5-day Accreditation for Therapists and Instructors


Why complete the Functional Rehabilitation & Exercise Training after Stroke (FRETS) Course 2017?


cpd-arni-courseThere are many hundreds of people in yourstroke exercise training own area right now who need your help. You may have never trained a stroke survivor before. Or you may have, but you want to make a REALLY SIGNIFICANT difference within a clear safety parameter because you understand that they want much more than you currently can teach them with your armoury of skills.

They need you to teach them evidence-based and innovative self-management skills. You will learn about the principles of these on the Course from therapists who want you to extend the work they started with them to continue recovery paths towards autonomy and prevent declines. Stroke survivors want to do number of things, such as learn to get up and down off the floor, relearn balance and recover reach and grasp/release of the paretic (weak) upper limb. After discharge from hospitals the therapists do not have the time or resources to perform as much work with each stroke survivor as they would like to… so these people need YOUR help in the community over the long term. Similarly, people who have had a stroke 10 years ago will also need help.


stroke trainers registerWE WORK IN COLLABORATION WITH THE NATIONAL REGISTER OF PROFESSIONAL TRAINERS (NRPT): the UKs ONLY truly nationwide personal trainer directory that checks trainers have qualifications and insurance.

NPRT MEMBERS: All NRPT trainers who complete the ARNI FRETS Qual are automatically insured to work with stroke survivors. For no extra fee you may REHABILITATE stroke survivors FOR THE FIRST TIME as a professional exercise instructor, as well as all your other clients.

NON-NRPT MEMBERS: Many therapists and trainers are already insured to rehabilitate stroke survivors under their existing covers. We advise non-NRPT members (who are not already insured via their place of business – such as the therapists and those who work for Council gyms etc), to either join the NRPT or purchase our dedicated ARNI Stroke Insurance via the LOGIN Button above.


Probably the most important part of the Qualification (and the original reason for its foundation) is that you now are able to effectively help the cohort you have trained to help. This is where the ARNI Institute comes in.

If you qualify successfully, you earn the right to join the ARNI Institute, meaning you can place ‘AAI’ after your name (Associate of the ARNI Institute) and carry your own ARNI Institute photocard..

You will be able to take advantage of lots of referrals in your area per year to the ARNI Institute from physiotherapists, OT’s, stroke charities, consultants, councils, self-referrals and referrals from survivors’ families etc. The ARNI site receives hundreds of hits per day due to Google Ads. This means that if a stroke survivor types in ‘stroke’, ‘stroke rehabilitation’ or hundreds of other combinations, they will be able to find ARNI on the top of the first page listed.

For instructors, the matching service is done like this: we will either email you directly with details of the ‘matching request’ with a full information as possible, or make your details available to the patient/family/carers if you are the nearest Instructor, and they will contact you. Your exposure to stroke survivors and their requests will instantly be ramped up.

We receive at least 10 calls per day at ARNI Central, and the matching service is working extremely well. Email for details, particularly if we have recommended to you, whilst teaching you on the courses, that we would like you to go further with us. As well as taking care to fulfill the requirements of your PCT, we are always looking for excellent representatives of ARNI.

You are also able to take advantage of our continual free advanced CPD courses (worth thousands, over time) & receive ARNI newsletters, materials, publications etc


stroke rehabilitation course1. The 3 times per year ARNI Functional Rehabilitation & Exercise Training After Stroke Qualification has been Accredited at Middlesex University at Level 4 with 30 credits at BSc Level. The Course is endorsed with Quality Mark (No. 35) from the United Kingdom Forum for Stroke Training and Education. This CPD course is designed to enhance knowledge and skills in the area of stroke rehabilitation performed by for professional exercise trainers, many of whom will be already be training stroke survivors.

2. ARNI runs courses for Individual Applicants, Councils (eg. Blackburn and Darwen, Luton, Bedford etc), Charities (Stroke Association, Different Strokes, Headway, Connect etc).

stroke functional training

3. The Director has produced a very comprehensive syllabus of reality task-related training techniques and physical coping strategies over a period of 4 years. The course manual is endorsed with the Quality Mark (No. 86) from the United Kingdom Forum for Stroke Training and Education. This is specifically for stroke survivors and as such, is the first of its kind. It can be used by some to supplement rehabiulitation with a therapist or with a trainer. For many others, it can work as a (free) trainer itself, guiding survivors with 690 illustrations, how to recover better whatever time from stroke the survivor is. Published by Bagwyn Books, it is available for survivors at www.successfulstrokesurvivor.com and ALSO published by Stroke Solutions Ltd. as a series of 5 ebooks on Amazon.

Neurological research experts and supporters (eg, the President of the World Council for Neurorehabilitation, Professor Michael Barnes, who wrote the Foreword for the ARNI Institute’s training manual) tell the Institute that indeed: physical therapists and personal trainers must be mobilised and facilitated to help at the end-of-line, where stroke services fall off… and that developing their understanding concerning the implications of stroke, and what they can do to help in the community, is essential.


