5th National Spinal Cord Injury Conference - Program Agenda
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October 18, 2012 – Pre-course
October 19-20, 2012 – Main Conference
We are applying to have this event approved as an accredited group learning activity as defined by The Royal College of Physicians and Surgeons of Canada’s Maintenance of Certification Program.
Pre-course Agenda
Thursday – October 18, 2012
12:00 - 13:00 Registration
13:00 - 13:15 Opening Remarks
Molly Verrier, Dip P&OT, MHSc
Associate Professor Emeritus, Department of Physical Therapy, Physiology, Rehabilitation Science, Institute of Medical Science, Faculty of Medicine, University of Toronto; Senior Scientist, Toronto Rehabilitation Institute – UHN, Lead SCI Mobility Laboratory
Greetings from Sponsors
Patrick Brown & Dale Orlando
Partners, McLeish Orlando LLP
13:15 - 14:05 Keynote Presentation
What You Should Know about Toronto Rehabilitation Institute’s Extraordinary iDapt Facility That Could Help Your Research
Geoff Fernie, PhD, PEng, FCAHS
Institute Director, Research, Toronto Rehabilitation Institute – UHN; Professor, University of Toronto
iDAPT is a suite of simulation and design facilities with extraordinary capabilities. This presentation will provide an overview of the eight special simulators: HomeLab, CareLab, FallsLab, ClimateLab, StairLab, WinterLab, StreetLab and DriverLab. Our comprehensive electronic and mechanical design and prototyping facilities will be described as well as examples of current research projects.
• Learning Objectives:
1. Identify the capabilities for designing, prototyping and evaluating technologies.
2. Recognize how to access these facilities to plan and conduct your research.
14:05 - 14:20 Evaluation of Keynote Presentation and Breakout to Concurrent Workshops
14:20 - 15:50 Concurrent Workshops
Workshops 1 to 4 will run concurrently from 14:20 – 15:50 and again from 16:05 – 17:35.
Workshop 1
Functional Electrical Stimulation Therapy for Restoring Voluntary Grasping Function Following Incomplete SCI
Naaz Kapadia Desai, MSc PT (Neuroscience)
Research Physiotherapist, Toronto Rehabilitation Institute – UHN; Clinical Physiotherapist, William Osler Health System
Milos Popovic, PhD, PEng
Toronto Rehabilitation Institute Chair in Spinal Cord Injury Research, Rehabilitation Engineering Laboratory,Toronto Rehabilitation Institute – UHN; Professor, Institute of Biomaterials and Biomedical Engineering, University of Toronto
Molly Verrier, Dip P&OT, MHSc
Associate Professor Emeritus, Department of Physical Therapy, Physiology, Rehabilitation Science, Institute of Medical Science, Faculty of Medicine, University of Toronto; Senior Scientist, Toronto Rehabilitation Institute – UHN, Lead SCI Mobility Laboratory
Vera Zivanovic, MD
Research Coordinator, Rehabilitation Engineering Laboratory, Toronto Rehabilitation Institute – UHN
Lorna Lo, BSc OT
Occupational Therapist, Toronto Rehabilitation Institute – UHN
Functional electrical stimulation (FES) used for therapeutic purposes can result in transformational changes in voluntary recovery of the upper extremity in individuals with SCI. Greater impact is expected with an earlier start of therapy post injury.
• Learning Objectives:
1. Define FES.
2. Identify parameters of FES as appropriate for individual patient/patient populations.
3. Understand the clinical application of FES.
4. Identify indications and contraindications.
5. Describe upper extremity outcome measures that are able to detect change post FES therapy.
Workshop 2
Measuring Cardiovascular and Pulmonary Functions in Individuals with SCI : Bridging the Gap between Research and Clinical Practice
David Ditor, PhD
Associate Professor, Department of Kinesiology, Brock University
Dany Gagnon, PT, PhD
Assistant Professor, School of Rehabilitation, University of Montreal
Rachel Brosseau, PT, MSc
Assistant Clinical Professor, School of Rehabilitation, University of Montreal
Julia Totosy de Zepetnek, MSc, PhD candidate
PhD Candidate, Department of Kinesiology, McMaster University
For many individuals with SCI who are ambulatory or using a manual wheelchair, cardiorespiratory fitness testing and training is often neglected during intensive functional rehabilitation and thereafter. This workshop will review the alterations to cardiovascular and pulmonary control after SCI and will discuss the potential use of various measurement techniques as a means to gauge these changes. The role of safe, inexpensive and rapidly administered cardiorespiratory tests as well as therapeutic strategies, such as exercise training, as a means to improve cardiovascular and pulmonary control after SCI will also be discussed.
• Learning Objectives:
1. Summarize the effects of SCI on the cardiovascular and pulmonary systems.
2. Review the suitability of various measurement techniques available to assess cardiovascular and pulmonary function for individuals with SCI.
