BEGIN:VCALENDAR VERSION:2.0 PRODID:-//Rehabilitation Engineering Laboratory - ECPv6.3.3//NONSGML v1.0//EN CALSCALE:GREGORIAN METHOD:PUBLISH X-WR-CALNAME:Rehabilitation Engineering Laboratory X-ORIGINAL-URL:https://reltoronto.ca X-WR-CALDESC:Events for Rehabilitation Engineering Laboratory REFRESH-INTERVAL;VALUE=DURATION:PT1H X-Robots-Tag:noindex X-PUBLISHED-TTL:PT1H BEGIN:VTIMEZONE TZID:America/New_York BEGIN:DAYLIGHT TZOFFSETFROM:-0500 TZOFFSETTO:-0400 TZNAME:EDT DTSTART:20170312T070000 END:DAYLIGHT BEGIN:STANDARD TZOFFSETFROM:-0400 TZOFFSETTO:-0500 TZNAME:EST DTSTART:20171105T060000 END:STANDARD BEGIN:DAYLIGHT TZOFFSETFROM:-0500 TZOFFSETTO:-0400 TZNAME:EDT DTSTART:20180311T070000 END:DAYLIGHT BEGIN:STANDARD TZOFFSETFROM:-0400 TZOFFSETTO:-0500 TZNAME:EST DTSTART:20181104T060000 END:STANDARD BEGIN:DAYLIGHT TZOFFSETFROM:-0500 TZOFFSETTO:-0400 TZNAME:EDT DTSTART:20190310T070000 END:DAYLIGHT BEGIN:STANDARD TZOFFSETFROM:-0400 TZOFFSETTO:-0500 TZNAME:EST DTSTART:20191103T060000 END:STANDARD BEGIN:DAYLIGHT TZOFFSETFROM:-0500 TZOFFSETTO:-0400 TZNAME:EDT DTSTART:20200308T070000 END:DAYLIGHT BEGIN:STANDARD TZOFFSETFROM:-0400 TZOFFSETTO:-0500 TZNAME:EST DTSTART:20201101T060000 END:STANDARD END:VTIMEZONE BEGIN:VEVENT DTSTART;TZID=America/New_York:20200924T120000 DTEND;TZID=America/New_York:20200924T130000 DTSTAMP:20260406T094539 CREATED:20200918T195438Z LAST-MODIFIED:20200918T200235Z UID:1856-1600948800-1600952400@reltoronto.ca SUMMARY:Jane Hsieh - The Challenges and Opportunities of Recruitment in Rehabilitation Research DESCRIPTION:Biography\nJane Hsieh\, M.Sc. has over 30 years in spinal cord injury (SCI) research through affiliations in academia\, industry\, and non-profit organizations. Her current role as Executive Director of the Accelerated Translational Program of Wings for Life includes managing a portfolio requiring up to date knowledge of SCI clinical trials from both scientific and operational perspectives. Involvement in large multi-centre drug trials in chronic SCI and many smaller but highly complex multi-centre trials in acute\, chronic\, drug\, device\, and biologic therapeutics has afforded Jane extensive experience in all aspects and types of clinical trials. This experience provides informed participation in Spinal Cord Outcomes Partnership Endeavor (SCOPE)\, Spinal Cord Injury Trials Toolkit (SCITT) and Spinal Trials Understanding Design and Implementation (STUDI). \n Abstract\nObjectives:\n1. To highlight common challenges associated with clinical trial recruitment in general\, and with interventions for people with spinal cord injury (SCI)\, specifically.\n2. To provide an overview of the recruitment processes currently in use within the Toronto Rehabilitation Institute (TRI) and the international Spinal Cord Injury Trial Toolkit (SCITT).\n3. To reflect on how this discussion might influence recruitment procedures in your research setting using case based discussions \n Zoom Details\nYou are invited to a Zoom meeting.\nWhen: Sep 24\, 2020 12:00 PM Eastern Time (US and Canada) \nRegister in advance for this meeting:\nhttps://us02web.zoom.us/meeting/register/tZ0vcOGrqjgtHt2itNcHQr1edAMt4HI07CE0 \nAfter registering\, you will receive a confirmation email containing information about joining the meeting. URL:https://reltoronto.ca/index.php/lecture/jane-hsieh-the-challenges-and-opportunities-of-recruitment-in-rehabilitation-research/ ATTACH;FMTTYPE=image/png:https://reltoronto.ca/wp-content/uploads/Jane-Hsieh-Headshot.png END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20200611T120000 DTEND;TZID=America/New_York:20200611T130000 DTSTAMP:20260406T094539 CREATED:20200605T124708Z LAST-MODIFIED:20200606T194942Z UID:1792-1591876800-1591880400@reltoronto.ca SUMMARY:Dr. Hardeep Singh - Hitting A Moving Target: Understanding The Complexities Of Falls And Fall Prevention After Spinal Cord Injury DESCRIPTION:Biography\nHardeep Singh is a Post-doctoral Fellow at the Lunenfeld-Tanenbaum Research Institute-Sinai Health System and The Institute for Better Health-Trillium Health Partner and an occupational therapist by training. Hardeep recently completed her PhD in the SCI Mobility Lab at the Lyndhurst Centre under the supervision of Dr. Kristin Musselman. In her PhD research\, she examined the causes and psychosocial consequences of falls and fall prevention among wheelchair users with spinal cord injury. \nZoom Information\nJoin Zoom Meeting \nhttps://us02web.zoom.us/j/84586475198?pwd=ZU45T1duU3NCVFl2aEd4NktpRXdWUT09 \nMeeting ID: 845 8647 5198 \nPassword: 706925 \nOne tap mobile \n+16473744685\,\,84586475198#\,\,1#\,706925# Canada \n+16475580588\,\,84586475198#\,\,1#\,706925# Canada \n  \nDial by your location \n+1 647 374 4685 Canada \n+1 647 558 0588 Canada URL:https://reltoronto.ca/index.php/lecture/dr-hardeep-singh-hitting-a-moving-target-understanding-the-complexities-of-falls-and-fall-prevention-after-spinal-cord-injury/ CATEGORIES:Season 11 ATTACH;FMTTYPE=image/png:https://reltoronto.ca/wp-content/uploads/Hardeep-Singh-Headshot.png END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20200312T120000 DTEND;TZID=America/New_York:20200312T130000 DTSTAMP:20260406T094539 CREATED:20190918T170823Z LAST-MODIFIED:20200307T153117Z UID:1682-1584014400-1584018000@reltoronto.ca SUMMARY:Dr. Jane Hsieh\, Dr. Cathy Craven and Louise Brisbois: The Challenges and Opportunities of Recruitment in Rehabilitation Research DESCRIPTION:Abstract\nObjectives:\n1. To highlight common challenges associated with clinical trial recruitment in general\, and with interventions for people with spinal cord injury (SCI)\, specifically.\n2. To provide an overview of the recruitment processes currently in use within the Toronto Rehabilitation Institute (TRI) and the international Spinal Cord Injury Trial Toolkit (SCITT).\n3. To reflect on how this discussion might influence recruitment procedures in your research setting using case based discussions \nAbout the Speakers\n \nJane Hsieh\, M.Sc. has over 30 years in spinal cord injury (SCI) research through affiliations in academia\, industry\, and non-profit organizations. Her current role as Executive Director of the Accelerated Translational Program of Wings for Life includes managing a portfolio requiring up to date knowledge of SCI clinical trials from both scientific and operational perspectives. Involvement in large multi-centre drug trials in chronic SCI and many smaller but highly complex multi-centre trials in acute\, chronic\, drug\, device\, and biologic therapeutics has afforded Jane extensive experience in all aspects and types of clinical trials. This experience provides informed participation in Spinal Cord Outcomes Partnership Endeavor (SCOPE)\, Spinal Cord Injury Trials Toolkit (SCITT) and Spinal Trials Understanding Design and Implementation (STUDI). \n \nDr. Cathy Craven is the Toronto Rehabilitation Institute/ University of Toronto Chair in Spinal Cord Injury SCI Rehabilitation. She is an Associate Professor in the Division of Physical Medicine and Rehabilitation\, Department of Medicine with cross appointments in the Institutes of Health Policy Management and Evaluation and Rehabilitation Sciences at the University of Toronto. Dr. Craven is a Senior Scientist and Team Leader of the Neural Engineering and Therapeutics Research Team at KITE and Medical Director of the Spinal Cord Injury Rehabilitation Program at University Health Network. Dr. Craven leads the field with her clinical and research expertise in the prevention and management of osteoporosis and health service innovation for individuals living with spinal cord injury. Dr. Craven has published over 200 articles on related topics. (http://www.ncbi.nlm.nih.gov/pubmed? cmd=PureSearch&term=Craven%20BC%20%5Bauthor%5D) \n \nLouise Brisbois has been working in the area of rehabilitation research and spinal cord injury for 10 years. Prior to that her background was in both pharmaceutical marketing to consumers\, and bioethics. At TRI her focus has been on delivering an innovative program called Centralized Recruitment along with Dr. Craven. This program enables patients to engage with research in a voluntary and equitable manner\, and enables researchers to identify and recruit patients to become participants in research. This research matching service began at TRI Lyndhurst Centre with spinal cord injured patients\, and she led the implementation across all TRI inpatient clinics to all researchers. She is also the site coordinator for the Rick Hansen Spinal Cord Injury Registry at TRI –Lyndhurst\, the largest site contributing to this national database about traumatic SCI. Outside of TRI\, she is an active board member of the Veritas REB (12 years) and prior to that a member of the Sick Kids Hospital REB for 10 years\, as well as a member of the CIHR Research Integrity Committee for 4 years. URL:https://reltoronto.ca/index.php/lecture/dr-jane-hsieh-wings-for-life/ LOCATION:Toronto Rehab University Center – Basement Lecture Theatre\, 550 University Avenue\, Toronto\, Ontario\, M5G2A2\, Canada CATEGORIES:Season 11 END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20200213T120000 DTEND;TZID=America/New_York:20200213T130000 DTSTAMP:20260406T094539 CREATED:20200123T155612Z LAST-MODIFIED:20200123T155854Z UID:1752-1581595200-1581598800@reltoronto.ca SUMMARY:Dr. Andrea Bandini : Measuring Hand Use In The Home After Spinal Cord Injury (SCI) Using Egocentric Videos DESCRIPTION:Abstract\nThe functional use of the upper limbs is one of the top recovery priorities of individuals with cervical spinal cord injury (cSCI). Wearable cameras and computer vision methods have recently emerged as technological solutions to extract objective outcome measures that reflect hand function in a natural context\, overcoming the limitations of accelerometer-based devices. However\, previous studies conducted in a highly controlled environment may not be indicative of the actual hand use of individuals with cSCI living in the community. Thus\, the validation of this technology in a home environment is necessary. This presentation will focus on the first results obtained in an uncontrolled environment\, where participants with cSCI recorded videos at home during their