Lecture recordings

Description: This StrokeEd guest lecture in Nov 2022 described the implementation of stroke circuit groups in an outpatient rehabilitation setting. Zheng Cao explores strategies to increase intensity of practice in a group setting, enablers and barriers to the implementation process. She also describes the adaptation of face-to-face group sessions to a telehealth group during COVID 19 restrictions
Presented via Zoom on 21 Nov 2022

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

• Outline some enablers and barriers to implementation of group program
• Outline strategies to increase intensity of practice in a group setting
• Discuss strategies to adapt exercise group sessions to maximise exercise opportunity for stroke survivors

Presenter: This 1.5 hour webinar was presented by:

Zheng Cao, a physiotherapist with over 15 years of clinical experience who has worked in various settings including acute, inpatient rehabilitation, outpatient rehabilitation and community settings. She is currently working clinically part time as a senior neurological physiotherapist, and as a sessional tutor at the Australian Catholic University. Zheng is interested in understanding various approaches aimed at improving stroke survivor’s ability to participate in the community. She is a PhD candidate at ACU and her research project is titled ‘Using muscle strength to predict walking ability after stroke’.

Description: This lecture is a repeat of a webinar presented as part of a series for the Australian Telehealth for Stroke Community of Practice . Presenters Dr Kate Scrivener and Dr Lauren Christie provide a brief overview of current developments in telerehabilitation, barriers and enablers to delivering physical rehabilitation interventions including upper and lower limb rehabilitation via telehealth, and strategies used to support clinicians with upskilling and implementing telerehabilitation. Considerations to support stroke survivors to engage in rehabilitation using a telehealth format will also be discussed.

Presented via Zoom on 28 Nov 2022

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

• Describe some strategies to support telehealth delivering
• Describe some of the key considerations when planning for telerehabilitation delivery

Presenter: This 1 hour webinar was presented by:

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

Dr Lauren Christie, Occupational therapist, Senior Implementation Science Research Fellow- Allied Health Research Unit, St Vincent’s Health Network, Sydney and
Associate presenter with the StrokeEd Collaboration

Description: This StrokeEd panel discussion involves Brian Beh, Ben Schelfhaut, Julie Davey and Simone Dorsch. Brian, Julie and Ben are stroke survivors. Simone is a physiotherapist researcher and educator. The discussion targets therapists and stroke survivors, providing strategies to promote motivation during rehabilitation and beyond.
Presented via Zoom on 5 Dec 2022

Presenters: This 1 hour webinar was presented by:

Brian Beh, Ben Schelfhaut, Julie Davey and
Dr Simone Dorsch, PhD BAppSci(Physio), MHlthSci,
Physiotherapist & Senior lecturer, Faculty of Health Sciences, Australian Catholic University, Sydney
Director, The StrokeEd Collaboration

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.

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

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

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.

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

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

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