3. Discuss the various exercise interventions that have been shown to enhance cardiovascular and pulmonary function in individuals with SCI, as evidenced by such measures.
4. Discuss further research into the application, interpretation or refinement of such measures to optimize their use in individuals with SCI.
Workshop 3
Creating an Impact: Examining the Organizational Impact of an Event-Based Knowledge Translation Initiative to Promote Physical Activity to People with SCI
Heather L. Gainforth, MSc, PhD (Candidate)
PhD Candidate (Health Promotion), School of Kinesiology and Health Studies, Queen’s University
Amy Latimer-Cheung, PhD (Human Biodynamics)
Assistant Professor, School of Kinesiology and Health Studies, Queen’s University
Peter Athanasopoulos
SCI Network and Service Manager, Interim Executive Director, Ontario SCI Solutions Alliance, Canadian Paraplegic Association of Ontario
Kathleen Martin Ginis, PhD (Kinesiology)
Professor, Department of Kinesiology, McMaster University
This workshop will describe the development of an event- based knowledge translation (KT) initiative promoting the new physical activity guidelines for people. The effectiveness of the event-based KT initiative at an organizational level will be demonstrated and insight into frameworks that may help evaluate future KT initiatives will be offered.
• Learning Objectives:
1. Discuss the process used to develop the event-based KT initiative.
2. Explain the effectiveness of the event-based KT initiative at an organizational level.
3. Identify the process and framework used to evaluate the effectiveness of the event-based KT initiative at an organizational level.
4. Identify specific steps taken to ensure that the KT initiative protocol was supported by staff, delivered as intended and maintained in future initiatives.
5. Recognize the importance of research-community partnerships for KT.
Workshop 4
Strategies for Successful Implementation and Sustainability of Best Practices in SCI Rehabilitation
Heather Flett, BA, BSc PT, MSc (Rehabilitation Science)
Advanced Practice Leader, Spinal Cord Rehab, Toronto Rehabilitation Institute – UHN; Lecturer, Department of Physical Therapy, University of Toronto
Jacquie Brown, MES, RSW
Implementation Specialist, National Implementation Research Network
Anna Kras-Dupuis, RN, MScN, CNN(C), CRN(C)
Transformation Specialist, Clinical Nurse Specialist,Rehabilitation Program, St. Joseph’s Health Care London, Parkwood Hospital
Marie-Thérèse, Laramée, BScPT, MSc
Transformation Specialist, Institut de Réadaptation Gingras-Lindsay de Montréal
Valérie Lemay, BScOT, MSc
Transformation Specialist, Institut de Réadaptation en Déficience Physique de Québec
Carol Scovil, BSc, PhD,
Transformation Specialist, Toronto Rehabilitation Institute – UHN
Jane Hsieh, MSc
Executive Director, SCI Knowledge Mobilization Network (SCI KMN)
This workshop will draw on the learnings of the SCI Knowledge Mobilization Network (SCI KMN). Representatives from the SCI KMN participating rehab-ilitation programs in Toronto, London, Montreal, Quebec and the National Implementation Research Network (NIRN) will provide real-life examples of the approach to implement best practices using systematic,rigorous and evidence-based methods. The workshop will engage participants in a practical discussion on efforts to implement best practice recommendations within their local settings as part of a coordinated national initiative.
• Learning Objectives:
1. Recognize implementation science through NIRN frameworks and tools used by SCI KMN.
2. Recognize the balance between standardized best practice implementation on a national level and variations between sites reflective of their local context.
3. Apply selected implementation frameworks to participants’ best practice implementation experiences.
15:50 - 16:05 Workshops Evaluation and Breakout to Second Set of Concurrent Workshops
16:05 - 17:35 Concurrent Workshops
Workshops 1-4 run concurrently again. See titles above.
17:35 - 17:55 Workshop and Pre-Course Evaluation
17:55 - 18:00 Closing Remarks
18:30 - 20:30 Pre-registration for Main Conference at Hilton Toronto
18:30 - 20:30 Registration and Networking Reception for Consumers at Hilton Toronto
Main Conference Agenda – Day 1
Friday – October 19, 2012
07:30 – 08:30 Registration and Continental Breakfast
08:30 – 08:50 Opening Ceremonies
Welcoming Remarks
Milos Popovic, PhD, PEng
Toronto Rehabilitation Institute Chair in Spinal Cord Injury Research, Rehabilitation Engineering Laboratory, Toronto Rehabilitation Institute – UHN; Professor, Institute of Biomaterials and Biomedical Engineering, University of Toronto
Greetings from Sponsors
Roger Oatley
Partner, Oatley, Vigmond Personal Injury Lawyers LLP
Patrick Brown & Dale Orlando
Partners, McLeish Orlando LLP
08:50 – 09:40 Keynote Presentation 1
Retraining Walking after SCI to Induce Neuroplasticity and Useful Walking
Jaynie Yang, PT, PhD
Professor, Department of Physical Therapy, Centre for Neuroscience, University of Alberta
This presentation will provide an overview of our findings from retraining individuals with incomplete SCI to walk. Different methods of training, the neuroplasticity induced by the training, and possible ways to tailor the training to the individual's ability will be discussed.
