Dr Stephen Ashford
@stephenashfordpt.bsky.social
Consultant Physiotherapist, LNWUH & Hon. Associate Professor in Rehabilitation, KCL. Specialist in neurorehabiltation, severe brain injury, stroke, spasticity and contracture management.
Speaking today at the Transforming Stroke Care Conference 2026 @ the University of Lancashire, on 'Disability Management and Retraining in the leg for people post-stroke'. Some great talks across the Stroke journey! Well done to the University of Lancashire team. Excellent!
www.linkedin.com/posts/stephe...
Posters up at ISPRM 2026 on: 1. Direct-Rehab treatment planning: A treatment planning algorithm and App to plan physical rehabilitation alongside other spasticity intervention such as botulinum… | Ste...
Posters up at ISPRM 2026 on: 1. Direct-Rehab treatment planning: A treatment planning algorithm and App to plan physical rehabilitation alongside other spasticity intervention such as botulinum toxin....
linkedin.com
www.linkedin.com/posts/stephe...
Posters up at ISPRM 2026 on: 1. Direct-Rehab treatment planning: A treatment planning algorithm and App to plan physical rehabilitation alongside other spasticity intervention such as botulinum… | Ste...
Posters up at ISPRM 2026 on: 1. Direct-Rehab treatment planning: A treatment planning algorithm and App to plan physical rehabilitation alongside other spasticity intervention such as botulinum toxin....
linkedin.com
Calling all physiotherapists in the Asia Western Pacific region! 🌏 There are only two weeks left to submit your abstract for the World Physiotherapy AWP conference, taking place 26-27 September 2026, in New Delhi, India. Submit before 30 April: https://ow.ly/cEY850YBgkk
See our new paper on 'Quality of life assessment using the Leg Activity Measure in ambulatory patients with leg spasticity'. www.sciencedirect.com/science/arti...
Quality of life assessment using the Leg Activity Measure in ambulatory patients with leg spasticity: Findings from a longitudinal, observational study evaluating the effectiveness of abobotulinumtoxi...
To evaluate the effect of repeat abobotulinumtoxinA treatment on quality-of-life (QoL) in patients with leg spasticity.Secondary analysis of the prosp…
sciencedirect.com
The first two papers in this special issue are now available. Still opportunity to submit if you have work relevant to this topic. Physical and Pharmacological Combination Therapy Incorporating Botulinum Toxins www.mdpi.com/journal/toxi...
mdpi.com
Ultrasound image guided injection of botulinum toxin for the management of spasticity: an implementation case study for practice recommendations and a governance framework www.tandfonline.com/doi/full/10....
Ultrasound image guided injection of botulinum toxin for the management of spasticity: an implementation case study for practice recommendations and a governance framework
A case study to demonstrate the implementation of the National Framework for ultrasound guided injection of botulinum toxin (BoNT) in the management of spasticity in people with stroke or brain inj...
tandfonline.com
#ELASF2026 Looking forward to presenting our poster on quality of life improvement with leg spasticity treatment and associated longitudinal leg spasticity treatment - Top scoring abstracts T6 10.30 Tuesday 10th.
Our new longitudinal study (N = 953) evaluates repeated treatment with botulinum toxin. Significant improvements in Arm Activity measure Passive Function identified for at least six cycles (p < 0.001) with evidence of cumulative benefit. mdpi.com/3686982
mdpi.com
Presenting our poster today at the British Society of Physical & Rehabilitation Medicine (BSPRM) on community outreach provision for specialised rehabilitation for those with severe acquired brain injury. Identifying complexity and supporting more complex needs.
Prevention in Practice: How Neighbourhood Health Services can Transform the NHS 📍We're hosting a Fringe event at the Labour conference, with a panel including: @skinnock.bsky.social @robyeldham.bsky.social 📍 Mon 29 September, 11:15 Meeting room 4A, AAC #RightToRehab #Lab25
New paper out - take a look! Meta-Analysis of Goal Setting and Physical Treatment Categorisation for Focal Spasticity Following Stroke or Other Acquired Brain Injury - Stephen Ashford, Jorge Jacinto, Klemens Fheodoroff, Lynne Turner-Stokes, 2025 doi.org/10.1177/2753...
