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 [...]

Intensive upper limb neurorehabilitation

By |2019-02-19T23:55:20+00:00April 16th, 2019|Journal reviews|

Ward, Brander, Kelly (online early, 2019). Intensive upper limb neurorehabilitation in chronic stroke: outcomes from the Queen Square programme. Journal of Neurology, Neurosurgery & Psychiatry Nick Ward's team at Queen Square (London) have published outcomes of 224 stroke survivors attending their NHS UL rehabilitation programme (a 3-week day program, 90 hours total, up to [...]

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Running a successful journal club

By |2019-02-19T23:51:16+00:00April 9th, 2019|Journal reviews|

Wenke R, O’Shea K, Hilder J, Thomas R & Michakn S. (2019). Factors that influence the sustainability of structured allied health journal clubs: a qualitative study. BMC Medical Education, 19:6. Wenke R, Thomas R, Hughes I, & Mickan S. (2018). The effectiveness and feasibility of TREAT (tailoring research evidence and theory) journal clubs in [...]

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Practice without therapist supervision

By |2019-02-12T05:30:26+00:00April 2nd, 2019|Journal reviews|

Dorsch S, Weeks K, King L, & Polman E (2019). In inpatient rehabilitation, large amounts of practice can occur without therapist supervision: An observational study. Journal of Physiotherapy, 65(1), 23-27. This observational study is freely available online from the Journal of Physiotherapy, and describes a method of mapping what is occurring at any given [...]

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Environmental enrichment in acute stroke units

By |2019-02-12T05:29:21+00:00March 26th, 2019|Journal reviews|

Rosbergen ICM, Grimley RS, Hayward KS, Brauer SG (2019 online early). The impact of environmental enrichment in an acute stroke unit on how and when patients undertake activity. Clinical Rehabilitation. An important study just published in  Clinical Rehabilitation about the outcomes of an enriched acute stroke unit environment (eg Providing i-pads with therapy apps/ideas, [...]

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How many reps???

By |2019-02-12T05:28:34+00:00March 19th, 2019|Practice Tips|

When attempting to learn a new skill, or improve an old one, people often ask – how much practice do I need to do in order to reach my goal? This very same question may be asked by a stroke survivor who wants improve their walking ability, or retrain the use of their arm, [...]

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