• Learning Objectives:
1. Describe the retraining methods for walking that have been tested in our lab.
2. Describe the neural plastic changes induced by our training methods.
3. Explain our current understanding regarding which type of patient responds to which type of training.
09:40 – 09:50 Evaluation of Keynote Presentation and Break
09:50 – 10:30 Keynote Presentation 2
SCI: Evidence-Based and Heuristic Approaches to Customization of Care for Cardiometabolic Syndrome
Mark S. Nash, PhD, FACSM
Professor, Departments of Neurological Surgery and Rehabilitation Medicine, Miller School of Medicine, University of Miami
This presentation will provide an overview of the component risk hazards of cardiometabolic syndrome sustained after SCI. Content will address the current state of customized care for those with SCI within both evidence-based and heuristic practice frameworks.
• Learning Objectives:
1. List the component risks of cardiometabolic syndrome after SCI.
2. Describe the algorithm used to diagnose and treat cardiometabolic syndrome.
3. Discuss implications of individualized SCI characteristics on approaches to syndrome management.
10:30 – 10:40 Evaluation of Keynote Presentation and Break
10:40 – 11:40 Significant SCI Snippets
Each speaker has 10 minutes to present and 5 minutes to discuss with participants.
Presentation 1
Neuroprotection of the Injured Spinal Cord: Novel Translational Strategies
Michael G. Fehlings, MD, PhD, FRCSC, FACS
Professor of Neurosurgery, Halbert Chair in Neural Repair and Regeneration, Director Neuroscience Program, Co-Chairman Spinal Program, University of Toronto; Medical Director, Krembil Neuroscience Centre, Toronto Western Hospital – UHN
This talk will discuss the results of the Surgical Treatment of Acute Spinal Cord Injury Study (STASCIS) and Phase I Riluzole trials which set the stage for novel approaches to optimize outcomes after acute SCI. The proposed Phase II/III randomized trial of Riluzole in spinal cord injury (RISCIS) will also be discussed.
• Learning Objectives:
1. Explain the role and timing of early surgical decompression for SCI.
2. Explain the results of the Phase I trial of the sodium/ glutamate blocker riluzole for acute SCI.
Presentation 2
Dynamic Spinal Networks: How Incomplete SCI Patients Process Sensory Information Differently than Healthy Controls
David W. Cadotte, MSc, MD
Post Doctoral Research Fellow, Toronto Western Hospital – UHN; Spinal Cord Program, Division of Neurosurgery, University of Toronto
This work describes efforts at evaluating spinal networks using spinal fMRI. Using a connectivity analysis wecompare healthy individuals to chronic SCI patients and demonstrate how these two groups of individuals process thermal sensation differently.
• Learning Objectives:
1. Explain the common elements of a spinal fMRI experimental design including: stimulus delivery, spinal cord processing of the stimulus including neurovascular coupling and functional hyperemia, spinal fMRI signal detection methods and data processing using a connectivity analysis.
2. Describe how alternate stimulation paradigms may be used to test different spinal circuits.
Presentation 3
Neuromodulation of the Urinary Bladder by Minimally-Invasive Electrical Nerve Stimulation
Paul B. Yoo, PhD (Biomedical Engineering)
Assistant Professor, Institute of Biomaterials and Biomedical Engineering (IBBME) and Department of Electrical and Computer Engineering, University of Toronto
Developing clinically effective methods of restoring bladder function in persons with SCI remains a significant problem. This presentation will discuss key topics regarding the clinical feasibility and technical challenges of using electrical neuromodulation as a means of controlling urinary function.
• Learning Objectives:
1. Explain the fundamental principles of electrical nerve stimulation.
2. Explain the neurophysiological basis for modulating the urinary bladder.
3. Describe the challenges for clinical translation of neuromodulation technology.
Presentation 4
Social Networks and Secondary Health Conditions: The Critical Secondary Team for Individuals with SCI
Sara Guilcher, PhD (Candidate), MScPT
Physical Therapist, Institute of Health Policy, Management and Evaluation, University of Toronto
This presentation will provide an overview of social networks for community-dwelling individuals with SCI and highlight how these networks influence the prevention of and/or management of secondary health conditions (SHC).
• Learning Objectives:
1. Describe the structure of informal networks (e.g., number and type of care providers) for individuals with SCI living in the community in Ontario.
