Scientific Programs

  • April 23
  • April 24
  • April 25
  • April 26

April 23 (Thu)

If you plan to attend the Workshop session, please complete the registration for additional programs.

Workshop 1

Title Ultrasound and Nerve Stimulator Guided Injections with Botulinum Toxin and Alcohol/Phenol: From Head to Toes
Organizer Heakyung Kim, Columbia University Medical Center, USA
Date & Time April 23 (Thu), 12:00-15:00 Venue TBD
Presenters
  1. 1.Hans-on training
    Yuxi Chen, Montefiore Medical Center, USA
    Bo Young Hong, The Catholic University of Korea, Korea
    Heakyung Kim, Columbia University Medical Center, USA
    Jeongyi Kwon, Sungkyunkwan University School of Medicine, Korea
    Eunsook Park, Yonsei University College of Medicine, Korea
    Teerada Ploypetch, Mahidol University, Thailand
    Yong Beom Shin, Pusan National University Hospital, Korea
More information
Description

Spasticity management with Botulinum toxin (BoNT) and alcohol/phenol injections is a main treatment procedure in pediatric and neuro-rehabilitation. BoNT has been used for mainly managing spasticity, dystonia pain, or sialorrhea and alcohol injections for spasticity management. Successful injections improved function, pain, and quality of life. BoNT injections have been performed with and without guidance and alcohol/phenol injections has been performed mainly with EMG or nerve stimulator guidance. Researches have shown that instrument guided botulinum toxin injections are more effective than those without guidance. Ultrasound-guided injections, compared to nerve stimulator or EMG guided injections, are less invasive and allows visualization of target muscles and needle presence. This workshop will review the use of ultrasound and nerve stimulator for spasticity management and provide hands-on learning sessions with demonstrations of all major muscle groups and peripheral nerves of the upper & lower limbs by participants. Upon completion of this workshop, participants will be comfortable using ultrasound for chemoneurolysis with BoNT and alcohol/phenol.

  • -Participants will be able to apply the basic principles of musculoskeletal ultrasound to evaluate soft tissue and nerve structures
  • -Participants will be able to acquire a cross sectional view of the neck, face, arm, forearm and lower limb, and identify the most commonly targeted muscles and nerves
  • -Participants will be able to illustrate recognize the most safe and efficient approach to target muscles in the upper and lower limbs as well as salivary glands.
Program Details
  1. 1.Introduction (5 mins)
  2. 2.Lecture (45 mins)
  3. 3.Hands-on training (120 mins; 30 mins for practice per each table)
    • -Table 1 & 2 for Head & neck – temporalis, masseter, lateral pterygoid, brachial plexus, scalene, sternocleidomastoid muscles, and salivary glands (Heakyung Kim and Yuxi Chen)
    • -Table 3 & 4 for Upper limb muscles - biceps, brachialis, pronator teres/quadratus, flexor carpi radialis & ulnaris, Palmaris longus, flexor digitorum superficialis & profundus, extensor carpi radialis & ulnaris, and lumbricals, and musculocutaneous nerve, median, ulnar and radial nerves (Eunsook Park, Jeongyi Kwon)
    • -Table 3 for Lower limb muscles- iliopsoas, rectus femoris, hip adductors, pectineus, gracilis, Sartorius, flexor digitorum longus, hamstrings, gastrocs, soleus, anterior & posterior tibialis, flexor halluces longus, and obturator, sciatic, peroneal and tibial nerves (Teerada Ploypetch and Bo Young Hong)
    • -Table 4 for phantom and models for needle injection practice (Yong Beom Shin)
  4. 4.Q&A (10 mins)

Workshop 2

Title Rehabilitation Needs and Strategies for Adults and Aged with Cerebral Palsy
Organizer Moon Suk Bang, Seoul National University Hospital, Korea
Date & Time April 23 (Thu), 13:30-15:00 Venue TBD
Presenters
  1. 1.Introduction to special issues in adults with cerebral palsy
    Moon Suk Bang, Seoul National University Hospital, Korea
  2. 2.Physical health issues and health-related quality of life of adults with cerebral palsy
    Se Hee Jung, Seoul National University Hospital, Korea
  3. 3.Cervical dystonia and unrevealed swallowing problems in adults with cerebral palsy
    You Gyoung Yi, Veterans Health Service Medical Center, Korea
More information
Description

