Evidence-based  Lower limb Retraining

Retraining lower limb skills following stroke and brain injury – a three day workshop.

Evidence-Based Upper Limb Retraining after Stroke

What muscles are essential for sitting and standing balance during reaching?

Evidence-Based Upper Limb Retraining after Stroke

Why is acceleration of the trunk forward (ie hip flexion) important for standing up?

Evidence-Based Upper Limb Retraining after Stroke

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.

This enables small groups to work with clients and receive feedback from the presenters during clinical sessions.

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:

Identify

the key aspects of a being a science-based clinician.

Apply

that knowledge to the rehabilitation of people following stroke or traumatic brain injury.

Describe

the biomechanics and motor control associated with of sitting and standing balance, standing-up, and sitting-down and walking.

Analyse

movement problems in associated with these skills, taking into account neural, biomechanical, musculoskeletal and environmental factors.

Distinguish

between compensations and missing essential components.

Plan and implement

appropriate training strategies for a person’s movement problems.

Evaluate

the effectiveness of the a chosen training strategy and to modify the strategy in response to changes in the person’s performance.

Critically evaluate

and modify teaching skills to optimise participant practice and training.

Presenters

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…

Karl Schurr
Karl Schurr
Clinical experience in stroke and brain injury rehabilitation for 30 years+ in Australia and the UK.

Dr Kate Scrivener
Dr Kate Scrivener
Lecturer in neurological physiotherapy at Macquarie University. Kate works clinically as a rehabilitation physiotherapist at Bankstown-Lidcombe…

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