The ability to walk is most often the primary goal for people following a stroke. Physiotherapists have many skills in their toolbox that they can use to work towards this goal – one of which is body weight support treadmill training.
The National Stroke Foundation (NSF) has launched the Fight Stroke Campaign to raise awareness of stroke. They want people to understand what stroke is and why it desperately needs attention. The campaign is also about securing funding from the Federal Government for stroke services across the country. Despite being Australia’s second biggest cause of death and a leading cause of disability amongst adults, stroke has never received federal budget funding for implementation of a comprehensive stroke strategy. In order to be a success, the campaign needs the support of as many people as possible. We are urging you to support this campaign.
As physiotherapists we often encounter clients who can stand with some help, but cannot safely pivot or step to move from one location to another, such as from bed to wheelchair or bed to commode. Products like the Sara Stedy may be an option to improve safety, accessibility and reduce the level of assistance required, especially following a stroke.
Categories: Product Review
There of hundreds of different ways, types and methods of strength training out there and if you go to gym there will often be lots of different machines to work different parts of your body. Choosing the type of strength training that is most effective for you in your rehabilitation program is a matter of working backwards from your goal. Do you need to train for endurance, power or function? Do you have very weak muscles that need to be supported or very strong muscles that lack coordination? Your strength training program will depend on many of these factors and your neuro physio will be very helpful in setting you up with the most efficient program for you to continue, either in therapy or outside as an individual program.
CIMT is a form of therapy aimed at increasing the function of an upper limb following stroke of neurological damage. It involves the restraining of the unaffected or “good arm” for periods during the day. It canbe a very effective treatment strategy, but is it for you?
After attending the HSP Workshop in Adelaide in November 2011 and participating in the “Managing and Maintaining Mobility” presentation given by neurophysiotherapist Tamina Levy, on my return to Sydney I decided to pursue neurophysiotherapy as treatment for my HSP condition. I was a little sceptical at first as I had seen numerous physios in the past who were not familiar with HSP so maintaining a positive belief that this treatment would be of benefit to me was my first challenge.....
Categories: Feature Article
Congratulations to four new PD Warrior Instructors who joined us for the PD Warrior training day on Feb 10 and 11th. There are now 10 accredited PD Warrior Instructors in Australia!!
Categories: Events and workshops
I recently joined Advanced Rehab Centre in late August 2012 as a senior neurological physiotherapist. I have been amazed at the different techniques we use in our management of Parkinson’s disease. I have had the pleasure of working with some people with Parkinson’s disease and have had great results that I wanted to share.
A tilt table is a special plinth, or padded table, which is able to tilt and passively bring someone to an upright posture. To stand using a tilt table the patient starts lying down on the table and is then strapped down firmly with straps, usually 3 – at the chest, pelvis and just above the knees, and the feet positioned on a foot plate.. An electric motor then tilts the table anywhere from the flat position through to standing (most models tilt to around 80-85 degrees, just off full vertical), depending on what the patient is able to tolerate. Standing in this manner is completely passive, meaning the patient does not need to produce any effort or muscular activity to remain in this position. Active exercises can play a part in using a tilt table, which can be set up to work leg muscles along with trunk, arm and breathing exercises. Tilt tables are most often used in acute, hospital based care and rehabilitation, but are less commonly used in the community. Reasons for this include cost, space, practicality of use, time issues and real life benefits. However, for some clients regular use of a tilt table can be an important part of their daily routine.
‘Obstacles are those frightful things you see when you take your eyes off your goal’ Goal setting is an important part of your initial assessment in order for your therapy to have the best outcomes. The therapist’s objective in this process is to establish how to best meet your needs. It also allows treatment to be focused on measuring your improvements or progress.