#PhysioTalk Transcript

Healthcare social media transcript of the #PhysioTalk hashtag.
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ULHT Physiotherapy @ULHT_Physio
Falls within a Neuro population discussion about to start! Why not get involved by using #PhysioTalk. Great for CPD and a full transcript available after! @PhysioTalk https://t.co/ACIcggWddE
physiotalk @physiotalk
Good evening and welcome to tonights #Physiotalk
physiotalk @physiotalk
Tonights #physiotalk is hosted by @acpin_sw and supported by @rebspartridge @jolockyear1 from @plymuniphysio
Joe Middleton @_JoeMiddleton
Good evening @physiotalk #physiotalk
physiotalk @physiotalk
If you are taking part, lurking, watching – whatever! Say hello and where you are from! #physiotalk
physiotalk @physiotalk
And please remember to include the hashtag in all your tweets – its quite important! (And you don’t want me tweeting out loads of reminders…) #physiotalk
Ben Ellis @bendotellis
@physiotalk Hello! Joining from a Brummy winter wonderland #physiotalk
Susan Coote @susancoote
#physiotalk hello from Limerick
Hilary Gunn @hilsgunn
@physiotalk Hi everyone- hilary here! #physiotalk
Donncha Lane - Physio @DonnchaLanePT
Hello from London…….carrying the on-call bleep and hoping I don’t get called in the next hour #physiotalk
Glyn Blakey @saeboukglyn
RT @physiotalk: And please remember to include the hashtag in all your tweets – its quite important! (And you don’t want me tweeting out lo…
Susan Cotton @susancotton18
Evening all! Susan here, physio in Fife #physiotalk
physiotalk @physiotalk
@ACPIN_SW Sorry - but a hashtag reminder :) #physiotalk
Univeristy Of Plymouth Physio Society @PlymUniPhysio
Here we go students! We're off!! If you're online, say hello! #physiotalk https://t.co/G1sikBw5CF
Natalie Patterson @PhysioNatalie
@physiotalk multitasking with #physiotalk and my dissertation research proposal in front of the fire.
Jo Lockyear @Jolockyear1
Any students out there?? #physiotalk
James Armstrong @PhysioArmstrong
Ready and waiting :) Looking forward to this @RebsPartridge @Jolockyear1 @PlymUniPhysio #physiotalk
Leah Devlin @Leahdevlin1989
@physiotalk Hello from North Wales .. first time using this so just planning on watching! #physiotalk
Amanda Denton @adentonpu
Hi Amanda here lecturer and education lead for ACPIN #physiotalk
Samantha Turner @mampy1985
@physiotalk Hello.. I'm a near OT & lecture from @OTPlymouthUni #physiotalk
South West ACPIN @ACPIN_SW
@Leahdevlin1989 @physiotalk don't be shy - join in! #physiotalk
Mrs Deslow @ellier1987
@physiotalk Hello on the late shift in Hackney #physiotalk
physiotalk @physiotalk
Great to see so many of you ready to go! Just a final reminder to include #Physiotalk in ALL your tweets during the chat please
Joe Middleton @_JoeMiddleton
@Leahdevlin1989 @physiotalk That's what we all say on the first time! Don't be afraid to chip in!!! #physiotalk
South West ACPIN @ACPIN_SW
RT @physiotalk: Great to see so many of you ready to go! Just a final reminder to include #Physiotalk in ALL your tweets during the chat p…
amanda deaves @adeaves
#physiotalk Hello all, I’ll be dipping in and out tonight. But will defo catch up later!
Ben Ellis @bendotellis
@_JoeMiddleton @Leahdevlin1989 @physiotalk #doubleentendre #physiotalk
Jo Kitchen @JoFallsPhysio
@physiotalk Another Brummy snowed in one here #physiotalk
George Gavoyannis @gavoyannis
RT @PhysioArmstrong: Ready and waiting :) Looking forward to this @RebsPartridge @Jolockyear1 @PlymUniPhysio #physiotalk
physiotalk @physiotalk
OK - lets get going with the first question of the evening #physiotalk
Angie Logan @logan_angie
@physiotalk Abgie here! Hello #physiotalk
Alison Worsfield @arw987
@physiotalk Alison, Gloucestershire, sort of doing other things too but will check in when I can #physiotalk
James Armstrong @PhysioArmstrong
RT @EllieR1987: @physiotalk Hello on the late shift in Hackney #physiotalk
Jo Lockyear @Jolockyear1
Hello from Plymouth! we are here, we are facilitating the talk tonight #physiotalk #everyonegetinvolved #plymouthphysio @PlymUniPhysio
Angie Logan @logan_angie
@physiotalk Hello! Angie here in Cornwall #physiotalk
physiotalk @physiotalk
Q1. Is falls assessment and management a routine part of your practice within neuro setting? #physiotalk
Rebecca Partridge @rebspartridge
Hello!! Ready for this next hour! Looking forward to hearing you all tonight! #physiotalk
Univeristy Of Plymouth Physio Society @PlymUniPhysio
RT @ADentonPU: Hi Amanda here lecturer and education lead for ACPIN #physiotalk
South West ACPIN @ACPIN_SW
RT @physiotalk: Q1. Is falls assessment and management a routine part of your practice within neuro setting? #physiotalk
James Armstrong @PhysioArmstrong
RT @ADentonPU: Hi Amanda here lecturer and education lead for ACPIN #physiotalk
alison warren @alisonfwarren
RT @ACPIN_UK: Reminder to all you tweeting neurophysios to join tonight’s #physiotalk on falls in neuro conditions from 8pm tonight! https:…
physiotalk @physiotalk
@madonblizzard Hi - a quick reminder to use #Physiotalk in your tweets during the chat!
James Armstrong @PhysioArmstrong
RT @Jolockyear1: Hello from Plymouth! we are here, we are facilitating the talk tonight #physiotalk #everyonegetinvolved #plymouthphysio @P
Ben Ellis @bendotellis
@physiotalk It was when I practiced in community neuro team #physiotalk
Joe Middleton @_JoeMiddleton
A1. Don't work in an exclusively neuro setting but yes, yes it is. #physiotalk
physiotalk @physiotalk
@hilsgunn Hi- you need to include the hashtag so that people following can 'see' your tweets #physiotalk
Samantha Turner @mampy1985
@physiotalk In my previous setting in Neuro outpatients our joint OT/PT ax inc. qu related to falls & PT's completed Berg balance screen #physiotalk
Pamela Hansford @PamKHphysio
Looking forward to #physiotalk (Cape Town 10pm) My passion, neurology, the complex dynamic sensorineuromotor system that allows us to integrate mind & body in function through life Can we move from problem focus eg falls prevention to enhancing structure+performance+Wellbeing?
Rebecca Partridge @rebspartridge
@physiotalk Students what falls assessments have you seen on your neuro placements? #physiotalk
James Armstrong @PhysioArmstrong
RT @RebsPartridge: @physiotalk Students what falls assessments have you seen on your neuro placements? #physiotalk
Joe Middleton @_JoeMiddleton
Althought, personally don't like the word 'routine'. #physiotalk
Andy MacKellar @madonblizzard
RT @saeboukglyn: @physiotalk Can you plug this please before #physiotalk tonight, might keep @bendotellis quiet https://t.co/3U4vaAORS1
Ben Ellis @bendotellis
@physiotalk It was a key aspect of our long term neurological conditions enquiry in the new LTC module at Brookes #physiotalk
Donncha Lane - Physio @DonnchaLanePT
@physiotalk Yes! I assume all my patients are an increased risk of falling until proven other-wise……not that risk of falling is every negated completely. And I try to talk pragmatically as possible to patients about falls risk - and that some wobbles can be okay #physiotalk
George Gavoyannis @gavoyannis
@physiotalk #physiotalk can't speak for qualified physios, but it's definitely something that us #students don't focus on enough! @thecspstudents
alison warren @alisonfwarren
RT @mampy1985: @physiotalk In my previous setting in Neuro outpatients our joint OT/PT ax inc. qu related to falls & PT's completed Berg ba…
physiotalk @physiotalk
RT @DonnchaLanePT: @physiotalk Yes! I assume all my patients are an increased risk of falling until proven other-wise……not that risk of fal…
South West ACPIN @ACPIN_SW
RT @DonnchaLanePT: @physiotalk Yes! I assume all my patients are an increased risk of falling until proven other-wise……not that risk of fal…
South West ACPIN @ACPIN_SW
RT @gavoyannis: @physiotalk #physiotalk can't speak for qualified physios, but it's definitely something that us #students don't focus on e…
Andrew Bateman @ozcboss
RT @saeboukglyn: @physiotalk Can you plug this please before #physiotalk tonight, might keep @bendotellis quiet https://t.co/3U4vaAORS1
Donncha Lane - Physio @DonnchaLanePT
@physiotalk Additionally I am a big fan of trying to look at the bigger picture of falls assessment - using appropriate outcome measures for the person in front of me but remembering this isn’t the be all and end all either #physiotalk
South West ACPIN @ACPIN_SW
#physiotalk how are we defining falls?
