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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 08, 2018 | Category: Concussion, Tumours, Vestibular

As footy finals season heats up, the adrenaline kicks in and the pressure is on, elite players put their bodies on the line in the quest for supremacy. It’s riveting stuff but I do pray every time I watch a game of footy that nobody gets a concussion.

A concussion is a form of traumatic brain injury. From kids playing at school to the elderly falling at home, concussion is a very real risk across the lifespan that can have devastating effects. In particular, I find that that younger people are more prone to developing post concussion syndrome and even second impact syndrome.

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: 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: Spinal Cord Injury, Stroke, Traumatic Brain Injury

This is a question we get all the time, but the real question is, what is the sling for?

There are many slings out there you can buy, and most of them are used for people with a fractured or dislocated shoulder, or with problems with their acromioclavicular joint following sporting injuries. This means that you have a range of slings that can be classified into two forms of functions: 1) the rest the shoulder in, or 2) to support the shoulder during extreme movement in sporting activities.

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: Concussion, Tumours, Vestibular

In this 3 part series, you will learn about what the vestibular system actually is, what questions are important to ask during assessment and lastly how you actually recover from it.

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

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 08, 2018 | Category: Multiple Sclerosis, Stroke, Traumatic Brain Injury

Muscles respond to strengthening, but brains aren’t muscles. So why are we strengthening the body that doesn’t move well when there is a problem with the brain?

When I ask my patients who have suffered a stroke why they think they can’t stand, walk or move their arm, they go:

“Because the muscles are weak!”

“And so, what do we need to do?”, I ask.

“We need to strengthen them!”



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