropulsion8.45 What is lateropulsion? Can it be mild?13.20 Prevalence14.05 Outcome Measures18.29 Verticality22.38 Assessing SVV – bucket method23.00 PhD results - LOS needs, ANSNAP LOS predication accuracy, 1 year outcomes37.10 Unknown pathophysiology of lateropulsion40.20 Other components of lateropulsion – SPV – graviception, vestib impairment43.35 Treatment49.22 Fear of falling50.45 Education53.01 Treatment 2.056.28 What’s next for this work1.04.17 Erin & Matt's reflectionArticles discussed in episode:Lateropulsion prevalence: Dai 2022 systematic review Assessment of verticality: Piscicelli  & Pérennou 2017 Lesion location: Van Der Waal 2023 systematic reviewThalamic involvement: Rosenzopf 2023   Treatment approaches: Paci 2023 scoping review Lateropulsion outcome measures: Koter 20174 Point Pusher Score validation: Chow 2019   Lateropulsion & falls (inpatient): Lewis, Heinemann...Nolan 2024LinksJessica's LinkedinTwitter @jessnolan__Check out the episode webpage for Jess' PhD papersLike 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.

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 Introduction2.05 Career pathway6.55 Doing a PhD as a mum11.45 When a PhD is advertised by a researcher team19.10 End-user collaboration in research20.20 Emily’s PhD – codesign of PA for secondary stroke risk25.32 What does codesign mean?36.00 Power differentials in codesign39.51 Running IKT workshops – communication; knowledge & language diversity45.02 Will codesign become a check box?48.00 World Stroke Organisation Future Leader ProgramArticles/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 strokeSecondary prevention of stroke. A telehealth-delivered physical activity and diet pilot randomized trial (ENAbLE-pilot)iREBOUND ISRRR – International Stroke Recovery and Rehabilitation AllianceStroke Foundation module – Working effectively with people with lived experience to design, conduct and promote stroke research LinksLink in Marlena Klaic’s ep Victorian AH Research Translation Lead:  Website    Apple podcastsLink to Prof Coralie English’s ep: Website    Apple podcastsEmily’s LinkedIn World Stroke Bio Twitter @emilyrramageEmail – [email protected] webpage: http://aneurophysio.com/emily-ramageLike 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-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     Introduction2.41 Career pathway 16.20 PhD findings – How Bobath instructors problem solve & clinically reason22.00 Model of Bobath Clinical Practice 26.48 Bobath and the RCT 28.45 Applying the Bobath concept – Hemiplegic UL example36.47 Using sensory cues in Bobath43.38 Using the Bobath Concept is a skill to develop 47.25 Neuroscience & Bobath53.50 Movement diagnosis & hypotheses57.53 Discrete interventions vs Bobath Concept (a framework of intervention)Papers and ReferencesIBITA Model of Bobath Clinical PracticeJulie's ResearchGateProfessional & Scholarly activitiesLinksJulie’s private practice in Toronto, CanadaiNeuroRehabJulie's LinkedInCandanian Bobath Instructors Association profileJanet Steven’s episode Webpage    Apple podcastsDr Kim Jennings episode Webpage     Apple podcastsEpisode 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.

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 pathway4.38 Friedreich’s ataxia7.00 How is Friedreich’s ataxia different to the hereditary cerebellar ataxias?8.36 Phenotypes in neurological conditions and the RCT paradigm11.20 PhD results   15.02 State of the Friedreich’s ataxia evidence16.49 Ataxia outcome measures 20.03 Ataxia assessment24.25 Compensation vs optimal cerebellar functioning27.00 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 population41.43 Episode reflectionLinksResearch GatePhD - 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.LinkedInUniversity of Melbourne profileArticles discussed:Brain Changes Associated with Postural Training in Patients with Cerebellar DegenerationHome aerobic training for cerebellar degenerative diseases: a randomized controlled trialCycling regimen induces spinal circuitry plasticity and improves leg muscle coordination in individuals with spinocerebellar ataxiaPredictors of loss of ambulation in Friedreich's ataxiaLike 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.