South West ACPIN @ACPIN_SW
RT @DonnchaLanePT: @physiotalk Additionally I am a big fan of trying to look at the bigger picture of falls assessment - using appropriate…
Jo Lockyear @Jolockyear1
@gavoyannis @ACPIN_SW @physiotalk @thecspstudents Why do you think this is? Is this because of a lack of content covered in your programme? Lack competence in this area? #physiotalk
Jive Hackey @jivehackney
RT @EllieR1987: @physiotalk Hello on the late shift in Hackney #physiotalk
ULHT Physiotherapy @ULHT_Physio
Follow each question and comment with #PhysioTalk https://t.co/LUztLdWiLG
Natalie Patterson @PhysioNatalie
@physiotalk On my 1st placement only so far as to ask how many falls MS patients had had in the last week, it was assumed they were all at risk. On my 2nd every elderly person neuro or not had a modified rivermead on admission #physiotalk
Angie Logan @logan_angie
@physiotalk I'm a physio researcher and I routinely Ax & Rx falls for both my NHS patients and research participants. Often asking questions and giving advice to patients, relatives & Residential & Nursing Homes too #physiotalk
alison warren @alisonfwarren
RT @DonnchaLanePT: @physiotalk Additionally I am a big fan of trying to look at the bigger picture of falls assessment - using appropriate…
physiotalk @physiotalk
@ACPIN_SW A good question - are we all familiar with usual definition of a fall? #physiotalk
Amanda Denton @adentonpu
@physiotalk Is anyone using other measures apart from Berg? #Physiotalk
South West ACPIN @ACPIN_SW
RT @ADentonPU: @physiotalk Is anyone using other measures apart from Berg? #Physiotalk
Ben Ellis @bendotellis
@physiotalk @ACPIN_SW "A fall is defined as an event which results in a person coming to rest inadvertently on the ground or floor or other lower level" - WHO def #physiotalk
Darragh Mc Gee @dmgphysio
@RebsPartridge @physiotalk For falls assessment I have use the tinetti test and berg balance test in placement #PhysioTalk
South West ACPIN @ACPIN_SW
RT @bendotellis: @physiotalk @ACPIN_SW "A fall is defined as an event which results in a person coming to rest inadvertently on the ground…
physiotalk @physiotalk
RT @bendotellis: @physiotalk @ACPIN_SW "A fall is defined as an event which results in a person coming to rest inadvertently on the ground…
Donncha Lane - Physio @DonnchaLanePT
@ADentonPU @physiotalk I hope so! The Berg is one of my pet hates…..a useful measure for only a few individuals. I also like Dynamic Gait Index, Five Time Sit to Stand Test, Functional Gait Assessment, HiMAT to name a few…..#physiotalk
Susan Cotton @susancotton18
#physiotalk Q1 we are inpatient rehab - I think we ask all patients about falls history, but are less 'routine' with falls screening/assessment
James Armstrong @PhysioArmstrong
It’s face paced tonight on #physiotalk and @PlymUniPhysio very own. @RebsPartridge and @Jolockyear1 hosting https://t.co/zwxjHWe0bY
Susan Coote @susancoote
unfortunately none of the objective measures are good at identifying people with #MS who fall #physiotalk
Blaithín Hadjisophocleous @blaithin_h
@physiotalk Hello from snowy Manchester ❄ #physiotalk
Samantha Turner @mampy1985
@DonnchaLanePT @ACPIN_SW @physiotalk Being aware of the home environment and the potential impact this could have on falls is key #physiotalk
Ben Ellis @bendotellis
@ADentonPU @physiotalk I would hope so.... But I'm gonna guess 80% + of OMs done for falls/balance is Berg in UK #physiotalk
South West ACPIN @ACPIN_SW
RT @DonnchaLanePT: @ADentonPU @physiotalk I hope so! The Berg is one of my pet hates…..a useful measure for only a few individuals. I also…
physiotalk @physiotalk
@DonnchaLanePT @ADentonPU HiMat?? #Physiotalk
Caroline @cjneurophysio
RT @ACPIN_SW: Looking forward to being the 1st @ACPIN_UK committee (as far as we know!) to organise a #physiotalk tweetchat tonight at 8pm!…
Jo Lockyear @Jolockyear1
@hilsgunn @physiotalk Is there a problem in the reporting of falls or is it because trips are classified as falls.. don't forget #physiotalk
LifeTimeShine @lifetimeshine
RT @PamKHphysio: Looking forward to #physiotalk (Cape Town 10pm) My passion, neurology, the complex dynamic sensorineuromotor system that a…
James Armstrong @PhysioArmstrong
RT @bendotellis: @physiotalk @ACPIN_SW "A fall is defined as an event which results in a person coming to rest inadvertently on the ground…
physiotalk @physiotalk
RT @susancoote: unfortunately none of the objective measures are good at identifying people with #MS who fall #physiotalk
Samantha Turner @mampy1985
@susancoote I agree and there is also a lack of acknowledgement on the psychological impact of falls on an individuals independence #physiotalk
Donncha Lane - Physio @DonnchaLanePT
@physiotalk @ADentonPU High Level Mobility Assessment Tool - one of a few outcome measures validated in the Traumatic Brain Injury population….I challenge any of us to try and score top marks on it! #physiotalk
Leah Devlin @Leahdevlin1989
@physiotalk Yes .. falls screening/ assessment tools used with most neuro outpatients #physiotalk
South West ACPIN @ACPIN_SW
RT @mampy1985: @DonnchaLanePT @ACPIN_SW @physiotalk Being aware of the home environment and the potential impact this could have on falls i…
Univeristy Of Plymouth Physio Society @PlymUniPhysio
RT @PhysioArmstrong: It’s face paced tonight on #physiotalk and @PlymUniPhysio very own. @RebsPartridge and @Jolockyear1 hosting https://t.…
Ben Ellis @bendotellis
@DonnchaLanePT @ADentonPU @physiotalk I'm a big advocate of the BESTest, have brought it into UG curriculum at Brookes #physiotalk
Hilary Gunn @hilsgunn
@physiotalk Tricky though- the ‘f word’ conversations can be full of ‘well yes, no, maybes... when is a slip, trip, stumble a fall etc! #physiotalk
physiotalk @physiotalk
@susancoote Yes - q coming up about specific neuro populations :) #Physiotalk
Anita 🇮🇪🇪🇺 @anitareilly12
@ADentonPU @physiotalk We find BBS has ceiling effects pretty quickly so use modified CTSIB with all patients and then something more condition/patient specific if needed.. #physiotalk
James Armstrong @PhysioArmstrong
I'm only a 1st year watching and learning on my first ever #physiotalk :) Really interesting so far https://t.co/sC5kIuYsHR
Jo Young @handyotjo
@WinderAsInMere Just in case you didn't know!! 😂 https://t.co/CeL6SBfM6U
Hilary Gunn @hilsgunn
@DonnchaLanePT @ADentonPU @physiotalk Me too!!! I’m having a bit of a thing with miniBEST .... #physiotalk
South West ACPIN @ACPIN_SW
@DonnchaLanePT @physiotalk @ADentonPU Great to have measures that are suited to high level patients too #physiotalk
Susan Coote @susancoote
@bendotellis @DonnchaLanePT @ADentonPU @physiotalk i'm also a BEST - well mini BEST fan , but i'm not sure there is any evidence for its predictive validity for falls in MS? #physiotalk
Donncha Lane - Physio @DonnchaLanePT
@hilsgunn @physiotalk Perhaps we get too wrapped up in the word (which may or may not be appropriate) - instead of supporting people to problem solve around falls/trips/stumbles to improve their confidence etc #physiotalk
physiotalk @physiotalk
@DonnchaLanePT @ADentonPU Thanks - not a population I treat :) #Physiotalk
Natalie Patterson @PhysioNatalie
@ADentonPU @physiotalk #physiotalk As an assistant at winchester we did tinettis as they were quicker and easier to remember as a TA you didn't need the qualified there to sign it off.
South West ACPIN @ACPIN_SW
RT @hilsgunn: @physiotalk Tricky though- the ‘f word’ conversations can be full of ‘well yes, no, maybes... when is a slip, trip, stumble…
Andy MacKellar @madonblizzard
@ADentonPU @physiotalk not here or at Manchester where I worked before #physiotalk
Donncha Lane - Physio @DonnchaLanePT
@hilsgunn @ADentonPU @physiotalk Love it! And a great one for students to learn and appreciate the various aspects of balance - except for getting the bloody perfect sized ramp! #physiotalk
Alison Worsfield @arw987
@physiotalk In my setting (Hospice) many list falls as a key concern, so assessing it is required in order to be focusing on their priorities. #physiotalk
alison warren @alisonfwarren
RT @DonnchaLanePT: @hilsgunn @physiotalk Perhaps we get too wrapped up in the word (which may or may not be appropriate) - instead of suppo…
physiotalk @physiotalk
A reminder of Q1 - asks about management as well as assessment of falls #Physiotalk
Jo Lockyear @Jolockyear1
Students we want to know your opinions on this topic #physiotalk #getinvolved
Ben Ellis @bendotellis
@susancoote @DonnchaLanePT @ADentonPU @physiotalk I wouldn't use it to predict for falls, but to try and work out what the changeable risks relating to balance are. The falls themselves are dependent on so many other factors #physiotalk
Natalie Patterson @PhysioNatalie
@ACPIN_SW There is an @MDTea_podcast on falls and they define them on there #physiotalk
Univeristy Of Plymouth Physio Society @PlymUniPhysio
RT @Jolockyear1: Students we want to know your opinions on this topic #physiotalk #getinvolved
Chris Lovegrove @CLovegrove_OT
RT @Jolockyear1: Students we want to know your opinions on this topic #physiotalk #getinvolved
George Gavoyannis @gavoyannis
@physiotalk @DonnchaLanePT @ADentonPU #physiotalk how regularly would you define as 'routine' in a clinical setting?
South West ACPIN @ACPIN_SW
RT @Jolockyear1: Students we want to know your opinions on this topic #physiotalk #getinvolved
Susan Coote @susancoote
@bendotellis @DonnchaLanePT @ADentonPU @physiotalk Completely agree, it's not just about balance, lots of interacting factors #physiotalk
Samantha Turner @mampy1985
@physiotalk Management should include a joint OT/PT ax of home env to ascertain any trip hazards / barriers in daily life #physiotalk
Prof Vicki Goodwin MBE @VickiG_physio
Dislike assessments trying to establish fall risk. Ask people if they have fallen and any circumstances. #physiotalk
Andy MacKellar @madonblizzard
@physiotalk @ACPIN_SW would be good if folks put up a definition #physiotalk
Ben Ellis @bendotellis
@heatherpearce7 @susancoote @DonnchaLanePT @ADentonPU @physiotalk Brief BESTest is also new addition to the range (so to speak!), still short but keeps all aspects of the systems framework represented #physiotalk
Cornwall Chatter @cornwallchatter
RT @logan_angie: @physiotalk Hello! Angie here in Cornwall #physiotalk
Anita 🇮🇪🇪🇺 @anitareilly12
@physiotalk Yes.. dealing mainly with degenerative Neuro conditions whereby a bad fall/fracture can accelerate mobility loss it’s a key part of our assessment and ongoing management #physiotalk
South West ACPIN @ACPIN_SW
RT @AnitaReilly12: @physiotalk Yes.. dealing mainly with degenerative Neuro conditions whereby a bad fall/fracture can accelerate mobility…
George Gavoyannis @gavoyannis
#physiotalk been here about 15 minutes and already learning loads, such an inspiring community! Grateful that us baby physios can learn so much form the experienced! 😂 https://t.co/j1xTN3I9RW
Hilary Gunn @hilsgunn
@PamKHphysio We like to discuss ‘safe mobility’ #physiotalk
Glyn Blakey @saeboukglyn
RT @ADentonPU: @physiotalk Is anyone using other measures apart from Berg? #Physiotalk
Donncha Lane - Physio @DonnchaLanePT
@VickiG_physio But where assessments are looking at various components of balance - it can be useful as a starting point for treatments or the likes….I tell my patients we are all at risk of falling and its about reducing it if we can #physiotalk
physiotalk @physiotalk
@madonblizzard @ACPIN_SW Here is a link that includes the WHO definition https://t.co/z9mHqFrsVQ #Physiotalk
CSP Midlands Students @MidCSPstudents
RT @physiotalk: Q1. Is falls assessment and management a routine part of your practice within neuro setting? #physiotalk
Glyn Blakey @saeboukglyn
RT @gavoyannis: #physiotalk been here about 15 minutes and already learning loads, such an inspiring community! Grateful that us baby physi…
Pamela Hansford @PamKHphysio
@physiotalk #physiotalk (Cape Town 10pm) My passion neurology, the complex dynamic sensorineuromotor system that allows us to integrate mind & body in function through life Can we move from problem focus eg falls prevention to enhancing Structure+Performance+Confidence+Wellbeing?