normal daily activities. Moreover\, particular attention will be given to the pitfalls of using this technology at home. \nBiography\nDr. Bandini received his PhD in Bioengineering from the University of Bologna (Italy) in 2016. He has been a postdoctoral research fellow at KITE @ University Health Network since September 2016\, working with the Communication and NET teams. His research aims to develop novel and objective tools for the assessment and rehabilitation of motor signs associated with neurological disorders (spinal cord injury\, stroke\, amyotrophic lateral sclerosis\, and Parkinson’s disease)\, by using computer vision and machine learning techniques. In the last three years\, he has been awarded two postdoctoral grants (Heart and Stroke Foundation – Canadian Partnership for Stroke Recovery and Age Well NCE) for his research on video-based face tracking in patients post-stroke. URL:https://reltoronto.ca/index.php/lecture/dr-andrea-bandini-measuring-hand-use-in-the-home-after-spinal-cord-injury-sci-using-egocentric-videos/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Season 11 ATTACH;FMTTYPE=image/jpeg:https://reltoronto.ca/wp-content/uploads/Andrea-Bandini-Headshot.jpg END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20200109T120000 DTEND;TZID=America/New_York:20200109T130000 DTSTAMP:20260406T094539 CREATED:20200106T191119Z LAST-MODIFIED:20200106T191556Z UID:1742-1578571200-1578574800@reltoronto.ca SUMMARY:Dr. Cathy Craven - A Review of Bone Health Myths DESCRIPTION:Abstract\n\nThis presentation will address  common myths related to bone health after spinal cord injury\nThe 2019 ISCD position statements on SCI and bone density testing will be reviewed and the implications for clinical and research practice discussed in detail.\n\nBiography\nDr. Cathy Craven is the Toronto Rehabilitation Institute/ University of Toronto Chair in Spinal Cord Injury SCI Rehabilitation. She is an Associate Professor in the Division of Physical Medicine and Rehabilitation\, Department of Medicine with cross appointments in the Institutes of Health Policy Management and Evaluation and Rehabilitation Sciences at the University of Toronto.  Dr. Craven is a Senior Scientist and Team Leader of the Neural Engineering and Therapeutics Research Team at KITE and Medical Director of the Spinal Cord Injury Rehabilitation Program at University Health Network.  Dr. Craven leads the field with her clinical and research expertise in the prevention and management of osteoporosis and health service innovation for individuals living with spinal cord injury.  Dr. Craven has published over 200 articles on related topics. \n(http://www.ncbi.nlm.nih.gov/pubmed?cmd=PureSearch&term=Craven%20BC%20%5Bauthor%5D) URL:https://reltoronto.ca/index.php/lecture/dr-cathy-craven-a-review-of-bone-health-myths/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Season 11 ATTACH;FMTTYPE=image/jpeg:https://reltoronto.ca/wp-content/uploads/Cathy-Craven-Headshot.jpg END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20200109T120000 DTEND;TZID=America/New_York:20200109T130000 DTSTAMP:20260406T094539 CREATED:20190918T170742Z LAST-MODIFIED:20200106T191448Z UID:1680-1578571200-1578574800@reltoronto.ca SUMMARY:Dr. Cathy Craven\, KITE-UHN DESCRIPTION:Abstract\n1. This presentation will address common myths related to bone health after spinal cord injury\n2. The 2019 ISCD position statements on SCI and bone density testing will be reviewed and the implications for clinical and research practice discussed in detail. \nAbout the Speakers\nDr. Cathy Craven is the Toronto Rehabilitation Institute/ University of Toronto Chair in Spinal Cord Injury SCI Rehabilitation. She is an Associate Professor in the Division of Physical Medicine and Rehabilitation\, Department of Medicine with cross appointments in the Institutes of Health Policy Management and Evaluation and Rehabilitation Sciences at the University of Toronto. Dr. Craven is a Senior Scientist and Team Leader of the Neural Engineering and Therapeutics Research Team at KITE and Medical Director of the Spinal Cord Injury Rehabilitation Program at University Health Network. Dr. Craven leads the field with her clinical and research expertise in the prevention and management of osteoporosis and health service innovation for individuals living with spinal cord injury. Dr. Craven has published over 200 articles on related topics.\n(http://www.ncbi.nlm.nih.gov/pubmed?cmd=PureSearch&term=Craven%20BC%20%5Bauthor%5D) URL:https://reltoronto.ca/index.php/lecture/dr-cathy-craven-kite-uhn/ END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20191212T120000 DTEND;TZID=America/New_York:20191212T130000 DTSTAMP:20260406T094539 CREATED:20190918T170708Z LAST-MODIFIED:20191205T192725Z UID:1678-1576152000-1576155600@reltoronto.ca SUMMARY:Dr. Sara Guilcher\, Lauren Cadel and Amanda Everall - How can we improve medication management for persons with spinal cord injury/ dysfunction? DESCRIPTION:Abstract\nPersons with spinal cord injury and dysfunction (SCI/D) often experience multimorbidity and secondary complications. Pharmacological treatments are often used to manage these conditions and complications. Funded by the Craig H. Neilsen Foundation\, we used mixed methods to better understand medication management for persons with spinal cord injury and dysfunction (SCI/D). Using administrative health data\, we described the prevalence and risk factors associated with polypharmacy and opioid use for persons with traumatic spinal cord injuries and non-traumatic spinal cord dysfunction. Using qualitative semi-structured interviews\, we explored the experiences of healthcare and service providers and persons with SCI/D with medication (self-) management. We will discuss the findings and implications for research\, practice/everyday life\, and policy. \nAbout the Speakers\n \nDr. Sara Guilcher is an Assistant Professor at the Leslie Dan Faculty of Pharmacy\, and cross-appointed with the Rehabilitation Sciences Institute (RSI)\, University of Toronto. Dr. Guilcher is also an Adjunct Scientist at the Institute for Clinical Evaluative Sciences\, and an Affiliate Scientist at the Centre for Urban Health Solutions\, Li Ka Shing Knowledge Institute\, St. Michael’s Hospital. As a physical therapist and clinical epidemiologist\, Dr. Guilcher’s research vision is to improve health service delivery and quality of care across the continuum\, specifically for marginalized populations with complex health and social needs. Dr. Guilcher holds a Canadian Institutes of Health Research (CIHR) Embedded Clinician Salary Award working with Health Quality Ontario to optimize transitions of care among persons with complex needs.\nOften using multi-methods (e.g.\, administrative health claims\, qualitative methods\, survey research)\, Dr. Guilcher’s research relates to clinical/social epidemiology\, health equity\, disability and multimorbidity. \n  \n \nLauren Cadel (MSc) is a Research Coordinator at the Leslie Dan Faculty of Pharmacy and a Research Associate at the Institute for Better Health at Trillium Health Partners. In 2019\, Lauren completed her Masters in Pharmaceutical Sciences at the University of Toronto under the supervision of Dr. Sara Guilcher. Her thesis focused on exploring the attitudes\, beliefs and experiences of persons with spinal cord injury/ dysfunction pertaining to the management of prescribed and unprescribed medications. \n  \n \nAmanda Everall (MSc) is a Research Coordinator at the Leslie Dan Faculty of Pharmacy. She completed her Masters in Pharmaceutical Sciences at the University of Toronto in 2018. Her thesis research used a multi-case study approach to describe the community pharmacy enablers (structures and processes) that supported best practice adherence-focused medication review services. Her research resulted in the development of a conceptual definition \n  \n  \n  URL:https://reltoronto.ca/index.php/lecture/dr-sara-guilcher-university-of-toronto/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Season 11 ATTACH;FMTTYPE=image/jpeg:https://reltoronto.ca/wp-content/uploads/S-Guilcher-e1573233236986.jpg END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20191114T120000 DTEND;TZID=America/New_York:20191114T130000 DTSTAMP:20260406T094539 CREATED:20190918T170610Z LAST-MODIFIED:20191108T171627Z UID:1676-1573732800-1573736400@reltoronto.ca SUMMARY:Dr. Andrea Bandini - Measuring Hand Use In The Home After Spinal Cord Injury (SCI) Using Egocentric Videos DESCRIPTION:Abstract\nThe functional use of the upper limbs is one of the top recovery priorities of individuals with cervical spinal cord injury (cSCI). Wearable cameras and computer vision methods have recently emerged as technological solutions to extract objective outcome measures that reflect hand function in a natural context\, overcoming the limitations of accelerometer-based devices. However\, previous studies conducted in a highly controlled environment may not be indicative of the actual hand use of individuals with cSCI living in the community. Thus\, the validation of this technology in a home environment is necessary. This presentation will focus on the first results obtained in an uncontrolled environment\, where participants with cSCI recorded videos at home during their normal daily activities. Moreover\, particular attention will be given to the pitfalls of using this technology at home. \nAbout the Speaker\nDr. Bandini received his PhD in Bioengineering from the University of Bologna (Italy) in 2016. He has been a postdoctoral research fellow at KITE @ University Health Network since September 2016\, working with the Communication and NET teams. His research aims to develop novel and objective tools for the assessment and rehabilitation of motor signs associated with neurological disorders (spinal cord injury\, stroke\, amyotrophic lateral sclerosis\, and Parkinson’s disease)\, by using computer vision and machine learning techniques. In the last three years\, he has been awarded two postdoctoral grants (Heart and Stroke Foundation – Canadian Partnership for Stroke Recovery and Age Well NCE) for his research on video-based face tracking in patients