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MEASURING HOW YOUR MOVEMENT IMPROVES AFTER STROKE

THERAPY AFTER STROKE ARNI R 300x142 - MEASURING HOW YOUR MOVEMENT IMPROVES AFTER STROKE - Stroke Exercise Training - online courses for therapistsStrong evidence exists that physiotherapy improves the ability of people to move and be independent after suffering a stroke. But at six months after stroke, we know that many people remain unable to produce the movement needed for every-day activities such as answering a telephone. So, what can be done?

1. First, it’s important to be able to recognise if a physiotherapy intervention is really aiding a survivors’ abilities to undertake everyday activities or whether the intervention is doing less than it than it purports to/would ideally do.

This requires a deeper knowledge of the biological underpinnings of neuromuscular function. Neuromuscular function includes the ability to use weak muscles in the right order and at the right time during movement and performing everyday tasks in the same way as you did before the stroke.

SLEEP AFTER STROKE 300x136 - MEASURING HOW YOUR MOVEMENT IMPROVES AFTER STROKE - Stroke Exercise Training - online courses for therapists2. Second, to optimise a physiotherapist’s chances to advise/work on an optimal combination of rehab interventions for each individual after stroke, it would be ideal to find out what kinds of sleep patterns are most beneficial for them.

Physiotherapists need to be able to have the same opportunity to diagnose how to help each stroke survivor gain the kind of very accurate movement measures at any point in their rehabilitations that currently, only specialist University facilities can routinely produce. This equipment is obviously expensive and can only be used in large specialised laboratories.

8 300x110 - MEASURING HOW YOUR MOVEMENT IMPROVES AFTER STROKE - Stroke Exercise Training - online courses for therapistsIdeally, more portable equipment should also be able to be accessed by therapists, which would cost less and is designed for use in small spaces. But such equipment would have to also be sensitive enough to provide meaningful feedback for therapists in a similar way to those used by the specialist labs. Such feedback could then be very useful for therapists and survivors to create optimal rehab plans together which would really enable the survivor to work on his/her edges of current ability.

4 - MEASURING HOW YOUR MOVEMENT IMPROVES AFTER STROKE - Stroke Exercise Training - online courses for therapistsA School of Health Sciences research team at the University of East Anglia (UEA) headed up by Professor Valerie Pomeroy are attempting to find out if this can be done, and will also examine how sleep patterns affect rehabilitations.

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2021 05 09 15 30 39 300x99 - MEASURING HOW YOUR MOVEMENT IMPROVES AFTER STROKE - Stroke Exercise Training - online courses for therapists

The UEA would like to invite YOU to come TWICE to their Movement and Exercise Laboratory (MoveExLab) to get involved with this Project if you can/if it’s appropriate for your circumstances.

Dr Balchin says: you never know how such involvement can directly or indirectly push your own rehab forward, at whatever time away from stroke you are. Knowledge is power, Anything that can give you clues and cues about the state of your rehab and current/future interventions can be useful.

6 - MEASURING HOW YOUR MOVEMENT IMPROVES AFTER STROKE - Stroke Exercise Training - online courses for therapistsGo for it if you can/if it’s appropriate for you!

Inclusion criteria: you need to be 18 or above, have had a stroke at any point in the past, be discharged from NHS stroke services and be without an allergy to latex.

What you’ll be doing:

5 300x195 - MEASURING HOW YOUR MOVEMENT IMPROVES AFTER STROKE - Stroke Exercise Training - online courses for therapistsUpon application, if no contra-indications are revealed, you’ll be invited to undertake 2 assessments at the MoveExLab.

These assessments (around 90 mins to complete each) will be between 2 and 4 months apart. In each, you’ll have EMG electrodes placed on your skin using hypoallergenic sticky tape. These will measure your muscle activity as you move and don’t hurt at all, but just record your natural muscle activity during movement.

8 - MEASURING HOW YOUR MOVEMENT IMPROVES AFTER STROKE - Stroke Exercise Training - online courses for therapistsThey’ll then place reflective markers on your skin. These markers are tracked by infra-red cameras placed at the top of the walls of the MoveExLab.

