Physiotherapy Management of Spinal Cord Injuries: Difference between revisions
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[ | '''This course originally took place as a free open online course in 2014. The course has since been updated and accredited for CEUs/CPD points and is available for you in [https://members.physio-pedia.com/learn/spinal-cord-injury-programme/ Plus ], it can be started and completed at any time that suits you. ''' | ||
[ | <div class="pp-justgiving-btn pp-paypal-donate-btns">[https://members.physio-pedia.com/learn/spinal-cord-injury-programme/ Go to the updated course on Plus ]</div> | ||
==Summary== | |||
* '''Date '''- This course took place in 2014 | |||
* '''Course Type '''- Open, Online | |||
* '''Course Co-ordinators '''- Lisa Harvey and Rachael Lowe | |||
* '''Institution '''- Physiopedia | |||
* '''Who can take part'''- Anyone | |||
* '''Time commitment '''- 15 hours over 5 weeks | |||
* '''Requirements '''- You will complete online lessons, engage with additional resources, take part in the conversation online and complete the course evaluation. | |||
* '''Assessment '''- There will be a final quiz | |||
* '''Awards '''- Completion certificate plus 15 IPT-CEUs from the WCPT | |||
== Intended audience == | == Intended audience == | ||
| Line 22: | Line 30: | ||
#Complete 2 to 3 lessons that are part of [http://www.elearnsci.org/intro.aspx?id=4&category=Physiotherapists www.elearnSCI.org] – this is a website that provides freely accessible online training modules | #Complete 2 to 3 lessons that are part of [http://www.elearnsci.org/intro.aspx?id=4&category=Physiotherapists www.elearnSCI.org] – this is a website that provides freely accessible online training modules | ||
#Look at additional readings, videos and resources | #Look at additional readings, videos and resources | ||
#Contribute to an online discussion | #Contribute to an online discussion | ||
== Aim == | == Aim == | ||
| Line 43: | Line 51: | ||
#*Fitness | #*Fitness | ||
#*Respiratory | #*Respiratory | ||
#*Pain | #*Pain<br> | ||
== Pre-requisites == | == Pre-requisites == | ||
| Line 53: | Line 59: | ||
== Forum for online discussion == | == Forum for online discussion == | ||
The online discussion will be an important aspect of this course and participants will be expected to post at least one comment each week | The online discussion will be an important aspect of this course and participants will be expected to post at least one comment each week. Only participants of the course will be able to post and read discussions within this group. | ||
Only participants of the course will be able to post and read discussions within this group. | |||
== Language == | == Language == | ||
| Line 65: | Line 67: | ||
== Accreditation, Assessment and Certification == | == Accreditation, Assessment and Certification == | ||
This course has been accredited by the WCPT for 15 International Physical Therapy Continuing Education Units (IPT-CEUs). | This course has been accredited by the WCPT for 15 International Physical Therapy Continuing Education Units (IPT-CEUs). These plus a certificate of completion from Physiopedia will be awarded provided you have: | ||
#Contributed to the online facebook discussion each week | #Contributed to the online facebook discussion each week | ||
# | #Complete the pre and post course quiz | ||
#Completed a course evaluation form | #Completed a course evaluation form | ||
| Line 87: | Line 89: | ||
{{#ev:youtube|IiOlowBfChQ|300}} | {{#ev:youtube|IiOlowBfChQ|300}} | ||
