By Matt Wingfield & Erin Bicknell
Welcome to A Neuro Physio Podcast. Erin and Matt chat openly with experienced people in the neuro physio world. We highlight the personal story and career pathway of our guests as they share clinic
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The podcast currently has 45 episodes available.
A/Prof Simone Dorsch is a lecturer in neurological physiotherapy at Australian Catholic University in Sydney and a Director at the StrokEd collaboration. Simone holds a Masters of Health Science (Neurological Physiotherapy) and a PhD in increasing strength after stroke from University of Sydney. We spend time talking about strength training after stroke, dose and intensity of practice, courses offered by Stroke Ed including the Upper Limb Stroke Rehab Massive Online Open Course (MOOC) that ran for the first time in June 2024.
There’s chats about empowerment in rehab, the family role, personalising practise and what interventions we should and shouldn’t be using.
0 Intro
23.00 Current roles & career
45.00 MOOC UL stroke rehab
14.45 Stroke Ed courses
17.50 Coaching
21.10 How much to ‘talk’ as a physio
24.20 Empowerment & engagement
29.05 Strength training
32.45 Clinical reasoning framework of TST
35.10 What interventions we should be doing
38.30 Teaching how to practice - how not to scare people off
41.30 Hands-on approaches
44.30 Personalising practise
53.20 Family empowerment
57.10 Definition of Bobath in studies
Links
Simone’s ACU profile
Simone’s X
Simone’s phd papers/ research gate
Stroke Ed website
Caitlin reed episode link
Other StrokeEd presenters episodes:
Dr Annie McCluskey
Dr Kate Scrivener
Resources
Articles discussed in episode:
Xu Wen Eng 2014 Factors Affecting the Ability of the Stroke Survivor to Drive Their Own Recovery outside of Therapy during Inpatient Stroke Rehabilitation
Bobath Systematic reviews:
https://www.sciencedirect.com/science/article/pii/S183695532030103X'
https://www.sciencedirect.com/science/article/pii/S1836955322001151
& so much moreListen on: Apple Podcasts Spotify
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 are chatting with James McQuillan one of the Australian Steelers – the Aussie wheelchair rugby team. Not just that but an Australian Steeler who has had an incredible journey from recreational sportsman to national representative in just over 11 months. In this episode James shares his story, the injury that led him to having a SCI, how he came to be part of the Steelers, and all about Wheelchair Rugby as a sport. He also tells us about being an elite sportsman, his SCI rehab journey, nerve & tendon transfer surgeries to get more function in his upper limbs and some tips for working with people with SCI. Enjoy!
2.00 Intro
2.34 sec Bio
6.44 Wheelchair Rugby
11.48 Classification
13.05 Getting into para sport
17.53 Equipment required
17.54 Fitness for elite wheelchair rugby & SCI
21.46 Role in Aussie Steelers
25.55 Nerve transfer & Tendon transfer surgeries
30.31 Rehab – knowledge, motivation, prioritising
36.12 What rehab clinicians did well
45.12 Reflection
Resources
Forged In Steel - Australian Steelers documentary
Paralympics media release
SCI PT guidelines sciptguide.com
Paralympics websites
https://www.9now.com.au/paralympic-games-paris-2024
https://www.paralympic.org.au/
https://olympics.com/en/paris-2024/paralympic-games
Austin Health Nerve & tendon transfer team
Links
Instagram @jamesmcquillan5
James' LinkedIn
ANZ Smashing through barriers
Paris 2024 Profile
& so much moreListen on: Apple Podcasts Spotify
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 Jess Nolan recently completed her PhD on Lateropulsion. Jess is a physio from Perth, Australia. Her credentials include BSc (Physio) - Curtin Uni, Grad Dip (Neuro Rehab) – UWA, member of ANZSO Emerging Stroke Clinician Scientist Committee, and Physio Working Party for the Stroke Foundation Living Guidelines. Jess worked as a senior physio, a physio coordinator of stroke services and is now at Curtin University in a teaching & research role. This episode is all about Jess’ PhD journey and results. Lots of lateropulsion clinical application in this one.
