Lecture recordings

/Lecture recordings
Lecture recordings2022-04-27T12:09:03+00:00

APRIL 2022 SERIES

The why and how of electrical stimulation for the UL after stroke

April 6, 2022

Presented by Dr Simone Dorsch

Description: This lecture provides a brief overview of the evidence for electrical stimulation in UL rehabilitation after stroke, and discusses features of successful intervention protocols. Common applications of electrical stimulation for the UL are described, with a guide to the choice of stimulation parameters. Strategies for increasing the efficacy of electrical stimulation when difficulties eliciting a muscle contraction are discussed.

Learning objectives: By the end of the presentation, attendees should be able to:

  • Outline the evidence for the use of ES in the UL after stroke
  • Discuss the applications of ES in the UL after stroke
  • Discuss the range of parameters used in ES
  • Outline strategies for trouble shooting when difficulties with ES are experienced

Presenter: This 1-hr webinar was presented by:

Dr Simone Dorsch, PhD BAppSci(Physio), MHlthSci,

Physiotherapist & Senior lecturer, Faculty of Health Sciences, Australian Catholic University, Sydney
Director, The StrokeEd Collaboration

Goal setting in rehabilitation – how and why

April 13, 2022

Presented by Amanda Baker

Description: The presentation will outline an evidence-based conceptual framework for why clinicians use goal setting in rehabilitation, and how goal-setting contributes to enhancing client outcomes and autonomy. Available goal-setting frameworks will be analysed and discussed.

Learning objectives: By the end of the presentation, attendees will be able to:

  • Understand why goal-setting is used in rehabilitation settings, and how goal-setting can enhance client outcomes and autonomy
  • Outline a comprehensive framework for goal-setting across the rehabilitation journey
  • Outline barriers and enablers to implementing goal-setting as a rehabilitation clinician and within a rehabilitation team.

Presenter: This 1-hr webinar was presented by:

Amanda Baker, BPhty, GraddipNR, M Comm Rehab, MMR, PhD Candidate

Advanced Physiotherapist, Sunshine Coast Hospital and Health Service
PhD candidate, Griffith University.

Factors influencing adherence to intensive upper-limb exercise programs

April 21, 2022

Presented by Dr Tamina Levy

Description: The presentation outlines findings from a qualitative study which explored barriers and enablers to adherence to an intensive upper limb exercise program in stroke survivors. Findings can help clinicians to develop and implement exercise programs that improve adherence, and ultimately outcomes following stroke. References can be viewed on the final slide. No handout /PPT slides are available.

Learning objectives: By the end of the presentation, attendees will be able to:

  • Understand the experience (barriers and enablers) of stroke survivors who participate in intensive exercise programs following stroke
  • Understand the COM-B model as a means of diagnosing behavioural issues (such as adherence)
  • Identify potential BC strategies (interventions) to address barriers to adherence

Presenter: This 1-hr webinar was presented by:

Dr Tamina Levy, PhD, Grad dip Neurology

Neurological Rehabilitation, Flinders Medical Centre – Rehabilitation and Palliative Services; and Lecturer, College of Nursing and Health Sciences, Flinders University, South Australia

Movement analysis in neurological rehabilitation: A science-based framework for clinical decision making

April 26, 2022

Presented by Dr Kate Scrivener

Description: In this presentation Dr Kate Scrivener explores clinical decision-making in neurological rehabilitation, with a foundation in movement analysis. Clinical examples of walking and upper limb analysis are discussed. Presented on 26 April 2022.

Learning objectives: By the end of the presentation, attendees should be able to:

  • Describe a procedure for movement analysis and therapy decision-making using kinesiology, biomechanics and evidence-based practice
  • Apply the movement analysis procedure to an upper limb and lower limb case example

Presenter: This 1-hr webinar was presented by:

Dr Kate Scrivener, PhD BAppSci (Physio)

Senior Lecturer , Macquarie University, Sydney, Australia, Allied Health Clinical Lead, Concentric Rehabilitation Centre (Sydney), and Director of the StrokeEd Collaboration

NOVEMBER 2021 SERIES

Cognitive rehabilitation models: Evidence-based recommendations for adults

November 9, 2021

Description: Attendees will learn how to apply cognitive rehabilitation models to adults after brain injury. The session highlights the latest guideline recommendations and evidence-based interventions for impairments of executive functions, memory, attention, and hemi-spatial neglect.

