This month we are chatting with Dr. Sarah Milne from Murdoch Children’s Research Institute who is also the Coordinator of the Friedreich's Ataxia Clinic at Monash Health in Melbourne, Australia. Sarah is an expert in hereditary cerebellar ataxias and after completing her PhD in 2018 she is trying to bolster the evidence base about the right rehab for people with Friedreich’s Ataxia. 

This episode will appeal to people treating Friedreich’s Ataxia or any of the inherited cerebellar ataxias, and to anyone who sees people with cerebellar pathology. Also of interest are the chats about challenges of rehabilitation research. The audio quality in this episode isn’t up to our usual standard with a lot of static happening – sorry!

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

Links
Research Gate
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.

LinkedIn

University of Melbourne profile

Articles discussed:
Brain Changes Associated with Postural Training in Patients with Cerebellar Degeneration

Home aerobic training for cerebellar degenerative diseases: a randomized controlled trial

Cycling regimen induces spinal circuitry plasticity and improves leg muscle coordination in individuals with spinocerebellar ataxia

Pred

& so much more
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