#PhysioTalk Transcript
Healthcare social media transcript of the #PhysioTalk hashtag.
– ().
See #PhysioTalk Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Joe Middleton @_JoeMiddleton Good evening @physiotalk #physiotalk |
 | Susan Coote @susancoote #physiotalk hello from Limerick |
 | Hilary Gunn @hilsgunn @physiotalk Hi everyone- hilary here! #physiotalk |
 | Susan Cotton @susancotton18 Evening all! Susan here, physio in Fife #physiotalk |
 | Leah Devlin @Leahdevlin1989 @physiotalk Hello from North Wales .. first time using this so just planning on watching! #physiotalk |
| Joe Middleton @_JoeMiddleton @Leahdevlin1989 @physiotalk That's what we all say on the first time! Don't be afraid to chip in!!! #physiotalk |
 | amanda deaves @ADeaves #physiotalk Hello all, I’ll be dipping in and out tonight. But will defo catch up later! |
 | George Gavoyannis @gavoyannis RT @PhysioArmstrong: |
| Joe Middleton @_JoeMiddleton A1. Don't work in an exclusively neuro setting but yes, yes it is. #physiotalk |
 | Pamela Kipps 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? |
 | Andy MacKellar @madonblizzard RT @saeboukglyn: |
| Joe Middleton @_JoeMiddleton Althought, personally don't like the word 'routine'. #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 |
 | Darragh Mc Gee @DMGPhysio @RebsPartridge @physiotalk For falls assessment I have use the tinetti test and berg balance test in placement #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 |
| Susan Coote @susancoote unfortunately none of the objective measures are good at identifying people with #MS who fall #physiotalk |
 | LifeTimeShine @LifeTimeShine RT @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? |
| Leah Devlin @Leahdevlin1989 @physiotalk Yes .. falls screening/ assessment tools used with most neuro outpatients #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 |
| Hilary Gunn @hilsgunn @DonnchaLanePT @ADentonPU @physiotalk Me too!!! I’m having a bit of a thing with miniBEST .... #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 |
| Andy MacKellar @madonblizzard @ADentonPU @physiotalk not here or at Manchester where I worked before #physiotalk |
| George Gavoyannis @gavoyannis @physiotalk @DonnchaLanePT @ADentonPU #physiotalk how regularly would you define as 'routine' in a clinical setting? |
| Susan Coote @susancoote @bendotellis @DonnchaLanePT @ADentonPU @physiotalk Completely agree, it's not just about balance, lots of interacting factors #physiotalk |
| Andy MacKellar @madonblizzard @physiotalk @ACPIN_SW would be good if folks put up a definition #physiotalk |
| CornwallChatter @CornwallChatter RT @logan_angie: | |
| 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 |
| Pamela Kipps 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? |
| Joe Middleton @_JoeMiddleton The overriding falls risk factor = bipedal (or monopedal!) ambulation #physiotalk https://t.co/hbOLpiZHZz |
| Susan Coote @susancoote Q2 having a previous fall is probably the best indicator of increased fall risk #physiotalk |
 | Jive Hampshire @jivehampshire RT @PhysioNatalie: |
| 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 | |
| Joe Middleton @_JoeMiddleton Management of falls #physiotalk https://t.co/cAc0Asw5rZ |
| 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 |
| Susan Coote @susancoote @CJNeuroPhysio @DonnchaLanePT @physiotalk @ADentonPU psychosocial aspects v important to measure, and can be risk factors in themselves #physiotalk |
| 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 |
| Hilary Gunn @hilsgunn @MunfordDanielle @DonnchaLanePT @physiotalk Absolutely- plus pavements, cats, dogs, weather etc- external focussed #physiotalk |
 | Janet Thomas @JanetThomas47 @bendotellis @_JoeMiddleton Indeed! Something we all need to remember (and something I've asked my students too!) #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 |
| Joe Middleton @_JoeMiddleton @Jolockyear1 Also, consider a collapse and transient amnesia, especially if patient says; 'um, I must have fallen?' #physiotalk |
| Janet Thomas @JanetThomas47 @PhysioArmstrong Not at all - backward chaining! #physiotalk |
| Susan Cotton @susancotton18 #physiotalk ! https://t.co/WFL3NLKoqj |
| 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 |
| 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 |
| 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 |
| Pamela Kipps 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 |
| 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 |
| George Gavoyannis @gavoyannis RT @Jolockyear1: |
| 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 |
| 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 |
| Joe Middleton @_JoeMiddleton @JanetThomas47 @ACPIN_SW @JonnieMcC @physiotalk Ah yes, the soles and insoles of shoes can tell a 1,000 stories! #physiotalk |
| Joe Middleton @_JoeMiddleton @JonnieMcC @physiotalk Identify deficits that may contribute to a patient falling, and then address them. #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 |
