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Jul 2024
1h 10m

Dr Jessica Nolan - Lateropulsion

Matt Wingfield & Erin Bicknell
About this episode

Dr Jess Nolan recently completed her PhD on Lateropulsion. Jess is a physio from Perth, Australia. Her credentials include BSc (Physio) - Curtin Uni, Grad Dip (Neuro Rehab) – UWA, member of ANZSO Emerging Stroke Clinician Scientist Committee, and Physio Working Party for the Stroke Foundation Living Guidelines. Jess worked as a senior physio, a physio coordinator of stroke services and is now at Curtin University in a teaching & research role.  This episode is all about Jess’ PhD journey and results. Lots of lateropulsion clinical application in this one. 

2.00 sec Intro

2.28 Career pathway/Interest in Lateropulsion

8.45 What is lateropulsion? Can it be mild?

13.20 Prevalence

14.05 Outcome Measures

18.29 Verticality

22.38 Assessing SVV – bucket method

23.00 PhD results - LOS needs, ANSNAP LOS predication accuracy, 1 year outcomes

37.10 Unknown pathophysiology of lateropulsion

40.20 Other components of lateropulsion – SPV – graviception, vestib impairment

43.35 Treatment

49.22 Fear of falling

50.45 Education

53.01 Treatment 2.0

56.28 What’s next for this work

1.04.17 Erin & Matt's reflection

Articles discussed in episode:

Lateropulsion prevalence: Dai 2022 systematic review 

Assessment of verticality: Piscicelli  & Pérennou 2017 

Lesion location: Van Der Waal 2023 systematic review

Thalamic involvement: Rosenzopf 2023   

Treatment approaches: Paci 2023 scoping review 

Lateropulsion outcome measures: Koter 2017

4 Point Pusher Score validation: Chow 2019   

Lateropulsion & falls (inpatient): Lewis, Heinemann...Nolan 2024

Links

Jessica's Linkedin

Twitter @jessnolan__

Check out the episode webpage for Jess' PhD papers

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