2.00 sec Intro
2.28 Career pathway/Interest in Lateropulsion
8.45 What is lateropulsion? Can it be mild?
13.20 Prevalence
14.05 Outcome Measures
18.29 Verticality
22.38 Assessing SVV – bucket method
23.00 PhD results - LOS needs, ANSNAP LOS predication accuracy, 1 year outcomes
37.10 Unknown pathophysiology of lateropulsion
40.20 Other components of lateropulsion – SPV – graviception, vestib impairment
43.35 Treatment
49.22 Fear of falling
50.45 Education
53.01 Treatment 2.0
56.28 What’s next for this work
1.04.17 Erin & Matt's reflection
Articles discussed in episode:
Lateropulsion prevalence: Dai 2022 systematic review
Assessment of verticality: Piscicelli & Pérennou 2017
Lesion location: Van Der Waal 2023 systematic review
Thalamic involvement: Rosenzopf 2023
Treatment approaches: Paci 2023 scoping review
Lateropulsion outcome measures: Koter 2017
4 Point Pusher Score validation: Chow 2019
Lateropulsion & falls (inpatient): Lewis, Heinemann...Nolan 2024
Links
Jessica's Linkedin
Twitter @jessnolan__
Check out the episode webpage for Jess' PhD papers
& so much moreListen on: Apple Podcasts Spotify
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 episode is all about codesign. Dr Emily Ramage is a neuro physio & expert in an approach to codesign called Integrated Knowledge Translation. She’s used the methodology through her PhD (codesign of a PA intervention aimed at reducing secondary stroke risk) & in other projects which she speaks about in the episode. Emily's PhD work was piloted as part of the ENAbLE pilot trial involving physical activity AND diet intervention, we heard about it in our episode with Coralie English (season 1 Website Apple podcasts)
Emily’s recently been an Allied Health Research Translation lead in Victoria & an Implementation Research Associate for the international AVERT program at the Florey in Melbourne. She’s affiliated with the University of Newcastle, the University of Melbourne & is a member of the Emerging Leader’s Group for the International Stroke Recovery and Rehabilitation Alliance.
1.47 Introduction
2.05 Career pathway
6.55 Doing a PhD as a mum
11.45 When a PhD is advertised by a researcher team
19.10 End-user collaboration in research
20.20 Emily’s PhD – codesign of PA for secondary stroke risk
25.32 What does codesign mean?
36.00 Power differentials in codesign
39.51 Running IKT workshops – communication; knowledge & language diversity
45.02 Will codesign become a check box?
48.00 World Stroke Organisation Future Leader Program
Articles/Resources discussed in episode:
Fit for purpose. Co-production of complex behavioural interventions. A practical guide and exemplar of co-producing a telehealth-delivered exercise intervention for people with stroke
Secondary prevention of stroke. A telehealth-delivered physical activity and diet pilot randomized trial (ENAbLE-pilot)
iREBOUND
ISRRR – International Stroke Recovery and Rehabilitation Alliance
Stroke Foundation module – Working effectively with people with lived experience to design, conduct and promote stroke research
Links
Link in Marlena Klaic’s ep Victorian AH Research Translation Lead: Website Apple podcasts
Link to Prof Coralie English’s ep: Website Apple podcasts
& so much moreListen on: Apple Podcasts Spotify
Like our podcast and want to support us?
Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
Dr Julie Vaughan-Graham is an IBITA Basic and Advanced Tutor, holds a Masters degree in neuro rehabilitation and a PhD investigating the clinical reasoning process of expert Bobath physiotherapists. She owns her own clinical practice in Toronto, and developed the online iNeuroRehab training courses. Julie also holds a post-doctoral fellowship and adjunct lecturer position with the Department of Physical Therapy, University of Toronto.
This episode focuses on The Bobath Concept, clinical reasoning and the Model of Bobath Clinical practice which Julie co-developed. It picks up from our previous Bobath episodes with Janet Stevens (season 1) and Dr Kim Jennings (season 2), going deeper, and addressing some of the criticisms of the Bobath concept.
