Wednesday 31 May 2023

Pre congress Workshops

There will be 3 different rounds with workshops taking place at the same time. You can therefore attend 1 workshop per round, with a maximum of 3 workshops. 

13.00-14.30 | Room TBC
Intensity Workshop | Beth Clarke & Louise Johnson

Delivering rehabilitation intensity – it starts with us! 

Delivering rehabilitation at sufficient “intensity” to optimise outcomes is a key challenge for rehabilitation service providers. There are many ways in which intensity could be increased, for example through different methods of delivery (e.g. groups or tele-rehab), or through the use of technology.  Fundamental to any method for increasing rehabilitation intensity is the patient's ability to engage in the process.  This workshop will first explore what is meant by the term intensity, and current evidence for intensity in rehabilitation.  We will then focus on key concepts that are important for maximising a person’s participation in intensive rehabilitation – with a focus of theories of activation and behavior change.  We will discuss the importance of tailored and self-directed rehabilitation, and the changing role of the rehabilitation practitioner as a coach and mentor.   

Facilitators: Dr Beth Clark and Dr Louise Johnson - from the Wessex Academy for Skills in Personalised Care (WASP)

13.00-14.30 | Room TBC
Management of gait impairments after stroke | Jaap Buurke & Jorik Nonnekes 
Presenter: Dr. Jorik Nonnekes, Prof. dr. Alexander Geurts, Drs. Jip Kamphuis, Dr. Hanneke van Duijnhoven, Prof. dr. Jaap Buurke, Dr. J. Fleuren
Management of gait impairments after stroke is complex and shows a large variation across nations and institutions. During this interactive workshop, we will first introduce a novel framework detailing the causes of gait impairments after stroke. We then show how this knowledge can contribute to selecting the optimal treatment strategy, involving both training and medical-technical interventions, and obviously taking patient preferences into account. The role of instrumented gait analysis will be discussed and individual examples of treatment results will be given. Learning objectives workshop:

  • To gain insight into the underlying causes of gait impairments after stroke
  • To gain insight into how clinical tests and instrumented gait analysis can contribute to understand individual gait impairments
  • How to select treatment options for gait impairments after stroke.

13.00-14.30 | Room TBC
ISRRA consensus
| Gert Kwakkel & Jane Burridge

13.00-14.30 | Room TBC
 | Rick Dijkhuizen & Jord Vink

14.30-16.00 | Room TBC
Developing understanding of Systematic Reviews, Guidelines and Consensus-based Recommendations | Bernhard Elsner & Geert Verheyden
Current developments in the field of systematic reviews, such as (i) the GRADE-approach for grading the evidence strength, (ii) Network Meta-Analysis and (iii) Machine Learning for streamlining the literature search process of systematic reviews are highlighted and examples from neurorehabilitation are provided.
Methodology, results and reflection for two recent consensus-based agreements in the domain of motor rehabilitation after stroke will be presented. In particular, the approach that was applied for developing the definition for motor rehabilitation after stroke as well as for the core set of clinical outcomes for sitting and standing balance and walking will be discussed.

14.30-16.00 | Room TBC
Contrast 2.0 The assessment protocol | Carel Meskers & Ruud Selles 

14.30-16.00 | Room TBC
Measurment of Cognition
 | Caroline van Heugten & Fleur Domensino

14.30-16.00 | Room TBC
Functional electrical stimulation clinical practice guidelines to support walking in upper motor neuron conditions
 | Tamsyn Street
Presenters: Dr. Tamsyn Street, MSc. Adine Adonis, Prof. dr. Jane Burridge
Functional electrical stimulation (FES) has been used for over 25 years in clinical practice to support mobility for people with an upper motor neuron diagnosis such as multiple sclerosis and stroke. Despite increasingly becoming a standard treatment, until recently there have been no established clinical practice guidelines (CPG) to support delivery of treatment. Recently, clinical practice guidelines have been developed to support walking for all upper motor neuron conditions. The objectives of the workshop are to:

  • Describe how the recently developed FES CPG were developed and what they recommend.
  • Understand how the recommendations may have an impact on clinical practice.
  • Identify and understand potential barriers to implementing CPGs as well as strategies for overcoming potential barriers through shared experience and learning.
  • Share experience CPG implementation  and critically evaluate for future best practice.

16.00-16.30 | Lobby

16.30-18.00 | Room TBC
High Intensity Training and Physical Fitness Training for PD | Erwin van Wegen & Karlijn Musch

This workshop focuses on the use of high intensity interval training (HIIT) as a potentially effective intervention in people with Parkinson's disease. There is growing evidence that HIIT can lead to improved motor and non-motor function, cardiovascular health and quality of life in people with Parkinson's.

The workshop starts with an introduction of the rationale behind the use of HIIT in Parkinson's disease. Subsequently, it is discussed how exercise testing can be used to determine individual training intensity and how training protocols can be adapted to the individual needs of the participants.

The emphasis is on developing a safe and effective exercise program, teaching participants how to adjust exercise intensity based on individual symptoms and how to monitor exercise progression.

Other topics covered are the measurement of effects of HIIT on motor and non-motor function, balance, strength and endurance in people with Parkinson's. Participants will gain insight into the latest research findings on HIIT in Parkinson's and how these findings can be applied in practice.

Finally, attention is paid to the role of the therapist in guiding patients in HIIT. This includes aspects such as monitoring training intensity, adapting training protocols to individual needs and supporting participants in achieving their goals.

All in all, this workshop provides therapists and researchers with a practical and scientifically based overview of the use of HIIT in people with Parkinson's disease.

16.30-18.00 | Room TBC
Virtual reality in neurorehabilitation: entertainment or treatment? | Eva Swinnen & Anke van Bladel & Iris Brunner
This workshop aims to explore:

  • different virtual reality options for gait and upper limb rehabilitation in neurological populations.
  • the advantages but also the pitfalls of using virtual reality for rehabilitation in neurological populations.
  • the literature gaps concerning the use of virtual reality for gait rehabilitation in neurological populations.
  • recent data concerning the influence of different modalities (i.e. level of immersion and optic flow speed) on the movement pattern of stroke survivors.
  • recent data concerning the use of VR for unilateral spatial neglect and upper limb motor training in stroke survivors
  • case studies of using virtual reality in stroke survivors, patients with brain injuries and patients with an incomplete spinal cord injury.

16.30-18.00 | Room TBC
Exercise therapy and MS
 | Ulrik Dalgas & Peter Feys 

For a decade exercise was thought to worsen symptoms in people with multiple sclerosis (MS). However, Today exercise is considered safe and beneficial and many persons with MS are engaged in exercise. The aims of the workshop are the following:

  • To provide an update on the importance of exercise in MS rehabilitation
  • To outline how exercise can improve physical function in MS
  • To discuss how to address long-term adherence to exercise
  • To give examples on how to implement exercise in the community and on novel exercise modalities

Four speakers will provide an interactive overview of the following topics:

  • Exercise and MS – setting the scene (Ulrik Dalgas, Aarhus University) (18min+2min discussion)
  • Effects of exercise physical function (Cintia Ramari, Hasselt University) (18min+2min discussion)
  • Tailored exercise and (long-term) adherence (Laurits Taul Madsen, Aarhus University) (18min+2min discussion)
  • Implementation of exercise in the community and novel therapies (Peter Feys, Hasselt University) (18min+2min discussion)
  • Panel discussion: 10min