RehabMedTech & Innovation
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Ms. Teresa Biber Lomonte
M.S. CCC-SLP, Founder of The Biber Protocol®
NMES for Dysphagia, Evidence Based Practice and The Biber Protocol® (Duration ~30 minutes)
The Biber Protocol® is an evidence based neuromuscular electrical stimulation treatment program designed to re-educate the muscles necessary for swallowing, voicing and facial movement. Developed in 1999 by internationally recognized master speech-language pathologist; Teresa Biber LoMonte, The Biber Protocol® has been used worldwide with an estimated 1 million treatments to date with consistently reported excellent outcomes and no adverse effects.
Aspiration pneumonia, is the 5th leading cause of death in the US and the 4th leading cause of death in the elderly. It is now the 3rd leading cause of death in Japan outweighing stroke. In the US the treatment of aspiration pneumonia alone is over $3 billion dollars annually and the cost associated with feeding tubes is $370 million. Yet “feeding tubes offer no protection from colonized oral secretions, which are a serious threat to patients with dysphagia. Furthermore, studies have revealed evidence of aspiration of gastric contents in patients fed by gastrostomy tube. Over the long term, aspiration pneumonia is the most common cause of death in patients fed by gastrostomy tube.” (Marik, N Engl J Med) The purpose of dysphagia rehabilitation is to restore swallow function to the highest level possible in order to prevent further complications and promote optimal quality of life. The Biber Protocol® is a safe, efficacious, cost effective and life saving way to do just that.
Prof. Marissa A. Barrera
PhD, MSCS, CCC-SLP
Speech-Language Pathologist & Multiple Sclerosis Certified Specialist
Owner, New York Neurogenic Speech-Language Pathology, P.C.
Program Director & Associate Professor, Yeshiva University
Adjunct Faculty, Nova Southeastern and Baylor University
THE CLINICAL APPLICATION OF ULTRASOUND FOR SWALLOWING REHABILITATION (Duration ~30 minutes)
Professor Barrera is a Clinical Experts on Dysphagia Management and Rehabilitation. Being a clinician, educator, trainer and mentors for many SLP nationally and internationally, she participated numerous educational conferences and symposium in her career.
The rehabilitation of dysphagia has evolved beyond the use of compensatory strategies and diet modifications. This seminar serves as an introduction to the science of ultrasonography (US) as an effective form of biofeedback for swallowing rehabilitation for patients across the lifespan.
Although ultrasound was initially introduced in the 1970s for swallowing, it has not yet transitioned into routine clinical practice. This powerful modality provides clinicians with noninvasive opportunities to study the dynamics of the oral pharyngeal system and the muscles of the oropharynx during swallowing.
Dr. Christoph Guger
CEO g.tec medical engineering GmbH
Guger Christoph studied electrical and biomedical engineering at the University of Technology Graz in Austria and Johns Hopkins University in the USA and received his PhD in 1999. In 1999 he started the company g.tec which was now branches in Austria, Spain, the USA and Hong Kong. g.tec produces high-quality neurotechnology and real-time brain computer interfaces for the research, medical and consumer market. The company is active in many international research projects about brain-computer interfacing, neuromodulation, stroke rehabilitation, assessment and communication with patients with disorders of consciousness and high-gamma mapping in epilepsy and tumour patients.
Presentation 1: Brain-Computer Interfaces for Stroke Rehabilitation by RecoveriX - Presented by Mr. Marc Sebastian (Duration ~ 60 minutes)
RecoveriX is an innovative and unique neurotechnology for the rehabilitation of stroke patients. It helps the patient regain functions of the upper and lower extremities. recoveriX supplements standard physical therapy with the chance for a quicker and more successful recovery. Also, when standard therapy can no longer yield any further benefit, recoveriX provides a second chance for improvement. It can be used in the acute, sub-acute, or chronic state.
RecoveriX is the first neurotechnology for stroke rehabilitation on the market and it is used internationally from Japan over Europe to Hawaii. It landed Hong Kong since 2017.