4. If successful you will be awarded 30 academic credits at Higher Education Level 4

These credits can be used in a number of ways: …..
You may use the credits to demonstrate that you have the ability to reach a certain standard of achievement in learning. This may be useful when you are applying for work or training courses in the future.
• You may use the credits as a prerequisite qualification for an application to the MSc in Special Populations at Middlesex University.

You may also put your learning on this course forward towards the exciting new Rehabilitation MSc at Oxford Brookes University. 



stroke practical exercise classFor all applying individual trainers, teaching is done at the ARNI Lingfield Centre, in Courses of 15 to 20 trainers. there are 3 courses per year. Just ring for details of how to register.

During these 3 days, as much practical training takes place as possible from 10.15- 5pm. The training is taken directly from the course manuals compiled to cover rehabilitation of action control in the lower and upper body. Research Updates are interspersed throughout the schedule of these 3 days, and at the start of the Qualification you are given a ARNI folder which includes your Handbook, your Schedule with full minute by minute learning aims and outcomes and pen-drive. All rehabilitation and exercise training is based around the important and annually updated EBRSR: Evidence-Based Review of Stroke Rehabilitation

stroke rehabilitation exercisePlease make sure to contact the Director for full info on the next practical course structure. Often, we can tailor this for you so that you can start immediately.

On courses, the Director is assisted in the area by his Instructors who travel to the area to help and to keep up with CPD. A stroke survivor or two is usually present for demonstration purposes (see pic, right).

Feedback Beds/Herts Practical 2010 Feedback Beds/Herts Theory 2010


stroke rehabilitation workshopA fortnight or so later, Instructors learn practical stroke rehabilitation theory from the clinicians at the Institute of Neurology, Queen Square, UCL. You will learn about stroke in much greater depth from experts (on rotation) from the research and practice from the Universities, Labs, Research Groups, Hospitals, Rehab Units, Charities and Associations. You will learn about brain structure, cortical remapping, treatment erectile dysfunction http://hotcanadianpharmacy.com/drugs/Cialis+Generic/ of brain damage, how the motor cortex (M1) controls voluntary action, somatosensation and how deficits affect perception and control of action.

You will learn about neuroimaging, diagnoses and management of acute stroke, restorative neurology, organisation of care, national standards and clinical protocols, the role of the neurophysiotherapist and occupational therapists, the neuropsychologist and the speech therapist, about swallowing problems, reasoning, planning and learning problems and how to help stroke survivors regain self confidence and self esteem.

stroke rehabilitation teachingInterventions such as robotics, virtual reality, BOTOX, FES etc are discussed, along with other training paradigms (eg. CIMT, bilateral training, mirror neuron work) and issues such as negating the use of AFOs and the role of products such as active orthotics (eg Saeboflex). On each course, a stroke survivor panel is present. Instructors are given further resources and web-links in preparation for assessment. 12 email updates are sent during the life span of the course to point you to youtube videos we have made to help you, for instance, easily put together a CAHAI (Chedoke Arm and Hand Activity Impairment) kit that you can use with stroke survivors.

Example Course Feedback Cohort 1 2013

For example: ARNI Institute Lecturers/Speakers include:

Dr Khalid Mustafa Ali

Senior Lecturer in Geriatrics & Stroke Consultant Physician, Princess Royal Hospital, Haywards Heath

Liz Barber

Stroke Services Improvement Sister, Royal Berkshire Hospital Acute Stroke Unit.

Firle Berkley

Speech and Language Therapist, Division of Psychology and Language Sciences, UCL

Rachel Browne

Research Assistant & Speech and Language Therapist,
Wellcome Trust Centre for Neuroimaging, UCL

Sandra Chambers

Clinical Specialist Physiotherapist, Guy’s and St Thomas’ NHS Foundation Trust, London.

Mr David Choi, PhD

Reader in Neurosurgery, Brain Repair & Rehabilitation, Institute of Neurology, UCL

Luci Crook

Research Physiotherapist, Brain Repair & Rehabilitation, Institute of Neurology, UCL

Dr Sarah Dean

Senior Lecturer, Health Services Research, Peninsula College of Medicine & Dentistry, Plymouth

Dr Catherine Doogan

Research Fellow, Clinical, Educational and Health Psychology, UCL

Becky Duncan

Practice Principal, Neurological Physiotherapy Practice, Cornwall

Professor Patrick Haggard

Professor of Brain Sciences, Institute of Cognitive Neuroscience & Dept. Psychology, UCL

Ayfer Kahraman

Doctoral Student, Faculty of Health and Social Care, St George’s, University of London.

Dr Anna Kuppuswamy

Senior Research Training Fellow, Brain Repair & Rehabilitation, Institute of Neurology, UCL

Dr Fiona Jones

Senior Lecturer, Faculty of Health and Social Care, St George’s, University of London.

Florence Joseph

Family & Carer Support Co-ordinator, The Stroke Association.

Dr Cherry Kilbride

Senior Lecturer in Physiotherapy, School of Health Sciences and Social Care, Brunel University

GrandMaster Tae Yong Lee

Stroke Treatment Specialist, Sang Moo Korean Acupuncture School

Dr Alexander Leff

Clinical Senior Lecturer, Wellcome Trust Centre for Neuroimaging,  Dept. Brain Repair & Rehabilitation, Institute of Neurology, UCL.

