Miles Browning

Published articles by Miles

• Older Adult Rehabilitation Research: access, choices and recovery beyond the clinic

  Friday 30 October 2026 edition: four recent studies examine access to falls programmes, knee osteoarthritis treatment choices, stroke walking practice and participation after home rehabilitation.

• Older Adult Rehabilitation Research: when a test result meets everyday life

  New studies in balance, pain, stroke recovery and walking aids show why a better test result needs to be understood alongside daily life.

• Can a better care plan help prevent falls? What new research tells us

  New research suggests that helping clinicians turn exercise evidence into everyday care can make a measurable difference. It also reminds us why the right exercise plan depends on the person, the problem and the outcome that matters.

• Home physiotherapy after knee replacement

  How a home assessment can connect knee replacement rehabilitation with walking, household tasks and your surgical plan.

• Home physiotherapy after hip replacement

  Understand how individual surgical instructions, home surroundings and suitable support shape recovery after hip replacement.

• Home physiotherapy after hip fracture

  A guide to movement, assistance and coordinated follow-up after hip fracture, grounded in the person’s circumstances and goals.

• In-home physiotherapy for knee osteoarthritis

  Explore how assessment, exercise and adaptation can address the everyday activities affected by knee osteoarthritis at home.

• Physiotherapy at home for persistent low back pain

  Understand the role of home physiotherapy in persistent low back pain, including individual assessment, meaningful activity and review.

• Home physiotherapy after stroke

  How physiotherapy at home can contribute to a coordinated stroke rehabilitation plan, with meaningful practice and appropriate assistance.

• Home physiotherapy for Parkinson’s disease

  A guide to assessing movement at home with Parkinson’s disease, including individual strategies, appropriate expertise and connected care.

• Physiotherapy at home for people living with dementia

  Explore meaningful movement, communication and support in dementia care, with a candid explanation of what exercise research can and cannot show.

• Frailty and strength loss: what home physiotherapy can address

  Understand how home physiotherapy can assess reduced capacity and connect suitable movement with a worthwhile daily activity.

• Your home physiotherapy exercise plan: making it workable between visits

  Make the prescribed exercise plan workable between appointments by clarifying its purpose, setup, assistance and review arrangements.

• Osteoporosis and vertebral fracture: physiotherapy at home

  Understand why exercise and movement advice must reflect osteoporosis, fracture history, current symptoms and the individual care plan.

• Supporting home physiotherapy: a guide for families and support workers

  Clarify how families and support workers can assist a home physiotherapy plan while protecting the person’s choices and everyone’s safety.

• Why Do Older Adults Fall? There Is Rarely One Cause

  A fall is an event, not a diagnosis. Understanding it means examining how health, movement, attention, environment and activity came together.

• Falls Are Not Simply a Normal Part of Ageing

  Age influences falls risk without explaining why a particular person fell or what should happen next.

• Why Clinics GRP Talks About Falls Management — Not Just Falls Prevention

  Falls management addresses risk and harm while keeping meaningful activity, support and participation visible.

• What Should Happen After an Older Person Falls?

  A useful post-fall response identifies urgent concerns, preserves the story of the event and builds a specific plan for what happens next.

• Fear of Falling: When Being Careful Starts to Shrink Your Life

  Concern about falling deserves attention when it begins to restrict activity, confidence and participation beyond what the actual situation requires.

• After a Fall: How to Rebuild Confidence Without Ignoring Risk

  Confidence after a fall can be rebuilt through explanation, graded meaningful practice and support that matches the person and the task.

• Managing Falls Risk Should Protect Participation, Not Restrict It

  Falls management should reduce avoidable harm while preserving the activities, roles and relationships that give movement its purpose.

• What Type of Exercise Helps Reduce Falls Risk?

  Effective falls exercise usually combines appropriately challenging balance and functional practice with other components matched to the person.

