Evidence-based Lower limb Retraining
Retraining lower limb skills following stroke and brain injury – a three day workshop.
What muscles are essential for sitting and standing balance during reaching?
Why is acceleration of the trunk forward (ie hip flexion) important for standing up?
How does hip flexion at the beginning of swing phase contribute to knee flexion during walking?
The workshop is run over 3 days and accepts 24 registrants.
Target Audience: The workshop will be of interest to physiotherapists from hospital and community based settings, as well as occupational therapists, who teach adults following stroke and acquired brain impairment, as well as university lecturers. The workshop focuses on retraining of limb skills.
Pre-reading will be provided to the organising group for distribution to participants
Learning Objectives
At the end of the workshop, participants will be able to:
Describe
what it means to be an evidence-based clinician
Apply
that knowledge to the rehabilitation of people following stroke or traumatic brain injury.
Understand
the biomechanics of sitting and standing balance, standing-up, and sitting-down and walking.
Analyse
movement problems and skills involving the lower limbs, taking into account neural, biomechanical, musculoskeletal and environmental factors
Distinguish
between compensations and missing essential components.
Plan and implement
appropriate training strategies for the identified movement problems.
Evaluate
the effectiveness of chosen training strategies
Modify
training strategies in response to changes in the learner’s performance
Critically evaluate and modify
teaching skills to optimise practice and training
Presenters
Workshop Timetable
| Time | Day 1 |
|---|---|
| 7.45 | Registration |
| 8.00 | Introduction |
| 8.15 | Evidence Based practice |
| 9.00 | Principles of Intervention: Impairments after stroke, intensity of practice |
| 10.00 | Morning Tea |
| 10.20 | Principles of Intervention continued |
| 11.00 | Postural adjustments |
| 11.30 | Sitting Balance: biomechanics and analysis |
| 12.30 | Lunch |
| 1.30 | Sitting balance: biomechanics and analysis |
| 2.15 | Sitting and standing balance: Training strategies |
| 3.00 | Afternoon Tea |
| 3.30 | Clinical session 1: Karl & Simone 2 groups |
| 4.30 | Discussion of clinical session |
| 5.00 | FINISH |
| Time | Day 2 |
|---|---|
| 8.00 | Discussion of clinical issues |
| 8.15 | Standing-up: Biomechanics |
| 8.45 | Standing-up: Analysis |
| 9.30 | Standing-up: Training strategies |
| 10.00 | Morning Tea |
| 10.30 | Walking Biomechanics |
| 11.30 | Being a coach |
| 12.30 | Lunch |
| 1.30 | Preparation for clinical sessions |
| 2.00 | Clinical session 2: Review of overnight practice – 1 group |
| 2.30 | Clinical session 3: 8 Small groups – assessment and analysis |
| 3.00 | Working afternoon tea |
| 3.15 | Clinical session 3 continued: setting up overnight practice |
| 4.30 | Discussion of clinical session |
| 5.00 | FINISH |
| Time | Day 3 |
|---|---|
| 8.00 | Discussion of clinical issues |
| 8.30 | Walking Biomechanics review |
| 9.00 | Walking: Analysis of videos |
| 10.00 | Morning Tea |
| 10.30 | Walking: training strategies – implications of the evidence |
| 11.30 | Muscle testing & training – practical session |
| 12.30 | Lunch |
| 1.30 | Clinical session 4: 8 small groups: review of practice and progression |
| 2.30 | Clinical session 4: Handover to new group |
| 2.45 | Assess and train a new stroke survivor. Small groups |
| Afternoon tea | |
| Clinical session 5: progression of training and establish practice | |
| 4.00 | Discussion of clinical sessions |
| 4.15 | Personal goals |
| 5.00 | FINISH |