A Neuro Physio Podcast

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 clinical pearls applicable to modern neurological physio practice.

  1. 9h ago

    Haseel Bhatt - Parkinson's and Functional Movement Disorders

    Haseel Bhatt is a neurological physiotherapist, researcher and adjunct lecturer at the University of Toronto. He holds a Bachelor of Science in Kinesiology and completed graduate studies at the Movement Disorders Research and Rehabilitation centre in Waterloo, Ontario, Canada before studying physiotherapy. His primary research focus has been in Functional Movement Disorders and freezing of gait in Parkinson’s disease and he now runs his own practice Neurology Rehab in the Durham Region, Ontario. Haseel regularly posts evidence-based educational content on his Instagram page @parkinsonsphysiotherapy We cover his unique career pathway, why he developed his social media page, the latest in evidence-based Parkinson’s management including how to assess for targeted intervention. We also discuss the right time and care for FND, anxiety as a cause of freezing of gait, visuo-motor issues in PD and burnout in neuro physio.   Let us know what you think! 1.45 Career pathway  7.10 Transitioning from research to clinical  13.05 Social media as an allied health professional   18.40 FND - Evidence-based physio on social media, rehab readiness 26.00 Haseel’s approach to explaining FND   29.05 What are we missing in physio for Parkinson’s?  36.05 eye movements in Parkinson’s  44.55 Body systems assessment in Parkinson’s  52.51 Burnout in neuro physio  Resources/links:  Haseel’s physiotherapy practice website  https://neurologyrehab.com/  Instagram: @parkinsonsphysiotherapy Haseel's Courses  FND PT/OT 2-Day Course Waitlist (clinician-focused): https://neurologyrehab.kit.com/2bb52170b8Self-Paced FOG Course (for caregivers and patients with PD-FOG): https://courses.neurologyrehab.com/courses/freezing-courseArticles Haseel discussed in the episode: Exercise & physiotherapy efficacy for Parkinson's Nature Reviews Neurology updated review Anxiety & Neuropsychiatric Symptoms (Non-Pharmacological Approaches)  Anxiety is associated with freezing of gait and attentional set-shifting in Parkinson's disease  Does anxiety cause freezing of gait in Parkinson's disease?   Factors Influencing Triage to Rehabilitation in Functional Movement Disorder  Integrated model of care for functional movement disorder: targeting brain, mind and body   Eye Training & Gait Stability  Functional Dystonia Rehabilitation  Doorway Sampling & Freezing Tracy Tan's work on PD gaze in cluttered environments (graduate thesis) Eghotez Martens on illuminated doorways and freezing - second most freezing when only seeing the doorframe illuminated Lab findings on doorway sampling during dual-task (when FOG is most vulnerable) Mini BESTest  International Consortium for Freezing of Gait – Updated definition of FOG    Ky Wynne Journal of Physiotherapy - Burnout in physiotherapy article   Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can. A Neuro Physio | Facebook A Neuro Physio Podcast (@aneurophysio) / X LinkedIn 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.

  2. May 11

    Professor Janice Eng - Stroke rehab, Large translational trials,

    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 & Resources REACH 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 - ScienceDirect Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can. 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.

  3. 12/10/2024

    Dr Vivienne Travlos - Neuro-respiratory, MND, NMD

    Dr Vivienne Travlos is a Respiratory Physiotherapist at the MND Association of Western Australia and Principal Physio at Breathe Physio. She has a PhD, MSc of (Management of hildhood Disability) a GradCert in university teaching. This episode is all you want to know about neuro respiratory. We chat neuromuscular disorders, respiratory pathophysiology and disease, night respiration, airway clearance, assessment and measurement, intervention according to severity. Also heard answers to listeners questions - evidence base, physio role across the complex disability continuum of care. 2.03 Welcome & Career Pathway 8.59 PhD – Adolescents with NMD physical health & mental wellbeing 12.59 What are neuromuscular disorders? What resp issues occur? 18.25 Night respiration issues 21.49 NIV 26.15 Lung volume recruitment 31.00 Airway clearance 39.46 EBP in neuro respiratory 43.19 Key outcome measures 49.22 Lung tissue integrity 52.49 Future proofing 1.00.44 Reflection Links & Resources Email: vivienne.travlos@gmail.com Physiotherapists: A vital part of MND multi-disciplinary care Viviennes' LinkedIn Vivienne's phd papers/ research gate Neuro Respiratory Physiotherapy Academy (Jac Agostinello) MND Western Australia MND Victoria Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.