Presentation 2: Brain-Computer Interfaces for the Assessment, Prediction, Communication & Rehabilitation of Patients with Disorders of Consciousness Presented By Dr. Christoph Guger (Duration ~45 minutes)
mindBEAGLE uses Brain-Computer Interface (BCI) technology for quick and easy assessment of DOC patients and even provides basic communication with some of them. It is used to determine whether patients can understand and follow basic task instructions, even though they are diagnosed as people in a vegetative state (VS, also called UWS or Unresponsive Wakefulness Syndrome), minimally conscious state (MCS) or (completely) locked-in state (LIS/CLIS).
The lack of feedback is a huge barrier to medical diagnosis or clarifying the patient’s condition. mindBEAGLE gives physicians, family members or caregivers a broader knowledge of the patient’s perception and consciousness. In the assessment phase, mindBEAGLE will provide reliable information about the level of awareness and consciousness of the patient. The system also supports a longitudinal screening to investigate stability and improvement of responses or daily changes in awareness.
Mr. Dinesh Verma
A Physiotherapist and MBA ( U K , gold Medallist ) , an accomplished professional and Entrepreneur with over 23 yrs experience. Dinesh holds multiple portfolios as :
Chairman of V2U Healthcare – A Singapore based company devoted to Rehabilitation Services and techniques development.
Director of Physio Asia Therapy Centre – A leading private Physiotherapy Practice in Singapore (winner of Singapore Prestige Brand 2012 ).
Having fond interest in Technology Development and Implementation - He has conducted over 50 workshops across Asia , Australia, Europe and Latin America. He is Co-founder and technology developer of SCORES back Care program. June 2012 – May 2014 Dinesh also served as the President of Singapore Physiotherapy Association ; 2016 Co-Chairperson of World Congress on Lumbo-Pelvic Pain held in Singapore. He is currently serving the as Executive committee member of – Asia Western Pacific - World Confederation of Physical Therapy ( AWP-WCPT ) for 2017 – 20201 term.
SPINAL DECOMPRESSION THERAPY- Conceptual & Application Techniques (Duration ~30 minutes)
Traction has been applied force for centuries in managing back Pain – however there is mixed views about its efficacy and in the recent decade several Spinal Decompression Systems have positively received by Chiropractors and Physiotherapists, It is critical to understand what makes an effective Traction force for desired results and what creates an effective decompression. We shall review key aspect of these forces and their possible clinical implication to deliver better outcomes with the patients.
Dr. Olga Kara
PhD (Neurobiology), Msc (Psychology, psychology consulting, psychoanalysis), MBA (Biobusiness, Neurotechnology). Certified FBBM, Neurofeedback, ILF, tDCS provider
Ms. Natalie Philips
MSc: Clinical Manager Haddenham Healthcare Ltd UK
Natalie qualified as a registered nurse in 2005 after 13 years working as a health care assistant. She quickly developed a specialist interest in the management of lymphoedema whilst working as a community nurse where she trained in the Casley Smith method of MLD. She went on to work at Compton Lymphoedema Care (UK) in 2009 where she developed her skills and passion for treating patients with lymphoedema and for delivering training to individuals with a specialist interest in Lymphoedema management, furthering her own development becoming trained in the Leduc method of MLD. Natalie became a member of the team at Haddenham Healthcare in 2012 where she took on the role as Clinical Advisor, becoming Clinical Manager in 2016 and completing her Masters of Science in Lymphoedema Care at Wolverhampton University during the same year. Natalie now oversees all aspects of clinical training, publications and research and as well as offering clinical support to clinicians globally and often delivering training at Wolverhampton University and The Lymphoedema Training Academy. Natalie was a trustee for the British Lymphology Society from 2015-2018 and is currently a senior member of the training team at the Lymphoedema Training Academy and a member of the LymphVision ® team, offering specialist lympho-fluoroscopy imaging for patients with Lymphoedema. She is FG-MLD ® trained and also continues her clinical practice.
