Workshops and Special Sessions
Participating to workshops and special sessions is a great opportunity to enrich your knowledge, to widen your point of view on specific topics and to get in closer contact with experts of medical and engineering fields.
Workshops + VISIT
These workshops will be held before conference. In order to participate, just subscribe to the sessions you prefer when registering for the conference.
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Pre-Conference, Nov 13
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WS1- Emerging Therapies in Spinal Cord Injury + VISIT
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| Location | Hospital Nacional de Parapléjicos de Toledo |
| Duration | Full-day Workshop |
| Organizer |
Ángel Gil (Hospital Nacional de Paraplejicos de Toledo, Spain) |
| Description |
The main objective of this workshop is to update knowledge about new therapies and biomechanical factors applied for rehabilitation in Spinal Cord Injury (SCI) patients. A deep review of new advances in critical neurorehabilitation topics will be given, such as application of biomechanical analysis to breakthrough developments, new advances in diagnosis and treatment in spasticity, development and use of neuroprosthetic system, the role of the central nervous system, non-invasive neuromodulation in neurorehabilitation and the clinical results of a large experience in gait robotic training. A visit to biomechanics laboratory, Lokomat robot gait training area, a recently developed virtual reality therapy system (Toyra), non invasive neuromodulation and sensory-motor function laboratories in Hospital Nacional de Parapléjicos de Toledo is planned. |
| Speakers |
9.00-9.45 -Contribution of Biomechanics to neurorehabilitation in SCI patients. (Angel Gil-Agudo)
9.45-10.30 -Robotic gait training: Clinical experience (Ana Esclarín)
10.30-11.00 - Coffee break
11.00-11.45 -Promising tools in neurorehabilitation: Central nervous system non-invasive neuromodulation (Antonio Oliviero)
11.45-12.30 -The good, the bad and the ugly of spasticity: New advances in the diagnosis, mechanisms and treatment after SCI (Julian Scott Taylor).
12.30-13.15 -Dynamic motor compensations with permanent, focal loss of forelimb force after cervical spinal cord injury (Elisa López-Dolado)
13.15-14.00 -Discussion
14.00-15.30 -Luch time
15.30-17.30 -Visit to laboratories
17.30-18.00 -Coffee break
18.00-19.00 -Visit to laboratories
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| Web page |
http://www.infomedula.org/Biomecanica%20Web%202.0/workshop.html
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WS2- Emerging Therapies in Stroke + VISIT
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| Location | LAMBECOM laboratory, Madrid |
| Duration | Full-day Workshop |
| Organizer |
J. C. Miangolarra (LAMBECOM, U. Rey Juan Carlos, Madrid) |
| Description |
The LAMBECOM Laboratory, located at the Rey Juan Carlos University (Madrid), is formed by an interdisciplinary group (physiatrists, physiotherapists, occupational therapists, psychologists and engineers) for research and understanding of Motion Analysis, Biomechanics, Ergonomics and Motor Control, basically with brain injury patients.
In this sense, the purposes of our research group in the ICNR are:
In the morning (11-13 h) 13th November 2012 – Visit session
-To visit the LAMBECOM laboratory and know our research lines with brain injury patients.
-To see different assessments with brain injury patients using the most advanced technologies in neurorehabilitation for the motion analysis and motor control (VICON system, Posturography or Electromyography).
In the afternoon (15-18 h) 13th November 2012 - Conference session
- Transcranial magnetic stimulation (TMS) in neurorehabilitation.
- Functional magnetic resonance imaging (fMRI) in neurorehabilitation.
- Technologies and Neurorehabilitation: State of the art. |
| Speakers |
This information will be soon available
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WS3- Rehabilitation robotics for pediatric applications + VISIT
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| Location | Niño Jesús Hospital, Madrid |
| Duration | Full-day Workshop |
| Organizers |
This information will be soon available |
| Description |
Cerebral Palsy (CP) is a group of disorders of posture and movement due to a defect or lesion in the immature brain. CP is often associated to sensory deficits, cognition impairments, communication and motor disabilities, behaviour issues, seizure disorder, pain and secondary musculoskeletal problems. New strategies are needed to help to promote, maintain, and rehabilitate the functional capacity, and thereby diminish the dedication and assistance required and the economical demands that this condition represents for the patient, the caregivers and the society.
As cure for CP, which means a repair of the underlying brain damage, is not currently available, the management for children with CP usually focuses on maintain and improve both quality of life and function, and on prevent secondary complications. Patients with CP are at high risk of develop musculoskeletal problems that are mainly related to physical growth, abnormal muscle tone, weakness, lack of mobility, poor balance and loss of selective motor control.
Manipulation and gait limitations are usual in children with CP. More recently, the contemporary models of motor control and motor learning recommend a task- specific approach emphasizing on repetition and practice. These paradigms have resulted in the development of specific task-oriented therapies represented by constraint-induced movement therapy (CIMT) and partial bodyweight-supported treadmill training (PBWSTT). Robotic-assisted gait training has demonstrated that improves speed, endurance, hip kinematics, step length and walking motor function in children with CP. It also has shown positive impact in standing posture and improvements on balance. Similarly, robotic devices have a high potential to improve the efficiency of therapy treatments for hand and arm impairment. In addition, the sensors attached to the robots can assess forces and movements of the patient. This gives the therapist quantitative feedback on the recovery of the patients and would imply a more efficient rehabilitation process.
As a conclusion, this workshop will describe the last advances of rehabilitation robotics for upper and lower limb, analyzing the clinical impact on people with cerebral palsy. |
| Speakers |
- Ignacio Martínez, MD, Specialist in Pediatric Orthopedics Surgery, Department Niño Jesús Hospital, Madrid (Spain) - "Clinical necessities and challenges in Cerebral Palsy"
- Sergio Lerma, BS, Physical Therapy, MSc, Associate Professor Universidad Camilo José Cela, Technical coordinator of Motion Lab, Niño Jesús Hospital, Madrid (Spain) - "Pathological gait in Cerebral Palsy: Motion analysis perspectives"
- Paolo Bonato, PhD, Director of the Motion Analysis Laboratory at Spaulding Rehabilitation Hospital, Boston MA (USA).