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 therapyAll 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 career7.17 Teaching Neuro10.21 TRAIN modules11.42 Career pathway15.19 Stroke Ed courses – practical ways to apply stroke guidelines19.44 Australian NSF guidelines – to what setting do they apply? 20.44 Interest in rehab in community sector 23.48 HiWalk project28.19  Intervention research pipeline - basing research trials on intervention feasibility 31.47 Interest in walking after stroke, PhD35.48 We need clinical researchers36.34 Do you need a PhD to be a clinician researcher? 41.22 HiWalk intervention package43.10 Are reps the best way to quantify dose?52.10 Kate’s favourite ways to increase dose of therapy55.36 Post episode reflectionLinksMacquarie Uni profile Linked In profileResearchGate 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 episodeStroke survivors have fallen into a ‘black hole’ editorialSchneider 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 ResearchGateLike 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.

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 Intro3.23 Barby’s varied career4.40 Physios need to be educators8.47 APA career framework12.11 Rural specialist 15.29 Clinical Mentorship in the new career framework17.47 Industry shortage21.04 Remuneration for advanced or specialist Physios24.47 Advanced practice opportunities in neuro26.19 Barby’s interest in hypertonicity & PhD31.37 Anterior knee pain botulinum toxin34.38 Spasticity definition & measurement38.10 Hypertonicity management - where we’ve gone wrong43.17 Role of serial casting52.29 Working with PhD students58.11 Episode reflectionLinksBarby’s Edith Cowan University Profile pageBarby’s ResearchGateBarby’s Linked InAPA career pathway frameworkPapers 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 reviewWilliams 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 childrenLike 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 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=10004849357243.00 Intro3.30 Bobath career pathway9.03 Working with culturally diverse populations11.19 IBITA – Tutors around the world14.30 Who are Bobath courses for?16.40 How Bobath has changed over time26.00 What is a clinical doctorate?29.50 Kim’s research - Implementation of the Bobath concept45.24 The lack of RCT evidence for Bobath53.50 Personalisation of rehab55.10 The need for more research  1:08.40 Episode reflectionLinksAustralian 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 PhysiotherapyLike 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 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 4.05Career Pathway 4.48Simon’s PhD – postural alignment and mobility in ABI 9.25The emphasis people put on regaining mobility 14.43Physio role in cognition 20.46Measurement of postural alignment 24.40Why is postural alignment important? 31.04Interpreting postural observations to find impairments 35.15Application of results across populations 42.14Future development of Simon’s research 46.10Simon's PhD – Postural alignment and recovery of mobility after acquired brain injury – focused on severe mobility impairmentPapers:Improvement in postural alignment is associated with recovery of mobility after complex acquired brain injury: An observational studyImproving physical mobility is critical for wellbeing in people with severe impairment after an acquired brain injury: a qualitative studyIs there a relationship between postural alignment and mobility for adults after acquired brain injury? A systematic reviewResearch gate - https://www.researchgate.net/profile/Simon-Mills-3Twitter - @SimonJMillsPTEmail - [email protected] 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 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 6.16Proprioception Research 7.15Sensory perception 10.00Feldenkrais training 15.50The Neuroscience Behind Body Image workshops 23.30Afferent Feedback – know what you're doing to make better choices 26.00Clinical Reasoning & Generating new ideas in practice 30.20Supervising PhD students 35.15Obtaining grant funding 37.57Gender discrepancy in research 40.08Systematic reviews 49.06Prof Hillier's Research Gatehttps://www.researchgate.net/profile/Susan-Hillier Uni SA profilehttps://people.unisa.edu.au/susan.hillierLike 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 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 – 3.23Intro – 5.16Career pathway – 6.16PhD - inelectro therapy – 11.44Skills you gain in a PhD – writing – 16.03Physical activity in disability benefits – 19.22 Barriers – 22.52FitSkills story – 27.34Contact theory in fit skills – 37.04Importance of experience with YPWD for Physios & health workforce – 38.32YPWD in the workforce – 44.46FitSkills early outcomes – 46.24New project Gym Spark – 51.56Final thoughts - Prevention, Brain Health & Adult care of YPWD – 55.19Prof Shield’s Latrobe Uni profile (contact details & publications tab) https://scholars.latrobe.edu.au/nshieldsLinkedIn - https://au.linkedin.com/in/nora-shields-a401226Research Gate - https://www.researchgate.net/profile/Nora-ShieldsTwitter - @DrNoraShieldsLike 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.

