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Identifying and Retraining Uncontrolled Movement In People With Amputations Course Review

26th May 2017

In March and April this year KC's Louise Tisdale delivered our specialised course 'Identifying Uncontrolled Movement in People With Amputations' module at the Specialised Ability Centre Manchester, UK.

The main objective of the course is to enable therapists to identify and retrain movement control impairments that relate to functional impairments (gait in particular) and pain.

Two people with amputations participated in the workshop, firstly on day one on 4 March and returning on day three on 1 April - this allowed them several weeks to implement the exercises taught on day and report back on the effects and results.  Both made very positive comments.

Comments from people with amupations who demonsrtated on the course:

"I felt like I was walking more smoothly and it helped to stabilise my hip" - having continued the exercises taught on day one. 

"Very useful exercises" - having left him with an exercise plan to continue to help improve his quality of his gait.

Therapists comments:

 "a great framework where abs and glutes are king!. (and so much more)"

"Mind blowing ... very useful ++)" 

Day three of the course included a group review of days one and two, when the participants had had a full month to practice the tests and try some of those that they did not get to try initially, using the exercise catalogue as a reference. The tutor asked them to think how the tests may need to be adapted for different amputation levels or indeed if they are achievable at all.  

Participants were asked to see if any patterns of uncontrolled movement (UCM) emerged and with a month to work with their new learning this third day proved very productive.

Some photos from the practical sessions below:

      

      

Key Features

  • Common disabilities of gait related to movement impairments (uncontrolled movement)
  • How to use a systematic and logical approach to identifying and correcting these movement impairments
  • The assessment as a tool to design a retraining strategy & prescriptive exercise programme
  • Practical application of assessment and retraining of uncontrolled movement
  • The consequences of restrictions (including prostheses)
  • How pain relates to uncontrolled movement
  • How to assess for risk (e.g. pre-prosthetic assessment)

Learning Outcomes

Following this course the participants should be able to:

  • Identify uncontrolled movement and relate this to gait disorders in patients with lower limb amputations
  • Apply a specific individual retraining programme
  • Apply muscle specific retraining strategies to optimise movement patterns

 

For full course details  click here

Please contact us if you would like to discuss hosting this course at your organisation

Meet the tutor, Louise Tisdale

Louise works in the NHS in the UK for the Royal Wolverhampton Trust Amputee Rehabilitation Service as a Clinical Specialist Physiotherapist in Amputee Rehabilitation, and is responsible for the delivery of Physiotherapy to patients who have or who will undergo lower limb amputation for a variety of aetiologies. 

Qualified as a Physiotherapist in 1992, the majority of her career has also been spent working in musculoskeletal outpatient Physiotherapy as a clinician; and as a manager with a clinical caseload.  Louise is qualified as an Independent Prescriber having undertaken training at Keele University. 

In 2004 she contacted Kinetic Control with regard devising a Movement Dysfunction course for Physiotherapists working in amputee rehabilitation. Her clinical experience highlighted the need for movement assessment and retraining in the management of patients with amputees.  This course was run in 2005/2006 and has since been further developed by Kinetic Control and Louise, to provide training for individuals providing rehabilitation to injured service personnel.

To date she has been able to share her knowledge of the management of uncontrolled movement in amputees with her peers at the national and regional BACPAR education events (http://bacpar.csp.org.uk/). Louise also continues to be one of the network facilitators for the WCPT AR network http://www.wcpt.org/ar has presented on Physiotherapist Prescribing in Amputee Rehabilitation.

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