Stroke remains one of the world’s leading causes of disability. What are you doing to promote best treatment and assessment for stroke?
The mission of the Stroke Interdisciplinary Special Interest Group (Stroke ISIG) is to be a leader in interdisciplinary stroke rehabilitation—both in clinical practice and research—by promoting high standards of rehabilitation practice, education, and research among professionals with common interests in stroke.
- Review and recommend research directions and priorities to the ACRM Board of Governors
- Advocate for stroke rehabilitation within ACRM and other relevant organizations, as well as funding agencies
- Disseminate research information
- Annual presentation: Hot Topics in Stroke
- Make recommendations to the Board regarding official endorsements on behalf of ACRM
- Attend the Mid-Year Meeting annually
Call for Late-Breaking Research Opens 5 May
The Program Committee invites proposals focused on research evidence and its translation into clinical practice for presentation at the ACRM 2018 Annual Conference in Dallas, Texas. To propose stroke rehab topics or lead a presentation team, please contact the Stroke ISIG Chair, Pamela Roberts.
CHAIR: Pamela Roberts, PhD, OTR/L, SCFES, FAOTA, CPHQ, FNAP, FACRM
Co-Chair, ACRM Program Committee
Director, Cedars-Sinai Health System
PAST CHAIR: Stephen Page, PhD, OTR/L, MS, MOT, FAHA, FACRM, FAOTA
Ohio State University Medical Center
ADVISOR: Phil Morse, PhD, FACRM
LIH Healthcare, China
MEMBERSHIP OFFICER: Maria Cecilia Alpasan, MA, OTR/L
Quality and Education Coordinator
Cedars-Sinai Medical Center
COMMUNICATIONS OFFICER: Suzanne Burns, PhD, OTR/L
American Heart Association Strategically Focused Research Network
WISSDOM Center Postdoctoral Fellow
Medical University of South Carolina
MEMBER-AT-LARGE: Kristen L. Mauk, PhD, DNP, RN, CRRN, GCNS-BC, GNP-BC, FAAN
Colorado Christian University & IRC
ACRM STAFF LIAISON: Terri Compos
CONNECT with STROKE ISIG
STROKE ISIG NEWS
This semi-annual newsletter of the ACRM STROKE-ISIG, reports the news, updates, progress, and opportunities that spring from the group's many task forces and dedicated members.
“Internationally, the Stroke ISIG offers a venue unlike any other in the world. It brings together leaders in stroke rehabilitation and research in a collegial, collaborative, and interdisciplinary manner where exchanging ideas brings tremendous value to all who attend. This is an opportunity not to miss!”
WHY PRESENT AT THE ACRM ANNUAL CONFERENCE?
Heather Tanksley, MOT, OTR/L, interviewed clinician colleagues who participated in educational sessions at past ACRM conferences to share insights about their experiences. You might be surprised by their answers!
Respondent: ACRM Presenter, Marjorie Nicholas, PhD, CCC-SLP, MGH, Institute of Health Professionals
Q: What did you enjoy most about presenting at the ACRM conference this year?
A: It was refreshing to present as an SLP to a wider range of professionals than we usually get to interact with. The questions people had were more interesting as a result.
Hot Topics in Stroke to explore stroke caregiver readiness
Join Dr. Barbara Lutz and Molly Trammell at the ACRM Annual Conference Hot Topics in Stroke symposium where they will discuss the experiences of stroke family caregivers, present tools to assess their needs, and identify intervention strategies to support them as they return to the community. They will also discuss implementation of the Caregiver Early Activation Program aimed at empowering caregivers to take a more active role in recovery and discharge planning to improve rates of discharge to community, and reduce rates of hospital readmission and post-stroke complications. Read More >>
VIRTUAL HAPPY HOUR
It's new, it's fun, it's informative — Join us!
Virtual Happy Hours are webinars featuring expert speakers in all areas of stroke rehabilitation. This is an opportunity to learn from and interact with the best in our field!
