Biography
I am a bioengineer, with a special interest in neurological rehabilitation and applied clinical research. I completed my doctoral training at the Bioengineering Unit (University of Strathclyde, Glasgow). I have also gained five years of relevant postdoctoral experience Centre for Rehabilitation and Engineering Studies-CREST (with Profs G Johnson and M Barnes) where I established the neurological research exploring the phenomenon of spasticity.
I came to Keele in March 2002 and was promoted to Senior Lecturer in 2007. In 2011 I was promoted to a Personal Chair.
I was appointed to the position of Head of School on 1st Sept 2016. My Professorial inaugural lecture was on Tuesday 25 October 2011 titled: "Defining spasticity - the (slow) walk from being a lumper to a splitter".
Research and scholarship
ISTM Research theme: Healthcare technologies
Improvement in acute medical care, paradoxically, has increased the prevalence of disability in the community, specifically in people neurological and neuromuscular disorders. Changes in population demographics, i.e. increase in life expectancy, exacerbate this problem. The cost of managing disability resulting from these disorders places a substantial financial burden on the state (and individuals) and is set to rise. Furthermore, there is evidence that, in spite of the current levels of investment, patients are currently dissatisfied with their level of care and support. Therefore, a significant focus of my research is to develop optimal rehabilitation programmes (in particular for people with severe levels of disability) and exercise programmes to maintain health. Any process of optimisations also requires an understanding of the normal human performance and pathophysiological process that lead to disabilities, therefore, a substantial proportion of my research effort in targeted at measuring impairments and then modelling the relationship between impairments and functional capability. We have expanded our research portfolio to include injury prevention in elite athletes and improving well being in a working population by drawing on the knowledge we have gained from our research in people with disabilities.
Teaching
Currently I teach on a variety of courses (UG and PG) at the School of Allied Health Professions. I enjoy the interactions that I have with students at both the Graduate and Undergraduate level. The areas of teaching that overlap with my research activities are research methods, measurement in rehabilitation (specifically non-invasive measurement of impairment and activity, and developing methods aimed at elucidating pathophysiology of common impairments), modelling the relationship between impairment, activity and quality of life, motor control, application of assistive technologies and spasticity and contractures.
Further information
Recently my book was published entitled:
Neurological Rehabilitation: Spasticity and Contractures in Clinical Practice and Research (Rehabilitation Science in Practice Series)
Anand D. Pandyan, Hermie J. Hermens, Bernard A. Conway
Selected Publications
- 2021.
-
Designing a trial of early electrical stimulation to the stroke-affected arm: Qualitative findings on the barriers and facilitators. BRITISH JOURNAL OF OCCUPATIONAL THERAPY, 181-186, vol. 85(3). link> doi> full text>2022.
-
Quantifying Missingness in Wearable Heart Rate Recordings. Stud Health Technol Inform (pp. 1077-1078, vol. 281). link> doi> full text>2021.
-
Implications for the design of a Diagnostic Decision Support System (DDSS) to reduce time and cost to diagnosis in paediatric shoulder instability. BMC Med Inform Decis Mak, 78, vol. 21(1). link> doi> full text>2021.
- 2021.
Full Publications Listshow
Journal Articles
- 2021.
-
Designing a trial of early electrical stimulation to the stroke-affected arm: Qualitative findings on the barriers and facilitators. BRITISH JOURNAL OF OCCUPATIONAL THERAPY, 181-186, vol. 85(3). link> doi> full text>2022.
-
Implications for the design of a Diagnostic Decision Support System (DDSS) to reduce time and cost to diagnosis in paediatric shoulder instability. BMC Med Inform Decis Mak, 78, vol. 21(1). link> doi> full text>2021.
- 2021.
-
Assessment of fracture risk tools in care home residents: a multi-centre observational pilot study. European Geriatric Medicine, 79-89, vol. 12. doi> link> full text>2020.
-
Can the early use of botulinum toxin in post stroke spasticity reduce contracture development? A randomised controlled trial. Clin Rehabil, 399-409, vol. 35(3). link> doi> full text>2021.
-
Epidemiological trends in surgery for rectal prolapse in England 2001‐2012: An adult hospital population‐based study. Colorectal Disease, Article codi.15094. doi> full text>2020.
