Welcome to A Neuro Physio Podcast. Erin and Matt chat openly with experienced people in the neuro physio world. We highlight the personal story and career pathway of our guests as they share clinical pearls applicable to modern neurological physio practice.
Professor Susan Hillier - Afferent Feedback, Body Schema, Systematic Reviews
Professor Susan Hillier is a Professor of Neuroscience and Rehabilitation and Dean of Research in Allied Health and Human Performance at the University of South Australia. Her teaching and research interests are broadly in neuroscience and rehabilitation. She has particular interest in the role of afferent stimulation and training using multi-modal feedback. Susan is also trained in Feldenkrais and works clinically at the university private practice. She is especially experienced in Cochrane and other Systematic reviews. We cover most of these topics in this episode! – check out the show notes below. Intro 6.16Proprioception 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.hillier
9/27/2022 • 1 hour, 3 minutes
Professor Nora Shields - PA in Young People with Disability
Professor Nora Shields is a prolific researcher in the youth disability space. Dr Shields is a professor of physiotherapy at La Trobe university in Melbourne, Australia. She hails from Ireland completing her Physiotherapy degree and PhD at Trinity College in Dublin, and also holds a Graduate Certificate in Higher Education. Dr Shields developed a program called FitSkills, an innovative program which facilitates young people with disability (YPWD) to exercise with a physiotherapy student mentor, addressing the lack of social support barrier to physical activity for YPWD. Nora tells us about the program and how it’s making a difference to the lives of YPWD as well as physio students. We also chat about the less general skills you learn by doing a PhD and explore some of the social and societal barriers preventing YPWD living their best lives.Nora’s bio – 3.23Intro – 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 - @DrNoraShields
8/30/2022 • 1 hour, 1 minute, 40 seconds
Professor Leeanne Carey - Sensation
This episode is all about understanding the impact of sensory deficit on function after stroke on function, and what to do about it. Dr.Leeanne Carey is the Head of the Neurorehabilitation and Recovery Research Group co-located at the Florey Institute of Neuroscience and Mental Health and La Trobe University. She's also a professor in Occupational therapy at La Trobe university and the developer of SENSe therapy (study of the effectiveness of neurorehabilitation on sensation). We cover the powerful problem of sensory loss, how it can hide from clinicians but why it should be front of mind. There are plenty of clinical takeaways and links and resources to find out more, including referring your patients for sense therapy and attending a course yourself.Intro - 3.42Career 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 pageSENSe websiteStroke 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.aunb SENSe therapy is also being provided at several health care networks in Victoria and NSWRecent Stroke Foundation webinars about SENSeAssessment webinar:https://www.youtube.com/watch?v=o4OwN100bvkTherapy webinar:https://www.youtube.com/watch?v=S-t0gLf5cRgAlso 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
7/26/2022 • 1 hour, 4 seconds
Dr Kelly Bower - Technology in rehabilitation
In this episode, we explore using technology in your clinical practice in a really practical and realistic way with Dr. Kelly Bower who completed her PhD in technology use in rehabilitation. Join us as we discuss Wii, Kinect, newer rehab-specific devices, the evidence base, barriers & facilitators in the clinic and what patients get out of tech - be ready for some surprises here! Kelly also shares her journey through PhD to educator & researcher whilst remaining a clinician. Her story will help others searching for a similar path.Intro - 3.56Career 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!) - 49.40
6/28/2022 • 58 minutes, 39 seconds
Dr Heidi Janssen - Environmental Enrichment
Heidi is the queen of the concept of environmental enrichment to maximise recovery potential post stroke and other neurological conditions. She shares all about her work in this episode, including her latest venture partnering with end users to develop a community model for environmental enrichment (ESTEEM). We also chat about the Yarning Up After Stroke program she co-leads, designed to help Aboriginal and Torres Strait Islander stroke survivors take control of their stroke recovery.4.06 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 Stroke
5/24/2022 • 54 minutes, 27 seconds
Professor Sheila Lennon
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 - INPA
4/26/2022 • 1 hour, 1 minute, 30 seconds
Paul Fink - Father, Motivational Speaker, Podcast host, Stroke Survivor
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 rehabPaul's websitePaul's Podcast on apple podcasts
3/29/2022 • 51 minutes, 34 seconds
Professor Steven Wolf - UL rehab, Asking Why, Future of Neuro rehab
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 effectivenessSteve's Emory University profile http://www.rehabmed.emory.edu/faculty.bios/wolf-steven.htmlResearchGate page https://www.researchgate.net/scientific-contributions/Steven-L-Wolf-2098857052
2/22/2022 • 1 hour, 10 seconds
Professor Prue Morgan - Adults with Cerebral Palsy, Clinical teaching tips
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 opportunitiesPrue's Monash Uni profilePrue's research output
1/25/2022 • 54 minutes
Dr Annie McCluskey - Stroke rehab UL, sexuality
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 togetherTwitter @anniemccluskey2@stroke_edFacebook Annie McCluskey StrokeEdStroke Ed WebpageAnnie's Publication List
12/28/2021 • 49 minutes, 26 seconds
Ann Rahmann - Older Adults, Vestibular, Aquatic Rehab
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 courses6 day vestibular competency course2 day introduction to vestibular courseemail: ann.rahmann@uqconnect.edu.auTwitter: @AnnRahmPT
11/23/2021 • 56 minutes, 40 seconds
Dharsha Petrie - Functional Neurological Disorder
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.Resources discussed:Beatrice Garcin - Motor functional neurological disorders: An updatehttps://europepmc.org/article/med/29609961FND Australia Websitehttps://fndaustralia.com.au/Symptom Management Planhttps://fndaustralia.com.au/resources/FND-Workbook.PDFNeuro Symptoms.Orghttps://neurosymptoms.org/APA Online learningPart 1 https://enrol.apacpdguide.com.au/courses/physiotherapy-in-functional-neurological-disorders-part-1Part 2 https://enrol.apacpdguide.com.au/courses/functional-neurological-disorders-part-2Dharsha's email: dharsha.petrie@health.qld.gov.au
10/26/2021 • 1 hour, 1 minute, 12 seconds
Dr. Marlena Klaic - Implementation Science
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.