SAVE THE DATE for the third Thursday of each month from 5:00 - 6:00 PM ET.
21 JUNE // 5:00 - 6:00 PM
Optimizing Intensity in Aphasia Rehabilitation
Presented by Swathi Kiran, PhD, CCC-SLP
Professor & Doctoral Program Coordinator, Speech, Language and Hearing Sciences and Associate Dean for Research
Sargent College of Health and Rehabilitation Sciences, Boston University
Dr. Kiran will discuss how intensity is defined in different rehabilitation studies and the role of technology in optimizing interventions. Through case examples, participants will also learn how intensity can be manipulated in rehabilitation.
ABOUT SWATHI KIRAN
Swathi Kiran is a Professor in the Department of Speech and Hearing Sciences, Associate Dean for Research at Sargent College for Health and Rehabilitation Sciences at Boston University. She is also an Assistant in Neurology/Neuroscience at Massachusetts General Hospital. She is the co-founder and scientific advisor for Constant Therapy, a software platform for rehabilitation tools after brain injury. Constant Therapy was recently acquired by Digital Health Corporation and is now called The Learning Corporation.
Her research interests focus around lexical semantic treatment for individuals with aphasia, bilingual aphasia and neuroimaging of brain plasticity following a stroke. She has over 80 publications and her work has appeared in high impact journals across a variety of disciplines including cognitive neuroscience, neuroimaging, rehabilitation, speech language pathology and bilingualism.
She is a fellow of the American Speech Language and Hearing Association and serves on various journal editorial boards and grant review panels including at National Institutes of Health. Her work has been continually funded by the National Institutes of Health/NIDCD and American Speech Language Hearing Foundation awards including the New Investigator grant, the New Century Scholar’s Grant and the Clinical Research grant.
Please join from your computer, tablet or smartphone.
You can also dial in by phone:
United States: +1.571.317.3122
Access Code: 214-945-685
Follow the Stroke ISIG on twitter @ACRMStroke for more details and reminders about this exciting event!
HOW TO PARTICIPATE in the STROKE ISIG
- ATTEND the ACRM Conference — with the MOST STROKE rehab programming in the WORLD
- Join STROKE ISIG meetings at the conference
- Participate in the STROKE ISIG task forces (easiest to do in person at the ACRM Conference)
The work of the STROKE ISIG is accomplished through its task forces and the ACRM Annual Conference events.
Participation in four very active task forces is open to all members of the STROKE ISIG and new members are welcome.
All ACRM members and others thinking about joining the STROKE ISIG for the first time should contact any of the executive committee members or task force chairs (listed below) to make a meaningful difference in the field of Stroke rehabilitation. Membership is growing – don’t be left behind!
- Participation in STROKE ISIG task forces
- Receive STROKE MATTERS semi-annual newsletter
- Opportunities for interdisciplinary collaboration
- Grow your professional network of colleagues, mentors, and funders
- Gain recognition for your contributions to the field and to ACRM
- Boost your CV with opportunities to take leadership roles in ACRM
- Continuing education opportunities
- Opportunity to plan educational courses for the ACRM Annual Conference
- Collaborative research opportunities
- Networking and engaging with STROKE rehabilitation colleagues who share your passion and challenges
- Increase opportunities to publish your work
- Meet pioneers in the field, mentors, and potential research collaborators
- Advance the field by helping to translate and disseminate cutting-edge research into clinical guidelines and practice
- Experience outstanding peer-to-peer learning
- Advance evidence-based clinical practices for improved outcomes
STROKE ISIG AWARDS
ACRM / National Stroke Association Award for Excellence in Post-Acute Stroke
The 2018 award recognizes the outstanding work of Robert Teasell, MD, FRCP (C), Professor and Director of Research at Parkwood Institute. Dr. Teasell will discuss his work in an award lecture, Developing Trends in the Stroke Rehabilitation Literature, at the ACRM 2018 Annual Conference in Dallas, Texas.