- Citlali Lopez-Ortiz, PhD, Research Scientist, SMPP, Rehabilitation Institute of Chicago (RIC); Adjunct Assistant Professor, PM&R, Feinberg School of Medicine, NU - "Sound and Rehabilitation Robotics for Pediatric Cerebral Palsy"
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| Web page |
http://www.icnr2012.org/ws3_ICNR2012/
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WS4- Pathologic tremor: emerging therapies + VISIT
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| Location | Hospital 12 de Octubre, Madrid |
| Duration | Full-day Workshop |
| Organizers |
E. Rocon (Bioengineering Group, CSIC, Spain), J. Benito-León (Hospital 12 de Octubre, Spain)
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| Description |
Tremor is the most common movement disorder and strongly increases in incidence and prevalence with ageing. Although not life threatening, upper limb tremors hamper independent life of 65% of those suffering from them, greatly impacting on their quality of life. Current treatments of tremor include drugs and surgery. However, tremor is not effectively managed in 25 % of patients. Therefore, further research and new therapeutic options are required for an effective management of pathological tremor.
This workshop aims to introduce recent advances in the development of novel treatment to tremor. In particular, some rehabilitation robots developed for tremor suppression based on biomechanical loading, their evaluation and the identification of their limitations.
It will be a full-day workshop held in the Hospital Universitário 12 de Octubre with the aim to immerse the attendees to the daily clinical practice in the treatment of tremor, in particular Parkinson Disease, Essential Tremor and Multiple Sclerosis. The University Hospital "12 de Octubre" is a third-level hospital belonging to SERMAS (Institute for Health in Madrid) and is also a partner of the hospitals network of Complutense University, Madrid (Spain). It is responsible for Health Area nº 11 of Madrid Autonomous Community, which covers a population of 800.000 and, as reference hospital, extends its action to other areas in neighbouring Autonomous Communities. Currently, the hospital is running more than 200 research projects mainly focused on: cancer, rare diseases, models to describe therapies and pathologies, infectious diseases, chronic diseases, and neurological and mental diseases with a special focus on tremor.
The staff of this research center is composed by clinicians, biologists, biochemistries and chemistries and their research is focused on rare and neurological diseases. The hospital has a long-term expertise in diagnosing and treatment of tremor diseased, being the reference hospital in Spain for the treatment of Essential tremor.
The workshop will also include the talks of some world class research in the field of tremor. |
| Speakers |
This information will be soon available
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Half-day Workshops
These workshops will be held before and after the conference. In order to participate, just subscribe to the sessions you prefer when registering for the conference.
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Pre-Conference, Nov 13
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WS5- Challenges for human centered assistive neuro-robotic devices: experience of the Mundus project
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| Location | Hotel Beatriz, Toledo |
| Duration | Half-day Workshop (morning) |
| Organizers |
A. Pedrocchi, G. Ferrigno (Politecnico di Milano, Dept. Bioengineering, Neuroengineering and medical robotics laboratory, Italy)
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| Description |
MUNDUS is an assistive framework for recovering direct interaction capability of severely motor impaired people based on arm reaching and hand functions. MUNDUS exploits any residual control of the end-user. Sensors, actuators and control solutions adapt themselves to the level of severity or to the progression of the disease allowing the person with disabilities to interact voluntarily with naturality and at maximum information rate. MUNDUS targets are neurodegenerative and genetic neuromuscular diseases such as amyotrophic lateral sclerosis, Friedreich ataxia, and multiple sclerosis and high level spinal cord injury.
MUNDUS is a modular facilitator, which follows the user along the disease progression, sparing training time and allowing fast adjustment to new situations. The MUNDUS controller integrates multimodal information collected by electromyography, head/eye tracking, and eventually brain computer interface commands. MUNDUS actuators modularly combine a lightweight and non-cumbersome exoskeleton, compensating for arm weight, closed-loop controlled NMES for arm and hand motion, and eventually a motorized robotic hand orthosis for grasping of collaborative functional objects recognized by radio frequency identification. The project is currently at its last year and the platform is now ready for tests on the target population. By November, results on the first tests on patients will be available.
MUNDUS aims at developing a composite system able to support task performing driven by a voluntary input, according to controlling solutions tailored to the specific capabilities of the single user.
In this frame 7 specific objectives are identified:
O1 Integrate sensors, actuators and NP to restore and /or augment capabilities of disabled people
O2 Exploit ICT methods for developing a new generation of arm NP
O3 Advance current BCI systems by extracting linear control information evolving with the pathology and including NMES for BCI training
O4 Develop light, passive arm exoskeleton for gravity compensation
O5 Advance current AT devices by adding environment based hand assistance
O6 Advance in multimodal, adaptive control and self learning approach
O7 Evaluate acceptability by end-users in home and work scenarios
MUNDUS project is a STREP project in the objective ICT-2009.7.2 – Accessible and Assistive ICT, it started on the 1st of March 2010 and will end on the 28th February 2013. The partners are: Politecnico di Milano, Technische Universität Berlin, Technische Universität Wien, École Polytechnique Fédérale de Lausanne, Congregazione delle Suore Infermiere dell'Addolorata, Fraunhofer Gesellschaft zur Förderung der angewandten Forschung e.V, Ab.Acus srl, Hocoma AG, CF Consulting Finanziamenti Unione Europea s.r.l.
The workshop will provide a detailed picture of all the modules of the system and the advances achieved in the seven proposed objectives. Possible hands-on sessions with single modules of the system easy to be moved will be prepared. |
| Speakers |
Alessandra Pedrocchi– “The MUNDUS project : concept , goals, challenges and achievements”
Simona Ferrante - "Biomimetic neuroprostheses modulated on subject's residual motor capabilities"
Franco Molteni- “Clinical Impact of innovative neuroprothesis on Activities of Daily Living (ADL). First set of Users evaluations”
Christian Klauer- "Design of feedback control strategies for an arm neuroprothesis combined with an exoskeleton"
Silvestro Micera- “Wearable multi-site electrodes for grasping restoration”
Javier Pascual- “Towards Brain-Computer Interface Controlled Neuroprostheses”
Maria Bulgheroni- “RFID technology for objects recognition and their position estimation”
Margit Gfohler- “Development of a lightweight exoskeleton with weight compensation for the upper extremity as an assistive device for activities of daily living.”
Andreas Jedlitschka- “How to systematically evaluate system quality criteria using data stemming from various sensors?”