9/28/2021 • 1 hour, 18 seconds
Angela Mucic - Brand Physio, Disability & becoming a Business Consultant
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.angela.m@nrah.com.auNeuroRehab Allied Health Network (NRAH) www.nrah.com.auLinked in - https://au.linkedin.com/in/angelamucichttps://www.linkedin.com/company/neurorehab-allied-health-network/Facebook - https://www.facebook.com/NeuroRehab-Allied-Health-Network-251023055106190/2.09 / 3.23 - Intro4.22 - Career pathway9.09 Switching career trajectory11.50 - Communicating with consumers13.42 - Building varied professional & life experience14.53 - Current role18.20 - Brand Physio brand26.50 - People want to go to normal gyms28.19 - Leaving clinical but continuing to draw on it31.07 - The future of the NDIS36.38 - Advice for following Ange's career
8/24/2021 • 42 minutes, 28 seconds
Helena Esmonde - Vestibular Assessment
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 https://vestibularfirst.com/Twitter, Facebook, Instagram - @vestibularfirstCourses Helena recommends:Susan Herdman courses - use google for courses in your areaEmory - 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-programEvidence CEU online - https://evidenceceu.learnworlds.com/pages/homeNorth49 Therapy - Canada online - https://www.north49therapy.com/vestibulartherapytraining/img_5842/Becky Bliss - Runs courses via various US groups. https://healthprofessions.missouri.edu/personnel/rebecca-bliss/
7/27/2021 • 53 minutes, 7 seconds
Professor Coralie English - Stroke, Collaboration and Co-design
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 career5.30 - Career pathway9.21 - Mentors12.07 - Career post PhD15.04 - Breaking Up Sitting Time (BUST)21.08 - Stroke survivors and behaviour change23.40 - i-Rebound26.58 - Jargon busting and adapting language28.30 - Being a serial collaborator32.10 - Celebrating the development of others32.35 - SRRR and ISRRA42.06 - Australian stroke guidelines
6/22/2021 • 49 minutes, 23 seconds
Natalie Fini - Physical Activity after Stroke, Academic & Neuro leadership
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 media
5/18/2021 • 43 minutes, 18 seconds
Fran Brander - Upper Limb @ Queen Square
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 services
4/21/2021 • 52 minutes, 26 seconds
Melissa McConaghy - PD Warrior
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 Trainer
3/16/2021 • 50 minutes, 24 seconds
Ettie Ben-Shabat - Brain Imaging
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 hats
2/16/2021 • 52 minutes, 40 seconds
Sonia Denisenko - Masters of Public Health, Principal Policy Officer, Health System Design
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 Manual - Physios 6+ years in Melbourne/Australia will remember!11.30 - Working at the Victorian Department of Health12.06 - Australian Physio Association 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 post COVID20.55 - 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 Victoria, Telemedicine to improve regional care access, scholarship program33.30 - APA Neurology Committee - broadening perspectives35.37 - Interested in a public health career?38.03 - Safer Care Victoria, Opportunities for secondments40.16 - Quality Improvement Methodology
1/19/2021 • 46 minutes, 5 seconds
Professor Suzanne Kuys - Clinical Masters & Research Higher Degree tips, Stroke Rehab
Professor Suzanne Kuys is the National Head, School of Allied Health at Australian Catholic University. She runs the Masters of Rehabilitation programs available in Neuro Physio, Gero Physio, OT and SP. This episode features the Masters and Undergrad courses at ACU, the 'average' day in the life of an academic, Suzanne's research interests in stroke rehabilitation, and of course her career pathway. Suzanne also shares some expert tips for those thinking about a PhD or other research higher degree.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. High intensity treadmill training for fitness & self management21.55 - 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 academia 36.59 - Undergraduate Physio courses at ACU38.06 - Master of Rehabilitation programs at ACU43.22 - Some of Suzanne's current honours and PhD student research
12/15/2020 • 48 minutes, 50 seconds
Michelle Shannon - Architecture in Healthcare
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 hospitals
11/17/2020 • 45 minutes, 14 seconds
Brendon Haslam - Pain in Neurology
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 Australia
10/13/2020 • 49 minutes, 32 seconds
Professor Lisa Harvey
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 learning
9/15/2020 • 55 minutes, 48 seconds
Caitlin Reid
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 practice
