Seminar Theatre 3
Wednesday 7th June
Thursday 8th June
11.00 - 11.30
Lately, BCI systems become increasingly used in the context of stroke rehabilitation and assessment of consciousness. Many BCI systems are based on motor imagery activity recorded from the sensorimotor cortex, which is translated into continuous control signals for rehabilitation devices. Some devices use Virtual Reality/FES to allow users to observe an avatar’s limb movement.
11.45 - 12.15
The seminar will be of interest to clinicians and HCPs and outlines new approaches to early intervention, rehabilitation and support for brain injured people. It will provide an insight into new ways two work together to help patients benefit from early and comprehensive rehabilitation; using the claims process as a vehicle to provide funding with the aim to achieve better clinical outcomes. The seminar will also touch upon recent research and clinical trials.
12.30 - 13.00
Impairment of consciousness after severe acquired brain injury (traumatic or otherwise) is one of the most devastating neurological conditions that clinicians have to deal with. This Seminar will detail the different classifications of these states, alongside highlighting techniques that are being developed that will enable us to more accurately prognosticate, communicate with and ultimately treat patients affected by these problems.
13.15 - 13.45
Dr Michael Dilley
Full description coming soon...
14.00 - 14.30
Matthew White MSc MCSP
The G-Eo is a sophisticated gait rehabilitation tool using end effector technology (mobile footplates) and bodyweight support to allow patients to work on level surface walking, as well as stair ascent and descent. With rapid setup times and easy therapist access, the G-Eo provides an ideal platform for gait re-training. This seminar will present the specific features of the G-Eo and using current research evidence will directly compare the G-Eo system to other gait rehabilitation systems, including treadmill based and over-ground exoskeleton systems, as well as presenting specific benefits experienced from UK based users.
14.45 - 15.15
Bethel Osuagwu, Derek Jones
Assessment of the orthotic and long-term functional gain of the SEM Glove in people with chronic spinal cord injury
High-level spinal cord injury (SCI) can lead to severe impairment of hand function making an individual dependent on other people for activities of daily living (ADL). The soft extra muscle (SEM) Glove is a device that could provide both orthotic benefits and rehabilitative effects while remaining compact and light.The objective of this study is to determine the effectiveness of the SEM Glove as an orthotic and rehabilitative device. The study intends to recruit 15 individuals with chronic SCI resulting in impaired hand function. The participants will use the SEM Glove at home to perform a set task and ADL for at least four hours a day for 12 weeks. They will be assessed before getting the Glove and at six weeks interval for 18 weeks using functional and neurological measures. The study is currently on-going. This talk, will present the design, challenges and the results so far.
15.30 - 16.00
Dr Paul Taylor
FES is an effective intervention for dropped foot and has a mean usage of 4.9 years1. The National Institute for Health and Clinical Excellence applies a cost-utility ceiling of £20,000 per Quality Adjusted Life Year (QALY) for an intervention to be considered. Previously the QALY gain derived from the effect of FES on walking speed gave a cost per QALY of £15,406. However, analysis of new data, presented at this seminar, gives a mean cost per QALY of £5,705 making it comparable to the cost per QALY of hip and knee replacements. The above analysis was carried out using FES with people who had MS or who had had a stroke. Recently we have been investigating the use of FES for the reduction of Bradykinesia in Parkinson’s Disease in a randomised controlled trial (n=68) funded by NIHR. The trial protocol, treatment methods and preliminary results will be presented in the seminar.
16.15 - 16.45
Nechama Karman, PT MS PCS
Global measures, including step length symmetry and walking activity levels may be the best predictors of continued improvement following gait training. Hall (2012) determined step-length symmetry may be the key to walking improvement following training in stroke survivors with hemiparesis, regardless of how that symmetry is achieved. Clinicians need user-friendly tools that produce reliable objective spatio-temporal gait data. Historical methods of clinical data collection involve arduous, unreliable methods using stopwatches or pressure mats. Technology can objectively measure gait variable changes in patients, however, the busy clinician requires a system that can easily collect data and organize it in a way that is immediately meaningful and useful, while not interfering with the therapy delivery. GaitSens 2000 allows clinicians to easily and objectively assess gait during walking while maximizing steps taken via treadmill training. The data collected can be used immediately to implement gait training and biofeedback programs specifically targeting increased symmetry.