post-stroke. URL:https://reltoronto.ca/index.php/lecture/dr-andrea-bandini-kite-uhn/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Season 11 ATTACH;FMTTYPE=image/jpeg:https://reltoronto.ca/wp-content/uploads/Andrea-e1573232948729.jpg END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20191010T120000 DTEND;TZID=America/New_York:20191010T130000 DTSTAMP:20260406T094539 CREATED:20190927T182908Z LAST-MODIFIED:20190927T182908Z UID:1688-1570708800-1570712400@reltoronto.ca SUMMARY:Chip Rowan - VIP4SCI: Pilot testing a web-based platform created for individuals with spinal cord injury living in the community. DESCRIPTION:Abstract\nIndividuals living with chronic spinal cord injury (SCI) often face challenges accessing timely and effective health services and the economic burden associated with SCI has led to exploration of non-traditional avenues to meet the complex health needs of individuals with SCI. This trend inspired the creation of the Virtual Integration Platform for SCI (VIP4SCI)\, a web-based tool\, developed in partnership with\, Spinal Cord Injury Ontario (SCIO)\, ForaHealthyMe Inc. (FAHM)\, and the Mobility Clinic. This presentation will highlight the findings and lessons learned from the design\, deployment\, and evaluation of the VIP4SCI platform. Considerable attention will be given to the usability and satisfaction of the platform among VIP4SCI clients and SCIO staff users plus its potential for economic / organizational impact. \nAbout the Speaker\nChip is passionate about health and education. After undergraduate work in Lifesciences and Phys Ed at Queen’s University\, his initial graduate work at York University focused on physically demanding occupations (firefighting\, police\, corrections)\, persons with chronic disease\, and elite athletes. His doctoral work at York focused on the detection of prediabetes and physical activity intervention delivery with the goal of improving various physiological outcomes. \nChip previously worked at Lyndhurst as Team Leader of the Fitness Centre and became involved with various research initiatives under the supervision of Dr. Cathy Craven before returning in his role as a Postdoctoral Fellow. Chip is committed to promoting health and enhancing the quality of care for persons living with SCI through innovative and applied research. URL:https://reltoronto.ca/index.php/lecture/chip-rowan-vip4sci-pilot-testing-a-web-based-platform-created-for-individuals-with-spinal-cord-injury-living-in-the-community/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Season 11 ATTACH;FMTTYPE=image/jpeg:https://reltoronto.ca/wp-content/uploads/Chip-Rowan.jpg END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20190912T120000 DTEND;TZID=America/New_York:20190912T130000 DTSTAMP:20260406T094539 CREATED:20190904T191811Z LAST-MODIFIED:20190904T191811Z UID:1660-1568289600-1568293200@reltoronto.ca SUMMARY:Dr. Olinda Habib Perez - Falls and Balance Control after Spinal Cord Injury DESCRIPTION:Abstract\nDr. Olinda Habib Perez will be presenting the initial findings of a 2-year prospective study that examines the causes and consequences of falls in individuals with subacute spinal cord injury. She will also present findings on the balance control of individuals with chronic spinal cord injury. \nBiography\nDr. Olinda Habib Perez completed her B.Sc. in Kinesiology at the University of Ottawa and is a Registered Kinesiologist. She continued her M.Sc. at the University of Ottawa\, which examined the adaptation of infant bouncers in different jolly jumper environments. Olinda joined the SCI-Mobility Lab in late 2017 as a Post-Doctoral Fellow after completing her PhD from the University of Toronto. Her doctoral work focused on understanding inter-limb coordination in balance control and how this was altered in individuals with traumatic brain injury. She has been leading a study that investigates the causes and consequences of falls across the continuum of care in individuals with subacute spinal cord injury\, and has examined the balance control in individuals with chronic spinal cord injury. URL:https://reltoronto.ca/index.php/lecture/dr-olinda-habib-perez-falls-and-balance-control-after-spinal-cord-injury/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Season 11 ATTACH;FMTTYPE=image/jpeg:https://reltoronto.ca/wp-content/uploads/Olinda-Habib-Perez-Headshot.jpg END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20190613T120000 DTEND;TZID=America/New_York:20190613T130000 DTSTAMP:20260406T094539 CREATED:20190611T142243Z LAST-MODIFIED:20190611T145201Z UID:1642-1560427200-1560430800@reltoronto.ca SUMMARY:Laura Teague - Surgical Closure of Pelvic Pressure Ulcers in Spinal Cord Injured Adults: Case Identification\, Costs\, Health Care Utilization and Risk Factors for Surgical Complications DESCRIPTION:Abstract\nPressure ulcers\, also known as pressure injuries (PI)\, are a common and serious complication of spinal cord injury (SCI). Impaired wound healing in SCI patients contributes to the progression of these ulcers to more severe stages\, which are increasingly more difficult to manage. Best practice guidelines suggest that surgical reconstruction with a flap is an option for chronic stage IV PIs that have failed to heal with more conservative measures. However\, little is known about the epidemiology of surgically reconstructed PIs in SCI patients. Despite efforts to select suitable patients for this procedure\, the rate of surgical wound complications remains high and the cost of management is extensive. Accordingly\, it is important to establish a systematic approach for identifying SCI patients with surgically reconstructed PIs to facilitate the study of predictors of sustained wound closure\, quantify the cost of surgical reconstruction\, and evaluate the efficiency of treatment and recovery options. \nTo address gaps in the literature\, this study aimed to achieve four objectives: (1) To estimate the hospital costs of surgical reconstruction of stage IV PIs in SCI patients and characterize the relationship of demographics\, socioeconomic status and lifestyle factors to cost at discharge from SMH\, (2) To determine a standardized method of identifying cases of surgically reconstructed PIs in SCI patients from large databases\,  (3) To identify and validate risk factors for complications of surgical reconstructed stage IV PIs in SCI patients at discharge from SMH wound care follow-up and (4) to identify long term cost and health care utilization of persons with SCI who have undergone surgical flap closure at SMH in the ICES database. \nAbout the Speaker\nLaura Teague is has started working in her new role as Nurse-Practitioner-Clinical and Academic Lead for wound care at the Sinai Health System in Toronto\, Ontario. \nFrom 1987 to 2016\, Laura worked in various clinical and leadership positions as a registered nurse\, clinical nurse specialist and nurse practitioner – wound care at a teaching hospital in downtown Toronto. She lead and grew an interdisciplinary team to address wound prevention and treatment at this hospital. In the role of clinical nurse specialist and nurse practitioner\, Laura lead annual hospital point prevalence studies for pressure injuries for 13 years. Results from these studies leveraged changes in practice\, education\, products\, supply chain and devices to mitigate avoidable and unavoidable injury. \nLaura’ passion for quality improvement and development of standards of practice has been driven through her experience in the wound prevention and treatment field. She has been directly involved with development of best practice guidelines through the RNAO. Laura has provided continuous leadership through development of the Ontario Woundcare Interest Group as the founding president and membership on the executive. Through this interest group\, she lead 3 health technology assessment applications and one Ontario Drug Benefit review application. Laura also successfully negotiated an educational clinical institute focused on best practices in wound prevention and treatment with the RNAO\, which is in its 11thyear. \nLaura is currently completing her thesis in the PhD program at McMaster University\, Faculty of Health Sciences\, School of Nursing. Her thesis work involves a cohort study of spinal cord injured persons who have undergone surgical closure for pressure ulcers. This study is funded by the Ontario Neuro-trauma Foundation. URL:https://reltoronto.ca/index.php/lecture/laura-teague-surgical-closure-of-pelvic-pressure-ulcers/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Dr. Jousse Lecture Series,SCRP Best Practice Forum,Season 11 ATTACH;FMTTYPE=image/png:https://reltoronto.ca/wp-content/uploads/Laura-Teague.png END:VEVENT BEGIN:VEVENT DTSTART;VALUE=DATE:20190613 DTEND;VALUE=DATE:20190614 DTSTAMP:20260406T094539 CREATED:20190514T174625Z LAST-MODIFIED:20190514T174625Z UID:1630-1560384000-1560470399@reltoronto.ca SUMMARY:Dr. Laura Teague DESCRIPTION: URL:https://reltoronto.ca/index.php/lecture/dr-laura-teague/ END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20190530T120000 DTEND;TZID=America/New_York:20190530T130000 DTSTAMP:20260406T094539 CREATED:20190514T174453Z LAST-MODIFIED:20190514T181507Z UID:1628-1559217600-1559221200@reltoronto.ca SUMMARY:Dr. Allan Levi - Novel treatment strategies for spinal cord and peripheral nerve injury DESCRIPTION:About the Speaker\nALLAN LEVI currently serves as Chairman of Neurosurgery at the University of Miami (UM) MILLER School. Dr. Levi combines a busy neurosurgical spine and peripheral practice and an active\, complementary clinical and basic translational research program. The department is also home for staff scientists at the Miami Project to Cure Paralysis. Our clinical and research divisions are internationally recognized. Our comprehensive spine service includes the latest surgical technologies such as minimally invasive spine\, robotics and complex spinal reconstructions. The majority of our spinal cord and spine research is powered by the groundbreaking research of our world-renowned scientists and investigators who work within The Miami Project. Our cranial neurosurgeons perform minimally invasive\, endoscopic and skull base approaches to resect both benign and malignant tumors of the brain and collaborate with UHealth Otolaryngologists and Sylvester Comprehensive Cancer Center’s Radiation Oncologists to provide multidisciplinary care. Our top-notch vascular and endovascular colleagues can cure vascular diseases with either open or catheter-based approaches. Finally\, our functional\, neuro–trauma\, peripheral nerve and pediatric services are also major strengths of the program. Our experienced faculty participates in clinical trials\, publishes peer-reviewed articles and operates one of the largest neurosurgical training programs in the country. URL:https://reltoronto.ca/index.php/lecture/dr-allan-levi-novel-treatment-strategies-for-spinal-cord-and-peripheral-nerve-injury/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada ATTACH;FMTTYPE=image/jpeg:https://reltoronto.ca/wp-content/uploads/Dr.