Ben Ellis @bendotellis
@susancoote @DonnchaLanePT @ADentonPU @physiotalk Agree. Stopping falls is easy - just sit in a chair all the time. Reducing falls whilst maintaining or increasing activity and independence is a balancing act (don't excuse the pun!) #physiotalk
ULHT Physiotherapy @ULHT_Physio
RT @physiotalk: Q1. Is falls assessment and management a routine part of your practice within neuro setting? #physiotalk
physiotalk @physiotalk
Ok - onto a linked Q2 next #Physiotalk
Joe Middleton @_JoeMiddleton
The overriding falls risk factor = bipedal (or monopedal!) ambulation #physiotalk https://t.co/hbOLpiZHZz
Donncha Lane - Physio @DonnchaLanePT
Management of falls - it depends on what I find……hopefully individual #physiotalk
physiotalk @physiotalk
Q2. When and how do you identify if a neuro patient has an increased falls risk? #physiotalk
Susan Coote @susancoote
Q2 having a previous fall is probably the best indicator of increased fall risk #physiotalk
South West ACPIN @ACPIN_SW
RT @physiotalk: Q2. When and how do you identify if a neuro patient has an increased falls risk? #physiotalk
Jive Hampshire @jivehampshire
RT @PhysioNatalie: @ADentonPU @physiotalk #physiotalk As an assistant at winchester we did tinettis as they were quicker and easier to reme…
Susan Cotton @susancotton18
@DonnchaLanePT @VickiG_physio #physiotalk I agree, the screening tools can highlight individuals strengths, therefore inform our 'rehab' suggestions/options
Jive Manchester @jivemanchester
RT @madonblizzard: @ADentonPU @physiotalk not here or at Manchester where I worked before #physiotalk
#hellomynameis Adele @ABNeurophysio
RT @DonnchaLanePT: @ADentonPU @physiotalk I hope so! The Berg is one of my pet hates…..a useful measure for only a few individuals. I also…
Joe Middleton @_JoeMiddleton
Management of falls #physiotalk https://t.co/cAc0Asw5rZ
Donncha Lane - Physio @DonnchaLanePT
@physiotalk I assume and tell all my patients we are all at risk of falling - and my job is to see can we reduce it…….I do like to assess balance objectively and ask them - without making them think I will be mad/upset #physiotalk
James Armstrong @PhysioArmstrong
As a 1st year student at @PlymUni we started looking at gait and assessment today. So interesting and it highlights the complexity in just keeping ourselves upright at all. #physiotalk
Jo Lockyear @Jolockyear1
@hilsgunn @ADentonPU @DonnchaLanePT @physiotalk How do you management this response? #physiotalk
physiotalk @physiotalk
Lots of mention of the BEST test (and variants) Info here: https://t.co/Wn58ITFkwQ #Physiotalk
Rebecca Partridge @rebspartridge
Students how have you seen clinicians identifying falls risk on placements? #physiotalks https://t.co/AFzGG0goC2
Ben Ellis @bendotellis
@DonnchaLanePT @hilsgunn @ADentonPU @physiotalk Tend to go for a 2D wobble board wedged up on a medium step from the standard 3 step set? #physiotalk
Donncha Lane - Physio @DonnchaLanePT
@Jolockyear1 @hilsgunn @ADentonPU @physiotalk I tell my patients that wobbles and falls happen - its how we learn from them and carry on is the skill (assuming there is no bad injury that needs addressing!) #physiotalk
Jonnie McCrea @JonnieMcC
@ADentonPU @saeboukglyn @physiotalk #Physiotalk BDL 4/44 equal to Berg 50/56, approx. But gait analysis, cognition, joint position sense, dept perception, sensation, etc also important.
Caroline @cjneurophysio
@DonnchaLanePT @physiotalk @ADentonPU I like the Activities Specific Balance Confidence Scale (ABC Scale) - it's not a risk assessment but gives a good indication of anxiety related to balance when used with other measure #physiotalk
Hilary Gunn @hilsgunn
@DonnchaLanePT @ADentonPU @physiotalk We have used it to guide/ tailor treatment in our MS falls trial- great to highlight various balance components!! Our fab tech built us one!! #physiotalk
#hellomynameis Adele @ABNeurophysio
RT @DonnchaLanePT: @physiotalk @ADentonPU High Level Mobility Assessment Tool - one of a few outcome measures validated in the Traumatic Br…
South West ACPIN @ACPIN_SW
What about other comorbodities contributing to falls risk? and how do we adapt our assessment and management to accomodate this? #physiotalk
Anita 🇮🇪🇪🇺 @anitareilly12
@physiotalk We undertake falls classes with our at risk groups. Work on floor to chair transfers where possible and educate regarding avoidable risks. Accepting disease progression/mobility decline and need for new aids can be a challenge so needs delicate approach on occasions #physiotalk
physiotalk @physiotalk
A first reminder to remember the hashtag please - a few starting to creep through without! #physiotalk #physiotalk #physiotalk #physiotalk
Donncha Lane - Physio @DonnchaLanePT
@CJNeuroPhysio @physiotalk @ADentonPU I quite like this as well - and validated in lots of populations……I often find patients balance confidence goes down with balance rehab in some cases - as their insight increases #physiotalk
Danielle Munford @munforddanielle
@hilsgunn @DonnchaLanePT @physiotalk So often patients blame themselves for falling! They say they feel like a burden on their family - often avoiding activity at all to reduce feeling like a burden #physiotalk
Susan Coote @susancoote
@CJNeuroPhysio @DonnchaLanePT @physiotalk @ADentonPU psychosocial aspects v important to measure, and can be risk factors in themselves #physiotalk
Jo Lockyear @Jolockyear1
Great reply and so true! Don't forgot #physiotalk https://t.co/Yk9Lc407Qu
South West ACPIN @ACPIN_SW
don't forget the #physiotalk!
Donncha Lane - Physio @DonnchaLanePT
@hilsgunn @ADentonPU @physiotalk My Dad made and varnished 2 beautiful wooden ones - one donated to @TheNeuroPhysios and one…….at home in Ireland in an attic #physiotalk
James Armstrong @PhysioArmstrong
RT @ACPIN_SW: What about other comorbodities contributing to falls risk? and how do we adapt our assessment and management to accomodate t…
Susan Coote @susancoote
@MunfordDanielle @hilsgunn @DonnchaLanePT @physiotalk and many wont "admit" to falling in case people stop them from doing what they want to #physiotalk
Joe Middleton @_JoeMiddleton
@physiotalk History taking, understanding of pathology, objective assessment (power, ROM, balance, function, cognition, sensory impairment), and so on. But determining the 'level' of risk isn't really the aim. #physiotalk
Angie Logan @logan_angie
@ADentonPU @physiotalk #physiotalk I like the mini-BEST. Most measures tend to be for patients who are ambulant. The majority of my patients are immobile but can still have falls from chair/bed/toilet or during transfers.
South West ACPIN @ACPIN_SW
Great point #physiotalk https://t.co/XckcMjJwS0
Ben Ellis @bendotellis
@_JoeMiddleton Asked a classroom full of 2nd year physio students how many had fallen in past year a couple of weeks ago... Around 75% had #physiotalk
South West ACPIN @ACPIN_SW
RT @MunfordDanielle: @hilsgunn @DonnchaLanePT @physiotalk So often patients blame themselves for falling! They say they feel like a burden…
Amanda Denton @adentonpu
@DonnchaLanePT @CJNeuroPhysio @physiotalk @DonnchaLanePT it would be interesting to measure community ambulation alongside or activity monitor? #physiotalk
Hilary Gunn @hilsgunn
@MunfordDanielle @DonnchaLanePT @physiotalk Absolutely- plus pavements, cats, dogs, weather etc- external focussed #physiotalk
Samantha Turner @mampy1985
@SophiaHulbert @physiotalk Completely agree- important not to lose sight of the great impact a fall can have on a pt's confidence, motivation and engagement in meaningful ADL's #physiotalk
ULHT Physiotherapy @ULHT_Physio
RT @physiotalk: Q2. When and how do you identify if a neuro patient has an increased falls risk? #physiotalk
#hellomynameis Adele @ABNeurophysio
RT @DonnchaLanePT: @VickiG_physio But where assessments are looking at various components of balance - it can be useful as a starting point…
Janet Thomas @JanetThomas47
@bendotellis @_JoeMiddleton Indeed! Something we all need to remember (and something I've asked my students too!) #physiotalk
#hellomynameis Adele @ABNeurophysio
RT @physiotalk: @madonblizzard @ACPIN_SW Here is a link that includes the WHO definition https://t.co/z9mHqFrsVQ #Physiotalk
James Armstrong @PhysioArmstrong
Can we manage individuals anxiety by giving individuals at risk of falling the tools to get themselves up from the floor? Reverse fall. Totally made this up so please tell me it's silly... #physiotalk
Prof Vicki Goodwin MBE @VickiG_physio
@DonnchaLanePT @Jolockyear1 @hilsgunn @ADentonPU @physiotalk More likely me to say sorry I've fallen #physiotalk
George Gavoyannis @gavoyannis
@bendotellis @_JoeMiddleton #physiotalk just makes you think twice about the underlying cause of a fall. Sometimes more difficult to pinpoint than it seems
physiotalk @physiotalk
Nearly half way through already - so onto a more specific question around falls management #physiotalk
Alison Worsfield @arw987
@physiotalk FaME project based exercises or referral to classes, (if well enough) but also find that patients need support in tackling other risk factors, such as toenail issues, environmental factors etc. #physiotalk
Joe Middleton @_JoeMiddleton
@Jolockyear1 Also, consider a collapse and transient amnesia, especially if patient says; 'um, I must have fallen?' #physiotalk
South West ACPIN @ACPIN_SW
What was the mechanism for falls within the student population? I think it might be different from our neuro population?! #physiotalk https://t.co/bRMSLC7wGw
James Armstrong @PhysioArmstrong
RT @MunfordDanielle: @hilsgunn @DonnchaLanePT @physiotalk So often patients blame themselves for falling! They say they feel like a burden…
Ben Ellis @bendotellis
@_JoeMiddleton Although... Really not any evidence for predominantly strength-based exercise interventions to reduce falls risk or rate of falls #physiotalk
Janet Thomas @JanetThomas47
@PhysioArmstrong Not at all - backward chaining! #physiotalk
Susan Cotton @susancotton18
#physiotalk ! https://t.co/WFL3NLKoqj
#hellomynameis Adele @ABNeurophysio
RT @_JoeMiddleton: Management of falls #physiotalk https://t.co/cAc0Asw5rZ
Caroline @cjneurophysio
@physiotalk In Bristol... Novice at Tweet chat - but going to give it a go! #physiotalk
Donncha Lane - Physio @DonnchaLanePT
@arw987 @physiotalk Agree - great ideas…….as long as classes are pushing people enough physically. I’m not sure they are and I think as physios we could push the boat out more with intensity in classes #physiotalk
Hilary Gunn @hilsgunn
@DonnchaLanePT @physiotalk Completely agree- and always try and avoid the flippant ‘I wont let you fall- it’s too much paperwork ‘ comment- it was amazing how powerfully that stayed with participants in @MunfordDanielle research #physiotalk
physiotalk @physiotalk
Q3. What influences your choice of approach to manage falls with your neuro patients and how do you assess if its effective? #physiotalk
James Armstrong @PhysioArmstrong
RT @JanetThomas47: @PhysioArmstrong Not at all - backward chaining! #physiotalk
South West ACPIN @ACPIN_SW
RT @hilsgunn: @DonnchaLanePT @physiotalk Completely agree- and always try and avoid the flippant ‘I wont let you fall- it’s too much paperw…
Joe Middleton @_JoeMiddleton
@PhysioArmstrong Already exists as a management strategy; backward chaining. All our ambulant stroke patients are taught to get off the floor through this technique #physiotalk
Jonnie McCrea @JonnieMcC
@_JoeMiddleton @physiotalk #physiotalk what is the aim?