Dr Pip Logan

Associate Professor in Community Rehabilitation, Division of Rehabilitation and Ageing and Division of Primary Care, University of Nottingham.

Professor Jane Maxim

Emeritus Professor of Human Communication Science, Division of Psychology and Language Sciences, UCL.

Fabienne Malaprade

Clinical Specialist Physiotherapist, Regional Rehabilitation Unit, Northwick Park Hospital

Dr Christopher McKevitt

Reader in Social Science & Health, School of Health and Social Care Research, Kings College, London.

Debbie Neal

Consultant Therapist, Rehabilitation, Bournemouth University & Yeovil Hospital

Dr Meriel Norris

Lecturer in Physiotherapy, School of Health Sciences and Social Care, Brunel University.

Dr Alex Nowicky

Course Leader Neurorehabilitation, Brunel University, London.

Dr Diane Playford

Reader in Neurological Rehabilitation, Dept. Brain Repair & Rehabilitation, National Hospital for Neurology & Neurosurgery, UCL.

Dr Euan Sadler

Stroke Association Post-Doctoral Fellow, Division of Health and Social Care Research, King’s College, London.

Professor Sophie Scott

Institute of Cognitive Neuroscience, Speech, Hearing and Phonetic Science, UCL, London.

Dr Lakshmanan Sekaran

Consultant Stroke Physician, Clinical Director, Stroke Unit, Luton & Dunstable Hospital, Bedfordshire.

Dr Niamh Shanahan

Research Fellow, Clinical, Educational and Health Psychology, UCL

Laura Shelling

Clinical Specialist Physiotherapist, Newton Abbot Hospital, Devon

Dr Sandrine Thuret

Cell Research, CCBB, Institute of Psychiatry at the Maudsley Hospital, Kings College, London.

Cynthia Van As

Stroke Services Improvement Manager, Bedfordshire & Hertfordshire Stroke Network, Bedfordshire.

Dr Amanda Wallace

Senior Research Physiotherapist, Centre for Neuromuscular Diseases, UCLH NHS Foundation Trust and UCL Institute of Neurology, London

Dr Nick Ward

Reader in Clinical Neurology & Hon. Consultant Neurologist, Sobell Department of Motor Neuroscience, UCL Institute of Neurology, London.

Dr Ian Wellwood

Lecturer in Public Health and Health Services Research, Kings College Division of Health + Social Care Research Division, London.

Professor Huw Williams

Associate Professor of Clinical Neuropsychology, University of Exeter.


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stroke exercise teachingstroke rehabilitation training



There is also the option to visit LUTON, BROMSGROVE or NEATH PORT TALBOT ARNI CENTRES to see group classes in operation.


6 weeks or so later, after shadowing, assessments of knowledge and skills take place at the ARNI centre in Lingfield. We have hundreds of ARNI stroke survivors available (we already have their GPs notes and are usually still actively training them) who are contacted to check if they would like to come along to help with your Assessment. You will be allocated one stroke survivor to train on a one to one basis.

a) In the morning a Master Class from the Director takes place for you to see how techniques work in practice and how a class structure differs by necessity from the training of any other cohorts. They get to see how to manage different ages, degrees of functional recovery and how to tackle differentiation of training.

stroke recovery exercisestroke training class









stroke training skills

stroke exercise assessment









b) You will then be allocated to a stroke survivor. Training skills are then assessed to according to Accreditation criteria, with guidance as sought. To give you an idea of what we expect: within each hour and a half class, each stroke survivor should have done something significant under the guidance of the Instructors that they had not been able to do post-stroke. See video below for example of sum-up from group.

stroke training skills

stroke exercise assessment class


stroke training event

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Read some feedback from one of the stroke survivors (Anne) in 2009. And Anne-Marie in 2010.

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c) You will are then do short a 2-part Stroke Knowledge test which requires answering short MCQs and written answers to demonstrate your understanding of the care pathway and current applications of interventions post-stroke.

There is then a case study, which you type, using their notes from the practical assessments you did on the Assessment day. You also, using the current stroke literature and evidence base, research a relevant (for the stroke survivor in question) physical issue and lastly indicate future rehabilitation & exercise training suggestions via a 3 week class-plan, which is then assessed.

2017 Course Cost: NO CHANGE FROM COURSE COST 2016

stroke training course*JUST £849 in total (no VAT is required)!


* NON NRPT MEMBERS WHO WOULD LIKE TO JOIN NRPT FOR FULL INSURANCE: JUST £849 in total (no VAT is applicable) plus £180 cover  after successful qualification. Option to add this into your course fee and we pay NRPT after you qualify. With this insurance you can teach all your clients PLUS stroke survivors.

* NON NRPT MEMBERS LIVING IN REPUBLIC OF IRELAND OR WHO WANT A TOP-UP TO THEIR EXISTING COVER: JUST £849 in total (no VAT is applicable) plus £216 cover, purchased separately via this link.