Learning objectives: By the end of the presentation, attendees will be able to:

  • Understand how to apply a cognitive rehabilitation model
  • Develop a cognitive rehabilitation treatment plan
  • Apply evidence-based guideline recommendations to maximise safety, daily functioning, and independence

Presenter: This 1-hr webinar was presented by:

Dr Emma Schneider, PhD, MOT, BBNSc

Occupational Therapist & Associate Member, The StrokeEd Collaboration
Allied Health Research and Translation Lead, Alfred Health, VIC.
Adjunct Research Associate, Department of Neuroscience, Central Clinical School, Faculty of Medicine Nursing and Health Sciences, Monash University

Loss of strength after stroke

November 16, 2021

Description: How extensive is loss of strength after stroke in the upper and lower limbs? How does this loss of strength impact activity limitations? From paralysed muscles through to mild weakness – what can we do to increase strength, and how does improved strength impact activity?

Learning objectives: By the end of the presentation, attendees should be able to;

  • Describe the prevalence and extent of loss of strength after stroke and the implications for activity limitations
  • Describe the evidence and practical strategies for increasing strength after stroke, from extreme through to mild weakness

Presenter: This 1-hr webinar presented by:

Dr Simone Dorsch BAppSci(Physio), MHlthSci, PhD

Physiotherapist
Senior lecturer, Faculty of Health Sciences, Australian Catholic University, Sydney.
Director, The StrokeEd Collaboration.

An introduction to upper limb constraint-induced movement therapy (CIMT)

November 18, 2021

Description: Constraint-induced movement therapy (CIMT) is recommended in Australian stroke guidelines as an evidence-based therapy for arm recovery, yet national audits show that only 12% of eligible stroke survivors receive CIMT. Barriers to CIMT delivery include limited knowledge, skills, confidence, personnel and equipment. This presentation will describe what should be included in a CIMT program [beyond a mitt], how to structure and progress training over two weeks, how to measure change and overcome common barriers to delivery particularly in public health settings. Lauren successfully helped nine public health services in Sydney to implement CIMT with stroke and brain injury survivors, as part of her PhD.

Learning objectives: By the end of the presentation, learners will be able to;

  • Identify people that are likely to benefit from CIMT
  • Name and describe the key components of CIMT which include shaping, functional task practice, mitt wearing and a transfer package
  • Name outcome measures that are commonly used before and after a CIMT program
  • Identify resources that can be used to prepare for delivery of CIMT programs

Presenter: This 1-hr webinar presented by:

Dr Lauren Christie BAppSc (Occupational Therapy

Occupational Therapist

Associate Member of the StrokeEd Collaboration
Senior Implementation Science Research Fellow- Allied Health
St Vincent’s Health Network, Sydney, NSW

Understanding the trunk:
Implications of biomechanics, anatomy and research for neuro-rehabilitation

November 23, 2021

Description: The purpose of this lecture is to present knowledge about biomechanics of the trunk, anatomy and function of the trunk muscles, and the role of muscles acting on the trunk in tasks such as sitting and standing. While stroke and spinal cord injury are the primary conditions used during the presentation, the principles apply to other neurological conditions.

Learning objectives: By the end of the presentation, listeners will;

  • Understand the biomechanics and anatomy of muscles of the trunk, the skeletal structure and bilateral innervation of these muscles
  • Have considered implications of the biomechanics, anatomy and research evidence for clinical intervention

Presenter: This 1-hr webinar presented by:

Karl Schurr MScAppScPhysio BAppScPhysio

Physiotherapist & Director,
The StrokeEd Collaboration

Analysis and retraining of adult handwriting

November 30, 2021

Description: Illegible handwriting and difficulty controlling a pen are common post-stroke. Little research has been published to guide therapists who retrain handwriting in adults (or children). Typical exercises involve non-specific copying of letters and lines of text. Furthermore, few outcome measures target the adult population. This presentation will summarise Australian-led research which explored handwriting behaviour, legibility and speed norms in healthy older adults (age-matched to stroke survivors), developed the Handwriting Assessment Battery, and evaluated the feasibility of a 2-week handwriting retraining program for stroke survivors.

