17
Trust me, it’s all about FUNCTION! 30 th September 2016, Edinburgh @KateAll att

It's all about function NOT movement re-education!

Embed Size (px)

Citation preview

PowerPoint Presentation

Trust me, its all about FUNCTION!

30th September 2016, Edinburgh

@KateAllatt

1

@Kate AllattQLearning Objectives

Function then movement re-education

Dont lower patients expectations

Mind-blowing stories

Future research ideas?

Thanks for asking meHere to talk about client centred goalsQuestions at end2

@Kate AllattQThe stroke improvement facts 1/2:

The brain appears to be primed to recover EARLY after stroke Schallert et alhttp://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 & Kalrahttp://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

Thanks for asking meHere to talk about client centred goalsQuestions at end3

@Kate AllattQ2/2 RepetitiveFrequencyIntensiveTeasellhttp://www.ebrsr.com/sites/default/files/Chapter3_Background-Concepts_FINAL_16ed.pdf

250 x per week7 Days per week Nagai et elhttps://www.jstage.jst.go.jp/article/jjcrs/2/0/2_0_77/_pdf

Thanks for asking meHere to talk about client centred goalsQuestions at end4

@Kate Allatt

Q

Thanks for asking meHere to talk about client centred goalsQuestions at end5

@KateAllatt

39, suddenly, Think feel hear see assuming head but move nothing after 2 weeks I blinked once no twice yesLonely, frightening, life support, worth keeping, bored nil by mouth?Like buried alive or waking up coffin6

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 7

@Kate Allatt

GOALS

Patient functionality versus clinicians achieving normal movement patterns? What do you think is more important?9

Is the technology we innovate about recording statistics & movement re-education ? Eg. Heel Strike, Distance travelled, Balance?

Mischievous rule breaker, bloke trapped in female body, marcos bird, drinking games, best years of life, dating mark allatt rugby widow10

@Kate AllattQIm 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 recover3 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

Thanks for asking meHere to talk about client centred goalsQuestions at end11

Fighting Strokes 2011 2016The ultimate PEER SUPPORT!Lemon & Limes

SELF-BELIEF!

Thanks for asking meHere to talk about client centred goalsQuestions at end12

@Kate AllattNEVER EVER LET ANYONE LOWER YOUR EXPECTATIONS!

VOICING inner thoughts matters! TEDx @KateAllattKateAllatt.com

So important not to lower expectations like mine were for example PLAYIf you believe in something and want to do it badly, dont listen to any doubters just DO IT!13

@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

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! ;)

Segmented according to DLAs eg Eating/walking/bathing/dexterity15

@KateAllatt

So did I run again? You are damn right I did play (just 21 mths after stroke)16

DREAM BIGHAVE BIG AMBITIONSWORK HARD& YOU WILL ACHIEVE

@MoFarah #Rio2016

What will you take away from hearing me?Tweet me? @KateAllatt

Mischievous rule breaker, bloke trapped in female body, marcos bird, drinking games, best years of life, dating mark allatt rugby widow17

2015-04-14T16:15:30+0100com.apple.VoiceMemos (iPhone OS 7.1.2)