2. Describe the quality of relationships of informal networks.
3. Discuss the role of informal networks in the prevention and management of SHCs.
11:40 – 12:15 Champion of Change Award
Moderator:
Heather Flett, BA, BSc PT, MSc (Rehabilitation Science)
Advanced Practice Leader, Spinal Cord Rehab, Toronto Rehabilitation Institute – UHN; Lecturer, Department of Physical Therapy, University of Toronto
Award Presented By:
Charles H. Tator, CM, MD, PhD, FRCSC, FACS
Professor of Neurosurgery, University of Toronto; Division of Neurosurgery, Toronto Western Hospital – UHN
Sandra Best
President, Excel Care
Celeste Gallant
Executive Director, Excel Care
Award Recipient:
John D. Steeves, PhD
Peter Wall Institute Distinguished Scholar in Residence & Professor of ICORD (International Collaboration on Repair Discoveries), University of British Columbia, Vancouver Coastal Health
12:15 – 13:15 Evaluation of Presentations, Networking Lunch and Exhibit Viewing
13:15 – 14:05 Keynote Presentation 3
Profiling Motor Control in SCI: Moving Towards Individualized Therapy and Evidence-Based Care Progression
Keith Tansey, MD, PhD (Neurorehabilitation)
Director of Spinal Cord Injury Research and Restorative Neurology, Shepherd Center,Departments of Neurology and Physiology, Emory University School of Medicine, Spinal Cord Injury Clinic, Atlanta Veterans Administration Medical Center
This presentation will provide an overview of how patients with SCI can be characterized by their residual motor control and how that functional profile can both guide clinical intervention and monitor its progress.
• Learning Objectives:
1. Identify the limitations of current clinical scales for characterizing deficits in SCI.
2. Describe new methods being used to neuro- physiologically characterize motor control in SCI.
3. Explain how these methods might be used to individualize care and monitor or direct its progression.
14:05 – 14:15 Evaluation of Keynote Presentation and Break
14:15 – 15:15 Concurrent Workshops
Workshops 1 to 8 will run concurrently and will run once.
Workshop 1
Collection of Walking Measures for Best Practices in Rehabilitation and Inclusion in the Rick Hansen Spinal Cord Injury Registry (RHISCIR)
Molly Verrier, Dip P&OT, MHSc
Associate Professor Emeritus, Department of Physical Therapy, Physiology, Rehabilitation Science, Institute of Medical Science, Faculty of Medicine, University of Toronto; Senior Scientist, Toronto Rehabilitation Institute – UHN, Lead SCI Mobility Laboratory
Kristina Guy, BKin, BScPT, MSc
Physiotherapist, Rehabilitation Science, University of Toronto; Toronto Rehabilitation Institute – UHN
Vanessa Noonan, PT, PhD
Director of Research, Translational Research Program, Rick Hansen Institute
Kristen Walden, BScPT
National Clinical Coordinator, Rick Hansen Institute; Spine Program Physiotherapist, GF Strong Rehabilitation Centre
Participants will be provided with a reading list of pertinent literature and relevant background documents prior to the workshop. Participants should come prepared to assess patient’s walking abilities, learn how to document and interpret findings and utilize RHSCIR for longitudinal data capture and outcome reporting. We will describe the approach and the frameworks used to implement best practices in assessment and data capture using systematic and rigorous methods based on the clinical practices developed at Toronto Rehabilitation Institute – UHN and the informatics approach used by RHSCIR. Our main focus will be on having participants conduct hands-on assessment and actual data capture through active particpation and demonstration by front line clinicians.
• Learning Objectives:
1. Discuss the approach and protocols for assessing walking function across the continuum of care.
2. Explain how to utilize a data collection approach in the clinical setting that will allow for a user friendly population of the RHSCIR rehabilitation walking data set.
3. Explain how to utilize this information to enhance therapeutic interventions and improve patient outcomes.
Workshop 2
SCI Patient Centered Primary Health Care — Best Practices in the Community
Colleen McMillan, PhD
Assistant Professor, University of Waterloo; Adjunct Clinical Professor, Department of Family Medicine, McMaster University; Mental Health Lead, The Centre for Family Medicine
This presentation will provide an overview of how primary healthcare can holistically address the physical and mental health needs of SCI patients using a collaborative model of consumer and physician driven initiatives. In conjunction with the Ontario Neurotrauma Foundation, the Centre for Family Medicine provides healthcare for SCI patients using an interdisciplinary framework informed by best practices.