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 - 3.42Career pathway - 7.17SENSe implementation / knowledge translation projects - 13.16SENSe training approach & workshops - 17.16Computer interface sensory assessment & learning - 24.53More about PhD - 28.42Task specific training vs transfer in sensory training - 31.17Which modality is most important in the sense approach? - 37.10Functional MRI changes with sense sensory training - 42.20Where does sense fit into the sensation literature? - 43.37Clinical impact of sensory loss - 46.09Sensory impact is a hidden problem for clinicians - 48.22Do clinicians who are more skilled get better sensory outcomes? - 52.18SENSe for lower limb - 54.26Therapy accessibility - via therapy - 55.10OT/PT joint UL therapy - 'call to arms' - 57.18Leeanne’s La Trobe University Profile pageStroke 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: [email protected] therapy is also being provided at several health care networks in Victoria and NSWAll papers and references can be found on the SENSe websiteRecent Stroke Foundation webinars about SENSeAssessment webinar:https://www.youtube.com/watch?v=o4OwN100bvkTherapy 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 CahillLike 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.

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 - 3.56Career pathway - 6.12Phd research - Wii balance board as Ax & intervention - 11.23Using Wii balance board as a force platform or as a clinical OM - 16.01The motivation of tech for both intervention and tracking progress - 20.00What is it about tech that is interesting? - 21.24What are the limitations? - 24.23Linking use of tech to goals - a tailored intervention - 25.22Evidence base variability - 26.40Clinicians' thoughts on tech - 31.45Advice for addressing barriers - 34.20Best devices? - 35.49Kelly developing a video game - 39.00Emerging tech rehab devices - 46.54How Kelly balances her workload (pun intended!) - 49.40LinksKelly’s University ProfileResources to support selection and clinical implementation:Website on using the Kinect in rehabilitationA Clinical Decision-Making Framework for the Use of Video Gaming as a Therapeutic ModalityPapers and ReferencesClinical feasibility of the Nintendo Wii™ for balance training post-stroke:Clinical feasibility of interactive motion-controlled games for stroke rehabilitationWhat factors influence clinicians’ use of technology in neurorehabilitation?Quiet standing postural control variables in subacute strokeLike 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.

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 Intro4.39 Current roles & Career pathway6.45 Perspective as a clinician in health system and researcher8.15 Engaging with the community to ascertain research priorities11.00 Environmental enrichment (EE) community model15.34 Good intervention development - Basic science to clinical research to clinical practice18.23 Competing demands in research19.34 Components of ESTEEM community groupWhat carers want out of EE groupsHow to measure these components26.25 Rehabilitation in a utopian world28.20 Overcoming barriers in EE research32.50 Virtual vs Reality in EE36.48 Crucial elements of EE38.21 How to apply EE in the clinic42.25 Being a change agent of EE44.15 Yarning Up After StrokePapers and ReferencesEnriched environment researchLinksDr. Janssen’s Newcastle University profileESTEEM studyYarning Up After StrokeLike 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.

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 worldview3:30 - Intro4:24 - Experience around the world13:00 - Be a healthy sceptic15:30 - Keeping the passion19:25 - Sheila's career growth20:45 - Balancing part time PhD22:40 - Bobath and theoretical assumptions28:35 - Complex interventions31:10 - Taking the RCT to interventions33:15 - Is the RCT the gold standard for physio research36:28 - Work with MS42:25 - What is unique for physio management of MS44:55 - The importance of motivation48:05 - Reflection and clinical reasoning51:20 - New inclusions to undergrad53:30 - Flinders University Chronic Disease Management55:30 - INPAReferences 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 reviewBobath:– 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 rehabilitationLinks:APA National Neurology Group on-demand lecture on Self-management-focused-falls-prevention for people with MSINPAPlease contact Sheila on [email protected] 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 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 Intro12:35 Current work - public speaking, blog, podcast15.04 Impact of Paul's blog on stroke survivors18.14 Paul's stroke & rehab experience24.46 Resilience, My Stroke of Luck podcast32.40 Global aphasia38.30 Dealing with a negative mindset42.43 Giving back to the stroke community47.58 Paul's current rehabLinks:Paul’s websitePaul’s Podcast on apple podcastsLike 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.