• Balance Training Should Help You Do Something That Matters

  Balance exercises are tools. Their value lies in how they help a person return to, maintain or adapt an activity that matters.

• From Balance Scores to Real Life: What Does Successful Rehabilitation Look Like?

  Clinical measures matter most when they remain connected with everyday performance, participation, confidence and the support a person uses.

• A Walking Aid Can Increase Independence, Confidence and Participation

  A walking aid should not be judged by how quickly it can be removed, but by whether it improves safe, sustainable participation.

• Adaptation Is Not Giving Up: Rethinking Balance and Ageing

  Equipment, environmental changes, timing and support can help a person continue valued activities without opposing rehabilitation.

• The Goal Is Not Perfect Balance — It Is More Options

  The strongest balance plan builds more than one workable response across changing tasks, environments, symptoms and priorities.

• Rehabilitation that fits real life: exercise, arthritis and falls at home

  What new research says about exercise dose, managing arthritis and supporting movement and confidence at home.

• What Happens When Physiotherapy Is Not Helping as Expected?

  A stalled response is information. It should trigger review, not blame or automatic repetition of the same plan.

• Where Should Physiotherapy Happen?

  The best setting is the one that helps answer the clinical question and practise the task that matters.

• Adapting the Method Without Losing the Purpose

  A different way to complete a task can preserve what it means to the person, even when the old method no longer fits.

• Maintaining an Ability Can Be a Meaningful Goal

  Progress does not always mean doing more. Sometimes preserving a valued activity through change is the right goal.

• When Physiotherapy Needs Another Clinician

  Physiotherapy has a defined role. Good care recognises when another clinical view is needed and makes the handoff clear.

• Osteoarthritis, Joint Pain and Meaningful Movement

  A joint diagnosis matters, but care should also ask which activity pain is changing and which treatments have evidence.

• How Should Physiotherapy Progress Be Reviewed?

  Review is how a care plan stays connected to the outcome that matters, including when the plan needs to change.

• Physiotherapy, Rehabilitation and Therapeutic Exercise: How Do They Differ?

  These routes overlap, but they answer different questions about assessment, recovery and structured practice.

• Strength Loss and Deconditioning Are Not the Whole Story

  Reduced strength after illness or inactivity may respond to practice, but the cause and the person's goal still need assessment.

• When Pain Changes an Everyday Task

  Pain matters because of how it is experienced and what it changes in a person's day, not only where it is felt.

• When Movement Starts to Change, What Should You Ask?

  A change in movement deserves a question about cause and meaning, not a quick assumption that age explains it.

• What a First Physiotherapy Assessment Is Actually For

  A first assessment should build an explanation of the change, not just collect a score or name a painful joint.

• Older Adult Rehabilitation Research: what walking, pain and activity measures reveal

  New research on visual balance, hip osteoarthritis, stroke walking practice and daily activity shows why rehabilitation needs more than one measure of progress.

• When an older adult declines nursing care at home, what happens next?

  A declined nursing task should prompt a conversation about the person’s reasons, understanding and options, with a clear record and proportionate follow-up.

• When pain changes at home, what should nursing review add?

  A nurse can help make a change in pain visible, assess its effect, review the agreed plan and connect the person with the right treating clinician.

• Living with a new stoma at home: what should nursing follow-up cover?

  A new stoma plan has to work beyond discharge: the person needs supplies, practical education, a specialist contact and a route for concerns.

• Pressure injury risk at home: what should a nursing review change?

  Pressure injury prevention depends on an individual assessment and a workable home plan, especially when mobility or care arrangements change.

• When skin tears keep happening, what should a prevention review change?

  A second or third skin tear raises a different question from the first injury: what keeps exposing the skin to harm, and which part of the plan should change?

• Clinical observations at home: what can they tell us, and what can they not?

  A useful observation is a measurement in context: why it was taken, how it compares with the person's usual state, what else changed and who will act on it.

