The special sessions will last 90 min and should consist of three talks of 30 min (including questions and discussions).
The following sessions have been accepted for the conference. New proposals are no longer accepted.
SSn.n refers to the Conference Program — Tuesday – Wednesday – Thursday.
SS1.1: Clinical and Technical Perspectives on Neurorehabilitation - Danish Society for NeuroRehabilitation
Moderator: Jim Jensen
Time, place: Tuesday 9.30-11.00 and 11.30-13.00 in Radiosalen
Description: The link between basic research and clinical practice is widely known as being one of the main obstacles in transferring the knowledge of science to use in clinical settings. The goal of this session is to show examples of technology used in Danish clinical research and practice. Invited speakers are from a broad field of disciplines and areas of interest. The presentations critically focus on clinical relevance of new technology in neurorehabilitation. This session is in cooperation with the Danish Society for NeuroRehabilitation.
|SS1.1.1: Neuroplasticity in Constraint Induced Movement Therapy
|Jacob Blicher, Center for Functionally Integrative Neuroscience, Aarhus University, Denmark
|SS1.1.2: Tongue Motor Training - Behavioral and Neurophysiological Aspects
|Mohit Kothari, Department of Dentistry and Hammel Neurocenter, Aarhus University, Denmark
|SS1.1.3: Lokomat: clinical training and experience in a neurorehabiltation hospital
|Christian Gunge Riberholt, Department of Neurological Rehabilitation, Glostrup University Hospital, Denmark
|SS1.1.4: Functional electric stimulation, clinical perspective and implications for future neurorehabilitation
|Birgit Larsen, University College Nordjylland, Denmark
|SS1.1.5: Technical device for measurement of spasticity, developed for bedside use
|Tue Hvass Petersen, Research Unit on Brain Injury Neurorehabilitation, Copenhagen University Hospital, Glostrup, Denmark
|SS1.1.6: Does computerized cognitive rehabilitation generalize?
|Jonas Kristoffer Lindeløv, Department of Communication and Psychology, Aalborg University, Denmark
SS1.2: Robot-Aided Neurorehabilitation
Moderator: Shunji Moromugi
Time, place: Tuesday 9.30-11.00 in Europahallen
Description: Application of robot technologies is rapidly extended to the field of rehabilitation. Robot is basically good at performing programmed movements. However robot is becoming intelligent and user friendly more and more and starts engaging in versatile jobs interacting with human. It is expected that rehabilitation is one of the promising target fields to apply the robot technologies. In this special session three recent studies on robot-aided neurorehabilitation conducted in Japan are presented. The aim of this session is to discuss how to improve neurorehabilitation's future by utilizing robot technology as a tool to effectively enhance or support the works of medical doctors and therapists in the field.
|SS1.2.1: Clinical evaluation of training system for recovery of motor function after stroke in patients with hemiplegia
|Yoshifumi Morita, Dept of Electrical and Electronic Engineering, Nagoya Institute of Technology, Japan
|SS1.2.2: Rehabilitation robot in primary walking pattern training for SCI patient
|Taisuke Sakaki, Dept of Biorobotics, Kyushu Sangyo University, Japan
|SS1.2.3: Exotendon glove system for finger rehabilitation after stroke
|Shunji Moromugi, Dept. of Electrical, Electronic and Communication Engineering, Faculty of Science and Engineering, Chuo University, Japan
SS1.3: Operant Conditioning of Spinal Reflexes: From Basic Science to Clinical Therapy
Moderators: Jonathan Wolpaw and Aiko Thompson
Time, place: Tuesday 9.30-11.00 in Musiksalen
Description: Operant conditioning of spinal reflexes induces targeted neural plasticity in the spinal cord, and can improve functional recovery in animals and humans with incomplete spinal cord injury. This special session will discuss the mechanisms and effects of this unique training paradigm that has been developed and explored over the past 35 years by Dr. Wolpaw and his colleagues, and is now being translated into clinical applications.
