Balance Matters: A neuro physical therapist’s journey to make “Sense” of Balance

Neurorehabilitation Perspectives with Dr. Julie Vaughan-Graham

January 19, 2023 Erica Season 3 Episode 11
Balance Matters: A neuro physical therapist’s journey to make “Sense” of Balance
Neurorehabilitation Perspectives with Dr. Julie Vaughan-Graham
Show Notes

Great discussion on neurorehabilitation perspectives.  We discussed are we addressing the client’s perspective?  What does the client want and what is their needs vs. what we think may be important.  In neurorehabilitation, the therapist is interested in how the person completes the activity, not just the task completion.  We talked the importance of observation skills and dived deeper into the Bobath model and current research, as well as compensatory movements, movement synergies and sensory integration.   
Bio: Julie Vaughan-Graham PT, PhD

Advanced IBITA Instructor (Honorary Life Member 2020)
Founder, Physio-Logic and iNeuroRehab
Assistant Clinical Professor (Adjunct), School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada
Adjunct Lecturer, Department of Physical Therapy, University of Toronto, Canada

Julie graduated from St. Thomas’ Hospital, London, England in 1986 and has worked in the area of neurorehabilitation since 1988.  Julie emigrated to Toronto in 1991, initially taking a position at Lyndhurst, Spinal Cord Injury Centre, and then later opening her own private community neurorehabilitation practice, Physio-Logic, in Toronto in 1993.  

Julie completed her MSc in Neurological Rehabilitation at Leeds Metropolitan University, UK in 2010, and her PhD at the Rehabilitation Sciences Institute, University of Toronto in 2016.  Julie has had a number of post-doctoral positions and she holds an Assistant Clinical Professor (Adjunct) position in the School of Rehabilitation Science at McMaster University and, an Adjunct Lecturer appointment in the Department of Physical Therapy at the University of Toronto.

Julie recently founded iNeuroRehab, an e-learning platform for clinicians.  She is an Advanced IBITA instructor, and instructs post-graduate clinical neurorehabilitation courses across Canada and internationally.

Articles we discussed and published by Dr. Vaughan-Graham

After 55 Years of Neurorehabilitation, What Is the Plan? - PubMed (

Motor Control: A Conceptual Framework for Rehabilitation in: Motor Control Volume 26 Issue 4 (2022) (

Vaughan-Graham, J., Patterson, K., Brooks, D., Zabjek, K., & Cott, C. (2019). Transitions sit to stand and stand to sit in persons post-stroke: Path of centre of mass, pelvic and limb loading – A pilot study. Clinical Biomechanics, 61, 22-30. doi:

 Michielsen, M., Vaughan-Graham, J., Holland, A., Magri, A., & Suzuki, M. (2017). The Bobath concept – a model to illustrate clinical practice. Disability and Rehabilitation, 1-13. doi:10.1080/09638288.2017.1417496

 Vaughan-Graham, J., Patterson, K., Zabjek, K., & Cott, C. (2017). Conceptualizing movement by expert Bobath instructors in neurological rehabilitation. Journal of Evaluation in Clinical Practice, 23(6), 1153-1163. doi:10.1111/jep.12742