A5007311654- Stroke Rehabilitation and Recovery
- Cerebral Palsy and Movement Disorders
- Acute Ischemic Stroke Management
- Musculoskeletal pain and rehabilitation
- Botulinum Toxin and Related Neurological Disorders
- Balance, Gait, and Falls Prevention
- Rheumatoid Arthritis Research and Therapies
- Clinical practice guidelines implementation
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Diabetic Foot Ulcer Assessment and Management
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Autoimmune and Inflammatory Disorders Research
- Dysphagia Assessment and Management
- Trauma and Emergency Care Studies
- Osteoarthritis Treatment and Mechanisms
- Injury Epidemiology and Prevention
- Lower Extremity Biomechanics and Pathologies
- Nerve Injury and Rehabilitation
- Foot and Ankle Surgery
- Occupational Therapy Practice and Research
- Dementia and Cognitive Impairment Research
- Motor Control and Adaptation
- Emergency and Acute Care Studies
- Telemedicine and Telehealth Implementation
- Delphi Technique in Research
University of Manchester
2016-2025
Temple University
2024
Manchester Academic Health Science Centre
2017-2023
University of Edinburgh
2023
Bateman Horne Center
2023
Institute of Genetics and Cancer
2023
University of Alberta
2023
Institute for Bioengineering of Catalonia
2021
Manchester Metropolitan University
2021
University of Salford
2007-2019
Abstract Background and Purpose. Balance disability is common after stroke, but there little detailed information about it. The aims of this study were to investigate the frequency balance disability; characterize different levels identify demographics, stroke pathology factors, impairments associated with disability. Subjects. subjects studied 75 people a first-time anterior circulation stroke; 37 men, mean age was 71.5 years (SD=12.2), 46 (61%) had left hemiplegia. Methods. Prospective...
To characterize the nature of sensory impairments after stroke, identify associated factors, and assess relationships between impairment, disability, recovery.Prospective cross-sectional survey 102 people with hemiparesis following their first stroke. Tactile proprioceptive sensation in affected arm leg were measured using Rivermead Assessment Somatosensory Perception 2-4 weeks post-stroke. Demographics, stroke pathology, weakness, neglect, recovery documented.Tactile impairment was more...
Background: Stroke causes communication impairments but we lack the real-world population-level data needed to inform inpatient and community services. Aims: To establish prevalence of aphasia dysarthria within stroke survivors, describe those affected, amount therapy they receive their outcomes.Methods & Procedures: Secondary analysis from Sentinel National Audit Programme, England, Wales Norther Ireland, including survivors after 72 hours, with completed Institute Health Scale...
To assess the effect of a hinged ankle foot orthosis (AFO) on functional mobility and gait impairments in people with severe hemiplegia undergoing rehabilitation, to investigate patients' views AFO.With/without group comparison, face-to-face questionnaire.Twenty-five subjects over 18 years, following cerebrovascular accident (CVA) rehabilitation regional unit.Functional Ambulation Categories as measure disability. Paper walkways impairments--stride length, step symmetry, cadence velocity....
Objective: To contribute to the reliability and validity of a series functional balance tests for use post stroke. Design: Within-session, test-retest intertester was tested using kappa coefficient intraclass correlations. The were performed three times first third attempts compared test within-session reliability. repeated few days later assess scored simultaneously by two physiotherapists criterion-related with sitting section Motor Assessment Scale, Berg Balance Scale Rivermead Mobility...
Objective. To examine the influence of balance disability on function and recovery after stroke consequently to assess predictive validity Brunel Balance Assessment (BBA). Methods. Cross-sectional study 102 patients admitted consecutively 6 National Health Service hospitals with weakness 2 4 weeks their first anterior circulation stroke; 75 whom completed follow-up assessment at 3 months. The BBA was assessed during admission compared Barthel Index Rivermead Mobility Results. strongest...
To identify why the National Clinical Guideline recommendation of 45 minutes each appropriate therapy daily is not met in many English stroke units.Mixed-methods case-study evaluation, including modified process mapping, non-participant observations service organisation and delivery, documentary analysis semi-structured interviews.Eight units four regions.Seventy-seven patients with stroke, 53 carers 197 unit staff were observed; 49 patients, 50 131 participants interviewed.Over 1000 hours...
Background. Upper-limb impairment in patients with chronic stroke appears to be partly attributable an upregulated reticulospinal tract (RST). Here, we assessed whether the impact of corticospinal (CST) and RST connectivity on motor skill-acquisition differs sub-acute stroke, using transcranial magnetic stimulation (TMS)-based proxy measures. Methods. Thirty-eight survivors were randomized either reach training 3-6 weeks post-stroke (plus usual care) or care only. At 3, 6 12 post-stroke,...
Objective: To establish baseline measurements of trunk movements during hemiplegic gait, to assess the relationship between and walking ability, investigate effect aids on movements. Method: Twenty subjects with a chronic hemiplegia from stroke, who could walk independently, were recruited. Lateral vertical pelvis, symmetry these measured using CODA (a three-dimensional movement analysis system) as walked at their own pace without an aid. They also tested they stick tripod different aids....
Objective: To assess the quality of process discharge from hospital and follow-up services for people with stroke. Design: A criterion-based audit basic outcome measures, combined surveys patients' satisfaction staff opinion service. Setting: All units treating stroke patients in a health care district including an acute community NHS trust, 23 participating GP practices. Subjects: Process audit: documented notes 98 admitted discharged over four-month period. Patient survey: 93 surviving...
Objective: To report the psychometric properties of Brunel Balance Assessment (BBA), a new test balance disability post stroke. Design: Data from 92 subjects were collected and cohorts used to hierarchical scaling, reliability validity. 80 people scaling using an inter-item correlation for redundancy, coefficient reproducibility (CR) scalability (CS) hierarchy Cronbach's alpha internal consistency. Thirty-seven participated in testing. Test / retest inter-tester tested kappa coefficient. The...