-
Lung clearance index in healthy volunteers, measured using a novel portable system with a closed circuit wash-in. PLoS One, e0229300, vol. 15(2). link> doi> full text>2020.
-
Improving predictor selection for injury modelling methods in male footballers. BMJ Open Sport and Exercise Medicine, Article e000634, vol. 6(1). doi> link> full text>2020.
-
Improving predictor selection for injury modelling methods in male footballers. BMJ Open Sport Exerc Med, e000634, vol. 6(1). link> doi> full text>2020.
-
The ESCAPS study: a feasibility randomized controlled trial of early electrical stimulation to the wrist extensors and flexors to prevent post-stroke complications of pain and contractures in the paretic arm. Clin Rehabil, 1919-1930, vol. 33(12). link> doi> full text>2019.
-
Evaluating the Associations between Physical Activity, Weight Gain and Academic Attainment in Primary School Children. Journal of Physical Activity Research, 90-96, vol. 4(2). doi> link> full text>2019.
-
Version Reporting and Assessment Approaches for New and Updated Activity and Heart Rate Monitors. Sensors (Basel), vol. 19(7). link> doi> full text>2019.
-
"Dynamic knee valgus" - Are we measuring what we think we're measuring? An evaluation of static and functional knee calibration methods for application in gait and clinical screening tests of the overhead squat and hurdle step. Gait Posture, 298-304, vol. 70. link> doi> full text>2019.
-
Non-pharmacological interventions for chronic cough: The past, present and future. Pulm Pharmacol Ther, 29-38, vol. 56. link> doi> full text>2019.
-
A scoping literature review of studies assessing effectiveness and cost-effectiveness of prosthetic and orthotic interventions. Disabil Rehabil Assist Technol, 60-66, vol. 15(1). link> doi> full text>2020.
-
Auditory stimulation improves motor function and caretaker burden in children with cerebral palsy-A randomized double blind study. PLoS ONE, Article 12, vol. 13. doi> full text>2018.
-
Study of the measurement and predictive validity of the Functional Movement Screen. BMJ Open Sport Exerc Med, e000357, vol. 4(1). link> doi> full text>2018.
-
A systematic review of randomised controlled trials assessing effectiveness of prosthetic and orthotic interventions. PLoS One, e0192094, vol. 13(3). link> doi> full text>2018.
-
Pharmacological interventions other than botulinum toxin for spasticity after stroke. Cochrane Database Syst Rev, CD010362, vol. 10(10). link> doi> full text>2016.
-
Physiotherapy, and speech and language therapy intervention for patients with refractory chronic cough: a multicentre randomised control trial. Thorax, 129-136, vol. 72(2). link> doi> full text>2017.
- 1999.
-
Are we Underestimating the Clinical Efficacy of Botulinum toxin (Type A)? Quantifying Changes in Spasticity, Strength, and Upper Limb Function after injection of Botox to the elbow flexors in a unilateral stroke population. Clinical Rehabilitation. doi>2002.
-
Contractues in the post stroke wrist: A pilot study of its time course of development and its association with upper limb recovery. Clinical Rehabilitation, 88-95, vol. 17(1). doi>2003.
- 1997.
- 2001.
- 2001.
-
A systematic review of early life factors which adversely affect subsequent lung function. Paediatr Respir Rev, 67-75, vol. 20. link> doi> full text>2016.
-
Accessing rehabilitation after stroke - a guessing game?. Disabil Rehabil, 1-5. link> doi> link> full text>2016.
-
ESCAPS study protocol: a feasibility randomised controlled trial of 'Early electrical stimulation to the wrist extensors and wrist flexors to prevent the post -stroke complications of pain and contractures in the paretic arm'. BMJ OPEN, Article ARTN e010079, vol. 6(1). link> doi> link> full text>2016.
-
A prospective observational study investigating the time course of arm recovery and the development of spasticity and contractures following stroke. doi>
- 2015.
-
Is the practice of goal-setting for patients in acute stroke care patient-centred and what factors influence this? A qualitative study. Clinical rehabilitation, 508-519, vol. 30(5). doi>2016.
-
The impact of chronic cough: a cross-sectional European survey. Lung, 401-408, vol. 193(3). link> doi> full text>2015.
- 2014.
- 2014.
- 2014.
-
The early use of botulinum toxin in post-stroke spasticity: study protocol for a randomised controlled trial. Trials, 12, vol. 15. link> doi> full text>2014.