Learning objectives: By the end of the presentation, learners should be able to;

  • Name features of handwriting that can be measured
  • Use normative legibility and speed data for older adults
  • Administer and score the Handwriting Assessment Battery
  • Find (the limited) research on adult handwriting retraining
  • Describe task-specific retraining strategies for improving handwriting legibility post-stroke/ABI

Presenters: This 1-hr webinar presented by:

Dr Annie McCluskey PhD MA DipCOT

Occupational therapist
Director, The StrokeEd Collaboration
Honorary Senior Lecturer
Sydney School of Health Sciences,
Faculty of Medicine & Health
The University of Sydney

Bronwyn Simpson MAppSc BAppSc (Occ Therapy)

Occupational therapist
Associate Lecturer & PhD Candidate
Sydney School of Health Sciences,
Faculty of Medicine & Healt
The University of Sydney

Implementing upper limb CIMT in Australia
– Part 1

Author: The StrokeEd Collaboration

Duration: 30 mins

Details:

Presentation at the International (virtual) CIMT Symposium, 21-23 Jan 2022 by Annie McCluskey, the StrokeEd Collaboration, Australia

Title: A 2-week CIMT program was feasible when run by 3 Australian public health services and improved upper limb use after stroke: A knowledge translation study

Co-authors: McCluskey A 1 2, Massie L 3 4, Gibson G 5, Pinkerton L 5 6, Vandenberg A 7

Implementing upper limb CIMT in Australia
– Part 2

Author: The StrokeEd Collaboration

Duration: 30 mins

Details:

Presentation at the International (virtual) CIMT Symposium, 21-23 Jan 2022 by Lauren Christie, the StrokeEd Collaboration, Australia

Constraint-induced movement therapy or CIMT is a strongly recommended intervention in the Australian national stroke guidelines yet routine delivery remains poor, with a recent national audit demonstrating that less than 12% of eligible people received a CIMT program. The barriers to CIMT delivery in practice have been well explored, however there has been limited research investigating how to address these barriers and translate CIMT into routine practice. This presentation reports on a suite of six studies completed as part of Lauren’s PhD, investigating and describing how multiple CIMT programs were effectively implemented and sustained in routine practice in Sydney, Australia over 18 months.

The studies include an international survey of CIMT use (n=169), a series of interviews with experienced OTs and PTs (n=11) from six countries who have continued to deliver CIMT over several years, development and evaluation of a behaviour change program to help OTs and PTs from 9 services to deliver and sustain CIMT programs in public health, an economic evaluation, and interviews with stroke and brain injury CIMT participants.

Understanding Upper Limb Spasticity Post-Stroke – Part 1

Author: The StrokeEd Collaboration

Duration: 48 mins

Details:

Presented by Karl Schurr, physiotherapist and member of the StrokeEd Collaboration, Australia. This lecture is the first in a 2-part series about the relationship between upper limb spasticity and contracture post-stroke, the effects of interventions including botulinum toxin, and implications for rehabilitation practice. Karl discusses stiffness and ‘tone’ (and argues that the term ‘tone’ is unhelpful), and how to measure spasticity reliably.

The second lecture presents information and research about upper limb contracture post-stroke.

This lecture was recorded during a workshop on upper limb retraining in 2021.

Understanding Upper Limb Contracture Post-Stroke – Part 2

Author: The StrokeEd Collaboration

Duration: 38 mins

Details:

Presented by Karl Schurr, physiotherapist and member of the StrokeEd collaboration, Australia

This lecture is the second in a 2-part series about the relationship between upper limb spasticity and contracture, prevalence and predictors of contracture, interventions that have been evaluated using RCTs to prevent and reverse upper limb contracture including stretching, splinting and casting (disappointing key message: no benefit from any of these interventions). Karl concludes with reflections on what to do clinically to prevent or reverse contractures.

The lecture was recorded during an online workshop in 2021.

10 things I wish I’d known about stroke and upper limb retraining

Author: The StrokeEd Collaboration

Duration: 20.42