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WS6- Creating Intelligent Rehabilitation Technology: An Interdisciplinary Effort
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| Location | Hotel Beatriz, Toledo |
| Duration | Half-day Workshop (morning) |
| Organizers |
R. H. Wang, B, J. Boger, B. Taati (Intelligent Assistive Technology and Systems Lab, Toronto Rehabilitation Institute/University of Toronto)
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| Description |
The goal of this workshop is to discuss concepts and case studies related to interdisciplinary development of IRTs for neurorehabilitation. This workshop will present methods that can be used to collaboratively develop and evaluate IRTs. After defining the distinguishing features of IRTs, the workshop will focus on different aspects of IRT development, including how different people from different backgrounds can add value to each phase of the process. At this workshop participants from multiple disciplines will have the opportunity to discuss technology design and evaluation and will work through case studies of IRTs for a range of age groups and varying abilities.
Workshop participants will understand and be able to give examples of:
1. How to conduct interdisciplinary development and evaluation of IRT;
2. The non-linear and iterative process of development and evaluation; and
3. The need for involvement of multiple disciplines, users and others in all stages of development and evaluation.
Specific development and evaluation aspects that will be covered include:
• information gathering (defining scope of problem to be addressed, how to gather information, and who to involve);
• development (intervention/prototype building and preliminary testing/refinement);
• testing and evaluation with representative users; and
• knowledge transfer (dissemination and commercialization).
Specific case examples will be presented to highlight each of these components and our own positive and negative learning experiences. Case studies will include:
• an intelligent haptic robotic system for upper limb rehabilitation post-stroke,
• an intelligent in-home fall detection and emergency response system, and
• a prompting system to assist children with autism to carry out activities of daily living.
This hands-on workshop will involve:
• interactive presentations by the speakers,
• illustrations of key ideas through detailed case studies from our research and development work with IRTs,
• opportunities for discussion regarding participants’ experiences, and
• an example IRT design for participants to apply what they have learned.
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| Speakers |
Rosalie H. Wang, B.Sc. (OT), Ph.D. Intelligent Assistive Technology and Systems Lab, Toronto Rehabilitation Institute/University of Toronto
Jennifer Boger, M.A.Sc., P.Eng. Intelligent Assistive Technology and Systems Lab, Toronto Rehabilitation Institute/University of Toronto
Babak Taati, Ph.D. Intelligent Assistive Technology and Systems Lab, Toronto Rehabilitation Institute/University of Toronto
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WS7- Extracting the neural strategies from the EMG and implications for myocontrol in neurotechnologies
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| Location | Hotel Beatriz, Toledo |
| Duration | Half-day Workshop (afternoon) |
| Organizers |
Dario Farina (University Medical Center Göttingen, Georg-August University) and Ales Holobar (University of Maribor,Faculty of Electrical Engineering and Computer Science)
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| Description |
The electromyographic (EMG) signal is currently the only viable biological signal for controlling active prostheses in routine clinical applications. This is due to the relatively easy way in which EMG signals can be recorded and to the association between the EMG and the neural drive that the muscles receive. This workshop will present the current state-of-the-art in the use of EMG for interfacing neurotechnologies (myocontrol) in industry and academia as well as advanced topics of EMG signal processing (e.g., EMG decomposition) that may be used for novel schemes of myocontrol in future generations of neurotechnologies. |
| Speakers |
Bernhard Graimann, Otto Bock HealthCare GmbH, Germany
Dario Farina, University Medical Center Göttingen, Georg-August University, Germany
Ales Holobar, University of Maribor, Slovenia
Roberto Merletti, Politecnico di Torino, Italy
Massimo Sartori, University Medical Center Göttingen, Georg-August University, Germany
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WS13- Engineering solutions for vestibular disorder symptoms: the CLONS project
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| Location | Hotel Beatriz, Toledo |
| Duration | Half-day Workshop |
| Organizers |
J. DiGiovanna, N. Guinand and S. Micera |
| Description |
The Closed LOop Neural prosthesis for vestibular disorderS (CLONS) has been developing technological solutions to increase the quality of life of people affected by vestibular disorders. Specifically, innovative closed-loop sensory neural prostheses are being
developed in animal models with almost parallel implementations in the clinic. The prosthesis
restores vestibular information by electrically stimulating vestibular system nerves based on
information provided by inertial sensors. This ambitious, inter-disciplinary project has
addressed many technological challenges including: intra-vestibular interfaces, implantable
circuitry, quantifying prosthetic function, creating an artificial vestibular system, and finding
efficient vestibular stimulation strategies. In this symposium we will discuss the latest CLONS
advances and future development pathways. Specifically we review new electrode
technology to interface with the vestibular periphery, integration of system components to
create a ‘wearable-solution’ in animals, signal processing advances to facilitate new, realtime
feedback pathways, advanced assessment techniques to quantify recovery of function,
and novel stimulation strategies in animal models. |
| Speakers |
- D. Jiang - "An implantable closed-loop vestibular prosthesis"
- K.-P. Hoffmann - "Sandwich electrode technology for precise vestibular electrodes with high reliability"
- K. Nguyen - "Exploiting evoked potentials to measure peripheral vestibular response to electrical stimulation"
- V. Monaco - "Novel assessment devices to quantify vestibular function and their relationship to clinical scales"
- A. Berthoz - "Neuroscience protocols for the assessment of vestibular function"
- J.-P. Guyot - "Closed-loop vestibular prosthetics – first results in humans"
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Post-Conference, Nov 17
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WS9- Muscle synergies: from neurophysiological hypothesis to clinical tool
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| Location | Hotel Beatriz, Toledo |
| Duration | Half-day Workshop |
| Organizers |
D. Torricelli (Bioengineering Group, Spain), M. Molinari (Fondazione Santa Lucia, Italy) |
| Description |
The hypothesis of modular control of movement is becoming more and more accepted in the neurophysiologic community. Experiments in animals and humans have shown that the complex muscular activity can be explained by the activation of small ensembles of muscle groups, called muscle synergies or modules. These evidences opened the scenario to a wide range of possible neurophysiological theories, and could lead to interesting clinical applications for the diagnosis and rehabilitation of neurological impairments. Nevertheless, many questions are still unsolved, and time is ripe for debating:
• Is the modular behavior a neural strategy or a result of biomechanical and muscular constraints?
• Which is the role of sensory feedback in regulating modular behavior?
• How is modular control affected by pathologies?
• Can we use the analysis of muscle synergies to improve diagnosis and rehabilitation?
These and more issues will be discussed in this workshop, which aims to bring together leading researchers to show the most recent evidences and techniques, with a special eye to the possible future applications in the pathologic scenario.