- 2013.
- 2013.
- 2012.
- 2013.
- 2012.
-
The physiological impact of upper limb position in prone restraint. Medicine Science and the Law, 1-5. doi>2012.
- 2012.
-
A review of the scientific literature related to the adverse impact of physical restraint: gaining a clearer understanding of the physiological factors involved in cases of restraint-related death. Medicine Science and the Law, 137-142. doi>2012.
-
Proximal interphalangeal joint replacement in patients with arthritis of the hand: a meta-analysis. Journal of Bone and Joint Surgery: British Volume, 1305-1312, vol. 94(10). doi>2012.
- 2011.
- 2011.
- 2010.
- 2006.
- 2005.
- 2004.
- 2005.
- 2006.
- 2005.
- 2009.
- 2009.
- 2009.
- 2008.
- 2007.
- 2006.
- 2006.
- 2005.
- 2005.
-
Theoretical and methodological considerations in the measurement of Spasticity. Disability and Rehabilitation, 69-80, vol. 1/2.2005.
-
An objective measurement of post stroke spasticity. Cerebrovascular Disease, 47, vol. 17(S5).2004.
-
Can treatment with electrical stimulation, to the wrist, be justified in the severely disabled acute stroke patient?. Journal of Disability and Rehabilitation, 156-161, vol. 2.2004.
-
A biomechanical investigation into the validity of the modified Ashworth scale as a measure of elbow spasticity. Clinical Rehabilitation, 290-294, vol. 17(3). doi>2003.
-
A biomechanical investigation into the validity of the modified ashworth scale as a measure of elbow spasticity. Clinical Rehabilitation, 290-294, vol. 17(3).2003.
-
Are we underestimating the clinical efficacy of Botulinum Toxin (Type A)? Quantifying changes in spasticity, strength, and upper limb function after injections of Botox® to the elbow flexors in a unilateral stroke population. Clinical Rehabilitation, 654-660.2002.
- 2001.
- 2000.
- 1999.
- 1998.
Chapters
-
Measures of Spasticity. In Upper motor neurone syndrome and spasticity. Barnes MP and Johnson GR (Eds.). (2nd ed.). Cambridge: Cambridge University Press.2008.
-
Instrumentation for experiments. In Research Methods for Post Graduates. Greenfield T (Ed.). (2nd ed.). London: Arnold.2002.
Other
-
Quantifying Missingness in Wearable Heart Rate Recordings. Stud Health Technol Inform (pp. 1077-1078, vol. 281). link> doi> full text>2021.
-
Reliability Assessment of New and Updated Consumer-Grade Activity and Heart Rate Monitors. SENSORDEVICES 2018 (pp. 77-82). IARIA. link> full text>2018.
- 2016.
-
A prospective observational study investigating the time course of arm recovery and the development of spasticity and contractures following stroke. Physiotherapy. Elsevier. doi>2015.
-
Rationale and process of the first physiotherapy led randomised placebo controlled drug trial in neurology (EUBOSS). Physiotherapy. Elsevier. doi>2015.
- 2014.
-
Strength training with electrical stimulation- Is this a viable method of preventing muscle atrophy after a moderate to severe stroke?. CEREBROVASCULAR DISEASES (p. 201, vol. 35). link>2013.
-
Assistive technologies for the arm after stroke; does lack of evidence mean lack of potential benefit?. INTERNATIONAL JOURNAL OF STROKE (p. 78, vol. 7). link>2012.
-
Does surface neuromuscular electrical Stimulation (sNMES) to the upper limb following acute stroke improve?. British Association of Stroke Physicians.2003.
-
A randomised controlled trial to evaluate surface neuromuscular electrical stimulation to the shoulder following acute stroke. 9th Annual Conference of the International Functional Electrical Stimulation Society (IFESS).2004.
-
An Objective measurement of post stroke spasticity. Cerebrovascular Disease 17(ss).2004.
-
Can neuro-muscular electrical stimulation of the wrist extensors facilitate the recovery of arm function in the severly disable acute stroke patient?. Spring Meeting of the British Geriatric Society,.2004.
-
Does surface neuromuscular electrical stimulation (SNMES) to the upper limb following acute stroke improve outcome. Age & Ageing (p. 44, vol. 32).2004.