  4. 10/07/2024

    A/Prof Simone Dorsch - Strength training after stroke, Dosage & Intensity, Personalising practise

    A/Prof Simone Dorsch is a lecturer in neurological physiotherapy at Australian Catholic University in Sydney and a Director at the StrokEd collaboration. Simone holds a Masters of Health Science (Neurological Physiotherapy) and a PhD in increasing strength after stroke from University of Sydney. We spend time talking about strength training after stroke, dose and intensity of practice, courses offered by Stroke Ed including the Upper Limb Stroke Rehab Massive Online Open Course (MOOC) that ran for the first time in June 2024. There’s chats about empowerment in rehab, the family role, personalising practise and what interventions we should and shouldn’t be using. 0 Intro 23.00 Current roles & career 45.00 MOOC UL stroke rehab 14.45 Stroke Ed courses 17.50 Coaching 21.10 How much to ‘talk’ as a physio 24.20 Empowerment & engagement 29.05 Strength training 32.45 Clinical reasoning framework of TST 35.10 What interventions we should be doing 38.30 Teaching how to practice - how not to scare people off 41.30 Hands-on approaches 44.30 Personalising practise 53.20 Family empowerment 57.10 Definition of Bobath in studies Links Simone’s ACU profile  Simone’s X  Simone’s phd papers/ research gate LinkedIn  Stroke Ed website Caitlin reed episode link  Other StrokeEd presenters episodes: Dr Annie McCluskey  Dr Kate Scrivener Resources Articles discussed in episode: Xu Wen Eng 2014 Factors Affecting the Ability of the Stroke Survivor to Drive Their Own Recovery outside of Therapy during Inpatient Stroke Rehabilitation Bobath Systematic reviews:  https://www.sciencedirect.com/science/article/pii/S183695532030103X' https://www.sciencedirect.com/science/article/pii/S1836955322001151 Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.

  5. 08/27/2024

    James McQuillan - Australian Steelers, person with SCI

    We are chatting with James McQuillan one of the Australian Steelers – the Aussie wheelchair rugby team. Not just that but an Australian Steeler who has had an incredible journey from recreational sportsman to national representative in just over 11 months. In this episode James shares his story, the injury that led him to having a SCI, how he came to be part of the Steelers, and all about Wheelchair Rugby as a sport. He also tells us about being an elite sportsman, his SCI rehab journey, nerve & tendon transfer surgeries to get more function in his upper limbs and some tips for working with people with SCI. Enjoy! 2.00 Intro 2.34 sec Bio 6.44 Wheelchair Rugby 11.48 Classification 13.05 Getting into para sport 17.53 Equipment required 17.54 Fitness for elite wheelchair rugby & SCI 21.46 Role in Aussie Steelers  25.55 Nerve transfer & Tendon transfer surgeries 30.31 Rehab – knowledge, motivation, prioritising 36.12 What rehab clinicians did well  45.12 Reflection Resources Forged In Steel - Australian Steelers documentary Paralympics media release  SCI PT guidelines sciptguide.com Paralympics websites https://www.9now.com.au/paralympic-games-paris-2024 https://www.paralympic.org.au/ https://olympics.com/en/paris-2024/paralympic-games Austin Health Nerve  & tendon transfer team Links Instagram @jamesmcquillan5 James' LinkedIn ANZ Smashing through barriers Paris 2024 Profile Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.

  6. 07/29/2024

    Dr Jessica Nolan - Lateropulsion

    Dr Jess Nolan recently completed her PhD on Lateropulsion. Jess is a physio from Perth, Australia. Her credentials include BSc (Physio) - Curtin Uni, Grad Dip (Neuro Rehab) – UWA, member of ANZSO Emerging Stroke Clinician Scientist Committee, and Physio Working Party for the Stroke Foundation Living Guidelines. Jess worked as a senior physio, a physio coordinator of stroke services and is now at Curtin University in a teaching & research role.  This episode is all about Jess’ PhD journey and results. Lots of lateropulsion clinical application in this one.  2.00 sec Intro 2.28 Career pathway/Interest in Lateropulsion 8.45 What is lateropulsion? Can it be mild? 13.20 Prevalence 14.05 Outcome Measures 18.29 Verticality 22.38 Assessing SVV – bucket method 23.00 PhD results - LOS needs, ANSNAP LOS predication accuracy, 1 year outcomes 37.10 Unknown pathophysiology of lateropulsion 40.20 Other components of lateropulsion – SPV – graviception, vestib impairment 43.35 Treatment 49.22 Fear of falling 50.45 Education 53.01 Treatment 2.0 56.28 What’s next for this work 1.04.17 Erin & Matt's reflection Articles discussed in episode: Lateropulsion prevalence: Dai 2022 systematic review  Assessment of verticality: Piscicelli  & Pérennou 2017  Lesion location: Van Der Waal 2023 systematic review Thalamic involvement: Rosenzopf 2023    Treatment approaches: Paci 2023 scoping review  Lateropulsion outcome measures: Koter 2017 4 Point Pusher Score validation: Chow 2019    Lateropulsion & falls (inpatient): Lewis, Heinemann...Nolan 2024 Links Jessica's Linkedin Twitter @jessnolan__ Check out the episode webpage for Jess' PhD papers Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.

