Post by peilynne on Oct 22, 2008 9:36:19 GMT -6
Workshop 1
Using Advanced Therapies to Prevent and Treat Pressure
Sores in People with Spinal Cord Injury
Pamela E. Houghton, BSc(PT), PhD
School of Physical Therapy, University of Western Ontario
Ethne L. Nussbaum, PhD, MEd, BSc(PT)
Mount Sinai Hospital and Department of Physical Therapy,
University of Toronto
This workshop is designed to provide participants with
information about the use of physical therapies, such as electrical
stimulation therapy and ultraviolet radiation, in the treatment
of pressure sores and other types of chronic wounds. Clinical
research evidence that supports the use of these modalities to
treat individuals with chronic non-healing ulcers will be critically
appraised and reviewed.
Workshop 2
Maximizing Potential for Sexual Stimulation and Positioning
Kate McBride, RN, BSN, CRRN
GF Strong Rehab Centre and Department of Psychiatry,
University of British Columbia
James Watzke, PhD
Technology Centre and Dr. Tong Louie Living Laboratory, British
Columbia Institute of Technology
Stacy Elliott, MD
GF Strong Rehab Centre, BC Center for Sexual Medicine,
Vancouver Sperm Retrieval Clinic and Departments of Surgery and
Psychiatry, University of British Columbia
This workshop will provide participants with updated information
on devices available for sexual stimulation and positioning
for persons with a spinal cord injury. Using visual images and
models, presenters will evaluate the devices in terms of their
own clinical experience and research findings. Implications for
clinical practice will follow, including recommendations to
incorporate information on sexual anatomy and physiology
(and physiological changes post-SCI) into client care.
Workshop 3
Update on “Hot” Pharmacological, Bioengineered and
Cellular Therapies for Spinal Cord Injuries
Michael G. Fehlings, MD, PhD, FRCSC, FACS
Krembil Neuroscience Centre, Toronto Western Hospital, University
Health Network and Department of Surgery, University of Toronto
Molly S. Shoichet, PhD
Department of Chemical Engineering and Applied Chemistry,
Institute of Biomaterials and Biomedical Engineering, Terrence
Donnelly Centre for Cellular and Biomolecular Research, McEwen
Centre for Regenerative Medicine and McLaughlin Centre for
Molecular Medicine, University of Toronto
Soheila Karimi, PhD
University Health Network and Department of Surgery,
University of Toronto
Steve Casha, MD, PhD, FRCSC
Hotchkiss Brain Institute and Department of Clinical
Neurosciences, University of Calgary
The future of SCI care will require integration of all spheres
of SCI care (acute, rehabilitation, community integration).
This workshop will provide a focused summary of emerging,
leading-edge pharmacological, cell-based and bioengineered
therapies for SCI, which are in early phase clinical trials or late
phase pre-clinical development.
Workshop 4
Developing Interprofessional Collaborative Pain
Management in SCI Rehab: Applying the Best Practices
Process
Presented by the Lyndhurst Pain Clinical Best Practice
Working Group
Judith (Judi) Hunter, BSc(PT), MSc, PhD
Toronto Rehabilitation Institute and Department of Physical
Therapy, University of Toronto
Heather Flett, MSc(C), BSc(PT), BA
Toronto Rehabilitation Institute and Department of Physical
Therapy, University of Toronto
Mandy Lowe, BSc(OT), MSc
Toronto Rehabilitation Institute and Department of Occupational
Science and Occupational Therapy, University of Toronto
Guest Speaker: Roman Jovey, MD
Credit Valley Hospital Addiction and Concurrent Disorders Centre
and CPM Centres for Pain Management
This interactive workshop will identify key steps in the best
practice process as it applies to developing interprofessional
collaborative SCI pain management within individual and local
practice areas.
Workshop 5
Neurophysiological Recordings in SCI: Facts and Myths
Armin Curt, MD, FRCPC
International Collaboration on Repair Discoveries (ICORD),
University of British Columbia
Since 1970, diverse techniques for neurophysiological
assessments in patients with acute and chronic SCI have been
proposed with the aim of improving existing clinical assessments.
The understanding and acceptance of these recordings
for clinical trials remains challenged and the gain for prediction
in acute SCI and follow-up protocols needs further convey
into clinical practice. This presentation will discuss advanced
techniques for the implementation of neurophysiological
assessment algorithms, using sensory and motor studies as
examples.
