The pre-congress exist out of three, ninety minutes rounds. During each round you can select one out of three workshops which you would like to join. In the end you should have three workshop round of ninety minutes selected.
Please note that the additonal costs for participating at the pre-congres are € 100,00 on top of the normal registration fee.
13:00 - 14:30 | Round 1
Room: 0.2/0.3 | Management of gait impairments after stroke | Prof. A. Geurts, Prof. J. Buurke. Dr. J. Nonnekes, Dr. J. Fleuren
The management of gait impairments after stroke is complex and shows a large variation across nations and institutions. Practice variation is often based on differences in (team) expertise, (team) experience, available medical-technical possibilities (e.g. functional electrical stimulation, focal spasmolysis, ankle-foot surgery), resources and reimbursement. During this interactive workshop, we will provide a profound insight into the underlying causes of gait impairments after stroke and show how this knowledge can contribute to selecting the optimal treatment strategy, taking into account patient preferences and needs. The role of instrumented gait analysis will be discussed and individual examples of treatment results will be given. Overall, a practical, hierarchical approach to the management of gait impairments after stroke will be advocated with a focus on medical-technical interventions in order to reduce variation in clinical practice and offer patients the best functional perspective.
Learning objectives workshop:
- To gain insight into the underlying causes of gait impairments after stroke
- To gain insight into how instrumented gait analysis can contribute to understand individual gait impairments
- To learn how to follow a hierarchical approach to correcting gait impairments after stroke with emphasis on medical-technical interventions
Room: 0.4 | Integrating musculoskeletal and neurological clinical reasoning to optimize the assessment and treatment of the post-stroke painful shoulder | Dr. L. De Baets, Dr. A. Van Bladel
In this workshop, the latest information regarding state-of-art assessment and rehabilitation of the post-stroke painful shoulder will be presented and discussed based on several case-studies. The workshop will focus on how the integration of musculoskeletal information can be of additional value in the upper extremity assessment and rehabilitation of stroke patients with shoulder pain or dysfunction.
Learning objectives workshop:
- To give an update on the biomechanical and neurological background of shoulder functioning
- To provide a clinical reasoning framework for integrated musculoskeletal and neurological clinical reasoning with regard to shoulder pain after stroke
- To provide participants with practical skills to perform a clinical upper extremity assessment to direct treatment goals in persons with post-stroke shoulder pain
- To provide participants with practical skills for the rehabilitation of persons with post-stroke shoulder pain
Room: 0.5 | Using mixed methods in exploring the efficacy of technology and implementing self-management in stroke | Dr. L. Tedesco Triccas & Dr. S. Tino Kulnik
This interactive workshop will first focus on gaining knowledge about mixed methodology involving the combination of qualitative and quantitative methods and data and its integration into stroke clinical settings and research. An example of when mixed methods were integrated into a randomized controlled trial involving robot therapy and non-invasive brain stimulation in stroke will be presented.
Workshop participants will then be presented with a research question around implementing a team-based self-management approach in neuro-rehabilitation. Participants will be invited to draft a mixed-methods study design addressing the question. We will discuss thoughts and ideas and present a completed mixed-methods study that addressed the same question.
14:30 - 16:00: Round 2
Room: 0.2/0.3 | Cochrane Reviews in Neurorehabilitation – state of the art and future directions | Prof. J. Merholz, Prof. B. Elsner & Prof. G. Verheyden
This workshop held by members of the World Federation of Neurorehabilitation (WFNR), partner of Cochrane Rehabilitation (CR) shows how state-of-the-art Cochrane Reviews are conducted. It highlights issues like effective and efficient search for literature, performing step- by step meta-analysis in Cochrane’s ReviewManager 5.3 and emerging analyses like network meta-analysis.
