Cueing of cadence
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 [...]
(Australian) Stroke Foundation guideline recommendations for improving walking after stroke
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]) [...]
Advice for therapists from stroke survivor Brian A Beh
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 [...]
Therapist-centered language vs patient-centered language
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 [...]
Semi-supervised practice – Part 3
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 [...]
Semi-supervised practice – Part 2
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 [...]