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Using technology to support motor recovery following stroke: A panel discussion
An ever-growing body of evidence supports the use of technology-based interventions for physical rehabilitation in stroke, yet their use in clinical practice has traditionally been low compared to behavioral interventions.
This presentation provides an overview of the technologies and devices for motor rehabilitation post stroke, the evidence for their use, and the results from a national survey of awareness and use of these technologies among physical and occupational therapists.
The panel discussion examines the barriers that limit awareness and use of technologies, how to implement these therapeutic options in practice and educate more researchers, clinicians and patients on their importance. The panel consists of researchers, a therapist, an administrator, a physiatrist and a person with lived experience.
Presenters: Amanda McIntyre, Marcus Saikaley, Manny Paiva, Karen O'Neil, Vern Robinson, Robert Teasell
View the video event: Using Technology to Support Motor Recovery Following Stroke
This event took place on June 30, 2022
Ali Bateman
Ali Bateman, MD
Assistant Professor, Schulich School of Medicine and Dentistry
Acquired and Traumatic Brain Injury; Spinal Cord Injury
Dr. Ali Bateman is a physiatrist at Parkwood Institute and an Assistant Professor in the Department of Physical Medicine and Rehabilitation Schulich School of Medicine & Dentistry at Western University. She is also an Associate Scientist at Lawson Health Research Institute, and the Quality Improvement Lead in the Department of Physical Medicine & Rehabilitation.
Dr. Bateman completed her medical degree and residency training at Western University, and is currently completing a master’s degree in Quality Improvement and Patient Safety through the Institute of Health Policy, Management, and Evaluation at the University of Toronto. She is also certified by the Canadian Society of Clinical Neurophysiologists and holds the designation of CSCN Diplomate (EMG). As a consultant physiatrist, Dr. Bateman provides care in acquired brain injury and spinal cord injury rehabilitation programs and the electrodiagnostic laboratory at Parkwood Institute.
Her research interests centre on quality improvement, patient safety, and knowledge translation with the aim of achieving best practices so that all persons with spinal cord and/or brain injury receive the best quality care.
Caitlin Cassidy
Caitlin Cassidy, MD
Assistant Professor, Schulich School of Medicine and Dentistry
Childhood Onset Conditions; Implementation Science and Education
Dr. Caitlin Cassidy is a physiatrist at Parkwood Institute and an Associate Professor in the Department of Physical Medicine and Rehabilitation, and is also cross appointed to the Department of Paediatrics. Her primary clinical and research roles revolve around the Transitional and Lifelong Care (TLC) program at Parkwood Institute. The TLC program provides longitudinal rehabilitative care to adolescents and adults living with a physical disability of childhood onset, many of whom experience mobility challenges and may struggle to find accessible opportunities to increase their fitness and activity levels.
Dr. Cassidy’s research interests include the natural history and long-term outcomes of people with these conditions, and collaborates closely with Dr. Laura Brunton from the School of Physical Therapy at Western University to determine the impacts that access to activity and wellness programming have on pain, fatigue and other outcomes for people with cerebral palsy and spina bifida. Dr. Cassidy also acts as the discipline lead for Musculoskeletal Medicine in undergraduate medical education at Schulich School of Medicine & Dentistry at Western University.
Dalton L. Wolfe
Dalton L. Wolfe, PhD
Lawson Scientist, Parkwood Institute Research
Implementation Science and Education; Spinal Cord Injury
Dalton Wolfe is a Scientist at Lawson Health Research Institute, an Assistant Professor in the Faculty of Health Science and leads the Research 2 Practice (R2P) team, which is a unique research program within Parkwood Institute that focuses on strategies for generating evidence and implementing best practice within rehabilitation. Professor Wolfe’s primary research interest is in the area of knowledge mobilization and best practice implementation with a focus on physical activity and activity-based therapies in spinal cord injury and brain injury rehabilitation.
