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Spasticity Part 4

By |2019-08-23T20:05:37+00:00September 7th, 2019|Movement Analysis & Biomechanics|

Distinguishing between stiffness, contracture and spasticity There are many secondary complications or adaptations which may (or may not) occur after stroke including.  These can include neural (eg hypertonicity) and non-neural adaptations (eg stiffness, contracture, excessive muscle activity associated with compensatory strategies and early skill acquisition).  Because of the lack of agreement about what spasticity [...]

Spasticity Part 3

By |2019-08-23T10:34:19+00:00August 31st, 2019|Movement Analysis & Biomechanics|

Disagreement about the Lance spasticity definition A proposed alternative definition of spasticity by Pandyan et al.   Over the years there has been reluctance to accept the Lance definition of spasticity.  This reluctance seems to arise from the observation that there are many changes to the sensori-motor system that may occur after a stroke.  [...]

Spasticity Part 2

By |2019-08-23T10:16:34+00:00August 24th, 2019|Movement Analysis & Biomechanics|

What is spasticity?Despite many years of debate and investigation there is still no agreement about just what spasticity is, nor a clear understanding of the underlying cause/s of spasticity.  This lack of agreement is shown by the multiple definitions reported in the literature (see Ibuki & Bernhardt 2007 for a review; van den Noort et [...]

Spasticity after stroke: Part 1

By |2019-08-23T10:17:05+00:00August 22nd, 2019|Movement Analysis & Biomechanics|

Spasticity is a word that is often heard when someone’s movement problems after a stroke are being described.  Yet strangely there is little or no agreement as to what spasticity actually is! Here are a few quotes gleaned from medical sites on the internet: “Spasticity is a condition in which certain muscles are continuously contracted. This [...]

Díaz-Arribas et al (2019) systematic review on the effectiveness of Bobath therapy – Part 2: Interpretation and Critical Appraisal

By |2019-06-11T20:43:22+00:00July 28th, 2019|Journal reviews|

Interpretation and Critical Appraisal Methods: Search strategies and inclusions / exclusions: Searching four different databases and reference lists from prior Bobath reviews is a strength of this review. Searching at least two databases helps to ensure relevant trials are not missed. Another strength is the inclusion of non-English publications (ie German, French and Spanish). [...]

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Díaz-Arribas et al (2019) systematic review on the effectiveness of Bobath therapy – Part 1: Synopsis

By |2019-06-11T20:30:51+00:00July 21st, 2019|Journal reviews|

Synopsis Objectives of the review and PICO: To evaluate the effectiveness of the Bobath concept (Intervention) on mobility, motor control of the upper and lower limb including dexterity and gait, balance, and activities of daily living (Outcomes) of stroke survivors (Population), with the effect of other sensorimotor training approaches (Comparators). Search strategies: Searches were conducted [...]

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The Clinical Guidelines for Stroke Management – Part 2

By |2019-05-26T12:37:57+00:00July 14th, 2019|Practice Tips|

By Simone Dorsch and Coralie EnglishAssociate Professor Coralie English is a physiotherapist and a stroke clinical trialist. Her research focuses on understanding the health benefits of physical activity and sedentary behaviour for people after stroke, as well as optimal models of improving walking and arm function early after stroke.This Blog is written in two parts.The [...]

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The Clinical Guidelines for Stroke Management – Part 1

By |2019-05-26T12:34:24+00:00July 7th, 2019|Practice Tips|

By Simone Dorsch and Coralie EnglishAssociate Professor Coralie English is a physiotherapist and a stroke clinical trialist. Her research focuses on understanding the health benefits of physical activity and sedentary behaviour for people after stroke, as well as optimal models of improving walking and arm function early after stroke.This Blog is written in two parts.The [...]

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Cueing of cadence

By |2019-05-26T12:27:58+00:00June 30th, 2019|Practice Tips|

Why train cadence?The walking of stroke survivors is on average half the speed and cadence of people without stroke.What is cadence?Cadence is defined as a rhythmic flow of sounds or music from a metronome or digitally manipulated music. The stroke survivor matches their steps to the beat, promoting more symmetrical steps. Increasing the cadence or [...]

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(Australian) Stroke Foundation guideline recommendations for improving walking after stroke

By |2019-05-26T12:17:38+00:00June 23rd, 2019|Practice Tips|

Article by Simone Dorsch The Stroke Foundation’s clinical guidelines for rehabilitation contain a guideline for improving walking after stroke that is a STRONG recommendation: Stroke survivors with difficulty walking should be given the opportunity to undertake tailored repetitive practice of walking (or components of walking) as much as possible. (French et al. 2016 [173]) [...]

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