• When continence changes affect skin, what needs a joined-up review?

  Skin discomfort alongside a bladder or bowel change needs more than a product swap: the team should assess both concerns, the person's routine and the cause of any skin damage.

• Catheter care at home: what should routine nursing review include?

  A catheter visit should do more than complete a scheduled task: it should confirm the plan still fits, identify complications and leave the person knowing whom to contact.

• When repeated nursing tasks are a sign that the whole care plan needs review

  The important question is not how many visits have occurred, but whether repeated care still has a clear purpose, response and review point.

• What makes a useful nursing referral for an older adult?

  A referral is most useful when it explains the change or clinical question, not simply the number of nursing visits requested.

• When a wound is not progressing as expected: what should be reviewed?

  A wound that is not following the expected course calls for a comparison with the original assessment and a review of the whole plan, not just another dressing choice.

• What should happen after a medicine changes at home?

  After a prescription changes, the practical safety question is whether the new instruction has reached the person, their current medicines record and everyone responsible for the care plan.

• Older Adult Rehabilitation Research: what this week’s evidence tells us about falls, frailty and rehabilitation

  What research on falls after stroke, frailty, muscle loss, dual-task training and osteoarthritis means for rehabilitation in everyday life.

• Older Adult Rehabilitation Research: reassessment, exercise and everyday recovery

  This Friday’s research looks at changing falls risk in hospital, rehabilitation exercise, home routines and whether new tools improve everyday function.

• Post-Hospital Rehabilitation: rebuilding useful physical capacity

  Explore how physiotherapy-led rehabilitation assesses capacity lost around a hospital stay and builds an individual plan around useful daily goals.

• Choosing care after hospital: where should recovery begin?

  Understand the different purposes of nursing-led transition care, focused post-hospital rehabilitation and broader rehabilitation, and where to start.

• Continuing rehabilitation after hospital: review, adapt and step down

  Consider when continuing rehabilitation has a useful purpose, how goals can adapt and what a clear handover or step-down should include.

• Your discharge plan: making it work at home

  Turn discharge instructions into workable home arrangements by checking accepted referrals, equipment, support, contacts and responsibility for follow-up.

• Why you may feel weaker after hospital, even after a short stay

  Understand why strength and everyday capacity may change after a short admission, why causes need assessment and how rehabilitation can be considered.

• Fatigue after hospital: planning activity around your recovery

  Describe fatigue, consider medical review and plan everyday activity and rehabilitation around your individual response, including delayed symptoms.

• Moving safely at home after hospital: walking, transfers and falls

  Review walking, transfers, equipment and assistance after discharge, and distinguish essential mobility needs from broader balance and rehabilitation goals.

• Medicines after hospital: understanding what changed

  Understand which medicines questions to raise after discharge, how to clarify conflicting instructions and the role of practical nursing support.

• Nursing care after discharge: wounds, devices and clinical follow-up

  Clarify nursing treatment, wound or device instructions, supplies, monitoring and the receiving care arrangement after hospital discharge.

• Hospital-to-Home: planning clinical care for the first days at home

  Plan the clinical care required in the first days at home, clarify responsibilities and understand when nursing-led transition care can hand over.

• Supporting someone after hospital without taking over

  Offer practical help after discharge while preserving the person's choices, agreeing realistic responsibilities and involving the treating team appropriately.

• Referring for post-hospital recovery: choosing the service and closing the handover

  A practical guide for referrers to match current clinical needs with the right service, provide useful information and confirm acceptance and handover.

• Older Adult Rehabilitation Research: what this week's evidence means in everyday life

  What new research on falls, stroke, pain, activity monitoring and medication means for rehabilitation in everyday life.

• Continence Changes in Later Life: When Nursing Assessment Can Help

  How nursing assessment can help clarify bladder or bowel changes in later life, support dignity and identify when medical or specialist review is needed.

