Functional Electrical Stimulation for Upper Limb Rehabilitation following Stroke and Acquired Brain Injury

Workshop Series

Presented by:

UpSkill Rehab

Leo Ross

B Occ Thy (UQ) MSc Med (Rehab) (Res) (Usyd)

Claire Stewart B Physiotherapy

Acknowledgements & Sponsorship

• This workshop series was prepared including materials provided by the collaborating authors of the University

of Sydney Master Trainers in Electrical Stimulation Course 2011. Many thanks to:

A/Prof Natasha Lannin; Dr Annie McCluskey; Dr Ruth Barker; Ms Simone Dorche; Dr John Cannell

Thanks also to our workshop convenor and patient coordinator!

ES Machines and electrodes supplied by:

AUSMEDIC (Qld)

About the Presenters:

• Leo Ross: Is Director Occupational Therapy QEII, and the Principal of UpSkill Rehab. He has more than 15 years of clinical experience, the majority being in adult rehabilitation, especially stroke and TBI. His interest areas include upper limb rehabilitation following ABI, evidence based practice and clinical research. He published a randomised controlled trial investigating intensity of upper limb retraining in 2009 and completed his Masters in Science of Rehab Medicine in 2010. He has presented his research at a number of national conferences and continues to pursue clinical research and training projects. Leo completed the University of Sydney Master Trainers Course in Electrical Stimulation in May 2011 and has taught a number of FES workshops in Qld • • • Claire Stewart: Is the Advanced Physiotherapist at Ipswich Hospital’s Acute Stroke and Rehabilitation Unit.

She has more than 10 years experience mainly in adult physical rehabilitation.

Claire completed the University of Sydney Master Trainers Course in Electrical Stimulation in May 2011 and has taught a number of FES workshops in Qld

Course Overview

• • • • Introductions and learning objectives (8:00-8:30) What is Electrical Stimulation? (8:30-9:30) – Clinical indications and use of FES overview – Safety: contraindications, precautions, application – Applying FES in practice: Machine types, parameters, preparation, electrode placement, trouble shooting Introduction to training protocols: wrist and finger extension (9:30-10)

Morning Tea (10-10:15)

Overview (cont)

• Practical Session: Getting to know your machine and practicing setup for wrist and finger extension (10:15-11:30) • • • Practical Session Cont: Using FES in practice: the training protocols (11:15-12:30)

LUNCH

(12:30-1:00) Functional goal setting for upper limb training using FES (1:00-1:15)

DAY 2

• • • • • Evidence for use of electrical stimulation (9-945) Using FES in practice: the training protocols (10:15 11:15) * plus new content: EMG triggered FES demonstration* Functional goal setting and treatment setups for upper limb training using FES (11:15-11:30) Practical session with stroke survivors: assessment and goal setting (11:30-12:30) Practical session with stroke survivors: intervention and refining goals (1-2)

DAY 2 (cont)

• Legislation, medico-legal and competency • • (2-2:15) Making the change in practice: tips (2:15-2:45) Open forum, evaluation forms, close (2:45-3)