R2W0EE2HE2AKB FINAL PROGRAM E-BOOK 25-29 JULY, 2022 www.rehabweek.org ROTTERDAM, THE NETHERLANDS
R2W0EE2HE2AKB Table of Contents Welcome Letter ............................................................... Committees ..................................................................... General Information ........................................................ Sponsors & Exhibitors ..................................................... Exhibition Floorplan ........................................................ Scientific Program ............................................................ Keynote Speakers ............................................................ Workshop Schedule ........................................................ Workshops ....................................................................... List of Poster Presentations ............................................. List of Poster Fast Forward Presentations ........................ Poster Presentation and RehabWeek Poster Award ........ Company Profiles............................................................. 2
R2W0EE2HE2AKB Welcome to the RehabWeek 2022 Dear Friends and Colleagues, In the name of the International Consortium on Rehabilitation Technology (ICRT) and the local organizers, it is our great pleasure to invite you to RehabWeek 2022, from July 25th to 29th in the beautiful city of Rotterdam, the Netherlands. Rotterdam’s story, the bombardment and reconstruction led to a particularly strong drive to innovate among the locals, making it the perfect place for the RehabWeek community to meet! Along with our partners Rotterdam Ahoy, Rotterdam Tourism and Kenes Group, TUDelft & ErasmusMC as the hosting institutions would like to extend our very warm welcome to the rehabilitation technology world. RehabWeek is a well-established and highly reputable biennial conference. In 2019, six societies and more than 1,400 delegates from all over the world joined us in Toronto for the 4th RehabWeek. This time, we are proud to announce that 8 reputable societies have already agreed to be part of RehabWeek 2022. These societies are: •I nternational Consortium on Rehabilitation Robotics (ICORR) • International Functional Electrical Stimulation Society (IFESS) • International Industry Society in Advanced Rehabilitation Technology (IISART) • International Society for Virtual Rehabilitation (ISVR) • Netherlands Society of Rehabilitation Medicine (NSRM) •D utch Chapter of the International Society for Prosthetics and Orthotics (ISPO-NL) • Masterclass in Neurotechnology (MiNT) • American Society of Rehabilitation Medicine (ACRM) In addition to this, several societies that were involved in RehabWeek in the past, have expressed their interest to remain connected with us by organizing certain sub-events or sessions of the conference. We are thrilled about this interest and warmly welcome those societies and their members. RESC (The Competence Centre for Rehabilitation Engineering and Science (RESC) at ETH Zurich) joins the RehabWeek 2022 as a partner presenting a panel discussion on financial models for innovative assistive technology We are very much looking forward to (physically) welcoming you to Rotterdam! We can’t wait to exchange our knowledge and thoughts on rehabilitation technology face to face, and to enjoy some social un-distancing and a couple of beers! Let’s make it happen in Rotterdam! Kind regards, For the RehabWeek Steering Committee Prof. Dr. J. Harlaar Prof. Dr. GM Ribbers Dr. Thierry Keller Co-Chair RehabWeek 2022 Co-Chair RehabWeek 2022 Chair ICRT 3
R2W0EE2HE2AKB RehabWeek Steering Committee RehabWeek General Chairs: Jaap Harlaar, Gerard M. Ribbers RehabWeek Co-Chair: John Morris, Pamela Roberts, Rachel Proffitt(representing ACRM) RehabWeek Co-Chair: Herman van der Kooij (representing ICORR) RehabWeek Co-Chair: Thomas Janssen (representing IFESS) RehabWeek Co-Chair: Martina Spiess (representing INRS) RehabWeek Co-Chair: Hans Rietman (representing NSRM), Erik Prinsen (representing ISPO-NL) RehabWeek Co-Chair: W. Geoffrey Wright (Lead), Wendy Powell (representing ISVR) RehabWeek Co-Chair: Alison Watt (representing MiNT) ICORR 2022 Committee Chair • Herman van der Kooij, University of Twente, Enschede, The Netherlands Program Co-Chairs • Herman van der Kooij, University of Twente, Enschede, The Netherlands • Robert Riener, ETH Zurich & University Hospital Balgrist, Switzerland • Rui Lourerio, University College London, UK Associate Editors Conference Activities Committee • Arash Arami • Sunil K. Agrawal, Columbia University, USA • S. Farokh Atashzar • Farshid Amirabdollahian, University of Hertfordshire, UK • Mohamed Bouri • Wei Tech Ang, Nanyang Technological University, Singapore • Claudio Castellini • Roger Gassert, ETH Zurich, Switzerland • Domenico Chiaradia • William Harwin, University of Reading, UK • Antonio Frisoli • Ann-Marie Hughes, University of Southampton, UK • Tommaso Lenzi • Just Herder, TU Delft, The Netherlands • Vesna Novak • Ohnishi Kengo, Tokyo Denki University, Japan • Patrick M. Pilarski • Lorenzo Masia, Heidelberg University, Germany • Massimo Sartori • Theodore Milner, McGil University, Canada • James Sulzer • Kiyoshi Nagai, Ritsumeikan University, Japan • Ana Luisa Trejos • James Patton, University of Illinois, USA • Barkan Ugurlu • Robert Riener, ETH Zurich & University Hospital Balgrist, Switzerland • Ramazan Unal • Loureiro Rui, University College London, UK • Edwin Van Asseldonk • Dimitar Stefanov, Coventry University, UK • Vineet Vashista • Machiel Van der Loos, University of British Columbia, Canada • Damiano Zanotto • Dhaher Yasin, Northwestern University, USA • Richard Weir, University of Colorado Denver, USA 4
R2W0EE2HE2AKB IFESS 2022 Committee Chair Thomas Janssen, Amsterdam, Netherlands Program Committee • Christine Azevedo-Coste, Montpellier, France • Ines Bersch, Nottwil, Switzerland • Glen Davis, Sydney, Australia • Simona Ferrante, Milano, Italy • Thomas Janssen, Amsterdam, Netherlands • Jonathan Jarvis, Liverpool, United Kingdom • Thierry Keller, San Sebastián, Spain • Cesar Marquez-Chin, Toronto, Canada • Winfried Mayr, Vienna, Austria • Matija Milosevic, Osaka, Japan • Erika G. Spaich, Aalborg, Denmark • Tamsyn Street, Salisbury, United Kingdom • Ken Yoshida, Indianapolis, United States INRS 2022 Committee Chair • Martina Spiess Members • Iris Jakob • Thierry Keller • Sandra Lee • Jose Lopez Sanchez • Joan Lobo • Katlin Kraemer • Rachael Adams • Julia Vas • Angélique Ba • Rohit Varghese 5
R2W0EE2HE2AKB ISVR 2022 Committee Chairs • W. Geoffrey Wright (Lead) • Wendy Powell Scientific Program Committee • Sandeep Subramanian (Lead) • Marika Demer • Tal Krasovsky • Gerald Fluet Proceedings Committee • Teresa Paulino • Iris Brunner Special Issues Committee • Danielle Levac Workshop Committee • Anouk Lamontange • Danielle Levac • Mindy Levin ACRM 2022 Committee Chairs • John Morris • Pamela Roberts • Rachel Proffitt Program Committee: • Evie Thompson • Rebecca Wain Contributers • Jon Lindberg • Dawn Rowe 6
R2W0EE2HE2AKB NSRM 2022 Committee Chair • Hans Rietman Members • Jorit Meesters • Hans Bussman • Robert Pangalila MiNT 2022 Committee Chair • Alison Watt Program Co-Chair • Helen Hobbs Program Committee • Amy Dennis-Jones • Laura Marriott Conference Activities Committee • Kirsti Pretty • Contributors • Chrissy Bibby • Rachael Edwards 7
R2W0EE2HE2AKB General Information Venue Rotterdam Ahoy, Rotterdam, The Netherlands Address: Ahoyweg 10, 3084 BA Rotterdam, Netherlands Climate The average minimum temperature (usually the minimum temperature is noted during the night) in Rotterdam in July is 12.0°C (53.6°F). The amount of rain in July is normal with an average of 67mm (2.6in). This month generally has very pleasant temperatures. The average maximum temperature lies around 21.0°C (69.8°F). If you enjoy looking at a blue sky and like sunbathing than this month is a great period to visit Rotterdam. It has 197 hours of sun. Monthly Averages 12.0 0C Precipitation 67.0mm Min Temperature 12.0 0C Rainy Days 13 Max Temperature 43,3% Sunshine Hours 197 Chance of Rain Clothing The dress code for RehabWeek 2022 is business casual for all occasions unless stated otherwise. Congress Organiser Office : Kenes M+ Phone : +90 212 299 99 84 Fax : +90 212 299 99 77 E-Mail : Veysel Guzel, Project Manager, [email protected] 8
R2W0EE2HE2AKB General Information Currency People pay in Rotterdam with the Euro like within most other European countries. Notes are in denominations of €500, 200, 100, 50, 20, 10 and 5. Coins are in denominations of €2 and 1, and 50, 20, 10, 5, 2 and 1 cents. Please note that most shops round the amount you have to pay till 5 cents, which means the 1 and 2 cent coins are hardly used. So don’t get surprised when you don’t get 1 or 2 cent change when you pay. You can find cash machines at almost every corner of the street as well as at most stations. You can get your bankcard to get cash from these machines. During the weekend there can be long queues for the cash machines in the shopping areas, so it makes sense to get some cash at home before travelling to Rotterdam. You can use your bankcard to pay in shops as well; it’s the most used payment method. In the bigger shops and in almost all restaurants the major creditcards are accepted as well. Most small shops and supermarkets don’t accept creditcards however. Visa and Mastercard are more generally accepted than American Express. You can exchange money at the bank offices or at the GWK exchange offices, which you can find at Rotterdam Central station. Hotels tend to charge high commissions but do exchange money as well. Electricity In the Netherlands (Holland) the power plugs and sockets are of type C and F. The standard voltage is 230 V and the standard frequency is 50 Hz. Power plug adapter needed in the Netherlands (Holland)? In the Netherlands (Holland) the power plugs and sockets are of type C and F. Check out the following pictures. When living in the United Kingdom you need a power plug adapter for sockets type C and F. Your appliances with plug G don’t fit socket C or F. Language The official language of the congress is English. Liability Upon registration, participants agree that neither the Organizing Committee nor the Congress Secretariat assume any liability. Participants should, therefore, organize their own health and travel insurance 9
R2W0EE2HE2AKB Sponsors and Exhibitors Platinum Sponsors Industry Workshop Organizers Exhibitors Poster Awards Sponsors 10
R2W0EE2HE2AKB Exhibition Floorplan16 333 17 16 Client Kenes International Duration 25/07/2022 - 29/07/2022 Exhibition Rehabweek 2022 Location Ahoy Rotterdam 37 35 34 32 29 28 2 33 31 10 12 27 POSTER AREA 9 26 Co ee Area 25 1 24 4 6 8 16 21 22 23 Company Name Booth Nr. Company Name Booth Nr. ACRM 24 Fourier Intelligence` 1 ISPO-NL 25 NSRM 26 Tyromotion GmbH 2 MiNT 27 HUR Prodromus S.A. 4 B-TEMIA EUROPE B.V. 28-29 RESC 31 Healing Innovations, Inc. 6 Restorative Therapies, Inc 32 Lode B.v. 33 Statism 8 Auxivo Ag 34 THERA-Trainer by medica 35 Bioservo Technologies Ab 9 Medizintechnik GmbH 37 ABLE Human Motion, S.L. 10 Aretech 12 RECK Technik GmbH & Co.KG 16 ISVR 21 ICORR 22 IISART 23 11
R2W0EE2HE2AKB Important to know • Refreshments: Lunch and break refreshments are included in the registration fee. They will be provided during the breaks in the exhibition hall (Rotterdam Hall on the 3rd floor) • Water is available all day. • Access to presentations: Please keep your badge visible while entering the room of the session. • Cloakroom: A cloakroom is available on the ground floor. • WLAN: Wireless internet access is provided for free within the building. Access information can be found at the registration desks. • The exhibitor badges include; coffee breaks and lunches to be served during the congress program and access to the Welcome Cocktail. An Exhibitor Badge entitles the holder to admittance into the Exhibition Halls only 12
R2W0EE2HE2AKB Scientific Program TUESDAY, JULY 26, 2022 Hours / Halls RTM Stage (Ground Level) 09:00 - 11:00 Welcome Address (09:00 - 09:30) Keynote Lecture 1 (09:30 - 10:15) Chair: Herman van der Kooij Speaker: Dario Farina Poster Fast Forward (10:15 - 11:00) 11:00 - 11:45 COFFEE BREAK / POSTER VIEWING / EXHIBITION Hours / Halls RTM Stage (Ground Level) S01 Exoskeletons 11:45 - 13:15 Chairs: Mohamed Bouri & Georg Rauter O-013 Assistive Powered Hip Exoskeleton Improves Self-Selected Walking Speed in One Individual with Hemiparesis: A Case Study, Dante Archangeli O-022 Design and Feasibility of the T-GRIP Thumb Exoskeleton to Support the Lateral Pinch Grasp of Spinal Cord Injury Patients, Claudia J.W. Haarman O-041 The effect of limited sensory information on exoskeleton performance in people with complete spinal cord injury, Eline Zwijgers O-102 Design of Spiral-Cable Forearm Exoskeleton to Assist Supination for Hemiparetic Stroke Subjects, Ava Chen O-014 Knee Exoskeleton Reduces Muscle Effort and Improves Balance During Sit-to-Stand Transitions After Stroke: A Case Study, Sergei Sarkisian O-050 Stair Recognition for Robotic Exoskeleton Control using Computer Vision and Deep Learning, Andrew Garrett Kurbis Hours / Halls PORT 1A (Level 3) 11:45 - 13:15 S02 JOINT SESSION MINT-IISART: Overview of the Rehabilitation Technology Education Landscape – How Can We Join Efforts? Chairs: Martina Spiess & Alison Watt MiNT represented by Alison Watt ACRM represented by Deborah Backus and John Morris ER2 school represented by Alessandro Giustini Motus Academy represented by Robert Riener IISART represented by José López Sánchez International Master in RehabTech by Politechnico di Milano represented by Alessandra Pedrocchi Hours / Halls PORT 1B (Level 3) 11:45 - 13:15 S03 11:45 - 12:30 Keynote Lecture Neuromodulation and Neuroplasticity Moderated by Electrical Stimulation Chairs: Thomas Janssen & Simona Ferrante Speakers: Milos Popovic & Matija Milosevic 12:40 - 13:15 IFESS Fast Forward poster pitches ICORR INRS IFESS ACRM ISPO-NL & NSRM ISVR MINT 13