Professor Wolf also co-leads the Ontario SCI Implementation, Evaluation and Quality Care Consortium, which focuses on implementation of quality indicators towards the enhancement of care across the 5 academic health centres involved in SCI rehabilitation in Ontario. As part of the Parkwood Rehabilitation Innovations in Mobility Enhancement initiative (PRIME), Professor Wolfe is focused on enhancing clinical decision-making to improve locomotor and other movement-related outcomes with activity-based therapies such as robotic, manual and FES-assisted therapies. As with many of the R2P initiatives this involves implementation science and participatory research methods to put in place practice-based research infrastructure that enables iterative knowledge generation as well as implementation. Trainees work alongside clinicians, administrators and persons with lived experience to tackle clinically relevant questions.
Eldon Loh
Eldon Loh , MD
Associate Professor, Schulich School of Medicine and Dentistry
Chronic Pain
Dr. Eldon Loh is a Physiatrist at Parkwood Institute and an Associate Professor in the Department of Physical Medicine and Rehabilitation at the Schulich School of Medicine and Dentistry at Western University. He completed residency training in Physical Medicine and Rehabilitation at the University of Alberta in 2010 and a clinical fellowship in interventional pain management in 2011. His research interests include improving the management of chronic neuropathic pain after spinal cord injury, and the development of novel and improved techniques for interventional pain management of axial spine pain.
He is Chair of the panel that developed and updates the Canadian Best Practice Guidelines for Neuropathic Pain after spinal cord injury and works with international partners to improve point-of-care tools for implementing the guidelines. His interventional pain research focuses heavily on a bench to bedside approach, utilizing anatomical findings to inform clinical practice. He has also examined the impact of Ontario’s healthcare utilization of different interventional procedures such as radiofrequency ablation and paravertebral nerve blocks.
Heather MacKenzie
Heather MacKenzie, MD; MSc
Assistant Professor, Schulich School of Medicine and Dentistry
Acquired and Traumatic Brain Injury
Dr. Heather MacKenzie is a physiatrist at Parkwood Institute and an Assistant Professor in the Department of Physical Medicine and Rehabilitation in the Schulich School of Medicine and Dentistry at Western University. She completed her residency training in Physical Medicine and Rehabilitation at Western University and subsequently earned a Master’s of Science degree in Epidemiology at the Harvard T. H. Chan School of Public Health.
Her research program focuses on predicting outcomes after concussion/mild traumatic brain injury (mTBI). Although concussions/mTBIs are common and the majority of symptoms resolve within three months, a significant proportion of individuals remain symptomatic beyond one year. These persistent symptoms result in mobility challenges and reduced participation in instrumental activities of daily living as well as vocational and leisure activities. Dr. MacKenzie’s current research focuses on identifying patients that are at high-risk for developing persistent symptoms from concussion/mTBI so that interventions can be prioritized and rehabilitation services can be quickly mobilized. Early intervention for those expected to have a prolonged recovery has the potential to alter their trajectory and optimize their potential for a positive outcome and may also reduce the occurrence of persistent symptoms and decrease secondary disability related to their injury.
Jamie Fleet
Jamie Fleet, MD
Assistant Professor, Schulich School of Medicine and Dentistry
Stroke
Dr. Jamie Fleet is a physiatrist at Parkwood Institute and an Assistant Professor in the Department of Physical Medicine and Rehabilitation at the Schulich School of Medicine and Dentistry at Western University. Dr. Fleet completed medical school as well as residency training in Physical Medicine and Rehabilitation at McMaster University. She is currently enrolled in a Master’s program in Clinical Epidemiology through the Health Research Methodology program at McMaster University with a focus on fracture treatment and prevention in older patients after stroke. Her primary clinical area of focus is in stroke rehabilitation.
Though still early in her career, Dr. Fleet has developed a strong research background, primarily focusing on drug safety studies in older adults using large data through ICES. Her other research interests include exercise and health promotion/prevention strategies in patients after stroke, as well as fall prevention strategies and pain management. "
Janelle Unger
Janelle Unger, PT; PhD
Assistant Professor, Faculty of Health Science
Stroke, Spinal Cord Injury
Janelle Unger is an Assistant Professor in the School of Physical Therapy at Western University and a registered physiotherapist. Professor Unger's research focus is on optimizing recovery following neurological injury. She investigates the effectiveness of novel interventions to improve gait and balance with kinetic, kinematic, and clinical outcomes. Professor Unger is also interested in evaluating service delivery and community programs for individuals with chronic injuries as well as understanding the lived experiences of people with neurological conditions using qualitative data. Her goal is to create a program that will focus on enhancing lifelong mobility and participation in physical activity for people with chronic neurological conditions.
