PP0314 - Week Five

Go to the Physiotherapy Management of Spinal Cord Injuries

Go to the Pre-Course Activities

Go to the Course Activities


Introduction

In case you missed it here is the week five email.

Task 1: Fitness (0.5 hour)

The first task this week is to complete online lesson on Fitness. This lesson includes only 4 short activities which are linked to below:

The aim of this lesson is to provide an overview of the assessment and treatment of poor fitness in people with SCI. Participants will learn about common examples of where poor fitness imposes activity limitations and participant restrictions.

At the end of this lesson, participants will be able to:

  • list some common ways to assess fitness
  • identify some examples of where poor fitness imposes activity limitations and participation restrictions
  • list the key principles important for improving fitness
  • outline an appropriate program for improving and maintaining fitness
  • understand the differences between training fitness in a person with high paraplegia versus a person with low paraplegia

Task 2: Respiratory (0.5 hour)

Next you should complete online lesson on assessing and treating the Respiratory System:

The aim of this lesson is to provide an overview of respiratory function in people with SCI. Participants will learn about the common causes of poor respiratory function and key aspects of physiotherapy management.

At the end of this lesson, participants will be able to:

  • list the key features of a respiratory assessment
  • outline how SCI affects respiratory function
  • identify those at increased risk of respiratory complications
  • identify physiotherapy techniques appropriate for people with SCI
  • outline an appropriate program for improving and maintaining respiratory function

Task 3: Pain (0.5 hour)

Finally complete online lesson on Pain:

The aim of this lesson is to provide an overview of the assessment and treatment of pain in people with SCI. Participants will learn about the common causes of pain and key aspects of physiotherapy management.

At the end of this lesson, participants will be able to:

  • list some common ways to assess pain
  • identify some examples of where pain imposes activity limitations and participation restrictions
  • list the key principles important for effective pain management
  • understand the difference between acute and chronic pain
  • understand the difference between nociceptive and neurological pain
  • outline an appropriate physiotherapy program for treating and preventing pain

Task 4: Suggested reading (0.5 hour)

Read some or all of the following (as time permits):

  • Sheel AW, Reid WD, Townson AF, Ayas N (2012). Respiratory Management. In: Eng JJ, Teasell RW, Miller WC, Wolfe DL, Townson AF, Hsieh JTC, Connolly SJ, Noonan V, Mehta S, Sakakibara BM, Boily K, editors. Spinal Cord Injury Rehabilitation Evidence. Version 4.0. Vancouver: p. 1-47.
  • Harvey L. (2008). Chapter 10: Pain management. In Management of spinal cord injuries: a guide for physiotherapists. London: Elsevier.
  • Harvey L. (2008). Chapter 11: Respiratory management. In Management of spinal cord injuries: a guide for physiotherapists. London: Elsevier.
  • Harvey L. (2008). Chapter 12: Cardiovascular fitness training. In Management of spinal cord injuries: a guide for physiotherapists. London: Elsevier

Task 5: Facebook Discussion (0.5 hour)

Go to the Facebook group for all online discussions.

There are 3 main discussion threads for this week. They are:

1. Advice to preserve the shoulders. What advice would you give a wheelchair-dependent person with C6 tetraplegia who is about to go home that will help ensure that he/she does not develop shoulder problems in the future? Do you think that we should be encouraging them to rely on others for transfers to avoid shoulder problems? What are the pros and cons of this sort of sacrifice in independence for a person? What is the quality of the evidence that guidelines about preservation of the shoulders are based upon?

2. Staying fit and healthy. What are some of the sporting opportunities for people with SCI? Find and share a website that shows a person with SCI participating in a novel type of sport or activity. What are some of the remarkable things people with SCI have done? How can physiotherapists help people with SCI stay fit and healthy? What are some of the barriers for people with SCI? What do you think about encouraging people with SCI to use electrical stimulation on their paralysed legs for the rest of their lives? Is it practical in your country? What does the evidence say?  

3. Summary. Post a few lines that summarises this course for you. You can do this in any sort of format you like. So perhaps you want to tell us the most important thing you have learnt on this course. What will you do now differently having finished this course? Did anything surprise you or was there anything that you disagreed with? Did you learn something interesting from a colleague from another country? Perhaps you have gained a better understanding of physiotherapy around the world. What would you like to do now? Where do you think SCI physiotherapy is heading? Do you see any challenges or opportunities. What do you think is most important for people with SCI?  

Feel free to start your own discussion thread as well. You can post any question or comment related to what you have learnt this week.

Task 6: Final Course Evaluation and Assessment (0.5 hour)

Please complete the course evaluation
Please complete the post-course self-assessment

Optional: Other Resources and Activities

The following resources are optional for you to read/view but will further expand your knowledge on this week's topics:

  • Read some or all of the references provided at the end of each online lesson you have done this week. Click here or here or here to access.
  • Review some of the many different ways people with SCI can stay active. Click here to access.
  • Look at a website designed for people wtih SCI to encourage them to be healthy and physically active. Click here to access.
  • Explore the perspectives of a person with C6 tetraplegia about shoulder pain. Understand that his perspective is different to the perspective of most healthcare professionals but nonetheless is reasonable and understandable. Click here to access.
Harvey-book.png

Management of Spinal Cord Injuries 

This is the course textbook which will be available to all participants of the course for FREE for the duration of the course.

Access the book here!

Alternatively you might be interested in keeping your own copy of the book.

Buy with 20% discount by clicking here!! (if you have trouble getting a delivery to your country please let us know and we can help)

Purchase E-book

Checklist for the week

1. Completed the following lessons within the physiotherapy-specific module on www.elearnSCI.org:

  • Fitness
  • Respiration
  • Pain

2. Read part of the 3 chapters of the course textbook or 1 journal article

3. Contributed to the Facebook discussion

4. Complete post-course self-assessment

5. Complete course evaluation

6. Looked at additional resources (optional)