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.
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 - Introduction
4.33 - Career pathway
6.42 - Consult Physiotherapists (UK)
10.13 - National Hospital for Neurology & Neurosurgery - Queen Square London
12.00 - Rehabilitation Units in the UK - Levels
14.44 - UCL Upper Limb Service
18.18 - Arguing for funding
21.42 - Patient selection
24.37 - Being a national health service
26.55 - Program structure
32.44 - Hands on or hands off
35.47 - Tech in the program
40.28 - What is the most important component?
44.15 - Application of the model to other services
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 - Intro
3.37 - Career pathway
4.20 - Developing PD Warrior
6.10 - PD Warrior framework (4 Pillars)
11.22 - Home practice
15.20 - PD Warrior courses
16.55 - Education for self management
18.38 - Exercise mainstream in PD
22.31 - Clinical expert vs research
24.47 - PD Warrior in Parkinson's Plus
27.28 - Liaising with neurologists
28.54 - PD medications & when to exercise
30.14 - Developing Advanced Rehab Centre
32.41 - Entrepreneurship in physiotherapy
37.00 - Passion & drive
37.31 - Neuro physio specialisation
40.15 - Peer review in practice
42.10 - Employing the right people
43.40 - Doing media
45.21 - Lexo Robotic Gait Trainer
Ettie Ben-Shabat - Brain Imaging
2:30 - Intro
2:59 - Career pathway
4:20 - Clinical Mentor
9:00 - PhD
12:30 - Brain Imaging: Function vs Structural
17:35 - What can we read from brain imaging?
21:00 - Using brain imaging to inform clinical choices
22:00 - Case studies discussion using neuroimaging
28:05 - TMS and current implications to practice
30:10 - Clinical relevance of imaging findings
33:55 - Learning brain imaging
41:40 - Radiologists vs Rehab Clinician's perspective of imaging
42:30 - Brain imaging PD courses
44:00 - Teaching techniques
46:40 - You don't need to have it all planned out!
49:55 - Research, Clinical and Teaching: wearing different hats
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 - Intro
1.43 - Career pathway
6.40 - Neuro Outcome Measures Manual - Physios 6+ years in Melbourne/Australia will remember!
11.30 - Working at the Victorian Department of Health
12.06 - Australian Physio Association Committee & Titling as an APA Neuro Physio
13.14 - Masters of Public Health, PhD or MBA?
15.55 - Skills physios bring to public health
19.00 - Sonia's average day post COVID
20.55 - Establishing community day-hospitals in Victoria
22.50 - Sonia's average day pre COVID
27.01 - Remote working before COVID
28.33 - Victorian Clinical Stroke Network - 10 stroke units across Victoria, Telemedicine to improve regional care access, scholarship program
33.30 - APA Neurology Committee - broadening perspectives
35.37 - Interested in a public health career?
38.03 - Safer Care Victoria, Opportunities for secondments
40.16 - Quality Improvement Methodology
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 - Intro
2.53 - Career pathway
5.40 - Queensland Health Advanced Clinician
9.40 - Starting PhD - Increasing active therapy using a treadmill
14.25 - Demonstrating to physios that treadmills are beneficial for gait training
18.55 - Current research - the IMPACT trials. High intensity treadmill training for fitness & self management
21.55 - The PhD journey
24.02 - Where to start when you're thinking about doing research - get talking to people
26.31 - Ideas for contacting research mentors
28.00 - Average work day
31.06 - Moving from clinical to academia
36.59 - Undergraduate Physio courses at ACU
38.06 - Master of Rehabilitation programs at ACU
43.22 - Some of Suzanne's current honours and PhD student research
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 - Intro
2:54 - Pathway to PhD
7:10 - Building up experience in research
12:31 - How can the environment influence outcomes?
17:44 - Flexible furnishings
19:39 - What patient groups is this relevant for?
20:29 - Living lab model
21:57 - Giving patients environmental options
25:11 - What can we change now?
28:17 - Changing the environment in outpatient care
29:40 - Physios doing too much for their patients
31:58 - Affordance of the environment to encourage interaction
33:28 - Opportunities for social, cognitive and physical rehab
36:05 - Mental practice & Observing other people
37:15 - Single room designs
40:58 - Architect knowledge in designing hospitals