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This workshop will outline a clinical reasoning process for the analysis and training of walking after stroke

Workshop format

This workshop will be presented over 2 x 4-hr sessions and will be run via Zoom from 6pm to 10pm Sydney, Australia time.

Participants will be asked to complete homework before each session.

Target audience:

Physiotherapists, occupational therapists and exercise physiologists who work with people with neurological conditions and/or older people in inpatient, outpatient or community settings, in private or public settings.

Learning outcomes

At the completion of this workshop, participants should be able to;

  • Explain the kinematics and kinetics of walking
  • Identify common kinematic deviations seen in people with stroke during walking
  • Discuss potential impairments that can contribute to common kinematic deviations seen in people with stroke during walking
  • Describe evidence-based training strategies to address the common kinematic deviations seen in people with stroke when walking

Workshop content

The homework for Session 1 includes watching recorded lectures about the biomechanics of walking, the contribution of impairments post-stroke to walking problems, and optional content on the biomechanics of the trunk, spasticity after stroke and strength after stroke.

Session 1 covers the following content:

• consolidation of walking biomechanics

• video analysis

• prioritising kinematic deviations

• listing potential impairments

• Identifying strategies for testing the contribution of impairments to kinematic deviations

The homework for Session 2 includes recorded lecture content on evidence-based training of walking after stroke. Attendees will be asked to prepare a case study of a stroke survivor’s walking, with identification and prioritisation of the kinematic deviations, description of the testing strategies used and conclusions about priorities for training.

Session 2 contains:

  • Presentation of case studies
  • Features of effective training:
  1. Delivery of practice
  2. Amounts of practice
  3. Progression of practice
  4. Measurement
  5. Application of principles of effective training to case studies

Presenters:

Karl Schurr – Karl is a physiotherapy clinician, researcher and educator. He has over 30+ years’ experience in stroke, brain injury and aged care rehabilitation in Australia and the UK.Research and publications: Karl has published 27 peer reviewed journal articles and been awarded over $1 million in research funding. His research focuses on methods to increase exercise intensity, dosage, and evaluating the effectiveness of rehabilitation interventions for stroke survivors and older people.

Dr Simone Dorsch – Simone is a physiotherapy clinician, researcher and educator. She has 20+ years experience in stroke, brain injury and aged care rehabilitation. Simone is a senior lecturer at the Australian Catholic University in North Sydney.Research and publications: Simone has published many peer reviewed journal articles. Her research focuses on the relationship between loss of strength and activity limitations and strategies to increase amounts of practice in rehabilitation