Table 1 Four examples of discussion topics that were posted to the Facebook group with the number of posts to each

From: A Massive Open Online Course for teaching physiotherapy students and physiotherapists about spinal cord injuries

Week 1: Tell us how physiotherapists can help eradicate pressure ulcers. So think about this problem across the world. It is probably the leading cause of misery and mortality, especially in low and middle income countries. Why is it such a problem? What can we as a professional group do to help eradicate the problem? What will you do differently in clinical practice now you know a bit more about the issue? Is it our responsibility? What if patients, hospitals and countries do not have access to expensive cushions? Are there any cheap alternatives? (920 posts)
Week 3: What do you think about the routine administration of passive movements? What does the evidence say about passive movements? To whom and when would you routinely administer passive movements? Which joints do you think physiotherapists should focus on? What is the rationale for passive movements? Should we question the effectiveness of passive movements? If so, why? Are there any other ways to prevent joint stiffness and contracture? What do you think about the administration of stretch for the treatment and prevention of contracture? What does the evidence say about stretch? What do you think is the most effective way to prevent and treat contracture in people with SCI? (390 posts)
Week 3: Think about transfers for people with C6 motor complete lesions. Why is this transfer difficult for these people? Can you find some videos or photos that show different ways they transfer or tricks or aids they may use? How long do you think it takes a person with a C6 motor complete lesion to learn to transfer? Are you able to provide sufficient rehabilitation in your country to enable these patients to gain independence with these transfers? Sometimes, you and your patient might decide that learning to transfer independently is not an appropriate goal. Why? What are the implications on daily life if a person with C6 motor complete lesion cannot transfer? (502 posts)
Week 5: 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 upon which the guidelines about preservation of the shoulders are based? (341 posts)
  1. Abbreviation: SCI, spinal cord injury.