You’ll then be asked to pick up a telephone several times, which is placed a number of different positions, whilst your performance on the tasks is recorded (and reconstructed on the computer).

Then you’ll complete some questionnaires about how you sleep.2 - MEASURING HOW YOUR MOVEMENT IMPROVES AFTER STROKE - Stroke Exercise Training - online courses for therapists

Then you’ll wear a motion watch on each wrist for 7 days to measure your everyday activity, which you’ll then send back in an SAE.

The Team will be in contact with you throughout the period of your involvement.

Travel expenses can be reimbursed for return journeys of up to 50 miles (ie, 25 miles each way).

If you are travelling in from further away, you can claim travel expenses for your journey up to 50 miles in total as well. 

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Apply now by speaking with the principal investigator: Professor Valerie Pomeroy..

Email: v.pomeroy@uea.ac.uk  Phone: 01603 59 1923

3 - MEASURING HOW YOUR MOVEMENT IMPROVES AFTER STROKE - Stroke Exercise Training - online courses for therapistsOr get in touch with her personal assistant: Pel Fordham.

Email: p.fordham@uea.ac.uk   Phone: 01603 59 1923

Both will be very happy to answer any questions you might have.

Location: School of Health Sciences, Queen’s Building, University of East Anglia, Norwich Research Park, Norfolk, NR4 7TJ


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11 Comments

  1. Sandra williams says:

    I had a stroke 19 March 2017. I’m still having problems with my left arm and hand and my left foot . Would I be eligible. I live in Stamford, Lincolnshire. My husband would bring me.
    11 Losecoat Close Stamford Lincolnshire Pe91du

  2. valerie pomeroy says:

    Hello Sandra

    If you email me at v.pomeroy@uea.ac.uk we can ‘talk’ with you to assess your eligibility

    Valerie Pomeroy

  3. John says:

    I am coming upto being 74 years of age. My stroke/s hit / happened to me after one year of losing my wife to Cancer, it followed on six month’s after me of having a T.K.R of my right leg. The T.K.R has not been a successful operation right from the start and has been dismissed from being the reason of why I had the stroke. My right side is / has been affected whilst the left side “seems” to have totally avoided any problems. My main problem has been in trying to ” teach ” my left side of the body to do what my right side could do without any thought beforehand. My stroke was diagnosed under a private consultation as of being a “thalamic” stroke. Prescribed medications that I have tried have not really been of much help to me. The unpredictable mixture of neuropathic, leg , fatigue, sleep? ?? problems of my / the right side are always “constant”with me.I had my stroke in Dec 2015, which was followed by another T.I.A? in January 2016. After N.H.S treatment ended, I had private treatment of acupuncture, physiotherapy and chirotherapy, but then Covid has intervened since.? I am presently having treatment for Prostate Cancer at the moment.
    Do you think that you may be able to help / consider anything further that may be of some help to me?
    Regards John

  4. Maria Hodgson says:

    Is there anywhere in australia that one can do this? I am in Brisbane

  5. Canan Yuksel says:

    Hello John,

    Could you send an e-mail to Professor Valerie Pomeroy at v.pomeroy@uea.ac.uk about, please? So we can ‘talk’ in more detail.

  6. Eric Spilsbury says:

    My wife had a stroke 2017 she’s having physio and has asphasia if she could be included in your research and undergo your therapy it would be a great help

  7. John M, says:

    ARNIE, – Thank you for your e-mail reply. Unfortunately due to unforeseen circumstances I have to withdraw of making the decision of being a volunteer of your latest trial. Regards.

  8. Claire Daniel says:

    Hi. l am a retired nurse l wondered if you can help me regarding a friend who has had a stroke with no support from health practitioners and appears to lack goals in life and to move forward she is quite young 50 plus Speaks to GP on anti depressants not taking them also a Diabetic please could you advise me or any information at your convenience or facts she has not seen a Stroke Consultant or OT /Physio therapist Many Thanks from U K Market Harborough Leicestershire

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