South West ACPIN @ACPIN_SW
RT @physiotalk: Q3. What influences your choice of approach to manage falls with your neuro patients and how do you assess if its effective…
#hellomynameis Adele @ABNeurophysio
RT @CJNeuroPhysio: @DonnchaLanePT @physiotalk @ADentonPU I like the Activities Specific Balance Confidence Scale (ABC Scale) - it's not a r…
Hilary Gunn @hilsgunn
@VickiG_physio @DonnchaLanePT @Jolockyear1 @ADentonPU @physiotalk Tee hee! I did two weeks of falls research assessments with a black eye from a fall in March- good conversation starter! #physiotalk
Ben Ellis @bendotellis
@ACPIN_SW Range of things, not all booze related (although some definitely were!). My one was on the path whilst walking to visit a student on placement. Only 1 student attended A+E as a result though #physiotalk
Jo Lockyear @Jolockyear1
@PhysioArmstrong Adam and Tyson 2000, useful paper to read on this #physiotalk #EBP
Donncha Lane - Physio @DonnchaLanePT
@physiotalk The patient in front of me….and a comprehensive assessment. The evidence. If someone is weak - make them strong. If someone has a vestibular problem - treat that. Get people active - outside - moving their heads - as safe as possible. Peer support if I can #physiotalk
Pamela Hansford @PamKHphysio
@physiotalk #physiotalk @physiotalk People whose balance is even slightly disturbed, anyone with a fear of falling, left hemiplegics as modulation, strategising & perception are all compromised They're not aware of the complexities of the problem but believe they can do what needs to be done
Dr Sophia Hulbert @sophiahulbert
@physiotalk Cognition has such a strong impact on decision making for treatment & outcome #physiotalk
#hellomynameis Adele @ABNeurophysio
RT @AnitaReilly12: @physiotalk We undertake falls classes with our at risk groups. Work on floor to chair transfers where possible and educ…
Samantha Turner @mampy1985
@physiotalk From an OT perspective i will monitor whether the person is able to achieve engagement in their meaningful occupations through discussion & goal setting/review on regular basis #physiotalk
James Armstrong @PhysioArmstrong
Thanks @RebsPartridge not long to go till then #physiotalk https://t.co/tU8p9twE8K
Talia Lethbridge @OnTheGoPhysio1
RT @mampy1985: @SophiaHulbert @physiotalk Completely agree- important not to lose sight of the great impact a fall can have on a pt's confi…
Natalie Patterson @PhysioNatalie
@physiotalk on MS placement a lot came down to how much insight they had, where they had their falls and how willing they were to accept help #Physiotalk
Ben Ellis @bendotellis
@CJNeuroPhysio @DonnchaLanePT @physiotalk @ADentonPU Yes, I agree, it's an often overlooked part of the assessment, marrying ABC with some more objective "balance" assessment gives a better overall picture #physiotalk
Samantha Turner @mampy1985
@SophiaHulbert @physiotalk Absolutely agree - insight into condition & impact of falls is so important as strategies struggle to be implemented without it #physiotalk
physiotalk @physiotalk
RT @DonnchaLanePT: @physiotalk The patient in front of me….and a comprehensive assessment. The evidence. If someone is weak - make them str…
Angie Logan @logan_angie
@physiotalk #physiotalk thorough history taking, full objective assessment, medication history, working collaboratively/interdisciplinary e.g. environmental assessment, cognition, continence etc. Initial Ax but also ongoing monitor/Ax.
Susan Cotton @susancotton18
@hilsgunn @DonnchaLanePT @physiotalk @MunfordDanielle #physiotalk this ties in so well with Good Conversations training I was on this afternoon. Thank you for reminding me.....our team are guilty of using that quote
Jo Lockyear @Jolockyear1
students are you out there, add you experience of this #physiotalk #studentphysio
Univeristy Of Plymouth Physio Society @PlymUniPhysio
Great to see students helping each other out with references for backwards chaining here #futurephysios #evidencebasedpractice #EBP https://t.co/Ievn5yjbwl
James Armstrong @PhysioArmstrong
RT @Jolockyear1: students are you out there, add you experience of this #physiotalk #studentphysio
Jonnie McCrea @JonnieMcC
@physiotalk #physiotalk I never really thought about how complex the process is, in the clinical setting. Picking up the body language of the patient and relative (posture, gaze, expression, pauses in response, language, intonation.....), looking at shoes, scuffs, bruises...,
George Gavoyannis @gavoyannis
RT @Jolockyear1: students are you out there, add you experience of this #physiotalk #studentphysio
Joe Middleton @_JoeMiddleton
@bendotellis No, multi factorial exercise interventions are best. Need to challenge the perceptions around strength training and resistance exercises for older people though. As for chair-based exercises.... #physiotalk
Janet Thomas @JanetThomas47
@JonnieMcC @physiotalk I always look at shoes! (and a lot of other things as well.....) #physiotalk
South West ACPIN @ACPIN_SW
RT @JanetThomas47: @JonnieMcC @physiotalk I always look at shoes! (and a lot of other things as well.....) #physiotalk
South West ACPIN @ACPIN_SW
RT @_JoeMiddleton: @bendotellis No, multi factorial exercise interventions are best. Need to challenge the perceptions around strength trai…
George Gavoyannis @gavoyannis
@Jolockyear1 #physiotalk wishing I had a neuro placement coming up so I could learn a little more about these fall tests and management techniques
Rebecca Partridge @rebspartridge
Lets hear from you guys! #physiotalk https://t.co/GzxXxcYhpA
#hellomynameis Adele @ABNeurophysio
@PhysioArmstrong not at all silly James it's a really powerful way to break down the anxiety around falls both for individuals and their family #physiotalk
Joe Middleton @_JoeMiddleton
@JanetThomas47 @ACPIN_SW @JonnieMcC @physiotalk Ah yes, the soles and insoles of shoes can tell a 1,000 stories! #physiotalk
James Armstrong @PhysioArmstrong
RT @ABNeurophysio: @PhysioArmstrong not at all silly James it's a really powerful way to break down the anxiety around falls both for indiv…
Jonnie McCrea @JonnieMcC
@physiotalk #physiotalk also in progressive conditions accepting a stick, crutch, rollator is difficult as it is a massive signpost of disease progression, so often willing to fall rather than use an aid?
Ben Ellis @bendotellis
@_JoeMiddleton Key aspects are specificity of training (ie should be practicing controlling COM over BOS in a relevant way) level of balance challenge, intensity of practice #physiotalk
#hellomynameis Adele @ABNeurophysio
RT @arw987: @physiotalk FaME project based exercises or referral to classes, (if well enough) but also find that patients need support in t…
physiotalk @physiotalk
@_JoeMiddleton @bendotellis What perceptions - and for people who have fallen or health professionals? #physiotalk
Nicki Cable @nicwootty
@physiotalk Hello! Nicki in Cornwall...also new to tweet chats but will give it a go! #physiotalk
South West ACPIN @ACPIN_SW
How is your approach specific to neuro as opposed to an elderly population?#physiotalk
Joe Middleton @_JoeMiddleton
@JonnieMcC @physiotalk Identify deficits that may contribute to a patient falling, and then address them. #physiotalk
physiotalk @physiotalk
RT @ACPIN_SW: How is your approach specific to neuro as opposed to an elderly population?#physiotalk
Susan Coote @susancoote
Q3 mutifactorial is the way to go for #MS too, bladder dysfunction, spasticity, weakness, dual task problems - all need to be part of strength and specific balance exs prog #physiotalk
Kate Mccoy @physiocyclekate
Totally agree - the same as I do any faller plus lots of on / off floor . https://t.co/xEwFiQ88mx
McKenzie InstituteNZ @mckenzie_mdt_nz
RT @DonnchaLanePT: @physiotalk The patient in front of me….and a comprehensive assessment. The evidence. If someone is weak - make them str…
Jonnie McCrea @JonnieMcC
@_JoeMiddleton @JanetThomas47 @ACPIN_SW @physiotalk #physiotalk insoles?
#hellomynameis Adele @ABNeurophysio
RT @DonnchaLanePT: @arw987 @physiotalk Agree - great ideas…….as long as classes are pushing people enough physically. I’m not sure they are…
James Armstrong @PhysioArmstrong
@ABNeurophysio Ah yes, I can imagine it's as important to give the family tools and strategies #physiotalk
Amanda Denton @adentonpu
@hilsgunn @VickiG_physio @DonnchaLanePT @Jolockyear1 @physiotalk Lol I seem to remember falling off a chair while you were doing a falls practical! #physiotalk
George Gavoyannis @gavoyannis
@PhysioArmstrong @RebsPartridge #physiotalk could someone briefly explain / define Backward Chaining for us #students? 😮
Heather Hunter @hdhunter6
@_JoeMiddleton @JanetThomas47 @ACPIN_SW @JonnieMcC @physiotalk Let’s not forget the input of our podiatry and orthotic colleagues. We are all in this together #AHP #physiotalk
Jo Lockyear @Jolockyear1
@ADentonPU @hilsgunn @VickiG_physio @DonnchaLanePT @physiotalk Did you use backwards chaining to get up? :) #physiotalk
Darragh Mc Gee @dmgphysio
@physiotalk Likely won't know if our management is fully effective until the patient is back into their home and everyday environment. Here is where the importance of community physiotherapy and home adaptions lies #Physiotalk
Angie Logan @logan_angie
@physiotalk #physiotalk holistic assessment relevant to the context of the patient. Cognition and communication abilities will affect management approach.
South West ACPIN @ACPIN_SW
RT @hdhunter6: @_JoeMiddleton @JanetThomas47 @ACPIN_SW @JonnieMcC @physiotalk Let’s not forget the input of our podiatry and orthotic colle…
Joe Middleton @_JoeMiddleton
@PhysioArmstrong Technically, as you didn't already know about it, you just invented it!!!! #physiotalk https://t.co/dmS8u4bhjQ
South West ACPIN @ACPIN_SW
RT @DMGPhysio: @physiotalk Likely won't know if our management is fully effective until the patient is back into their home and everyday en…
Jonnie McCrea @JonnieMcC
@_JoeMiddleton @physiotalk #physiotalk addressing them by acknowledging, explaining, then adapting or changing, or both.
