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:

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

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 Housekeeping, introductions; workshop overview
8.15 Session 1: Evidence Based practice
9.00 Session 2: Impairments after stroke
10.00 Morning Tea
10.20 Session 3: Increasing strength in very weak muscles
11.00 Session 4: Intensity of practice
11.30 Session 5: Balance and postural adjustments
12.45 Lunch
1.30 Session 6: Sitting: Biomechanics, analysis and evidence-based intervention
3.00 Afternoon Tea
3.30 Session 7: Clinical session 1: Assessment and analysis of stroke survivors
4.30 Discussion and questions
Time Day 2
8.00 Session 8: Standing: Biomechanics, analysis and evidence-based intervention
9.00 Session 9: Standing-up: Biomechanics, analysis and evidence-based intervention
10.00 Morning Tea
10.20 Session 10: Walking Biomechanics
11.30 Session 11: Being a coach
12.45 Lunch
1.30 Session 12: Clinical session 2: Review of overnight practice
2.00 Session 13: Clinical session 3: Clinical session with stroke survivors in 8 small
3.30 Afternoon tea
4.00 Discussion and questions
Time Day 3
8.00 Discussion of issues from day 2 – Clinical issues?
8.30 Session 14: Review of walking biomechanics
9.00 Session 15: Walking: Analysis
10.00 Morning Tea
10.20 Session 16: Walking: Evidence-based intervention
11.30 Session 17: Muscle testing and progression – practical
12.45 Lunch
1.30 Session 18: Clinical session 4: Review of stroke survivor’s practice & progression
2.15 Handover
2.30 Session 19: Clinical session 5: Analysis & training of new stroke survivor in small
3.30 Afternoon tea
4.00 Review of clinical session, Statement of personal goals.