-
can treatment with upper limb electrical (foreamr extensors) stimulation can be justified in the severely disabled acute stroke patient?. 9th Annual Conference of the International Functional Electrical Stimulation Society (IFESS).2004.
-
A biomechanical review of modified ashworth scale for measuring spasticity. British Stroke Research Group.2003.
-
Biomechanical Characterization of the stretch Reflex Activity as an approach to Spasticity Measurement and Modeling - A pilot Study. 25th International Conference of the IEEE Engineering in Medicine and Biology Society. doi>2003.
-
Does resistance to passive movement, measured using a single velocity, represent spasticity in post stroke hemiplegia?. Journal of the International Society of Physical and Rehabilitation Medicine (p. 121, vol. Supplement (May)).2003.
-
Does resistance to passive movement, measured using a single velocity, represent spasticity in post stroke hemiplegia?. Journal of the International Society of Physical and Rehabilitation Medicine.2003.
-
Does spasticity Result from Hyperactive Strech reflexes? Preliminary findings from a reflex characterisation study. Journal of the international Society of Physical Rehabilitation Medicine.2003.
-
Effects of Initial Muscle Length in stretch Reflex Excitability in People with Post-stroke Spasticty and Healthy Volenteers. 27th Annual meeting of the American Society of Biomechanics.2003.
-
Is Clinical measurement of Spasticity following stroke using a modified Ashworth scale Valid?. British Association of Stroke Physicians.2003.
-
Is Clinical measurement of spasticity following stroke using the Modified Ashworth Scale Valid?. Journal of the International Society of Physical and Rehabilitation medicine.2003.
-
Variations in the stretch reflex excitability due to Applied Torque Perturbations in post-stroke and Non-Impaired Volenteers. World Congress of medical Physics & Biomechanical Engineering (Triennial Congress of the IUPESM/IFMBE/IOMP).2003.
-
validity of the Modified Ashworth Scale in the measurement of Spasticity. Autum Meeting of the British Geriatric Society.2003.
-
A Biomechanical examination of the modified Ashworth scale. In proceeding of the British Association of stroke physicians.2002.
-
A Simple Biomechanically based technique to maesure spasticity in routine clinical practice - Results from preliminary clinical trial. In Proceedings of the 3rd World Congress in Neurological Rehabilitation Venice.2002.
-
A pilot study investigating the effects of electrical stimulation on the wrist extensors on upper limb impairment and function in an accute stroke population. 13th European Congress of Physical and Rehabilitation Medicine. Brighton UK.2002.
-
A reterospective study of upper limb problems and their associated interventions following neurological events. In Proceedings of the 3rd World Congress in Neurological Rehabilitation Venice Italy.2002.
-
Ashworth Score Zero: Normative data estimates for resistance to passive elbow extension obtained from a female impaired adult sample. 13th European Congress of Physical and rehabilitation Medicine, Brighton UK.2002.
-
Biomechanical Characterisation of reflex activity at the elbow - A first step to quantifying spasticity. In proceedings of the 3rd world progress in Neurlogical Rehabilitation Venice Italy.2002.
-
Biomechanical Characterisation of reflex activity at the elbow - Afirst step to quantifying spasticity. In proceedings of the 3rd World Congress in Neurological Rehabilitation, Venice, Italy.2002.
-
Contractures in the post stroke Wrist : A Pilot Study of its time course of development and its association with upper limb recovery. In proceedings of the 3rd World Congress in Neurlogical Rehabilitaion, Venice, Italy.2002.
-
How Valid is the clinical assessment of spasticity after stroke?. In proceedings of the British Association of Stroke Physicians.2002.
-
can changes in resistance to passive movement be reliably graded by the modified Ashworth Scale?. In proceedings of the 3rd World Congress in Neurological Rehabilitation, Venice.2002.
-
Evaluation of parental attitudes on the use and effect of technology on physical activity levels in children aged 7 to 11 - a knowledge elicitation study. Web-based questionnaire
School of Allied Health Professions
MacKay Building
Keele University
Staffordshire
ST5 5BG
Enquiries:
AHP Placements Team: sahp.clinical@keele.ac.uk
Postgraduate Course Admin Team: sahp.postgraduate-admin@keele.ac.uk
Undergraduate Course Admin Team: sahp.admin@keele.ac.uk