R2W0EE2HE2AKB Scientific Program TUESDAY, JULY 26, 2022 Hours / Halls DOCK 14 (Level 2) 11:45 - 13:15 S04 Big Data Integrating Data and Metrics into Clinical Practice, Pamela Roberts & Jeffrey Wertheimer Association of functional recovery with occupational therapy time and content for inpatient adults with acquired brain injury using electronic health record (EHR) data, Alison Cogan & Pamela Roberts Rehabilitation Service Intensity in Home Health and Impact on Health Outcomes, Chih-Ying Li (Cynthia Lee) Hours / Halls DOCK 13 (Level 2) 11:45 - 13:15 S05 Blended Rehabilitation: Challenges in Integrating eHealth in Rehabilitation Care Overview by means of the CEHRES-roadmap in co-creation in iterative development, implementation and evaluation, Jorit Meesters Challenges in Development in Co-creation, Christiane Grünloh Challenges in Implementation, Klaasjan van Haastrecht Challenges in Evaluation, Stephanie Jansen – Kosterink Hours / Halls DOCK 15 (Level 2) 11:45 - 13:15 S06 Virtual Reality for Cognition and Attention – 1 Chair: Phillipe Archambault Podium Presentations (11:45-12:15) BrightGo System for Remote Cognitive Therapy, Grigore Burdea Visual Attention in Virtual Reality: Comparing Visual Feedback and Competition in A Virtual Cycling Environment (VCYCLE-Competition), John Palmieri Guest speaker from VR4Rehab (12:20-13:15) Speaker: René Luigies Hours / Halls DOCK 16 (Level 2) 11:45 - 13:15 S02 JOINT SESSION MINT-IISART: Overview of the Rehabilitation Technology Education Landscape – How Can We Join Efforts? Chairs: Martina Spiess & Alison Watt MiNT represented by Alison Watt ACRM represented by Deborah Backus and John Morris ER2 school represented by Alessandro Giustini Motus Academy represented by Robert Riener IISART represented by José López Sánchez International Master in RehabTech by Politechnico di Milano represented by Alessandra Pedrocchi 13:15 - 14:45 LUNCH / POSTER VIEWING / EXHIBITION Hours / Halls RTM Stage (Ground Level) 14:45 - 16:15 Keynote Lecture 2 (14:45 - 15:30) Chair: Gerard Ribbers Speaker: Corry van der Sluis Poster Fast Forward (15:30 - 16:15) ICORR INRS IFESS ACRM ISPO-NL & NSRM ISVR MINT 14
R2W0EE2HE2AKB Scientific Program TUESDAY, JULY 26, 2022 16:15 - 17:00 COFFEE BREAK / POSTER VIEWING / EXHIBITION Hours / Halls RTM Stage (Ground Level) 17:00 - 18:30 S07 Human-Machine Interfaces Chairs: Lorenzo Masia & Claudio Castellini O-019 Comparing the Usability of Alternative EEG Devices to Traditional Electrode Caps for SSVEP- BCI Controlled Assistive Robots, Ana Sofia Santos Cardoso O-040 An Analysis of Intention Detection Strategies to Control Advanced Assistive Technologies at the CYBATHLON, Jessica Gantenbein O-051 Characterizing Sensory Thresholds and Intensity Sensitivity of Regenerative Peripheral Nerve Interfaces: A Case Study, Michael Gonzalez O-068 Evaluation of Multi-Layer Perceptron Neural Networks in Predicting Ankle Dorsiflexion in Healthy Adults Using Movement-Related Cortical Potentials for BCI-Neurofeedback Applications, Ahad Behboodi O-072 Scalp-Targeted Haptic Proprioception for Upper-Limb Prosthetics, Michael D. Naish O-107 Control Interface Remapping for Bias-Aware Assistive Teleoperation, Andrew Thompson Hours / Halls PORT 1A (Level 3) 17:00 - 18:30 S08 Guided Hands-on Session in the Exhibition 17.00-17.10 Overview Over the Lower Extremity Literature Where are We with Robotic Therapy, Andres Mayr 17.15-18.30 Rotterdam Hall - Exhibiton Area Guided Tour Hours / Halls PORT 1B (Level 3) 17:00 - 18:30 S09 Emerging Technologies and Applications Chairs: Jonathan Jarvis & Christine Azevedo A model-based identification procedure of stimulation angular ranges for FES cycling, Nicole Sanna In-Vivo Testing of a Novel Wireless Intraspinal Microstimulation Interface for Restoration of Motor Function Following Spinal Cord Injury, Omar Tawakol Transcutaneous electrical sensory thresholds with different waveforms and frequencies, Eukene Imatz-Ojanguren Closed-loop parameter optimisation for patient-specific phrenic nerve stimulation, Conor Keogh A hybrid fes-motor cooperative control over a knee joint movement: a feasibility study, Francesca Dell’Eva Position control of two finger joints using functional electrical stimulation, Minami Kawashima Hours / Halls DOCK 14 (Level 2) 17:00 - 18:30 S10 Big Data Sensor-based physical activity and indoor localization as complement to therapist assessments, Pamela Roberts & Ramin Ramzani Emerging tools for integrating multiple data sources to support therapeutic interventions in the home and community, George Collier & Deborah Backus Fireside Chat ICORR INRS IFESS ACRM ISPO-NL & NSRM ISVR MINT 15
R2W0EE2HE2AKB Scientific Program TUESDAY, JULY 26, 2022 Hours / Halls DOCK 13 (Level 2) 17:00 - 18:30 Moderators: Pamela Roberts & Deborah Backus S11 From In-center to At-home Rehabilitation: The Wearable Solution An interactive tool for self-directed, home-based and personalized arm rehabilitation after stroke, Johannes (Hans) Bussmann Enabling 3D movement analysis in everyday clinical practice, Jaap Buurke Sensor technologies for sustainable employability, Charissa Roossien Towards minimally supervised hyper-realistic robotic rehabilitation, Laura Marchal Hours / Halls DOCK 15 (Level 2) 17:00 - 18:30 S 12 Virtual Reality in Stroke Chair: Iris Brunner Podium Presentations Do We Need to Focus on A Longer Training Intervention?, Alma Merians Combining custom virtual reality and non-custom serious games- both in person and via telehealth for the comprehensive rehabilitation of a person post-stroke, Judith Deutsch Virtual Reality Based Interventions Reduce Levels of Post-Stroke Depressive Symptoms: Systematic Review and Meta-Analysis, Sandeep Subramanian Applying virtual reality and machine learning for the assessment of unilateral spatial neglect: The immersive virtual road crossing task (iVRoad), Julia Belger Hours / Halls DOCK 16 (Level 2) 17:00 - 18:30 S13 Collaboration through MINT Academy - Networking to Standardise Neurotechnology Education and Clinical Application Helen Hobbs Amy Dennis-Jones Robert Riener” ICORR INRS IFESS ACRM ISPO-NL & NSRM ISVR MINT 16
R2W0EE2HE2AKB Scientific Program WEDNESDAY, JULY 27, 2022 Hours / Halls RTM Stage (Ground Level) 09:00 - 11:00 Keynote Lecture 3 (09:00 - 09:45) Chair: Martina Spiess Speaker: David Reinkensmeyer Poster Viewing & Judging (09:45 - 11:00) Hours / Halls PORT 1A (Level 3) 09:00 - 11:00 08:00 - 09:00 Workshop: “Vademecum MDR” – “The Handbook for MDR – Guidelines and Templates for Market Access of Orthopaedic Devices According to the Medical Device Regulation Organizer: Mathias Scherer 11:00 - 11:45 COFFEE BREAK / POSTER VIEWING / EXHIBITION Hours / Halls RTM Stage (Ground Level) S14 Biomechanics and New Technologies and Methodologies in Human Movement Analysis 11:45 - 13:15 Chairs: Rui Loureiro & Laura Marchal Crespo O-052 Quantification of the Development of Trunk Control in Healthy Infants Using Inertial Measurement Units, Katherine Poggensee O-057 Sleep Position Detection for Closed-Loop Treatment of Sleep-Related Breathing Disorders, Alexander Breuss O-059 Development of an Interactive Total Body Robot Enhanced Imitation Therapy for ASD Children, Gabriele Fassina O-067 Correlating Vibration Patterns to Perception of Tactile Information for Long-Term Prosthesis Use and Continued Rehabilitation of Neuropathic Pain, Morenike Abisola Daniella Magbagbeola O-036 Varying Joint Patterns and Compensatory Strategies Can Lead to the Same Functional Gait Outcomes: A Case Study, Tomislav Bacek O-089 Accurate Real-Time Phase Estimation for Normal and Asymmetric Gait, Mohammad Shushtari Hours / Halls PORT 1B (Level 3) 11:45 - 13:15 S16 Keynote Lecture Epidural and non-invasive spinal cord stimulation: great accomplishments - problematic PR Chairs: Thierry Keller & Tamsyn Street Speaker: Winfried Mayr 12:30 – 13:15 Neuromuscular and Spinal Cord Ctimulation The effects of transcutaneous spinal cord stimulation delivered with and without high frequency modulation on spinal and corticospinal excitability, Danielle Konig Simultaneous modulation of frequency and amplitude improves discriminability of electrical stimulation, Shima Gholinezhad A surface neuromuscular electrical stimulation device for universal cartesian force control in humans, Marek Sierotowicz ICORR INRS IFESS ACRM ISPO-NL & NSRM ISVR MINT 17
R2W0EE2HE2AKB Scientific Program WEDNESDAY, JULY 27, 2022 Hours / Halls DOCK 14 (Level 2) 11:45 - 13:15 S17 Telehealth and Remote Therapy Advances in Technology Supported Interventions for Speech-Language Therapy: NEUROAGE, Psychosocial Group Intervention, Humanoid Robots, Better Conversations, and Long-term Planning and Assessment of Competencies for Assistive Technologies Fofi Constantinidou Eva Pettemeridou Veronica Montanaro Hours / Halls DOCK 13 (Level 2) 11:45 - 13:15 S18 Advanced Prosthetics Development; Are We Still in Control? Chairs: Han Houdijk & Hans Rietman Intent recognition for the control of lower limb prostheses using inertial sensors and EMG, Eric Prinsen Personalizing Robotic Lower Limb Prostheses Using Reinforcement Learning, He (Helen) Huang Artificial sensory feedback inspired by human motor controlc, Strahinja Dosen Acquisition of functional skills in upper limb prosthesis users, Liselotte Hermansson Hours / Halls DOCK 15 (Level 2) 11:45 - 13:15 S19 Virtual Reality for Balance and Mobility Chair: Alma Merians Podium Presentations (11:45-12:35) Virtual body alterations have real motor consequences, Valentin Vallageas Towards the optimal virtual reality exergame approach for balance therapy in persons with neurological disorders: a Rasch analysis, Evelyne Wiskerke A Simulator for Pediatric Powered Mobility Training, Philippe Archambault Early Career Awardee Talk (12:45-13:15) Brain-Computer Interfacing and Virtual Reality for Upper Limb Neurorehabilitation, Athanasios (Thanos) Vourvopoulos Hours / Halls DOCK 16 (Level 2) 11:45 - 13:15 S20 Education through MiNT Academy - Transforming Clinicians into Clinical Device Specialists and Extracting Data for Companies Helen Hobbs, Alison Watt, Rachael Edwards, Chrissy Bibby, Amy Dennis-Jones, Adam Parkinson 13:15 - 14:30 LUNCH / POSTER VIEWING / EXHIBITION Hours / Halls RTM Stage (Ground Level) 14:30 - 16:15 Keynote Lecture 4 (14:30 - 15:15) Chair: Jaap Harlaar Speaker: Hans Rietman Panel Discussion (15:15 - 16:15) Do We Need Smarter Rehabilitation Technology or Smarter Users Moderator: W. Geoffrey Wright ICORR INRS IFESS ACRM ISPO-NL & NSRM ISVR MINT 18
R2W0EE2HE2AKB Scientific Program WEDNESDAY, JULY 27, 2022 16:15 - 17:00 COFFEE BREAK / POSTER VIEWING / EXHIBITION Hours / Halls RTM Stage (Ground Level) 17:00 - 18:30 S21 Design and Development in Rehabilitation Robotics Chairs: Robert Riener & Tommaso Lenzi O-024 Towards Unsupervised Rehabilitation: Development of a Portable Compliant Device for Sensorimotor Hand Rehabilitation, Raphael Rätz O-029 Improving Ankle Muscle Recruitment Via Plantar Pressure Biofeedback During Robot Resisted Gait Training in Cerebral Palsy, Zachary Lerner O-034 Haptic Feedback System for Postural Adaptation During Robotic Rehabilitation of Upper Limb, Rakhi Agarwal O-079 Learning Dynamic Patient-Robot Task Assignment and Scheduling for a Robotic Rehabilitation Gym, Bikranta Adhikari O-098 Modeling the Influence of the Human Form and Ambulation Context on Moment and Power-Generating Abilities of Soft Hip-Flexion Exosuits, Ross Michael Neuman O-104 Effect of variable transmission on body-powered prosthetic grasping, Michael Abbott Hours / Halls PORT 1A (Level 3) 17:00 - 18:30 S22 Guided Hands-on Session in the Exhibition 17:00 - 17:15 Overview Over the Upper Extremity Literature, Sarah Daniel 17.30-18.30 Rotterdam Hall - Exhibiton Area Guided Tour Hours / Halls PORT 1B (Level 3) 17:00 - 18:30 S23 FES in Clinical Practice (17:00-18:00) Chairs: Tamsyn Street & Matija Milosevic Effectiveness of fes for upper motor neuron lesion walking impairment: overview of systematic reviews, Jane Burridge Clinical practice guideline development for using fes to support walking: a delphi consensus study, Jane Burridge Key challenges in functional electrical stimulation clinical practice guideline implementation, Lisa Brown Damage to the lower motor neuron of the intrinsic musculature and consequences for the therapeutic treatment of the hand in tetraplegia, Ines Bersch Hybrid FES Applications (18:00-18:30) The effect of hybrid neuroprostheses on the rehabilitation of upper extremity impairment after stroke: a systematic review, Chiara Höhler iCARE – Intelligent Sensing and Actuation Solution for At-home Rehabilitation using FES and Exoskeleton, Je Hyung Jung ICORR INRS IFESS ACRM ISPO-NL & NSRM ISVR MINT 19