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 Introduction5.35 Career Pathway8.15 History of physio in the US10.40 Suspended from PT school14.16 PhD - EMG biofeedback for muscle co-activation16.55 Foundations of CIMT18.45 Posturography - Tai Chi - Falls prevention studies23.30 Mechanisms of neuro PT intervention24.03 Steve's must-have attributes in the field26.25 Vagus nerve stimulation35.00 Upper limb outcome measures39.31 Personalised care41.29 Telerehab & technology - the future45.36 Patients of today expect tech50.51 Physio - Patient partnership52.55 Peer support as a rehab tool53.52 Imaging - in PT curriculum & to demonstrate treatment effectivenessPapers and ReferencesThe EXCITE trialFalls and tai chiWolf Motor Function TestSteve’s Google Scholar pageLinksEmory ProfileResearch Gate PageLike 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 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 path8:00 - Why cerebral palsy10:40 - Drop of in care for adults with CP11:50 - Filling the gaps in CP care13:00 - Keeping the passion14:20 - Neuroplastic potential vs compensate for success16:05 - key principles of working with CP18:30 - Team and importance of seating and positioning21:40 - Fatigue in CP23:30 - Barriers to participation in CP26:25 - Resources to assist CP knowledge for therapists30:15 - Prue's PhD34:00 - Transitioning into Academia35:30 - Teaching tips for successful student placements40:15 - Value of observation43:00 - Importance of feedback to grow and learn44:55 - Developing evaluation skills in students46:20 - Committee work and taking opportunitiesReferences and Papers:Gait function and decline in adults with cerebral palsy: a systematic reviewPrue’s research outputLinks:Prue’s Monash Uni profileLike 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 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 role6.23 - COVID story7:25 - Clinical career9.15 - StrokeEd collaboration & workshops13.35 - How the workshops can benefit people of varying experience levels15:20 - Coaching for motor skill learning20:00 - Barriers to implementation of EBP23:15 - Making change post COVID24:20 - Telerehab benefits27:50 - Models of knowledge translation31:00 - The myth of no evidence in stroke rehab33:25 - Sexuality & Intimacy post stroke39:25 - Sexuality/Intimacy PDs42:05 - Including people with post complex impairments in research44.20 - PTs & OTs should work togetherPapers and ReferencesAnnie’s Publication ListLinksStroke Ed WebpageTwitter @anniemccluskey2  @stroke_edFacebook Annie McCluskey    StrokeEdLike 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 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 pathway8:10 - Juggling part time roles9:20 - Current role10:25 - Under-dosing exercise in older adults14:00 - Patient beliefs, anxieties and our role17:30 - Risk aversion in hospital23:10 - How Ann maximises therapy in her unit24:50 - Hydrotherapy for older adults29:10 - Registrar training for APA Fellowship36:50 - Driving clinician level research43:35 - Importance of vestibular "phone a friend"45:10 - Central vestibular dysfunction48:10 - Tips for teaching vestibular pathophysiology54:10 - Ann's vestibular coursesLinksemail: [email protected]@AnnRahmPT6 day vestibular competency course2 day introduction to vestibular courseLike 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 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 team24:28 – Interacting with health professionals about FND30:13 – 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 Questions58:05 – Symptom Management Plans  Papers and ReferencesImplicit motor imagery using laterality recognition in functional movement disordersFunctional neurological disorders: effective teaching for health professionalsBeatrice Garcin –  Motor functional neurological disorders: An update LinksFND Australia Website Symptom Management Plan Neuro Symptoms.OrgAPA Online learning – Part 1APA Online learning – Part 2Dharsha's email: [email protected] 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.

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 Science35.48 – 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 ReferencesHow soon do allied health professionals lose confidence to perform EBP activities? A cross-sectional studyDoes the Theory of Planned Behaviour Explain Allied Health Professionals’ Evidence-Based Practice Behaviours?LinksLoop profileORCID pageResearch 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 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 LinksNeuroRehab Allied Health Network (NRAH) https://au.linkedin.com/in/angelamucicFacebook for NRAH Email: [email protected] 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 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 LinksVestibular 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 Referenceshttps://vestibularfirst.com/Twitter, Facebook, Instagram - @vestibularfirstLike 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.