-Allan-Levi.jpg END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20190509T120000 DTEND;TZID=America/New_York:20190509T130000 DTSTAMP:20260406T094539 CREATED:20190506T171515Z LAST-MODIFIED:20190506T171515Z UID:1615-1557403200-1557406800@reltoronto.ca SUMMARY:Dr. Arash Arami - Personalized Assistive Robotics: Modelling Human Neuromechanics For Personalization DESCRIPTION:Abstract\nHuman locomotion results from a complex interaction between the central nervous system\, sensory and musculoskeletal systems. The force generated\, reflexes and programmable viscoelasticity of our muscles play an essential role in obtaining a stable and smooth interaction with the environment during locomotion. Devastating neurological conditions such as stroke and spinal cord injury affect millions of individuals annually\, alter their neuromechanical control of motion and impede their mobility. The effect of these conditions on the walking control is not well understood\, but observed to be different across individuals. My goal is to design personalized assistive robotics systems as well as gait training and rehabilitation programs tailored to the altered neuromechanics of each individual to improve their motor function and quality of life. \nThe first part of my presentation describes the techniques I developed for movement analysis based on implantable and wearable sensors\, which can be used for motor assessment and outcome evaluation of assistive devices. I will then present my recent research to identify and model the neuromechanics of healthy and SCI subjects including joint mechanical impedance and spasticity. Finally\, I will describe how these models are used in the design a patient-specific cooperative control of lower limb exoskeletons. \nAbout the Speaker\nArash Arami received his Ph.D. degree from Ecole Polytechnique Fédérale de Lausanne (EPFL)\, Switzerland\, in 2014 in electrical engineering. From 2014 to 2015\, he was a Postdoctoral Researcher at the Laboratory of Movement Analysis and Measurement at EPFL. He was a Research Associate in Human Robotics Group at Imperial College London\, from August 2015 to November 2017. In December 2017\, Arash joined the University of Waterloo as an Assistant Professor. He is with the Department of Mechanical and Mechatronmics Engineering and leads the Neuromechanics and Assistive Robotics Lab. His research has contributed to the design of instrumented orthopedic implants\, biomechanical robotic systems\, wearables and algorithms for kinematic-based monitoring during the activities of daily life\, neuromechanical modelling and cooperative control of lower limb exoskeletons for individuals with neurological conditions such as incomplete spinal cord injury. URL:https://reltoronto.ca/index.php/lecture/dr-arash-arami-personalized-assistive-robotics-modelling-human-neuromechanics-for-personalization/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Season 11 ATTACH;FMTTYPE=image/jpeg:https://reltoronto.ca/wp-content/uploads/Arash-Arami-Headshot.jpg END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20190418T120000 DTEND;TZID=America/New_York:20190418T130000 DTSTAMP:20260406T094539 CREATED:20190408T150124Z LAST-MODIFIED:20190408T150124Z UID:1612-1555588800-1555592400@reltoronto.ca SUMMARY:Heather Baltzer\, Paul Binhammer & Larry Robinson - Improving Function in Patients with Complex Nerve Injuries through Interdisciplinary Surgical and PM&R Clinics DESCRIPTION:Abstract\nObjectives: \n\nDistinguish which patients would be good candidates for surgical interventions\nRecognize surgical options to improve function in our patients\nDevelop EMG skills required of complex clinics\n\nAbout the Speakers\nDr. Larry Robinson is Professor and Department Division Director (DDD) for Physical Medicine and Rehabilitation at the University of Toronto and holds the John and Sally Eaton Chair in Rehabilitation Sciences.  Dr. Robinson is based at Sunnybrook Health Sciences Centre where he serves as Program Chief for Rehabilitation and Program Research Director.  He came to Toronto in 2014 from the University of Washington where he served as Chair of the Department of Rehabilitation Medicine and later as Vice Dean for Clinical Affairs and Post Graduate Medical Education.  Dr. Robinson has published extensively on rehabilitation and electrodiagnosis with >140 publications in the peer-reviewed literature.  He is creator of the Combined Sensory Index (CSI or Robinson Index) and recently was awarded the Lifetime Achievement Award from the American Association of Electrodiagnostic and Neuromuscular Medicine (AANEM).  He is American but is aspiring to be Canadian soon. \nDr. Paul Binhammer graduated from residency in 1992 from Toronto and did head fellowships in France and Salt Lake City.  He returned to Sunnybrook with a practice of hand and wrist surgery and lower extremity reconstruction.  His academic interests are in international education and outcomes in hand surgery. \nDr. Baltzer is the Interim Director of the Toronto Western Hand program. She is a clinician investigator at University Health Network and Krembil Research Institute. After her plastic surgery residency in Toronto\, she went to Mayo Clinic in Rochester\, Minnesota for her Hand\, Wrist and Microsurgery fellowship. She is currently pursuing a post-graduate degree in Health Services Research in the Institute for Health Policy\, Management and Evaluation at the University of Toronto. URL:https://reltoronto.ca/index.php/lecture/heather-baltzer-paul-binhammer-larry-robinson-improving-function-in-patients-with-complex-nerve-injuries-through-interdisciplinary-surgical-and-pmr-clinics/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Season 11 END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20190214T120000 DTEND;TZID=America/New_York:20190214T130000 DTSTAMP:20260406T094539 CREATED:20190212T200038Z LAST-MODIFIED:20190212T200118Z UID:1602-1550145600-1550149200@reltoronto.ca SUMMARY:Dr. Dalton Wolfe\, Stephanie Marrocco & Dr. Deena Lala - Enhanced clinical decision-making for activity-based therapies for persons with SCI DESCRIPTION:Abstract\nThe Parkwood Program for Rehabilitation Innovations in Mobility Enhancement (PRIME) is a multi-faceted initiative undertaken by the Research 2 Practice (R2P) team at Parkwood Institute. The ultimate objective of PRIME is to develop a clinical decision support system that serves as the basis of a health learning system to support therapists in their decision-making associated with different therapeutic activities to enhance mobility in persons with SCI or ABI. The approach involves systematically characterizing\, implementing and documenting therapeutic activities and then examining the relationship of these activities with outcomes. A variety of analytic techniques will be used to examine these relationships. This process involves taking a very participatory approach that incorporates implementation science along with a complementary approach between practice-based research and clinical research methods. The presentation will share the PRIME journey to date and describe some preliminary findings and benefits to participants and the rehabilitation program. \nAbout the Speakers\nDr. Dalton L. Wolfe\, PhD\nDr. Dalton Wolfe is the leader of the R2P (Research 2 Practice) team at Parkwood Institute that integrates clinical and research efforts to improve care and clinical outcomes. His primary research interest is in the area of knowledge mobilization and best practice implementation across rehabilitation and community settings. As part of the Parkwood Rehabilitation Innovations in Mobility Enhancement (PRIME) initiative he is focused on enhancing clinical decision-making to improve locomotor and other movement-related outcomes with more integration of activity-based therapies such as robotic\, manual and FES-assisted therapies. In addition\, Dalton and colleagues are exploring the use of online technologies and patient-reported outcomes to facilitate self-management skills that enable persons with chronic conditions such as SCI and ABI to prevent and better manage secondary complications. \nPosition: Scientist \nOrganization: Parkwood Institute Research\, Lawson Health Research Institute \nEmail: dwolfe@uwo.ca \nPhone: 519-685-4292 ext 42957 \nMs. Stephanie Marrocco\, MSc\nMs. Stephanie Marrocco is a research coordinator with the R2P team at Parkwood Institute. Ms. Marrocco completed a MSc from Western University examining gait laterality in persons with stroke. She has recently begun a PhD and is interested in better understanding rehabilitation processes associated with persons with neurological impairments. In particular\, Stephanie is interested in examining variations in rehabilitation practice patterns and has developed different analysis and visualization approaches to examine research questions within this area. \nPosition: PhD Student / Coordinator \nOrganization: Western University / Parkwood Institute Research\, Lawson Health Research Institute \nEmail: stephanie.marrocco@sjhc.london.on.ca \nPhone: 519-685-4292 ext 42631 \nDr. Deena Lala\, PT\, PhD\nDr. Deena Lala is a postdoctoral fellow with the Research to Practice (R2P) Team and a Physiotherapist in the Rehab Program at Parkwood Institute. She recently completed the combined PhD/MPT program at Western University