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:
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
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 |