2.00 Introduction
2.41 Career pathway
16.20 PhD findings –
How Bobath instructors problem solve & clinically reason
22.00 Model of Bobath Clinical Practice
26.48 Bobath and the RCT
28.45 Applying the Bobath concept – Hemiplegic UL example
36.47 Using sensory cues in Bobath
43.38 Using the Bobath Concept is a skill to develop
47.25 Neuroscience & Bobath
53.50 Movement diagnosis & hypotheses
57.53 Discrete interventions vs Bobath Concept (a framework of intervention)
Papers and References
IBITA Model of Bobath Clinical Practice
Julie's ResearchGate
Professional & Scholarly activities
Links
Julie’s private practice in Toronto, Canada
iNeuroRehab
Julie's LinkedIn
Candanian Bobath Instructors Association profile
Janet Steven’s episode Webpage Apple podcasts
Dr Kim Jennings episode Webpage Apple podcasts
Episode webpage: https://aneurophysio.com/julie-vaughan-graham/
Listen on: Apple Podcasts Spotify
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 pathway
4.38 Friedreich’s ataxia
7.00 How is Friedreich’s ataxia different to the hereditary cerebellar ataxias?
8.36 Phenotypes in neurological conditions and the RCT paradigm
11.20 PhD results
15.02 State of the Friedreich’s ataxia evidence
16.49 Ataxia outcome measures
20.03 Ataxia assessment
24.25 Compensation vs optimal cerebellar functioning
27.00 What can imaging tell us about cerebellar conditions?
29.55 Treatment
36.16 Efficacy vs Effectiveness, challenges of rehab trials
39.23 Aquatic physio for this population
41.43 Episode reflection
Links
Research Gate
PhD - 4 studies – Pilot rehabilitation trial for people with Friedreich’s Ataxia. Clinical audit of LL spasticity relationship with ataxia severity & function. Sensitivity of balance, gait measures and instrumented measures of gait & balance change over time.
University of Melbourne profile
Articles discussed:
Brain Changes Associated with Postural Training in Patients with Cerebellar Degeneration
Home aerobic training for cerebellar degenerative diseases: a randomized controlled trial
Cycling regimen induces spinal circuitry plasticity and improves leg muscle coordination in individuals with spinocerebellar ataxia
Predictors of loss of ambula
& so much moreListen on: Apple Podcasts Spotify
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 therapy
All this culminates in her HiWalk trial which has just finished recruitment.
There’s plenty to take away from this episode.
2.02 Intro – Work roles & life balance, neuro career
7.17 Teaching Neuro
10.21 TRAIN modules
11.42 Career pathway
15.19 Stroke Ed courses – practical ways to apply stroke guidelines
19.44 Australian NSF guidelines – to what setting do they apply?
20.44 Interest in rehab in community sector
23.48 HiWalk project
28.19 Intervention research pipeline - basing research trials on intervention feasibility
31.47 Interest in walking after stroke, PhD
35.48 We need clinical researchers
36.34 Do you need a PhD to be a clinician researcher?
41.22 HiWalk intervention package
43.10 Are reps the best way to quantify dose?
52.10 Kate’s favourite ways to increase dose of therapy
55.36 Post episode reflection
Links
Macquarie Uni profile
Linked In profile
ResearchGate
REPS app – download on Android or link TASK program website
TRAIN program – A clinician’s guide to effective task specific training
Articles discussed in the episode
Stroke survivors have fallen into a ‘black hole’ editorial
Schneider 2016 systematic review – amount of additional usual therapy to improve activity after stroke
Kate’s PhD articles – Exercise dose and mobility outcomes post stroke
& so much moreListen on: Apple Podcasts Spotify
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.
Barby Singer is a Professor in the School of Medical & Health Science at Edith Cowan University in Perth, Western Australia. She is an APA Neurological Physiotherapist, a Fellow of the Australian College of Physiotherapists by Original Contribution in 2011 and has more than 40 years of clinical and academic experience in neurological rehabilitation. Barby has been a key leader in Australia for post-graduate neurological education both at the tertiary level and at the Australian Physiotherapy Association. She has held various roles in the Australian College of Physiotherapists and her passion for positive changes has led to a number of changes in the examination process for Fellowship by Specialisation and the new career pathway framework. In 2021 she was bestowed with the APA’s elite Honoured Member status.
Barby holds a PhD in hypertonicity management, a Post Graduate Diploma in Health Sciences (Neurosciences), a Master of Science and a Diploma Physio which she completed way back in 1980 in Auckland, NZ.
Barby’s research interests include management of spasticity for people with acquired brain injury, self management support for people with long term neuro conditions, measuring outcomes in neuro rehab and interventions to improve recovery of arm function after acquired brain injury.