'''Dr Joanne Glinsky''', Australia. Jo is a physiotherapist with over 10 years clinical, research and teaching experience in SCI rehabilitation. She has a PhD and multiple publications relating to SCI. She currently works as a senior researcher at Sydney Medical School, University of Sydney | '''Dr Joanne Glinsky''', Australia. Jo is a physiotherapist with over 10 years clinical, research and teaching experience in SCI rehabilitation. She has a PhD and multiple publications relating to SCI. She currently works as a senior researcher at Sydney Medical School, University of Sydney | ||
{{#ev:youtube|YqExr6hO31o|300}} | |||
This course will be based on the physiotherapy modules that are part of [http://www.elearnsci.org/intro.aspx?id=4&category=Physiotherapists www.elearnSCI.org] | === Course contributors === | ||
This course will be based on the physiotherapy modules that are part of [http://www.elearnsci.org/intro.aspx?id=4&category=Physiotherapists www.elearnSCI.org] which was an initiative of [http://www.iscos.org.uk/ The International Spinal Cord Society]. You can view a video explaining the evaluation of the elearn website [http://www.youtube.com/watch?v=it6Or0qSTbE here]. | |||
The physiotherapy modules were developed by many, many very senior SCI physiotherapists from around the world. Sincere thanks to all of them for donating their time and knowledge to make this resource freely available to all. You can see the full list of contributors [http://www.elearnsci.org/intro.aspx?id=4&category=Physiotherapists here]. | The physiotherapy modules were developed by many, many very senior SCI physiotherapists from around the world. Sincere thanks to all of them for donating their time and knowledge to make this resource freely available to all. You can see the full list of contributors [http://www.elearnsci.org/intro.aspx?id=4&category=Physiotherapists here]. | ||
| Line 114: | Line 100: | ||
== References == | == References == | ||
*Carr JH, Shepherd RB. A motor relearning model for rehabilitation. In: Carr JH and Shepherd RB (ed). Movement science: Foundations for physical therapy in rehabilitation. Aspen Publishers: Rockville, MD 2000, pp 33-110. | *Carr JH, Shepherd RB. A motor relearning model for rehabilitation. In: Carr JH and Shepherd RB (ed). Movement science: Foundations for physical therapy in rehabilitation. Aspen Publishers: Rockville, MD 2000, pp 33-110. | ||
*Consortium for Spinal Cord Medicine. [http://www.pva.org/atf/cf/%7BCA2A0FFB-6859-4BC1-BC96-6B57F57F0391%7D/CPG_outcomes%20following%20traumatic%20SCI.pdf Outcomes following traumatic spinal cord injury: Clinical practice guidelines for health-care professionals.] 1999, Washington, DC: Paralyzed Veterans of America. | *Consortium for Spinal Cord Medicine. [http://www.pva.org/atf/cf/%7BCA2A0FFB-6859-4BC1-BC96-6B57F57F0391%7D/CPG_outcomes%20following%20traumatic%20SCI.pdf Outcomes following traumatic spinal cord injury: Clinical practice guidelines for health-care professionals.] 1999, Washington, DC: Paralyzed Veterans of America. | ||
*Consortium for Spinal Cord Medicine. [http://www.pva.org/atf/cf/%7BCA2A0FFB-6859-4BC1-BC96-6B57F57F0391%7D/cpg_upperlimb.pdf Preservation of upper limb function following spinal cord injury: A clinical practice guideline for health-care professionals]. 2005, Washington, DC: Paralyzed Veterans of America. | *Consortium for Spinal Cord Medicine. [http://www.pva.org/atf/cf/%7BCA2A0FFB-6859-4BC1-BC96-6B57F57F0391%7D/cpg_upperlimb.pdf Preservation of upper limb function following spinal cord injury: A clinical practice guideline for health-care professionals]. 2005, Washington, DC: Paralyzed Veterans of America. | ||
