Episodi

  • Professor Leeanne Carey - Sensation

    Professor Leeanne Carey - Sensation
    Jul 26 2022
    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 SENSe website 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 nb SENSe therapy is also being provided at several health care networks in Victoria and NSW 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
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    1 ora
  • Dr Kelly Bower - Technology in rehabilitation

    Dr Kelly Bower - Technology in rehabilitation
    Jun 28 2022
    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
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    59 min
  • Dr Heidi Janssen - Environmental Enrichment

    Dr Heidi Janssen - Environmental Enrichment
    May 24 2022
    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
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    54 min
  • Professor Sheila Lennon

    Professor Sheila Lennon
    Apr 26 2022
    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
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    1 ora e 2 min
  • Paul Fink - Father, Motivational Speaker, Podcast host, Stroke Survivor

    Paul Fink - Father, Motivational Speaker, Podcast host, Stroke Survivor
    Mar 29 2022
    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 Paul's website Paul's Podcast on apple podcasts
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    52 min
  • Professor Steven Wolf - UL rehab, Asking Why, Future of Neuro rehab

    Professor Steven Wolf - UL rehab, Asking Why, Future of Neuro rehab
    Feb 22 2022
    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 Steve's Emory University profile http://www.rehabmed.emory.edu/faculty.bios/wolf-steven.html ResearchGate page https://www.researchgate.net/scientific-contributions/Steven-L-Wolf-2098857052
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    1 ora
  • Professor Prue Morgan - Adults with Cerebral Palsy, Clinical teaching tips

    Professor Prue Morgan - Adults with Cerebral Palsy, Clinical teaching tips
    Jan 25 2022
    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 Prue's Monash Uni profile Prue's research output
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    54 min
  • Dr Annie McCluskey - Stroke rehab UL, sexuality

    Dr Annie McCluskey - Stroke rehab UL, sexuality
    Dec 28 2021
    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 Twitter @anniemccluskey2 @stroke_ed Facebook Annie McCluskey StrokeEd Stroke Ed Webpage Annie's Publication List
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    49 min