ISPO Short Course Report (Post-Course)
Please note that this report will be posted on the ISPO website. Photos taken during the Short Course are
welcome. Please submit the Post-Course Report within 60 days after the end of the Course to the ISPO office
(address below).
Short Course Name / Topic: The Orthotic and Therapeutic Management of Patients with Stroke
Name of Organizing Society / Institution:
Handicap International Sri Lanka
Ministry of Health - Government of Sri Lanka,
Sri Lanka Association for Prosthetics and Orthotics (SLAPO),
Sri Lanka Society of Physiotherapy (SLSP),
Sri Lanka Association of Occupational Therapists,
Sri Lanka Society of Occupational Therapists (SLSOT) and
Sri Lanka School of Prosthetics and Orthotics (SLSPO).
Name of Sponsors / other Funding Bodies: Handicap International & ISPO
Was the Short Course held on the occasion of another meeting?
If yes, please provide more detailed information:
YES
NO
Was a Hands-on Workshop organized following the Course?
YES
NO
If yes, please provide more detailed information:
Yes, the hands-on workshop organized on 17th Jan 2013. During practical demonstration, thorough clinical
assessment, common errors in assessment and treatment plan, importance of interdisciplinary practice etc were
explained nicely. Demonstration on measurement, fabrication and fitting of AFOs, gait training and other
considerations were explained.
It was an eye opening
Website: www.rehabmonitor.org
Start Date: 15 January 2013
End Date: 17 January 2013
City: Colombo
Contact person 1: SubhabrataSamal, P&O
Coordinator, Handicap International-Sri Lanka
E-mail address: [email protected]
Phone: +94 – (0)11 – 5825021/2
Fax: +94-(0)11 – 2684355
Country: Sri Lanka
Contact person 2: Kithsiri Liyanage, Project Manager
(National Projects), Handicap International Sri Lanka,
E-mail address: [email protected]
Phone: +94-(0)11 – 5825021-2
Fax: +94-(0)11 – 2684355
Speakers:
International:
Dr. Liz Condie (Course Co-ordinator/Task officer for stroke, ISPO)
Dr Hans Arendzen (Doctor, ISPO)
Roy Bowers (Orthotist, ISPO)
Mark Smith (PT, ISPO)
Judy Ranka (OT, ISPO)
National (Sri Lanka):
Dr. Padma Guneratne (Consultant Neurologist, Sri Lanka)
Dr. Duminda Munidasa, Consultant, Rheumatologist and Medical Rehabilitation, RRH, Ragama, Sri Lanka
Mr. V. Sasiraj, PT Sri Lanka
Ms. Lasanthi Siriwardana, OT, Sri Lanka
Mr. Uthpala Mihiran, PO Sri Lanka
General Description of Program Format:
Programme consisted of 2 days theoretical sessions while 3rd day as hands-on workshop demonstrating different
orthotic and therapeutic techniques in the management of Stroke.
Topics covered during theoretical sessions are as below (not in order):
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Introduction to Stroke (epidemiology, symptoms, causes and current medical care)
Early and post-stroke therapy
Functional and capacity assessment and treatment for lower limb and upper limb (Physical and
Occupational therapy).
Principles and Biomechanics of normal and stroke gait
Early post-stroke therapy, physical assessment, aims, treatment
Principles and biomechanics of lower limb orthotic management
Continuing therapy and gait
Botulinum Toxin, other medical management and surgery
Organisation and structure of stroke rehabilitation services in the Sri Lanka
Ongoing community rehabilitation and self-care
Therapy and orthotics for stroke patients in Sri Lanka
Shoulder, upper limb and hand therapy
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Round table discussion; The future – possible changes to stroke services in Sri Lanka
Topics covered under practical sessions were:
Demonstrations: casting, and fitment of Orthosis (Rigid Ankle Foot Orthosis)
Therapeutic& medical management demonstrations: bed positioning, transfers, shoulder management,
strength, posture, balance training, gait re-education (with the orthosis), hand function and low – temperature
thermoplastic orthosis fabrication, cognitive management, nerve blocks (through video) etc.
The round table discussion focused to sensitize the professionals towards the inter-disciplinary approach.
Description of Scientific/Educational Impact:
The course helped in developing better insight on interdisciplinary practice and current trends in the intervention of
Stroke among participants. Followed by the demonstration, all the participants had not only better understanding on
the orthotic and therapeutic management for stroke but also enhanced their belief on multi-disciplinary approach.
During the demonstration, a lady who have not been able to stand independently could walk unaided as a result of
an orthosis of good fitment and better coordination among the rehabilitation team to treat the client. Senior doctors
and policy makers also attended the course also realised the importance of involving the team and the client in
making the service better.
As an achievement, the P&O, PT and OTs at Rehabilitation and Rheumatology Hospital (RRH) at Ragama are
planning to form special groups (in order to have better communication on each clients) for the stroke patients at
RRH.
Number of Participants and Countries Covered (please provide a breakdown as detailed as possible):
83 participants from 4 South Asian countries benefitted in the course. The participants from Sri Lanka were selected
keeping in mind the
1. Distribution among professional back ground
2. Covering the entire island geographically
3. Previous experience and future opportunity to work for stroke patients and
4. Gender balance
Academic Background of the Participants (PO professionals, orthopaedic technicians, etc.) (please provide
a breakdown as detailed as possible):
Profiles of participant included Medical Doctor, Occupational Therapy, Physiotherapy, Prosthetic & Orthotic, Rehab
manager etc.
In terms of professional background out of the 83 participants,
28 (33%) were orthotists
24 (29%) were Physiotherapists
17 (20%) were Occupational Therapists
13 (15%) were medical doctors working directly with early/post stroke management.
Teachers of rehabilitation training institute, Managers of rehabilitation projects, technical coordinators for
rehabilitation projects were also participated in the training (they were calculated on the basis of their academic
background in rehabilitation)
Evaluation of the Course by the Participants or general feedback (if available):
Dr. Munidasa (Consultant, Rheumatologist and Medical Rehabilitation, Rheumatology & Rehabilitation
Hospital, Ragama) shared, “I am thankful to HI and ISPO for organising ISPO workshop in Sri Lanka. This is very
useful for all our team. The theoretical training was a bit higher for our team as they have basic training but it was
very good to upgrade it. Hands on training was well organised and in future I think, probably we need less theory
and more practical”.
Ms. Baminy Kanagaradnam (Prosthetist & Orthotist, Sri Lanka School of Prosthetics and Orthotics –
Ragama) joyously recalled, “We got a lot of information during this 3 days training. The training was very helpful
as Prosthetist and Orthotist and we gained knowledge on how working as a team for stroke rehabilitation brings
positive results. We need to avoid working in isolation for the better outcome for patients”.
Did any graduates from an ISPO-recognized course give a lecture?
Yes, Mr. Uthpala Mihiran qualified as an ISPO qualified CAT - II Prosthetist & Orthotist in 2008 as a member of
first batch of SLSPO (Sri Lanka School of Prosthetics and Orthotics).
Any additional Comments:
PLEASE SEND THIS FORM TO :
ISPO Head Office
Birgit Krausse
Rue du Luxembourg 22-24,
B-1000 Brussels, Belgium
Tel. +32 2 213 13 79, Fax. +32 2 213 13 63
[email protected]