in August 2018. She was highly involved in the E-Stim Collaboration Project\, where she examined the difficulties of implementing pressure injury best practices like E-Stim for treating pressure ulcers in community dwelling persons with SCI. Currently\, she is working closely in the PRIME initiative with a key interest in examining the feasibility and value of using wearable sensors (developed in Zurich\, Switzerland) by clinicians and patients with spinal cord injury during inpatient and outpatient rehabilitation. \nPosition: Research Fellow / Staff Physiotherapist \nOrganization: Western University / Parkwood Institute\, SJHC \nEmail: deena.lala@sjhc.london.on.ca \nPhone: 519-685-4292 ext 42078 URL:https://reltoronto.ca/index.php/lecture/dr-dalton-wolfe-stephanie-marrocco-dr-deena-lala-enhanced-clinical-decision-making-for-activity-based-therapies-for-persons-with-sci/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Season 11 ATTACH;FMTTYPE=image/png:https://reltoronto.ca/wp-content/uploads/dalton-wolfe-stephanie-marrocco-deena-lala.png END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20190110T120000 DTEND;TZID=America/New_York:20190110T130000 DTSTAMP:20260406T094539 CREATED:20190107T192338Z LAST-MODIFIED:20190107T192338Z UID:1585-1547121600-1547125200@reltoronto.ca SUMMARY:Dr. Anthony Burns and Heather Flett - Determining Pressure Injury Risk Following Spinal Cord Injury DESCRIPTION:Abstract\nPressure injury (PI) is a serious and common complication following spinal cord injury (SCI). The risk of PI begins early after SCI and persists during inpatient rehabilitation and community reintegration. Over a quarter of patients will develop a PI prior to inpatient rehabilitation. During inpatient SCI rehabilitation\, the reported incidence has ranged between 10% and 48%. Individuals who develop PIs during SCI rehabilitation also have poorer rehabilitation outcomes\, longer lengths of stay\, and an increased risk of future PIs. In long-term\, longitudinal studies\, 5.5% to 11% of mortalities have been attributed to infections related to PIs. Unfortunately\, despite medical advances\, ongoing efforts\, and the expenditure of significant resources over the past three decades\, PI incidence in the SCI population has improved little since the late 1970s. The early identification of individuals at risk for PI development will facilitate the immediate implementation of preventative measures\, and help improve clinical efficiency and cost-effectiveness by directing finite clinical resources toward those who truly need them. \nAbout the Authors\nAnthony S. Burns graduated from the Yale University School of Medicine in 1994\, and afterwards completed combined residency training in Internal Medicine and Physical Medicine & Rehabilitation at the Johns Hopkins University\, followed by a SCI fellowship at the University of Alabama at Birmingham. He is a past participant in the Rehabilitation Medicine Scientist Training Program\, funded by the U.S. National Institutes of Health.  From 2000 through 2007\, he was Assistant Professor\, Department of Rehabilitation Medicine\, Thomas Jefferson University\, Philadelphia PA; Assistant Director of the Regional SCI Center of the Delaware Valley; and adjunct Assistant Professor\, Department of Neurobiology and Anatomy\, Drexel University College of Medicine\, Philadelphia PA. Since 2007\, Dr. Burns has held a clinical appointment in the University Health Network – Toronto Rehabilitation Institute Spinal Cord Rehabilitation Program\, the largest program of its kind in Canada. He is also an Associate Professor in the Division of Physiatry\, Department of Medicine\, University of Toronto. His clinical and research interests focus on the clinical management of spinal cord injury and related secondary complications. \n  \nHeather Flett is the Advanced Practice Leader for Spinal Cord Rehabilitation at University Health Network in Toronto.  She has 20 years of experience in the field of spinal cord rehabilitation working as a Physical Therapist for 8 years prior to her current role. In her Advanced Practice Leader role\, Heather supports clinical research integration and leads projects to advance best practices in SCI rehabilitation.  She is a Lecturer in the Department of Physical Therapy at University of Toronto and completed an MSc in the Graduate Department of Rehabilitation Science focusing on walking outcomes following incomplete spinal cord injury.  Heather is the co-lead of the Teach Back SCI PODS initiative and is the Toronto site co-lead of SCI Knowledge Mobilization Network which focuses on best practice implementation in the prevention of secondary complications following SCI. She is also a Toronto site co-investigator for the Rick Hansen Spinal Cord Injury (SCI) Registry and the SCI High projects. URL:https://reltoronto.ca/index.php/lecture/dr-anthony-burns-and-heather-flett-determining-pressure-injury-risk-following-spinal-cord-injury/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada ATTACH;FMTTYPE=image/png:https://reltoronto.ca/wp-content/uploads/heather-flett-and-anthony-burns.png END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20181213T120000 DTEND;TZID=America/New_York:20181213T130000 DTSTAMP:20260406T094539 CREATED:20181126T224610Z LAST-MODIFIED:20181126T224752Z UID:1555-1544702400-1544706000@reltoronto.ca SUMMARY:Jean-François Lemay - Using wearable sensors to document gait stability in individuals with spinal cord injury: preliminary results DESCRIPTION:Abstract\nMost individuals with a motor incomplete spinal cord injury (SCI) will eventually recover the ability to walk. However\, they will also present a higher risk of falling than that of an elderly population. For this reason\, performing an evaluation of balance capability in this population is warranted. Wearable inertial sensors have been successfully used for that purpose in other populations and parameters derived from these devices have utility for identifying fall risk. In this lecture I will present data from a multi-center research project on walking stability as measured by wearable sensors on both SCI and able-bodied individuals. \nAbout the Speaker\nJean-François Lemay is a physical therapist and a clinical professor at the school of rehabilitation of the Université de Montréal. He was a postdoctoral fellow at the Toronto Rehabilitation Institute – Lyndhurst Centre and was supported by a postdoctoral fellowship research grant from the Craig H Nielsen Foundation. He received a B.Sc. in Physical Therapy from McGill University and worked as a clinician for over 15 years of experience as a physical therapist working with a spinal cord injury (SCI) population. He also holds a Master’s degree in Biomedical Sciences and a PhD in Rehabilitation Science from the University of Montreal. His postgraduate studies mainly focused on the evaluation of standing postural control following a spinal cord injury using both clinical and biomechanical assessments. URL:https://reltoronto.ca/index.php/lecture/jean-francois-lemay-using-wearable-sensors-to-document-gait-stability-in-individuals-with-spinal-cord-injury-preliminary-results/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Season 11 ATTACH;FMTTYPE=image/jpeg:https://reltoronto.ca/wp-content/uploads/jean-francois-lemay-e1543272463211.jpg END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20181108T120000 DTEND;TZID=America/New_York:20181108T130000 DTSTAMP:20260406T094539 CREATED:20181105T210041Z LAST-MODIFIED:20181105T214536Z UID:1530-1541678400-1541682000@reltoronto.ca SUMMARY:Matheus Joner Wiest - Traditional electrical stimulation is so 1700s: meet interleaved stimulation DESCRIPTION:About the Speaker\nWith a BSc in Physical Education and a MSc in Human Movement Sciences\, Dr Wiest focused the initial phases of his career on understanding sports biomechanics and human postural control. During his PhD at the University of Alberta\, his main focus moved towards improving the use of neuromuscular electrical stimulation for rehabilitation and training. His current research interests as a postdoctoral fellow at the Toronto Rehabilitation Institute are related to: \n1) Understanding and improving muscle-bone function and health after spinal cord injury\, and \n2) Improving the quality of rehabilitation care for people living with a spinal cord injury. URL:https://reltoronto.ca/index.php/lecture/matheus-joner-wiest/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Season 11 ATTACH;FMTTYPE=image/jpeg:https://reltoronto.ca/wp-content/uploads/Photo-MW.jpg END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20181011T120000 DTEND;TZID=America/New_York:20181011T130000 DTSTAMP:20260406T094539 CREATED:20180928T164049Z LAST-MODIFIED:20180928T164049Z UID:1506-1539259200-1539262800@reltoronto.ca SUMMARY:Dr. Sarah Munce - The SCI&U Story (so far): Developing an online self-management program for people with spinal cord injury DESCRIPTION:About the Speaker\nDr. Sarah Munce\, PhD is a scientist at Toronto Rehab in the LIFEspan Service and an assistant professor (status only) at the University of Toronto in Department of Occupational Science & Occupational Therapy with cross-appointments in the Rehabilitation Sciences Institute and the Institute of Health Policy\, Management & Evaluation. Broadly\, her program of research focuses on developing\, implementing\, and evaluating transitional care programs\, including self-management and peer support programs\, for individuals with neurological conditions. She uses knowledge syntheses and mixed qualitative and quantitative methods to carry out this research. She is the Membership Chair for the Mixed Methods International Research Association. URL:https://reltoronto.ca/index.php/lecture/dr-sarah-munce-the-sciu-story-so-far-developing-an-online-self-management-program-for-people-with-spinal-cord-injury/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Season 11 ATTACH;FMTTYPE=image/png:https://reltoronto.ca/wp-content/uploads/sarah-munce.png END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20180913T120000 DTEND;TZID=America/New_York:20180913T130000 DTSTAMP:20260406T094539 CREATED:20180907T225035Z LAST-MODIFIED:20180907T225035Z