• Learning Objectives:
1. Identify the unique clinical challenges of SCI presented in primary healthcare.
2. Describe how to address these challenges in a collaborative way.
3. Identify a consumer and physician collaborative model of healthcare.
Workshop 3
Canadian Best Practice Guidelines on Prevention and Treatment of Pressure Ulcers in the Spinal Cord Injured Individual
Karen Campbell, RN, PhD
Field Leader, MClSc Wound Healing, Western University; Wound Care Program Manager, Aging Rehabilitation and Geriatric Care Research Centre, Lawson Health Research Institute, St. Joseph's Health Care London
Pamela Houghton, PT, PhD
Professor and Chair, MClSc,Wound Healing School of Physical Therapy, Western University
David Keast, MSc, MD
Centre Director, Aging Rehabilitation and Geriatric Care Research Centre, Lawson Research Institute, St Joseph's Health Care London
Laura Titus, OT, PhD (Candidate)
Adjunct Faculty, MClSc Wound Healing, Western University
The overall objective of this project is to produce the first ever Canadian Clinical Practice Guidelines (CPG) on the prevention, assessment, and treatment of pressure ulcers for people with SCI. This workshop will provide an overview of the development and content of these Canadian Guidelines.
• Learning Objectives:
1. Discuss the process for development of the Canadian Clinical Practice Guidelines (CPG).
2. Discuss the new recommendations within the CPGs, previously not included in other CPGs on pressure ulcers within the spinal cord population.
Workshop 4
Eat Well Live Well with SCI: Addressing Secondary Health Complications through Nutrition
Joanne Smith, BA, CNP
Certified Nutritionist, Fruitful Elements
Kylie James, BSc (OT), CNP
Certified Nutritionist, Registered Occupational Therapist, Koru Nutrition
This presentation will provide an overview of the critical role that nutrition plays in helping to prevent and manage the secondary health complications that people with SCI are at high risk of developing. This workshop will provide practical and cost effective strategies that consumers, caregivers and health professionals can incorporate into their rehabilitation program and lifestyle which can help empower individuals with SCI to have greater control over their own health and live life to the fullest.
• Learning Objectives:
1. Explain the important role nutrition plays in the long term health of people with SCI.
2. Describe nutritional strategies for maintaining overall health, preventing bladder infections, boosting immune health, addressing stress and supporting cardiovascular health.
15:15 – 15:25 Evaluation of Workshops and Break
15:25 – 16:15 Exhibit and Poster Viewing: Odd Numbered Posters
16:15 – 17:15 Concurrent Workshops
Workshops 5 to 8 will run concurrently and will run once.
Workshop 5
The International Standards for Autonomic Function: Practical “How to” Information and Review of Guidelines
Andrei Krassioukov, MD, PhD, FRCPC
Professor, Division of Physical Medicine and Rehabilitation,Department of Medicine, Univerisy of British Columbia;Associate Director and Scientist, ICORD; Director, AutonomicResearch Unit; Staff physician, Spinal Cord Program, GF Strong Rehabilitation Centre
Gavin le Nobel, BScEng, MD
Post Graduate Year 1 Otolaryngology Head and Neck Surgery Resident, University of Toronto
Andrea Townson, MD, FRCPC
Medical Site Lead, GF Strong Rehabilitation Centre; Head and Clinical Associate Professor, Division of Physical Medicine and Rehabilitation, University of British Columbia
Kristen Walden, BScPT
National Clinical Coordinator, Rick Hansen Institute; Spine Program Physiotherapist, GF Strong Rehabilitation Centre
This interactive training workshop will focus on how to operationalize the International Standards on Documentation of Remaining Autonomic Function after SCI (ISAFSCI). Approaches to clinical data collection, standardized assessment form completion and clinical case studies will be presented by clinical experts in the area of autonomic function.
• Learning Objectives:
1. Review the recommended guidelines and train participants on a standardized approach to collecting the autonomic standards data in clinical practice.
2. Review the standardized assessment form and walk through the clinical decision making process and sources of information required to complete each question.
3. Demonstrate hands-on application of the assessment tool through an interactive presentation of clinical case studies. Participants practice scoring and ask questions that arise throughout the exercise.
Workshop 6
SCI Rehabilitation Reveals Relationships of SCI Treatments with Patient Outcomes
Julie Gassaway, MS, RN
Project Director, Institute for Clinical Outcomes Research
Gale Whiteneck, PhD
Director of Research, Craig Hospital
This presentation will describe a six-site study that uses a multi-disciplinary approach to examine associations of rehabilitation treatment with outcomes for patients with SCI. We will describe increases in explanatory power that treatment variables add to that of patient variables alone and how this explanatory power increases further as subsets of patients become more homogeneous and outcomes become more specific to the patient subsets.
• Learning Objectives
1. Articulate how discipline specific treatment information adds to explained variance (beyond that explained by patient characteristics alone) for functional, participation, and quality of life outcomes for patients with traumatic SCI.
2. Explain how making study populations (subsets) more homogeneous and making outcomes specific to the homogeneous subsets demonstrates a greater influence of treatment on functional outcomes.
