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Exercise and Fitness Training After Stroke Specialist Instructor Training Course The University of Edinburgh Slide 2 WELCOME 1.Introductions 2.Course Background 3.Learning outcomes 4.Summary of Content 5.Approaches to learning 6.Study materials 7.Assessment Slide 3 Intro/Resources Check Pre-course reading & welcome letter/observational visit letter (Stroke competencies website and online learning?) EfS Manual; Summative assessment pack Hard copy of power-point presentations Tutorials and directed learning pack Course time table STARTER circuit cards Slide 4 Exercise after Stroke Specialist Instructor Training Course Course Development Project Team: Dr.Gillian Mead Prof. Marie Donaghy Dr. Frederike van Wijck Dr. Susie Dinan-Young Mr John Dennis Mr Mark Smith Ms Sara Wicebloom- Paul Ms Bex Townley The University of Edinburgh Slide 5 What is a stroke? A stroke occurs when an artery supplying the brain either blocks or bursts Slide 6 Course Background Cardiorespiratory (or endurance) Muscle strength and power Physical fitness is essential for physical activity. Important components of physical fitness for health gain especially after stroke; Slide 7 In the UK: Every year, 150,000 people have a stroke Stroke: 3 rd most common cause of death Stroke: most common cause of severe disability More than 250,000 people live with stroke-related disabilities Slide 8 Following a stroke, many people experience: -Reduced strength, mobility, endurance -Difficulties with walking, balance and (ADL) -Problems with sensation -Problems with thinking and planning -Problems with emotion and motivation -Communication difficulties - Cardiovascular fitness may be 40% below that of healthy counterparts Slide 9 What is being done ? -Stroke prevention -Research: exercise may be beneficial after stroke -Royal College of Physicians: recommendations for exercise after stroke -Scottish Government: policy documents on exercise after stroke -Many consultants refer stroke patients for exercise -Many people refer themselves after stroke . Slide 10 BUT There are no standardised national stroke-specific exercise referral schemes There is only one Exercise after Stroke specialist exercise instructor training course endorsed by Skills Active for REPs at Level 4, this one. The ARNI Functional Training After Stroke Course focuses on functional tasks and experiential strategies. EfS CPD 1 Slide 11 The Evidence Base Published evidence on need for exercise after stroke Published research on effects of exercise after stroke:Literature,Teams own research (The STARTER trial) Template: DoH development-funded Exercise for the Prevention of Falls and Injuries Relevant educational standards Slide 12 Educational Standards and Benchmarks QMU, Edinburgh accredited (SHE Level 2 Undergraduate) Scottish Credit and Qualifications Framework level 8 (20 credit) Skills Active standards: Design and agree a physical activity programme with people after stroke Deliver, review, adapt and tailor a physical activity programme with people after stroke Register of Exercise Professionals Level 4, Skills Active endorsed Chartered Society of Physiotherapy benchmarks The Quality Assurance Agency for Higher Education. Slide 13 Key learning outcomes At the end of the course, you should be able to: Demonstrate a sound working knowledge and understanding of: Stroke Evidenced based exercise after Stroke Design, deliver and evaluate safe and appropriate exercise programmes for people after stroke Communicate and refer effectively Observe relevant professional standards including; ethics, professional boundaries and health & safety regulations. Slide 14 Course Content Days 1 & 2 Stroke; impact, incidence and classification Specialist instructor advanced skills for level 4 Safe effective Circuit management for participants with stroke Guidelines for exercise referral, introduction Days 3 & 4 Programme design and delivery Adapting and tailoring exercise, therapy led approaches Problem solving, risk assessment, emergency procedures Outcomes measures (OMs) Day 5 Theory paper Communication, Changing behaviour and goal setting; applied Practical (formative) assessment & OMs formative assessment Implementation Day 6 (7) Summative Practical Assessment, session plan and case study submission Slide 15 Approaches to Learning Amount of credit: 20. 200 hours of student work in total Approach to learning and teaching: Problem solving: 43 hours of contact time keynote lectures by specialists practical sessions 157 hours of (self) directed learning Slide 16 Study materials Course Manual Summative assessment pack Directed Learning Pack Power-point presentations Other literature, resources: book chapters, journal papers Student page on website www.laterlifetraining.co.uk/login.php Username: EfS_Student Password: EfSLLTStudent20096 Slide 17 Summative Assessment Day 5 One 2 hour theory paper; 30 MCQ and 5 short answer Day 6 (or 7) One 45 min practical assessment STARTER class A one hour STARTER session plan (week 7/8) Case Study; - One 1500 word coursework based on a clinical case study (video based, access via website) Detailed information in your Candidate Assessment Pack Observational visit to stroke setting and short report not marked but must be completed Slide 18 Acknowledgements Reference Group to ensure that the work was robustly scrutinised, contains academic national leads in the field of stroke, medicine, therapy,nursing, education, research, social services and patients for the course but continued to be the group for the guidelines Funders: -Scottish Government -Chest Heart Stroke Scotland -Edinburgh Leisure -Glasgow Health Board Slide 19