1000 reps/day: Strategies to increase amounts of practice in rehabilitation, Limerick, Ireland

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Presenters: Karl Schurr, physiotherapist and Dr Annie McCluskey, occupational therapist, The StrokeEd Collaboration, Australia

Description: This workshop will outline the evidence for a dose-response relationship between amount of practice and outcomes in rehabilitation, strategies to increase patient motivation and maximise opportunities for patients to practice. So that strategies can be used across all rehabilitation settings, delivery has been divided into three sections.

The first section and mode of service delivery is one-to-one practice, where a therapist is working directly with one person.  Strategies to increase intensity of practice include coaching skills of the therapist, their ability to communicate and set up the environment effectively.

The second section and mode of service delivery is semi-supervised practice, where a person is in a therapy environment but not under direct supervision of a therapist. This mode of practice includes groups and classes, and working with family members in a therapy area. Barriers to this mode of service delivery include concerns about safety and quality of practice. Strategies to overcoming these barriers are discussed in detail; case study examples are used to help apply these strategies.

The third section and mode of service delivery is independent practice, where a person is not under direct therapist supervision while they practice. This mode of practice includes home exercise programmes for outpatient and community settings, evening and weekend practice for inpatient settings.

Evidence for increasing adherence to exercise in a variety of patient populations is explored, and strategies are drawn from this body of evidence. A summary of the content under each of the main topic areas is provided below. Following delivery of lecture content, there is a practical session addressing each of these topic areas. Participants will complete these practical sessions in small groups allowing the sharing of knowledge and ideas amongst therapists from diverse backgrounds.

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

  • Outline the evidence for a dose-response relationship between amount of practice and outcomes
  • Describe strategies to increase patient motivation and empowerment
  • Describe effective instructions and feedback during practice
  • Describe strategies to set up the environment for safe and effective semi-supervised practice
  • Describe strategies to increase attendance and participation in classes
  • Outline the evidence for and describe strategies to increase carer involvement in practice
  • Outline the evidence for increasing adherence to independent exercise programmes
  • Discuss and implement strategies to increase intensity of practice in your workplace

Venue: To be advised

Registration fee: To be advised

Contact person for enquiries and registration:  Sinéad Taylor  (Email: taylors2305@gmail.com) 

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