In addition, Dr. Teasell will present a Special Symposium titled, Transforming Clinical Practice in Stroke Rehabilitation. See the Online Program for lecture details & REGISTER now for best rates.
ABOUT ROBERT TEASELL
Dr. Teasell obtained an undergraduate degree in Biology BSc and medical degree at the University of Western Ontario. He completed a rotating internship at St. Joseph's Hospital, London and residency training in Physical Medicine and Rehabilitation at the University of Ottawa. He was a consultant physiatrist at University Hospital in London from 1986-2002 and Parkwood Hospital, St. Joseph's Health Care London from 2002-present. He was Chief of PM&R at University Hospital from 1988-1996, Chief of PM&R at London Health Sciences Centre from 1996-2001 and City-Wide Chief from 2001-2012. He was Acting Chair of the Western University Department of PM&R from 1997-1999 and Chair from 2001-2012.
He is currently the Research Director of the Department of PM&R, Western University. Dr. Teasell is Medical Director of the Stroke Rehabilitation Program at Parkwood Institute and has an active outpatient chronic pain practice. Dr. Teasell is a past Chair of the Research Committee of the Canadian Association of Physical Medicine and Rehabilitation, a past member of the Ontario and Canadian Stroke Strategy Executive Committee, and a past examiner for the Royal College of Physicians and Surgeons for Physical Medicine and Rehabilitation. He is or has been on the editorial board of the Journal of Rehabilitation Medicine, Archives of Physical Medicine and Rehabilitation, Topics in Stroke Rehabilitation and the Journal of Pain Research and Management and was a Section Editor of the Journal of Stroke.
Dr. Teasell has received several awards including the Physician Staff Organization Reward and Recognition Award for St. Joseph's Health Care London (2008), the Merit Award from the Canadian Association of Physical Medicine and Rehabilitation (2010) and the Royal College of Physicians and Surgeons of Canada McLaughlin-Gallie Visiting Professor Award (2012). In 2016 he delivered the Ray Hnatyshyn lecture at the Canadian Stroke Congress.
ABOUT THE AWARD
For award history, qualification requirements or nomination procedures, please visit the Excellence in Post Acute Stroke Award webpage.
National Stroke Association/ACRM Young Investigator Award in Post-Acute Stroke Rehabilitation
The 2018 recipient of the National Stroke Association / ACRM Young Investigator Award is Kimberly P. Hreha, EdD, MS, OTR/L, Senior Postdoctoral Fellow at the University of Washington. The award recognizes her drive and commitment to furthering rehabilitation research in the areas of post-stroke care, measurement and/or stroke patient outcomes during her early career work.
Dr. Hreha will present an award lecture during the ACRM 2018 Annual Conference in Dallas called, Community Dwelling Stroke Survivors with Multiple Incidence of Stroke: A Follow-Up Study Assessing Motor and Spatial Dysfunction. See the Online Program for lecture details & REGISTER now for best rates.
ABOUT KIMBERLY HREHA
Dr. Hreha graduated with her Masters in occupational therapy from Misericordia University in 2006. Kessler Institute for Rehabilitation (KIR) was her employer for the next 11 years, and currently she is completing a postdoctoral fellowship at the University of Washington.
During her years at KIR, Dr. Hreha closely collaborated with Kessler Foundation and the Stroke Department. Her research work has mostly been with stroke survivors and specifically focused on spatial neglect (assessment and treatment). She is co-author and lead trainer of the Kessler Foundation Neglect Assessment Process, which is a process to administer the Catherine Bergego Scale. Dr. Hreha has been training occupational therapists in this assessment method since 2009, which includes not only the US but worldwide. This training usually also includes administration of a Prism Adaptation Treatment protocol.
Dr. Hreha has published 11 peer-reviewed journal articles and has an additional six under review. She has also authored various editorial reports for newsletters and online blogs, and presented over 80 scientific conferences. Dr. Hreha led two master student thesis research projects for two different occupational therapy departments. Under her guidance, one of the student groups presented their work at the New Jersey and the American Occupational Therapy Association conferences. In addition, they published their findings in Topics for Stroke Rehabilitation in 2016.