R2W0EE2HE2AKB Scientific Program WEDNESDAY, JULY 27, 2022 Hours / Halls DOCK 14 (Level 2) 17:00 - 18:30 S24 Telehealth and Remote Therapy Non-invasive Methodologies for Monitoring and Treating neurobehavioral Deficits, Eva Pettemeridou & Fofi Constantinidou & Alexander Sack Tele-health Constraint-Induced Movement Therapy in Adults with Post-stroke Upper-extremity Hemiparesis, Lynne Gauthier & Alexandra Borstad & Gitendra Uswatte Sustainable telerehabilitation models of care, guiding principles, reimbursement policies– View from the United States, Tammy Richmond Hours / Halls DOCK 13 (Level 2) 17:00 - 18:30 S25 Designing for Children Chair: Robert Pangalila Co-design with children, Mathieu Gielen Prosthetics for children, Iris van Wijk & Edwin Verbrugge Enabling gaming for children with disabilities , Ruud van der Wel & Karin van Dijk Hours / Halls DOCK 15 (Level 2) 17:00 - 18:30 S26 Technological Aspects Chair: W. Geoffrey Wright Podium Presentations Design of a Mixed Reality Environment for the extrapolation of Reference Trajectories in Upper- Limb Rehabilitation, Anna Bucchieri Onboard gait detection crutches for gait rehabilitation, Marco Ghidelli MyoCognition, a rehabilitation platform using serious games controlled with myoelectric pattern recognition, Morten Kristoffersen Novel dry fabric electrodes suitable for clinical myolectric control, Strahinja Dosen Hours / Halls DOCK 16 (Level 2) 17:00 - 18:30 S27 Product Development through MiNT - Designing Clinically Appropriate Devices in the Complex Arena of Neurorehabilitation Amy Dennis-Jones Katlin Kreamer-Tonin Alfons Carnicero Alison Watt Laura Marriott Eve Gregoriou Carolina Bell Evening RehabWeek Night ICORR INRS IFESS ACRM ISPO-NL & NSRM ISVR MINT 20
R2W0EE2HE2AKB Scientific Program THURSDAY, JULY 28, 2022 Hours / Halls RTM Stage (Ground Level) 09:00 - 11:00 Keynote Lecture 5 (09:00 - 09:45) Chair: W. Geoffrey Wright & Sandeep Subramanian Speaker: John Quarles Panel Discussion (09:45 - 11:00) Assistive Technologies - Innovations in Contrast to Financial Models Moderator: Oliver Stoller 11:00 - 11:45 COFFEE BREAK / POSTER VIEWING / EXHIBITION Hours / Halls RTM Stage (Ground Level) 11:45 - 13:15 S28 Award Finalists Chairs: Ana Luisa Trejos & Edwin van Asseldonk O-048 A Primarily-Passive Knee Prosthesis with Powered Stance and Swing Assistance, Steven Culver O-053 ARMStick - an Intuitive Therapist Interface for Upper-Limb Rehabilitation Robots, Michael Sommerhalder O-060 Spatiotemporal Coupling of Hand and Eye Movements When Using a Myoelectric Prosthetic Hand, Kodi Cheng O-064 Design and Preliminary Evaluation of a Robot-Assisted Assessment-Driven Finger Proprioception Therapy, Monika Zbytniewska-Mégret O-066 Redistributing Ground Reaction Forces During Squatting Using a Cable-Driven Robotic Device, Tatiana D. Luna O-100 Proof-Of-Concept: A Hands-Free Interface for Robot-Assisted Self-Feeding, John Schultz Hours / Halls PORT 1A (Level 3) 11:45 - 13:15 S29 What Kind of Research Project Do We Need Now and in The Future? Leslie VanHiel Betsey Jansen Markus Wirz Jane Burridge Hours / Halls PORT 1B (Level 3) 11:45 - 13:15 11:45 – 12:30 S30 Keynote Lecture Electrical stimulation-induced muscle activity to fight secondary complications after spinal cord injury: what’s the use? Chairs: Winfried Mayr & Tamsyn Street Speaker: Thomas Janssen 12:30 – 13:15 Electrical Stimulation to Reduce Secondary Complications Electrical stimulation for paralyzed muscles increases energy expenditure in people with spinal cord injury, Yiming Ma Functional electrical stimulation for sexual functioning in spinal cord injury for men: a case study, Neil Marshall ICORR INRS IFESS ACRM ISPO-NL & NSRM ISVR MINT 21
R2W0EE2HE2AKB Scientific Program THURSDAY, JULY 28, 2022 Hours / Halls DOCK 14 (Level 2) 11:45 - 13:15 S31 Emerging Rehab Technologies: State of the Art Adherence to Home Exercise Programs – Clinician Expectations and Goal Setting, John Morris Using Digital Technologies to Monitor and Manage Daily Functional Behaviors in Stroke Survivors, Alex Wong Hours / Halls DOCK 13 (Level 2) 11:45 - 13:15 S32 Exoskeletons for Individuals with a Spinal Cord Injury: A Historic Perspective, Current State-of- the-Art and Future Developments Chairs: Ilse van Nes & Erik Prinsen The clinical use of an exoskeleton in people with complete Spinal Cord Injury, Ilse van Nes Using exoskeletons to support balance control in healthy persons and persons with spinal cord injury, Edwin van Asseldonk Reaction moments matter when designing lower-extremity robots: Joint moments versus free moments, Heike Vallery Project MARCH, Lieke Roelofs Hours / Halls DOCK 15 (Level 2) 11:45 - 13:15 S33 Virtual Reality for Psychological Aspects – 2 Chair: Gerry Fluet Podium Presentations Attentional focus instructions show order effects during a virtual reality balance training task, W. Geoff Wright Design and Evaluation of Virtual Reality Environments for Claustrophobia, Markéta Kolman Jablonská Mixed Reality to stimulate Prosociality in Children with Social Challenges, Olga Gali Cybersickness in Custom-Made Virtual Reality Exergames for Older Adults, Samira Mehrabi Hours / Halls DOCK 16 (Level 2) 11:45 - 13:15 S34 Research through MiNT - The Crucial Involvement of Clinical Partnerships in Future Product Development Chrissy Bibby Rachael Edwards Amy Dennis-Jones David Fried 13:15 - 14:45 LUNCH / POSTER VIEWING / EXHIBITION 13:15 - 14:45 IFESS General Assembly Meeting Hours / Halls RTM Stage (Ground Level) 14:45 - 15:30 Keynote Lecture 6 Chair: Thierry Keller Speaker: Jane Burridge ICORR INRS IFESS ACRM ISPO-NL & NSRM ISVR MINT 22
R2W0EE2HE2AKB Scientific Program THURSDAY, JULY 28, 2022 1H6o:u1r5s -/1H7a:0ll0s RTM Stage (Ground Level) 15:40 - 17:10 S35 Prosthesis, Assistive Robotics, Clinical Evaluation Studies Chairs: Emilia Ambrosini & Gerdienke Prange O-009 On the Change in Speech Quality and Speed with a Tongue Interface for Control of Rehabilitation Robotics – a Case Report, Ásgerður A. Pálsdóttir O-020 Evaluation of the implementation of Armeo®Spring in a specialized neurorehabilitation center, Helena Kvist Rindom & Kristine Bach Christensen O-054 Automatic and Personalized Adaptation of Therapy Parameters for Unsupervised Robot- Assisted Rehabilitation: A Pilot Evaluation, Giada Devittori O-055 Adaptive Hybrid FES-Force Controller for Arm Exosuit, Davide Burchielli O-076 Towards Instant Calibration in Myoelectric Prosthetic Hands: A Highly Data-Efficient Controller Based on the Wasserstein Distance, Digby Chappell O-111 A Random Tree Forest Decision Support System to Personalize Upper Extremity Robot- Assisted Rehabilitation in Stroke: A Pilot Study, Cristian Camardella Hours / Halls PORT 1B (Level 3) 15:40 - 17:10 S36 Electrical Stimulation to Restore Function Chairs: Erika Spaich & Ken Yoshida Functional electrical stimulation 1950 - 2022: a 72 years bibliometric analysis, Nur Azah Hamzaid Electrical interference in non-invasive brain-computer interface-controlled functional electrical stimulation: Offline analysis and practical considerations, Lazar I. Jovanovic Multi-contact epineural electrical stimulation to restore upper-limb functions, Christine Azevedo Functional electrical stimulation for hand function rehabilitation after stroke: a systematic review, Aitor Martín-Odriozola The Orthotic and Training Effects of Peroneal Nerve Functional Electrical Simulation in Parkinson’s Disease: Post Hoc Analysis from a Feasibility Study for a Randomised Control Trial, Paul Taylor Hours / Halls DOCK 14 (Level 2) 15:40 - 17:10 S37 User Engagement in Rehab Tech Development Factors affecting patient engagement and use in digital self-monitoring and strategies to promote engagement in technology-based interventions, Alex Wong Manual wheelchair propulsion efficiency: Which design choices are most important?, Jacob Misch Fireside Chat –Emerging Rehabilitation Technology Paradigms: Discoveries from Moderator: Pamela Roberts Big data to telehealth, sensors, tDCS and user engagement Moderator: Deborah Backus All ACRM speakers and RehabWeek attendees ICORR INRS IFESS ACRM ISPO-NL & NSRM ISVR MINT 23
R2W0EE2HE2AKB Scientific Program THURSDAY, JULY 28, 2022 Hours / Halls DOCK 13 (Level 2) 15:40 - 17:10 S38 Manual Wheeled Mobility Chairs: Hans Rietman & Riemer Vegter Future perspectives on wheeled mobility technology, training and assessment, Riemer Vegter Transforming Wheelchair Design and Fabrication, Rory Cooper Leaning for Turning: Novel Steering Technologies in Manual Wheelchairs promise more delightful, intuitive and efficient physical activity, Reto Togni Implementation of a wheelchair propulsion laboratory in clinical practice, Sonja de Groot Reporting and interpreting shoulder angles in wheelchair propulsion, Felix Chenier Hours / Halls DOCK 15 (Level 2) 15:40 - 17:10 S39 Virtual Reality for Posture and Gait Chair: Judith Deutsch Podium Presentations Comparison of Postural Kinematics Between a Wireless Virtual Reality Headset and Research- Grade Motion Capture, W. Geoff Wright Feasibility and Acceptance of an Immersive Virtual Reality System during Robot Assisted Gait Training (Lokomat) for Individuals with Neurological Diseases: a study protocol in a clinical setting, Zlatko Matjačić First Steps Towards Accelerating the Learning of Using Exoskeletons with Immersive Virtual Reality, Antonio Rodríguez-Fernández Interaction of Visual Flow in a Head-Mounted Display and Self-Paced Treadmill Walking Speed, Elizabeth B. Wilson 1H7o:u0r0s-/1H8a:3ll0s RTM Stage (Ground Level) Closing Ceremony 17:20 - 18:00 ICORR INRS IFESS ACRM ISPO-NL & NSRM ISVR MINT 24
R2W0EE2HE2AKB Keynote Speakers RehabWeek features 6 common Keynote speakers. Each conference committee picked and invited a number of these speakers and all conferences will join for their presentations. Jane Burridge Emerita Professor of Restorative Neuroscience at the University of Southampton, United Kingdom Lecture Title: Upper Limb Assessment in Neurorehabilitation Lecture Date & Time: July 28, 2022 & 14:45 - 15:30 Jane Burridge is Emerita Professor of Restorative Neuroscience at the University of Southampton. Her research is about using technologies to improve recovery of movement following acquired brain damage. Jane is interested in understanding the mechanisms associated with loss and recovery of motor function. Recently she has led work into the development of guidelines on the use of Functional Electrical Stimulation and on functional assessment, especially how restoration of function can be distinguished from compensation. Her work crosses traditional rehabilitation boundaries; collaborating with engineers, neuroscientists and psychologists. Dario Farina Professor and Chair in Neurorehabilitation Engineering, Department of Bioengineering, Imperial College London, London, United Kingdom Lecture Title: Human Interfacing in Rehabilitation Technologies Lecture Date & Time: July 26, 2022 & 09:30 - 10:15 Dario Farina received Ph.D. degrees in automatic control and computer science and in electronics and communications engineering from the Ecole Centrale de Nantes, Nantes, France, and Politecnico di Torino, Italy, in 2001 and 2002, respectively, and an Honorary Doctorate degree in Medicine from Aalborg University, Denmark, in 2018. He is currently Full Professor and Chair in Neurorehabilitation Engineering at the Department of Bioengineering of Imperial College London, UK. He has previously been Full Professor at Aalborg University, Aalborg, Denmark, (until 2010) and at the University Medical Center Göttingen, Georg-August University, Germany, where he founded and directed the Department of Neurorehabilitation Systems (2010-2016). Among other awards, he has been the recipient of the IEEE Engineering in Medicine and Biology Society Early Career Achievement Award (2010), The Royal Society Wolfson Research Merit Award (2016), and has been elected Distinguished Lecturer IEEE (2014). He has also received continuous funding by the European Research Council since 2011. His research focuses on biomedical signal processing, neurorehabilitation technology, and neural control of movement. Professor Farina has been the President of the International Society of Electrophysiology and Kinesiology (ISEK) (2012-2014) and is currently the Editor-in-Chief of the official Journal of this Society, the Journal of Electromyography and Kinesiology. He is also currently an Editor for Science Advances, IEEE Transactions on Biomedical Engineering, IEEE Transactions on Medical Robotics and Bionics, Wearable Technologies, the Journal of Physiology, and IEEE Reviews in Biomedical Engineering. Professor Farina has been elected Fellow IEEE, AIMBE, ISEK, EAMBES, Sigma Xi. 25