SS1.4: Using Electrical Stimulation to Support Gait Initiation and Gait Training
Moderator: Mariano Serrao
Time, place: Tuesday 9.30-11.00 in Gæstesalen
Description: Electrical stimulation of the central and peripheral nervous system may represent an effective gait rehabilitation strategy that can facilitate gait initiation and lead to improvements in gait performance. Repetitive transcranial and spinal electrical stimulations can potentiate neural synaptic connections at both motor cortex and spinal cord levels and enhance motoneuron activity by reinforcing descending excitatory pathways. Electrical stimulation of peripheral nerve endings can evoke widthdrawal reflexes in hip, knee, and ankle muscles which can be exploited to promote gait initiation, by favoring the first step forward, and to assist walking by facilitating the natural alternating activity of lower limb flexor-extensor muscles. The possibility to modulate the reflex responses by stimulating different skin regions of the sole of the foot may allow to shape the reflex outputs according to the required functional motor context. The purpose of this session is to discuss how to improve neurorehabilitation by utilizing stimulation of central and peripheral neurological structures to effectively improve and support walking in patients with motor disorders.
|SS1.4.1: Effect of transcranial and spinal direct current stimulation on gait
|Giorgio Sandrini, C. Mondino National Neurological Institute and Department of Neuroscience, University of Pavia, Italy
|SS1.4.2: Adaptive behavior of the spinal cord in the transition from quiet stance to walking: the use of widthrawal reflexes to support gait initiation
|Mariano Serrao, Department of Medical and Surgical Neurosciences and Biotechnologies, Neurorehabilitation Unit, University of Rome, Latina, Italy
|SS1.4.3: Using painful sensory stimulation to improve the hemiparetic gait
|Erika G. Spaich, Center for Sensory-Motor Interaction, Aalborg University, Denmark
SS1.5: Neuromodulation as Pain Treatment
Moderator: Carsten Dahl Mørch
Time, place: Tuesday 11.30-13.00 in Gæstesalen
Description: Electrical stimulation of the nervous system is used as a pain relieving treatment for chronic pain. Spinal cord stimulators have been implanted for decades and have provided pain relief for thousands of patients. The anatomical target pain relieving neuromodulation is thought to be the tactile myelinated ascending fibers. However, the mechanisms of action remain unclear.
This session will first present clinical implication for neuromodulation, a database registry of spinal cord stimulator-implanted patients, what is known of the mechanisms using animal models of spinal cord and peripheral nerve field stimulation and finally computational model identifying the neural targets.
SS2.1: At Home Post-stroke Rehabilitation: Closing the Loop with the Hospital
Moderator: Alberto Borghese
Time, place: Wednesday 16.00-17.30 in Europahallen
Description: As shown by the EU funded projects REWIRE and INTERACTION, moving rehabilitation at home is becoming closer and closer thanks to very recent developments in ICT technology. This requires providing two main functionalities: driving the patient through the prescribed exercises and assessing the results. These functionalities should not be stand alone but they should be connected in a loop through a reference hospital. In particular, low-cost game controllers have become a major source of inspiration for researchers working in neurorehabilitation: a great variety of exer-games have been developed to guide patients with different disabilities through the prescribed exercises hiding the tedious repetitiveness under the excitement of games. However, it has been soon recognized that this is not enough and some form of virtual therapist should be provided with the exer-games to provide functionalities like: adaptation, monitoring of correct execution, feed-back without which rehabilitation can become hazardous or even lead to maladaptation. Miniaturization of tracking devices has also open the door for an effective assessment of patients behavior in everyday life. This would allow evaluating not only patients improvement, but also his ability to transfer the regained functionalities in everyday life. In this special session we will provide a clear clinical picture of the needs and specifications of rehabilitation at home. We will fully review how to insert into game engine all the functionalities required to provide rehabilitation at home and several games realized with this technology will be shown. The latest results on body-worn sensors networks tailored to monitor and assess patients' progression will be presented.