*Consortium for Spinal Cord Medicine Clinical Practice Guidelines. [http://www.pva.org/atf/cf/%7BCA2A0FFB-6859-4BC1-BC96-6B57F57F0391%7D/cpg_pressure%20ulcers.pdf Pressure ulcer prevention and treatment following spinal cord injury: a clinical practice guideline for health-care professionals]. J Spinal Cord Med 2001; 24: S40-101. | *Consortium for Spinal Cord Medicine Clinical Practice Guidelines. [http://www.pva.org/atf/cf/%7BCA2A0FFB-6859-4BC1-BC96-6B57F57F0391%7D/cpg_pressure%20ulcers.pdf Pressure ulcer prevention and treatment following spinal cord injury: a clinical practice guideline for health-care professionals]. J Spinal Cord Med 2001; 24: S40-101. | ||
*Consortium for Spinal Cord Medicine. [http://www.pva.org/atf/cf/%7BCA2A0FFB-6859-4BC1-BC96-6B57F57F0391%7D/cpg_resmgmt.pdf Respiratory management following spinal cord injury: a clinical practice guideline for health-care professionals]. 2005, Washington (DC): Paralyzed Veterans of America. | *Consortium for Spinal Cord Medicine. [http://www.pva.org/atf/cf/%7BCA2A0FFB-6859-4BC1-BC96-6B57F57F0391%7D/cpg_resmgmt.pdf Respiratory management following spinal cord injury: a clinical practice guideline for health-care professionals]. 2005, Washington (DC): Paralyzed Veterans of America. | ||
*Connolly S, Aubut J, Teasell RW, Jarus T. Upper limb rehabilitation following spinal cord injury. In: Spinal Cord Injury Rehabilitation Evidence (SCIRE), Eng JJ, et al., Editors. 2006: Vancouver. pp 5.1-5.16. | *Connolly S, Aubut J, Teasell RW, Jarus T. Upper limb rehabilitation following spinal cord injury. In: Spinal Cord Injury Rehabilitation Evidence (SCIRE), Eng JJ, et al., Editors. 2006: Vancouver. pp 5.1-5.16. | ||
*Dobkin B, Apple D, Barbeau H, Basso M, Behrman A, Deforge D. et al. [http://www.spinalcordcenter.org/research/wst_vs_ground_training.pdf Weight-supported treadmill vs over-ground training for walking after acute incomplete SCI.] Neurology 2006; 66: 484–493. | *Dobkin B, Apple D, Barbeau H, Basso M, Behrman A, Deforge D. et al. [http://www.spinalcordcenter.org/research/wst_vs_ground_training.pdf Weight-supported treadmill vs over-ground training for walking after acute incomplete SCI.] Neurology 2006; 66: 484–493. | ||
*<span>Harvey L. Management of spinal cord injuries: a guide for physiotherapists. 2008, London: Elsevier.</span> | *<span>Harvey L. Management of spinal cord injuries: a guide for physiotherapists. 2008, London: Elsevier.</span> | ||
*<span>Harvey L, Lin CM, Glinsky J, De Wolf A. The effectiveness of physical interventions for people with spinal cord injuries: a systematic review. Spinal Cord 2009; 47: 184-195. </span | *<span>Harvey L, Lin CM, Glinsky J, De Wolf A. The effectiveness of physical interventions for people with spinal cord injuries: a systematic review. Spinal Cord 2009; 47: 184-195. </span> | ||
*Katalinic OM, Harvey LA, Herbert RD, Moseley AN, Lannin NA, Schurr K. [http://www.researchgate.net/profile/Karl_Schurr/publication/46171565_Stretch_for_the_treatment_and_prevention_of_contractures/file/79e4150b33ea94ec16.pdf?ev=pub_ext_doc_dl&origin=publication_detail&inViewer=true Stretch for the treatment and prevention of contractures]. The Cochrane Database of Systematic Reviews 2010; Issue 9. Art.No.: CD007455. DOI: 10.1002/14651858.CD007455.pub2. | *Katalinic OM, Harvey LA, Herbert RD, Moseley AN, Lannin NA, Schurr K. [http://www.researchgate.net/profile/Karl_Schurr/publication/46171565_Stretch_for_the_treatment_and_prevention_of_contractures/file/79e4150b33ea94ec16.pdf?ev=pub_ext_doc_dl&origin=publication_detail&inViewer=true Stretch for the treatment and prevention of contractures]. The Cochrane Database of Systematic Reviews 2010; Issue 9. Art.No.: CD007455. DOI: 10.1002/14651858.CD007455.pub2. | ||