  7. 06/24/2024

    Dr Emily Ramage - Codesign, World Stroke Emerging Leader, ENAbLE trial

    This episode is all about codesign. Dr Emily Ramage is a neuro physio & expert in an approach to codesign called Integrated Knowledge Translation. She’s used the methodology through her PhD (codesign of a PA intervention aimed at reducing secondary stroke risk) & in other projects which she speaks about in the episode. Emily's PhD work was piloted as part of the ENAbLE pilot trial involving physical activity AND diet intervention, we heard about it in our episode with Coralie English (season 1 Website    Apple podcasts) Emily’s recently been an Allied Health Research Translation lead in Victoria & an Implementation Research Associate for the international AVERT program at the Florey in Melbourne. She’s affiliated with the University of Newcastle, the University of Melbourne & is a member of the Emerging Leader’s Group for the International Stroke Recovery and Rehabilitation Alliance. 1.47 Introduction 2.05 Career pathway 6.55 Doing a PhD as a mum 11.45 When a PhD is advertised by a researcher team 19.10 End-user collaboration in research 20.20 Emily’s PhD – codesign of PA for secondary stroke risk 25.32 What does codesign mean? 36.00 Power differentials in codesign 39.51 Running IKT workshops – communication; knowledge & language diversity 45.02 Will codesign become a check box? 48.00 World Stroke Organisation Future Leader Program Articles/Resources discussed in episode: Fit for purpose. Co-production of complex behavioural interventions. A practical guide and exemplar of co-producing a telehealth-delivered exercise intervention for people with stroke Secondary prevention of stroke. A telehealth-delivered physical activity and diet pilot randomized trial (ENAbLE-pilot) iREBOUND  ISRRR – International Stroke Recovery and Rehabilitation Alliance Stroke Foundation module – Working effectively with people with lived experience to design, conduct and promote stroke research Links Link in Marlena Klaic’s ep Victorian AH Research Translation Lead:  Website    Apple podcasts Link to Prof Coralie English’s ep: Website    Apple podcasts Emily’s LinkedIn  World Stroke Bio  Twitter @emilyrramage Email – emily.ramage@florey.com.au Episode webpage: http://aneurophysio.com/emily-ramage Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.

  8. 05/27/2024

    Dr Julie Vaughan-Graham

    Dr Julie Vaughan-Graham is an IBITA Basic and Advanced Tutor, holds a Masters degree in neuro rehabilitation and a PhD investigating the clinical reasoning process of expert Bobath physiotherapists. She owns her own clinical practice in Toronto, and developed the online iNeuroRehab training courses. Julie also holds a post-doctoral fellowship and adjunct lecturer position with the Department of Physical Therapy, University of Toronto.  This episode focuses on The Bobath Concept, clinical reasoning and the Model of Bobath Clinical practice which Julie co-developed. It picks up from our previous Bobath episodes with Janet Stevens (season 1) and Dr Kim Jennings (season 2), going deeper, and addressing some of the criticisms of the Bobath concept. 2.00     Introduction 2.41 Career pathway  16.20 PhD findings –  How Bobath instructors problem solve & clinically reason 22.00 Model of Bobath Clinical Practice  26.48 Bobath and the RCT  28.45 Applying the Bobath concept – Hemiplegic UL example 36.47 Using sensory cues in Bobath 43.38 Using the Bobath Concept is a skill to develop  47.25 Neuroscience & Bobath 53.50 Movement diagnosis & hypotheses 57.53 Discrete interventions vs Bobath Concept (a framework of intervention) Papers and References IBITA Model of Bobath Clinical Practice Julie's ResearchGate Professional & Scholarly activities Links Julie’s private practice in Toronto, Canada iNeuroRehab Julie's LinkedIn Candanian Bobath Instructors Association profile Janet Steven’s episode Webpage    Apple podcasts Dr Kim Jennings episode Webpage     Apple podcasts Episode webpage: https://aneurophysio.com/julie-vaughan-graham/ Like our podcast and want to support us? Share the show with your friends & colleagues, give us a rating on your podcast platform or Buy us a coffee. Matt & Erin run the podcast out of their own time and resources. We'd love to update our recording equipment & cover our podcast publishing costs. Buy us a coffee if you can.

Ratings & Reviews

5
out of 5
2 Ratings

About

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.

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