SS2.2: The Potential Role of Spinal Manipulation in Neurorehabilitation
Moderator: Heidi Haavik
Time, place: Wednesday 16.00-17.30 in Radiosalen
Description: This session will review recent research relating to the potential role of spinal manipulation in neuro-rehabilitation. A number of collaborative research projects have been conducted that have involved chiropractic and bioengineering research groups working together to bridge the gaps between the two disciplines and help to explain the neural mechanisms of action associated with spinal manipulation. These projects have generated and tested some interesting hypotheses relating to the potential implications for neuro-rehabilitation associated with spinal manipulation.
These studies have demonstrated significant neural plastic changes, particularly at the cortical level, following spinal manipulation. These changes have been found to last at least 20-30 minutes and longer term studies are now underway that will examine the long term neural plastic changes associated with spinal manipulation. One of the more recent study findings has significant implications relating to stroke rehabilitation as it suggests a role for spinal manipulation as an adjunct to improve brain computer interface communication.
SS2.3: Robots for Learning and Training of Movements
Moderator: Verena Klamroth-Marganska
Time, place: Wednesday 16.00-17.30 in Musiksalen
Description: What are the implications for the design and control of therapeutic robots? The main objective of this special session is to provide insights into the cooperation and complementation of engineering science with neuroscience. Know-how derived from basic research on motor learning is transferred into novel robotic systems. In return, robotic systems allow investigating the underlying mechanisms of motor learning. In this special session, we present three examples of different robotic approaches (two exoskeletons and one tendon-based robotic system) for learning and relearning of movements, and their application in healthy subjects and patients with neurological disorders.
SS3.1: Current Research in Advanced Upper Arm Prostheses: Development of a true plug&play solution
Moderator: Michael Russold
Time, place: Thursday 14.30-16.00 in Radiosalen
Description: The most challenging reserach in the area of upper arm prostheses will be presented. Recently a number of novel techniques have been developed in this field. The availability of modern arm-prostheses with multiple degrees of freedom have resulted in a number of new approaches, such as osseointegration, targeted muscle reinnervation, implanted EMG systems and implanted nerve electrodes..
SS3.2: New Developments in Robots for Rehabilitation of Walking – Cognitive and Balance Control Aspects
Moderator: Zlatko Matjačić
Time, place: Thursday 14.30-16.00 in Musiksalen
Description: In the last decade rehabilitation robots have made their way into clinical practice where they are becoming an indispensable tool in neurological rehabilitation of the upper and lower extremities. Rehabilitation of walking is readily aided through the use of commercial devices in the form of robotic exoskeletons (like LOKOMAT, Hocoma) or foot-plate based robotic platforms (like G-EO, Rehabilitation Technologies). These devices however currently enable gait training only of straight-line walking due to a lack of appropriate mechanical degrees-of-freedom (DOF). Selection of appropriate leg kinematics and relevant training parameters such as speed of walking and a level of robotic assistance is under the discretion of a therapist while patients are statically stable due to an appropriate level of body-weight-support (BWS) and use of their arms holding onto firm support. Therefore, there is clear challenge to extend the number of DOF to enable appropriately robot supported movement in frontal and transverse planes; consequently i) this will enable practicing of a more challenging maneuvers during walking such as turning thus significantly extending the scope of cognitive involvement of a patient, which will require also adequate cognitive-based control of a robot and ii) it will present an additional challenge to both patient and robot to jointly take care of adequate dynamic balance control during walking.
SS3.3: Interlimb Linkages with Implications for Locomotor Rehabilitation
Moderator: E. Paul Zehr
Time, place: Thursday 14.30-16.00 in Gæstesalen
Description: This session summarizes the latest knowledge on neural connections between the limbs during locomotion and the relationship between these connections and locomotor recovery after nervous system damage (e.g. spinal cord injury, stroke). The session spans foundational work in the cat through to applications in clinical populations.
Conference Program — Tuesday – Wednesday – Thursday.