3. Analyze associations of community outings/ interventions with outcomes.
Workshop 7
YOUR INTERNATIONAL SPINAL CORD INJURY COMMUNITY: GETTING INVOLVED
Colleen O’Connell MD, FRCPC
Staff Physiatrist/Research Chief, Stan Cassidy Centre for Rehabilitation; Adjunct Professor, Division of Physical Medicine & Rehabilitation, Department of Medicine, Dalhousie University and Faculty of Kinesiology, University of New Brunswick
The World Health Organization estimates that of the 20 million people with spinal cord injury (SCI), the majority live in the low resource countries. Over the past decade there has been an increasing awareness of the aftermath of natural disasters, including provision of care to those with catastrophic injuries. International response efforts has resulted in a greater recognition of disaster related SCI and the state of SCI care in general in low-resource regions. There now exists tremendous opportunity for the international SCI community to collaboratively work towards identifying the challenges and critical successes in delivery of SCI care in low resource areas, including disaster preparedness and response, capacity building within acute and rehabilitation care settings, and establishment of sustainable training programs in SCI care.
This workshop will provide participants with an opportunity to explore personal motivations for working/volunteering in international efforts. Planning and preparation exercises will compliment sessions on key considerations in field work, including health and safety, ethics, and appropriate development in global health work as it relates to SCI. Practical tips for initiating or continuing in international work will be presented, and participants will have an opportunity to share experiences.
Background/Objectives:
1. Recognize personal motivation factors in pursuing international field work in spinal cord injury.
2. Describe potential ethical issues that can arise during international health work.
3. Identify opportunities in Canada to participate in international efforts to reduce disparities in SCI care globally.
4. Apply a checklist approach to initiating and international work/volunteer experience.
Workshop 8
Changing Minds, Changing Lives: Healthcare Professionals as Key Influencers
Robert Buren, MA
Athlete with a Disability; CMCL Speaker, Canadian Paralympic Committee; Sales and Marketing Consultant, Microsoft
Jeffrey Andrion, MA, MSc PT
Physiotherapist, Sunnybrook Holland Orthopedic and Arthritic Centre
Changing Minds, Changing Lives (CMCL) is an outreach program presented by the Canadian Paralympic Committee that educates healthcare professionals and other key influencers about the Paralympic Movement, the associated social and health benefits of sport activity, and the potential that resides in all Canadians living with a physical disability. The goal of this presentation is to create advocates on the frontline who will use sport as a vehicle for rehabilitation and reintegration of persons with a physical disability into the community, and onto the playing field.
• Learning Objectives
1. Identify the benefits of sport participation for clients engaged in a clinical rehabilitation program.
2. Explain the importance of making sport a central component of a rehabilitation plan.
3. Help clients make sport a part of ‘life after rehab’ by exploring community-based options and strategies for engagement.
17:15 – 17:25 Evaluation of Workshops
17:25 – 18:15 Top Six Articles You Need to Read
Moderator:
Colleen McGillivray, BSc OT, MD, FRCPC
Assistant Professor, Department of Medicine, University of Toronto; Toronto Rehabilitation Institute – UHN
Panel:
Cathy Craven, BA, MSc, MD, FRCPC
Assistant Professor, Department of Medicine, University of Toronto; Toronto Rehabilitation Institute – UHN
Christine Short, MD, FRCPC
Co-director, Rehabilitation and Supportive Care QEII Health Sciences Centre; Division Chief, Physical Medicine and Rehabilitation; Co-appointment, Division of Neuro-surgery, Capital District Health Authority; Associate Professor, Department of Medicine, Dalhousie University
Karen M Smith, MD, FRCPC
Director, SCI Rehabilitation Service, St Mary’s of the Lake; Associate Professor, Interim Associate Dean CPD, Queen’s University
Karen Ethans, MD, FRCPC
Associate Professor, University of Manitoba, Health Sciences Centre
Andrei Krassioukov, MD, PhD, FRCPC
Professor, Division of Physical Medicine and Rehabilitation, Department of Medicine, University of British Columbia;Associate Director and Scientist, ICORD; Director, Autonomic Research Unit; Staff physician, Spinal Cord Program, GF Strong Rehabilitation Centre
Colleen O’Connell, MD, FRCPC
Research Chief, Stan Cassidy Centre for Rehabilitation
The “Top Six Articles You Need to Read” session will be led by a 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.
• Learning Objectives
1. Review some of the most significant publications in the field of SCI rehabilitation.
2. Identify areas of strength or weakness in the current SCI literature.
18:15 – 19:30 Cocktail Reception
Sponsored by McLeish Orlando LLP and Oatley, Vigmond Personal Injury Lawyers LL
Main Conference Agenda – Day 2
Saturday – October 20, 2012
07:45 – 08:30 Continental Breakfast
08:30 – 08:50 Welcome and Announcements
Moderator:
Cathy Craven, BA, MSc, MD, FRCPC
Assistant Professor, Department of Medicine, University of Toronto; Toronto Rehabilitation Institute – UHN
08:50 – 09:40 Keynote Presentation 4
Biomarkers in Acute SCI – A Translational Imperative
Brian K. Kwon, MD, PhD, FRCSC
Canada Research Chair in Spinal Cord Injury; Department of Orthopaedics, University of British Columbia; Research Scientist, International Collaboration on Repair Discoveries (ICORD)
This presentation will provide an overview of our research in cerebrospinal fluid biomarkers of acute SCI and the translational relevance of developing such markers.
