Electrical Stimulation - Its role in upper limb recovery post-stroke: Difference between revisions

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==Introduction and Learning Outcomes==
== Introduction and Learning Outcomes ==
<p>Rebecca Graham 21</p>
 
<br>Welcome to this online learning resource on the use of functional electrical stimulation (FES) to support recovery of upper limb following a stroke. This interactive learning package has been created by a small group of final year Physiotherapy students from Queen Margaret University as part of the Contemporary and Emerging Issues in Physiotherapy module. <br>
 
<br>
 
'''This resource aims:<br>'''to provide an interactive learning package for final year students and newly qualified physiotherapists to develop their knowledge and understanding of FES for upper limb recovery following a stroke, and<br>to provide a resource of key literature and signposting to further reading and content.
 
<br>
 
'''Learning Outcomes'''
 
The following learning outcomes (LO) have been constructed to support competencies expected of a newly qualified (Band 5) physiotherapist role (ref xxxx). A balance of theory, policy and evidence-base, as well more practical aspects for application of FES has been integrated into the LOs. This choice was based on discussion and feedback with tutors and peers.
 
By the end of this learning package the user should be able:
 
LO1: to appraise the guidelines and underpinning literature on the use of FES in stroke upper limb recovery and relate this to your current or future clinical practice setting.
 
LO2: to discuss the principles, applications and parameters of FES in relation to stroke upper limb recovery.
 
LO3: to justify the consideration of FES in stroke upper limb assessment and intervention planning.
 
 
 
'''Layout and Approach'''
 
This package should take approximately ten hours to work through however the sections have been designed in a way which enables users to dip in and out to suit their needs. At the start of each section a brief outline of what is covered will be outlined and linked to the above learning outcomes.
 
A key design of the package is to be interactive. While synthesis and summary of key information has been provided, the user will gain greater benefit by engaging with the directed reading, activities, short quizzes and case study that have been developed to support a deeper learning experience.
 
Also a range of material has been considered in the design of this package to try and suit most learning styles (VARK xxxx). If you find that a section does not suit then please review the additional resource section at the bottom for alternative options.
 
The following describes the main sections found below in this resource package.
 
Introduction<br>What is FES <br>When should I use FES <br>How do I use FES <br>General <br>Shoulder Subluxation <br>Motor control <br>Conclusion <br>Further Resources
 
<br>
 
'''Context - Why this Topic? <br>'''Stroke plays a large part and burden on society (Stroke Association 2015) and is currently the 4th largest cause of mortality in the UK (Stroke Association 2015). Although trends show decreased mortality rates over the last 20 years, it is still the leading cause of adult disability. The UK has approximately 1.2 million stroke survivors with half experiencing disability and 77% with upper limb difficulties (Stroke Association 2015).
 
In the UK the over 65s population is estimated to grow by 25% by 2020, which is a demographic where stroke incidence is higher. This could potentially lead to even greater numbers of survivors requiring support and rehabilitation from health care professions such as Physiotherapy.
 
<br>Maintaining and improving people’s functional abilities is a key goal for physiotherapists working with those who have a stroke and FES is a technology that offers the potential to support this (ref xxxx). This goal aligns with current Scottish health and wellbeing policy aimed at driving improved health outcomes for patients (The Scottish Government 2015).<br>


==<b>What is Functional Electrical Stimulation</b>==
==<b>What is Functional Electrical Stimulation</b>==

Revision as of 12:59, 12 January 2016

Welcome to <a href="Contemporary and Emerging Issues in Physiotherapy Practice">Queen Margaret University's Current and Emerging Roles in Physiotherapy Practice project</a>. This space was created by and for the students at Queen Margaret University in Edinburgh, UK. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editor - Your name will be added here if you created the original content for this page.

Top Contributors - Rebecca Graham, Grant Burns, Craig Philip, Joshua Tan, Hannah Little, Rucha Gadgil, 127.0.0.1, Kim Jackson, Admin, Rachael Lowe, Venugopal Pawar, Cindy John-Chu, Carina Therese Magtibay, Dinu Dixon, Evan Thomas and Jane Hislop  

Introduction and Learning Outcomes[edit | edit source]


Welcome to this online learning resource on the use of functional electrical stimulation (FES) to support recovery of upper limb following a stroke. This interactive learning package has been created by a small group of final year Physiotherapy students from Queen Margaret University as part of the Contemporary and Emerging Issues in Physiotherapy module.


This resource aims:
to provide an interactive learning package for final year students and newly qualified physiotherapists to develop their knowledge and understanding of FES for upper limb recovery following a stroke, and
to provide a resource of key literature and signposting to further reading and content.


Learning Outcomes

The following learning outcomes (LO) have been constructed to support competencies expected of a newly qualified (Band 5) physiotherapist role (ref xxxx). A balance of theory, policy and evidence-base, as well more practical aspects for application of FES has been integrated into the LOs. This choice was based on discussion and feedback with tutors and peers.

By the end of this learning package the user should be able:

LO1: to appraise the guidelines and underpinning literature on the use of FES in stroke upper limb recovery and relate this to your current or future clinical practice setting.

LO2: to discuss the principles, applications and parameters of FES in relation to stroke upper limb recovery.

LO3: to justify the consideration of FES in stroke upper limb assessment and intervention planning.


Layout and Approach

This package should take approximately ten hours to work through however the sections have been designed in a way which enables users to dip in and out to suit their needs. At the start of each section a brief outline of what is covered will be outlined and linked to the above learning outcomes.

A key design of the package is to be interactive. While synthesis and summary of key information has been provided, the user will gain greater benefit by engaging with the directed reading, activities, short quizzes and case study that have been developed to support a deeper learning experience.

Also a range of material has been considered in the design of this package to try and suit most learning styles (VARK xxxx). If you find that a section does not suit then please review the additional resource section at the bottom for alternative options.

The following describes the main sections found below in this resource package.

Introduction
What is FES
When should I use FES
How do I use FES
General
Shoulder Subluxation
Motor control
Conclusion
Further Resources


Context - Why this Topic?
Stroke plays a large part and burden on society (Stroke Association 2015) and is currently the 4th largest cause of mortality in the UK (Stroke Association 2015). Although trends show decreased mortality rates over the last 20 years, it is still the leading cause of adult disability. The UK has approximately 1.2 million stroke survivors with half experiencing disability and 77% with upper limb difficulties (Stroke Association 2015).

In the UK the over 65s population is estimated to grow by 25% by 2020, which is a demographic where stroke incidence is higher. This could potentially lead to even greater numbers of survivors requiring support and rehabilitation from health care professions such as Physiotherapy.


Maintaining and improving people’s functional abilities is a key goal for physiotherapists working with those who have a stroke and FES is a technology that offers the potential to support this (ref xxxx). This goal aligns with current Scottish health and wellbeing policy aimed at driving improved health outcomes for patients (The Scottish Government 2015).

What is Functional Electrical Stimulation[edit | edit source]

Grant Burns

When should I use Functional Electrical Stimulation[edit | edit source]

How do I use Functional Electrical Stimulation[edit | edit source]

General Considerations[edit | edit source]

Shoulder Subluxation[edit | edit source]

Motor Control and Recovery[edit | edit source]

Recent Related Research (from <a href="http://www.ncbi.nlm.nih.gov/pubmed/">Pubmed</a>)[edit | edit source]

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References

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