In individuals with cerebral palsy, rehabilitation needs and treatment have been established, but mostly focused on the pediatric population. This workshop will focus on new challenging issues in adults with cerebral palsy. Adults with CP are found to have a higher rate of chronic health conditions and may gradually undergo a decline in strength and functional reserve, deterioration in physical activity, increased risk of musculoskeletal complications, and gradual changes in swallowing. There are a large number of adults with CP who do not receive effective care because they do not have access to appropriate health services. This workshop will integrate information based on research work pertaining to general health status and unmet rehabilitation needs, special issues in adults with cerebral palsy including cervical dystonia and unrevealed swallowing problems in South Korea. Rehabilitation needs and treatment in CP with aging will be a central focus of this symposium.

  • -General health status and unmet rehabilitation needs in adults with CP in South Korea.
  • -Physical health issues and health-related quality of life of adults with cerebral palsy
  • -Special issues in adults with cerebral palsy
  • -Botulinum toxin A injection for cervical dystonia in adults with CP
  • -Unrevealed swallowing problems in adults with CP
Program Details
  1. 1.Introduction (10 mins)
    • -Introduction to special issues in adults with cerebral palsy
  2. 2.Lecture (35 mins)-Se Hee Jung
    • -Sarcopenia, bone mass and bone mineral density of in adults with CP in South Korea
    • -Body fat and risk of cardiovascular disease of adults with cerebral palsy
    • -Health-related quality of life and its determining factors of adults with cerebral palsy
  3. 3.Break and networking (10 mins)
  4. 4.Lecture (35 mins)-You Gyoung Yi
    • -Botulinum toxin A injection for cervical dystonia in adults with CP
    • -Unrevealed swallowing problems in adults with CP
    • -Q&A: 5 Minutes

Workshop 3

Title Practical Sexual Rehabilitation Program for Persons with Disabilities
Organizer Bum-Suk Lee, National Rehabilitation Center, Korea
Date & Time April 23 (Thu), 13:30-15:00 Venue TBD
Presenters
  1. 1.How can we start the Sexual Rehabilitation Programs in Rehabilitation Hospital?
    Bum-Suk Lee, National Rehabilitation Center, Korea
  2. 2.Plus the Happiness of Disabled Couples
    Jeong- A Yu, National Rehabilitation Center, Korea
More information
Description
  1. 1.Sexual Rehabilitation Programs in KNRC
  2. 2.Ten Frequently Asked Questions (FAQ)
    • -Can men with SCI have erection?
    • -How can I get help on erection problems?
    • -Can men with SCI ejaculate?
    • -What is sex associated autonomic hyperreflexia?
    • -What do I do if my sexual satisfaction goes down due to sensory paralysis in the genital area?
    • -What can I do if I have urinary/bowel incontinence?
    • -Which position is best?
    • -Do the disabled women with SCI have sexual dysfunction?
    • -Can women with SCI get pregnant and give birth?
    • -What kind of contraception methods are there?
  3. 3.Practical Sexual Counseling
    • -The role of the partner is important!
    • -The Key to Successful Sexual Life
      (Don’t give-up / Love yourself / Love your partner / Coitus is not the only the way of sex)
  4. 4.Plus the Happiness of Couples with Disabilities.
    • -Tips for reduce spouse burnout
    • -Communication and intimacy
    • -Workshop for couples with disabilities
Program Details
  1. 1.Lecture- Bum-Suk Lee
    • -Sexual Rehabilitation Programs in KNRC
    • -Management of Erectile Dysfunction
  2. 2.Ten Frequently Asked Questions (FAQ)
  3. 3.Practical Sexual Counseling
  4. 4.Lecture- Jeong- A Yu
    • -Plus the Happiness of Couples with Disabilities
  5. 5.Group discussion

