1000 REPS a day

Strategies to increase Intensity of Practice in Rehabilitation – a one-day workshop.

1000 REPS a day

How much practice is enough?

1000 REPS a day

How can therapists increase patient motivation and involvement in practice?

1000 REPS a day

How can therapists help coach patients with varying levels of motivation?

The workshop is run over a single day for up to 50 allied health staff and nursing staff.

The course can be run on a weekend or a weekday depending on availability or presenters

Target Audience: The workshop is appropriate for any allied health staff and nurses working in rehabilitation. The majority of the examples and case studies used to illustrate the learning content are based on upper limb and lower limb practice.

Pre-reading will be provided to the organising group for distribution to participants

General Information

The aim of this workshop is to recommend strategies that can increase the dosage and intensity of practice in inpatient, outpatient and community rehabilitation settings. The workshop is relevant to diagnoses such as stroke, traumatic brain injury, amputation and hip fracture and will be of interest to physiotherapists, occupational therapists, speech pathologists, allied health assistants and nursing professionals. Evidence is reviewed for the effectiveness of extra practice, and strategies that have been shown to increase practice including one-to-one, semi-supervised and independent practice.

The workshop is divided into three content areas:

  • One-to-one practice under the direct supervision of a therapist
  • Semi-supervised practice that takes place in the therapy area but is not under the direct supervision of a therapist
  • Independent unsupervised practice that takes place outside of the therapy area (ie on the hospital ward or at home), and is not supervised by a therapist

Who can attend?

The workshop is appropriate for any allied health staff and nurses working in rehabilitation. The majority of the examples and case studies used to illustrate the learning content are based on upper limb and lower limb practice.

Learning Outcomes

At the completion of this course you should be able to:

Outline

the evidence for a dose-response relationship between amount of practice and outcomes

Describe

strategies to increase patient motivation and empowerment

Describe

the evidence for effective instructions and feedback during practice

Describe

strategies to set up the environment for safe semi-supervised practice

Describe

strategies to set up the environment to improve quality of semi-supervised practice

Describe

strategies to increase attendance and participation in classes

Outline

the evidence for carer involvement in rehabilitation

Describe

strategies to increase carer involvement in practice

Outline

the evidence for increasing adherence to independent exercise programmes

Discuss

strategies to increase intensity of practice in your workplace

Content

  • The evidence for a dose-response relationship between amount of practice and outcomes
  • Meaningful assessments
  • How to increase patient motivation and involvement in practice
  • Changing environments
  • Changing behaviour
  • Optimal amount and frequency of instructions
  • Internal and external focus of instructions
  • Optimal type, amount and frequency of feedback
  • Structuring the environment to drive practice
  • Structuring the environment for safe semi-supervised practice
  • Structuring the environment for effective semi-supervised practice
  • Increasing participation and attendance in classes
  • Using workstations to increase practice
  • Using devices to increase practice
  • Evidence for involving carers in patient practice
  • Strategies for involving carers in patient practice
  • Evidence for improving adherence to home exercise/independent exercise programmes

Presenter

Dr Simone Dorsch
Dr Simone Dorsch
Simone has worked in neurological physiotherapy for 20 years, in traumatic brain injury and stroke rehabilitation. She has a Masters of Health Science…

Workshop Timetable

Time Subject Event
8.30 Practice – how much is required? Lecture
9.30 Changing motivation Lecture and small group work
10.30 Morning Tea
10.45 Structuring one to one practice Lecture
11.45 Structuring one to one practice Video – discussion
12.30 Lunch
1.15 Semi-supervised practice

  • Environment set-up
  • Classes
  • Workstations/devices
  • Carers
Lecture
Small group work
2.30 Afternoon Tea
2.45 Semi-supervised practice Lecture
Small group work
3.30 Independent practice

  • Evidence for improving adherence
Lecture
4.00 Your plan

  • Strategies to increase practice in your workplace
Small group session
4.20 Discussion and Summary Large group discussion
4.30 Close

Comments

Comments from previous participants in this workshop:

Surprising amount of reps needed to achieve strengthening/function
Love balance of stats with interactive videos/sessions
Great videos comparing outcomes of high rep and low rep clients
Environment set-up provides intrinsic feedback
Demonstration is essential
Enjoyed the group work and physical activity
I learnt more effective use of time
I learnt to teach clients how to practice
Most therapy should be semi-supervised
Can increase number of patients working safely in groups
Need to use gym more effectively
How many reps patients can achieve in semi-supervised practice
Making clients free to do exercises when they wanted to was empowering for them
Being with others in gym inspires them to achieve
Patients need external motivation
Way to get reps without being 1:1
Good ideas about promoting practice at home
Empower the patient
Planning and coping strategies
How to use and motivate family x6
Reflecting how I set up UL group
That much more time could be used for therapy
I am going to start a wall of champions
Increase my expectation of no of reps needed and that they can achieve

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