8/11/2020 • 37 minutes, 13 seconds
Janet Stevens
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. Career1.55 Introduction2.56 Career pathway10.30 Bobath instructor training13.01 Clinician as limiting factor to patient potential15:06 Short career span of neuro physioThe Bobath Concept17:10 What is Babath19:14 What is facilitation21:58 Repetition in Bobath24.30 Neurophysiology28.26 Bobath publications29:08 Telehealth with Bobath33:38 Carers to help treatment36:50 Teaching during covidCareers in the Bobath Concept43:31 Pathways to learning Bobath45:04 Tutor training46:48 IBITA as an organisation
7/14/2020 • 51 minutes, 22 seconds
Associate Professor Cathy Said
We welcome Associate Professor Cathy Said back on the show this time to speak about her own research, clinical experience and career journey to expert researcher in falls and mobility in neurological and aged populations. Cathy is the Associate Professor of Physiotherapy in a joint partnership between Western Health and the University of Melbourne. She shares her tips on getting into research as a clinician, accessing funding and using technology in research and clinical practice. As always, we find out a little about the person behind the professional success and how she makes it all happen.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 life
6/16/2020 • 47 minutes, 14 seconds
Associate Professor Gavin Williams
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?Traumatic Brain Injury7:15 - 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 mobilityStrength Training in Neurological Rehab16:55 - Specificity!Spasticity in Neurological Rehabilitation19:50 - The state of spasticity and the current arguments21:30 - SPECIFICITY!23:12 - Observation and BiasResearch in Rehabilitation25:10 - 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 Clinician31:45 - Building the Clinical Researcher role33:40 - How to start your research journey35:25 - Where Gavin's research is going now
5/26/2020 • 44 minutes, 4 seconds
Safe Exercise At Home
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.auCathy 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.
5/13/2020 • 21 minutes, 25 seconds
Katrina Williams
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 ataxiaVestibular23:45 - 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/
4/21/2020 • 49 minutes, 10 seconds
COVID-19 Australian Physiotherapy Association Update - Natalie Fini
A special episode discussing the current landscape of physiotherapy during the COVID-19 pandemic in Australia. We chat with Natalie Fini, Lecturer at University of Melbourne and Chair of the National Neurology Group of the Australian Physiotherapy Association about all the things that the APA and the National neuro group are doing to support us during this time.2:17 - Intro3:30 - Nat's role within the APA4:20 - Summary of what the APA is doingTelehealth:5:30 - Private Health Insurance and Neurological Clients8:00 - Resources for telehealth and remote therapy13:25 - Medicare and telehealth14:15 - The current landscape of servicesEssential Service Physiotherapy:15:15 - What work is the APA doing to keep us essential17:00 - Sub-optimal hospital dischargesBusiness Support:18:20 - What work is the APA doing to support businessesQ&A:19:50 - Staying active during COVID-1921:30 - Safety during telehealth25:20 - Problem solving tech with ABI patients28:25 - Assessments with TelehealthAll links discussed can be found here:http://aneurophysio.com/covid19apa/
4/7/2020 • 33 minutes, 40 seconds
Katie Davies
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 NRGConcussion: 10.30 - 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/
3/10/2020 • 43 minutes
Dr Karen Borschmann
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 1:25PhD: Bone health and glycemic control post stroke 7:45sedentary behaviour post stroke 11:40upcoming exercise trial 17:23physio role in diabetes management 20:25Brain inflammation 23:38Animal studies 26:20Stroke recovery and rehabilitation round table #1 31:30SRRR #2 35:08Stroke service provision for young stroke survivors 38:00Contacts 43:45Outro 45:36Link to episode webpage for Karen's links/references/papers:http://aneurophysio.com/podcast/karenborschmann/
2/11/2020 • 46 minutes, 33 seconds
Associate Professor James McLoughlin
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 Multiple Sclerosis: Walking mechanics: 11:08 Using splints: 14:30 Motor control : Influence on clinical practise: 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 physio's need to choose a career path?: 39:35 Episode webpage for James' links/references/papers:http://aneurophysio.com/podcast/jamesmcloughlin/