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. 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 Understanding Hypophosphatemia: Recognition, Diagnosis, and TreatmentEndocrine experts distinguish Hypophosphatemia from osteoporosis & osteomalaciaListen on: Apple Podcasts   Spotify Everything Is Energy with Cathy HellerChange your energy, change your life.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.

    1h 9m
  2. 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 Understanding Hypophosphatemia: Recognition, Diagnosis, and TreatmentEndocrine experts distinguish Hypophosphatemia from osteoporosis & osteomalaciaListen on: Apple Podcasts   Spotify Everything Is Energy with Cathy HellerChange your energy, change your life.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.

    1h 11m
  3. 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 Understanding Hypophosphatemia: Recognition, Diagnosis, and TreatmentEndocrine experts distinguish Hypophosphatemia from osteoporosis & osteomalaciaListen on: Apple Podcasts   Spotify Everything Is Energy with Cathy HellerChange your energy, change your life.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.

    50 min
  4. 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 Understanding Hypophosphatemia: Recognition, Diagnosis, and TreatmentEndocrine experts distinguish Hypophosphatemia from osteoporosis & osteomalaciaListen on: Apple Podcasts   Spotify Everything Is Energy with Cathy HellerChange your energy, change your life.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.

    1h 12m
  5. 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, co Understanding Hypophosphatemia: Recognition, Diagnosis, and TreatmentEndocrine experts distinguish Hypophosphatemia from osteoporosis & osteomalaciaListen on: Apple Podcasts   Spotify Everything Is Energy with Cathy HellerChange your energy, change your life.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.

    59 min
  6. 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 Understanding Hypophosphatemia: Recognition, Diagnosis, and TreatmentEndocrine experts distinguish Hypophosphatemia from osteoporosis & osteomalaciaListen on: Apple Podcasts   Spotify Everything Is Energy with Cathy HellerChange your energy, change your life.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.

    1h 18m
  7. 04/29/2024

    Dr Sarah Milne - Friedreich's Ataxia & the cerebellum

    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. LinkedIn University of Melbourne profile Articles discussed: Brain Changes Associated with Postural Training in Patients with Cerebellar Degeneration Understanding Hypophosphatemia: Recognition, Diagnosis, and TreatmentEndocrine experts distinguish Hypophosphatemia from osteoporosis & osteomalaciaListen on: Apple Podcasts   Spotify Everything Is Energy with Cathy HellerChange your energy, change your life.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.

    47 min
  8. 03/27/2024

    Dr. Kate Scrivener - Therapy dose, Stroke Mobility Outcomes, Teaching Neuro

    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 Understanding Hypophosphatemia: Recognition, Diagnosis, and TreatmentEndocrine experts distinguish Hypophosphatemia from osteoporosis & osteomalaciaListen on: Apple Podcasts   Spotify Everything Is Energy with Cathy HellerChange your energy, change your life.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.

    1h 1m

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.