Learning objectives workshop:
- to explain the role of Cochrane Groups, Cochrane Rehabilitation Field (CR) and the partnership with WFNR in the field of neurorehabilitation
- to perform effective literature search
- to perform pairwise meta-analyses
- to know why, when and how conducting subgroup and sensitivity analysis
- to plan and design Network meta-analysis
Room: 0.4 | Functional Electrical Stimulation (FES) for improving mobility in MS and other neurological conditions. The evidence, future trends and practical application | Dr. P. Taylor & Prof. J. Burridge
Functional Electrical Stimulation (FES) is a means of producing functional movement in paralysed or weak muscles for individuals with damage to the brain or spinal cord. It is most commonly used for correction of dropped foot in conditions such as multiple sclerosis and stroke and in recent years has become a standard treatment in rehabilitation. This workshop will review the evidence for FES for dropped foot and discuss developments that may improve its effectiveness. We will also introduce ACPIN’s initiative to produce best practice guidelines for the clinical provision of FES. We will demonstrate some FES applications and there will an opportunity for participants to apply FES for correction of dropped foot, improving hip flexion or extension and other applications with each other. Please bring shorts or other suitable clothing to allow the applications of electrodes. Please be aware that people who have implanted electronic devices, are pregnant or have epilepsy should not receive FES.
Participants will gain an overview of the clinical evidence for FES in MS and other neurological conditions and its impact on its users. They will receive an introduction to the clinical implementation of FES including selection criteria, clinical pathways and an introduction to the different methods that can be used to optimise its effect. They will experience the direct effect of FES, giving them an insight to the experience of the FES user.
Room: 0.5 | “I am not suddenly going to start now am I?” Overcoming challenges to physical activity | Prof. F. van Wijck
A sedentary lifestyle is common amongst people with stroke and other long term neurological conditions (LTNC) – including those with adequate mobility. This tends to have a negative impact on health, function, activity, participation and well-being. Therefore, the goal of reducing sedentary behaviour and increasing physical activity should be central to neurorehabilitation. Supporting such behaviour change requires an in-depth understanding of each individual’s barriers and motivators, and a good knowledge of strategies to overcome these. This workshop, intended especially for practitioners, will:
- identify common barriers and facilitators to changing sedentary behaviour and physical activity in people with stroke and other LTNC,
- summarise behavioural change theory underpinning practical strategies to overcome common barriers to behaviour change,
- discuss the application of behaviour change strategies to enhancing physical activity and reducing sedentary behaviour in people with LTNC, using a number of case studies from across the care pathway.
Following this workshop, delegates will be able to:
- describe common patterns of sedentary behaviour and physical activity amongst people with stroke and other LTNC
- identify common barriers and facilitators to changing patterns of physical activity, specifically amongst people with stroke and other LTNC
- discuss, justify and apply behaviour change strategies to case studies of people with LTNC, with the aim to reduce sedentary behaviour and increase physical activity.
16:00 - 16:30 Coffee break - Lobby
16:30 - 18:00: Round 3
Room: 0.2/0.3 | Mirror therapy | Dr. C. Dohle
During mirror therapy (MT) for patients with a one-sided pathology of a limb, a mirror is sagitally in the patient’s midline. Thus, the mirror image of the unaffected limb appears as if it were the affected one. MT was proposed to improve of a number of neurological conditions, most prominently (phantom) limb pain and paresis after stroke.
In the workshop, the neural basis of the mirror illusion (mirrored visual feedback, MVF) will be briefly highlighted. The current state of evidence as therapy in neurorehabilitation will be explained. Participants of the course will have the chance to gain practical experience in MT. Especially, they should understand how different therapy variants may influence therapy success. In the end, they should be able to develop a first concept how to effectively integrate MT in their therapy.
Room: 0.4 | Designing the future: translating recovery in animal models into human rehabilitation | Prof. dr. A. Dromerick, Dr. D. Edwards, Dr. T. Jones
Unfortunately this workshop has been canceld!
Room: 0.5 | Post-stroke fatigue: behavior and physiology | Dr. A. Kuppuswamy
Fatigue is a major problem in many neurological illnesses, however there is very little known about the underlying mechanisms that mediate fatigue. In this workshop I will be discussing emerging data from stroke populations that is starting to provide insights into why stroke survivors suffer from fatigue sometimes years after their stroke. I will be discussing results from behavioral studies and brain stimulation studies in non-depressed, highly functioning stroke survivors and present to you a framework within which we can understand post-stroke fatigue. I will also discuss about an ongoing neuromodulation based interventional trial for fatigue in stroke survivors.
Learning objectives workshop:
- Identify and understand the presentation of fatigue in stroke survivors
- Know the behavioral and neurophysiological correlates of post-stroke fatigue
- Understand the mechanistic framework of post-stroke fatigue