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Posted May 14, 2018 | Category: Multiple Sclerosis, Stroke, Tumours

In this second part of the vestibular series, we will discuss the physiotherapy approach to assessing vestibular disorders and dysfunction.

Because describing symptoms of vestibular dysfunction is so personal, subjective and at times emotional, a person-centred assessment must be undertaken to fully understand the extent and severity of the problem. In short, the best way to start treating the inner ear is to lend them one.

Posted May 14, 2018 | Category: Cerebral Palsy, Stroke, Traumatic Brain Injury

Music therapy helps people with stroke walk better.

Ever since I heard about the amazing anecdotal success of patients with Parkinson’s disease magically transforming with dancing and music, I began to do a bit of research of my own into the idea of music therapy for people with neurological conditions.

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

If seven years is anything to go by, it’s the fact that seeing 6 patients a day, 5 days a week, 40 weeks a year means I would have had 8400 exercise programs to learn something from.

That means I practically eat, sleep and dream of exercise programs. If exercise were a drug, I would be your shady crack dealer, handing them out to unsuspecting ladies with walkers left right and centre.

But how do we make our exercises more addictive?

Well, here are 7 great ways to make that happen.

Posted May 08, 2018 | Category: Stroke

For quite some time now there has been considerable interest in the use of mirror therapy for the rehabilitation of motor function in stroke, specifically in the upper limb which has historically been a difficult area to rehabilitate mainly because it is much more complex than the lower limb (more on this in a future post).

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

Mental imagery has received much attention in the scientific literature because it’s been shown to be helpful in neurological and pain rehabilitation.

It seems simple doesn’t it? That we must first be able to conceptualise and plan what the task is like before we know how we should go about doing it.

Posted May 14, 2018 | Category: Stroke, Tumours, Vestibular

You may find it interesting to know that the use of exercises in treating vestibular conditions, is a relatively old method dating back to the 1940’s and was mostly based on experiences of patients who were trying to recover from them.

It was not until the 1990’s that we began to understand the what, how and why of exercises that shape how we rehabilitate from vestibular conditions today, and much credit goes to Ms Susan Herdman, physical therapist, researcher and professor for her immense contribution to this area.

Posted May 08, 2018 | Category: Spinal Cord Injury, Stroke, Traumatic Brain Injury

The treadmill guru researchers are back – this time they looked at whether speed of walking determines the effectiveness of treadmill training in chronic stroke.

Dean, Ada and Lindley are well respected researchers who have looked in the effectiveness and usefulness of treadmill training for people with stroke, from the very early and using body weight, to the late ones who lives amongst us.

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

Have you ever hit your funny bone? In actual fact, the funny bone is not a bone at all but the ulnar nerve, which supplies about a quarter of the muscles in your arm. But what happens if it is more serious than that?

First, a quick lesson on human physiology.

What is a nerve?

A nerve is a cord like structure that is made up bundles of conductive tissue that forms the peripheral nervous system. Before they branch off from the brain and spinal cord to become nerves, they are called tracts.

Nerves are organised very much like a big fat sushi roll.

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

Few of us stop to understand fully what is involved in walking, an activity we often take for granted, until something goes wrong. In people with a neurological condition, returning to normal walking can be a challenging task. All too often people learn to use compensatory muscle groups and strategies in an attempt to create efficient forward movement.

Walking is primarily governed by powerful actions of 3 main muscle groups. But first, you must understand the following graphic:

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

The body is a complex creature with millions and millions of connections that come from the brain and spread throughout the nervous system. These connections that follow tracts or pathways carry signals for sensation, movement and the body’s automatic systems like blood pressure control and digestion.

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