• Skin Tears and Fragile Skin in Older Adults: Why the Context Matters

  Why nursing review of skin tears considers fragile skin, daily routines, comfort and healing, and when an older person needs medical advice.

• Catheters and Stomas at Home: What Good Nursing Follow-up Looks Like

  What nursing follow-up for catheters and stomas should address, including comfort, specialist plans, supplies, communication and urgent medical review.

• Why Near-Falls Matter Even If You Have Not Fallen

  A near-fall can show that balance was disturbed and recovery was required, even when the person did not reach the ground.

• Why Turning Is One of the Most Important Things to Assess in Balance

  Turning redirects the head, trunk and feet while the body is moving, making it a revealing everyday balance task.

• What Is Dual-Task Walking and Why Does It Matter?

  Dual-task walking examines what happens when a person walks while completing another cognitive or movement task.

• Why Walking While Talking Can Reveal Balance Problems

  Walking while talking combines a movement task with a cognitive task and can reveal how a person allocates attention under everyday conditions.

• Why a Balance Assessment Should Look at More Than Falls History

  Falls history is important, but it cannot show every change in balance, exposure, confidence or the strategies a person uses to avoid falling.

• What Should a Comprehensive Balance Assessment Include?

  A comprehensive balance assessment combines the person's story, relevant health factors, physical capacity, task performance, environment and goals.

• Why Balance Can Be Good in the Clinic but Poor in the Real World

  Clinic testing samples balance under selected conditions, while daily life combines variable surfaces, distractions, fatigue and meaningful decisions.

• Why Good Balance Is About Adaptability, Not Standing Still

  Useful balance is the capacity to adjust when the body, task or environment changes, not the absence of all movement.

• Balance and Sensory Uncertainty: Why the Nervous System May Choose a Safer Movement Strategy

  A cautious movement strategy can be the nervous system's rational response when the body or environment provides uncertain information.

• What Happens When Sensory Information Becomes Less Reliable?

  Balance becomes more demanding when one or more sensory signals are faint, delayed or misleading, especially when the task offers few reliable alternatives.

• Sensory Reweighting: How Your Brain Changes Which Balance Signals It Trusts

  Sensory reweighting is the nervous system's ability to rely more on useful balance information and less on information that has become uncertain.

• What Is Sensorimotor Control? A Practical Explanation for Older Adults

  Sensorimotor control is the continuous conversation between what your body senses, how your nervous system interprets it and how you move in response.

• Remedial Massage Under Support at Home: What Is and Is Not Covered?

  Understand Support at Home remedial massage rules, prescription requirements, contributions, exclusions and the limits of clinical evidence.

• What Should a Home-Care Provider Expect From a Clinical Nursing Partner?

  What home-care providers should clarify with a nursing partner: scope, assessment, reporting, escalation, coordination and review around the older person.

• What Should a Support at Home Provider Expect From an Allied Health Clinical Partner?

  What should providers expect from a clinical partner? Explore referral clarity, useful reporting, authorisation, review and coordinated care.

• Strength, Mobility and Independence: What Rehabilitation at Home Is Trying to Achieve

  Explore how home rehabilitation connects strength and mobility with meaningful activities, individual goals and Support at Home arrangements.

• Balance, Power and Reaction Time: Why Recovering From a Trip Is Different From Standing Still

  How trip recovery differs from standing balance, where strength and power fit, and what evidence says about reactive balance training.

• Why Strength Training Alone May Not Fix Balance Problems

  Why strengthening can help without resolving every balance difficulty, and how balance practice, assessment and adaptation fit alongside it.

• Is Cautious Walking a Problem or a Smart Adaptation?

  How to distinguish useful caution from walking changes that need review, while supporting confidence, adaptation and meaningful participation.

• Why Older Adults Take Smaller Steps and When That Strategy Is Helpful

  When shorter steps can be useful, how they differ from problematic gait changes and why the task and symptoms matter.

