A Neuro Physio Podcast: Dr Sarah Milne
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Dr Sarah Milne
“I’ll palpate and feel timing of muscles. I often palpate gluteal activity, someone could be switching off before they’re even in midstance.”
2.01 Intro & career pathway
4.38 Friedreich’s ataxia
7.00 How is Friedreich’s ataxia different to the hereditary cerebellar ataxias?
8.36 Phenotypes in neurological conditions and the RCT paradigm
11.20 PhD results
15.02 State of the Friedreich’s ataxia evidence
16.49 Ataxia outcome measures
20.03 Ataxia assessment
24.25 Compensation vs optimal cerebellar functioning
27.00 What can imaging tell us about cerebellar conditions?
29.55 Treatment
36.16 Efficacy vs Effectiveness, challenges of rehab trials
39.23 Aquatic physio for this population
41.43 Episode reflection
Papers and References
Articles discussed in episode:
Brain changes associated with postural training in patients with cerebellar degeneration
Home aerobic training for cerebellar degenerative diseases: a randomized controlled trial
Links
PhD – 4 studies – Pilot rehabilitation trial for people with Friedreich’s Ataxia. Clinical audit of LL spasticity relationship with ataxia severity & function. Sensitivity of balance, gait measures and instrumented measures of gait & balance change over time.