*Mehrholz J, Kugler J, Pohl M. [http://www.researchgate.net/profile/Joachim_Kugler/publication/5284935_Locomotor_training_for_walking_after_spinal_cord_injury/file/5046351666bdf21b4d.pdf?ev=pub_ext_doc_dl&origin=publication_detail&inViewer=true Locomotor training for walking after spinal cord injury]. Cochrane Database of Systematic Reviews 2012, Issue 11. Art. No.: CD006676. DOI: 10.1002/14651858.CD006676.pub3. | *Mehrholz J, Kugler J, Pohl M. [http://www.researchgate.net/profile/Joachim_Kugler/publication/5284935_Locomotor_training_for_walking_after_spinal_cord_injury/file/5046351666bdf21b4d.pdf?ev=pub_ext_doc_dl&origin=publication_detail&inViewer=true Locomotor training for walking after spinal cord injury]. Cochrane Database of Systematic Reviews 2012, Issue 11. Art. No.: CD006676. DOI: 10.1002/14651858.CD006676.pub3. | ||
*Sheel AW, Reid WD, Townson AF, Ayas N (2012). Respiratory Management. In: Eng JJ, Teasell RW, Miller WC, Wolfe DL, Townson AF, Hsieh JTC, Connolly SJ, Noonan V, Mehta S, Sakakibara BM, Boily K, editors. Spinal Cord Injury Rehabilitation Evidence. Version 4.0. Vancouver: p. 1-47. | *Sheel AW, Reid WD, Townson AF, Ayas N (2012). Respiratory Management. In: Eng JJ, Teasell RW, Miller WC, Wolfe DL, Townson AF, Hsieh JTC, Connolly SJ, Noonan V, Mehta S, Sakakibara BM, Boily K, editors. Spinal Cord Injury Rehabilitation Evidence. Version 4.0. Vancouver: p. 1-47. | ||
*Somers MF. Spinal cord injury: functional rehabilitation. 2nd ed. 2001, Upper Saddle River, NJ: Prentice Hall. | *Somers MF. Spinal cord injury: functional rehabilitation. 2nd ed. 2001, Upper Saddle River, NJ: Prentice Hall. | ||
*UAB Model SCI Center. [http://www.spinalcord.uab.edu/show.asp?durki=28922 Functional goals following spinal cord injury]. Online. Available:http://www.spinalcord.uab.edu/show.asp?durki=28922 | *UAB Model SCI Center. [http://www.spinalcord.uab.edu/show.asp?durki=28922 Functional goals following spinal cord injury]. Online. Available:http://www.spinalcord.uab.edu/show.asp?durki=28922 | ||
*Van Langeveld SA, Post MW, Van Asbeck FW, Ter Horst P, Leenders J, Postma K. et al. [http://www.scribd.com/doc/191659425/Contents-of-Physical-Therapy-Occupational-Therapy-and-Sports-Therapy-Sessions Contents of physical therapy, occupational therapy, and sports therapy sessions for patients with a spinal cord injury in three Dutch rehabilitation centres]. Disabil Rehabil 2011; 33: 412-422.<br> | *Van Langeveld SA, Post MW, Van Asbeck FW, Ter Horst P, Leenders J, Postma K. et al. [http://www.scribd.com/doc/191659425/Contents-of-Physical-Therapy-Occupational-Therapy-and-Sports-Therapy-Sessions Contents of physical therapy, occupational therapy, and sports therapy sessions for patients with a spinal cord injury in three Dutch rehabilitation centres]. Disabil Rehabil 2011; 33: 412-422.<br> | ||
[[Category:MOOCs]] | |||
Latest revision as of 11:31, 18 August 2022
This course originally took place as a free open online course in 2014. The course has since been updated and accredited for CEUs/CPD points and is available for you in Plus , it can be started and completed at any time that suits you.