Ben Ellis @bendotellis
@hilsgunn @DonnchaLanePT @physiotalk @MunfordDanielle I always remember a quote from a senior I had as a B5 - If your patients don't fall over occasionally you probably aren't challenging them enough (Not that I would tell the patients that either!) #physiotalk
Donncha Lane - Physio @DonnchaLanePT
@DMGPhysio @physiotalk Likely won’t know we are effective unless we know someone is getting out and moving more - and maintaining that improvement at a community and participation level #physiotalk
Amanda Denton @adentonpu
RT @CJNeuroPhysio: @DonnchaLanePT @physiotalk @ADentonPU I like the Activities Specific Balance Confidence Scale (ABC Scale) - it's not a r…
James Armstrong @PhysioArmstrong
@hdhunter6 @_JoeMiddleton @JanetThomas47 @ACPIN_SW @JonnieMcC @physiotalk and OT's #mdt #physiotalk
Caroline @cjneurophysio
@SophiaHulbert @physiotalk I agree - awareness and impulsivity are particularly important factors in the brain injury population #physiotalk
Rebecca Partridge @rebspartridge
@AnitaReilly12 @physiotalk Is this reactive to a fall or can it be proactive in prevention? #physiotalk
Jessica Behennah @behennah_physio
What is the best way to manage pts with a fear of falling 🤔#physiotalk 1st yr plym uni
Alice Brelsford-Ward @alicebrelsford
@ACPIN_SW Alice, physio in Plymouth, new to this but will try #physiotalk
physiotalk @physiotalk
For those asking - here is info around backward chaining https://t.co/wKVr5C2rJW #physiotalk
James Armstrong @PhysioArmstrong
RT @behennah_physio: What is the best way to manage pts with a fear of falling 🤔#physiotalk 1st yr plym uni
South West ACPIN @ACPIN_SW
Good point - are we using any participation based outcome measures to monitor effectiveness of this? #physiotalk https://t.co/1uA2pCGuCj
#hellomynameis Adele @ABNeurophysio
@hilsgunn @VickiG_physio @DonnchaLanePT @Jolockyear1 @ADentonPU @physiotalk I was late to tonight's chat as I was researching fear of falling whilst preparing car for tomorrow's journey :) #physiotalk
South West ACPIN @ACPIN_SW
RT @RebsPartridge: @AnitaReilly12 @physiotalk Is this reactive to a fall or can it be proactive in prevention? #physiotalk
James Armstrong @PhysioArmstrong
RT @physiotalk: For those asking - here is info around backward chaining https://t.co/wKVr5C2rJW #physiotalk
South West ACPIN @ACPIN_SW
RT @physiotalk: For those asking - here is info around backward chaining https://t.co/wKVr5C2rJW #physiotalk
Donncha Lane - Physio @DonnchaLanePT
@ACPIN_SW I’m a bad physio when it comes to participation measures…..#physiotalk
Jo Lockyear @Jolockyear1
RT @physiotalk: For those asking - here is info around backward chaining https://t.co/wKVr5C2rJW #physiotalk
James Armstrong @PhysioArmstrong
Welcome :) #physiotalk https://t.co/nQHGTXnKjC
Prof Vicki Goodwin MBE @VickiG_physio
@ABNeurophysio @hilsgunn @DonnchaLanePT @Jolockyear1 @ADentonPU @physiotalk I have a lovely talk on fear of falling #physiotalk
Joe Middleton @_JoeMiddleton
@PhysioArmstrong @JanetThomas47 @ACPIN_SW @JonnieMcC @physiotalk Patterns of wear. Classic is the hole in the slipper where the big toe nail has cut through it. Usually due to a 'shuffling' gait. #physiotalk
Hilary Gunn @hilsgunn
@bendotellis @DonnchaLanePT @physiotalk @MunfordDanielle We have found using a ‘challenge scale’ like a VAS of wobbliness has worked quite well to help people skirt the challenge/ risk line #physiotalk
Pamela Hansford @PamKHphysio
@hilsgunn @physiotalk #Physiotalk @hilsgunn Safe mobility & safe falling too Also safe descent onto the ground & up again & safe sitting down and standing up NOT just discussion but using experiential learning in the context of 'family' in their home environment
James Armstrong @PhysioArmstrong
RT @_JoeMiddleton: @PhysioArmstrong @JanetThomas47 @ACPIN_SW @JonnieMcC @physiotalk Patterns of wear. Classic is the hole in the slipper wh…
Ben Ellis @bendotellis
@gavoyannis @PhysioArmstrong @RebsPartridge https://t.co/tou4x3UmMU #physiotalk
#hellomynameis Adele @ABNeurophysio
perfect https://t.co/wzNton6qhl
Angie Logan @logan_angie
@AliceBrelsford @ACPIN_SW Hello @AliceBrelsford! #physiotalk
physiotalk @physiotalk
@hilsgunn @bendotellis @DonnchaLanePT @MunfordDanielle Can you tell us more? #physiotalk
Jo Lockyear @Jolockyear1
RT @hilsgunn: @bendotellis @DonnchaLanePT @physiotalk @MunfordDanielle We have found using a ‘challenge scale’ like a VAS of wobbliness has…
NGH Therapies @NGHTherapies
RT @DonnchaLanePT: @physiotalk Yes! I assume all my patients are an increased risk of falling until proven other-wise……not that risk of fal…
Heather Hunter @hdhunter6
@physiotalk Lots of really useful advice from later life training which can be adapted for neuro population.#physiotalk
Blaithín Hadjisophocleous @blaithin_h
@gavoyannis @PhysioArmstrong @RebsPartridge #physiotalk https://t.co/lTL68I7D2I
South West ACPIN @ACPIN_SW
@physiotalk @ACPIN_SW is hoping to host a LLtraining Course in May 2018......watch this space! #physiotalk
Donncha Lane - Physio @DonnchaLanePT
@hilsgunn @bendotellis @physiotalk @MunfordDanielle I tell patients wobbles are okay - and the brain likes wobbles (within reason!) so it can learn…..I do also tell patients during balance tests that if they wobble a bit it means they are probably alive and thats good - always gets a giggle #physiotalk
Susan Coote @susancoote
@DonnchaLanePT @ACPIN_SW Not many of them out there, we found Community integration measure somewhat responsive to routine physio #physiotalk
#hellomynameis Adele @ABNeurophysio
RT @bendotellis: @_JoeMiddleton Key aspects are specificity of training (ie should be practicing controlling COM over BOS in a relevant way…
Hilary Gunn @hilsgunn
@DonnchaLanePT @DMGPhysio @physiotalk How many people collect data on falls frequency ? It’s tricky to do... but valuable from a commissioner perspective.... #physiotalk
Alice Brelsford-Ward @alicebrelsford
@ACPIN_SW Frequency of falls... many people may under or over predict falls, particularly with cognitive impairment or normalising falls, so in-depth subjective assessments are very important. #Physiotalk
Jo Lockyear @Jolockyear1
Keep you eyes peeled! @ACPIN_SW @PlymUniPhysio https://t.co/QvPaykYEYw
South West ACPIN @ACPIN_SW
@DonnchaLanePT It is very tricky....few appropriate or effective participation measures and such a debate around the concept of participation! One for another day maybe!#physiotalk
Ben Ellis @bendotellis
@hilsgunn @DonnchaLanePT @physiotalk @MunfordDanielle Used when doing exercises like the Borg is used to monitor exertion? Great idea #physiotalk
Danielle Munford @munforddanielle
@bendotellis @hilsgunn @DonnchaLanePT @physiotalk Indeed we’ve all been there! Physio should be challenging and of course there are risks involved with progressing balance and changing use of mobility aids #physiotalk #partofthejob
Heather Hunter @hdhunter6
@ACPIN_SW @physiotalk Have heard good things about this course. #physiotalk
alison warren @alisonfwarren
RT @AliceBrelsford: @ACPIN_SW Frequency of falls... many people may under or over predict falls, particularly with cognitive impairment or…
Angie Logan @logan_angie
@ACPIN_SW #physiotalk understanding the pathology, progression, sequale of the condition/disease and potential secondary complications of the disease is key, as well as considering the impact of age and multi-morbidities.
Pamela Hansford @PamKHphysio
@physiotalk #Physiotalk @hilsgunn Safe mobility & safe falling too Also safe descent onto the ground & up again & safe sitting down and standing up NOT just discussion but using experiential learning in the context of 'family' in their home environment
South West ACPIN @ACPIN_SW
RT @hilsgunn: @bendotellis @DonnchaLanePT @physiotalk @MunfordDanielle We have found using a ‘challenge scale’ like a VAS of wobbliness has…
Joe Middleton @_JoeMiddleton
Fear of falling - one of the most common things on my problem lists! #physiotalk https://t.co/44qvyHNTh1
George Gavoyannis @gavoyannis
@bendotellis @PhysioArmstrong @RebsPartridge #physiotalk perfect thanks Ben!
Susan Coote @susancoote
@hilsgunn @DonnchaLanePT @DMGPhysio @physiotalk And is it retrospective recall (which probably isn't that accurate) or prospective diaries (which are tedious to keep for long enough)? #physiotalk
#hellomynameis Adele @ABNeurophysio
RT @hdhunter6: @_JoeMiddleton @JanetThomas47 @ACPIN_SW @JonnieMcC @physiotalk Let’s not forget the input of our podiatry and orthotic colle…
Hilary Gunn @hilsgunn
@gavoyannis @saeboukglyn We learn as much (if not more) from you guys! #physiotalk
South West ACPIN @ACPIN_SW
RT @DonnchaLanePT: @hilsgunn @bendotellis @physiotalk @MunfordDanielle I tell patients wobbles are okay - and the brain likes wobbles (with…
alison warren @alisonfwarren
RT @ACPIN_SW: @DonnchaLanePT It is very tricky....few appropriate or effective participation measures and such a debate around the concept…
Caroline @cjneurophysio
@behennah_physio Balance education is a good place to start #physiotalk
George Gavoyannis @gavoyannis
RT @hilsgunn: @gavoyannis @saeboukglyn We learn as much (if not more) from you guys! #physiotalk
South West ACPIN @ACPIN_SW
RT @AliceBrelsford: @ACPIN_SW Frequency of falls... many people may under or over predict falls, particularly with cognitive impairment or…
Univeristy Of Plymouth Physio Society @PlymUniPhysio
RT @behennah_physio: What is the best way to manage pts with a fear of falling 🤔#physiotalk 1st yr plym uni
Philip Hulse @HulsePhilip
RT @physiotalk: For those asking - here is info around backward chaining https://t.co/wKVr5C2rJW #physiotalk
Jo Lockyear @Jolockyear1
RT @AliceBrelsford: @ACPIN_SW Frequency of falls... many people may under or over predict falls, particularly with cognitive impairment or…
Ben Ellis @bendotellis
@Jolockyear1 @_JoeMiddleton person-person. Neuro condition just a label, we need to understand the individual's problems and then find the right challenge point for their rehab #physiotalk
Donncha Lane - Physio @DonnchaLanePT
@susancoote @hilsgunn @DMGPhysio @physiotalk Anything out there from a technological perspective that might be useful? #physiotalk
physiotalk @physiotalk
A fast and furious chat tonight - keep it going! Next question coming up... #Physiotalk
George Gavoyannis @gavoyannis
@hilsgunn @saeboukglyn #physiotalk it's great to see such an active and inclusive community! It really inspires all of us to work harder, we have big boots to fill!
Univeristy Of Plymouth Physio Society @PlymUniPhysio
RT @RebsPartridge: Lets hear from you guys! #physiotalk https://t.co/GzxXxcYhpA
Rebecca Partridge @rebspartridge
Great response! https://t.co/yTM1KmyqNT
Univeristy Of Plymouth Physio Society @PlymUniPhysio
RT @Jolockyear1: students are you out there, add you experience of this #physiotalk #studentphysio
physiotalk @physiotalk
Q4. How do your patients and their families respond to falls and your interventions? #physiotalk
George Gavoyannis @gavoyannis
@Blaithin_H @PhysioArmstrong @RebsPartridge #physiotalk is this used to prevent the chance of a fall in the case of a patient losing balance or feeling sudden fatigue?