R2W0EE2HE2AKB Keynote Speakers David Reinkensmeyer Professor in the Departments of Mechanical and Aerospace Engineering, Anatomy and Neurobiology, Biomedical Engineering, and Physical Medicine and Rehabilitation at the University of California at Irvine Lecture Title: Robots and Sensors for Stroke Rehabilitation: What Have We Learned and What Comes Next? Lecture Date & Time: July 27, 2022 & 09:00 - 09:45 David Reinkensmeyer received the B.S. degree in electrical engineering from the Massachusetts Institute of Technology and the M.S. and Ph.D. degrees in electrical engineering from the University of California at Berkeley, studying robotics and the neuroscience of human movement. He carried out postdoctoral studies at the Rehabilitation Institute of Chicago developing robotic devices for rehabilitation therapy after stroke. He became an assistant professor at U.C. Irvine in 1998, establishing a research program that develops technologies for movement training and models for computational neurorehabilitation. He is co-inventor of the T-WREX upper extremity training device, which was commercialized as ArmeoSpring, and the MusicGlove finger training device. He is Editor-in-Chief of the Journal of Neuroengineering and Rehabilitation, co-director of the NIDILRR COMET Robotic Rehabilitation Engineering Center, co- editor of the forthcoming book Neurorehabilitation Technology, 3rd edition, and a fellow of the AIMBE. J.S. (Hans) Rietman Physiatrist and professor in Rehabilitation Medicine & Technology at the faculty of Engineering Technology University of Twente Lecture Title: Rehabilitation Technology, a mission driven change of action Lecture Date & Time: July 27, 2022 & 14:30 - 15:15 He performs his clinical work as a rehabilitation physician at Roessingh Center for Rehabilitation. He is also appointed at the research institute Roessingh Research and Development and adjunct professor at Northwestern University Chicago. From 2014 till 2020 he was president of the Netherlands Society of Rehabilitation Medicine (NSRM). His research focuses on the clinical use of technology in restoration of functions in patients with neurological disorders and patients with amputations of upper and lower extremities. He is actively involved in a diversity of (inter-) national projects focusing on Rehabilitation Robotics and Active Assistive Devices. Since 2018 he is leader of the national program Innovative Medical Devices Initiative (IMDI). Since 2019 he chairs the Mission team Mission 2 (transfer of healthcare to the living environment of people) from topsector Life Science and Health. Since 2021 he is clinical research lead and chair of the executive Committee of the interdisciplinary consortium of movement disorders and technologies ICMS. He is co-editor of the Dutch book of Rehabilitation Medicine for adults and the Dutch book of Amputation and Prosthetics of the lower extremities and (co)author of more than 100 Pubmed cited articles. H-Index: 35 (Google Scholar) 26
R2W0EE2HE2AKB Keynote Speakers Corry K. van der Sluis Consultant in Rehabilitation Medicine at the University Medical Center Groningen, the Netherlands Lecture Title: Technological advancements to improve upper limb function: pros and cons Lecture Date & Time: July 26, 2022 & 14:45 - 15:30 Corry K. van der Sluis (1964) is a professor and consultant in Rehabilitation Medicine at the University Medical Center Groningen, the Netherlands. Her field of interest is the rehabilitation of persons with upper limb disorders. Her professional activities comprise patient care, teaching and research. Her research focuses on upper limb amputations and prostheses. A main research topic is the development of training programs for people who use upper limb prostheses. Innovative technology such as serious games are integrated in this research. A second main research topic is the decrease and prevention of musculoskeletal complaints in persons with upper limb disorders. She is author of over 120 internationally peer reviewed publications and she contributed as an author to 5 book chapters. She gave over 60 international presentations. John Quarles Associate Professor of Computer Science at The University of Texas at San Antonio, United States Lecture Title: Life, the Metaverse, and Everything: Can the Metaverse Rehabilitate Telerehabilitation? Lecture Date & Time: July 28, 2022 & 09:00 - 09:45 Dr. John Quarles received his bachelor’s degree in Computer Science from The University of Texas at Austin in 2004 and his PhD in Computer Engineering from the University of Florida in 2009. He has conducted research in virtual, mixed, and augmented reality, serious games, and 3D User interfaces. Much of his work has focused on the accessibility and rehabilitation applications of these technologies for persons with disabilities. He has published numerous works in top computer science conferences and journals such as IEEE VR and IEEE TVCG. He has been awarded significant funding from the National Institutes of Health, the Department of Defense, and the National Science Foundation, including the prestigious NSF CAREER award in 2014. He was diagnosed with Multiple Sclerosis in 2004, resulting a variety of disabilities that have inhibited his use of immersive XR and required significant rehabilitation. He has the unique experience of being both a XR researcher and an end user with disabilities, which has informed his chosen research focus. 27
R2W0EE2HE2AKB Workshop Schedule Hall Name Dock 10A Dock 10B Port 1A 08:15 - 09:45 Novel Technology for Improving Upper Limb Spasticity After Stroke: The use of lower-limb exoskeletons Gait Performance of Children with Technology-Aided Approaches for in clinical practice: official launch of Cerebral Palsy in Daily-Life: Analysis, Assessment and Treatment the ABLE Exoskeleton Design and Development Port 1B Dock 13 Dock 14 Upper Limb Robotics Serious Games and Wearable The Social Return on Investment GroupTherapyTM Concept: Interconnectivity and Gamification Technologies in Adaptive Method to Address the Value Rehabilitation of Pediatric of an Innovation Lab Within a Population Rehabilitation Centre Dock 15 Dock 16 Dock 17 Intuitive Bidirectional Control Targeting Function through Invasive Challenges in Rehabilitation Based of Bionic Limbs: Bringing across Accademia, Clinics, and Industry and Non-invasive Applications of on Hybrid Neuroprosthesis Electrical Stimulation after Spinal Cord Injury Port 2 Port 3 Port 4 NeuroRehabilitation technology: Robot-Enhanced Therapy for An uncertain journey from basic Children with Neurodevelopmental research to clinical deployment Difficulties (NDDs)) 09:45 - 10:30 Dock 10A Coffee Break Port 1A Hall Name How Do Clinicians Combine Translational Research using 10:30 - 12:00 Patient Goals, Clinical Evidence Dock 10B and Neurotechnology to Maximise Modular Robots: A New Approach Advanced Rehabilitation Patient Recovery in Rehabilitation? Technologies to Enhancing Rehabilitation Outcomes Port 1B Dock 13 Dock 14 Multimodal Treatment of the Lower How to Measure Quality of The methodology of research in Limb - Engineering, Evidence, and Movement in Stroke Recovery: Showing the Scene of the SRRR rehabilitation technology Clinical Application Consensus Meetings Dock 15 Dock 16 Dock 17 Intuitive Bidirectional Control Targeting Function through Invasive Assessing Internal Joint Forces due of Bionic Limbs: Bringing across to Misalignment of Rehabilitation Accademia, Clinics, and Industry and Non-invasive Applications of Robots Using Instrumented Dummy Electrical Stimulation after Spinal Limbs in Context of Safety Testing Cord Injury Port 2 Port 3 Port 4 It takes three to assist: Users, Robot-Enhanced Therapy for Clinical Protocols for Technology- clinicians and engineers together Children with Neurodevelopmental design client-centered assistive Assisted Rehabilitation: Which Difficulties (NDDs)) Factors Should Be Addressed and devices How to Define Them? 12:00 - 13:45 Lunch Application of Rehabilitation Technology FES Industry General Topics Development of Rehabilitation Technology Virtual Rehabilitation General Rehabilitation Topics 28
R2W0EE2HE2AKB Workshop Schedule Hall Name Dock 10A Dock 10B Port 1A 13:45 - 15:15 Music in neurorehabilitation - Jymmin®: Opportunities to Rise Above: From theory to practice: continuum Innovative, Transdisciplinary of lower extremity gait and balance Physiological and cognitive effects of Implementation of Body Weight music feedback training Support in Inpatient Rehabilitation training Port 1B Dock 13 Dock 14 Interactive Online Computer Gaming Keep on training with ReVi! Patients Engagement and Platform for Rehabilitation of Children mHealth application to support Technologies for Rehabilitation and individualized home-based aerobic With Cerebral Palsy Prosthetics training Dock 15 Dock 16 Dock 17 Technologies to Optimize Ankle Abdominal Functional Electrical Can the Collaboration Between Foot Orthoses for Improving Patient Engineers and Clinicians Enhance Stimulation (ABFES) for the the Objectiveness, Sensitivity and Outcomes treatment of Neurogenic Bowel Reproducibility of Clinical Functional Assessment Methods? Port 2 Port 3 Port 4 Soft-Robotic Glove: From High-end Interactive Gait Modelling and Control Strategies in Development to Market Uptake Rehabilitation Technology; From Lower Limb Exoskeletons for Gait in Context of Medical Device Fundamental Research Towards the Rehabilitation After Brain Injury Regulation Clinic 15:15 - 16:00 Dock 10A Coffee Break Port 1A Hall Name Value-Based Healthcare Along the 16:00 - 17:30 Dock 10B Continuum of Care: Real-Time Data, From Research to Clinic: Measuring Outcomes and Reporting Implementation of Technology Assisted Assessment and Training Protocols Port 1B Dock 13 Dock 14 Measuring wheelchair performance Patients Engagement and and propulsion technique - the added Technologies for Rehabilitation and value in clinical practice Prosthetics Dock 15 Dock 16 Dock 17 Robot Tutoring in Human Motor Learning: Challenges and Opportunities Port 2 Port 3 Port 4 Digital Biomarkers and Prediction Clinical Implementation of Modelling and Control Strategies in Models for Upper Limb Precision a Robotics Program Into a Lower Limb Exoskeletons for Gait Neurorehabilitation after Stroke Rehabilitation Continuum Rehabilitation After Brain Injury Application of Rehabilitation Technology FES Industry General Topics Development of Rehabilitation Technology Virtual Rehabilitation General Rehabilitation Topics 29
R2W0EE2HE2AKB Workshops APPLICATION OF REHABILITATION TECHNOLOGY Novel Technology for Improving Gait Performance of Children with Cerebral Palsy in Daily-Life: Analysis, Design and Development Organizers : Cristina Bayón, Marije Goudriaan Speakers : Iona Novak, Anna Mccormick, Cristina Bayón, Zachary F. Lerner, Annemieke Buizer Workshop time : 08:15 - 09:45 : Dock 1A (Level 2) Hall Abstract: Gait impairments derived from neurological or motor disorders are a global societal problem. Among all people affected, Cerebral Palsy (CP) is the major cause of physical disability in young patients. Emerging technologies (e.g. lower limb exoskeletons, powered or dynamic orthosis) have gained extensive interest in the last decades to help reducing the physical load of conventional physiotherapy for CP, to decrease deformations of lower limbs, and to alleviate contractures or spasticity. Although these novel technologies have positively impacted short-term effects of current treatments, there are still multiple limitations that prevent the extensive and continuous promotion of gait for these patients in daily-life activities: Which kind of assistance is the most suitable for the specific gait deviations of individual patients? Should the child’s autonomy prevail against the replicability of normal walking patterns? How real-world gait measures can facilitate clinical decision-making? Which kind of improvements to current assistive technology are needed to facilitate and enrich gait in daily-life activities? The aim of this workshop is to provide a better understanding of the requirements to assist pathological gait in CP for a better performance in daily. Experts coming from both academia and clinical centers will provide an overview of the current state-of-the-art in CP gait analysis, and in the design and development of novel technology to improve children’s gait. After each presentation, two theses will be addressed in an interactive discussion with the audience, who will vote via an online real-time response system. How to Measure Quality of Movement in Stroke Recovery: Showing the Scene of the SRRR Consensus Meetings Organizer : Gert Kwakkel Speakers : Jane Burridge, Erwin van Wegen Workshop time : 10:30 - 12:00 Hall : Dock 13 (Level 2) Abstract: The workshop will address the need for, and discuss the design of, longitudinal kinematic and/ or kinetic studies aimed at discriminating behavioral recovery by restitution from compensation during a standardized functional task. This work builds on the first, second and third Stroke Recovery and Rehabilitation Roundtable (SRRR) meetings that brought together an international group of preclinical and clinical researchers along with statisticians, methodologists, funders and consumers. The Group worked together to accelerate the development of effective treatments for stroke recovery and to promote/encourage? the uptake of best-evidence in stroke rehabilitation. The first meeting held in Philadelphia (2016) was focused on four areas of recommendation: translation of preclinical evidence into human discovery trials; recovery biomarkers to provide knowledge of therapeutic targets and 30