Talk 1: Assessment of Lymphedema: Do We Have The Whole Picture? (Duration ~30 minutes)
The purpose of this session is to discuss current practices in the UK for assessing patients who are referred to the lymphoedema clinic. Nurse led services in the UK have previously relied on subjective and visual assessments to help identify lymphoedema and monitor the condition over time. With the introduction of innovative assessment tools such as the Delfin LymphScanner and Skin Fibrometer clinicians have experienced improvements in identifying oedema located in specific areas and monitoring outcomes of treatment. Furthermore this session aims to discuss the implications this has for future practices.
Talk 2: Promoting and Empowering Lymphoedema Self-management using Easywrap and Microfine (Duration ~30 minutes)
Those of us who work in the Lymphoedema setting are well aware of the burden that managing the condition has, not only on our clinical resources but more so for the patient living with lymphoedema. The aim of this session is to discuss the different options and present case studies on those patients who have been empowered to self-manage their lymphoedema whilst using the adjustable velcro wrapping device, easywrap and Microfine gloves as an alternative to compression hosiery or multi-layer bandaging.
Dr. David Boynton
B.Sc., DC. North Boulder Chiropractic, Binovi Performance Advisor
The Integrated Brain - Practical Strategies to Drive Integration and Performance Using Binovi Platform (Duration ~30 minutes)
A new paradigm of neural integration has made its way to the forefront in the fields of Optometry, Physiotherapy, Sports/Physical Medicine and Chiropractic. Our ability to quickly and accurately integrate input from visual, vestibular, proprioception and other key pathways is fundamental to our health and performance.
Dr. David Boynton has effectively blended his own personal athletic experiences, clinical expertise, and educational knowledge, to enable him to be on the cutting edge in the field of performance and movement neurology. His lifelong pursuit has been guided by the ambition to create practical performance enhancement tools and strategies that can be utilized by athletes, therapists and practitioners, as well as coaches and athletic organizations. Himself a multi-sport athlete, Dr. Boynton has been fortunate to both play and coach.
A key aspect of performance is consistently researching and working with technology and training techniques. Dr. Boynton searches out the most cutting edge tools. Dr. Boynton’s work with Binovi has enabled him to add extensive training concepts to his repertoire, and he’s built specific protocols for using Binovi Touch, Binovi Pro and Binovi Coach. He’s excited to bring this technology to the fields of enhanced performance and post injury rehabilitation. During his lecture, practical assessment techniques, and how to create targeted ‘high yield’ treatment protocols using the Binovi Platform, will be discussed.
Mr. Benjamin Bäurle
Technology Officer, Sales Manager, IceLab, Zimmer Medizintechnik GmbH
-110ºC IceLab Recovery Science (Duration ~30 minutes)
Cold-bathing, Cryotherapy, Wholebody-Cryotherapy or simply said, “icelab -110°C” is short lasting physical therapy with a long lasting effect. Over the past years, many studies and even more “users” of this application have proven the effectivity and positive effects that three minutes with real -110°C can do.
The popularity of this treatment is increasing and not only limited to Medical orientated customers. So the icelab finds its way also to Sports and Fitness clubs, Beauty, Spa and other Well-being facilities.
The Multi-Purpose Usability of icelab together with low operational cost fits in perfectly in a world where Natural Healing methods and the personal Health Orientated lifestyle are becoming increasingly important.
With over 200 systems in the worldwide market, where the oldest system is nearly 25 years in operation, Zimmer’s icelab can be considered as the global Market- and Quality Leader in electrical Wholebody Cryotherapy.
I am looking forward to give you an brief insight about one of the coolest products you have ever seen and the multiple business opportunities of icelab.
Ms. Ann Angel
CEO, Riancorp Pty Ltd, Australia
Introduction to Low Level Laser Therapy (LLLT) for Physical Therapists (Duration ~30 minutes)
We will present information about the concept, safety, types and principles of low level laser. Low Level Laser is a type of light therapy that activates cellular processes without generating heat. It was first used in the 1960’s and has been extensively researched. The presentation will specifically cover the use of low level laser for the treatment of post cancer lymphedema including a review of clinical trials, treatment protocols and practical use.