James Armstrong @PhysioArmstrong
RT @hilsgunn: @gavoyannis @saeboukglyn We learn as much (if not more) from you guys! #physiotalk
Hilary Gunn @hilsgunn
@DonnchaLanePT @susancoote @DMGPhysio @physiotalk The holy grail of us falls nerds is an accelerometer that knows the difference between a fall and a sudden sit down.... #physiotalk
Jo Lockyear @Jolockyear1
@bendotellis @_JoeMiddleton Great, are you able to offer the intensity, duration and challenge that the evidence suggest (sherrington et al., 2011 paper is very useful for this) #physiotalk
physiotalk @physiotalk
@DonnchaLanePT @susancoote @hilsgunn @DMGPhysio There must be! But I don't know what..... #Physiotalk
#hellomynameis Adele @ABNeurophysio
@bendotellis @hilsgunn @DonnchaLanePT @physiotalk @MunfordDanielle we used to have a consultant who firmly believed that - in the days before risk adversity triumphed leading to the crazy #pjparalysis we have now #allin thistogether #physiotalk
Susan Coote @susancoote
@DonnchaLanePT @hilsgunn @DMGPhysio @physiotalk we are working with IT in UL on an app, will keep you posted #physiotalk
Ben Ellis @bendotellis
@ACPIN_SW ABC has come up, and is a great way to gauge confidence in a range of activities and situations (although doesn't tell you actual participation) #physiotalk
South West ACPIN @ACPIN_SW
@hilsgunn @DonnchaLanePT @susancoote @DMGPhysio @physiotalk ooohh! One for you to work on @hilsgunn #physiotalk
#hellomynameis Adele @ABNeurophysio
RT @physiotalk: For those asking - here is info around backward chaining https://t.co/wKVr5C2rJW #physiotalk
Anita 🇮🇪🇪🇺 @anitareilly12
@RebsPartridge @physiotalk Both.. as with most things in life prevention better than cure. Often With my caseload you need to plan ahead as to where the patient might be in 4-6/12 as they don’t want/won’t see it.. equipment and environment adaptations prolong mobility but are often resisted #physiotalk
Kate Mccoy @physiocyclekate
@physiotalk Kate from South Wales . Rather late #physiotalk
Donncha Lane - Physio @DonnchaLanePT
@physiotalk Again it depends on the underlying issue(s) contributing to the fall……I think though if I can ‘sell’ the idea of moving more, outside, in a supported way - that their confidence increases as well as their balance - I’m onto something #physiotalk
Blaithín Hadjisophocleous @blaithin_h
@gavoyannis @PhysioArmstrong @RebsPartridge More so that when they do fall they can safely get back up again. It also increases their confidence knowing that they can get up from the floor having practised it, so hopefully it prevents them from reducing their mobility due to fear #physiotalk
physiotalk @physiotalk
@physiocyclekate Welcome! Better late than not at all :) #Physiotalk
Susan Cotton @susancotton18
@physiotalk #physiotalk I can't keep up! Thank goodness for transcripts. Now to work out where/how to access them #gettingthere #everydaysaschoolday
Joe Middleton @_JoeMiddleton
@physiotalk @DonnchaLanePT @susancoote @hilsgunn @DMGPhysio There are telecare falls sensors (I assume that have an accelerometer/gyrometer in them) aren't there? Don't know if they can be used to record and tally falls? #physiotalk
South West ACPIN @ACPIN_SW
What resources are we signposting family and friends to? #physiotalk
#hellomynameis Adele @ABNeurophysio
VAS of wobbliness! Brilliant #physiotalk https://t.co/UXyf4u05Qo
Janet Thomas @JanetThomas47
@susancotton18 @physiotalk Are you on Tweetdeck?? #physiotalk
James Armstrong @PhysioArmstrong
RT @_JoeMiddleton: @PhysioArmstrong Technically, as you didn't already know about it, you just invented it!!!! #physiotalk https://t.co/dmS…
South West ACPIN @ACPIN_SW
RT @susancotton18: @physiotalk #physiotalk I can't keep up! Thank goodness for transcripts. Now to work out where/how to access them #getti
Dr Sophia Hulbert @sophiahulbert
@physiotalk It's important to advertise the positives of 'staying safe' over reducing falls- postive increases in activity rather than fear& avoidance #physiotalk
#hellomynameis Adele @ABNeurophysio
RT @PamKHphysio: @hilsgunn @physiotalk #Physiotalk @hilsgunn Safe mobility & safe falling too Also safe descent onto the ground & up again…
George Gavoyannis @gavoyannis
@Blaithin_H @PhysioArmstrong @RebsPartridge #physiotalk ahh okay I see. Is there anyway that this can be adapted for situations where a chair, or some form of brace, isn't available?
physiotalk @physiotalk
RT @physiotalk: Q4. How do your patients and their families respond to falls and your interventions? #physiotalk
Danielle Munford @munforddanielle
@physiotalk A lot of patients think they don’t need any intervention! Or they are ‘not old enough’ for falls Physio! #physiotalk
Ben Ellis @bendotellis
@Jolockyear1 @_JoeMiddleton In my previous clinical role, I would say often not no. But I'm not convinced it was me that needed to offer it either in many cases, meeting intensity (eg >3h week) is reliant on patient being able to exercise without physio present #physiotalk
South West ACPIN @ACPIN_SW
RT @MunfordDanielle: @physiotalk A lot of patients think they don’t need any intervention! Or they are ‘not old enough’ for falls Physio! #…
#hellomynameis Adele @ABNeurophysio
@WalesAcpin watch this space! https://t.co/E05BEDQfq5
Leah Devlin @Leahdevlin1989
@JanetThomas47 @susancotton18 @physiotalk I need to get this for next time .. also struggling to keep track #physiotalk
Hilary Gunn @hilsgunn
@physiotalk Absolutely! Again ... I try and talk ‘safe mobility’ - ie more of what you want to do without being gung ho- thinking about being realistic and looking for small wins to build/ maintain motivation- falls progs are hard work #physiotalk
Jo Lockyear @Jolockyear1
Any students been involved in conversations regarding falls with family members #physiotalk
Chris Lovegrove @CLovegrove_OT
@physiotalk Hello! Senior OT in neurology from Devon, watching from the sidelines! #physiotalk
Susan Cotton @susancotton18
@JanetThomas47 @physiotalk yes :) lesson learned from experience - don't use your mobile for tweetchatting #physiotalk
physiotalk @physiotalk
@SophiaHulbert But what if 'staying safe' means sitting all day? #Physiotalk
Janet Thomas @JanetThomas47
@susancotton18 @physiotalk NEVER! #physiotalk
South West ACPIN @ACPIN_SW
RT @physiotalk: @SophiaHulbert But what if 'staying safe' means sitting all day? #Physiotalk
Jo Lockyear @Jolockyear1
@CLovegrove_OT @physiotalk Where do OT's fit within this? @CLovegrove_OT #physiotalk
physiotalk @physiotalk
@CLovegrove_OT Join in! (Oh - you have done :)) #Physiotalk
Angie Logan @logan_angie
@physiotalk Important to consider the patient's readiness/ability to change. Using Patient Activation Measures/Motivational Interviewing techniques may help establish whether the patient is ready to take on board advice/Rx. #physiotalk
Joe Middleton @_JoeMiddleton
@physiotalk @SophiaHulbert One of the great oxymoron's of modern healthcare! #physiotalk
George Gavoyannis @gavoyannis
@Jolockyear1 #physiotalk from a non #AHP standpoint, I always remember being taken back by how much of a hit it has on the confidence of the person who suffered a fall. Had huge implications on social interaction and willingness to stay mobile
James Armstrong @PhysioArmstrong
@MunfordDanielle @physiotalk It would also be interesting to look at Transtheroritcal model with this #physiotalk
Natalie Patterson @PhysioNatalie
@MunfordDanielle @physiotalk on my outpatients placement i would often have to do the hard sell on fall programmes bigging up the general exercise over the falls part to get them to think it was beneficial to them. #physiotalk
Susan Cotton @susancotton18
@Leahdevlin1989 @JanetThomas47 @physiotalk just pop tweetdeck into your search engine and log into twitter from there. Def makes a difference #physiotalk
physiotalk @physiotalk
RT @_JoeMiddleton: @physiotalk @SophiaHulbert One of the great oxymoron's of modern healthcare! #physiotalk
Kate Mccoy @physiocyclekate
@physiotalk Well if it directly addresses their concerns . In the long term they have to maintain activity , exercise themselves and understand their own risks . #physiotalk
Donncha Lane - Physio @DonnchaLanePT
@physiotalk @SophiaHulbert Perhaps for a very small minority……but hopefully this is something a thorough risk assessment will show the benefit of doing some movement over the risk #physiotalk
#hellomynameis Adele @ABNeurophysio
@hilsgunn @DonnchaLanePT @DMGPhysio @physiotalk we do in the stroke part of our service but not ABI, @lindatremain34 let's start measuring reported falls #physiotalk
Karen Stevens @onbalancephysio
@DonnchaLanePT @physiotalk @ADentonPU HiMat great higher level scale for TBI helpful for those superficially "good" clients #physiotalk
Heather Hunter @hdhunter6
@MunfordDanielle @physiotalk Yes patient service user experience/ thoughts on falls always v interesting and throws up different views/ideas. Always good to get pt experience. Not always what we expect #physiotalk
Donncha Lane - Physio @DonnchaLanePT
@PhysioNatalie @MunfordDanielle @physiotalk Perhaps we don’t need to separate it out…….either way it should be exercise - and selling it and delivering at the appropriate intensity, making it fun and engaging is key #physiotalk
Pamela Hansford @PamKHphysio
@ACPIN_SW @physiotalk #Physiotalk Underlying problem for all stroke patients is asymmetry and imbalance (NOT a good and a bad side) but all populations are looking for optimal function Process starts with optimising base of support then working to promote balance & alignment in functional activity
Anita 🇮🇪🇪🇺 @anitareilly12
@physiotalk Tend to want to protect faller leading to reduced activity so education around falls risks and importance of mobility but “safely”.. If they can see you challenge the patient in therapy and know limitations can work well.. #physiotalk
South West ACPIN @ACPIN_SW
What support is given to family members? What is their role in falls management? #physiotalk
Hilary Gunn @hilsgunn
@PhysioArmstrong @MunfordDanielle @physiotalk There’s been some in the US/ Canada in MS but limited evaluation so far #physiotalk
George Gavoyannis @gavoyannis
@VickiG_physio @Blaithin_H @PhysioArmstrong @RebsPartridge #physiotalk is there any write-up on this? Would love to read a bit more about it!