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 guidelinesPapers and References Discussed:List of Coralie’s publicationsLinks:Newcastle University ProfileTwitter @Coralie_EnglishLike 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.

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 recap2.05 - Bio3.23 - Intro4.17 - Current role at UoM & affiliations5.12 - Career pathway11.56 - Getting into academia13.59 - Staying relevant in clinical work14.36 - PhD exercise and PA after stroke18.57 - How to get stroke survivors active21.19 - Overcoming barriers to PA after stroke22.27 - Behaviour change strategies & long term planning24.48 - PhD publications & beyond26.00 - New research questions - what's the right dosage?27.10 - Mentors - a range is helpful32.07 - APA work35.56 - Getting involved & managing commitments38.57 - Networking on social mediaEpisode 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 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 - Introduction4.33 - Career pathway6.42 - Consult Physiotherapists (UK)10.13 - National Hospital for Neurology & Neurosurgery - Queen Square London12.00 - Rehabilitation Units in the UK - Levels14.44 - UCL Upper Limb Service18.18 - Arguing for funding21.42 - Patient selection24.37 - Being a national health service26.55 - Program structure32.44 - Hands on or hands off35.47 - Tech in the program40.28 - What is the most important component?44.15 - Application of the model to other servicesLinks:Ward LabFran’s Twitter AccountPapers:User Perceptions of the Upper Limb ProgramOutcomes of the Upper Limb ProgramLike 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.

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 – Intro3.37 – Career pathway4.20 – Developing PD Warrior6.10 – PD Warrior framework (4 Pillars)11.22 – Home practice15.20 – PD Warrior courses16.55 – Education for self management18.38 – Exercise mainstream in PD22.31 – Clinical expert vs research24.47 – PD Warrior in Parkinson’s Plus27.28 – Liaising with neurologists28.54 – PD medications & when to exercise30.14 – Developing Advanced Rehab Centre32.41 – Entrepreneurship in physiotherapy37.00 – Passion & drive37.31 – Neuro physio specialisation40.15 – Peer review in practice42.10 – Employing the right people43.40 – Doing media45.21 – Lexo Robotic Gait TrainerLinksMelissa’s WebpageThe New Parkinson’s Treatment Exercise is Medicine (book)PD Warrior WebpagePD Warrior CoursesInsight to PD conference 2021Like 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 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.org2:30 - Intro2:59 - Career pathway4:20 - Clinical Mentor9:00 - PhD12:30 - Brain Imaging: Function vs Structural17:35 - What can we read from brain imaging?21:00 - Using brain imaging to inform clinical choices22:00 - Case studies discussion using neuroimaging28:05 - TMS and current implications to practice30:10 - Clinical relevance of imaging findings33:55 - Learning brain imaging41:40 - Radiologists vs Rehab Clinician's perspective of imaging42:30 - Brain imaging PD courses44:00 - Teaching techniques46:40 - You don't need to have it all planned out!49:55 - Research, clinical and teaching: wearing different hatsPapers and ReferencesImaging research Spasticity ResearchLinksBrain imaging CoursesBrain rehabilitation webpageBrain rehabilitation Facebook pageLike 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.

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 - Intro1.43 - Career pathway6.40 - Neuro Outcome Measures Manual11.30 - Working at the Victorian Department of Health12.06 - APA Committee & Titling as an APA Neuro Physio13.14 - Masters of Public Health, PhD or MBA?15.55 - Skills physios bring to public health19.00 - Sonia's average day since COVID pandemic20.55 - Establishing community day-hospitals in Victoria22.50 - Sonia's average day pre COVID27.01 - Remote working before COVID28.33 - Victorian Clinical Stroke Network - 10 stroke units across Victoria33.30 - APA Neurology Committee - broadening perspectives35.37 - Interested in a public health career?38.03 - Safer Care Victoria, Opportunities for secondments40.16 - Quality improvement methodologyReferences and Papers:Sonia’s ResearchGate https://www.researchgate.net/scientific-contributions/Sonia-Denisenko-2035133440Links:Contact SoniaTwitter @SoniaDenisenkoLinkedIn Sonia DenisenkoLike 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.