Jaspreet Bhangu
Jaspreet Bhangu, MD, PhD
Assistant Professor, Schulich School of Medicine and Dentistry
Balance, Gait and Falls
Dr. Jaspreet Bhangu, is a geriatrician at Parkwood Institute and an Assistant Professor within the Division of Geriatric Medicine in the Schulich School of Medicine and Dentistry at Western University. He graduated from the Royal College of Surgeons, Ireland in 2004. He completed his specialist training in Internal and Geriatric Medicine in Ireland in 2016. He completed a PhD in Medical Gerontology with Trinity College Dublin in 2017 studying falls and syncope in older adults and then completed a clinical fellowship with the University of Toronto. He also holds a Master’s degree in Bioethics and Health. He has extensive experience in human intervention research and his research interests include cardiac causes of falls, orthostatic hypotension and autonomic dysfunction, vascular contributions to cognitive decline and digital medicine.
Jenny Thain
Jenny Thain, MD
Assistant Professor, Schulich School of Medicine and Dentistry
Balance, Gait and Falls; Implementation Science and Education
Dr. Jenny Thain is a geriatrician at Parkwood Institute and an Assistant Professor within the Division of Geriatric Medicine at the Schulich School of Medicine and Dentistry at Western University. Dr. Thain completed a Master’s degree in Health Professions Education through the University of Maastricht and completed her medical training at the University of Nottingham, sub-specializing in orthogeriatric medicine.
Her areas of clinical interest include osteoporosis and bone health, with a particular interest in orthogeriatric care. She is the Chair of the Canadian Geriatrics Society Osteoporosis and Bone Health Special Interest Group, a member of the Osteoporosis Canada Scientific Advisory Council and Fragility Fracture Network Scientific Committee and the Geriatric clinical lead of the Hip Fracture Unit at Victoria Hospital, London.
Keith Sequeira
Keith Sequeira, MD
Associate Professor, Schulich School of Medicine and Dentistry
Implementation Science and Education
Dr. Keith Sequeira is a physiatrist at St. Joseph's Health Care London and London Health Sciences Centre and an associate professor in the Department of Physical Medicine and Rehabilitation in the Schulich School of Medicine and Dentistry at Western University. Dr. Sequeira completed his medical degree at the University of Toronto in 1994, residency training in Physical Medicine and Rehabilitation at Albany Medical Center in 1998, followed by a fellowship in Electrodiagnostic and Sports Medicine at Michigan State University.
Dr. Sequeira is the Medical Director of the Acquired Brain Injury Rehabilitation Program at Parkwood Institute and runs spasticity, EMG, brain and spinal cord injury clinics. Dr. Sequeira is the past Residency Program Director of Physical Medicine & Rehabilitation at Western, a program that he designed and initiated in 2005 and functions. He is the WSIB Champion, working on the integration of WSIB education into the medical school curriculum at Western, past director of the undergraduate the musculoskeletal curriculum within the medical school at Western, the recipient of the Dean’s Award of Excellence for Undergraduate Medical Education, and has authored numerous publications, including a 2020 article in the New England Journal of Medicine on lumbar radiculopathy.
Laura Brunton
Laura Brunton, PT, PhD
Assistant Professor, School of Physical Therapy
Childhood Onset Conditions
Laura Brunton is an Assistant Professor in the School of Physical Therapy at Western University and is a registered Physiotherapist. Professor Brunton's current research focus is exploring and understanding fatigue and pain experienced by individuals with cerebral palsy and the possible relationships with physical activity, sleep, pain and mental health. Professor Brunton has an interest in developing novel approaches to increase and support the self-management skills for youth and adults with childhood-onset conditions. A secondary interest of Professor Brunton’s is the development and validation of clinical measures to support comprehensive assessment of clients in clinical practice.