Danielle Munford @munforddanielle
@physiotalk Absolutely! @PhysioArmstrong Lots more to come on this in PHY112 and PHY220 #Physiotalk
Donncha Lane - Physio @DonnchaLanePT
@onbalancephysio @physiotalk @ADentonPU Yes - and I always tell my patients I would not get 54/54 - so not to worry if they don’t get top marks! #physiotalk
Caroline @cjneurophysio
@physiotalk Usually relieved to have some explanation for their balance difficulties and to be able to work on improving their balance ability and confidence #physiotalk
physiotalk @physiotalk
Less than 10 mins to go - so onto our next question... #Physiotalk
Jo Lockyear @Jolockyear1
@MunfordDanielle @physiotalk lack of Time seems to be a big barrier to falls engagment! how is this managed #physiotalk
Hilary Gunn @hilsgunn
@PhysioArmstrong @MunfordDanielle @physiotalk Completely!! Absolutely key- with evidence from a range of conditions to support #physiotalk
James Armstrong @PhysioArmstrong
RT @MunfordDanielle: @physiotalk Absolutely! @PhysioArmstrong Lots more to come on this in PHY112 and PHY220 #Physiotalk
physiotalk @physiotalk
Q5. Are there neuro sub populations for whom falls management appears most/least effective #physiotalk
Philip Hulse @HulsePhilip
@physiotalk Falling over really hurts generally speaking, as a relative of a faller due to progressive neurology I’m guilty of reducing risk through aids & adaptations which it seems reduces the challenge to balance skills & predisposes falling -it’s a fine line safety vs ability #physiotalk
James Armstrong @PhysioArmstrong
RT @hilsgunn: @PhysioArmstrong @MunfordDanielle @physiotalk Completely!! Absolutely key- with evidence from a range of conditions to suppor…
Ed Walsh @edwalshh
@SophiaHulbert @physiotalk Have to weigh up activity + participation engagement with risk management. This will be pt specific - getting the right balance is key 😏 #physiotalk
Prof Vicki Goodwin MBE @VickiG_physio
@gavoyannis @Blaithin_H @PhysioArmstrong @RebsPartridge Yes. It is under review with a journal but will send you an abstract #physiotalk
South West ACPIN @ACPIN_SW
RT @HulsePhilip: @physiotalk Falling over really hurts generally speaking, as a relative of a faller due to progressive neurology I’m guilt…
Natalie Patterson @PhysioNatalie
@Jolockyear1 yes with my mum every time my Nan falls! She seems to forget that she (mum) falls too, in fact only last week when walking the dog in the dark down a muddy bank. #impairedsenses #physiotalk
Donncha Lane - Physio @DonnchaLanePT
@physiotalk Speaking from a TBI perspective - there is very little research out there to support management although Gavin Williams in Oz has done a lot re: development of the HiMAT and running retraining in TBIs #physiotalk
physiotalk @physiotalk
@HulsePhilip Yes - I think a good question to consider for those with a progressive condition #Physiotalk
Jo Kitchen @JoFallsPhysio
@physiotalk Happy to have problems addressed- esp environment. But relatives often worried ++ about falls and discourage activities #physiotalk
Ed Walsh @edwalshh
RT @HulsePhilip: @physiotalk Falling over really hurts generally speaking, as a relative of a faller due to progressive neurology I’m guilt…
Hilary Gunn @hilsgunn
@physiotalk @bendotellis @DonnchaLanePT @MunfordDanielle Sure- simple 1-5 scale of 1no challenge- 5 falling, patients tailor ex (with support) to ensure they are always working at 3/5 #physiotalk
Jo Lockyear @Jolockyear1
RT @hilsgunn: @physiotalk @bendotellis @DonnchaLanePT @MunfordDanielle Sure- simple 1-5 scale of 1no challenge- 5 falling, patients tailor…
Anita 🇮🇪🇪🇺 @anitareilly12
@CJNeuroPhysio @behennah_physio Backwards chain off the floor (if possible) so they know they can deal with a fall should it happen and reduce that anxiety.. balance, strength, reassurance and practice in different environments/terrains.. lots of praise and assurance #physiotalk
Karen Stevens @onbalancephysio
@DonnchaLanePT @physiotalk @ADentonPU I struggle to demonstrate scooting! #physiotalk
physiotalk @physiotalk
RT @hilsgunn: @physiotalk @bendotellis @DonnchaLanePT @MunfordDanielle Sure- simple 1-5 scale of 1no challenge- 5 falling, patients tailor…
Univeristy Of Plymouth Physio Society @PlymUniPhysio
Great to see more of our @PlymUniPhysio students and graduates participating in tonights tweetchat #physiotalk #neuro #falls https://t.co/AaJP6oIOiy
George Gavoyannis @gavoyannis
@Blaithin_H @PhysioArmstrong @RebsPartridge #physiotalk this is where #OTs come into fall management in a huge way! Also really hoping 'bum shuffle' is a clinical term 😂
Susan Coote @susancoote
@MunfordDanielle @physiotalk They don't like "falls prevention" in the title, our programme is called "better balance" balancing life, while improving balance #physiotalk
Natalie Patterson @PhysioNatalie
@DonnchaLanePT @MunfordDanielle @physiotalk the title often puts people off, the normal response was "I don't fall often" #Physiotalk
George Gavoyannis @gavoyannis
@VickiG_physio @Blaithin_H @PhysioArmstrong @RebsPartridge #physiotalk awesome thank you!
Donncha Lane - Physio @DonnchaLanePT
@physiotalk Whilst not the holy grail for falls prevention - I would actively encourage all neuro physiotherapists to get skilled in vestibular assessment/treatment - as this is something physiotherapists can be really really good at! #physiotalk
Blaithín Hadjisophocleous @blaithin_h
RT @EdWalshh: @SophiaHulbert @physiotalk Have to weigh up activity + participation engagement with risk management. This will be pt specifi…
Prof Vicki Goodwin MBE @VickiG_physio
@physiotalk Largest RCT in world found it doesn't work with more advance disease, cognitive impairment or FoG in PwP #physiotalk
James Armstrong @PhysioArmstrong
@hilsgunn @MunfordDanielle @physiotalk This is great, I actually feel the last 3 months at @PlymUni have given me some tools and an understanding already that I can apply! #physiotalk is #great
Donncha Lane - Physio @DonnchaLanePT
@onbalancephysio @physiotalk @ADentonPU Skipping?? #physiotalk
James Armstrong @PhysioArmstrong
RT @gavoyannis: @Blaithin_H @PhysioArmstrong @RebsPartridge #physiotalk this is where #OTs come into fall management in a huge way! Also re…
Jo Kitchen @JoFallsPhysio
@hilsgunn @DonnchaLanePT @DMGPhysio @physiotalk Very difficult- despite all interventions it’s about managing risk, even with best management and therapy input an individual will continue to fall. But we seem scared to look at the numbers in case they decide our service isn’t effective- which has happened #physiotalk
Joe Middleton @_JoeMiddleton
@HulsePhilip @physiotalk Managing falls with progressive neuromuscular disease can be particularly tricky #physiotalk
Janet Thomas @JanetThomas47
@DonnchaLanePT @physiotalk But many avoid! A really important area #Physiotalk
South West ACPIN @ACPIN_SW
Absolutely. This is certainly reflected in the @PlymUniPhysio undergraduate program #physiotalk https://t.co/18AkDO7ZIx
Ed Walsh @edwalshh
RT @PlymUniPhysio: Great to see more of our @PlymUniPhysio students and graduates participating in tonights tweetchat #physiotalk #neuro #f
Hilary Gunn @hilsgunn
@physiotalk Generally we need more evidence across the board! I find (as in other conditions) any cognitive elements always add a whole new level of complexity... #physiotalk
Rebecca Partridge @rebspartridge
@DonnchaLanePT @physiotalk How often do you find you can use the HiMAT? Being so high level means I've only come across its use once and don't feel familiar enough with it! #physiotalk
James Armstrong @PhysioArmstrong
RT @ACPIN_SW: Absolutely. This is certainly reflected in the @PlymUniPhysio undergraduate program #physiotalk https://t.co/18AkDO7ZIx
sophie stubbings @sophiestubbings
RT @VickiG_physio: Dislike assessments trying to establish fall risk. Ask people if they have fallen and any circumstances. #physiotalk
Jo Lockyear @Jolockyear1
RT @VickiG_physio: @physiotalk Largest RCT in world found it doesn't work with more advance disease, cognitive impairment or FoG in PwP #ph
Alice Brelsford-Ward @alicebrelsford
@ACPIN_SW We aim to promote activity and exercise in the neuro community. Signposting to MS and PD specific exercise groups, and joint working in local gyms #physiotalk
Ben Ellis @bendotellis
@physiotalk What type of falls management? For what falls outcome? There is little evidence for any interventions in neuro populations to reduce falls (that I know of), and little on reducing fear of falling too #physiotalk
Susan Cotton @susancotton18
@physiotalk @SophiaHulbert #physiotalk big challenge in our in patient area - mixed messages from within the MD- PT encouraging independence with risks minimised, others looking for stationary, immobile totally risk free environment. 'call don't fall' posters everywhere leading to dependence:(
#hellomynameis Adele @ABNeurophysio
@physiocyclekate @physiotalk worth going back over whole transcript @physiocyclekate - loads of very wise people tweeting here plus insightful students one of the best tweetchats so far #physiotalk
Karen Stevens @onbalancephysio
@DonnchaLanePT @physiotalk Often the missing piece of the jigsaw in TBI. #physiotalk
Hilary Gunn @hilsgunn
@DonnchaLanePT @physiotalk And Quick gains if you identify/ treat BPPV #physiotalk
Pamela Hansford @PamKHphysio
@physiotalk @physiotalk #Physiotalk Patients & their families are terrified of falls & really enjoy seeing confidence grow & sense of self restored as the person learns how to see challenges as problem solving opportunities, become more resilient, find new ways to build strengths
Philip Hulse @HulsePhilip
@physiotalk It depends, how do you know how frequently the individual would have fallen without training? I haven’t improved with training vs I haven’t deteriorated because I’ve trained. #physiotalk
South West ACPIN @ACPIN_SW
It certainly is! Thanks all #physiotalk https://t.co/ZA2QZM9veE
Donncha Lane - Physio @DonnchaLanePT
@RebsPartridge @physiotalk I use it regularly……people have fallen doing it - that’s okay and that risk is assessed and explained before assessment. Always have a second person. Often its us as physios that are more apprehensive than the patient #physiotalk
Susan Coote @susancoote
@gcliffordPT @physiotalk is the BEST maybe an exception to that - does a good job of unpicking cause of poor balance, while measuring #physiotalk
Joe Middleton @_JoeMiddleton
@DonnchaLanePT @physiotalk Same for all physiotherapists working with older people. Something we are looking to up-skill in aren't we @chlocus (any tips on good resources/courses are welcomed Donncha!) #physiotalk
Ben Ellis @bendotellis
@gcliffordPT @physiotalk depends on the OM. I would argue BESTest is an assessment primarily, it just happens to give you a number too (which I wouldn't worry too much about in practice) #physiotalk
Jo Lockyear @Jolockyear1
Thanks for all your replies! #physiotalk https://t.co/sF3buaLAkN
Donncha Lane - Physio @DonnchaLanePT
@hilsgunn @physiotalk Agree. Not sure BPPV is linked to falls directly as much as people might think….read an article a few months ago that suggested it did - but as well as treating BPPV all participants had a falls prevention prog! #physiotalk
Jo Lockyear @Jolockyear1
2 minutes to go! #physiotalk get tweeting
#hellomynameis Adele @ABNeurophysio
@Jolockyear1 @MunfordDanielle @physiotalk we need to review our priorities if TIME is the barrier - how much time is spent by everyone especially pts after a fall? #physiotalk
James Armstrong @PhysioArmstrong
RT @Jolockyear1: 2 minutes to go! #physiotalk get tweeting
Donncha Lane - Physio @DonnchaLanePT
@_JoeMiddleton @physiotalk @chlocus Link in with @acpivr - always looking to support and educate people who want to more from a vestibular perspective #physiotalk
Unity Physiotherapy @UnityPhysio
Sorry I missed the physio talk tonight, late finish at work. Will read through the discussion now #physiotalk
Philip Hulse @HulsePhilip
RT @VickiG_physio: @physiotalk Largest RCT in world found it doesn't work with more advance disease, cognitive impairment or FoG in PwP #ph
South West ACPIN @ACPIN_SW
Possibly the fastest and most furious tweeting we have ever engaged in! Great job everyone - can't wait to read the transcripts - so many conversations going on! #physiotalk
Chris Lovegrove @CLovegrove_OT
@Jolockyear1 @physiotalk Falls are multifactorial and MDT working crucial in successfully managing falls in a Neuro population. #physiotalk
#hellomynameis Adele @ABNeurophysio
@physiocyclekate @lindatremain34 https://t.co/rPpgkfAHhk
Janet Thomas @JanetThomas47
@DonnchaLanePT @_JoeMiddleton @physiotalk @chlocus @acpivr And they did a supplement a couple of years ago accessible to @agilecsp members as well #Physiotalk
Jo Lockyear @Jolockyear1
@ABNeurophysio @MunfordDanielle @physiotalk Patient's often report lack of time for attending falls classes etc, rather than a lack of clinical time to prescribe #physiotalk
Philip Hulse @HulsePhilip
RT @bendotellis: @physiotalk What type of falls management? For what falls outcome? There is little evidence for any interventions in neuro…
James Armstrong @PhysioArmstrong
RT @ACPIN_SW: Possibly the fastest and most furious tweeting we have ever engaged in! Great job everyone - can't wait to read the transcrip…
Danielle Munford @munforddanielle
@physiotalk Really challenging to reduce falls post-stroke using EBP due to huge variety in clinical presentation #physiotalk
physiotalk @physiotalk
And the hour is up! #physiotalk
Philip Hulse @HulsePhilip
RT @VickiG_physio: Dislike assessments trying to establish fall risk. Ask people if they have fallen and any circumstances. #physiotalk
Hilary Gunn @hilsgunn
@DonnchaLanePT @physiotalk Tricky isn’t it? I think we are circling back to the point that falls are complex, multifactorial and we need to use all our skills #physiotalk
Ben Ellis @bendotellis
@ACPIN_SW Great work guys! Brilliant to see an ACPIN region-led #physiotalk
physiotalk @physiotalk
As ever - feel free to keep on tweeting and we'll collate the transcript later #Physiotalk
Susan Cotton @susancotton18
@physiotalk #physiotalk phew!