Keynote Presentation
Experimental Treatments for Spinal Cord Injury: The Devil
is in the Details or Lack Thereof
Recent scientific discoveries and technological developments
promise superior treatment strategies to enhance functional
recovery and improve quality of life after spinal cord injury.
People living with SCI and their families and friends urgently
and understandably seek out experimental treatments for
SCI. But what are the pros and cons of the many treatments
being offered around the globe?
Keynote Presentation
Approaches to Study and Promoting Recovery of Function
after Spinal Cord Injury
Serge Rossignol, MD, PhD
Multidisciplinary Team on Locomotor Rehabilitation (CIHR),
Groupe de recherche sur le système nerveux central (FRSQ),
Université de Montréal
Studies in animal models have shown that several supraspinal
and spinal mechanisms may come into play after various types
of spinal lesions to optimize the recovery of some functions,
such as locomotion. The spinal central pattern generator
(CPG) for locomotion had previously proven essential in the
expression of locomotion in animals with complete spinal
sections, and we now have new evidence that this CPG also
plays an essential role in the recovery of locomotion after
partial spinal lesion
Presentation 2
Every-Other-Day Fasting for Improving Functional
Recovery and Lifespan after Spinal Cord Injury
Ward Plunet, PhD
International Collaboration on Repair Discoveries (ICORD),
University of British Columbia
Spinal cord injury in humans leads to a well-characterized
loss of motor function and a more poorly understood suite
of clinically relevant secondary complications. The most
prominent and well-documented, however rarely acknowledged,
of these complications is a dramatic reduction in
the lifespan of individuals living with chronic SCI. We have
recently found that a form of dietary restriction called
Every-Other-Day Fasting (EODF), started after SCI, leads
to improvement in functional recovery in two different
animal models (cervical and thoracic injury).
The Presence of Traumatic Brain Injury in People with
Traumatic Spinal Cord Injury: What is the Impact on
Rehabilitation and How Can We Improve Outcomes?
Cheryl Bradbury, PsyD, CPsych
Toronto Rehabilitation Institute
Spinal cord injury rehabilitation is an intensive process that
requires patients to learn novel functional skills in a short
period of time. Since traumatic brain injury (TBI) is associated
with both cognitive and emotional sequalae that may
interfere with this learning process, sustaining a TBI may
negatively impact rehabilitation outcomes and subsequent
community reintegration for people with SCI.
Presentation 4
Innovative Intervention Documentation in Multi-Site Study
Describes SCI Rehabilitation Details
Gale Whiteneck, PhD, FACRM
Craig Hospital
The SCIREHAB Project is a five-year effort to determine
which spinal cord injury rehabilitation interventions are
associated with positive outcomes at one-year post injury.
Multi-centre teams of physical, occupational, recreational,
and speech therapists, psychologists, nurses, and case
managers, worked together in separate discipline-specific
groups for nine months to identify important disciplinespecific
contributions to the SCI rehabilitation process.
This presentation will describe attempts to “open the black
box” of SCI rehabilitation through the SCIREHAB study.
Presentation 3
Brain-Machine Interfacing at Toronto Rehabilitation
Institute
César Márquez Chin, PhD
Toronto Rehabilitation Institute and Institute of Biomaterials
and Biomedical Engineering, University of Toronto
Brain-machine interfaces (BMI) can use signals from the
brain to control devices, including computers and robotic
arms. This technology has great potential to assist individuals
with limited mobility. This presentation will discuss the
development of BMI technology using intracranial electrodes,
real-time two-dimensional control of computer cursors, and
remote-control vehicles. The material presented describes
research and development activities conducted at Toronto
Rehab.
Presentation 5
BIONTM Active Seating for Pressure Ulcer Prevention:
First Clinical Results
Hilton Kaplan, MD, PhD
Alfred Mann Institute, University of Southern California
Pressure ulcers arise when immobilized patients cannot
shift their weight. BION Active Seating for Pressure Ulcer
Prevention uses neuromuscular electrical stimulation via
chronically implanted, wireless microstimulators to shift the
paralyzed subject’s weight, as well as to build up gluteal
muscle volume (padding) and musculocutaneous circulation.