This workshop is addressed to clinicians, therapists, engineers and neurophysiologists willing to understand the potential of the analysis of modular behavior, as a tool to extract meaningful information from muscular activity. |
| Speakers |
Yuri Ivanenko - "Plasticity and different solutions to reorganize muscle patterns during gait"
Andrea D’Avella - "Identifying muscle synergies from EMGs: evidence, concerns, and application to neurorehabilitation of decomposition approaches"
Marco Molinari - "The clinical future of muscle synergies. Goals and challenges"
Silvestro Micera - "Upper and lower limb muscle synergies: lessons learnt and new ideas for neurorehabilitation"
Dario Farina - To be defined
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| Web page |
http://www.icnr2012.org/documents/ICNR_WS_MuscleSynergies_v1.pdf
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WS10- Brain-Computer Interfaces for Rehabilitation
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| Location | Hotel Beatriz, Toledo |
| Duration | Half-day Workshop |
| Organizers |
T. Solis-Escalante, R. Scherer, G. Müller-Putz (Lab. Brain-Computer Interfaces, Graz U. of Technology, Austria)
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| Description |
A brain-computer interface (BCI) establishes a direct link between the human brain and a computer. BCIs decode brain activity and translate it into control commands for a wide range of applications. The principal goal of a BCI is to provide a mean of communication to disabled individuals. However, BCIs also have potential clinical applications that support rehabilitation and the restoration of motor functions. Damage to the central nervous system (the brain and spinal cord) may result in impaired motor functions. Rehabilitation seeks to improve these functions by exercising certain movements, thus inducing brain plasticity and reorganization through motor learning. In this context, BCIs can provide information about brain activity, for both visualization and quantification. Furthermore, a BCI can monitor brain activity in real time and present feedback to the patient and therapist. This feedback may guide both users (patient and therapist) during rehabilitation and aid motor learning. Attendees to the seminar will learn about the latest research and current developments in the BCI field. Attendees will benefit from the different perspectives (physiology, psychology, and engineering) of the invited speakers.
The seminar will cover state-of-the-art BCI applications for rehabilitation. These applications include assessment of consciousness, and restoration and rehabilitation of motor functions. The seminar will also present the current evaluation of BCI technology for use at home, from the user point of view. Our workshop includes five BCI experts from four different countries, with experience in both the methods and applications. |
| Speakers |
Andrea Kübler, Assis. Prof.
Department of Psychology University of Würzburg, Germany.
Title: End-user evaluation of BCIs and independent home use.
Donatella Mattia, MD, PhD.
Laboratory of Neuroelectrical Imaging and Brain Computer Interface, FSL, Rome, Italy.
Title: Hybrid brain-computer interaction for functional motor recovery after stroke
Gernot Müller-Putz, Assosc. Prof.
Institute for Knowledge Discovery, Graz University of Technology, Graz, Austria.
Title: Towards restoration and rehabilitation with the help of brain-computer interfaces.
Quentin Noirhomme, PhD.
Coma Science Group, University of Liège, Belgium.
Title: Detecting consciousness after stroke with a BCI.
Rüdiger Rupp, PhD.
Experimental Neurorehabilitation Group, Spinal Cord Injury Center,
University Hospital in Heidelberg, Germany.
Title: BCI-controlled grasp neuroprosthesis in high spinal cord injury.
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| Web page |
http://bci.tugraz.at/index.html
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WS11- Clinical Neurorehabilitation based on Neuromodulation Interventions
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| Location | Hotel Beatriz, Toledo |
| Duration | Half-day Workshop |
| Organizers |
Javier Mínguez, Carlos Escolano, Eduardo López (University of Zaragoza, Spain)
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| Description |
Neuromodulation (also known as neurofeedback) is a feedback-based technique that uses electroencephalography or functional magnetic resonance imaging to provide a person with a signal that represents his/her own brain activity. As other biofeedback techniques, neuromodulation uses control devices to provide real-time information of the individual’s physiological working levels. The main difference with other biofeedback techniques is that neuromodulation focuses only in the central nervous system and the brain. Neuromodulation is based on applied neuroscience knowledge and clinical practice. Furthermore, it takes into account behavioral and cognitive features, and the brain activity associated to them. Several studies have revealed that these interventions have therapeutic effects to treat a variety of neurological and psychological disorders such as epilepsy, attention deficit hyperactivity disorder (ADHD), and addictive disorders, among others. Furthermore, these interventions applied to healthy users have demonstrated its ability to improve certain cognitive aptitudes.
Actual workshop will combine the advances in clinical practice and engineering, so that students of both areas can learn the principles of the discipline and its actual state. They will also be able to use the technology in a real neuromodulation application to healthy users, planning and executing a real intervention. Concretely, this workshop will show the needed brain-computer interface technology (hardware and software), and a brief description of its applications. The methodology to use this technology with healthy users and patients will be shown. The main neurological and psychological disorders which have been reported in literature and the main cognitive aptitudes improved in healthy users will be exposed. Then, the workshop will focus on the developed studies in our research team with depression patients, and healthy users. Main results will be exposed followed by the future work. Finally, a live demo of neuromodulation of the alpha rhythm will take place, showing a live experience of the technology ready to be used out of the lab by non-expert people. |
| Speakers |
Dr. Javier Mínguez
University of Zaragoza
From brain-computer interfaces to neuromodulation
Dr. Javier García Campayo
Department of Psychiatry and Miguel Servet University Hospital, University of Zaragoza
Alpha rhythm neuromodulation in the treatment of cognitive aptitudes to patients with depression and fibromyalgia
Dr. Joan Salvà Coll
University of the Balearic Islands (UIB), Institut Universitari d'Investigació en Ciències de la Salut (IUNICS), Research Group in Mental Health in Primary Care from the Balearic Islands included in the Spanish Network (Red de Investigación en Actividades Preventivas y Promoción de la Salud, redIAPP), Spain.
Low-frequency transcranial magnetic stimulation in patients with fibromyalgia and major depression.
MsC. Carlos Escolano
University of Zaragoza
Improving cognitive aptitudes in healthy users using neuromodulation.
MsC. Eduardo López-Larraz
University of Zaragoza
Improving motor aptitudes in healthy users using neuromodulation.