R2W0EE2HE2AKB Workshops prognosis in human stroke; development, monitoring, and reporting standards for interventions; and standardized measurement in motor recovery trials. The second meeting was held in Montreal (SRRR2, 2018), where the SRRR worked on new priority areas: (1) cognitive impairment (2) standardizing metrics for measuring quality of movement (QoM) of the upper paretic limb (3) improving development of recovery trials (4) moving evidence-based treatments into practice. The third meeting (SRRR3 proposed in 2022) will focus, amongst others, on standardizing metrics for measuring QoM for the lower limb to quantify and understand recovery of standing balance and hemiplegic gait early post stroke. Our premise is that disambiguation of behavioral restitution from compensation is important to better understand recovery of both upper and lower limb motor control post-stroke and subsequently design better interventions. How Do Clinicians Combine Patient Goals, Clinical Evidence and Neurotechnology to Maximise Patient Recovery in Rehabilitation? Organizer : Alison Watt Speakers : Helen Hobbs, Alison Watt, Jose Lopez Sanchez, Cristina Vazquez, Javier Sanchez, Laura Marriott Workshop time : 10:30 - 12:00 Hall : Dock 1A (Level 2) Abstract: As clinical providers of neurorehabilitation, Hobbs Rehabilitation (UK) and Centre Europeo de Neurociencias (Spain) both have a strong ethos of ensuring high quality clinical reasoning is used when applying neurotechnology in clinical practice. Collaboration between these centres demonstrates that this rehabilitation approach not only crosses geographical boundaries, but is essential for relevant device development by engineers and enhances the effective uptake of technologies by clinicians. This interactive workshop will explore the scientific background to clinical application, starting with a theoretical overview of essential treatment principles including neuroplasticity and intensity. Clinicians will then introduce a neurological patient, presenting a case study history and current problem list. Delegates will have the opportunity to interact with clinicians and the patient as they explore multiple different treatment approaches to address the current clinical problem. This demonstration will combine conventional therapy approaches with different current and novel technologies, with devices from multiple companies being presented. The advantages and disadvantages of devices will be objectively and pragmatically evaluated, alongside how using a combination of treatments can optimise patient outcomes. A framework will be provided to support delegates in their own clinical reasoning, prompting engineers to consider the patient holistically and encouraging clinicians to challenge their practice in more depth. The session will conclude with empowered delegates being able to choose and justify their preferred treatment approach, respecting that this may vary between individuals so long as clinical reasoning is sound. An emphasis on maximising recovery and minimising compensations will run throughout the workshop, linking back to clinical drivers of normal movement patterns, functional gains and meaningful activities. 31
R2W0EE2HE2AKB Workshops Clinical Protocols for Technology-Assisted Rehabilitation: Which Factors Should Be Addressed and How to Define Them? Organizers : Serena Maggioni, Raffaele Ranzani Speakers : Anne Schwarz, Liliana Paredes, Giovanni Morone, Natacha Leon Workshop time : 10:30 - 12:00 Hall : Port 4 (Level 3) Abstract: Rehabilitation has seen the introduction of many different technological devices over the last two decades. They are used to treat a wide range of pathologies and target many different therapy goals. What is missing, however, are established clinical protocols that allow to fully exploit the potential of these devices. In this workshop, we will discuss what factors (e.g. sessions frequency and duration, exercise difficulty etc.), need to be considered to develop good clinical protocols for upper limb rehabilitation, and identify gaps in current evidence. The desired outcome of the workshop is a list of 1) factors that clinicians want to see addressed in clinical protocols, 2) existing sources that can be utilized to create such protocols (e.g. guidelines, expert consensus, databases etc.) and 3) identified gaps on knowledge and suggestions on how to close them. This preparatory work will promote a discussion on how to create evidence-based clinical protocols for rehabilitation devices and pave the way to the effective drafting of the clinical protocols. While the topics discussed here can be applied to upper limb and gait rehabilitation, the focus of this workshop will be mainly on upper limb rehabilitation for neurological injuries. Upper Limb Spasticity After Stroke: Technology-Aided Approaches for Assessment and Treatment Organizer : Raffaele Ranzani Speakers : Alberto Jardon, Olivier Lambercy, Derek Kamper, Rocco Salvatore Calabrò Workshop time : 08:15 - 09:45 Hall : Dock 1B (Level 2) Abstract: Upper limb spasticity affects 20 to 40% of chronic stroke survivors and greatly compromises their quality of life due to reduced mobility, pain, and inability to perform daily life tasks (Zorowitz et al., 2013). Technology-assisted approaches for assessment and treatment of spasticity could offer new solutions for the rehabilitation of spastic patients. On the one hand, technological solutions allow continuous and objective assessments of upper limb spasticity, which are not affected by clinician’s subjectivity or expertise (de-la-Torre et al., 2020). On the other hand, technology can be used to offer adjunct patient-tailored therapies that, in combination with traditional treatments (e.g., pharmacological treatments), may improve the patient prognosis and promote motor and functional recovery (Paolucci et al., 2021). In this workshop, state-of-the-art approaches for technology-aided assessment and treatment of upper limb spasticity after stroke will be discussed. Based on experts’ consensus, the workshop aims to 1) define which existing assessment/therapy approaches are more promising/ effective, 2) propose guidelines to establish assessment-driven technology-assisted therapy protocols for the rehabilitation of patients with upper limb spasticity, 3) underline challenges and knowledge gaps that should be further investigated. 32
R2W0EE2HE2AKB Workshops Clinical Implementation of a Robotics Program Into a Rehabilitation Continuum Organizer : Trent Maruyama Speakers : Trent Maruyama, Jeremy Palmiscno Workshop time : 16:00 - 17:30 Hall : Port 3 (Level 3) Abstract: At Barrow Neurological Institute’s Rehabilitation Services, we focus on clinical utilization of rehabilitation technology and robotics to provide our patients with a diverse opportunity to benefit from the advancements in delivery of therapy services. Clinically implementing a robotics program throughout a rehabilitation continuum requires a team approach. We have developed a program called the Barrow Assistive Technology (BAT) Committee. to research potential devices, assess their utility across the continuum and operationalize the use of the devices to ensure our patients have the accessibility and opportunity to benefit from their use. We continue to look for innovative ways to provide increased accessibility and utility of the devices. We have developed an open gym concept in our outpatient services through a “membership†to allow more opportunities outside the traditional program to access the devices. More recently we have piloted a proof of concept program in our IRF in association with a local Occupational Therapy University to give the students an opportunity to work with patients in a supervised setting using robotics and technology. We look to find as many ways to use the device or integrate the device with other therapy techniques to optimize the utility of the device. The benefits of this program are multifold; 1. It allows the patients more access to the devices and increases the amount of therapy they can obtain in our program. 2. Expose the students to the devices that are in the market and show them the benefits that these devices can provide. This helps to grow the knowledge of robotics/technology in the therapy community. 3. Provide the students with another opportunity for direct patient care and give them a higher level educational experience which we hope will lead to more well rounded therapists 4. Potential for increased outcomes Opportunities to Rise Above: Innovative, Transdisciplinary Implementation of Body Weight Support in Inpatient Rehabilitation Organizers : Jessi Vaught Speakers : Jessi Vaught, Logan Shuping, Caitlin Wright, Jessi Lowman Workshop time : 13:45 - 15:15 Hall : Dock 1B (Level 2) Abstract: Background: Currently, body weight support (BWS) devices are utilized primarily by physical therapists (PTs.) The authors work for Sheltering Arms Institute, an inpatient rehabilitation hospital that embraced early adoption of BWS technology and have used it with a variety neurologic patient populations. The sophistication of new devices in the last 15 years, including 3-D movement has evolved to allow increased clinical utilization. The possibilities of treatment approaches with this new technology make it increasingly apparent that there are opportunities for other disciplines to capitalize on the benefits of BWS, such as occupational therapy (OT) and therapeutic recreation (TR.) BWS is appropriate for use beyond improvements in gait, but also to increase participation in activities of daily living and quality of life. 33
R2W0EE2HE2AKB Workshops Proposed Workshop: In an interactive workshop, we will present how neurologic recovery programs at SAI incorporate BWS technology. We will solicit input from the audience on how they currently use BWS technology. This will include time for brainstorming to decrease barriers, increase usage, promote neuroplastic changes and promote technology integration in the practice of others using knowledge translation initiatives. Planned discussions include a variety of BWS devices such as Bioness Vector, Motek RYSEN, and Hocoma Andago. We will utilize patient cases to demonstrate technology use in a transdisciplinary environment. Examples include OTs utilizing BWS for safe performance of ADLs and quadruped activities such as crawling on a treadmill. Also, co-treatments will be featured including TRs and PTs engaging patients in recreational activities. We will discuss options for pairing the use of BWS with other technologies, particularly for upper extremity function. Through these case examples, we will apply principles of motor learning, promotion of repetition, salience and intensity and how these strategies may be implemented in other care settings. From Research to Clinic: Implementation of Technology Assisted Assessment and Training Protocols Organizer : Evelyne Wiskerke Speakers : Jaime Duarte, Liliana Paredes, Jaap Buurke Workshop time : 16:00 - 17:30 Hall : Dock 1B (Level 2) Abstract: In recent years, rehabilitation technologies are being implemented increasingly into the clinical setting to complement conventional therapy. Research shows that when conventional therapy is combined with technology, more people learn to walk independently than during physical therapy alone. However, research studies seldomly describe the used training protocol into detail, nor do they specify how to implement the technology guided training protocols within the therapy setting. Within this workshop, speakers from various backgrounds will shed light on how various technologies to train trunk control, balance and gait are used to assess and deliver therapy within feasibility as well as clinical studies. Secondly, the speakers will collaborate on how to stimulate the implementation of protocols and study results into clinical practice. High-end Interactive Gait Rehabilitation Technology; From Fundamental Research Towards the Clinic Organizers : Maarten Prins, Noel Keijsers Speakers : Maarten Prins, Juha Hijmans, Marjolein van der Krogt, Eline Zwijgers Workshop time : 13:45 - 15:15 Hall : Port 3 (Level 3) Abstract: In the past decade, the use of high-end gait rehabilitation technology has increased rapidly. From a global perspective, the density of these high-end systems is exceptionally high in the Netherlands and Belgium. This cultural, linguistic and spatial proximity between sites facilitates collaborations which in turn accelerates the development of interventions. During this session, Dutch and Belgian members of the HiGRIT (High-end Gait Rehabilitation Interactive Technology) User Group will present how these systems are used to enhance performance in patients and healthy individuals. 34