Workshop 4

Title What New Advancements You Should Know in Dysphagia
Organizer Wang Tyng-Guey, National Taiwan University Hospital, Taiwan
Date & Time April 23 (Thu), 13:30-15:00 Venue TBD
Presenters
  1. 1.Coordination between swallowing and respiration-where we were and where we are
    Chin-Man Wang, Chang-Gung Memorial Hospital, Taiwan
  2. 2.Application of ultrasonography in evaluation swallowing function
    Wang Tyng-Guey, National Taiwan University Hospital, Taiwan
  3. 3.Post-extubation dysphagia in intensive care unit
    Cheryl Chia-Hui Chen, National Taiwan University, Taiwan
More information
Description

The section will describe three topics including
1. Coordination of breathing and swallowing during deglutition
2. Application of ultrasonography in swallowing evaluation
3. Swallowing problem in intensive care unit.

The well coordination of breathing and swallowing is critical for safety swallowing. We will review, introduce and compare the tools of evaluating the coordination of swallowing and breathing. We will also discuss the clinical implications of these tools as well as their potential effects to become implemented into therapeutic strategies. Previous studies suggest the coordination of swallowing-respiration may be improved though biofeedback sessions performed by trained professionals. These biofeedback improvements might develop into a frontier in swallowing therapy.

Ultrasonography has been used in evaluating swallowing function for decades but not widely available. As more and more usage of ultrasonography in rehabilitation medicine, the application of ultrasonography in swallowing evaluation become practical and popular. We will depict the application of ultrasonography in swallowing function including measuring the hyoid bone movement, the hyoid bone and thyroid cartilage approximation and the sonographic pictures of swallowing related muscles. Swallowing function impairment are a common issue is patients in intensive care unit (ICU) but neglected frequently. It might from the endotracheal tube insertion, performing tracheostomy and prolonging no oral feeding. The impaired swallowing function in ICU patients will increase the mortality and mobility of the patients and most of them do not receive proper management. It is reported that the dysphagia might last even six months after leaving ICU if no well treated. We will discuss the incidence of dysphagia in ICU patients, the main swallowing problem of them, whether early intervention will help the recovery of swallowing function for these group of patients. In conclusion, the section will describe some important issues regarding swallowing but not pay enough attention to by the physician before.

Program Details
  1. 1.Lecture- Chin-Man Wang
    • -Coordination between swallowing and respiration-where we were and where we are
  2. 2.Lecture- Wang Tyng-Guey
    • -Application of ultrasonography in evaluation swallowing function
  3. 3.Lecture- Cheryl Chia-Hui Chen
    • -Post-extubation dysphagia in intensive care unit

Workshop 5

Title Hyperbaric Oxygen Therapy (Hbot) in Physical & Rehabilitation Medicine
Organizer Abhishek Srivastava, Kokilaben Hospital Mumbai, India
Date & Time April 23 (Thu), 15:30-17:00 Venue TBD
Presenters
  1. 1.Principles & Practice of HBOT
    Abhishek Srivastava, Kokilaben Hospital Mumbai, India
  2. 2.HBOT in Wound Care
    Navita Purohit, Kokilaben Hospital Mumbai, India
  3. 3.HBOT in Patients with Disorders of Consciousness
    Abhishek Srivastava, Kokilaben Hospital Mumbai, India
More information
Description Hyperbaric medicine is medical treatment in which an ambient pressure greater than sea level atmospheric pressure is a necessary component. The treatment comprises hyperbaric oxygen therapy (HBOT), the medical use of oxygen at an ambient pressure higher than atmospheric pressure. The equipment required for hyperbaric oxygen treatment consists of a pressure chamber, which may be of rigid or flexible construction, and a means of delivering 100% oxygen. Therapeutic recompression is usually also provided in a hyperbaric chamber. HBOT has wide application in Rehab Medicine especially in wound care but in now widely used in the management of patients with disorders of consciousness. The session will include principles and practice of using HBOT, its application in variety of conditions in the ambit of rehab medicine with case studies and case series. This will enable the participants to learn a new skill set and increase the armamentarium available to Rehab Physicians.
Program Details
  1. 1.Lecture (25 mins) - Abhishek Srivastava
    • -Principles & Practice of HBOT
  2. 2.Lecture (25 mins) - Navita Purohit
    • -HBOT in Wound Care
  3. 3.Lecture(25 mins) - Abhishek Srivastava
    • -HBOT in Patients with Disorders of Consciousness
  4. 4.Discussion (15 mins)