Donncha Lane - Physio @DonnchaLanePT
The entire hour summed up in this tweet!! #physiotalk https://t.co/76eRVZcQSe
physiotalk @physiotalk
HUGE thanks to @acpin_sw @rebspartridge @jolockyear1 and all @PlymUniPhysio for the chat idea and for hosting tonight #Physiotalk
Hilary Gunn @hilsgunn
@physiotalk Thanks everyone! #physiotalk
Heather Hunter @hdhunter6
@Jolockyear1 @ACPIN_SW @PlymUniPhysio @physiotalk well done to Plym Physio team and student volunteers for very fast paced and interesting #physiotalk on falls in neuro pop
Joe Middleton @_JoeMiddleton
RT @DonnchaLanePT: The entire hour summed up in this tweet!! #physiotalk https://t.co/76eRVZcQSe
James Armstrong @PhysioArmstrong
RT @hilsgunn: @physiotalk Thanks everyone! #physiotalk
Karen Stevens @onbalancephysio
@hilsgunn @DonnchaLanePT @physiotalk Absolutely assessing all the systems the person the environment and then reasoning #physiotalk
physiotalk @physiotalk
RT @DonnchaLanePT: The entire hour summed up in this tweet!! #physiotalk https://t.co/76eRVZcQSe
James Armstrong @PhysioArmstrong
RT @physiotalk: HUGE thanks to @acpin_sw @rebspartridge @jolockyear1 and all @PlymUniPhysio for the chat idea and for hosting tonight #Phys
Jessica Behennah @behennah_physio
RT @AnitaReilly12: @CJNeuroPhysio @behennah_physio Backwards chain off the floor (if possible) so they know they can deal with a fall shoul…
physiotalk @physiotalk
Remember ANYONE can contact us to host a #Physiotalk chat - we are looking to get dates into 2018!
George Gavoyannis @gavoyannis
@physiotalk @ACPIN_SW @RebsPartridge @Jolockyear1 @PlymUniPhysio #physiotalk huge thanks, really nice to learn some new terms and perspectives, but also just to get a bit of inspiration from the community
Leah Devlin @Leahdevlin1989
RT @DonnchaLanePT: The entire hour summed up in this tweet!! #physiotalk https://t.co/76eRVZcQSe
Unity Physiotherapy @UnityPhysio
RT @DonnchaLanePT: @physiotalk The patient in front of me….and a comprehensive assessment. The evidence. If someone is weak - make them str…
James Armstrong @PhysioArmstrong
Thank you @RebsPartridge & @Jolockyear1 @PlymUniPhysio. My first #physiotalk and absolutely loved it! Leant a lot and have taken a lot away to research.
Unity Physiotherapy @UnityPhysio
RT @SophiaHulbert: @physiotalk Cognition has such a strong impact on decision making for treatment & outcome #physiotalk
James Armstrong @PhysioArmstrong
RT @gavoyannis: @physiotalk @ACPIN_SW @RebsPartridge @Jolockyear1 @PlymUniPhysio #physiotalk huge thanks, really nice to learn some new ter…
physiotalk @physiotalk
No #Physiotalk in a fortnight - I wonder why? Dates still to be set but think our next chat will be on 8/1 after a festive break...
#hellomynameis Adele @ABNeurophysio
ACPIN Regions the bar has been set for us great #physiotalk tonight thanks @ACPIN_SW @WalesAcpin https://t.co/0LKlHabqK2
James Armstrong @PhysioArmstrong
RT @hdhunter6: @Jolockyear1 @ACPIN_SW @PlymUniPhysio @physiotalk well done to Plym Physio team and student volunteers for very fast paced a…
Natalie Patterson @PhysioNatalie
@physiotalk My UG dissertation survey fits beautifully with this question if you wouldn't mind including it in your transcript for any willing UK physios working within a neuro setting :-) https://t.co/xPhRW7h49a #Physiotalk
Ben Ellis @bendotellis
@physiotalk Now if your thumbs aren't too sore... Why not come down off the #physiotalk high gently by filling out @PhysioNatalie's survey on outcome measures in UK neuro physio practice (sorry for hijacking the #!) https://t.co/vixM11bm2m
George Gavoyannis @gavoyannis
@physiotalk Would love to host a #physiotalk about PT school and student physiotherapy if you have a free slot next year!
Jo Lockyear @Jolockyear1
Well that was a fast paced hour! Thank you all for your enthusiasm and quick responses! Don't forget to download the transcribe.. Great CPD evidence. Good night! #physiotalk #ACPINSW
James Armstrong @PhysioArmstrong
Sounds great @gavoyannis I'll join you lol https://t.co/nNP5r2Hn61
South West ACPIN @ACPIN_SW
From all of us here thank you so much for a fantastically fast paced and engaging tweetchat - so much info to digest! Good night from us @PlymUniPhysio @MunfordDanielle @christiephysio @RebsPartridge Don't forget to download your transcript for your CPD portfolios #physiotalk
Ed Walsh @edwalshh
Big well done to @Jolockyear1 and @RebsPartridge for their part in what was a very engaging #physiotalk - doing @PlymUniPhysio proud!
James Armstrong @PhysioArmstrong
RT @Jolockyear1: Well that was a fast paced hour! Thank you all for your enthusiasm and quick responses! Don't forget to download the trans…
Leah Devlin @Leahdevlin1989
RT @hilsgunn: @physiotalk Thanks everyone! #physiotalk
James Armstrong @PhysioArmstrong
RT @EdWalshh: Big well done to @Jolockyear1 and @RebsPartridge for their part in what was a very engaging #physiotalk - doing @PlymUniPhysi
physiotalk @physiotalk
@gavoyannis We do! (as we haven't set up our 2018 calendar yet!) Email us on Physiotalk@outlook.com to discuss ideas! #Physiotalk
physiotalk @physiotalk
Thank you for hosting - a great and fast chat! #Physiotalk https://t.co/2RQomM5Al7
Rebecca Partridge @rebspartridge
What a great chat #physiotalk ..never knew an hour could fly by so fast! Really looking forward to reading the transcript! @MunfordDanielle @ACPIN_SW @Jolockyear1 @physiotalk @PlymUniPhysio @christiephysio https://t.co/uWIfNxHBU5
George Gavoyannis @gavoyannis
@PhysioArmstrong #physiotalk the more the merrier! Lets see if we can get some of @thecspstudents on board
Univeristy Of Plymouth Physio Society @PlymUniPhysio
Well done all! Thanks for all your fantastic contributions to tonights @physiotalk tweetchat, we've had great fun here in Plymouth with @ACPIN_SW woohoo! #physiotalk #alwayslearning @Jolockyear1 @RebsPartridge @christiephysio @MunfordDanielle https://t.co/lkos8gyc1M
Blaithín Hadjisophocleous @blaithin_h
Big thanks to @ACPIN_SW @physiotalk and everyone involved in tonights discussions, including students - we learn from you just as much as you do from us! Couldn't keep up with all the conversations tonight #physiotalk
George Gavoyannis @gavoyannis
RT @physiotalk: @gavoyannis We do! (as we haven't set up our 2018 calendar yet!) Email us on Physiotalk@outlook.com to discuss ideas! #Phy
Susan Coote @susancoote
RT @PhysioNatalie: @physiotalk My UG dissertation survey fits beautifully with this question if you wouldn't mind including it in your tran…
#hellomynameis Adele @ABNeurophysio
RT @physiotalk: Remember ANYONE can contact us to host a #Physiotalk chat - we are looking to get dates into 2018!
Susan Coote @susancoote
RT @bendotellis: @physiotalk Now if your thumbs aren't too sore... Why not come down off the #physiotalk high gently by filling out @Physio
Unity Physiotherapy @UnityPhysio
@SophiaHulbert @physiotalk @SophiaHulbert @physiotalk What influences - lots of things including what the patient will relate to and always something that builds confidence. How measure includes - outcome measures, if eg going out & doing things had stopped #physiotalk
Univeristy Of Plymouth Physio Society @PlymUniPhysio
RT @EdWalshh: Big well done to @Jolockyear1 and @RebsPartridge for their part in what was a very engaging #physiotalk - doing @PlymUniPhysi
Amanda Denton @adentonpu
Well done all of you really interesting debate and discussion at tonight’s @physiotalk @ACPIN_SW @PlymUniPhysio @ACPIN_UK let’s do more! https://t.co/byP7vPp47t
Nick Flanagan @puppyflanagan
So much to consider and ponder after today’s #physiotalk. A really great way to absorb the knowledge and insights of experienced practitioners! Thank you 🙏
Unity Physiotherapy @UnityPhysio
RT @DonnchaLanePT: @physiotalk Whilst not the holy grail for falls prevention - I would actively encourage all neuro physiotherapists to ge…
Caroline @cjneurophysio
RT @hilsgunn: @DonnchaLanePT @physiotalk Tricky isn’t it? I think we are circling back to the point that falls are complex, multifactorial…
ACPIN @acpin_uk
RT @ADentonPU: Well done all of you really interesting debate and discussion at tonight’s @physiotalk @ACPIN_SW @PlymUniPhysio @ACPIN_UK l…
Susan Coote @susancoote
@physiotalk That hour just flew by :-) thanks everyone #physiotalk
Chris Lovegrove @CLovegrove_OT
RT @EdWalshh: Big well done to @Jolockyear1 and @RebsPartridge for their part in what was a very engaging #physiotalk - doing @PlymUniPhysi
Jessica Behennah @behennah_physio
RT @puppyflanagan: So much to consider and ponder after today’s #physiotalk. A really great way to absorb the knowledge and insights of exp…
James Armstrong @PhysioArmstrong
RT @PlymUniPhysio: Well done all! Thanks for all your fantastic contributions to tonights @physiotalk tweetchat, we've had great fun here i…
Wales ACPIN @walesacpin
RT @ACPIN_SW: From all of us here thank you so much for a fantastically fast paced and engaging tweetchat - so much info to digest! Good ni…
James Armstrong @PhysioArmstrong
RT @RebsPartridge: What a great chat #physiotalk ..never knew an hour could fly by so fast! Really looking forward to reading the transcrip…
Wales ACPIN @walesacpin
RT @bendotellis: @physiotalk Now if your thumbs aren't too sore... Why not come down off the #physiotalk high gently by filling out @Physio
Pamela Hansford @PamKHphysio
@DonnchaLanePT @physiotalk #physiotalk Excellent summary takes us back to need to focus on proactive goal setting using Rothstein's HOAC How can we enable people to 'do more & better' of what they want & need to do & empower them to regain centre of control, sense of self & engage with others?
Wales ACPIN @walesacpin
RT @ABNeurophysio: ACPIN Regions the bar has been set for us great #physiotalk tonight thanks @ACPIN_SW @WalesAcpin https://t.co/0LKlHabqK2
Philip Hulse @HulsePhilip
@physiotalk @SophiaHulbert For me staying safe means swimming and spinning as opposed to running. Pilates instead of body pump. Cross training instead of cycling. Importance of maintaining strength and physical fitness & the many other body & mind benefits of exercise to health and well being. #physiotalk
#PhysioTalk content from Twitter.