Her grant track record includes; a Travel Grant from the University of Washington Postdoctoral Association, the LSVT Global Student Small Research Grant, the Teachers College Dean’s Award for Student Research, and an internal grant from the Kessler Foundation.
ABOUT THE AWARD
For award history, qualification requirements or nomination procedures, please visit the Young Investigator Award webpage.
MEMORIES from ACRM Conference 2017: ATLANTA
2017 Poster Awards for Stroke
Congratulations to the following winners of the 2017 STROKE ISIG poster awards. These posters were presented at the ACRM 94th Annual Conference in Atlanta.
Presented at the Poster Grand Rounds
Treatment Expectancy Predicts Clients’ Engagement During Inpatient Rehabilitation After Stroke
First Author: Emily Kringle
A Couples-Based Intervention Improves Depressive Symptoms in Stroke Survivors and Care-Partners
First Author: Alexandra Terrill
Self-Awareness Improves Over Time
First Author: Jessica Kersey
“How does ACRM Help the Stroke Community?"
Philip Morse, PhD, FACRM
ABI Rehabilitation New Zealand
- Strengthen task forces with at least 1 - 2 products per task force
- Prepare proposals to present submissons for 2017 Annual Conference in Atlanta, Georgia
- Virtual Happy Hour
HOW TO JOIN THE STROKE ISIG
One of the most valuable benefits of ACRM membership is the opportunity to participate in the many interdisciplinary special interest groups and networking groups. Not sure ACRM membership is right for you? Consider an ISIG Only membership.
The work of the STROKE ISIG is carried out by its task forces. Collaboration among task force members is accomplished throughout the year with regular conference calls and two face-to-face meetings per year. These are held during the ACRM Mid-Year Meeting in the spring and the ACRM Annual Conference in the fall.
MOVEMENT INTERVENTIONS TASK FORCE
CO-CHAIR: Susan Lin, OTR/L, PhD, FAOTA
MGH Institute of Health Professions
CO-CHAIR: Veronica Rowe, PhD, OTR/L
University of Central Arkansas
The Movement Interventions Task Force is a dynamic group of neurorehabilitation researchers and clinicians representing a variety of disciplines from across the United States and Canada. A common interest among all members and the theme of this task force is movement after stroke.
Movement-related deficits are the most common impairments exhibited after stroke, and in many cases, the most disabling. Yet, there remain few therapies that effectively target stroke motor impairments. Moreover, the therapeutic ingredients that most impact motor changes after stroke, and the ways in which movement-related variables change after stroke (i.e. speed, precision, strength, pacing), each remain poorly understood.
We are a product-oriented group focusing on developing new knowledge about movement after stroke through development of presentations, papers, and other educational materials for patients, care partners, and professionals.
- Symposium - Choosing Outcome Measures to Evaluate Functional Movement After Stroke: Are Resources Being Utilized Effectively?
S. Lin, J. Langan, S. Fasoli, P. Bosch, V. Rowe. 2016 ACRM Annual Conference
- Manuscript in final draft. Outcome Measures to Evaluate Functional Movement After Stroke.
S. Lin, P. Bosch, V. Rowe, S. Fasoli, & J. Langan.
- Manuscript submitted to ACRM Special Issues: Transition Planning to Community for Patients with a Stroke.
K. Miller, S. Lin, M. Neville.
- Increased organization of task force membership.
- Requested and received updated member list
- Updated member list with emails and updated roster
- Use of Dropbox to share roster, minutes, and agendas with 31 task force members
- Responsible for one Virtual Happy Hour (VHH) on May 18, 2017 featuring a presentation by Jayme Knutson, PhD: A Novel Functional Electrical Stimulation Therapy for Post-Stroke Upper Limb Rehabilitation
- Reached out to Stroke Health and Wellness task force for initial conversations about interests and possible collaborations.
- Worked with new member, Julie Schwertfeger, who is also an APTA member, to create an interprofessional coalition to raise awareness of fall prevention awareness day and resources (#IP_FallPrev).