Meta-Analysis of Goal Setting and Physical Treatment Categorisation for Focal Spasticity Following Stroke or Other Acquired Brain Injury - Stephen Ashford, Jorge Jacinto, Klemens Fheodoroff, Lynne Tur...
Background: Setting goals and planning treatment to attain those goals is often integral to rehabilitation practice, particularly when managing spasticity follo...
doi.org
The #SpendingReview's £4bn overall increase in funding for adult social care by 2028/29 is only enough to prevent a further deterioration in services. Our analysis from May projects costs of meeting growing demand for care in England and making improvements up to 2034/35 ⬇️
Adult social care funding pressures: 2023–35
We project the costs of meeting growing demand for adult social care in England and making some improvements to care up to 2034/35.
health.org.uk
🔥 Most important paper I've read all year🔥 👉 Injury/disease doesn't reliably predict pain 👉 Biomarkers alone can't explain pain 👉 PSYCHOSOCIAL factors reliably determine chronic pain 👉 Painful conditions can be predicted from the SYNERGY btwn bio + psychosocial factors www.nature.com/articles/s41...
Biological markers and psychosocial factors predict chronic pain conditions - Nature Human Behaviour
Fillingim et al. show that biological and psychosocial factors jointly predict conditions associated with chronic pain.
nature.com
Full article: Understanding development of contractures in people with stroke: formulation of a logic-model to inform care and prevention www.tandfonline.com/doi/full/10....
Understanding development of contractures in people with stroke: formulation of a logic-model to inform care and prevention
Contracture is stiffness and reduction in how much a joint and muscle can move and may impact on self-care and functional ability. We outline the development of the first comprehensive Logic-Model ...
tandfonline.com
See our latest paper. Pain Reduction with Repeated Injections of Botulinum Toxin A in Upper Limb Spasticity: A Longitudinal Analysis from the ULIS-III Study mdpi.com/3206880 #mdpitoxins via @Toxins_Mdpi
Pain Reduction with Repeated Injections of Botulinum Toxin A in Upper Limb Spasticity: A Longitudinal Analysis from the ULIS-III Study
Pain reduction is a common goal of the treatment of upper limb spasticity with botulinum toxin (BoNT-A). ULIS-III was a large international, observational, longitudinal study (N = 953) conducted in re...
mdpi.com
Key challenges and opportunities @ij_higginson @CSI_KCL
@ij_higginson Presenting on Better Health & Care Futures Palliative Care. Currently discussing the increase in complex multi-morbidity with opportunities and challenges for palliative care. @CSI_KCL
Try this! doi.org/10.2340/jrm....
Muscle selection and dosing in patients undergoing treatment with abobotulinumtoxinA for lower limb spasticity in real-world practice | Journal of Rehabilitation Medicine
doi.org
Dr Stephen Ashford@stephenashfordpt.bsky.social · last yr.See our new paper. Treatment of leg spasticity (stiff, tight, and difficult to control muscles due to a neurological injury such as stroke) with a physical rehabilitation programme supported by botulinum toxin administration. gbr01.safelinks.protection.outlook.com/?url=https%3A%…
See our new paper. Treatment of leg spasticity (stiff, tight, and difficult to control muscles due to a neurological injury such as stroke) with a physical rehabilitation programme supported by botulinum toxin administration. gbr01.safelinks.protection.outlook.com/?url=https%3A%…
A quick overview of muscle activity during running 🏃🏼♀️ #Running #RunningGait #Physio #Physiotherapy #RunningInjury
Cochrane rightly pointed out that their own review of exercise therapy for ME was “based on a research question and a set of methods from 2002, and reflects evidence from studies that applied definitions of ME/CFS from the 1990s" and convened a panel for an update. The update was then cancelled
Trish Greenhalgh@trishgreenhalgh.bsky.social · 2y agoBMJ has picked up on the Cochrane scandal www.bmj.com/content/388/...
www.frontiersin.org/journals/neu... #spasticitymanagement This consensus guidance provides practical recommendations on identifying shoulder spasticity to support clinicians in their management of people with neurological shoulder dysfunction. @BSPRM_UK @rehabresearchuk @CSI_KCL
Frontiers | A concise practical clinical guide to identifying spasticity in neurological shoulder dysfunction
frontiersin.org
