Dr. Leeanne Carey, Head of the Neurorehabilitation and Recovery Research Group at the Florey Institute, dives into the hidden complexities of sensory deficits post-stroke. She discusses the importance of addressing sensory loss in therapy, revealing it as a common yet overlooked issue for clinicians. Carey shares insights about her innovative SENSe therapy, emphasizing the role of neural plasticity and technology in rehabilitation. She also highlights collaborative approaches in care and advances in accessibility to enhance recovery for stroke survivors.
The impact of sensory deficits on post-stroke function is significant, requiring clinicians to prioritize sensory assessment and treatment strategies.
SENSE therapy, developed by Professor Leeanne Carey, integrates evidence-based principles to enhance sensory recovery for stroke patients.
Implementation science is crucial in bridging research and practice, focusing on training and collaborative networks to improve patient outcomes in sensory rehabilitation.
Deep dives
Reflections on Gaming Technology in Rehabilitation
Gaming technology offers diverse options for rehabilitation, but clinicians often face challenges in deciding the most appropriate tools for their patients. One clinician expressed feeling overwhelmed by the plethora of equipment, citing that while evidence supports effectiveness, selecting the right technology for individual cases remains complex. The importance of applying clinical reasoning rather than retrofitting technology to patients was emphasized, advocating for a thoughtful approach to tool selection. Shared experiences from various rehabilitation settings highlighted that successful implementation of such technology often requires collaboration among healthcare professionals.
Professor Leanne Carey's Research in Neurorehabilitation
Professor Leanne Carey leads a prominent research group focusing on stroke rehabilitation and the impact of sensory impairment on function. Her research has pioneered SENSE therapy, a method designed to enhance sensation recovery in stroke patients. This therapy aims to equip clinicians with the knowledge and techniques necessary to assess and treat sensory deficits effectively. The episode delves into details about how SENSE therapy combines evidence-based principles with practical applications to support patient recovery.
Historical Context and Development of Sensory Training
Leanne Carey’s journey into sensory rehabilitation began with her early experiences as an occupational therapist when she recognized the lack of resources and approaches to address sensory loss. Motivated by specific patient cases, she pursued advanced studies and research, advocating for restorative rehabilitation methods. Through her PhD, she established foundational tools for assessment and training, which have become crucial in contemporary therapeutic practices. Her work underscores the importance of understanding both reported literature and practical application in improving sensory function.
Implementation Strategies for Sensory Rehabilitation
Implementation science plays a critical role in translating research into practice, particularly for effectively utilizing sensory training strategies in clinical settings. Collaborative networks comprising multiple healthcare facilities have been established to enhance best practices among therapists. The SENSE Implement project focuses on upskilling therapists and evaluating how improvements in their training directly affect patient outcomes. This approach aims to bridge the gap between evidence and application, ensuring that patients receive the best possible care based on current research.
The Role of Technology in Sensory Rehabilitation
Technology has the potential to enhance sensory rehabilitation, but its application needs to be carefully considered, especially for patients with existing sensory deficits. While traditional methods emphasize hands-on experiences, innovative technological support can assist in retraining sensory functions at home. Projects are underway to integrate advanced tech tools and artificial intelligence for real-time feedback during therapy, aiming to provide more personalized and impactful rehabilitation experiences. This strategic blending of technology and therapy signifies a promising evolution in sensory rehabilitation practices.
This episode is all about understanding the impact of sensory deficit on function after stroke on function, and what to do about it. Dr.Leeanne Carey is the Head of the Neurorehabilitation and Recovery Research Group co-located at the Florey Institute of Neuroscience and Mental Health and La Trobe University. She's also a professor in Occupational therapy at La Trobe university and the developer of SENSe therapy (study of the effectiveness of neurorehabilitation on sensation). We cover the powerful problem of sensory loss, how it can hide from clinicians but why it should be front of mind. There are plenty of clinical takeaways and links and resources to find out more, including referring your patients for sense therapy and attending a course yourself. Intro - 3.42 Career pathway - 7.17 SENSe implementation / knowledge translation projects - 13.16 SENSe training approach & workshops - 17.16 Computer interface sensory assessment & learning - 24.53 More about PhD - 28.42 Task specific training vs transfer in sensory training - 31.17 Which modality is most important in the sense approach? - 37.10 Functional MRI changes with sense sensory training - 42.20 Where does sense fit into the sensation literature? - 43.37 Clinical impact of sensory loss - 46.09 Sensory impact is a hidden problem for clinicians - 48.22 Do clinicians who are more skilled get better sensory outcomes? - 52.18 SENSe for lower limb - 54.26 Therapy accessibility - via therapy - 55.10 OT/PT joint UL therapy - 'call to arms' - 57.18
Leeanne’s La Trobe University Profile page Stroke survivors with upper limb somatosensory issues may be eligible to participate in a program of SENSe Therapy at one of the following SENSe Therapy Centres:
Victoria: Florey Institute of Neuroscience and Mental Health (Austin Campus), or Alfred Health (Caulfield General Hospital), Melbourne.
New South Wales: Hunter New England Health (Rankin Park site), Newcastle.
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