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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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Advice for therapists from stroke survivor Brian A Beh

By |2019-06-18T13:10:56+00:00June 19th, 2019|Practice Tips|

Brian Beh is a 71-year-old stroke survivor who sustained a left lacunar stroke in April 2016. A retired management consultant and corporate communications executive, Brian is no stranger to confronting and managing corporate change in the business world. As a pioneer of change management in Australia, this background and experience assisted Brian during his [...]

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Therapist-centered language vs patient-centered language

By |2019-05-26T11:50:47+00:00June 16th, 2019|Practice Tips|

Stand in a rehabilitation gym, listen to the communication between therapists and patients, and think about how to describe that communication. Does the communication mostly centre on what the therapist wants the patient to do for them? The following transcript comes from just one minute of a therapy session. Push, very good, excellent, now [...]

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Semi-supervised practice – Part 3

By |2019-05-26T11:32:00+00:00June 9th, 2019|Practice Tips|

This is the third of a three-part blog series on semi-supervised practice. This blog describes how to use equipment to increase the safety and effectiveness of semi-supervised practice. Man with a stroke practising a step-up exercise Environment set-up for safety Wall on unaffected side Height adjustable table in front Chair [...]

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Semi-supervised practice – Part 2

By |2019-05-26T10:43:56+00:00June 2nd, 2019|Practice Tips|

This is the second of a three-part blog series on semi-supervised practice. This blog will describe how to adapt the physical environment of a gym to make setting up semi-supervised easier. The third blog in this series will describe how to use equipment to increase the safety and effectiveness of semi-supervised practice. To enable semi-supervised [...]

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Semi-supervised practice – Part 1

By |2019-05-26T10:32:25+00:00May 26th, 2019|Practice Tips|

This is the first of a three-part blog series on semi-supervised practice. This blog will discuss the what is meant by the term semi-supervised practice, why this mode of practice might be used, and the education needed for staff, patients and relatives to implement semi-supervised practice in rehabilitation. The following three blogs will contain more [...]

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An update on useful online stroke resources

By |2019-05-05T11:30:06+00:00May 14th, 2019|Additional Resources|

Kate has been busy recently developing a number of online resource packages. These include resources for both stroke survivors and therapists! There are currently two research projects being conducted about these programs. TRAIN is being investigated by a survey pre and post program completion and TASK is being investigated in a feasibility study. We [...]

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Goal-oriented instructions and Practice Intensity

By |2019-05-02T21:00:10+00:00May 7th, 2019|Practice Tips|

This is a study that I did in order to examine the impact of instructions on how hard people work  - the results show a dramatic change in sit to stand performance with simple but deliberate changes in the instructions given Simone Goal-oriented instructions can increase the intensity and amount of practice completed by [...]

Goal-oriented instructions

By |2019-04-23T12:34:14+00:00April 30th, 2019|Practice Tips|

This within participant repeated measures study examined the effect of using goal-oriented instructions compared to a non-specific baseline instruction in stroke survivors. The participants did the same exercise across three days, their rate of repetitions was measured with a baseline non-specific instruction first and then they were given one of three goal-oriented instructions (in [...]

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Spasticity after stroke: Part 1

By |2019-03-04T20:10:31+00:00April 23rd, 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 [...]