Mr. Nicola Fanni
Digital Solutions Manager at TechnoGym
BIOCIRCUIT- The Personalised Training Method for Health & Rehabilitation Practitioners (Duration ~30 minutes)
BIOCIRCUIT offers a quick and effective circuit training solution providing a personalized workout to help users to achieve their goals in a short amount of time. The guided program delivers an engaging experience that requires no adjustments or wait time, since exercises, workload, work/rest ratio and pace have been defined and integrated into personalized programs. BIOCIRCUIT is powered by the Technogym MYWELLNESS cloud platform, which allows to live a unique and connected wellness experience: users can access their own training program and track the workout results; it requires only one login and the equipment automatically adjusts to the users’ needs. It is the best training method for health, rehabilitation and sport training industry.
Ms. Brooke Richardson
Ms. Richardson is a Medical Speech-Language Pathologist at UNC Rex Hospital in Raleigh, NC, USA. She has more than ten years of experience treating adults with complex medical needs in the acute and outpatient settings. She has been instrumental in developing and expanding the Respiratory Muscle Training program at UNC Rex Hospital. Prior to joining UNC Rex, Ms. Richardson was employed at Duke University Hospital where she was sought out by colleagues for her clinical expertise. She is a graduate of the Medical Speech-Language Pathology program at the University of Washington in Seattle, WA, USA.
Ms. Richardson has taught her highly-acclaimed course "Respiratory Muscle Training for the MedSLP" nationally and internationally, and has provided multiple webinars for Medical SLPs including "An Introduction to the Influence of Body Systems on Swallowing" and "Lab Values for the MedSLP". She is passionate about all things Medical SLP, and has been featured on the popular Speech Uncensored Podcast on several occasions.
An introduction to the benefits of Inspiratory Muscle Training (IMT) (Duration ~30 minutes)
Inspiratory Muscle Training (IMT) offers many benefits to people with breathing problems related to respiratory muscle weakness. In particular, people who have been on the ventilator for long periods of time develop diaphragmatic weakness that can be improved with the use of IMT. This webinar provides an overview of the benefits of IMT, particularly with patients who have been in the intensive care unit and have required mechanical ventilation.
Mr. Loris Prosperi
BSc, Physiotherapist, Staff Member of the Center for Physiotherapy, Rehabilitation and Reeducation venue “G. d'Annunzio” University of Chieti
Mr. Loris Prosperi is a registered Physiotherapist of the Italian Order of Radiologists, Healt Professionals, Rehabilitators and Prevention Technicians (TSRM-PSTRP).
He is a researcher and specialist in the fields of Dermatofunctional Physiotherapy, Electromedical Devices and Electro-Physical Agents for Rehabilitation. He has been working in the Center for Physiotherapy, Rehabilitation and Reeducation venue “G. d'Annunzio” University of Chieti since 2016. He freely collaborates with Medisport S.r.l. Since 2017, with the role of technical-scientific consultant and expert. He is a free collaborator of the Italian Publishing House, specialized in the medical branch. Editaliamedica S.r.l.s. Since 2020. He participated in many conferences and exhibitions in Italy and around the world (United Arab Emirates, Saudi Arabia, Poland, Germany).
Introducing the “Medislipper 1000”: A robotic device for all-round assisted rehabilitation of the ankle (Duration ~ 30 minutes)
Robotics has recently emerged in rehabilitation sector, through the introduction of mechanical devices aimed to make the rehabilitation process smarter, faster and less expensive, allowing the professionals of the sector to be more efficient, managing more patients with better results.
Medislipper 1000 is an innovative robotic device designed to assist the physiotherapist in the process of rehabilitation of the ankle, working both as a passive mobilizer and as an active exerciser.
With this presentation we would like to introduce Medislipper 1000, its functionalities and its potential applications in some common pathologies of the ankle of orthopedic and neurological nature.