• Why Some Older Adults Walk More Slowly Even When They Are Strong Enough

  Why walking speed reflects more than strength, when slowing down helps and when a changing walking pattern deserves assessment.

• Why Uneven Ground Becomes Harder as We Age

  Why grass, gravel and slopes demand more than level walking, and how assessment, rehabilitation and adaptation can support outdoor activity.

• What Is Proprioception and Why Does It Matter for Balance?

  What proprioception means, how it contributes to balance and why assessment should connect body sensation with everyday movement.

• How the Vestibular System Affects Balance in Older Adults

  How the inner ears contribute to balance, why dizziness needs individual assessment and when vestibular rehabilitation may be appropriate.

• Why Closing Your Eyes Can Make Balance Much Harder

  Why removing vision changes balance, what an eyes-closed result can and cannot show, and how practical support can help everyday activity.

• How the Brain Keeps You Balanced: Vision, Vestibular and Proprioceptive Signals Explained

  Understand how vision, inner-ear signals and body-position information work together to support balance in older adults.

• Why Balance Gets Harder With Age and Why It Is Not Just Weakness

  Why balance can change with age, from sensory information and movement to attention and surroundings, and when an individual assessment may help.

• Balance Is More Than Strength: The Clinics GRP Approach to Balance in Older Adults

  How sensory information, movement, confidence and surroundings contribute to balance, and how Clinics GRP connects care with meaningful participation.

• What Happens When Rehabilitation Stops Progressing?

  When rehabilitation progress stalls, review the goal, response and continuing purpose of care. Explore reassessment under Support at Home.

• Why One Older Person May Need More Than One Clinical Discipline

  Understand when more than one clinical discipline may help, and why shared goals, clear responsibilities and communication matter.

• When Is Home Physiotherapy More Useful Than a Clinic Visit?

  When might home physiotherapy be useful? Explore the role of everyday tasks, travel, clinical needs and personal goals when choosing home or clinic care.

• When Walking at Home Starts to Change: What Should Physiotherapy Look At?

  Walking at home has changed? Learn what to describe, when to seek urgent help and how physiotherapy can assess movement in the context of daily life.

• What Can a Physiotherapist Assess in Your Home That May Be Harder to See in a Clinic?

  Explore what a home physiotherapy assessment can reveal about everyday movement, furniture, routines and support, and where other clinical input may help.

• Getting Up, Stairs and Everyday Transfers: Why the Home Environment Matters in Physiotherapy

  Understand how chairs, stairs, space and assistance can affect everyday transfers, and how home physiotherapy can support an individual assessment and plan.

• After a Fall at Home: When Might Physiotherapy Assessment Help?

  After a fall at home, understand when physiotherapy may help, why medical needs come first and how assessment can connect movement, confidence and home safety.

• After Hospital: What Can a Home Physiotherapist Assess Once You’re Back Home?

  Learn what a home physiotherapist may assess after hospital, from discharge instructions and everyday movement to symptoms, support and meaningful recovery goals.

• Why Nursing and Physiotherapy Sometimes Need to Work Together

  When nursing and physiotherapy may need to coordinate around an older person’s priorities, and what makes a shared care plan useful.

• When an Older Person’s Needs Change Under Support at Home: Why Reassessment Matters

  Learn when changes in function, health, support or goals warrant discussion, and how clinical review differs from a formal support-plan review.

• Medication Changed? Why Observation and Communication Matter After the Prescription

  Understand nursing observation and communication after prescription changes, with clear boundaries for prescribers, pharmacists and urgent care.

• Falls, Balance and Mobility Under Support at Home: When Can Physiotherapy Help?

  Explore what falls and balance care should address under Support at Home, from individual assessment to meaningful activity and review.

• When Is a Nursing Assessment More Useful Than Another Routine Visit?

  When a broader nursing assessment can clarify changing needs, ongoing care and next steps for an older person, family or home-care provider.

