Upper Limb Neurorehabilitation: current evidence from bench to bedside
Cochrane reviews indicate the upper limb recovery after neurological injury is poor and this field has been highlighted as a research priority. New theoretical knowledge regarding the most suitable design for therapy interventions is increasing, and translation of this knowledge into clinical practice is critical to improving patient outcomes.
This study day will explore the current understanding and new evidence base in relation to upper limb function, recovery and rehabilitation.
Please register interest below and we will keep you updated
Speaker Biographies and Talk Abstracts
John Rothwell is a professor of neurophysiology at the Institute of Neurology, Queen Square, London. His main area of interest is transcranial magnetic stimulation and motor control.
Prof. Rothwell was educated at the University of Cambridge and progressed to a MRC Fellowship. He did his PhD under David Marsden. He subsequently became head of the MRC Human Movement and Balance Unit. He has written over 400 papers and numerous chapters.
The role of Neuroplasticity in upper limb rehabilitation: In this presentation Prof Rothwell will give an overview of current evidence of neuroplasticity and it’s relevance to recovery of function after neurological insult. He will further discuss the use of electrophysiological measures, including brain stimulation to investigate and enhance this process.
Sally Davenport is a senior lecturer in physiotherapy at the University of Hertfordshire. Her areas of teaching include motor control, motor learning and the neuroscience of human movement, with concepts considered and applied to both those with and without dysfunction. Research interests include adherence and its relationship to the prescription of exercise and dance of as a form of exercise for those with Parkinson’s.
Sally Davenport studied physiotherapy at Addenbrooke’s Hospital, Cambridge and worked clinically in London before completing her MSc in Neurophysiotherapy at UCL. She has been lecturing since 2002.
Applying theory to practice: In her talk Sally will discuss the application of the knowledge explored over the course of the day to clinical practice, aiming to help bridge the ‘know-do gap’. She will relate the presentations of the day to our awareness of key ‘training parameters’ and the provision of an enriched rehabilitation environment for those with neurological impairment.
Dr. David Punt is senior lecturer in the School of Sport, Exercise and Rehabilitation Sciences at the University of Birmingham. He qualified as a physiotherapist in 1990 and then spent a decade or so working in the NHS on stroke rehabilitation units. After postgraduate study in psychology and neuroscience, his research now focuses on better understanding the impact of cognitive impairment (especially neglect) on movement and function after stroke.
Is all non-use learned? Factors affecting upper limb use after stroke
In the last two decades, learned nonuse has become a very influential phenomenon in stroke rehabilitation, driving the development of interventions such as constraint-induced movement therapy. However, our understanding of why patients either don’t use or under-use a limb, despite some ability to do so remains poor. This presentation will address reasons for non-use, drawing on recent research examining the contribution of hand dominance and side of stroke. It will also focus on similarities and differences between learned non-use and motor neglect. It will conclude by considering implications for therapy with reference to stroke guidelines (e.g. guidelines suggest constraint-induced and bilateral approaches should be used) but argue that we need to ask more specific questions in studies if these potentially powerful interventions are to be used optimally.
|9.30||Defining and measuring normal upper limb function|
|11.15||Upper limb impairments in neurological populations|
|13.30||Recovery processes and neuroplasticity|
|15.30||Examples from across the rehabilitation theory and practice continuum|
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At the end of this one day course delegate will have:
- Reviewed the current evidence base for neurological recovery of the upper limb
- Gained a knowledge of the motor control of reach to grasp in healthy adults and impairments found in neurological clients
- Explored and critically analysed the underlying theory of recovery and control of upper limb function that can inform the design of rehabilitation interventions
- Explored examples of ongoing trials that are using interventions designed on the basis of neuromotor control theory
- Discussed how these interventions can improve functional recovery of the upper limb.
- Gained a knowledge of the clients priorities for upper limb rehabilitation and functional recovery.
Who should attend?
This study day is ideal for:
- Rehabilitation Therapists (Physiotherapists and Occupational Therapist)
- Rehabilitation and movement scientists
- Undergraduate and postgraduate AHPs, biomechanists, bioengineers, movement scientist, etc.