R2W0EE2HE2AKB Workshops Robot-Enhanced Therapy for Children with Neurodevelopmental Difficulties (NDDs) Organizers : Arzu Güneysu Özgür, Thomas Gargot, Salvatore Anzalone Speakers : Maura Casadio, Carlos Cifuentes, Silvia Orlandi Workshop time : 08:15 - 12:00 Hall : Port 3 (Level 3) Abstract: Neurodevelopmental disorders (NDDs) result in emotional, physical, social, academic and economic consequences for individuals, and in turn families, and society. Upon diagnosis, families report significant delays in treatment initiation and unsatisfactory levels of treatment monitoring and there is a need to establish effective easy-to-access strategies for assessing, treating and monitoring NDD. Rapid progress in the area of robotics offers excellent chances for innovation in treatment for children with NDDs thanks to robots allowing the execution of repetitive tasks which can be tailored according to the needs of the individuals. Robots thus offer the opportunity to deliver automated interventions,enable therapy to be delivered over a distance, enable inclusive and collaborative environments to promote group activity and social inclusion and personalise treatment procedures. Combined with gamification, which improves the learning rate and ensures effective improvement in the pedagogical, social and behavioral sense, robot-enabled therapy becomes a highly promising avenue for research [1,2,3]. It is important to develop adaptive interventions tailored to the individual to enhance the functional recovery of sensorimotor, social or cognitive functions in children with NDDs and give children and youth with various disabilities the opportunity to participate more actively and to contribute with their own skills to the activities at home, school and therapy. Previous studies with robots showed improvement in the learning performance, engagement, communication, and social interaction. However, if the technology is not well designed, it can generate interaction barriers while using it autonomously or can cause discomfort, therefore collaboration of multiple stakeholders are crucial. This workshop aims to bring experts from multi-disciplinary backgrounds together to share ideas and discuss on design of such robotic solutions for the targeted focus group. Modular Robots: A New Approach to Enhancing Rehabilitation Outcomes Organizer : Arun Jayaraman Speakers : Arun Jayaraman, Lou Awad, Zach Lerner, Tommaso Lenzi Workshop time : 10:30 - 12:00 Hall : Dock 1B (Level 2) Abstract: Modular robots or modular robotic exoskeletons are an area of clinical research that has gained substantial attention in the last decade. Interestingly, these devices have learned from complexities faced by full body or lower/upper body powered exoskeletons being used in everyday clinical and community use. Even though the full limb/body powered exoskeletons are brilliant engineering achievements, the bulk, complexity of use, limited use-case scenarios, and cost have sadly made their clinical utility sparse. Modular robots are unique breed of engineering technology which can fit a wide range of impairments and disabilities, providing actuation capabilities at specific joints and enable specific body functions. The modularity of these devices make them lighter in weight, easier to use, and provide the ability to create control systems for specific disease states independently. In this workshop, we will focus on different lower limb modular robots actuating the hip, knee, and ankle, and provide clinical use case scenarios where these devices are used in an acute-care setting, outpatient setting, and home & community settings. Further, we will discuss their use in different clinical populations, the 35
R2W0EE2HE2AKB Workshops pros and cons, and the future of these devices in a continuum of care environment. We will focus on specific research experiments, the lessons learned, and provide clinical and engineering insight on how these technologies are be further developed and potentially pushed into main-stream clinical care. Patients Engagement and Technologies for Rehabilitation and Prosthetics Organizer : Giacinto Barresi Speakers : Matteo Laffranchi, Giampaolo Brichetto, Strahinja Dosen, Lorenzo Masia, Ana Lucia Faria, Jacopo Zenzeri Workshop time : 13:45 - 17:30 Hall : Dock 14 (Level 2) Abstract: Patient engagement is a dramatically important factor in clinical compliance, especially about the individual adherence to repetitive and tiring exercises as the ones included in protocols for rehabilitation and prosthetic training. This is true in technologically assisted procedures too: interactive features are not necessarily engaging if they are not appropriately designed - this is why serious games and gamification approaches are often adopted. High levels of motivation in the patients are not easy to achieve, and they require specific activities in user-centered design. This 180-minute workshop will present perspectives on patients’ engagement. During 10-minute talks (with 5 minutes of questions and answers), a team of researchers will explore the opportunities offered by mechatronic and digital systems to implement engaging exercises for rehabilitation and prosthetic training. These researchers will present the issues they faced and their strategies to motivate the users of their clinical technologies (e.g., robotic devices, virtual and augmented environments). The attendees will be invited to write on sticky notes the solutions they propose to the problems presented by each speaker. After a break, each sticky note will be placed on a blackboard and read by the moderator. Subsequently, the notes will be visually clustered according to their similarity by the participants, who will assess each resulting domain in terms of its expected impact. On an online blackboard, the discussion will continue after the event (until the end of RehabWeek 2022). Students are especially suggested to catch this opportunity to interact with experts who work in both technological and clinical contexts. Modelling and Control Strategies in Lower Limb Exoskeletons for Gait Rehabilitation After Brain Injury Organizers : Josep M. Font Llagunes, Joan Lobo-Prat, Laura Marchal-Crespo, Massimo Sartori Speakers : Damiano Zanotto, Zachary Lerner, Jaime Duarte, Karen J. Nolan, Conor Walsh, Cristina Bayón, Noel Keijsers, Mohamed Bouri, Michael Goldfarb, Jesús de Miguel Workshop time : 13:45 - 17:30 Hall : Port 4 (Level 3) Abstract: Brain injuries, e.g., stroke, cerebral palsy (CP), and traumatic brain injury, are one of the major causes of death and disability worldwide. The global incidence of stroke alone increases by more than 13.7 million new cases each year, being the third leading cause of disability worldwide. Robotics plays a promising role in gait rehabilitation, because it promotes highly intensive and repetitive training, together with active participation and engagement. Particularly, lower-limb exoskeletons promote task- oriented repetitive movements, muscle strengthening, and movement coordination, which positively 36
R2W0EE2HE2AKB Workshops impact energy efficiency, gait speed and balance control. The use of data-driven modelling further allows individualized motor function monitoring and clinical decision making. Moreover, such models can be employed for personalizing exoskeleton design and control through neuromusculoskeletal simulations. The aim of this workshop is to present state-of-the-art works on novel modelling and control approaches for lower-limb exoskeletons for gait neurorehabilitation after brain injury, and studies on their clinical effectiveness. To this end, we plan to bring together different stakeholders, covering clinics, industry and academia, to further develop this field of application. The main topics of the workshop cover: - Assistive, challenge-based and adaptive control strategies. - Methodologies for human-robot synchronization. - Trajectory-tracking and compliant control. - Neuromuscular control. - Neuromusculoskeletal modelling and simulation of assisted walking. - Experimental protocols and metrics used in clinical validation. - Clinical effectiveness of lower-limb exoskeletons in gait neurorehabilitation. 37
R2W0EE2HE2AKB Workshops DEVELOPMENT OF REHABILITATION TECHNOLOGY Technologies to Optimize Ankle Foot Orthoses for Improving Patient Outcomes Organizer : Niels Waterval Speakers : Niels Waterval, Rein Miedema, Jaap Harlaar Workshop time : 13:45 - 15:15 Hall : Dock 15 (Level 2) Abstract: In many neuromuscular disorders, the ankle plantar flexor muscles become weaker over time, leading to walking limitations like diminished walking speed, increased walking energy cost, fatigue and increased fall risk. To compensate for plantar flexor weakness, ankle-foot orthoses (AFOs) are often prescribed with the aim to augment walking. The effect of AFOs on improving gait depends largely on their mechanical properties, especially AFO stiffness, and how these properties are matched with the patients’ impairments. Consequently, to maximize treatment effects of AFOs, the stiffness needs to be optimized for each individual user. We have coined this as Precision Orthotics. In this workshop, we will demonstrate the beneficial effects of applying Precision Orthotics in the prescription of AFOs for plantar flexor weakness compared to usual care as shown in clinical trials. Secondly, we will demonstrate two innovative techniques that can be used to more quickly optimize the AFO stiffness. A demonstration about forward dynamic simulations and how this can be used to predict the optimal AFO stiffness will be given. Additionally, we show a new stiffness-adjustable AFO for which the stiffness can be changed instantaneous during walking. This allows for a rapid optimization procedure making it easier to implement optimization of AFO stiffness in daily practice. Intuitive Bidirectional Control of Bionic Limbs: Bridging across Accademia, Clinics, and Industry Organizers : Massimo Sartori, Jose Gonzalez, Strahinja Dosen Speakers : Jose Gonzalez, Michael Goldfarb, Tommaso Lenzi, Elliot Rouse, Hans Rietman, Strahinja Dosen, Massimo Sartori, Herman van der Kooij Workshop time : 08:15 - 12:00 Hall : Dock 15 (Level 2) Abstract: Developing successful bionic limb technologies is an endeavour that needs a deep understanding of diverse aspects spanning from rehabilitation medicine to biomechanics, engineering, and technology transfer. For such innovations to have a true impact in society, it is necessary to consider not only new scientific and technological ideas, but also the requirements of all stakeholders (e.g., healthcare system, clinicians, regulatory agencies, producers, etc.), as well as business-related factors (e.g., operation cost, market placement, etc.). This hands-on workshop discusses the development of next-generation bionic limb technologies in the context of three major aspects: scientific advances, clinical translation, and industrial exploitation. The workshop is organized in two 90-minute slots. The first slot provides talks from eight internationally recognised scientific, clinical, and industrial leaders in the field (all speakers are already confirmed). The scheduled talks will present latest scientific advances in mechatronic design, control, and sensory feedback towards the creation of bidirectionally controlled powered prostheses that operate as an extension of the human body. That is, prostheses that are controlled by the human nervous system and provide sensory feedback to the amputee to enhance proprioception and embodiment. The second slot is framed as a hands-on demonstration 38
R2W0EE2HE2AKB Workshops session where participants can freely move across five DEMO boots. Each boot will provide live DEMOs of bionic limb-related technologies including powered prosthetic legs (i.e. 4 novel bionic leg prototypes are demonstrated live), real-time myoelectric musculoskeletal models for control, and real- time somatosensory feedback technologies. The proposed setting will move the workshop beyond the classical presentation-based paradigm and it will provide direct insights into relevant bionic limb- related problems and solutions. Robot Tutoring in Human Motor Learning: Challenges and Opportunities Organizers : Edwin Johnatan Avila-Mireles, Luka Peternel Speakers : Georg Rauter, Laura Marchal, Elmar Rueckert Workshop time : 16:00 - 17:30 Hall : Dock 15 (Level 2) Abstract: Several studies have demonstrated the efficiency of Robot Tutoring in a cognitive learning context, which has been mainly exploited by Social Robotics. In this context, the robots serve as languages, writing, or dancing instructors by providing verbal or visual instructions, as well as feedback on their performance. However, many tasks go beyond social aspects and involve complex motor skills, such as: rehabilitation, sports and specialized industrial tasks. The challenges of robot tutoring increase when teaching physical skills, since motor learning is considered an heuristic process that does not necessarily follow sequential steps. Furthermore, social instructions alone are typically inadequate and physical guidance is required. To address these challenges, haptic devices have been implemented in order to add this missing physical component, which require appropriate artificial intelligence and control strategies to create an efficient Sensorimotor Robot Tutor. This workshop is tailored to gather the experts in the field and approach the ongoing problems in creating Sensorimotor Robot Tutor through interdisciplinary discussion approach. The speakers and the organisers together cover the aspects of human motor learning, robot control and artificial intelligence. During the workshop we will 1) examine the state-of-the-art on the use of robots as tutors during the motor learning process, 2) identify the methodology and implementation gaps, and 3) discuss the alternatives for future research in the topic. The workshop format includes 15-minute interactive sessions followed each 15-minutes invited talk. During these interactive sessions attendees will have to opportunity to discuss the content of the talk with the speakers. To further stimulate the discussion, the organisers will ask provocative scientific questions. To engage the attendees, the organisers will proactively ask them for their opinion on the discussed topics. 39
