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1 REHABILITATION Studies Unit Online courses for allied health students in spinal cord injuries: a cheap and efficient way of providing education H Chhabra 1,2, S Muldoon 1,3, L Harvey 1, 4 1. International Society of Spinal Cord Injury 2. Indian Spinal Injury Centre, Delhi, India 3. Livability, Ireland 4. Rehabilitation Studies Unit, University of Sydney y

2 REHABILITATION Studies Unit Collaborators International ti Spinal Cord Society. Livability, Ireland. Handicap International, Vietnam/Belgium. Asian Spinal Cord Injury Network. American Spinal Injuries Association. Australian and New Zealand Spinal Cord Society. International Network of SCI Physiotherapists. Indian Spinal Injury Centre, India. Rehabilitation Studies Unity, University of Sydney, Australia. University it of Chiang Mai, Thailand.

3 REHABILITATION Studies Unit Background Problem: Inadequate rehabilitation. Health professionals limited access to education and training in SCI.

4 REHABILITATION Studies Unit World Report on Disability Chapter 4: Rehabilitation many developing countries do not have educational programmes for rehabilitation professionals...increasing human resources for rehabilitation, including training of rehabilitation personnel...improving information and access to good practice..improving information and access to good practice guidelines.

5 REHABILITATION Studies Unit Background Solution: Provide online courses for allied health students. Provide free for all.

6 REHABILITATION Studies Unit Background Timeline: Jan 2011 commence Sept finish

7 REHABILITATION Studies Unit Considerations The online courses needed d to be: Accessible for low bandwidth users. Not just facts on the web. Interactive. Develop clinical reasoning and problem-solving skills. More visual than text. Multicultural. Contain high and low technology rehabilitation solutions.

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10 Physiotherapy At the end of this activity students will be able to: 1. List 2 benefits of regular standing for a person with paraplegia. 2. Identify appropriate standing and walking options for a person with paraplegia. 3. Describe the principles of effective gait training.

11 Physiotherapy Consider three people with spinal cord injury: Brian Ken Krishan

12 Physiotherapy Ki Krishan is 15 years old and sustained a complete T12 injury 3 weeks ago. He lives in a rugged and isolated region of Nigeria where it is impossible to move about in a wheelchair. You know that unless you can get him You know that unless you can get him walking with orthoses he will be largely house bound but you are not sure whether walking in rugged terrain is achievable and how you are going to train him.

13 Physiotherapy You need to find out about: 1. The different options for walking and standing. 2. The possible benefits. 3. What is feasible. 4. The evidence supporting different standing and walking programs. Consider where you would look for information and who you would ask.

14 Physiotherapy Mike has paraplegia. He has only recently started learning to perform a wheelstand. Watch Mike perform a wheelstand. Consider the errors that he is making and why he is unable to maintain balance in a wheelstand.

15 Physiotherapy least difficult difficult Order Ode the following oo exercises from least difficult to most difficult. most difficult

16 Physiotherapy The correct order from least difficult to most difficult is: Least difficult Most difficult

17 Physiotherapy Which 2 wrist strengthening exercises would be appropriate for a person with C6 tetraplegia and no active finger flexion?

18 Physiotherapy Fill in the strength /5. The wrist flexors have been done for you.

19 Physiotherapy Listen to a therapist from Sweden talk about a program she instigated to help people with SCI regularly exercise in an enjoyable and supported environment. click here.

20 Physiotherapy Listen to a therapist from India talk about how she advocated on behalf of her patients to get the local government to make a gym accessible for people with SCI. click here.

21 Physiotherapy Listen to Bruce talk about how he felt coming to his first session of physiotherapy soon after injury when he had only just begun to sit in a wheelchair.. click here.

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24 REHABILITATION Studies Unit Ultimate goal Provide students and health professionals with high quality and freely available education to help improve quality of life for people p living with SCI across the globe.

25 REHABILITATION Studies Unit Launch

3. Provide education and training programs for rehabilitation staff and community health workers.

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