María Teresa Navarro
Bit&Brain Technologies
Live neuromodulation demo
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| Web page | http://webdiis.unizar.es/%7Ejminguez/NeuroModulationWS/ |
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WS12- Enhancing communication and computer access via assistive technology in Complex Communications Needs
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| Location | Hotel Beatriz, Toledo |
| Duration | Half-day Workshop |
| Organizers |
M. Pajaro and R. Raya (CSIC, Spain), Luis Azevedo (ANDITEC-Rehabilitation Technologies Ltd, Portugal) |
| Description |
This workshop will provide assistants with information about the newest advances and trends in assistive technology (AT) for Complex Communication Needs (CCN). Audience will be able to characterize and to describe what are CCN, to identify CCN and to define characteristics and common causes of CCN. Assistants will be able to determine potential users that may benefit from AT for communication. Participants will be able to understand how can CCN be treated with AT and to plan interventions. Attendants will be able to assess potential users including those presenting with progressive neurologic diseases (i.e. Amyotrophic Lateral Sclerosis) and severe motor dysfunction (i.e. locked-in syndrome, traumatic brain injury, stroke and cerebral palsy).
This workshop will present a view of some already commercially available systems. We will provide a description of the usability and versatility of some emerging systems that play and important role in AAC and that will include eye-tracking systems, biosensor and multimodal interfaces. The interaction between human and AT is the core of the aid in CCN. The interface is the medium through which communication flows between user and device. Assistants will presence a real demonstration of a person with CCN using an eye tracking system to communicate in front of the audience. Participants will be also introduced to the ABC project that is focused on the development of Brain Neural Computer Interface (BNCI) communication systems, including EEG systems and its applicability in the field of CNN. The audience will be illustrated with the exhibition of a real EEG speller system and will have a deep insight in the necessities of improve accessibility to computer. They will be provided with tools and description of some emergent technologies available for this goal. They will assist to an introduction of some systems like ENLAZA interface, a headset with a helmet and an inertial measurement unit. The ENLAZA interface translates head movements into voluntary commands to control the computer. ENLAZA can also assist to drive adapted vehicles in children with cerebral palsy. Assistants will also receive an insight into the TechFilter mouse system that is able to filter undesired hand shaking movements from PC mouse cursor and may help to access to computer system to patients presenting with tremor as essential tremor and Parkinson Disease. |
| Speakers |
- Luis Azevedo, Researcher of the Technical University of Lisbon, MSc., PhD. Assessment and Intervention through the use of "Eye Tracking Systems" in persons with Complex Communication Needs (e.g. Amyotrophic Lateral Sclerosis and Locked-In Syndrome).
- Rafael Raya López, PhD, CSIC.
- Eduardo Rocon, PhD, CSIC.
- Ana Londral, MSc. in Clinical Engineering, PhD Student in Neurosciences at Lisbon´s Faculty of Medicine. Multimodal Interfaces for AAC in Persons with Amyotrophic Lateral Sclerosis
- Margarida Nunes da Ponte, MPhil., Special Educator, Centre for Cerebral Palsied Children in Lisbon. Use of Eye Tracking Systems as Assistive Technology in Children with Cerebral Palsy.
- Juan Manuel Belda Lois. Senior Researcher en Instituto de Biomecánica de Valencia (ABC project http://abcproject.ibv.org/)
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| More information | More information(.PDF) |
Special Sessions
Special sessions will be interspersed throughout the Conference. To participate, just register to the Conference, no special fee is needed. If you are author of an Extended Abstract you may be invited to contribute with your work to a Special Session. You can select this option when submitting your Extended Abstract.
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SS1- Games and Creativity for NeuroRehabilitation
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| Organizers |
Alessandro De Mauro (Vicomtech-IK4, eHealth and Biomedical Application Department, Spain), Francisco Molina Rueda (Faculty of Health Sciences, Universidad Rey Juan Carlos, Spain) |
| Description |
The purpose of this session is to provide a forum of international experts and researchers to present and
review the advances in the use of games and creativity in the field of rehabilitation. The major advantage of
this type of technology is related to the engagement and motivation of the subject.
Papers for this special session should present technical innovation, evidence based results and promising
implementation in the health system.
Presentations which include video material or experimental systems are particularly welcome. Facilities for
presenting such material will be available at the conference. It is hoped that the conference will act as a focus for international collaboration. |
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SS2- Systematic Rehabilitation based on brain rhythm, muscle synergies and tacit learning
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| Organizer |
Shingo Shimoda (RIKEN, Japan), Keiichi Kitajo (RIKEN, Japan) |
| Description |
Our research group proposes a rehabilitation system, targeting functional recovery of stroke patients. Large-scale phase synchronization of EEG activity can predict the degree of recovery of stroke patients. Behavioral analysis based on the muscle synergies shows the quantitative consequence of how much motor behavior is intentionally controlled. We use EEG phase synchronization and muscle synergy for estimating the degree of recovery after a stroke. We also demonstrate a hybrid rehabilitation system using EEG feedback and mechanical supports by robots, combined with tacit learning technique. |
| Web page |
http://btcc.nagoya.riken.jp/biologic/ICNR/
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| Organizers |
E. Rocon (CSIC, Spain), N. Vitiello, M. Vito (BioRobotics Institute, Italy) |
| Description |
The attendee will be introduced with the main particularities of the field. This introduction will define the most important aspects that will be dealt in detail in the following sessions. The basis for bioinspiration and biomimetism in Wearable Robots will be explained in two consecutive sessions that will focused on the advantages of this approach in the robotics design with a focus on Wearable Robots. The general rules for the development of biologically–inspired designs with different levels of insight (external and internal) and how these designs could serve recursively as biological models to explain biological systems. The following three sessions will be devoted to the mechanics of the wearable robot and its biomechanical interaction with the user. It is assumed that the attendee has some notions of the basic biomechanical concepts.
One important and specific aspect in Wearable Robotics is the intrinsic interaction between human and robot. This interaction is twofold: cognitive and physical. On the one hand, the cognitive aspects of this interaction will be treated in detail in four consecutive sessions dealing with cognitive interaction based on bioelectrical and biomechanical activity as well as novel approaches based on interfacing both the PNS and the CNS with the robot. On the other hand, the physical aspects of this interaction are addressed in three sessions following the analysis of the cognitive interface.
The workshop will then deal with suitable state of the art technologies for sensing and actuating in wearable robots. Technologies enabling sensory and motor interaction between human (biological) and wearable artificial (mechatronic) systems will be presented. The different sensors and devices attached to the wearable robot work in a restricted space but they may be able to interact with the environment.