Summary[edit | edit source]
- Date - This course took place in 2014
- Course Type - Open, Online
- Course Co-ordinators - Lisa Harvey and Rachael Lowe
- Institution - Physiopedia
- Who can take part- Anyone
- Time commitment - 15 hours over 5 weeks
- Requirements - You will complete online lessons, engage with additional resources, take part in the conversation online and complete the course evaluation.
- Assessment - There will be a final quiz
- Awards - Completion certificate plus 15 IPT-CEUs from the WCPT
Intended audience[edit | edit source]
This course is suitable for physiotherapy students and junior physiotherapists who have a good understanding of the key principles of physiotherapy but little prior experience in spinal cord injuries (SCI).
Time commitment[edit | edit source]
Participants will be required to devote 3 hours per week for 5 weeks to this course.
Course structure[edit | edit source]
Participants will be given 3 tasks each week, namely:
- Complete 2 to 3 lessons that are part of www.elearnSCI.org – this is a website that provides freely accessible online training modules
- Look at additional readings, videos and resources
- Contribute to an online discussion
Aim[edit | edit source]
The aim of this course is to equip physiotherapy students and inexperienced physiotherapists with sufficient knowledge to manage a person with SCI. This includes assessing impairments, activity limitations and participation restrictions, setting appropriate goals of treatment, formulating an evidence-based treatment plan, implementing treatment and evaluating its success.
Learning Objectives[edit | edit source]
- Outline the 5 key steps involved in physiotherapy management of people with spinal cord injuries.
- List the key muscles innervated at each level of injury and the implications for function.
- Describe the common methods used by people with C6 tetraplegia and paraplegia to roll, sit unsupported, transfer and move from supine to long sitting
- Describe how people with spinal cord injury:
- Mobilise in a power and manual wheelchair
- Stand and walk
- Use their upper limbs and hands
- Describe assessment and treatment of 6 important impairments that limit activities and participation in people with spinal cord injury:
- Strength
- Contractures
- Motor skill
- Fitness
- Respiratory
- Pain
Pre-requisites[edit | edit source]
Participants must be either enrolled in a physiotherapy course or have completed a physiotherapy course. This prerequisite has been set to ensure the online discussion is appropriate.
Forum for online discussion[edit | edit source]
The online discussion will be an important aspect of this course and participants will be expected to post at least one comment each week. Only participants of the course will be able to post and read discussions within this group.
Language[edit | edit source]
The course will be run in English although participants will only require basic English skills. Participants will be encouraged to be respectful and empathetic to those in whom English is not their first language.
Accreditation, Assessment and Certification[edit | edit source]
This course has been accredited by the WCPT for 15 International Physical Therapy Continuing Education Units (IPT-CEUs). These plus a certificate of completion from Physiopedia will be awarded provided you have:
- Contributed to the online facebook discussion each week
- Complete the pre and post course quiz
- Completed a course evaluation form
On completion of the course you will also be offered:
- 6 months FREE membership to the Physiopedia members area
- the chance to join SCIPT, the largest network of SCI physiotherapists in the world. Membership is free.
- 20% discount on the course textbook
People involved in this course[edit | edit source]
Course co-ordinators[edit | edit source]
The course co-ordinators for this course are Associate Professor Lisa Harvey and Dr Joanne Glinsky. Both Lisa and Jo are committed to the philosophy of providing free education to all and believe that well educated physiotherapists can help improve the lives of people with SCI in all corners of the world.
Associate Professor Lisa Harvey, Australia. Lisa has 20 years clinical experience in SCI and 30 years teaching experience. She currently holds an academic position at Sydney Medical School, University of Sydney where she teaches, supervises research students and runs her own research program. She has taught extensively in different parts of the world and is currently chairperson of the Education Committee of the International Spinal Cord Society. She has written a textbook on Physiotherapy Management of Spinal Cord Injuries and is on the Editorial Board of Spinal Cord and Journal of Physiotherapy.