• Learning Objectives:
1. Describe the difficulties in performing clinical trials of therapies for acute SCI.
2. Identify how biomarkers may facilitate the conduct of clinical trials.
09:40 – 09:50 Evaluation of Keynote Presentation and Break
09:50 – 12:00 Scientific Poster Presentations by Award Winning Recipients
The top three award winners in each of the categories of Patient Care, Education, Research and Students will present their posters.
Moderator:
Mark Bayley, MD, FRCPC
Medical Director, Neuro Rehabilitation Program, Physical Medicine and Rehabilitation, Toronto Rehabilitation Institute – UHN; Associate Professor, University of Toronto
Awards will be presented by:
John D. Steeves, PhD
Peter Wall Institute Distinguished Scholar in Residence & Professor of ICORD (International Collaboration on Repair Discoveries), University of British Columbia, Vancouver Coastal Health
12:00 – 12:10 Patti Dawson Scholarship Award and Evaluation of Poster Presentations
12:10 – 13:00 Lunch and Exhibit Viewing
Greetings from the Canadian Paraplegic Association Ontario
William Adair
Chief Executive Officer, Canadian Paraplegic Association Ontario
13:00 – 13:50 Keynote Presentation 5
Gift of Wings
Carl Hiebert, Hon LLB
Motivational Speaker, Gift of Wings
This presentation will introduce the importance of having a positive perspective and taking risks.
• Learning Objectives:
1. Assess how a positive attitude is essential to fully living.
2. Describe the importance of expanding comfort zones and regularly taking on new challenges.
13:50 – 14:00 Evaluation of Keynote Presentation and Break
14:00 – 14:50 Exhibit and Poster Viewing: Even Numbered Posters
14:50 –15:50 Concurrent Workshops
Workshops 9 to 12 will run concurrently and will run once.
Workshop 9
Sitting Acquired Pressure Ulcers and Individualizing Risk
Jillian Swaine, BSc OT, Grad Cert (Public Health)
Research Associate Professor, Wound Healing and Occupational Performance Research Group, School of Surgery, Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia
Michael Stacey, MBBS, DS, FRACS
Professor, Wound Healing and Occupational Performance Research Group, School of Surgery, Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia
Pressure ulcers (PU) are one of the most common secondary complications of SCI and have a significantly negative impact on the individual, their family, caregivers and healthcare professionals. Sitting acquired pressure ulcers (SAPUs) are a subset of PUs that occur on the pelvis and load bearing area of the femur. This workshop will provide a review of their risk factors and discuss the gaps in this knowledge. New tools and protocols for individualizing risk for SAPUs have been used in our research group and will be presented. Translating this evidence into individual risk profiles for a randomized controlled trial will be discussed.
• Learning Objectives:
1. Discuss the systematic review of risk factors for pressure ulcers following SCI and the gaps in knowledge.
2. Review the evidence on the etiology of sitting acquired pressure ulcers (SAPUs) and deep tissue injuries following SCI.
3. Translate the evidence into individual risk profiles for the development of SAPUs and DTI following SCI.
Workshop 10
Capturing Capacity in SCI Rehabilitation in Canada: E-Scan Atlas
Cathy Craven, BA, MSc, MD, FRCPC
Assistant Professor, Department of Medicine, University of Toronto; Toronto Rehabilitation Institute – UHN
Molly Verrier, Dip P&OT, MHSc
Associate Professor Emeritus, Department of Physical Therapy, Physiology, Rehabilitation Science, Institute of Medical Science, Faculty of Medicine, University of Toronto; Senior Scientist, Toronto Rehabilitation Institute – UHN, Lead SCI Mobility Laboratory
Dalton Wolfe, PhD
Associate Scientist, Program of Aging, Rehabilitation and Geriatric Care, Lawson Health Research Institute, St. Joseph's Helath Care London
Jane Hsieh, MSc
Executive Director, SCI Knowledge Mobilization Network (SCI KMN)
Erin Cherban, MSc, CCRP
Director, Clinical Research Operations, Rick Hansen Institute
Vanessa Noonan, PT, PhD
Director of Research, Translation Research Program, Rick Hansen Institute
Amir Rasheed, OT, MA
Director, Best Practice Implementation, Rick Hansen Institute
The Rehabilitation Environmental Scan (E-Scan) project is the first-ever national survey of Canadian SCI-related rehabilitation practice. The inaugural product from the project team is, The Rehabilitation E-Scan Atlas: Capturing Capacity in Canadian SCI Rehabilitation. This workshop will provide an overview of the E-Scan project, rehabilitation framework and the scoping review methods. It will share the content and discuss future use of the report cards contained within the Atlas. We will demonstrate the use and application of the three rehabilitation goals within the framework using case-based discussion as a springboard and discuss the national implications of the Atlas results.