Presentation 6
Diaphragm Pacing: Results in Spinal Cord Injury and
Future Application for Patients on Ventilators in the
Intensive Care Units
Raymond P. Onders, MD, FACS
University Hospitals Case Medical Center and Case Western
Reserve University School of Medicine
For tetraplegics with chronic respiratory insufficiency,
electrically-induced diaphragm pacing is an alternative to
long-term mechanical ventilation. A long-term multi-centre
trial has shown that diaphragm pacing stimulation (DPS)
implantation is safe and easily reproducible and can provide
natural diaphragm ventilation. Most important, the trial
showed that patients’ perception of quality of life improved
with this intervention.
Keynote Presentation
The Future of SCI is…Diabetes!
John Shepherd, MBA
Ontario Neurotrauma Foundation
This session will focus on current best practices from the
consumer’s perspective in managing spinal cord injury as
a chronic condition. Implications of new research and clinical
advances for improving SCI management will be discussed.
Keynote Presentation
Quality of Life from a “Fashioned Concept” to a Conceptual
and Operational Way for Use as an Outcome Indicator in
SCI Research and Service Delivery
Luc Noreau, PhD
Centre for Interdisciplinary Research in Rehabilitation and Social
Integration and Rehabilitation Department, Université Laval
Quality of life (QoL) has become so popular or “fashioned”
over the last decade that it would be difficult to find a researcher
who has not used the term in a grant application. The incentive
to do so might have come from a strong perception that
QoL is the ultimate goal of rehabilitation among people with
disabilities. However, there exists an issue reconciling this
assertion with the fact that some people consider QoL to be
a “hopeless term” that lacks clear definition. This presentation
will address this difficult issue and present the pros, cons and
limits of using some QoL conceptualizations as an outcome
measurement for people with SCI.
The “Top 6 Articles You Need to Read” session will be
led by a pan-Canadian group of physiatrists. The intent is
to supplement the busy clinician’s learning with six succinct
presentations of key articles published in the last two years.
Each presentation will highlight the article’s utility and discuss
its implications for clinical practice in a journal club format.
Discussion and debate is encouraged.
These I will be attending, I'll be taking home documentation and notes on each as I will be doing presentations at my local chapter of The Canadian Parapalegic Association, as well as the various physio and occupational depts of my local hospitals and writing an article for the CPA magazine.
If anyone has specific questions relating to any of these workshops or presentations, please email them to me at tanmac@pei.sympatico.ca. I'll bring them with me as there is a q/a period after each session and do my best to get you an answer.
Using Advanced Therapies to Prevent and Treat Pressure
Sores in People with Spinal Cord Injury
Pamela E. Houghton, BSc(PT), PhD
School of Physical Therapy, University of Western Ontario
Ethne L. Nussbaum, PhD, MEd, BSc(PT)
Mount Sinai Hospital and Department of Physical Therapy,
University of Toronto
This workshop is designed to provide participants with
information about the use of physical therapies, such as electrical
stimulation therapy and ultraviolet radiation, in the treatment
of pressure sores and other types of chronic wounds. Clinical
research evidence that supports the use of these modalities to
treat individuals with chronic non-healing ulcers will be critically
appraised and reviewed.
Workshop 2
Maximizing Potential for Sexual Stimulation and Positioning
Kate McBride, RN, BSN, CRRN
GF Strong Rehab Centre and Department of Psychiatry,
University of British Columbia
James Watzke, PhD
Technology Centre and Dr. Tong Louie Living Laboratory, British
Columbia Institute of Technology
Stacy Elliott, MD
GF Strong Rehab Centre, BC Center for Sexual Medicine,
Vancouver Sperm Retrieval Clinic and Departments of Surgery and
Psychiatry, University of British Columbia
This workshop will provide participants with updated information
on devices available for sexual stimulation and positioning
for persons with a spinal cord injury. Using visual images and
models, presenters will evaluate the devices in terms of their
own clinical experience and research findings. Implications for
clinical practice will follow, including recommendations to
incorporate information on sexual anatomy and physiology
(and physiological changes post-SCI) into client care.
Workshop 3
Update on “Hot” Pharmacological, Bioengineered and
Cellular Therapies for Spinal Cord Injuries
Michael G. Fehlings, MD, PhD, FRCSC, FACS
Krembil Neuroscience Centre, Toronto Western Hospital, University
Health Network and Department of Surgery, University of Toronto
Molly S. Shoichet, PhD
Department of Chemical Engineering and Applied Chemistry,
Institute of Biomaterials and Biomedical Engineering, Terrence
Donnelly Centre for Cellular and Biomolecular Research, McEwen
Centre for Regenerative Medicine and McLaughlin Centre for
Molecular Medicine, University of Toronto
Soheila Karimi, PhD
University Health Network and Department of Surgery,
University of Toronto
Steve Casha, MD, PhD, FRCSC
Hotchkiss Brain Institute and Department of Clinical
Neurosciences, University of Calgary
The future of SCI care will require integration of all spheres
of SCI care (acute, rehabilitation, community integration).