- Submit one conference proposal for annual conference, Fall 2018
- Submit at least one product for publication in Archives of Physical Medicine & Rehabilitation
- Update membership roster at least annually
- Host one Virtual Happy Hour
- Facilitate communications and networking among task force members as well as with other task forces/ISIGs to identify potential opportunities for collaborations
For more information about the Movement Interventions Task Force contact Susan Lin.
VISION TASK FORCE
The visual system is one of our most important senses. It enables us to gather and process information and determines how we will interact with our dynamic environment. Neurological diseases or insults can leave patients with some degree of visual, perceptual, and/or cognitive dysfunction. A neglected component in therapies to improve function is a clear understanding of eye-hand coordination even though harmonization between eye and hand movement is required for all functional activities.
The mission of this task force is to understand how vision, visual motor, and visual perceptual training can be generalized to limb training to improve coordination and functional performance and develop the field of functional vision rehabilitation. Further, our task force will investigate the role of eye movements in eye-hand coordination and in the recovery of motor control in patients with stroke. We hope to stimulate research that will build a logical foundation to integrate the principles of eye-hand coordination into clinical practice to improve functional ability.
The Vision Task Force is a group comprised of clinicians and researchers who are dedicated to elucidating these serious concerns. Aside from the development of functional vision rehabilitation for ocular ailments, our secondary goals involve promulgating information regarding the importance of visual deficits and the clinical situations where they may be prevalent, in addition to advocating for public policy to take a stronger stance on assisting those with vision impediments and allocating healthcare resources appropriately.
- Publication #2 in the works: Survey-based Research (eye-hand coordination)
- Task Force Member Outreach: 4 new active members!
- 5 presentations at 2017 ACRM Conference
- Consistent monthly meetings
HEALTH & WELLNESS TASK FORCE
Health management and maintenance is an important instrumental activity of daily living following stroke. Survivors must learn how to manage their condition and actively prevent future stroke or other disease. The goal of this group is to engage in activities promoting the health and wellbeing of persons after stroke. Topics of interest include, nutrition, physical activity, adherence, medication management, and mental health.
- Submitted 2 peer-reviewed manuscripts
- Mental health in Mild Stroke
- Community Reintegration in Mild Stroke
- Developing a manuscript for submission in 2017
- Developed 4 Information/Education Pages for The Archives of Physical Medicine & Rehabilitation:
- Mild Stroke
- Mental Health
- Return to Work
- Return to Driving
- Submit 2 manuscripts for publication on mild stroke
- Submit IEPs on mild stroke and nutrition, exercise, and health self-management.
- Present an institute at ACRM 2018 Annual Conference
NURSING TASK FORCE
CO-CHAIR: Kristen L. Mauk, PhD, DNP, RN, CRRN, GCNS-BC, GNP-BC, FAAN
Colorado Christian University & IRC
The purpose of this group of nursing scholars and clinicians is to perform activities that support ACRM’s mission of enhancing the lives of individuals with disabilities through interdisciplinary rehabilitation research.
- Recruited 6 – 7 members
- Had 3 meetings with CalNoc database staff
- Chose 2 topics to begin literature review and writing up of data
- Analyze and write paper from CalNoc data
APHASIA TASK FORCE
CO-CHAIR: Christina M. del Toro, PhD, CCC-SLP
Assistant Professor, Speech-Language Pathology Program
Aphasia is a language disorder resulting from damage to the left-hemisphere of the brain. Aphasia most commonly occurs following a stroke and results in long-term disability of communication. Individuals with aphasia have difficulty speaking, reading, writing, and understanding spoken language. However, individuals with aphasia are otherwise intelligent with preserved memory and attention systems. As such, aphasia is a frustrating disorder in which an individual is unable to express his or her thoughts fully and accurately or understand the thoughts of others.
