Dr. Nick Ward
UCL Institute of Neurology
Nick Ward is a Reader in Clinical Neurology and Consultant Neurologist at UCL Institute of Neurology and The National Hospital for Neurology and Neurosurgery, Queen Square. He is lead of the first dedicated upper limb neurorehabilitation programme in the UK. He also runs a research programme using structural and functional brain imaging to understand the mechanisms of recovery of movement after stroke so that we might predict both optimal treatments of upper limb impairment and long term outcomes after stroke. He is Co-editor of the Oxford Textbook of Neurorehabilitation and is Associate Editor of both the Journal for Neurology, Neurosurgery and Psychiatry and Neurorehabilitation and Neural Repair.
The Queen Square Upper Limb Neurorehabilitation Programme
Upper limb rehabilitation after stroke is neglected. Consequently, there is a nihilistic view about what clinically relevant changes are possible. Here I will discuss the outcomes of patients admitted to the Queen Square upper limb rehabilitation program. Our results suggest that chronic stroke patients can change by clinically important differences in measures of both impairment and function following intensive upper limb rehabilitation. Interestingly, continued benefits were often seen for at least 6 months beyond the programme. Ongoing work will identify characteristics of those patients most likely to respond to intensive therapy; determine the effect of this intervention on quality of life (Stroke Impact Scale); describe the key elements in the programme - time on task, repetitions, category of task (e.g. active, sensory, functional, education, self-directed learning).