• Learning Objectives:
1. Discuss pan-Canadian rehabilitation capacity and care delivery.
2. Explain the strengths and limitations of the E-Scan methodology and results.
3. Describe the broader implications of the study results for service delivery, our research network and health policy in Canada.
Workshop 11
From Bench to Bedside: A Scientific Update from the Laboratory
Sarah Figley, BSc, PhD (Candidate)
PhD Candidate, Institute of Medical Science, University of Toronto, Toronto Western Research Institute – UHN
Spyros Karadimas, MD
MSc Candidate, Institute of Medical Science, University of Toronto, Toronto Western Research Institute – UHN
Ryan Salewski, MSc
PhD Candidate, Institute of Medical Science, Universityof Toronto, Toronto Western Research Institute – UHN
Kajana Satkunendrarajah, PhD
Post-Doctoral Fellow, Toronto Western Research Institute – UHN
Jared Wilcox, MSc, PhD (Candidate)
PhD Candidate, Institute of Medical Science, University of Toronto; Medical Student, Faculty of Medicine, University of Toronto, Toronto Western Research Institute – UHN
Michael G. Fehlings, MD, PhD, FRCSC, FACS
Professor of Neurosurgery, Halbert Chair in Neural Repair and Regeneration, Director Neuroscience Program, Co-Chairman Spinal Program, University of Toronto; Medical Director, Krembil Neuroscience Centre, Toronto Western Hospital – UHN
This presentation will aim to provide clinicians with an overview of on-going research related to SCI. The presentation will discuss the development of clinically relevant SCI models, as well as novel therapeutic approaches to treating SCI. Moreover, this workshop aims to educate clinicians on the research and trans-lational barriers that are encountered when trying to movetherapies from the bench to bedside.
• Learning Objectives:
1. Identify basic science research and methodology in neuroscience and neurotrauma research.
2. Highlight novel research in Toronto, including the development of relevant animal models and beneficial outcomes of SCI therapies.
3. Discuss the challenges within basic science, caveats of current translational research, and identify the obstacles preventing successful translational therapies.
Workshop 12
Trunk Control and its Implications on Spinal Cord Injury Rehabilitation
Milos Popovic, PhD, PEng
Toronto Rehabilitation Institute Chair in Spinal Cord Injury Research, Rehabilitation Engineering Laboratory, Toronto Rehabilitation Institute – UHN; Professor, Institute of Biomaterials and Biomedical Engineering, University of Toronto
Rachid Aissaoui, PhD
Professor, Département de génie de la production automatisée, Université du Québec
Cyril Duclos, PhD
Assistant Professor, Centre for Interdisciplinary Research in Rehabilitation, Montreal Rehabilitation Institute
Dany Gagnon, PhD
Assistant Professor, School of Rehabilitation, University of Montreal
Sylvie Nadeau, PhD
Professor,School of Rehabilitation, University of Montreal
Richard Preuss, PhD
Assistant Professor, School of Physical and Occupational Therapy, McGill University
Molly Verrier, Dip P&OT, MHSc
Associate Professor Emeritus, Department of Physical Therapy, Physiology, Rehabilitation Science, Institute of Medical Science, Faculty of Medicine, University of Toronto; Senior Scientist, Toronto Rehabilitation Institute – UHN, Lead SCI Mobility Laboratory
This workshop will present recent findings in the field of trunk control as it pertains to spinal cord injury (SCI) rehabilitation. Until recently, trunk control and its implications on improving sitting, standing and walkingfunctions in individuals with SCI have been largely neglected. In recent years our team has devoted considerable time and effort towards better understanding how the trunk is controlled during sitting, sit-to-sit transfers, sit-to-stand transfers, standing and wheeling. This workshop will present the latest findings in the field.
• Learning Objectives:
1. Describe the relevance of trunk control in individuals with SCI and its implications on sitting, standing and walking functions.
2. Identify experimental setups and techniques for measuring and evaluating trunk postural control.
3. Describe kinematic and dynamic behavior of the trunk and trunk muscles during quiet and perturbed sitting and during reaching.
4. Describe kinematic and dynamic behavior of the trunk during transfers.
15:50 – 16:00 Evaluation of Workshops
16:00 – 16:15 Closing Ceremonies
Moderator:
Cathy Craven, BA, MSc, MD, FRCPC
Assistant Professor, Department of Medicine, University of Toronto; Toronto Rehabilitation Institute – UHN