Workshop 6

Title Recent Advances of Aging Skeletal Muscles in Rehabilitation Medicine
Organizer Jae-Young Lim, Seoul National University, Korea
Date & Time April 23 (Thu), 15:30-17:00 Venue TBD
Presenters
  1. 1.Aging of skeletal muscle fibers
    Walter R. Frontera, University of Puerto Rico, USA
  2. 2.Muscle quality and myosteatosis in aging skeletal muscles
    Young Lim, Seoul National University, Korea
  3. 3.Segmental Body Composition Transitions in Stroke Patients
    Der-Sheng Han, National Taiwan University, Taiwan
  4. 4.Spinal sarcopenia: concept and assessment
    Sang Yoon Lee, Seoul National University, Korea
More information
Description The main features associated with aging skeletal muscles are loss of muscle mass and weakness, decreased flexibility, vulnerability to certain types of injury, and impaired functional restoration, which result in the deterioration of physical performance and function. Age-related muscle changes are very complex and involve multiple features and mechanisms in¬fluenced both by intrinsic and extrinsic/environmental conditions. In addition, sarcopenia related chronic medical and neurologic diseases has been highlighted because of its strong relationship with poor functional outcome and mortality. Therefore, the therapeutic approach must be tailored to the individual case considering the specific changes in different situations.
  • -To understand age-related changes in the muscular systems of older adults, particularly at muscle fiber level
  • -To understand the concept of muscle quality to assess age-related functional decline
  • -To introduce the concept of stroke-related sarcopenia related and spinal sarcopenia
Program Details
  1. 1.Lecture (20 mins) - Walter R. Frontera
    • -Aging of skeletal muscle fibers
  2. 2.Lecture (20 mins) - Jae-Young Lim
    • -Muscle quality and myosteatosis in aging skeletal muscles
  3. 3.Lecture(20 mins) - Der-Sheng Han
    • -Segmental Body Composition Transitions in Stroke Patients
  4. 4.Lecture(20 mins) - Sang Yoon Lee
    • -Spinal sarcopenia: concept and assessment
  5. 5.Discussion (10 mins)

Workshop 7

Title Building a Quality Structure for All Rehabilitation Organizations
Organizer Christine MacDonell, CARF International, USA
Date & Time April 23 (Thu), 15:30-17:00 Venue TBD
Presenters
  1. 1.Building a Quality Structure for All Rehabilitation Organizations
    Christine MacDonell, CARF International, USA
More information
Description

Many rehabilitation organizations may have excellent clinical practices but to sustain the organization as health and human services change and populations age it is critical that the rehabilitation organization builds a strong and durable business and quality structure. Since many who administer rehabilitation programs are not business leaders but clinical leaders having tools to guide an organization toward future success in both the business of rehab and the clinical practices is a critical need to maintain sustainability and durability of rehabilitation services.

International accreditation medical rehabilitation standards are excellent guides being used in over 27 countries today. CARF international has for over 54 years guided organizations to develop, revise, renew, and improve rehabilitation services around the world. As a field driven organization the CARF International standards have been developed and tested in a variety of cultures, settings, and health systems to enhance the services provided to individuals in need of rehabilitation services. Participants will learn the critical components to consider from the business side of rehabilitation and how to establish their performance system for measurement and improvement. In a second symposium participants would learn about and identify necessary steps to establish and maintain the interdisciplinary team process, the Medical Director’s role and functions, the competency-based training for the interdisciplinary team and the critical areas of measurement for clinical success and recognition. By the end of these sessions participants will be able to begin assessing their performance in relationship to quality business and clinical practices. they fall on the path to excellence in rehabilitation