2.34 – Intro2.53 – Career pathway5.40 – Queensland Health Advanced Clinician9.40 – Starting PhD – Increasing active therapy using a treadmill14.25 – Demonstrating to physios that treadmills are beneficial for gait training18.55 – Current research – the IMPACT trials. 21.55 – The PhD journey24.02 – Where to start when you’re thinking about doing research – get talking to people26.31 – Ideas for contacting research mentors28.00 – Average work day31.06 – Moving from clinical to academia36.59 – Undergraduate Physio courses at ACU38.06 – Master of Rehabilitation programs at ACU43.22 – Some of Suzanne’s current honours and PhD student researchPapers and ReferencesEffect of Treadmill Walking at High Intensity During Rehabilitation Following StrokeLinksACU email address: [email protected] staff webpage: https://rexr.acu.edu.au/framework/browse.php?srperid=9060Research Gate Page: https://www.researchgate.net/profile/Suzanne_KuysTwitter @suzannekuysEpisode webpage: http://aneurophysio.com/suzannekuysLike 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.

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 - Intro2:54 - Pathway to PhD7:10 - Building up experience in research12:31 - How can the environment influence outcomes?17:44 - Flexible furnishings19:39 - What patient groups is this relevant for?20:29 - Living lab model21:57 - Giving patients environmental options25:11 - What can we change now?28:17 - Changing the environment in outpatient care29:40 - Physios doing too much for their patients31:58 - Affordance of the environment to encourage interaction33:28 - Opportunities for social, cognitive and physical rehab36:05 - Mental practice & Observing other people37:15 - Single room designs40:58 - Architect knowledge in designing hospitalsPapers and ReferencesCan the physical environment itself influence neurological patient activity?Application of Theory in Studies of Healthcare Built Environment ResearchLinksTwitterMichelle’s TwitterFull 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.

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 - Intro2.20 - Career pathway8.20 - Is pain under recognised in the neuro population11.43 - Prevalence & beliefs about pain in stroke population & PhD15.59 - Educating stroke survivors about pain17.29 - Should we be so cautious of hemiplegic shoulders?19.00 - Principles of intervention for pain in the neuro population21.02 - Somatosensory retraining early post stroke22.43 - Risk profiling chronic pain post stroke24.30 - Redefine pain26.15 - Pain neuroscience education27.03 - Resources for clinicians to educate themselves & patients28.24 - Somatosensation, body schema & pain31.49 - Concept of negative neuroplastic adaptation33.30 - NOI workshops35.49 - Empowering patients to question their therapists37.26 - Reward based learning & positive neuroplastic change40.12 - Upcoming NOI courses40.51 - Complex regional pain syndrome46.12 - Somatosensation clinics in AustraliaLike 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.

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 - Intro2.25 - Career pathway6.44 - Passion for research7.24 - First research project - stretch in SCI9.20 - Questioning our practice10.56 - What has changed in SCI over time12.50 - Treadmill & robotic therapies - friend or foe?15.40 - Compensation vs Recovery19.27 - 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 learning26.54 - Collaborating = reach29.20 - Change in SCI demographics over time30.51 - Approaching elderly vs young31.50 - Do shoulders wear out in SCI?34.24 - Patient-centred decision making & supporting through uncertainty36.32 - physiotherapyexercises.com43.32 - Hot off the press - early, intensive motor training national trial46.01 - Strategy in grant applications47.47 - Power of consumer groups48.05 - Teaching motor skill learningLinksPhysioExercises WebpageeLearn SCI pageThe University of Sydney ProfilePapers and ReferencesLisa’s Book: Management of Spinal Cord InjuryArticle: Physiotherapy rehabilitation for people with spinal cord injuriesLike 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 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 - Introduction1.49 - Career pathway2.56 - Brain injury story5.20 - Being in PTA6.00 - Sharing experience for good7.20 - Empowering your patients9.29 - Physios as motivators and coaches - adapting language14.06 - Uncertainty in rehab and recovery15.42 - Dealing with dense hemiplegia16.53 - Therapy scheduling, fatigue19.44 - Being a young brain injury survivor20.44 - Benefits of rehab outdoors22.11 - Therapy content - Goals-based intervention24.02 - Setting targets and PBs24.47 - Principles of neuroplasticity in Caitlin's rehab28.20 - CIMT + Body Schema30.08 - Motor imagery, Mirror therapy & Returning to netball33.31 - Caitlin's key message - empowerment34.25 - What Caitlin has changed in her practiceLinksCaitlin’s TwitterConcentric RehabPapers and ReferencesPrinciples of Experience-Dependent Neural PlasticityLike 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.