Eventually, the last two sessions in the workshop will show the application of the various different aspects to the development of an upper-limb and a lower-limb Wearable Robot.
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SS4- Control strategies in rehabilitation robotics
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| Organizer |
A. Casals (Institute for Bioengineering of Catalonia, Spain) |
| Description |
The more and more challenging rehabilitation robots aimed at fitting the specific users’ characteristics and even at responding to their volitional orders make classical control
theory insufficient.
Automatic control aims at developing algorithms that tend to cancel the error between
the goal (input) and the result (output measure), and at optimizing accuracy and
response time. However, in neurorobotics, neither the input (volitional commands) nor
the results (movements) are parameters that can be numerically measured. Instead,
they constitute commands that are numerically decontextualized from the environment,
as well as measures that not always are geometric, as for instance muscular
physiological response. In this field, rather than optimizing accuracy, the goals are to
ensure the correct interpretation of the orders given by the user and to estimate the
user’s limited capabilities (weakness, fatigue…) to assist just at the needed level. This
assistance should dynamically adapt to the user, as his physical and mental conditions
evolves during the therapy and with the training and user’s recovery.
The progress in robot neurorehabilitation passes through the study not only of the
physical effects of the robot assistance but also of those produced to the mental
activity. The former implies studying control strategies involving physical human robot
interaction. The latter are related to the study of physical-mental interaction, ranging
from brain plasticity to learning, motivating and supervising and monitoring. Thus,
control strategies are subject to multidisciplinary matters and subject to multimodal
information which correlation is not yet known.
This session aims at collecting research work facing the processing of such
heterogeneous data and signals for the interpretation of the user’s will and needs, as
well as learning capabilities and training abilities, so as to control an orthosis in a safely
and maximally efficient way. |
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SS5- Movement analysis techniques in rehabilitation
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| Organizers |
A. Cereatti (U. of Sassari, Italy), C. Mazzà (U. of Rome “Foro Italico”, Italy)
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| Description |
Quantitative human movement analysis provides information on functions of the locomotor sub-systems and on the overall strategy upon which motor activity is executed. These outcomes contribute to the understanding and quantification of subject-specific variables that can effectively be used in prevention, early diagnosis, intervention, and outcomes quantification. This special session will focus on the use of quantitative human movement analysis for the assessment of an individual motor capacity and performance in the framework of the definition of a customised rehabilitation pathway.
The core of quantitative human movement analysis is the measurement of kinematic quantities. Despite the potential of related information in decision-making and intervention practice is fully recognized, its application on a large scale is currently limited. The specific focus of this session will be on the advancements allowed in these framework by emerging motion capture technologies and signal processing techniques.
Video-based measurement systems allow the reconstruction of the trajectories of markers located on the subject’s skin and, through mathematical modelling, of the pose of the bones of interest. The information provided by this instrumentation can be very complete and allow for an accurate impairment assessment when proper procedure for errors minimization are adopted. The use of these systems may be limited by high costs, complex experimental procedures, model complexity, and constrained environments.
An alternative for the measurement of kinematic quantities is the use of wearable systems, commonly based on miniature inertial and magnetic sensors. The use of proper sensor fusion algorithms and signal processing techniques can provide accurate estimates of gait spatio-temporal parameters and body segment position and orientation. These sensors are certainly low cost and easy to use, but their effectiveness is in some case limited by possible alteration of the sensor calibration parameters and by ferromagnetic disturbances in the vicinity of the device. Moreover, the extraction of reliable parameters may be challenging in the presence of pathologies altering the expected signal features.
The submission of papers dealing with all the above instrumental issues and with the effectiveness of the motion capture technologies in the rehabilitation field is strongly encouraged.
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SS6- How to translate FES from the research to practice
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| Organizers |
D. Popovic (Aalborg University, Serbia), F. Brunetti (CSIC, Spain) |
| Description |
Functional Electrical Stimulation is a widespread technology that supported actions in neuroengineering since early sixties of last century. FES was assumed as the bypass of the missing connections between the central nervous system and muscles and sensors which follow stroke, spinal cord injury (SCI), etc. with immediate and possibly carry over effects. Miniaturized electronic devices, major increase of the computing power, improved electrode’s materials, and over all advanced neuroscience knowledge made possible to gradually overcome common problems in FES. Many clinical studies demonstrated benefits; yet, it is still not a commonly used tool in the rehabilitation.
This Special Session is aimed at discussing bottlenecks for improved use of FES for restoring motor and sensory functions. The session will combine the presentation related to the use od FES for the treatment of cerebral palsy (CP) children, pathological movements compensation like tremor or spams, restoration of standing/walking and manipulation/grasping in SCI and stroke patients, but also the use of neurorobotics.
The goal of this action is to share experiences in advanced FES applications and promote this renewed technology as an important tool for motor and sensory rehabilitation and compensation. |
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SS7- Improving cognitive and social skills of people with neurological disorders through assistive technologies
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| Organizers |
R. Raya, F. Brunetti, M. Pajaro (Bioengineering Group Spanish Research Council, Spain) |
| Description |
The objective of this special session will be to analyze how assistive technology can improve social and cognitive skills of people with neurological disorders. Therefore it is crucial to give people with neurological disorders the opportunity to improve their skills through interacting with their environment both physical and social. Cognitive disabilities secondary to neurological conditions often limits other fundamental abilities such as social relationships and learning capacity. Assistive technology (AT) can support a range of functional activities requiring cognitive skills as diverse as complex attention, motivation or executive reasoning and physical skills as manipulation or mobility. The main areas where AT has a high impact are communication, mobility, orientation and manipulation. All of them influence on the cognitive development of the user. This special session will present the advances to promote physical and cognitive skills in the main areas of the development. |
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SS8- Understanding musculoskeletal deformity and pathological gait: What can musculoskeletal modelling and dynamic gait simulations contribute?
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| Organizers |
Ilse Jonkers, Dept of kinesiology, Human movement biomechanics research group |
| Description |
For the past several years, computer assisted movement analysis has been used as an evaluation tool for gait. The description of gait kinematics, kinetics and muscle activation using surface electromyography, quantitatively documents the aberrant gait pattern. The analysis of the inter-relationships of data in combination with the clinical findings helps clinicians in understanding the abnormal movement pattern and contributes to the clinical decision making.
During the past decade, musculoskeletal modelling and simulation of movement have been introduced to assist the study of human gait, more specifically to allow causal relationships to be identified and treatment simulations to be performed.
