March 1, 2019
EM104: Early Intervention and Rehabilitation in Patients with Stroke in Acute Phase - Bobath Concept
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Alba MagriPt, IBITA Advanced Course Instructor
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Monica MorelliIBITA ACI
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Monia AlessiPt, IBITA Advanced Course Instructor
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Carlos Leite MartinsPt, IBITA Basic Course Instructor, PhD Cand.
Acute stroke is one of the leading causes of death and disability worldwide. The increase in knowledge on pathophysiology and the discovery of new therapeutic strategies have changed the clinical and rehabilitative approach over the years. The acute stroke is recognized as a medical emergency and the treatment of these patients in dedicated departments (Stroke Units) with a multidisciplinary team specialized in the management of clinical and rehabilitative aspects has proved to be valid and effective.
Early rehabilitation reduces the residual disability of stroke patients, but the intensity and type of rehabilitation program depends on the patient's condition and the severity of the injury. The indication from the literature says that rehabilitation must be active but it is necessary to establish "how and how much" to define a tailored intervention and to adapt the treatment if the clinical complications or the reduction of the state of consciousness make the participation of the patient difficult.
In the acute and post-acute phase it is important to identify the prognostic indicators of recovery to set up an individualized rehabilitation program aimed at recovering autonomy by considering the maximum potential available.
Recent studies on neuroplasticity open the discussion between "recovery" and "compensation" and many authors argue that early compensation opens poorer long-term outcome scenarios. The course in question aims to develop knowledge on the topics described and discuss them among professionals in order to implement the clinical reasoning for the evaluation and treatment of patients with acute stroke using as a frame of reference the theoretical assumptions and the model of clinical practice typical of the Bobath Concept.
In collaboration with:
Intended for
Payments
- Deposit €250.00 + VAT 22% (€305.00) within 7 days from the registration
- Balance €200.00 + VAT 22% (€244.00) by date February 23, 2019
Calendar
language
SCHEDULE
First day
8.30-9.00 Registration of participants and presentation of the objectives of the course
9.00-10.50 Lesson: Patient management with acute stroke - clinical and rehabilitative aspects
10.50-11.00 Coffee break
11.00-12.00: The Bobath Concept today and its Clinical Practice Model (MBCP)
12.00-13.00 Presentation of a case study.
13.00-14.00 Lunch
14.00 - 17.30 Practical workshop among participants
Defining critical aspects of the patient in the acute phase and developing treatment sets that support sensory integration, reconstruction of the midline as a prerequisite for verticality, stimulation of the axial antigravity seal emphasizing the activation of the multicinetic chain that supports central stability
17.30-18.00 Questions and discussion
Second day
8.30-11.00 Neurophysiological bases of postural control and motor control
11.00-11.10 Coffee break
11.10-12.30 Demonstration of a clinical case (Live treatment or presentation of a
case study)
12.30-13.00 Discussion of clinical reasoning - Explanation of techniques
13.00-14.00 Lunch
14.00 - 15.00 Neurophysiopathology: the priority of negative signs as a basis for disability
in the UMNS
15.00-17.30 Practical workshop among participants
Develop treatment sets for the patient in the acute phase that support the strengthening of the
antigravity competence in transfers to bed and against / within gravity.
Considerations on sitting position
17.30-18.00 Questions and discussion
Third day
8.30-11.00 Neuroplasicity and early intervention - Indications from the literature
11.00-11.10 Coffee break
11.10-12.30 Demonstration of a clinical case (Live treatment or presentation of a
case study)
12.30-13.00 Discussion of clinical reasoning - Explanation of techniques
13.00-14.00 Lunch
14.00 - 16.30 Practical workshop among participants
The sit-to-stand transition for bed-wheelchair transfers and for the early standing station.
How and when to include complex activities against gravity.
16.30-17.00 Questions, ECM test and conclusion of the course