Program Details
  1. 1.Reviewing (30 mins)
    • -Review of critical business and quality practices
  2. 2.Reviewing (30 mins)
    • -Review of the critical steps of an interdisciplinary team process; Medical Director and rehab physician roles
  3. 3.Lesson(20 mins)
    • -Facilitate and champion change in an organization
  4. 4.Questions and Warp up (10 mins)

Workshop 8

Title Clinical Recovery with Neuroimaging in Brain Injury (Stroke, Traumatic Brain Injury)
Organizer Seonghoon Lim, The Catholic University of Korea, Korea
Date & Time April 23 (Thu), 15:30-17:00 Venue TBD
Presenters
  1. 1.Disorders of Consciousness: Can we differentiate the level of awareness?
    Tae-Woo Kim, National Traffic Injury Rehabilitation Hospital, Korea
  2. 2.Assessment of dysphagia using clinical and imaging modalities
    Sun Im, The Catholic University of Korea, Korea
  3. 3.Prediction of motor recovery in patients with stroke (part I): VLSM
    Seonghoon Lim, The Catholic University of Korea, Korea
  4. 4.Prediction of motor Recovery in patients with stroke (part II): DTI
    Youngkook Kim, The Catholic University of Korea, Korea
More information
Description

This is a special session on the clinical recovery and prognosis with neuroimaging in patients with stroke. Prediction of recovery and prognosis is an important issue for physiatrist.

To predict clinical recovery, clinical assessment and knowledge of neuroimaging would be useful for stroke. Neuroimaging of our workshop using MRI consist of conventional MRI, Voxel based lesion symptom mapping (VLSM) and Diffusion tensor imaging (DTI). Clinical assessment of our workshop would be covered by assessment of consciousness, dysphagia, and motor system.

Program Details
  1. 1.Lecture - Tae-Woo Kim
    • -Disorders of Consciousness: Can we differentiate the level of awareness?
      1. 1)What we know and what we have to learn to identify the recovery of the consciousness
  2. 2.Lecture - Sun Im
    • -Disorders of Consciousness: Can we differentiate the level of awareness?
      1. 1)Correlation of cough function and neuroimaging
      2. 2)The integrity of corticobulbar tract and recovery of dysphagia’
      3. 3)Clinical biomarkers to predict recovery
  3. 3.Lecture - Seonghoon Lim
    • -Prediction of motor recovery in patients with stroke (part I): VLSM
      1. 1)Gait
      2. 2)Hand function
      3. 3)Spasticity
  4. 4.Lecture - Youngkook Kim
    • -Prediction of motor Recovery in patients with stroke (part II): DTI
      1. 1)Corticospinal tract
      2. 2)Cerebellar pathways related to motor control
      3. 3)DTI-derived parameters in clinical use

Workshop 9

Title Normal and Pathological Ultrasound (Us) Findings of Shoulder and Knee, and Us-Guided Interventions for Shoulder and Knee Pain
Organizer Gi-Young Park, Dong Rak Kwon, Korean Academy of Neuromusculoskeletal Sonography (KANMS·SONO), Korea
Date & Time April 23 (Thu), 15:30-18:30 Venue TBD
Presenters
  1. 1.Hans-on training
    Gi-Young Park, Catholic University of Daegu School of Medicine, Korea
    Dong Rak Kwon, Catholic University of Daegu School of Medicine, Korea
    Don-Kyu Kim, Chung-Ang University College of Medicine, Korea
    Levent_Özçakar, Hacettepe University Medical School, Turkey
    Carl Chen, Chang Gung Memorial Hospital, Taiwan
    Chueh-Hung Wu, National Taiwan University Hospital, Taiwan
More information
Description

Ultrasound (US) is commonly used to evaluate the shoulder problems. When the shoulder is assessed by US, comprehensive evaluation covering all main structures is important. Usually, pain areas are not correlated with the pathologic locations. Hence, an US evaluation should be followed by a protocol, not missing key structures. This workshop is organized for attendees to learn the routine US evaluation in shoulder according to the checklist. The main structures included in the protocol are rotator cuff, subdeltoid bursa and acromioclavicular joint. In addition to them, other structures can be evaluated by US to help us the diagnosis. For example, in order to increase the accuracy of diagnosis of frozen shoulder, thickness of coracohumeral ligament, axillary recess and doppler signal around rotator interval can be assessed by US with exclusion other diseases that mimic frozen shoulder. Through this workshop, attendees will learn to find and interpret the US findings covering shoulder main structures including rotator cuff. In addition, US-guided intervention is help to treat in patients with shoulder pain.

