It's all about function NOT movement re-education!
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The document discusses the importance of early rehabilitation after a stroke to maximize recovery. It emphasizes starting rehabilitation as early as possible, within 24 hours of the stroke, and ensuring it is repetitive and intensive. The document also shares an inspiring story of a young woman who survived a severe stroke and defied expectations with her recovery through hard work. It advocates for patients not lowering their expectations and voices the importance of self-belief and peer support. Finally, it proposes potential areas for further stroke rehabilitation research.
It's all about function NOT movement re-education!
- 1. Trust me, it’s all about FUNCTION! 30th September 2016, Edinburgh @KateAllatt
- 2. @Kate Allatt Q Learning Objectives Function then movement re-education Don’t lower patients expectations Mind-blowing stories Future research ideas?
- 3. @Kate Allatt Q The stroke improvement facts 1/2: “The brain appears to be primed to recover EARLY after stroke” Schallert et al http://stroke.ahajournals.org/content/36/2/215.short “Rehabilitation has been shown to be most beneficial when started EARLY” Teasell http://www.ebrsr.com/sites/default/files/Chapter3_Background-Concepts_FINAL_16ed.pdf “These studies emphasize the importance of EARLY rehabilitation for good outcomes.” Teasell & Kalra http://stroke.ahajournals.org/content/36/2/215.full “VEM of patients within 24 hours of acute stroke appears safe and feasible.” AVERT http://m.stroke.ahajournals.org/content/39/2/390.full
- 4. @Kate Allatt Q 2/2 Repetitive Frequency Intensive Teasell http://www.ebrsr.com/sites/default/files/Chapter3_Background-Concepts_FINAL_16ed.pdf 250 x per week 7 Days per week Nagai et el https://www.jstage.jst.go.jp/article/jjcrs/2/0/2_0_77/_pdf
- 6. @KateAllatt
- 8. @Kate Allatt
- 9. GOALS
- 10. Is the technology we innovate about recording statistics & movement re- education ? Eg. Heel Strike, Distance travelled, Balance?
- 11. @Kate Allatt Q I’m not the exception ………. 13yr USA brainstem stroke locked in syndrome SURVIVOR! “The doctor didn't believe she was having a stroke because of her age …… …… The therapists are surprised at how much she is able to do and how much she fights to recover 3 months later …… about 2 weeks ago her rehab doctor said he can longer classify her as being locked in because of all the movement she is making” Candice Gier, Florida
- 12. Fighting Strokes 2011 – 2016 The ultimate PEER SUPPORT! ‘Lemon & Limes’ SELF-BELIEF!
- 13. @Kate Allatt NEVER EVER LET ANYONE LOWER YOUR EXPECTATIONS! “VOICINGinner thoughts matters!” TEDx @KateAllatt KateAllatt.com
- 14. @ESCAPS Research A feasibility randomised controlled trial of … Early electrical stimulation to the wrist extensors and wrist flexors to prevent the post-stroke complications of pain and contractures in the paretic arm’ @KateAllatt @Research_OT
- 15. More OT research ideas…? How can we motivate stroke patients to carry out everyday activities essential for health & wellbeing. Existing digital innovations to motivate people to carry out everyday activities To coach & motivate stroke survivors back into paid work ASK ME TO COLLABORATE! ;)
- 16. @KateAllatt
- 17. ‘DREAM BIG HAVE BIG AMBITIONS WORK HARD & YOU WILL ACHIEVE’ @MoFarah #Rio2016 What will you take away from hearing me? Tweet me? @KateAllatt
Editor's Notes
- #3: Thanks for asking me Here to talk about client centred goals Questions at end
- #4: Thanks for asking me Here to talk about client centred goals Questions at end
- #5: Thanks for asking me Here to talk about client centred goals Questions at end
- #6: Thanks for asking me Here to talk about client centred goals Questions at end
- #7: 39, suddenly, Think feel hear see assuming head but move nothing after 2 weeks I blinked once no twice yes Lonely, frightening, life support, worth keeping, bored nil by mouth? Like buried alive or waking up coffin
- #8: As you can see I needed my roots doing! but what saved me when the doctors have never explained my completely unexpected recovery? Play next
- #10: Patient functionality versus clinicians achieving normal movement patterns? What do you think is more important?
- #11: Mischievous rule breaker, bloke trapped in female body, marcos bird, drinking games, best years of life, dating mark allatt rugby widow
- #12: Thanks for asking me Here to talk about client centred goals Questions at end
- #13: Thanks for asking me Here to talk about client centred goals Questions at end
- #14: So important not to lower expectations like mine were for example PLAY If you believe in something and want to do it badly, don’t listen to any doubters just DO IT!
- #16: Segmented according to DLAs –eg Eating/walking/bathing/dexterity
- #17: So did I run again? You are damn right I did play (just 21 mths after stroke)
- #18: Mischievous rule breaker, bloke trapped in female body, marcos bird, drinking games, best years of life, dating mark allatt rugby widow