UID:1501-1536840000-1536843600@reltoronto.ca SUMMARY:Teresa Valenzano - Respiratory-Swallow Coordination in Spinal Cord Injury DESCRIPTION:Abstract\nRespiratory-swallow coordination is vital for preventing the aspiration of foreign material into the airway. In healthy adults\, respiration ceases during the expiratory phase of breathing for the duration of the swallow. However\, for individuals with respiratory impairments\, these two systems may become discoordinated\, leading to increased risk of aspiration and related negative sequelae. This lecture will present the mechanics of respiratory-swallow coordination and discuss the implications of this discoordination in the spinal cord injury population. \nAbout the Speaker\nTeresa Valenzano is a practicing speech-language pathologist\, with an interest in swallowing function in neurological disorders. She completed her Doctorate of Philosophy from the Rehabilitation Sciences Institute and Master’s of Health Science from the Department of Speech-Language Pathology at the University of Toronto. Her doctoral work research focused on characterizing the physiology of swallowing in those who have experienced a traumatic spinal cord injury\, and investigating the relationship between respiration and swallowing in this population. Teresa currently works for the Interprofessional Practice Based Research program at St. Michael’s Hospital\, helping bridge the gap between research and clinical practice. URL:https://reltoronto.ca/index.php/lecture/teresa-valenzano-respiratory-swallow-coordination-in-spinal-cord-injury/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Season 11 ATTACH;FMTTYPE=image/png:https://reltoronto.ca/wp-content/uploads/Teresa-Valenzano_highres-1_RBedits.png END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20180719T120000 DTEND;TZID=America/New_York:20180719T130000 DTSTAMP:20260406T094539 CREATED:20180705T170055Z LAST-MODIFIED:20180705T180439Z UID:1475-1532001600-1532005200@reltoronto.ca SUMMARY:Anne Bryden - Advanced Assessment of the Upper Limb in Tetraplegia: A Three-Tiered Approach to Characterizing Paralysis DESCRIPTION:Abstract\nBackground:  More than half of all individuals who sustain a spinal cord injury (SCI) experience some degree of impairment in the upper limb. Functional use of the arm and hand is of paramount importance to these individuals. Fortunately\, the number of clinical trials and advanced interventions targeting upper limb function are increasing\, generating optimism for improved recovery and restoration after SCI. New interventions for restoring function and improving recovery require more detailed examination of the motor capacities of the upper limb. Objectives: The purpose of this presentation is to introduce a three-tiered approach to evaluating motor function\, with specific attention to the characteristics of weak and fully paralyzed muscles during acute rehabilitation. The three tiers include (1) evaluation of voluntary strength via manual muscle testing\, (2) evaluation of lower motor neuron integrity in upper motor neuron–paralyzed muscles using surface electrical stimulation\, and (3) evaluation of latent motor responses in paralyzed muscles that exhibit a strong response to electrical stimulation\, using surface electromyographic recording electrodes. These characteristics contribute important information that can be utilized to mitigate potential secondary conditions such as contractures and identify effective interventions such as activity-based interventions or reconstructive procedures. The goal is to encourage frontline clinicians\, occupational and physical therapists who are experts in muscle assessment\, to consider a more in-depth analysis of paralysis after SCI. Conclusion: Given the rapid advancements in SCI research and clinical interventions\, it is critical that methods of evaluation and classification evolve. The success or failure of these interventions may depend on the specific characteristics identified in the three-tiered assessment. Without this assessment\, the physiological starting point for each individual is unknown\, adding significant variability in measuring the outcomes of these interventions. \nAbout the Speaker\nAnne Bryden\, MA\, OTR/L is the Director of Clinical Trials and Research for the Institute for Functional Restoration (IFR) at Case Western Reserve University.  The IFR is a non-profit organization with the mission of translating science and technological research interventions targeted toward spinal cord injury and other paralytic conditions into clinical programs to help people with these conditions.  The IFR is closely affiliated with The Cleveland FES Center. \nAnne received her Bachelor of Science in Occupational Therapy from Cleveland State University in 1991.  She has a Master’s degree in Sociology and is currently a doctoral candidate in Sociology at Case Western Reserve University. Anne has over twenty years of experience specializing in upper extremity care of people with cervical spinal cord injury. Anne leads the functional assessment program for upper extremity neuroprosthetics and reconstructive surgeries at The Cleveland FES Center.  Currently she is responsible for leading the multi-center pivotal clinical trial for the networked neuroprosthesis\, the latest innovation developed at the Cleveland FES Center. Her research interests include upper extremity assessment\, surgical interventions\, outcomes measurement\, and the social determinants of health and wellness in people with chronic physical disability.  Additionally\, she is exploring the experiences of navigating health and social resources following SCI through the lens of human rights\, by measuring barriers and facilitators to obtaining services necessary for quality of life.  She is also conducting research on the human rights knowledge base of health professionals and other stakeholders involved in the care of people with SCI. \nAnne has authored and co-authored several peer-reviewed publications on the topic of spinal cord injury. She is the recipient of the 2015 Neilsen Foundation Allied Health Professional Research Award of the American Spinal Injury Association (ASIA).  Currently Anne is the Chair of the Rehabilitation Standards Committee of ASIA.  Additional professional memberships include The American Occupational Therapy Association\, The American Sociological Association and the International Spinal Cord Society. \n  URL:https://reltoronto.ca/index.php/lecture/anne-bryden-advanced-assessment-of-the-upper-limb-in-tetraplegia-a-three-tiered-approach-to-characterizing-paralysis/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:SCRP Best Practice Forum ATTACH;FMTTYPE=image/jpeg:https://reltoronto.ca/wp-content/uploads/anne-bryden.jpg END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20180412T120000 DTEND;TZID=America/New_York:20180412T130000 DTSTAMP:20260406T094539 CREATED:20180327T143134Z LAST-MODIFIED:20180327T143340Z UID:1405-1523534400-1523538000@reltoronto.ca SUMMARY:Dr. Bastien Moineau - Development of a garment-based technology to deliver functional electrical stimulation after acquired neurological impairment DESCRIPTION:Abstract\nFunctional electrical stimulation (FES) has been used for individuals with spinal cord injury (SCI) to retrain impaired neural circuits and regain compensatory uses of their paralyzed muscles (FES therapy). We believe that the therapeutic impact of these FES treatments could be higher if they were applied routinely and/or during activities of daily living. However\, delivering complex FES therapy in the community is limited by the available equipment. We aim to solve this issue by developing stimulation devices that can be easily used at home\, without professional assistance. We are developing wearable devices\, the stimulation garments\, to deliver FES on multiple predefined muscles without the use of conductive gel. We first compared these fabric electrodes with standard gel electrodes in able bodied individuals\, and are now testing the usability of the FES-shirt with neurologically impaired individuals. We are also conducting focus groups with potential end-users to integrate in future designs the features that would make the stimulation garments more practical and relevant to these populations. I am looking forward to discussing with you our first results and the future direction for research and development. \nAbout the Speaker\nAfter obtaining my physiotherapist diploma in 2010\, I completed my PhD degree at Grenoble-Alpes University in France in 2014\, during which I acquired training in engineering\, data acquisition and computing while working on biomedical application for individuals with lower-limb amputation. Before and after my doctoral training\, I worked as a physiotherapist in a post-acute stroke rehabilitation center\, at the Grenoble-Alpes University Hospital. These initial phases of my career developed my understanding of patients’ challenges and needs when facing impaired motor function. These experiences increased my interest in clinical research\, particularly for evaluation and intervention technology in the neuro-rehabilitation field. I joined the Rehabilitation Engineering Laboratory of Milos Popovic as a post-doctoral fellow in early 2016\, looking forward to applied clinical research leading to delivery of methods and devices that answer patient’s needs. URL:https://reltoronto.ca/index.php/lecture/dr-bastien-moineau-development-of-a-garment-based-technology-to-deliver-functional-electrical-stimulation-after-acquired-neurological-impairment/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Dr. Jousse Lecture Series,Season 11 ATTACH;FMTTYPE=image/jpeg:https://reltoronto.ca/wp-content/uploads/bastien_small-e1522161176287.jpg END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20180308T120000 DTEND;TZID=America/New_York:20180308T130000 DTSTAMP:20260406T094539 CREATED:20180228T214804Z LAST-MODIFIED:20180228T215141Z UID:1371-1520510400-1520514000@reltoronto.ca SUMMARY:Aimee J. Nelson - Changes in the organization of the motor cortex that follow incomplete spinal cord injury; insights for rehabilitative strategies DESCRIPTION:Abstract\nMovement training for improving upper limb control is an essential component of rehabilitation for individuals with spinal cord injury (SCI). Understanding the cortical representation of arm muscles in SCI is fundamental to designing more effective movement training regimes.  