R2W0EE2HE2AKB Workshops Challenges in Rehabilitation Based on Hybrid Neuroprosthesis Organizer : Satoshi Endo Speakers : Satoshi Endo, Aaron Yurkewich, Hector Lopez Carral, Carmen Krewer, Chiara Höhler, Emilio Trigili¸ Thierry Keller, Hossein Kaviani, Patrick Schneider, Lucille Cazenave Workshop time : 08:15 - 09:45 Hall : Dock 17 (Level 2) Abstract: With the introduction of new robotics and automation technology, we have seen many changes in the rehabilitation of neurological patients, where various forms of robotic tools have allowed users to engage in extensive training in much more efficient manners. While clinical evidence supported robotic rehabilitation being at least as effective as conventional rehabilitation, existing physical and cognitive human-robot interaction strategies limit users acceptability and a wider adoption of such devices in applications. In particular, they are often not portable, difficult to adapt to different patients populations and, only available in research-intensive rehabilitation hospitals. A representative case is active exoskeletons that have gathered large attention as a neurorehabilitation device, as they can directly support movements of the users despite the fact that the device becomes considerably bulky for fully assisting users. Nevertheless, recent research suggests that wearability and training efficiency can be improved if the users motor functions are actively assisted with functional electrical stimulation in addition to the guidance by the exoskeleton. Such hybrid neuroprostheses are advantageous because the stimulation actives the user motor and sensory neurons directly and indirectly, and when combined with the robots haptic force provides a congruent multisensory feedback experience. Stimulating muscles also reduce the exoskeletons load, allowing it to be smaller, lighter and cheaper. In complement, the exoskeleton relieves stimulation requirements, allowing for a more comfortable and less fatiguing therapy. There are many challenges to overcome for such systems in terms of hardware designs, control methods, and clinical applications. This workshop offers interactive sessions for the participants to experience and discuss about frontier research centred on advancements of hybrid neuroprostheses for a use in stroke rehabilitation. Assessing Internal Joint Forces due to Misalignment of Rehabilitation Robots Using Instrumented Dummy Limbs in Context of Safety Testing Organizer : Gerdienke Prange Speakers : Jan Veneman, Andrais Tath, Diego Torricelli, Jule Bessler, Gerdienke Prange Workshop time : 10:30 - 12:00 Hall : Dock 17 (Level 2) Abstract: The assessment of rehabilitation robot safety is a vital aspect of its development process, but often experienced as difficult, partly due to limited availability of best practices and safety standards. Musculoskeletal injuries are one of the two most frequent adverse events reported in clinical trials with robotic gait trainers, attributed largely to misalignment between the human and the exoskeleton [1]. Obviously, it is technically impossible to measure the stress on bones and joints in vivo, besides ethical considerations about safety testing with humans. Instrumented dummy limbs therefore appear to be one of a few reasonable options for assessing this safety-relevant behaviour. Three consortia, cascade-funded via the COVR project (H2020), contributed to solving this challenge for the upper limb (DOROTHY project) and lower limb (EXOSAFE and SALOEXO projects). In this workshop, we want to share their experience with developing instrumented dummy limbs and deriving 40
R2W0EE2HE2AKB Workshops relevant data from testing it with existing rehabilitation robots. To frame the context of these topics, we will shortly address the regulatory framework regarding medical devices. Next, we want to address the audience’s thoughts and experiences on these topics to expand the body of knowledge emerging on this topic, by contributing to identification of best practices for assessing the influence of misalignment and discussing knowledge gaps, such as safe limit values. Furthermore, we will provide a practical example of testing the effect of exoskeleton misalignment on knee joint forces using a dummy limb and finish this workshop with practical information on how to identify relevant standards and laws for your device and how to test safety-relevant behaviour with your device. The objective of the workshop is to raise awareness about safety-relevant aspects of misalignment and foster inspiration between researchers, developers and clinicians for how to deal with this challenge. Can the Collaboration Between Engineers and Clinicians Enhance the Objectiveness, Sensitivity and Reproducibility of Clinical Functional Assessment Methods? Organizer : Clara (Beatriz) Sanz-Morere Co-organizer : David Rodriguez-Cianca Speakers : Diego Torricelli, Jesus Tornero, Erik Prinsen, Natacha Leon Workshop time : 13:45 - 15:15 Hall : Dock 17 (Level 2) Abstract: Standard rehabilitation methods generally assess the effects of the applied therapies and classify patients’ evolution by means of well-known validated clinical scales. Though these scales are the gold standard during functional assessments because of their simplicity and effectiveness, there might be room for improvement with respect to their sensitivity and reproducibility. In parallel, a recent trend within the robotics community is to develop standard testing and evaluation protocols to guarantee an objective comparison between different robotic systems. As part of these efforts, the H2020 EUROBENCH project (https://eurobench2020.eu/) has created a new testing facility, hosted by the Center for Clinical Neuroscience (CCN) at Hospital Los Madroños (Madrid, Spain), where researchers and developers can objectively assess and compare the locomotion abilities of their bipedal robotic devices employing standard sensorized testing platforms, protocols and metrics. Following a similar approach, could the rehabilitation field benefit from the integration of a wider set of sensors and objective metrics for complementing the scales used during the functional assessments? Would objectivity be an asset for the quality of the diagnostic and assessment of patients? Could this be a first step towards the adoption of updated and more standard clinical scales? This workshop aims at (1) rising awareness among researchers about the value and challenges of including standardized methods and testing protocols during clinical studies, (2) encouraging a sustained collaboration between engineers and clinicians in everyday research and (3) fostering an open debate to understand how to enhance clinical assessment by integrating technology during standard care. 41
R2W0EE2HE2AKB Workshops NeuroRehabilitation technology: An uncertain journey from basic research to clinical deployment Organizer : Zlatko Matjacic Speakers : Zlatko Matjacic, Heike Vallery, Onneweer Bram Workshop time : 08:15 - 09:45 Hall : Port 2 (Level 3) Abstract: The number of certified neurorehabilitation devices is low compared to the scale of research and development in this multidisciplinary field. A substantial number of spin-offs aiming at deploying new devices to the market fail due to various reasons. Rehabilitation technology needs to fulfill expectations of patients, therapists and healthcare insurance companies while at the same time complying with the provisions of Medical Device Regulation. Additionally, it must appropriately address situation awareness and associated risk assessment to ensure safety of both patient and therapist. Finally, the producer must demonstrate effectiveness of their product in an appropriate clinical trial. We will address the above issues by presenting examples of both successful and unsuccessful journeys from basic science through early clinical testing, followed by product development and certification. Workshop participants and panelists will engage in a discussion about user acceptance, transformation of early complex research prototypes first into œleaner product prototypes, focused on function, followed by the development of a final product. In presentations of three panelists, particular attention will be paid to potential pit-falls and common mistakes researchers and clinicians that undertake a path toward transforming a new idea into a product make. The panelists come from clinical and university environments thus emphasizing and complementing various aspects. Following 20-minutes presentations, a panel discussion will be held on what we can learn from each of the presented cases. The attendees will be encouraged to present their own ideas, and to pose questions related to any aspect of the development of a new product. This can be done ad hoc, but interested attendees may also prepare short descriptions of their cases and send them to panelists in advance so that smaller working groups addressing selected cases would be organized. It takes three to assist: Users, clinicians and engineers together design client-centered assistive devices Organizer : Verena Klamroth-Marganska Speakers : Verena Klamroth-Marganska, Martina Spiess, Robert Spiess Workshop time : 10:30 - 12:00 Hall : Port 2 (Level 3) Abstract: To create highly usable and accessible rehabilitation technologies, we should focus on the patients and their needs in each phase of the design process. User-centered design (UCD) puts people first. The workshop aims to give you insights into the double diamond model of UCD: In this model, the first diamond represents the process of information gathering and user research, the second is dedicated to information processing and the design process. The process is iterative as the results are repeatedly adapted. Within the workshop, we will start with discovering the situation of a patient using a service, his needs, strengths and aspirations. We will define, develop, and design solutions that answer to the situation in a targeted manner. We will collaborate and co-create and we will iterate, iterate, iterate. The double diamond model can be your road map to develop user-centered rehab technologies and to achieve significant and long-lasting positive change. 42
R2W0EE2HE2AKB Workshops Digital Biomarkers and Prediction Models for Upper Limb Precision Neurorehabilitation after Stroke Organizer : Christoph Matthias Kanzler, Olivier Lambercy Speakers : Gert Kwakkel, David Reinkensmeyer, Joachim Hermsdörfer, Margit Alt-Murphy Workshop time : 16:00 – 17:30 Hall : Port 2 (Level 3) Abstract: Stroke is a common neurological injury with around 800 000 persons experiencing a stroke every year in the United States alone. Approximately 77% of stroke survivors are left with upper limb sensorimotor impairments, which negatively affect independence and quality of life and are therefore often a primary target during neurorehabilitation. In order to describe those impairments, track their temporal evaluation during recovery, and to predict rehabilitation outcomes, tools to accurately characterize upper limb sensorimotor impairments are necessary. Over the last decades, a strong focus of the research community has been on sensor-based technologies that provide objective, precise, and sensitive digital biomarkers of upper limb sensorimotor impairments in clinical and daily life environments. However, the validation and clinical application of those biomarkers as well as their integration into computational models predicting neurorehabilitation outcomes and influencing clinical decision making still remain challenging. Within this workshop on Digital Biomarkers and Prediction Models for Upper Limb Precision Neurorehabilitation after Stroke, we aim to revisit recent achievements in this promising field, identify and discuss remaining grand challenges, and propose a roadmap towards the clinical integration of such technologies. The workshop will start off with a brief introductory presentation by the organizers that will give an overview of selected topic of the session and its importance, and present the featured speakers and how each of them links to the overall topic. Subsequently, high profile international speakers will provide brief scientific presentations. A large part of the session will be dedicated to an interactive discussion, also involving the audience. The goal of this is to sketch a roadmap towards the clinical integration of technology-based assessments in stroke neurorehabilitation. Soft-Robotic Glove: From Development to Market Uptake in Context of Medical Device Regulation Organizer : Gerdienke Prange Speakers : Hans Rietman, Anke Kottink, Annika Rydgard, Gerdienke Prange Workshop time : 13:45 – 15:15 Hall : Port 2 (Level 3) Abstract: Promoting the development and eventual uptake of rehabilitation robots means that developers have to handle specific requirements across different levels. Besides meeting the needs of its end-users, addressing practical applicability in daily life, and demonstrating effectiveness, legislation sets increasingly explicit conditions on the technology and its development process, revolving around safety. Creating a common understanding between developers (engineers) and users (healthcare professionals, clinical researchers) about the requirements for development of safe medical devices facilitates multi-disciplinary collaboration towards implementation and uptake of rehabilitation robots. The following steps on the road to market of a rehabilitation robot will be illustrated by an example case, a soft-robotic glove supporting grip strength. Its journey through iterative testing with users in lab and clinical studies will be described from the clinical research perspective, assessing the effect of soft-robotic glove support on hand function. During these studies, a new application of the soft-robotic glove emerged [1]. A subsequent multi-center clinical trial is investigating whether assistive use of the 43
