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Dr Stephen Ashford

@stephenashfordpt.bsky.social
544 followers 687 following 98 posts

Consultant Physiotherapist, LNWUH & Hon. Associate Professor in Rehabilitation, KCL. Specialist in neurorehabiltation, severe brain injury, stroke, spasticity and contracture management.

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Dr Stephen Ashford @stephenashfordpt.bsky.social · 12/10/2026
Longitudinal Goal Attainment With Repeat Injections of AbobotulinumtoxinA in Adults With Lower Limb Spasticity: Results From a Prospective Observational Study - Archives of Physical Medicine and Rehabilitation archives-pmr.org/article/S0003-…
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 03/10/2026
Active Function Improvement with Repeated Injections of Botulinum Toxin A in Upper Limb Spasticity: A Longitudinal Analysis from the ULIS-III Study mdpi.com/4115004 #mdpitoxins via @Toxins_Mdpi
mdpi.com
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 03/10/2026
Ultrasound Use in Clinical Decision-Making for Spasticity and Contracture Management in Neurological Rehabilitation mdpi.com/4116332 #mdpijfmk via @jfmk_mdpi?lang=en
mdpi.com
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 30/09/2026
ending and presenting today @ North West London Research Symposium for NMAHPPs. @BSPRM_UK @ACPIN_UK Delivering work on the application of the Leg Activity measure to evaluate quality life improvement. archives-rrct.org/article/S2590-…
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 22/09/2026
Just out on community provision. journals.sagepub.com/doi/10.1177/...
journals.sagepub.com
Specialised Acquired Brain Injury Community Outreach Provision – a Service Evaluation Cohort to Enable Practice Development and Improvement - Stephen Ashford, Heather Williams, Hilary Rose, Aideen Ste...
Background Access to regional specialist services to support complex management needs (including spasticity) in the community is often variable in the UK and in...
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 20/09/2026
New paper out yesterday. We have been able to show improvement in goal attainment and Arm and Leg Activity measures in a primarily community managed cohort, which provides a unique perspective on spasticity treatment delivery and positive outcomes.
linkedin.com
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 16/06/2026
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!
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 19/05/2026
www.linkedin.com/posts/stephe...
linkedin.com
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....
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 19/05/2026
www.linkedin.com/posts/stephe...
linkedin.com
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....
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 02/05/2026
www.facebook.com/share/p/1Aya...
facebook.com
Facebook
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Reposted by Dr Stephen Ashford
World Physiotherapy @worldphysio1951.bsky.social · 07/04/2026
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: ow.ly/cEY850YBgkk
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 18/03/2026
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...
sciencedirect.com
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…
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 18/03/2026
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
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 18/03/2026
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....
tandfonline.com
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...
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 09/03/2026
#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.
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 09/03/2026
#ELASF2026 Life After Stroke Stockholm. Hearing about stroke follow-up and monitoring
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 21/01/2026
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
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 29/09/2025
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.
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Chartered Society of Physiotherapy @thecsp.bsky.social · 27/09/2025
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
Prevention in Practice: How Neighbourhood Health Services Can Transform the NHS

Speaker imgaes and titles: 
Matthew Taylor, CEO, NHS Confed (Chair)
Stephen Kinnock MP, Minister for Care
Rob Yeldham, Director, Chartered Society of Physiotherapy
Kamila Hawthorne, Chair of Council, Royal College of General Practitioners
Julia Worthington, Integrated Neighbourhood Lead, Greater Manchester Council

