promanu 1 2021

Promanu 2/2021

Etudes actuelles

18.03.2022 - 19.03.2022
Cours SSRM

Hand and Brain - Evidence-based Rehabilitation Approach to Peripheral Nerve Injuies (PNI)

Contact Organisateur: Fiona Gigon & Nicolas Bailly
Organisateur/Institution SGHR-SSRM

Hôtel Alpes et Lac (en face de la gare de Neuchâtel)
Place de la gare 2
CH-2002 Neuchâtel
Tel. 032 723 19 19
e-mail :


Birgitta ROSEN, Associate Professor, Occupational Therapist. PhD Thesis (2000) entitled ”The Sensational Hand: Clinical assessment after nerve repair”. Course leader and organizer of a commissioned education 15 ECTS at Lund University “Rehabilitation in Hand Surgery” since 2000. Experienced speaker nationally and internationally. Clinical work at Dpt of Hand Surgery Malmö, Lecturing at Dpt of Health Science Lund University and Research. Awarded The Inaugural Cristina Alegri Award, IFSHT Congress, Buenos Aires 2016 for her contribution to the understanding of the hand and sensibility.

Langue du cours English

-Peripheral nerve disorders – the problem

-Hand and Brain – recent research

-Use of guided plasticity in sensory re-learning – theory, work-shop and case discussions

-Outcome – theory and work-shop

-Long term recovery following PNI

Buts du cours

After attending this masterclass, the therapist will have a deeper understanding of:

- The neuroscientific base for new strategies for re-learning/re-education based on the rapid plasticity of the brain, and how to apply them in clinical practice.

- The importance of sensory and motor re-learning/re-education and use of guided plasticity in early and late postoperative phase following a PNI (phase 1 before any reinnervation has occurred, phase 2 when some reinnervation has occurred).

- Basic components in assessment of hand function after PNI and practical guidance through the use of the Model Instrument for outcome after Nerve Repair - ”RosenScore”

This course presents an evidence-based management of Peripheral Nerve Injuries (PNI) based on neuroscientific research on the interaction between the hand and the brain from day one after an injury. Knowledge about the effect of a peripheral nerve injury on the CNS opens new perspectives to treatment by guided plasticity where rapid as well as slow plasticity mechanisms can be used therapeutically to support and improve function.

  • The brain has a tremendous capacity to undergo plastic reorganization and adapt, i.e. plasticity, due to environmental changes or injury. The plastic capacity decreases with age but is never lost.
  • Following a peripheral nerve injury there is a within minutes-hours reorganization.
  • Due to misdirection of regenerating axons the signalling from the hand to the brain is changed, resulting in a second line of reorganization in the brain.
  • With the early and later reorganization in mind, the rehabilitation should also be divided in an initial period, phase 1, where no afferent signals are sent from the injured nerve to the brain. Phase 2 starts when axons have reinnervated their mechanoreceptors and muscles.
  • The goal of relearning is to improve sensory and motor function by using the dynamic capacity of the brain, and it is thus our belief that the relearning should start immediately after nerve repair – in phase 1.
Groupes cibles

Ergothérapeutes, physiothérapeutes et autres professionnels intéressés

Inclus dans le prix

pauses et repas de midi

Prix CHF 470.00
Les inscriptions pour cet événement sont closes.

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Secrétariat SGHR/SSRM
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