Is there evidence to support the routine use of functional electrical stimulation (FES) after stroke to reduce shoulder subluxation and elicit muscle recovery?
Is there evidence to support the use of prolonged low-load stretches or splints for the prevention of muscle contracture after stroke?
What evidence is there for eliciting muscle activity in paralysed muscles?
This workshop focuses on helping therapists to minimise upper limb impairments post-stroke, and increase engagement in activities.
Course notes and content will be based on published research and movement science/motor relearning.
Published content on ‘Optimizing motor performance and sensation after brain impairment’ is available in both English and Chinese from our Resources page
This workshop is now 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 occupational therapists and physiotherapists from hospital and community based settings, who teach adults following stroke and acquired brain impairment, as well as university lecturers. The workshop focuses on upper limb rehabilitation. Pre-reading will be provided to the organising group for distribution to participants
At the end of the workshop, participants will be able to:
the essential components (invariant kinematic features) of normal reach and manipulation.
common compensations when observing people with stroke/brain injury attempting to reach for and use everyday objects; understand and explain why these compensatory strategies should be discouraged during practice.
factors thought to contribute to the development of muscle overactivity/spasticity, and strategies to prevent these secondary problems.
the relationship and differences between spasticity/overactivity, muscle length changes, missing essential components and compensations.
Plan and conduct
an observational analysis and motor training session with a person who has had a stroke
key factors that affect motor learning, and how these factors can be modified to enhance learning and increase intensity of practice.
an electrical stimulation machine to stimulate paralysed muscles.
evidence related to various interventions including constraint-induced movement therapy and mirror therapy to improve motor recovery and function of a person’s upper limb.
Dr Annie McCluskey
Occupational therapist, health services researcher and educator. She has 30+ years experience in stroke and brain injury rehabilitation.
Clinical Session 3: Groups review practice and goals for stroke participant from Day 2. Re-measure performance. Progress practice.
Stroke participants have a short break. Groups provide verbal handover to the next group, including suggestions for training. Plan tasks to analyse, equipment needed and sequence of coaches
2.15 Session 10b
Clinical Session 4: Groups analyse and train another stroke participant. Aim for 300 repetitions. Audio-record coaching. Observe and record other coaches giving feedback. Set-up /video take-home practice.
Working afternoon tea – Groups meet to discuss session including coaching
Discussion as a large group/ Qs arising over 3 days. Statement of goal intentions. Evaluation form. Round robin with each person stating ’When I return to work next week, one thing I will do is ….”