R2W0EE2HE2AKB Workshops soft-robotic glove is effective to improve hand function, as input for a potential new medical claim outside of its intended use. This example will then be used to frame the subsequent steps for CE certification and market introduction from the manufacturer perspective. Challenges and lessons learned will be addressed (e.g. quality management process, reimbursement) and discussed with the audience, to compare potential solutions for barriers encountered when introducing and/or sustaining rehabilitation robots on the market. The overall aim of the workshop is to create a common understanding of the steps needed for rehab robots to achieve market readiness and list challenges matched with solutions for rehab robot uptake. 44
R2W0EE2HE2AKB Workshops VIRTUAL REHABILITATION Serious Games and Wearable Technologies in Adaptive Rehabilitation of Pediatric Population Organizer : Ilaria Bortone, Daniele Leonardis Speakers : Patrice L. (Tamar) Weiss, Natalie Mrachacz-Kersting, Jenifer Miehlbradt, Ilaria Bortone & Daniele Leonardis Workshop time : 08:15 - 09:45 Hall : Dock 13 (Level 2) Abstract: Rehabilitation is essential, along with prevention, promotion, treatment, and support, in addressing the full scope of health needs of a population, ensuring healthy lives and promoting well- being for all at all ages. This becomes particularly true in the pediatric population, where neuromotor impairments, causally and clinically heterogeneous, occur in a challenging developmental context. Coordinated and concerted action is then needed to scale up rehabilitation services and address the profound unmet needs that exist. Medicine is moving away from a “one size fits all” mentality, thus the main objective of future rehabilitation methods is to tailor the therapy to the patient, based on its phenotypic characteristics and the evolution of treatment response. Virtual Rehabilitation exercises have been widely proposed as an effective method for modern rehabilitation settings, often coupled with robotic or wearable assistive devices. The virtual exercise offers flexibility in parameterization, straightforward communication with sensors and devices, and a source of recorded data already synchronized with the proposed tasks. Furthermore, the serious game approach adds the precious opportunity to engage the patient in the exercises, whereas active participation in the exercise is crucial in certain rehabilitation fields, such as neurorehabilitation. Here, brain plasticity has to be stimulated by the active execution of the motor task. This workshop stems from the TELOS Project and it aims to gather knowledge and foster research interest into wearable devices for biosignals collection and serious games applied to rehabilitation scenarios. The opportunity and challenges are to adopt powerful novel technologies in the field of wearables, sensing and immersive virtual environments, and to develop novel methods for implementation of advanced virtual exercises in terms of engagement, proposed tasks, data analysis and feasibility of the system in the clinical setting. 45
R2W0EE2HE2AKB Workshops FUNCTIONAL ELECTRICAL STIMULATION (FES) Targeting Function through Invasive and Non-invasive Applications of Electrical Stimulation after Spinal Cord Injury Organizer : Ashraf Gorgey Speakers : Therese Johnston, David Dolbow, Ines Bersch, Ashraf S. Gorgey Workshop time : 08:15 - 12:00 Hall : Dock 16 (Level 2) Abstract: Spinal cord injury (SCI) leads to several health-related consequences often linked to reduced levels of physical activity and function . In 2019-2020, evidenced-based Clinical Guidelines for FES- cycling were developed arising out of an international consensus-building approach, called AGREE-II. FES-cycling guidelines will be summarized in the health domains of aerobic fitness, muscle strength and quality, and other outcomes after SCI. Direct muscle stimulation has moderate to very good scientific evidence in the fields of prevention, functional support and improvement in neurorehabilitation. For example, electrical stimulation has shown promising results on reduced voluntary activation of the muscles below the level of the lesion. Decreased muscle activation may impair musculoskeletal health and compromise physical health status. Nevertheless, the standard integration of this method into clinical treatment is not yet established. Often, electrostimulation is seen and performed as a stand-alone treatment. Different case scenarios of using locomotor training and standing in combination with FES will be introduced. The strategies used for standing to restore prolonged FES-supported standing in persons with paraplegia and lower-level tetraplegia for the promotion of health, functioning and participation will be presented. Finally, neuromodulation approaches similar to spinal cord trans-spinal stimulation (TS) applications now offer rehabilitation tools to improve locomotion, and mobility restoration after SCI. The use of TS may overcome several of the existing barriers related to applications of electrical stimulation in rehabilitation. TS applied at the cervical level can increase arm and hand function in individuals with tetraplegia. Furthermore, robotic exoskeletons combined with TS can be used as a rehabilitation tool to improve locomotion, motor activity and restore mobility after SCI. Abdominal Functional Electrical Stimulation (ABFES) for the treatment of Neurogenic Bowel Organizer : Christine Singleton Speakers : Christine Singleton, Carla Peace, Paul Taylor, Tamsyn Street Workshop time : 13:45 - 15:15 Hall : Dock 16 (Level 2) Abstract: The aim of the Workshop is to share our clinical experience using Abdominal Functional Electrical Stimulation (ABFES) to improve constipation in individuals with neurological conditions. Constipation affects 73% of people with Multiple Sclerosis as well as reduces the quality of life due to patients reporting they feel ‘out of control’. We will give an overview of neurogenic bowel dysfunction highlighting the scale of the problem for neurological conditions. Current treatment options will be described including the use of ABFES. Our ABFES treatment protocol will be shared describing how people with neurological conditions self- administer ABFES at home for 30 minutes twice daily for six weeks with self-determined titrated dose 46
R2W0EE2HE2AKB Workshops thereafter for as long as required. The range of outcome measures utilised by the 2 clinical sites will be described together with an analysis of their results. We are planning a practical demonstration and tips for ABFES use with workshop attendees participating if desired to gain an understanding of the application of the ABFES treatment option. Discussion: Our clinical activity found statistically significant and clinically meaningful reductions in self-reported constipation symptoms with ABFES, which were maintained over time. These findings are consistent with previous studies. We will facilitate a discussion on the application of ABFES treatment to explore the possible underlying mechanism and use with other pathologies. 1. Learning outcomes for the Workshop include 2. Understanding the extent of the problem of constipation for people with neurological conditions 3. Awareness of the treatment options including ABFES 4. An overview of treatment data and its analysis 5. Take part in a practical opportunity for ABFES treatment application 6. Participate in an interactive discussion to explore underlying mechanisms 47
R2W0EE2HE2AKB Workshops GENERAL TOPICS The methodology of research in rehabilitation technology Organizer : Chiara Arienti Speakers : Stefano Lazzarini, Chiara Arienti Workshop time : 10:30 - 12:00 Hall : Dock 14 (Level 2) Abstract: In the last 20 years, rehabilitation research has constantly grown (3% per year) at a faster rate than research in general. In 2017, 19% and 28% of the total production of scientific articles for rehabilitation and physical therapy (respectively) were for randomized controlled trials (RCTs) and systematic reviews versus 11% for drug therapy 10. Despite these results, it is commonly believed that the complexity of the population, the wide variety of interventions, and the heterogeneity of the outcomes in the rehabilitation field make difficult to keep the classical methodological standards to produce high quality evidence. To keep the high standards of the rehabilitation technology research, it is important to educate researcher and clinicians on how to adapt the EBP principles to the rehabilitation research in technology field. The aim of this workshop will be to teach to the participants on how to identify, implement and interpret evidence in rehabilitation technology. The session will divided in three main lectures: 1. The principle of research in rehabilitation technology 2. How to find the evidence 3. The importance of critical appraisal of evidence 4. Journal club exercise The Social Return on Investment Method to Address the Value of an Innovation Lab Within a Rehabilitation Centre Organizer : Stephanie Jansen - Kosterink Speakers : Gerdienke Prange, Stephanie Jansen-Kosterink, Ina Flierman Workshop time : 08:15 - 09:45 Hall : Dock 14 (Level 2) Abstract: New technology, such as eHealth, serious gaming, virtual reality and robots have boosted the number of innovations in rehabilitation care. These new technologies fit very well with the multidisciplinary character of specialised rehabilitation care, as offered at Roessingh Centre for Rehabilitation (RCR). To implement new technologies in rehabilitation protocols, Roessingh founded an innovative tech- supported treatment facility embedded in the clinic (called InnovationLab). Although the experience in clinical practice is positive, the adoption of this facility involves mainly the early adopters among healthcare professionals and patients. Addresssing the value of the InnovationLab for the clinic in a broader sense can stimulate its adoption further. A suited method to address the value of an innovation such as the InnovationLab is the Social Return on Investment (SROI) method. The general aim of this method is to demonstrate the sustainability and the social value added by interventions and organizations through the understanding, managing, and communication of their impact in economic, social, and environmental terms [1]. The SROI methodology can provide insight into the added value for every stakeholder within Roessingh (micro level) to inform 48
R2W0EE2HE2AKB Workshops all stakeholders of the value of the InnovationLab and to improve its further implementation within the clinic, which would benefit patient care. The aim of the workshop is not to focus on the various technology innovations within the InnovationLab but to address its added value within the clinic for all relevant stakeholders (patients, healthcare professionals, supporting staff and decision makers) by means of the SROI method. During the workshop the InnovationLab and the full process of drafting a forecast SROI with the internal stakeholders, based on desk research and their experiences, will be presented as an example for how to define the current impact of an innovation and identifying its potential for improvement. 49
R2W0EE2HE2AKB Workshops GENERAL REHABILITATION TOPIC Keep on training with ReVi! mHealth application to support individualized home-based aerobic training Organizer : Eric Voorn Speakers : Eric Voorn, Tim Veneman, Sander Oorschot Workshop time : 13:45 - 15:15 Hall : Dock 13 (Level 2) Abstract: To prevent or reverse deconditioning and stimulate an active lifestyle, aerobic exercise is often part of rehabilitation treatment in patients with chronic diseases, such as neuromuscular diseases. Performing the training program in the home environment reduces the amount of travelling (and therewith the burden on patients), as well as healthcare related costs. However, due to a lack of guidance and motivation, patients experience difficulties in completing their home-based training program. Also, there is a high risk that training is inadequately performed leading to under- or overtraining. Therefore we developed ReVi, for which we received the ‘Ipsen award for Innovative Patientcare in Rehabilitation 2016’. ReVi supports patients during their home-based training sessions according to B-FIT, an individualized aerobic training program specifically developed for patients with slowly progressive neuromuscular diseases.1 ReVi gives real-time feedback on the (dis)agreement between the actual and the designated training intensity, in terms of heart rate or the Borg Scale. Verbal encouragements stimulate patients to complete their training sessions, and an online dashboard allows practitioners to monitor training progress from a distance and at any time. The usability of ReVi is currently evaluated in a cohort of individuals with varying NMD. 50
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