In uninjured individuals\, the primary motor cortex (M1) contains overlapping muscle representations\, an organization that reflects muscle synergies. This organizational feature has yet to be studied in SCI yet is considered a key element that defines the coordinated action of multiple muscles during human movement. Using Transcranial magnetic stimulation (TMS)\, we investigated the bilateral representation and overlapping distribution of muscles of the upper limb in chronic cervical SCI and aged-matched controls (n=9\, each group). Muscles studied included the abductor pollicus brevis (APB)\, flexor carpi radialis (FCR) and biceps brachii (BB) and the cortical territory (cm2)\, overlapping territory (cm2) of the target muscles\, and center of gravity were computed. Results indicate a reduction in the cortical territory dedicated to all three muscles in SCI (i.e. reduced complete overlap) compared to uninjured controls.  Further\, SCI had greater cortical territory dedicated to a single or dual muscle representation. These data indicate that overlapping organization is preserved in the motor cortex of SCI\, however\, the overlapping representation does not extend to all three muscles. The implication from these data is that movement training emphasizing synergies that incorporate all three muscles (APB\, FCR\, BB) may promote greater representational overlap (similar to uninjured controls) and provide functional gains in motor control. \nAbout the Speaker\nAimee J. Nelson (PhD) is Associate Professor in the Department of Kinesiology at McMaster University and a Canada Research Chair (Tier 2) in Sensorimotor control.   Her research laboratory investigates neural plasticity within sensorimotor spinal and motor cortical circuits for the ultimate purpose of improving human movement in individuals with neurological injury and/or disease. Her neurophysiology and neuroimaging research aims to understand the neural mechanisms that underpin plasticity-inducing interventions including non-invasive brain stimulation and exercise. URL:https://reltoronto.ca/index.php/lecture/aimee-j-nelson-changes-in-the-organization-of-the-motor-cortex-that-follow-incomplete-spinal-cord-injury-insights-for-rehabilitative-strategies/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Season 11 ATTACH;FMTTYPE=image/jpeg:https://reltoronto.ca/wp-content/uploads/Nelson-1-e1519854639348.jpg END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20180111T120000 DTEND;TZID=America/New_York:20180111T130000 DTSTAMP:20260406T094539 CREATED:20180104T171620Z LAST-MODIFIED:20180104T171620Z UID:1314-1515672000-1515675600@reltoronto.ca SUMMARY:Brian Chan - Mo’ money\, mo’ problems: economic analyses in spinal cord injury DESCRIPTION:Abstract\nIn a financially constraint health care environment\, economic analyses are becoming increasingly important to health care administrators and decision-makers.  Unfortunately\, the concepts\, methods and application of health economics are not clearly understood by most clinicians and scientists.  In this lecture\, I will present a high level overview of economic evaluations in health care\, explore the landscape of economic analyses in spinal cord injury and highlight ongoing and future research in this area by the Neural Engineering and Therapeutics team at Toronto Rehab Institute. \nAbout the Speaker\nBrian Chan is a Post-doctoral Fellow with the Neural Engineering and Therapeutics Team at Toronto Rehabilitation Institute.  He received his Doctorate of Philosophy from the Department of Pharmaceutical Sciences and Bachelor and Masters of Science degrees from the Department of Pharmacology at the University of Toronto.   His Doctoral work examined the “Economic burden of chronic ulcers”. Brian’s research interests are in economic analyses of spinal cord injury.  His strengths are in decision modelling\, developing cost-of-illness studies and economic evaluations using administrative health care data and translating economic evidence to stakeholders. Brian is currently co- supervised by Dr Cathy Craven and Dr Walter Wodchis. URL:https://reltoronto.ca/index.php/lecture/brian-chan-mo-money-mo-problems-economic-analyses-in-spinal-cord-injury/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Season 11 ATTACH;FMTTYPE=image/jpeg:https://reltoronto.ca/wp-content/uploads/Brian-Chan-e1515086305132.jpg END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20171207T120000 DTEND;TZID=America/New_York:20171207T130000 DTSTAMP:20260406T094539 CREATED:20171127T162733Z LAST-MODIFIED:20171128T014032Z UID:1254-1512648000-1512651600@reltoronto.ca SUMMARY:Andres Lozano - A proposal to treat patients with spinal cord injury by stimulating locomotor areas in the brainstem DESCRIPTION:Abstract\nDisturbances in gait function are characteristic of a number of disorders including Parkinson’s disease and spinal cord injury. The introduction of Deep Brain Stimulation (DBS) has allowed  its examination for its possible role in facilitating gait in patients with gait impairment. We have implanted the brainstem locomotor area in patients with Parkinson’s disease and applied deep brain stimulation to improve certain aspects of gait. There is compelling animal data that the same approach could also be of use in spinal cord injury. The  seminar will  examine the possibility of deep brain stimulation in brainstem locomotor areas to help gait in patients who have had spinal cord injury. \nAbout the Speaker\nDr. Lozano received his MD degree at the University of Ottawa and his neurosurgical training and PhD degree in Neurobiology at McGill. He received post-doctoral training in movement disorders at Queens Square\, London\, UK and in cell and molecular biology in Toronto. He is the Professor and Chairman of Neurosurgery at the University of Toronto  and holds both the RR Tasker Chair in Functional Neurosurgery at the University of Toronto and the Toronto Western Hospital and a Tier 1 Canada Research Chair in Neuroscience.  He has an active laboratory dedicated to the study of neuronal degeneration and regeneration and Functional Neurosurgery. \nDr. Lozano has over 500 publications\, serves on the board of several international organizations and is a founding member of the scientific advisory board of the Michael J. Fox Foundation. He is the most cited neurosurgeon in the world according to Thompson Reuters.  He has received a number of awards including the Olivecrona Medal and the Pioneer in Medicine award\, has been elected a Fellow of the Royal Society of Canada and the Canadian Academy of Health Sciences\, has received the Order of Spain\, has been recognized as an Officer of the Order of Canada. \nHe is best known for his work in Deep Brain Stimulation (DBS). He has been involved in training over one hundred physicians from throughout the world\, with the hope that this will mean better access for patients to neurosurgical treatments to alleviate some of the debilitating effects of Neurological and Psychiatric disorders. URL:https://reltoronto.ca/index.php/lecture/andres-lozano-a-proposal-to-treat-patients-with-spinal-cord-injury-by-stimulating-locomotor-areas-in-the-brainstem/ LOCATION:Lyndhurst Center – Room B10\, 520 Sutherland Drive\, Room B10\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Season 11 ATTACH;FMTTYPE=image/jpeg:https://reltoronto.ca/wp-content/uploads/Lazano.jpg END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20171123T120000 DTEND;TZID=America/New_York:20171123T130000 DTSTAMP:20260406T094539 CREATED:20171115T182649Z LAST-MODIFIED:20171127T161652Z UID:1248-1511438400-1511442000@reltoronto.ca SUMMARY:Dr. Sivakumar Gulasingam - Classification in Para Sports DESCRIPTION:Talk Objectives:\n\nCurrent status of Para Sports\nIntroduction to Para Sports Classification\nConceptual Framework for Classification\nInternational Standards for Classification\nClassificatoin Pathway – Athlete and Classifier\nNational and International Opportunities\nKnowledge Translation and Clinical Interaction\n\nAbout the Speaker:\nDr. Sivakumar Gulasingam is a physiatrist attached to Toronto Rehabilitation Institute’s Brain & Spinal Cord Program\, Cardiovascular Prevention & Rehabilitation Program and the LTLD Program at Bickle Centre. He is a Clinician Teacher and an Assistant Professor in the Department of Medicine\, University of Toronto with expertise in Para Sports and Spinal Cord Injury. In the field of sports & sports medicine he have provided coverage at many national & international events including Korean Wheelchair Marathon\, FESPIC Games\, Commonwealth Games\, Skate Canada\, Panam & Para Panam Games and Invictus Games in addition to his ongoing involvement with Canadian wheelchair sports teams. He is a National Trainer & Para Athletics Classifier with Athletics Canada\, Head of Classification for Para Dance Sport Canada\, International Paralympic Committee Classifier for World Para Athletics and World Para Dance Sports. More recently\, he was responsible for the development of first ever classification system for the Invictus Games (2017) in his role as the Classification Director and Head of Multisport Classification. URL:https://reltoronto.ca/index.php/lecture/dr-sivakumar-gulasingam-classification-in-para-sports/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada ATTACH;FMTTYPE=image/jpeg:https://reltoronto.ca/wp-content/uploads/Sivakumar-Gulasingam.jpg END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20171012T120000 DTEND;TZID=America/New_York:20171012T130000 DTSTAMP:20260406T094539 CREATED:20170927T110810Z LAST-MODIFIED:20170927T110810Z UID:1186-1507809600-1507813200@reltoronto.ca SUMMARY:Susan Jaglal : Development and Validation of an Algorithm to Identify Cases of Non-traumatic Spinal Cord Injury Using Health Administrative Databases DESCRIPTION:Abstract:\nIn a number of developed countries the incidence of non-traumatic spinal cord disorder (NTSCD) is reported to be greater than that for traumatic spinal cord injury (tSCI). Over the next twenty years\, with the aging of the world’s population\, it is expected that the higher incidence of non-traumatic spinal cord disorders compared to tSCI will become the norm in most countries. This will pose increased and unique demands on healthcare systems worldwide. To date\, researchers and healthcare providers know little about the growth and demographics of non-traumatic spinal cord disorders. Without such information\, policy-makers and healthcare providers are unable to make informed decisions about the resources and treatments necessary to care for this population in a cost-effective\, timely and evidence-based manner. The purpose of this presentation is to describe the development\, findings and validation of an algorithm to identify patients with NTSCD\, in Canada\, using health administrative data. \nAbout the Speaker:\nDr. Jaglal holds the Toronto Rehabilitation Institute Chair at the University of Toronto where she is Associate Academic Director of Research. She is the Vice-Chair Research and Professor in the Department of Physical Therapy with cross-appointments in the Rehabilitation Sciences Institute and the Institute for Health Policy\, Management and Evaluation and a Senior Scientist at the Institute for Clinical Evaluative Sciences.  