Besides, Ultrasound (US) has comparable accuracy in certain pathologic conditions of the knee as X-ray and MRI. Also, US can be used also for percutaneous interventions to manage knee pain. For comprehensive US evaluations, it is of use that the knee is divided into anterior, medial, lateral and posterior compartments. Various structures including tendons, ligaments, joint space, bones, peripheral nerves and vessels around knee can be assessed by US.

This workshop is organized for attendees to learn to scan common knee structures according to the interested compartment. The main structures included in the checklists are: 1) Anterior: quadriceps tendon, patella tendon, patellar retinaculum, suprapatellar and parapatellar joint recesses, femoral trochlea and patellar medial articular facet, 2) Medial: medial collateral ligament, medial menisus (body and anterior horn) and pes anserinus, 3) Lateral: lateral collateral ligament, iliotibial band, biceps femoris and popliteal tendon, and 4) Posterior: medial tendons (sartorius, semimembranosus and semitendinosus) and Baker cyst (semimembranosus-gastrocnemius bursa). In addition to them, sciatic nerve and its branches (peroneal, tibial nerves) can be targeted by US around the knee.

In addition, interests in US are rising in knee arthritis whilst X-ray and MRI are the cornerstones of joint imaging

Program Details
  1. 1.Lecture (60 mins)
    • -Normal and pathological ultrasound (US) findings of shoulder and knee, and US-guided interventions for shoulder and knee pain
  2. 2.Hans on session (120 mins)
    • -Hands on session for shoulder and knee

Workshop 10

Title Practices of Translational Research for Rehabilitation Medical Devices
Organizer Myoung-Hwan Ko, Chonbuk National University Hospital, Korea
Date & Time April 23 (Thu), 17:30-19:00 Venue TBD
Presenters
  1. 1.Introduction to the role and clinical trial support cases of translational research & clinical trials center for rehabilitation medical device
    Myoung-Hwan Ko, Chonbuk National University Hospital, Korea
  2. 2.Practical teaching about clinical trials for medical devices
    Seung-Rok Kang, Chonbuk National University Hospital, Korea
  3. 3.Basic training in clinical statistics
    Hye Seong Kim, Chonbuk National University Hospital, Korea
More information
Description

This workshop focuses on practical teaching about clinical trials for researchers and industries in rehabilitation medical devices.

Our workshop will have three sessions;
  1. 1.Introduction about roles and cases of Translational Research & Clinical Trials Center for Rehabilitation Medical Device
  2. 2.Practical teaching about clinical trials for medical devices
  3. 3.Basic training in clinical statistics

In the first session, the role, function, and clinical trial support cases of our organization (“Translational research & clinical trials center for rehabilitation medical device”, supported by the Ministry of Health and Welfare) will be introduced to audience. Our organization will strengthen the medical device development capability and research and development ecology utilizing the infrastructure in the hospital and it is a joint research base for the full-cycle medical device development ranging from medical device commercialization, clinical trials, licensing, mass production, and product improvement.

In the second session, practical methods to perform successful clinical trials will be presented, such as, knowing about the rules and regulations for clinical trials, proper study design, approval by regulatory agency, etc.

In the last session, basic statistics will be presented. Calculation for proper number of subjects, decision of proper statistical method, popular statistical method for clinical trials of medical devices will be included.

