#PhysioTalk Transcript
Healthcare social media transcript of the #PhysioTalk hashtag.
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| Profile | Tweet |
|---|---|
 | 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 (Neuro-Rehab Physiotherapist) @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 @J0Physio @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 @J0Physio @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 @J0Physio @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 (Neuro-Rehab Physiotherapist) @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 |
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