Dr Joanne Glinsky, Australia. Jo is a physiotherapist with over 10 years clinical, research and teaching experience in SCI rehabilitation. She has a PhD and multiple publications relating to SCI. She currently works as a senior researcher at Sydney Medical School, University of Sydney
Course contributors[edit | edit source]
This course will be based on the physiotherapy modules that are part of www.elearnSCI.org which was an initiative of The International Spinal Cord Society. You can view a video explaining the evaluation of the elearn website here.
The physiotherapy modules were developed by many, many very senior SCI physiotherapists from around the world. Sincere thanks to all of them for donating their time and knowledge to make this resource freely available to all. You can see the full list of contributors here.
References[edit | edit source]
- Carr JH, Shepherd RB. A motor relearning model for rehabilitation. In: Carr JH and Shepherd RB (ed). Movement science: Foundations for physical therapy in rehabilitation. Aspen Publishers: Rockville, MD 2000, pp 33-110.
- Consortium for Spinal Cord Medicine. Outcomes following traumatic spinal cord injury: Clinical practice guidelines for health-care professionals. 1999, Washington, DC: Paralyzed Veterans of America.
- Consortium for Spinal Cord Medicine. Preservation of upper limb function following spinal cord injury: A clinical practice guideline for health-care professionals. 2005, Washington, DC: Paralyzed Veterans of America.
- Consortium for Spinal Cord Medicine Clinical Practice Guidelines. Pressure ulcer prevention and treatment following spinal cord injury: a clinical practice guideline for health-care professionals. J Spinal Cord Med 2001; 24: S40-101.
- Consortium for Spinal Cord Medicine. Respiratory management following spinal cord injury: a clinical practice guideline for health-care professionals. 2005, Washington (DC): Paralyzed Veterans of America.
- Connolly S, Aubut J, Teasell RW, Jarus T. Upper limb rehabilitation following spinal cord injury. In: Spinal Cord Injury Rehabilitation Evidence (SCIRE), Eng JJ, et al., Editors. 2006: Vancouver. pp 5.1-5.16.
- Dobkin B, Apple D, Barbeau H, Basso M, Behrman A, Deforge D. et al. Weight-supported treadmill vs over-ground training for walking after acute incomplete SCI. Neurology 2006; 66: 484–493.
- Harvey L. Management of spinal cord injuries: a guide for physiotherapists. 2008, London: Elsevier.
- Harvey L, Lin CM, Glinsky J, De Wolf A. The effectiveness of physical interventions for people with spinal cord injuries: a systematic review. Spinal Cord 2009; 47: 184-195.
- Katalinic OM, Harvey LA, Herbert RD, Moseley AN, Lannin NA, Schurr K. Stretch for the treatment and prevention of contractures. The Cochrane Database of Systematic Reviews 2010; Issue 9. Art.No.: CD007455. DOI: 10.1002/14651858.CD007455.pub2.
- Mehrholz J, Kugler J, Pohl M. Locomotor training for walking after spinal cord injury. Cochrane Database of Systematic Reviews 2012, Issue 11. Art. No.: CD006676. DOI: 10.1002/14651858.CD006676.pub3.
- Sheel AW, Reid WD, Townson AF, Ayas N (2012). Respiratory Management. In: Eng JJ, Teasell RW, Miller WC, Wolfe DL, Townson AF, Hsieh JTC, Connolly SJ, Noonan V, Mehta S, Sakakibara BM, Boily K, editors. Spinal Cord Injury Rehabilitation Evidence. Version 4.0. Vancouver: p. 1-47.
- Somers MF. Spinal cord injury: functional rehabilitation. 2nd ed. 2001, Upper Saddle River, NJ: Prentice Hall.
- UAB Model SCI Center. Functional goals following spinal cord injury. Online. Available:http://www.spinalcord.uab.edu/show.asp?durki=28922
- Van Langeveld SA, Post MW, Van Asbeck FW, Ter Horst P, Leenders J, Postma K. et al. Contents of physical therapy, occupational therapy, and sports therapy sessions for patients with a spinal cord injury in three Dutch rehabilitation centres. Disabil Rehabil 2011; 33: 412-422.