Non-Invasive EEG-based Brain Mapping Technology in Mental Health Monitoring and Support (Duration ~40 minutes)
Brain imaging technologies include scanning techniques that allow us to perform non-invasive spatial brain mapping to identify morphological construction of different brain structures, measure neurochemical processes, and record functional changes in response to a particular task. These approaches include computerized tomography (CT), magnetic resonance tomography (MRT), functional magnetic-resonance tomography (fMRI), positron emission tomography (PET), single-photon emission computer tomography (SPECT), diffusion tensor imaging (DTI), Diffuse optical tomography (DOT). The main limitations for all listed methods are the poor temporal resolution (whereas most of the brain processes happen at the millisecond range), high cost, can only be used in the hospital settings, some people cannot use these methods due to the age, physical or psychological conditions.
Another fast-developing area is functional brain imaging or brain mapping based on the recording and analysis of brain electrical activity (EEG). These methods are non-expensive, mobile, and can be used without limitation in any age or patient condition for diagnostics, monitoring, and prediction of outcome in many diseases.
Until now, electroencephalography was used only for neurological assessment and mostly included visual inspection and search of abnormalities in the recording by highly trained physicians. With advances in neuronal signal processing tools and computational neuroscience developments, we can obtain far more information from EEG, including defining the statistically significant deviations of patient’s brain signals in comparison with the normative database; creation a 3D brain activity distribution maps; identification with zero localization errors the sources of the pathological activity, brain connectivity and coherence, etc.
Growing level of evidence suggested the existence of brain functional state abnormalities and information processing inconsistencies and faulty in different mental health conditions.
An application of non-invasive EEG-based brain biomarkers allows to identify specific brain biomarkers of a variety of psychological and psychiatric complaints, is able to predict the response to psychopharmacological treatment and can be used to construct an individual brain training protocols for neurofeedback and non-invasive brain stimulations.
Present webinar will discuss and disclose the value of non-invasive brain mapping technology for differential diagnostics, monitoring, prognostics and support in mental health. Particularly, we will overview specific brain biomarkers of anxiety, depression, attention deficit, and insomnia.
Dr. Lawrence Cahalin & Mr. Johnny Owens
Post Acute COVID-19 Exercise & Rehabilitation (PACER) Project,
by the Cardiovascular & Pulmonary Academy of the American Physical Therapy Association (APTA) - BLOOD FLOW RESTRICTION (Duration ~60 minutes)
The Cardiovascular & Pulmonary Section of American Physical Therapy Association (APTA) is putting together a comprehensive webinar called PACER project (post-acute COVID-19 exercise & rehabilitation) that will be listed on the APTA learning center. We are delighted to have Mr. Johnny Owens and Dr. Larry Cahalin, Presenting Blood Flow Restriction on Rehabilitation.
Dr. Lawrence Cahalin
PhD, Gerontology (2010) University of Massachusetts Boston;
MA in Physical Therapy (1992), University of Iowa; PT
BS in Physical Therapy (1982), Saint Louis University
Dr. Cahalin is Board Certified in Cardiopulmonary Physical Therapy. He has 33 years of clinical experience in physical therapy. His clinical practice has focused on independent exercise testing, cardiac and pulmonary rehabilitation, physical therapy for patients with end-stage heart and lung disease before and after heart or lung transplantation, and breathing retraining.
Mr. Johnny Owens
Master of Physical Therapy
Owens is former Chief of Human Performance Optimization at the Center for the Intrepid (CFI), which is part of the SAMMC–Department of Orthopaedics and Rehabilitation (DOR). Johnny was at SAMMC for 10 years, treating service members suffering severe musculoskeletal trauma. His successes included the application of regenerative medicine for volumetric soft tissue loss and Return to Run Clinical Pathway, an internationally recognized rehabilitation program designed to combat delayed amputations and compliment a dynamic exoskeleton, the IDEO. He took part in numerous multi-center research projects involving regenerative medicine, sports medicine, and rehabilitation of the combat casualty.
Johnny Owens has been applying Personalized Blood Flow Restriction (PBFR) Rehabilitation Training clinically since 2012 and credits the modality with significant strength recovery in more than 300 patients.
Owens has been published extensively in the peer-reviewed literature and his work has been featured on 60 Minutes, Time magazine, NPR, Discovery Channel and ESPN.
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