Date: Monday 29 Septermber, 11:00-12:15, Meeting Room 4A, AAC
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 02/07/2025
www.linkedin.com/posts/stephe...
linkedin.com
Yes, glad to see this paper out! | Stephen Ashford
Yes, glad to see this paper out! Please take a look goal setting (GAS) and outcome evaluation applied in palliative rehabilitation.
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 22/06/2025
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...
doi.org
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...
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Reposted by Dr Stephen Ashford
The Health Foundation @healthfoundation.bsky.social · 21/06/2025
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 ⬇️
health.org.uk
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.
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 20/06/2025
x.com/StephenAshfo...
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Stephen Ashford on X: "New paper out today - 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 https://t.co/eoxehKAMWI" / X
New paper out today - 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 https://t.co/eoxehKAMWI
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 04/06/2025
x.com/AnandDPandya...
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Prof Anand Pandyan on X: "It was a blast @StephenAshford3 @drpaulwinston and Mahdis - thank you for the opportunity to have this event." / X
It was a blast @StephenAshford3 @drpaulwinston and Mahdis - thank you for the opportunity to have this event.
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 16/05/2025
x.com/CANOSCmeded/...
x.com
CANOSC on X: "Please join this deconstruction of spasticity outcomes with @AnandDPandyan @StephenAshford3 @drpaulwinston and Dr Mahdis Hashemi. Colourful cases, debates and new frontiers https://t.co/2uzgEhU6hM https://t.co/gMqMoOCauF" / X
Please join this deconstruction of spasticity outcomes with @AnandDPandyan @StephenAshford3 @drpaulwinston and Dr Mahdis Hashemi. Colourful cases, debates and new frontiers https://t.co/2uzgEhU6hM https://t.co/gMqMoOCauF
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Reposted by Dr Stephen Ashford
Dr. Rachel Zoffness @drzoffness.bsky.social · 14/05/2025
🔥 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...
nature.com
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.
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 08/03/2025
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....
tandfonline.com
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 ...
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 01/03/2025
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
mdpi.com
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...
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 26/02/2025
Key challenges and opportunities @ij_higginson @CSI_KCL
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 26/02/2025
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 26/02/2025
@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
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 08/02/2025
Try this! doi.org/10.2340/jrm....
doi.org
Muscle selection and dosing in patients undergoing treatment with abobotulinumtoxinA for lower limb spasticity in real-world practice | Journal of Rehabilitation Medicine
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 08/02/2025
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%…
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Reposted by Dr Stephen Ashford
Tom Goom @running-physio.bsky.social · 01/02/2025
A quick overview of muscle activity during running 🏃🏼‍♀️ #Running #RunningGait #Physio #Physiotherapy #RunningInjury
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Reposted by Dr Stephen Ashford
Chloé de Canson @chloedecanson.bsky.social · 29/01/2025
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
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 23/01/2025
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
frontiersin.org
Frontiers | A concise practical clinical guide to identifying spasticity in neurological shoulder dysfunction
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Reposted by Dr Stephen Ashford
ithinkwellhugh.bsky.social @ithinkwellhugh.bsky.social · 22/01/2025
#ResearchResources Information to help with Thesis and Research Writing from University of Wollongong @UoW. buff.ly/42p5USm #PhDchat #acwri
buff.ly
Thesis and research writing - University of Wollongong – UOW
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 16/01/2025
A really concerning report from the RCN. Particularly for acute care, but it feeds into all areas of the system.
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 15/01/2025
#SRR2025 R-Speak: Empowering communication for indiviwith aphasia through knowledgeable AI @rehabresearchuk
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 15/01/2025
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 15/01/2025
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 15/01/2025
x.com/StephenAshfo... #SRR2025 Get involved.
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Reposted by Dr Stephen Ashford
QMUL Centre for Psychiatry & Mental Health @qmulpsychiatry.bsky.social · 13/01/2025
The I-Care #Doctoral Training Centre has invited applications for #dementia #PhD students starting in October 2025. We have one fully funded 4-year studentship at QMUL www.dementiaresearcher.nihr.ac.uk/job/phd-stud...
dementiaresearcher.nihr.ac.uk
PhD Studentship: Dementia Care / Diagnosis Project Options
Funded PhD Postion available within the Alzheimer's Society Dementia I-Care DTC at Queen Mary University of London, choice of projects available
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 15/01/2025
Comms @braininjuryhrc.bsky.social
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 15/01/2025
##SRR2025 PPIE Involvement and Inclusion
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 15/01/2025
x.com/StephenAshfo...
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 15/01/2025
News: NIHR HRC Fellowship funding announced to support research capacity building in brain injury.
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 15/01/2025
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 15/01/2025
#SRR2025 Now, hearing about the NIHR health technology research centre for brain injury @rehabresearchuk
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Dr Stephen Ashford @stephenashfordpt.bsky.social · 15/01/2025
#SRR2025 Positive outcome of attention training.
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