Dr. Jaglal has published and lectured widely in her areas of research\, which include spinal cord injury and rehabilitation health services and osteoporosis and hip fracture with emphasis on utilization\, appropriateness\, self-management and knowledge transfer.  She holds a PhD in Epidemiology from the University of Toronto. URL:https://reltoronto.ca/index.php/lecture/susan-jaglal-development-and-validation-of-an-algorithm-to-identify-cases-of-non-traumatic-spinal-cord-injury-using-health-administrative-databases/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Season 11 ATTACH;FMTTYPE=image/jpeg:https://reltoronto.ca/wp-content/uploads/Jaglal-Bio.jpg END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20170919T120000 DTEND;TZID=America/New_York:20170919T130000 DTSTAMP:20260406T094539 CREATED:20170829T213247Z LAST-MODIFIED:20170917T203440Z UID:1002-1505822400-1505826000@reltoronto.ca SUMMARY:Dr. Thomas Janssen - Activating paralyzed muscle: necessary for optimal health? DESCRIPTION:Abstract\nIndividuals with a spinal cord injury (SCI) are commonly restricted to perform upper-body exercise\, which\, although beneficial in many ways\, does not necessarily lead to optimal health. Inactivity of the paralyzed muscles can lead to many secondary medical complications\, such as pressure sores\, poor wound healing\, and obesity. Activating paralyzed muscles using electrical stimulation (ES) might therefore be an essential additional tool to maintain optimal health in individuals with SCI. In this presentation\, different ES-induced exercise and activity forms will be described and it will be discussed how they can contribute to promoting health and fitness and  play a role during and after rehabilitation and/or (recreational) sport performance. \nAbout the Speaker –\nIn 1988\, Thomas Janssen received his master’s degree in exercise physiology and functional anatomy from the Faculty of Human Movement Sciences\, VU University in Amsterdam. In 1994\, he received a PhD degree in Human Movement Sciences on Physical Strain and Physical Capacity of Men with Spinal Cord Injuries. Between 1994 and 1998 he was a visiting scientist at and associate director of the Institute for Rehabilitation Research and Medicine\, Wright State University School of Medicine in Dayton\, Ohio\, USA. Upon returning to the Netherlands\, he took an assistant professorship at the VU University\, performing rehabilitation research and teaching classes on exercise physiology and rehabilitation. At the same time\, he started working as research coordinator of the Rehabilitation Center Amsterdam (current name: Reade). His main research interest lies in the field of exercise physiology and biomechanics applied to rehabilitation and exercise. Most profound research subjects are physical capacity\, activity and health of wheelchair users with a spinal cord injury\, electrical stimulation therapy of paralyzed muscles\, and disability sports. Since 2008 he is professor in rehabilitation research at the VU University. He is currently chair of the Amsterdam Rehabilitation Research Center | Reade\, scientifically responsible for the Center for Adapted Sports Amsterdam\, and member of the steering group of the European Research Group in Disability Sports. He has (co-)authored over 140 publications on topics such as exercise and rehabilitation after spinal cord injury. URL:https://reltoronto.ca/index.php/lecture/activating-paralyzed-muscle-necessary-for-optimal-health/ LOCATION:Toronto Rehab University Center – Basement Lecture Theatre\, 550 University Avenue\, Toronto\, Ontario\, M5G2A2\, Canada CATEGORIES:Season 11 ATTACH;FMTTYPE=image/png:https://reltoronto.ca/wp-content/uploads/Thomas-Janssen.png END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20170914T120000 DTEND;TZID=America/New_York:20170914T130000 DTSTAMP:20260406T094539 CREATED:20170829T215142Z LAST-MODIFIED:20170906T135739Z UID:1009-1505390400-1505394000@reltoronto.ca SUMMARY:Dr. Sukhvinder Kalsi-Ryan - Spontaneous Recovery and Opportunities for Neuro-Restoration DESCRIPTION:Abstract\nAs the demographic and profile of the traumatic spinal cord injury (SCI) population changes\, the approaches to treat the altering presentation of this disease must also evolve. The field in the past 15 years has observed among other factors that: almost 2/3 of all SCI are cervical; the prevalence of incomplete injuries has increased to almost 60%; and the mean age of the population at time of injury is increasing. Declined upper limb (UL) (arm and hand) function is one of the most devastating consequences of cervical SCI (tetraplegia) and it has been shown to be the priority of recovery for this sub-group. Both subtle and significant improvements in UL function can lead to increased independence in daily activities\, improving independence and quality of life.\nResearchers in the rehabilitation field have developed a number of upper limb interventions that can enhance independence\, function and restore neurological deficit. Over the last three decades\, various interventions such as: functional electrical stimulation\, exercise\, practice and training coupled with peripheral nerve stimulation and activity based restorative therapy\, have evolved in an attempt to improve UL function in individuals with SCI.\nDespite the efforts and discovery of new concepts and interventions\, widespread uptake and translation remain limited for a number of reasons: 1) Incidence of SCI is low\, meaning that studies are often-underpowered\, and multi-site studies are needed to conduct randomized controlled trials with even modest sample sizes; 2) development is funded\, however uptake and translation methods are not well thought out or funded. As a result\, methods found to be promising in initial studies do not always receive the follow-up work needed to refine and deploy them.\nThus\, an algorithm to facilitate clinical decision making and progression for uptake from an already existing body of knowledge was defined on three principles: 1) Recovery profiles of the upper limb post SCI; 2) Scoping of current practices in UL rehabilitation; 3) Established neuro-musculoskeletal restorative approaches; and 4) Knowledge translation and implementation strategies needed for uptake.\nThis talk will consider and review existing knowledge regarding recovery and innovation as well as define some of the gaps in and effort to establish a process to create concepts for improved uptake and KT of neuro-restorative techniques. \nAbout the Speaker\nDr. Kalsi-Ryan gained her Bachelor of Science in Physical Therapy from the Department of Physical Therapy at the University of Toronto (UofT) in 1995. She has worked in a clinical capacity with many neurological populations through the acute and sub-acute phases of recovery. For the last 15 years she has worked specifically with the spinal population at the Toronto Western Hospital in the Krembil Neuroscience Program. She is a Licensed Physical Therapist who has been involved in the rehabilitation care of both ambulatory and non-ambulatory patients. In addition to her clinical work she gained a Master’s degree from the Graduate Department of Rehabilitation Science (GDRS) at UofT in 2006 where she studied her interest of upper limb recovery through the development of the Tetraplegia Hand Measure. Sukhvinder was awarded her PhD in 2011\, again from GDRS at UofT. Her PhD work consisted of leading the GRASSP project; an international collaboration of six researchers who developed an upper limb measure that targets quantification of impairment post cervical SCI. She established the psychometric properties of the GRASSP along with the utility of the GRASSP in the current field. Sukhvinder continues research as a Post Doctoral Fellow at the Toronto Western Hospital\, where she continues to develop the GRASSP measure (www.sci-grassp.org)\, and study upper limb recovery in the traumatic and non traumatic SCI population. Dr. Kalsi-Ryan continues to work on a number of clinical studies: she is currently leading the GRASSP Longitudinal Study and developing an objective measurement protocol specific for Cervical Spondylotic Myelopathy. In addition she currently works within the Neurorecovery Network and the North American Clinical Trials Network. She is a member of the Canadian Physiotherapy Association\, North American Spine Society and AO Spine. Future plans for Dr. Kalsi-Ryan include moving into a clinician scientist role\, that will service both the rehabilitation and neurosurgery departments URL:https://reltoronto.ca/index.php/lecture/dr-sukhvinder-kalsi-ryan/ LOCATION:Lyndhurst Center – Lecture Rooms A & B\, 520 Sutherland Drive\, Toronto\, Ontario\, M4G3V9\, Canada CATEGORIES:Season 11 ATTACH;FMTTYPE=image/jpeg:https://reltoronto.ca/wp-content/uploads/SUKHVINDER-KALSI-RYAN-RT0151-e1503505529968.jpg END:VEVENT END:VCALENDAR