This workshop will provide a focused summary of emerging,
leading-edge pharmacological, cell-based and bioengineered
therapies for SCI, which are in early phase clinical trials or late
phase pre-clinical development.
Workshop 4
Developing Interprofessional Collaborative Pain
Management in SCI Rehab: Applying the Best Practices
Process
Presented by the Lyndhurst Pain Clinical Best Practice
Working Group
Judith (Judi) Hunter, BSc(PT), MSc, PhD
Toronto Rehabilitation Institute and Department of Physical
Therapy, University of Toronto
Heather Flett, MSc(C), BSc(PT), BA
Toronto Rehabilitation Institute and Department of Physical
Therapy, University of Toronto
Mandy Lowe, BSc(OT), MSc
Toronto Rehabilitation Institute and Department of Occupational
Science and Occupational Therapy, University of Toronto
Guest Speaker: Roman Jovey, MD
Credit Valley Hospital Addiction and Concurrent Disorders Centre
and CPM Centres for Pain Management
This interactive workshop will identify key steps in the best
practice process as it applies to developing interprofessional
collaborative SCI pain management within individual and local
practice areas.
Workshop 5
Neurophysiological Recordings in SCI: Facts and Myths
Armin Curt, MD, FRCPC
International Collaboration on Repair Discoveries (ICORD),
University of British Columbia
Since 1970, diverse techniques for neurophysiological
assessments in patients with acute and chronic SCI have been
proposed with the aim of improving existing clinical assessments.
The understanding and acceptance of these recordings
for clinical trials remains challenged and the gain for prediction
in acute SCI and follow-up protocols needs further convey
into clinical practice. This presentation will discuss advanced
techniques for the implementation of neurophysiological
assessment algorithms, using sensory and motor studies as
examples.
Keynote Presentation
Experimental Treatments for Spinal Cord Injury: The Devil
is in the Details or Lack Thereof
Recent scientific discoveries and technological developments
promise superior treatment strategies to enhance functional
recovery and improve quality of life after spinal cord injury.
People living with SCI and their families and friends urgently
and understandably seek out experimental treatments for
SCI. But what are the pros and cons of the many treatments
being offered around the globe?
Keynote Presentation
Approaches to Study and Promoting Recovery of Function
after Spinal Cord Injury
Serge Rossignol, MD, PhD
Multidisciplinary Team on Locomotor Rehabilitation (CIHR),
Groupe de recherche sur le système nerveux central (FRSQ),
Université de Montréal
Studies in animal models have shown that several supraspinal
and spinal mechanisms may come into play after various types
of spinal lesions to optimize the recovery of some functions,
such as locomotion. The spinal central pattern generator
(CPG) for locomotion had previously proven essential in the
expression of locomotion in animals with complete spinal
sections, and we now have new evidence that this CPG also
plays an essential role in the recovery of locomotion after
partial spinal lesion
Presentation 2
Every-Other-Day Fasting for Improving Functional
Recovery and Lifespan after Spinal Cord Injury
Ward Plunet, PhD
International Collaboration on Repair Discoveries (ICORD),
University of British Columbia
Spinal cord injury in humans leads to a well-characterized
loss of motor function and a more poorly understood suite
of clinically relevant secondary complications. The most
prominent and well-documented, however rarely acknowledged,
of these complications is a dramatic reduction in
the lifespan of individuals living with chronic SCI. We have
recently found that a form of dietary restriction called
Every-Other-Day Fasting (EODF), started after SCI, leads
to improvement in functional recovery in two different
animal models (cervical and thoracic injury).
The Presence of Traumatic Brain Injury in People with
Traumatic Spinal Cord Injury: What is the Impact on
Rehabilitation and How Can We Improve Outcomes?
Cheryl Bradbury, PsyD, CPsych
Toronto Rehabilitation Institute
Spinal cord injury rehabilitation is an intensive process that
requires patients to learn novel functional skills in a short
period of time. Since traumatic brain injury (TBI) is associated
with both cognitive and emotional sequalae that may
interfere with this learning process, sustaining a TBI may
negatively impact rehabilitation outcomes and subsequent
community reintegration for people with SCI.