| George Gavoyannis @gavoyannis @PhysioArmstrong @RebsPartridge #physiotalk could someone briefly explain / define Backward Chaining for us #students? 😮 |
| 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 |
| Joe Middleton @_JoeMiddleton @PhysioArmstrong Technically, as you didn't already know about it, you just invented it!!!! #physiotalk https://t.co/dmS8u4bhjQ |
| 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 Kipps 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 |
| Susan Coote @susancoote @DonnchaLanePT @ACPIN_SW Not many of them out there, we found Community integration measure somewhat responsive to routine physio #physiotalk |
| 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 |
| Pamela Kipps 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 |
| 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 |
| Hilary Gunn @hilsgunn @gavoyannis @saeboukglyn We learn as much (if not more) from you guys! #physiotalk |
| George Gavoyannis @gavoyannis RT @hilsgunn: @gavoyannis @saeboukglyn We learn as much (if not more) from you guys! #physiotalk |
 | Philip Hulse @HulsePhilip RT @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! |
| 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? |
| 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 |
| Susan Coote @susancoote @DonnchaLanePT @hilsgunn @DMGPhysio @physiotalk we are working with IT in UL on an app, will keep you posted #physiotalk |
| Kate Mccoy @physiocyclekate @physiotalk Kate from South Wales . Rather late #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 |
| Janet Thomas @JanetThomas47 @susancotton18 @physiotalk Are you on Tweetdeck?? #physiotalk |
| 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? |
| 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 |
| Susan Cotton @susancotton18 @JanetThomas47 @physiotalk yes :) lesson learned from experience - don't use your mobile for tweetchatting #physiotalk |
| Janet Thomas @JanetThomas47 @susancotton18 @physiotalk NEVER! #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 |
| Joe Middleton @_JoeMiddleton @physiotalk @SophiaHulbert One of the great oxymoron's of modern healthcare! #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 |
| 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 |
| Pamela Kipps 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 |
| 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! |
| Hilary Gunn @hilsgunn @PhysioArmstrong @MunfordDanielle @physiotalk Completely!! Absolutely key- with evidence from a range of conditions to support #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 |
 | Edward 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 |
| Edward Walsh @EdWalshh RT @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 |
| 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 |
| 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 |
| George Gavoyannis @gavoyannis @VickiG_physio @Blaithin_H @PhysioArmstrong @RebsPartridge #physiotalk awesome thank you! |
| 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 |
| Edward Walsh @EdWalshh RT @PlymUniPhysio: |
| 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 |
 | Sophie Stubbings MCSP MSc @SophieStubbings RT @VickiG_physio: |
| 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:( |
| Hilary Gunn @hilsgunn @DonnchaLanePT @physiotalk And Quick gains if you identify/ treat BPPV #physiotalk |
| Pamela Kipps 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 |
| 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 |
| Philip Hulse @HulsePhilip RT @VickiG_physio: |
| 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 |
| Philip Hulse @HulsePhilip RT @bendotellis: |
| Philip Hulse @HulsePhilip RT @VickiG_physio: |
| 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 |
| Susan Cotton @susancotton18 @physiotalk #physiotalk phew! |
| Hilary Gunn @hilsgunn @physiotalk Thanks everyone! #physiotalk |
| 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 |
| George Gavoyannis @gavoyannis @physiotalk Would love to host a #physiotalk about PT school and student physiotherapy if you have a free slot next year! |
| Edward Walsh @EdWalshh Big well done to @Jolockyear1 and @RebsPartridge for their part in what was a very engaging #physiotalk - doing @PlymUniPhysio proud! |
| Leah Devlin @Leahdevlin1989 RT @hilsgunn: @physiotalk Thanks everyone! #physiotalk |
| George Gavoyannis @gavoyannis @PhysioArmstrong #physiotalk the more the merrier! Lets see if we can get some of @thecspstudents on board |
| George Gavoyannis @gavoyannis RT @physiotalk: |
| Susan Coote @susancoote RT @PhysioNatalie: |
| Susan Coote @susancoote RT @bendotellis: |
| Susan Coote @susancoote @physiotalk That hour just flew by :-) thanks everyone #physiotalk |
| Pamela Kipps 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? |
| 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.