• What Is the Support at Home Restorative Care Pathway, and When Might Clinical Rehabilitation Help?

  How a time-limited restorative care episode can connect assessment, meaningful goals, rehabilitation, nursing and review under Support at Home.

• After Hospital: What Should a Nurse Be Looking for During Recovery at Home?

  Explore nursing follow-up after hospital, from discharge information and medicines to wounds, mobility, coordination and review at home.

• A Wound Is More Than a Dressing: What Nursing Review Should Consider

  What a wound nursing review considers beyond dressing changes, including the person’s circumstances, progress, communication and medical escalation.

• When a Health Change at Home Needs Nursing and When It Needs Medical Review

  How nursing assessment fits a change in an older person’s health, when medical review is needed and how to choose an appropriate next step.

• After Hospital: Can Support at Home Continue Rehabilitation at Home?

  Explore rehabilitation after hospital and how Support at Home may fit, with clear distinctions between funding pathways and clinical follow-up.

• When Does an Older Person Need Nursing Under Support at Home?

  When might an older person need nursing at home? Explore clinical needs, assessment, provider arrangements and coordinated Support at Home care.

• Where Does Physiotherapy Fit Within Support at Home?

  Understand where physiotherapy fits within Support at Home, what a home assessment can address and how care connects with everyday goals.

• Function Is More Than a Test Score

  Clinical measurements are useful, but everyday activities, personal priorities and the support available give a test result its practical meaning.

• The Goal Is Not the Exercise. The Goal Is the Life It Enables.

  Exercise should connect with something that matters in everyday life. Meaningful goals help explain the plan and give progress a practical purpose.

• Why Care Sometimes Needs to Change Before the Person Does

  When a care plan no longer fits daily life, reviewing its timing, setting and coordination can help clarify an appropriate, manageable next step.

• When Progress Stalls: Why Reassessment Matters

  When progress feels stalled, a review can clarify what has changed, whether the goal still fits and what the next care decision should be.

• Why Getting Older Does Not Explain Everything That Changes

  New difficulty with a familiar activity deserves a conversation. Here is how to describe a change and seek the right advice without assuming a cause.

• Two People. The Same Diagnosis. Different Problems.

  A diagnosis is important, but care also needs to reflect the person's daily difficulties, goals, environment and other health needs.

• Age Is Context, Not the Whole Explanation

  Age matters in clinical care, but a person's years cannot tell us everything about their health, everyday abilities or priorities.

• Why Can Someone Be Strong and Still Feel Unsteady?

  Feeling unsteady despite reasonable strength is worth discussing. Strength alone cannot explain the experience or determine the right next step.

• When Something Changes: Why We Start There

  A clear description of what has changed can help a care conversation begin with the person's current needs and everyday priorities.

• Why We Assess More Than the Sore Joint

  A physiotherapy assessment connects the painful area with the activities that matter, so the care plan reflects the person's goals, circumstances and everyday function.

• Why We May Use Hands-On Physiotherapy Before Exercise

  Hands-on physiotherapy may be an option alongside exercise for selected conditions. Its purpose, limitations and value should be explained and reviewed with the person.

• Why Balance Is About More Than Being Strong

  Understand why balance care considers more than strength, what falls research supports and how everyday goals can guide a discussion with a health professional.

• What should a physiotherapy graduate program actually provide?

  Choosing your first physiotherapy role? Use seven questions to assess supervision, workload, clinical governance and long-term graduate development.

• The Future of Clinics GRP: More Connected Care for Healthy Ageing

  Clinics GRP is expanding into a more connected model of care for older adults, bringing together clinical services, home-based support, community programmes, residential care pathways and future digital tools under one clinically governed healthy ageing ecosystem.

• Introducing Clinics GRP: Connected Care Across Settings

  How Clinics GRP connects care around the person, their everyday goals and the setting, with clear responsibilities across physiotherapy, nursing and rehabilitation.