Presentation 4
Innovative Intervention Documentation in Multi-Site Study
Describes SCI Rehabilitation Details
Gale Whiteneck, PhD, FACRM
Craig Hospital
The SCIREHAB Project is a five-year effort to determine
which spinal cord injury rehabilitation interventions are
associated with positive outcomes at one-year post injury.
Multi-centre teams of physical, occupational, recreational,
and speech therapists, psychologists, nurses, and case
managers, worked together in separate discipline-specific
groups for nine months to identify important disciplinespecific
contributions to the SCI rehabilitation process.
This presentation will describe attempts to “open the black
box” of SCI rehabilitation through the SCIREHAB study.
Presentation 3
Brain-Machine Interfacing at Toronto Rehabilitation
Institute
César Márquez Chin, PhD
Toronto Rehabilitation Institute and Institute of Biomaterials
and Biomedical Engineering, University of Toronto
Brain-machine interfaces (BMI) can use signals from the
brain to control devices, including computers and robotic
arms. This technology has great potential to assist individuals
with limited mobility. This presentation will discuss the
development of BMI technology using intracranial electrodes,
real-time two-dimensional control of computer cursors, and
remote-control vehicles. The material presented describes
research and development activities conducted at Toronto
Rehab.
Presentation 5
BIONTM Active Seating for Pressure Ulcer Prevention:
First Clinical Results
Hilton Kaplan, MD, PhD
Alfred Mann Institute, University of Southern California
Pressure ulcers arise when immobilized patients cannot
shift their weight. BION Active Seating for Pressure Ulcer
Prevention uses neuromuscular electrical stimulation via
chronically implanted, wireless microstimulators to shift the
paralyzed subject’s weight, as well as to build up gluteal
muscle volume (padding) and musculocutaneous circulation.
Presentation 6
Diaphragm Pacing: Results in Spinal Cord Injury and
Future Application for Patients on Ventilators in the
Intensive Care Units
Raymond P. Onders, MD, FACS
University Hospitals Case Medical Center and Case Western
Reserve University School of Medicine
For tetraplegics with chronic respiratory insufficiency,
electrically-induced diaphragm pacing is an alternative to
long-term mechanical ventilation. A long-term multi-centre
trial has shown that diaphragm pacing stimulation (DPS)
implantation is safe and easily reproducible and can provide
natural diaphragm ventilation. Most important, the trial
showed that patients’ perception of quality of life improved
with this intervention.
Keynote Presentation
The Future of SCI is…Diabetes!
John Shepherd, MBA
Ontario Neurotrauma Foundation
This session will focus on current best practices from the
consumer’s perspective in managing spinal cord injury as
a chronic condition. Implications of new research and clinical
advances for improving SCI management will be discussed.
Keynote Presentation
Quality of Life from a “Fashioned Concept” to a Conceptual
and Operational Way for Use as an Outcome Indicator in
SCI Research and Service Delivery
Luc Noreau, PhD
Centre for Interdisciplinary Research in Rehabilitation and Social
Integration and Rehabilitation Department, Université Laval
Quality of life (QoL) has become so popular or “fashioned”
over the last decade that it would be difficult to find a researcher
who has not used the term in a grant application. The incentive
to do so might have come from a strong perception that
QoL is the ultimate goal of rehabilitation among people with
disabilities. However, there exists an issue reconciling this
assertion with the fact that some people consider QoL to be
a “hopeless term” that lacks clear definition. This presentation
will address this difficult issue and present the pros, cons and
limits of using some QoL conceptualizations as an outcome
measurement for people with SCI.
The “Top 6 Articles You Need to Read” session will be
led by a pan-Canadian group of physiatrists. The intent is
to supplement the busy clinician’s learning with six succinct
presentations of key articles published in the last two years.
Each presentation will highlight the article’s utility and discuss
its implications for clinical practice in a journal club format.
Discussion and debate is encouraged.
These I will be attending, I'll be taking home documentation and notes on each as I will be doing presentations at my local chapter of The Canadian Parapalegic Association, as well as the various physio and occupational depts of my local hospitals and writing an article for the CPA magazine.
If anyone has specific questions relating to any of these workshops or presentations, please email them to me at tanmac@pei.sympatico.ca. I'll bring them with me as there is a q/a period after each session and do my best to get you an answer.