Using this approach as a reference frame, this workshop focuses on the potential and future prospect of integrating advanced biomechanical analysis techniques in the clinical decision making process. Apart from theoretical background and research examples from my group, basic, hands-on demonstrations will be presented using the opensim software platform.
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| Organizers |
E. Fernández (Universidad de Elche, Spain) |
| Description |
The development of advanced neuroprosthetic devices able to replace or restore sensory and/or motor deficiencies is one of the central health issues to be addressed in the next years. To be useful these devices must improve both health and quality of life, but there still many challenges related with reliability, safety and chronic use, causing delay in its development.
This special session will be focused on sensory restoration and the development of new neural interfaces. The main aim is to promote the development of coordinating efforts at the frontiers of clinical and scientific discovery. We expect that in the future, these technologies will allow to monitor and manipulate many parallel events in real time and will provide powerful tools not only for basic neuroscience research but also for the diagnosis and treatment of many neurological diseases. This integration will provide the basis for the design and development of new neuroprosthetic devices with better selectivity properties. The session will include several cross-topic areas such as: problems and challenges raised to interface the nervous system, optimal microelectrode designs, neural information processing, analysis and assessment of the benefits from the point of view of the medical-community and end-users, ethical issues and considerations on potential side effects.
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SS10- Moving rehabilitation at home: how technology can answer to the clinical needs
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| Organizers |
Alberto Borghese (Department of Computer Science - University of Milano, Italy), Laura Rocchi (Department of Electronics, Computer Science and Systems, University of Bologna, Italy) |
| Description |
The aim of the present session is to provide an overview of the emerging technology that could make neurorehabilitation at the patient’s home feasible in the next future. The evidence that intensive prolonged rehabilitation does ameliorate functionalities is increasing also for chronic patients, but the support of such modality is beyond the capability of National Health Providers. Moving rehabilitation at home may increase both the access to the training and its effectiveness, at the same time maintaining the overall cost sustainable.
Crucial issues to make this approach effective are: - a clear definition of the user’s needs and of the clinical requirements; an appropriate architecture that involves the reference hospital; personalized and adaptive training sessions; low-cost, easy to use, reliable sensors to track patients’ motion; a telemedicine infrastructure for clinical supervision; evaluation of the patient lifestyle and quantitative outcome measures.
Solutions to these issues will be presented and discussed in this Special Session, in particular (but not only) the solutions envisaged in two European financed projects: Rewire and Cupid.
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Round Tables
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Official session of The European Society of Physical & Rehabilitation Medicine (ESPRM)
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| Organizers |
Enrique Varela Donoso (E.U. de Enfermería, Fisioterapia y Podología, UCM, Spain) |
| Description |
Neurological impairments are one of the most frequent cause of severe disability in which physical and rehabilitation medicine specialist (PRM-Specialist) has to be very often involved. PRM-specialist competences have to focus mostly on patient disabilities, trying to diminish, as much as possible, their activity limitations as well as their participation restrictions. From the early to the post-acute and long-term setting, PRM specialist has to be very actively involved regarding the whole approach to diagnostic, assessment, management and treatment, including the use of assistive technologies.
Regarding this issue, an interdisciplinary approach in a comprehensive rehabilitation, leads to a better outcome and therefore the use of a common language is needed. In a patient oriented medicine, the use of a language that not only medical professionals but also patients, careers, etc can understand is important. In this way, the International Classification of Functioning, Disability and Health, approved in 2011 by the WHO (ICF), can provide this neutral framework. The personal experience of someone affected by a specific health condition not only is secondary to the function or the structure of the body, but also in the activity performances and the participation in different areas of life. Moreover, this functioning is interrelated to personal factors and environmental factors such as the possibility of benefit from material, medical treatment, family support and societal attitudes or improvements in accessibility.
The entire ICF is too extensive to be practical and some tools have been developed to operationalize its use in clinical areas (such as patients suffering from central nervous system damages), in research as well as in political environments. One of these tools are the ICF Core Sets. These are sets of categories that define functioning in a specific health condition. The definition of the Core Sets is established after a consensus process that integrates evidence gathered from four preliminary studies to capture the perspective of the clinician, the researcher, the patient and an empirical data collection.
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| Speakers |
- Pedro Cantista "Role of PRM-Specialist regarding patients suffering from neurological impairments". PRM-SPECIALIST. SERVIÇO DE FISIATRIA - HOSPITAL DE SANTO ANTÓNIO. PORTO (PORTUGAL)
- Enrique Varela-Donoso "The International Classification of Functioning, Disability and Health (ICF-Model) as a tool for assessment and treatment of disabled people". PRM-SPECIALIST. COMPLUTENSE UNIVERSITY SCHOOL OF MEDICINE (MADRID)
- Sara Laxe-García "The ICF-Core set in relation to patients with Central Nervous System disturbances".PRM-SPECIALIST. BRAIN INJURY DEPARTMENT OF THE GUTTMAN INSTITUTE (BARCELONA)
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Training and careers in Biomedical Engineering
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| Organizers |
Antonio José del Ama (National Hospital for Spinal Cord Injury, Spain), Susana Borromeo (University Rey Juan Carlos, Spain), Andrés Gómez (SESCAM, Spain), José Luis Pons (CSIC, Spain). |
| Description |
Disease and disability is part of the human condition: almost everyone will be temporarily or permanently impaired at some point in life, and those who survive to old age will experience increasing difficulties in functioning. This issue will become more acute as the demographics of societies change and more people live to an old age.
Technology is used by clinicians, rehabilitation workers, people with disabilities and families to provide effective treatments, increase user participation and enhance accessibility. Advances produced on XIX century in the field of electric and electronic instrumentation has benefit the development of medical devices. Examples include designs for recording electrophysiological signals, starting with the RA Waller in human hearts (1887), the refinement of the technique by W. Developing an Einthoven string galvanometer (1901) and applying this to record EEG signals in humans by Berger (1924). Another example is the development of imaging instrumentation; since the discovery of X-rays by Röntgen in 1895, new imaging-based diagnostic systems have been translated to clinics. Furthermore, advances in this field have also given new possibilities for treatment, as implanted insulin pumps, stimulation of deep brain for parking son disease, pacemakers, cochlear implants, or the development of robots for functional rehabilitation.