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 organisationLinkshttps://www.bobathaustralia.org/Papers and References DiscussedThe Bobath Concept in Contemporary PracticeThe Bobath concept – a model to illustrate clinical practiceLike 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.

1.46 – Intro2.20 – Cathy’s current role3.35 – Career pathway and developing interest in research5.35 – Part time vs FT PhDPhD9.26 – Transition to community walking post stroke12.04 – Refining PhD question with supervisors14.06 – Walking is not enough – impairments from the PhDImproving falls risk & PA in Neuro & Aged populations18.45 –  Tech innovations21.40  – Biofeedback for foot clearance in stroke23.00 – Can it be used in clinical practice?26.59 – Challenges of gait retaining & rehab fitting it all in28.38 – Translating falls evidence to practice in the current model of careClinical Research29.49 – Research grants tips34.06 – NHMRC health professionals training fellowshipCareer progression35.34 – Balancing with life with career progression37.52 – A/prof of physio roles42.20 – Researcher mum lifePapers and References DiscussedEffect of stroke on step characteristics of obstacle crossing               https://www.archives-pmr.org/article/S0003-9993(01)02683-1/fulltextControl of lead and trail limbs during obstacle crossing following stroke               https://academic.oup.com/ptj/article/85/5/413/2805010Linkshttps://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.

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 - Introduction2:10 - Career Pathway3:00 - Inspiration behind the HiMAT4:25 - Why TBI and why running? 7:15 - What to consider when treating TBI patients9:45 - Avoiding compensations, are we delaying independence?11:00 - The mobility hierarchy13:30 - Safety and Improving higher level mobility16:55 - Spasticity in Neurological Rehabilitation19:50 - The state of spasticity and the current arguments21:30 - SPECIFICITY!23:12 - Observation and bias 25:10 - How Gavin created an army of researchers at Epworth Healthcare27:00 - Fellowship, management or researcher: Mentors are essential28:55 - Bridging the gap between researcher and clinician33:40 - How to start your research journey35:25 - Where Gavin's research is going nowLinks:Contact Gavin:[email protected]’s Twitter pageReferences and Papers:Gavin’s University of Melbourne Profile                https://findanexpert.unimelb.edu.au/profile/28437-gavin-williamsEpisode 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.

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 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 - Intro2:29 - Career pathwayNeurodegenerative Diseases, Ataxia and the Cerebellum7:50 - Developing Interest in Ataxia9:00 - Treating the cerebellum the way it's designed10:50 - Early intervention in Neurodegenerative diseases14:00 - Diet & gut health in degenerative diseases15:25 - Developing passion in Neurodegenerative diseases17:35 - Approach to different cerebellar pathologies21:00 - Different types of ataxia Vestibular23:45 - Vestibular screening: change or adaptation?26:00 - Vestibular issues in older people28:05 - Understanding Vesibular Function Testing33:25 - Building Vestibular KnowledgeCareer Progression36:10 - Australian College of Physiotherapists Fellowship39:20 - PhD: integration of sensory, vestibular and motor systems in MS42:52 - Life Balance47:37 - Contacting KatrinaFull 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.

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.

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 - Intro1.45 - Career pathway7.50 - Supervision and Mentoring at NRG10.30 - Developing interest in concussion12.25 - Paediatric concussion research13.45 - Physio role in concussion18.50 - Concussion assessment20.56 - Paediatric persistent concussion intervention25.00 - Outcome measures in persistent concussionCasting in Clinical Practice 30.58 - Serial casting and dynamic casting35.40 - Working with Prosthetists & Orthotists38.00 - Splints as a diagnostic tool41.50 - Learning to Cast PD courseLink 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.

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 0:59Career Pathway 1:25Bone health and glycaemic control post stroke 7:45Upcoming exercise trial 17:23Physio role in diabetes management 20:25Brain inflammation 23:38Animal studies 26:20SRRR 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.

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.