Oftentimes individuals with aphasia have lingering medical needs following the stroke and/or physical and occupational impairments as a result of the stroke. Additionally, depression commonly occurs in individuals with aphasia. Therefore, individuals with aphasia are typically under the care of multiple health care professionals. However, not all healthcare professionals receive specific education or training on aphasia.
The goals of this task force are to increase aphasia education in the medical professionals that treat these individuals and support interdisciplinary research on the care of individuals with aphasia. Specifically, this task force aims to improve the communication between rehabilitation professionals and their patient’s with aphasia in order to improve the care and quality of life of these individuals.
- Platform presentation at 2017 ACRM Conference
- Virtual Happy Hour Presentation, September 2017
- Recruited 10 members
- Build an active membership
- Survey ACRM members to determine interdisciplinary knowledge on aphasia
- Provide educational opportunities on the topic of aphasia to increase collaboration among interdisciplinary professionals
PHYSICAL MEDICINE & REHABILITATION PHARMACY TASK FORCE
CO-CHAIR: Jason Strow, PharmD, BCGP, CTTS
Mid-Atlantic Regional Director of Pharmacy, Encompass Health (formerly HealthSouth)
Director of Pharmacy, HealthSouth Rehabilitation Hospital of Huntington
Medication therapies significantly impact the health outcomes of patients who are in need of rehabilitative medicine. As a basic treatment modality, the judicious use of medications must be discussed and considered in almost all diagnostic groups we encounter.
Neglecting the involvement of the pharmacist at the bedside, during interdisciplinary rounds and at times of transition is a costly mistake leading to poor patient outcomes.
The mission of this task force is to help define the role of the pharmacist within the rehabilitation medicine industry. Because of the variability in what pharmacists are doing within this arena, there is value in learning from one another the different ways we contribute. Once consolidated, the task force will have the responsibility of creating a recommended list of functional duties for pharmacists. This will help promote the role of pharmacy in rehabilitation medicine.
A second priority for this group will be to investigate gaps in medication therapy in rehab medicine. The task force will look to see where medication therapies have failed our patients, where interventions are necessary and what resources we have to counter some of these gaps in therapy. This will give us the tools to educate the community and to provide recommendations on how to engage these gaps.
The task force will be comprised of pharmacists, physicians, neuropsychologists, therapists, nurses and other clinicians who have an interest in medication therapy.
Plans for CY 2018
- Build active membership. Have an active membership drive.
- Increase pharmacists’ presentations at ACRM.
- Host one Virtual Happy Hour on pharmacy and rehabilitation.
- Host one meeting to discuss gaps in medication therapies.
Developing Stroke-Related Program Content
A major focus of the STROKE ISIG is to promote more stroke-related content in the ACRM annual conference program. The 2012 Vancouver conference was a tremendous success in this area. We began the meeting with two great half-day pre-conference instructional courses, Innovations in Stroke Rehabilitation – Part 1 (Catherine Lang, Arlene Schmid, Robert Teasell, Lara Boyd) and Part 2 (Sarah Wallace, Deirdre Dawson, Pamela Roberts, Richard Riggs JR Rizzo).
We also sponsored the inaugural Stroke Special Topics Session titled, “Translating Research into Clinical Practice,” featuring Janice Eng and colleagues discussing their GRASP program. This symposium is now an annual event dedicated to the presentation and discussion of integrated efforts to implementing research findings in real-world clinical practice.
An extra bonus for the STROKE ISIG during the Vancouver conference was the Deborah L. Wilkerson Early Career Award Winner presentation by Elizabeth Skidmore (“Closing the Gap: Early Intervention for Cognitive Disability after Stroke”).
To learn more about membership and activities of the STROKE ISIG, contact the chair, Pamela Roberts, PhD, OTR/L, SCFES, FAOTA, CPHQ, FNAP, FACRM.
STROKE ISIG RESOURCES
- The Member Guide to Product Development describes ACRM products, i.e., fact sheets, journal articles, manuals, and the procedure used by ACRM groups and committees to develop them. The guide includes a Product Development Worksheet and how to request a Product Review.