There is a ton to unpack with Barby but this episode focuses on here thoughts on clinical education both for clinician learning and for patient management, the APA career pathway framework, hypertonicity, and serial casting. We also talk about Advanced practice and physio specialisation in countries and whether pay is sufficient for these highly trained physios. So lots to check out, we hope you enjoy it.
2.02 Intro
3.23 Barby’s varied career
4.40 Physios need to be educators
8.47 APA career framework
12.11 Rural specialist
15.29 Clinical Mentorship in the new career framework
17.47 Industry shortage
21.04 Remuneration for advanced or specialist Physios
24.47 Advanced practice opportunities in neuro
26.19 Barby’s interest in hypertonicity & PhD
31.37 Anterior knee pain botulinum toxin
34.38 Spasticity definition & measurement
38.10 Hypertonicity management - where we’ve gone wrong
43.17 Role of serial casting
52.29 Working with PhD students
58.11 Episode reflection
Links
Barby’s Edith Cowan University Profile page
Barby’s ResearchGate
Barby’s Linked In
APA career pathway framework
Papers Barby talks about in the episode:
Sutherland et al., 2022 - Do randomised controlled trials evaluating functional outcomes followin
& so much moreListen on: Apple Podcasts Spotify
Like our podcast and want to support us?
Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
Dr Kim Jennings is an Advanced Bobath tutor with over 35 years of clinical expertise. Kim became a Bobath Tutor in 2000 and an Advanced Tutor in 2012. She holds a clinical doctorate in physiotherapy at La Trobe University investigating barriers and facilitators to implementation of the Bobath concept and a Master of Public Health from Monash University. We get the lowdown about what sparked her interest in Bobath, what makes people choose to apply it or not apply it in practice, how the concept has changed over time, and where Bobath sits in evidence based practice. She also tells us all about a Clinical Doctorate and what her research found about factions in the neuro physio community.
If you'd like to listen to more of an intro to The Bobath Concept check out Season 1, Episode 9 with Janet Stevens https://aneurophysio.com/janetstevens/
https://podcasts.apple.com/au/podcast/a-neuro-physio-podcast/id1493324068?i=1000484935724
3.00 Intro
3.30 Bobath career pathway
9.03 Working with culturally diverse populations
11.19 IBITA – Tutors around the world
14.30 Who are Bobath courses for?
16.40 How Bobath has changed over time
26.00 What is a clinical doctorate?
29.50 Kim’s research - Implementation of the Bobath concept
45.24 The lack of RCT evidence for Bobath
53.50 Personalisation of rehab
55.10 The need for more research
1:08.40 Episode reflection
Links
Australian Bobath Training Association https://www.bobathaustralia.org/
International Bobath Instructors Training Association https://ibita.org/
British Bobath Tutors Association https://www.bbta.org.uk/
The Bobath Concept has Changed - paper in Journal of Physiotherapy
Listen on: Apple Podcasts Spotify
Like our podcast and want to support us?
Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.
Dr. Simon Mills is the principal clinician in the South Australian Brain Injury Rehabilitation Service. He recently completed his PhD (University of Adelaide) in postural alignment and recovery of mobility after acquired brain injury, focusing on brain injury survivors with severe mobility impairment. Simon has 20 years clinical experience and his research interests include methods for clinical assessment, biomechanics and enhancing effectiveness of rehab intervention.
Intro 4.05
Career Pathway 4.48
Simon’s PhD – postural alignment and mobility in ABI 9.25
The emphasis people put on regaining mobility 14.43
Physio role in cognition 20.46
Measurement of postural alignment 24.40
Why is postural alignment important? 31.04
Interpreting postural observations to find impairments 35.15
Application of results across populations 42.14
Future development of Simon’s research 46.10
Simon's PhD – Postural alignment and recovery of mobility after acquired brain injury – focused on severe mobility impairment
Papers:
Improvement in postural alignment is associated with recovery of mobility after complex acquired brain injury: An observational study
Improving physical mobility is critical for wellbeing in people with severe impairment after an acquired brain injury: a qualitative study
Is there a relationship between postural alignment and mobility for adults after acquired brain injury? A systematic review
Research gate - https://www.researchgate.net/profile/Simon-Mills-3
Twitter - @SimonJMillsPT
Email - [email protected]
& so much moreListen on: Apple Podcasts Spotify
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.
The podcast currently has 45 episodes available.
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