Developing of clinical technology is founded on a deep understanding of several factors that include the patient’s specific needs, the clinical factors to be addressed for achieving an effective therapy, and the environmental factors that can induce limitations to the therapy among others. Addressing those factors is usually accomplished by multidisciplinary teams that include engineering and clinical professionals that interchange their knowledge and points of view for designing a specific device. However, although multidisciplinary teams have successfully accomplished the recent developments in clinical technology, forthcoming advances will stand on a closer interaction between the technological devices and the biological structures. Understanding this interaction brings about a new professional profile in which both technological and clinical backgrounds are merged, going a step further than the interchange of knowledge and points of view produced in multidisciplinary teams.
Biomedical Engineering is principally involved in the design and construction of medical devices and technologies. While this new profile is already recognized in other countries, with specific university degrees, there are in Spain a growing number of universities that are designing their own study course on Biomedical Engineering. Therefore the Clinical Engineering Committee of Industrial Engineers Association of Madrid proposes a round table about training and careers in Biomedical Engineering. This round table aims to set an open discussion among renowned experts in the field to identify the needs of the clinical engineering. Besides, exploration about the structure and results of the most relevant companies, clinics and laboratories that are developing cutting-edge clinical technology will be held to shed light into the identification of training needs for Biomedical Engineering.
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| Speakers |
− Susana Borromeo López, Associate Professor. Rey Juan Carlos University.
− Andrés Gómez. Assistant Management Technical Services. University General Hospital of Ciudad Real. Associate professor Castilla La-Mancha University.
− Luis Garcés Pérez, Medical Doctor. Biomechanics Institute of Valencia.
− Metin Akay. University of Houston
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Technological Innovations in Neurorehabilitation in stroke: policies and strategies
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| Organizers |
José L. Pons, Juan C. Moreno, Freygardur Thorsteinsson |
| Description |
The need for rehabilitation in Europe is increasing as the age of the population increases. By 2050, nearly 34 percent will be above 60. This fact has significant importance in nearly every aspect of European welfare and public policy, especially health care.
Neural rehabilitation involves the management of disorders that alter the function and performance of the patient. The optimization of the recovery of function after brain damage is expected through the combined use of physical training with therapeutic exercise, movement & activities modification, and more versatile and smart assistive devices, such as exoskeletons, and computer interfaces with the nervous system. The ultimate goal is to enhance or restore the functional ability and quality of life to those survivors of neural damage. Thus, the quality of rehabilitative services can be vitally important.
A number of international projects are targeting the design and development of Technological Innovations in Neurehabilitation offer promising therapeutic approaches for numerous applications in rehabilitation. In particular, neurological rehabilitation –after a stroke – often takes too long to keep patients in hospital until it is finished. Also, effective neurological rehabilitation depends on regular exercises under qualified instruction. Robotic and Tele-rehabilitation concepts are a very promising approach to close this gap as are showing more and more to be effective in terms of recovery and costs.
Taking into account the current economic and systematic factors, and with the aid of advances in technology, the nature of rehabilitative services is changing dramatically. How is traditional rehabilitative therapy to be updated with innovative developments in technologies designed to improve effectiveness? How to promote stakeholder cooperation and to establish references for best practices? What is the state of technical and regulatory barriers to market development? Which are the key methods to boost research and innovation to foster the emergence of innovative, ICT-based products for neurorehabilitation?
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| Speakers |
- Paolo Binelli
- Dolors Safont
- Freygardur Thorsteinsson, OSSUR h.f.
This information will be updated periodically
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| Organizers |
Antonio José del Ama (National Hospital for Spinal Cord Injury, Spain), Susana Borromeo (University Rey Juan Carlos, Spain), Andrés Gómez (SESCAM, Spain), José Luis Pons (CSIC, Spain). |
| Description |
Disease and disability is part of the human condition: almost everyone will be temporarily or permanently impaired at some point in life, and those who survive to old age will experience increasing difficulties in functioning. This issue will become more acute as the demographics of societies change and more people live to an old age.
Technology is used by clinicians, rehabilitation workers, people with disabilities and families to provide effective treatments, increase user participation and enhance accessibility. Advances produced on XIX century in the field of electric and electronic instrumentation has benefit the development of medical devices. Examples include designs for recording electrophysiological signals, starting with the RA Waller in human hearts (1887), the refinement of the technique by W. Developing an Einthoven string galvanometer (1901) and applying this to record EEG signals in humans by Berger (1924). Another example is the development of imaging instrumentation; since the discovery of X-rays by Röntgen in 1895, new imaging-based diagnostic systems have been translated to clinics. Furthermore, advances in this field have also given new possibilities for treatment, as implanted insulin pumps, stimulation of deep brain for parking son disease, pacemakers, cochlear implants, or the development of robots for functional rehabilitation.
Developing of clinical technology is founded on a deep understanding of several factors that include the patient’s specific needs, the clinical factors to be addressed for achieving an effective therapy, and the environmental factors that can induce limitations to the therapy among others. Addressing those factors is usually accomplished by multidisciplinary teams that include engineering and clinical professionals that interchange their knowledge and points of view for designing a specific device. However, although multidisciplinary teams have successfully accomplished the recent developments in clinical technology, forthcoming advances will stand on a closer interaction between the technological devices and the biological structures. Understanding this interaction brings about a new professional profile in which both technological and clinical backgrounds are merged, going a step further than the interchange of knowledge and points of view produced in multidisciplinary teams.
Biomedical Engineering is principally involved in the design and construction of medical devices and technologies. While this new profile is already recognized in other countries, with specific university degrees, there are in Spain a growing number of universities that are designing their own study course on Biomedical Engineering. Therefore the Clinical Engineering Committee of Industrial Engineers Association of Madrid proposes a round table about training and careers in Biomedical Engineering. This round table aims to set an open discussion among renowned experts in the field to identify the needs of the clinical engineering. Besides, exploration about the structure and results of the most relevant companies, clinics and laboratories that are developing cutting-edge clinical technology will be held to shed light into the identification of training needs for Biomedical Engineering.
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| Speakers |
− Susana Borromeo López, Associate Professor. Rey Juan Carlos University.
− Andrés Gómez. Assistant Management Technical Services. University General Hospital of Ciudad Real. Associate professor Castilla La-Mancha University.
− Luis Garcés Pérez, Medical Doctor. Biomechanics Institute of Valencia.
− Metin Akay. University of Houston
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For any question, please email to the Workshop Chair Diego Torricelli:
workshops@icnr2012.org
