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Posted May 08, 2018 | Category: Ataxia, Cerebral Palsy, Concussion

Did you know that despite the brain being 2% of the mass of the body, it uses 25% of the available oxygen supply?

And did you know that if joined up all the arteries in the brain end to end that it is more than 160,000km long?

That’s a lot of distance to look after, and many places where the arteries could either block up or bleed through, resulting in what we know as stroke.

One of the best ways to look after our blood vessels is by looking after our insides. One key part is diet, and the other is aerobic exercise.

Posted May 07, 2018 | Category: Ataxia, Multiple Sclerosis

Truck drivers concentrate for hours, but don’t apologise for the fact that they need frequent breaks. They know their bodies, they know when it’s time to pull over, because their life depends on it. Sometimes, the journey can be so long and monotonous, that it is so easy to just settle into the same frame of mind. But boredom, heat and sitting still, only compounds the fatigue.

Fatigue. That seemingly ever present, nagging feeling of weight and negativity. The more we get it, the more inertia there is to overcome it. Now we’re on a slippery slope.

So what do they do?

Posted May 07, 2018 | Category: Multiple Sclerosis

In the second post of the series, we examine muscle stiffness and spasticity in MS, and some of the principles.

Last week, we tackled “how do I strengthen a muscle I cannot even use?” This week, we shall address the second most commonly asked question we get in MS:

Q: How do I overcome this muscle stiffness so I can walk better?

A: The obvious way to approach this is to stretch the muscles out regularly so they don’t feel so stiff. While there is some truth to doing this, it isn’t the entire story.

Posted May 07, 2018 | Category: Stroke, Traumatic Brain Injury, Tumours

Many stroke patients of ours have trouble with reaching and grasping objects with their more affected hemiplegic arm. There are many possible causes to this problem, which include motor planning problems such as the lack of trunk stability or the lack of shoulder blade stability, and then selecting the right muscles to produce the desired movement.

Posted May 07, 2018 | Category: Ataxia, Cerebral Palsy, Multiple Sclerosis

In our clinic, we see many neurological patients who come in through our doors with a laboured walking pattern. They may be quadriplegic or hemiplegic, and one of the most obvious problems is walking on a knee that seems to bend backwards more than it should when walking. This is known as hyperextension.

Posted May 07, 2018 | Category: Peripheral Neuropathy

Here’s an article I had the privilege to write last year for Parkinson’s Victoria. Enjoy!

Posted May 07, 2018 | Category: Multiple Sclerosis

In the lead up to MS Awareness Month in May, I shall tackle a question that we always get asked – how should we approach the walking problem in MS?.

I have to say, the most frustrating thing I hear from people with MS is they never really know what they need to do to help their walking when part of their body fails them.

Sounding familiar? Feeling disempowered?

Today, I will answer one of my most frequently asked questions on this subject:

Posted May 07, 2018 | Category: Ataxia, Concussion, Multiple Sclerosis

Balance involves the ongoing interaction between seeing, feeling and orientation in space, and is underpinned by the visual, somatosensory and vestibular systems. Having some understanding of neurology and its systems is important for the rehabilitation of balance, because this cannot be treated with typical strength training principles.

Posted May 07, 2018 | Category: Multiple Sclerosis, Spinal Cord Injury, Stroke

Over the past couple of months, I’ve been wading through some literature about how best my patients can learn. More recently, a patient and I had a robust discussion about the prior experiences he had as a young lad and how that influenced his current ability to learn movement patterns again.

Posted May 07, 2018 | Category: Multiple Sclerosis

There is a common myth amongst many of our patients with multiple sclerosis that the heated pool you find in many leisure and recreational centres around Melbourne are bad for their fatigue.

This is completely untrue.



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