A Neuro Physio Podcast

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.
4.43 Intro
5.30 sec Career Pathway 
8.05 Filling the neuro evidence gap
10.45 Control groups in clinical trials 
13.40 Capturing meaningful improvements with outcome measures 
18.55 Impact of sufficiently funded trials 
20.55 How Janice changed practice across the world 
25.12 Clinicians hesitant about high volume independent practice  
29.30 GRASP program 
31.30 FAME program 
34.53 Walk n’Watch 
37.29 Feedback on performance, do clinicians or patients benefit? 
41.08 Avoiding boredom doing reps 
43.50 Gender issues in rehab trials 
50.15 Matt & Erin's reflection
Links & Resources
Janice's Home Page | Neurorehabilitation Research Program
REACH scale Everyday Arm-use - 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
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A Neuro Physio | Facebook
A Neuro Physio Podcast (@aneurophysio) / X
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 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.

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.

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.

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.