Program Details
  1. 1.Organizer Greetings (30 mins) - Myoung-Hwan Ko
    • -Introduction to the role and clinical trial support cases of translational research & clinical trials center for rehabilitation medical device
  2. 2.Lecture (30 mins) - Seung Rok Kang
    • -Practical teaching about clinical trials for medical devices
  3. 3.Lecture (30 mins) - Hye Seong Kim
    • -Basic training in clinical statistics

Workshop 11

Title 3D Printing as a Solution for Providing Prosthetics and Orthotics in Developing and Underserved Settings
Organizer Matthew N. Bartels, Montefiore Medical Center, USA
Date & Time April 23 (Thu), 17:30-19:00 Venue TBD
Presenters
  1. 1.3D printing background information as it applies to use in medical settings
    Matthew N. Bartels, Montefiore Medical Center, USA
  2. 2.Technical issues and the actual technology of scanning, software manipulation and 3D printing
    Stephen Erosa, Interventional Spine & Pain of Westchester, USA
  3. 3.Clinical cases of 3D printed devices delivered to children and patients in the United States and Jamaica
    Yuxi Chen, Montefiore Medical Center, USA
More information
Description

This workshop will provide education on basic science behind 3D printing, the various affordable technologies available to provide 3D printing, its potential clinical benefit in various patient population including adults and children with need for prosthetics and orthotics and also custom made durable medical equipment 3D Printing is a new technology that has the potential to markedly change the delivery of healthcare in rehabilitation medicine. The use of inexpensive 3D extrusion printing can make the fabrication custom molded orthotics and prosthetics available in a number of settings and allow for the delivery of durable medical equipment in challenged environments. To illustrate how a successful program can be started, we present the development of a 3D printing program in Kingston Jamaica at the Golding Rehabilitation Hospital which provided the first 3D printing solution available in a health care setting in the English speaking Caribbean.

The first part of the discussion will introduce the principles of 3D printing, including a description of the technology, the minimal requirements for producing clinically useful materials, and a review of the steps of design, fabrication, and delivery. This will be followed by a presentation of the concept of a 3D printing solution being provided in a limited resource environment to allow for provision of custom printed devices. The use of open source software with consumer grade printers and materials allows for low cost yet effective devices to be made. Finally, a discussion of how to clone this operation with the development of a ""3D Printer in a Box"" solution will be presented showing how a low cost, sustainable program of 3D printing can be introduced into even the lowest resource environments.

This presentation will present the scientific and philosophical underpinnings of the use of 3D Printing, the application to a specific population of patients in an underserved area, and the practical application of 3D printing in the United Statees to underserved populations. There will also be presentation of a discussion of how to select devices and apply them in a clinical setting.

Program Details
  1. 1.Lecture (15 mins) - Matthew N. Bartels
    • -Review 3D printing background information as it applies to the technology and techniques for the technique
  2. 2.Lecture (15 mins) - Stephen Erosa
    • -Discuss the various 3D printers and types of technology currently available while reviewing the pros and cons of each device. This will also include a discussion of the process of content creation, creation of models and printing and modification of templates.
  3. 3.Lecture (15 mins) - Yuxi Chen
    • -Present our ongoing research, and projects in Jamaica and in the Bronx with selected actual devices to be presented.
  4. 4.Demonstration and hands on session of the 3D products and systems (35 mins) - Yuxi Chen
  5. 5.Questions and discussions (10 mins)

Workshop 12

Title Step by Step Task Oriented Gait Training
Organizer Yang-Soo Lee, Kyungpook National University, Korea
Date & Time April 23 (Thu), 17:30-19:00 Venue TBD
Presenters
  1. 1. Ae Ryoung Kim, Kyungpook National University Hospital, Korea
  2. 2. Yu-Sun Min, Kyungpook National University Hospital, Korea
More information
Description Gait training is known as one of the most effective rehabilitation element in terms of improvement of motor disability
Gait training to people with severe motor impairment with physical therapist is difficult due to stamina and time factor. Gait training to people with disability at times use expensive robotic gait trainers requiring manpower of therapists.
To solve these problems, a step by step task oriented gait training method was developed
Step 1 is strengthening of paretic lower limb with sliding machine on inclination angle range (5-30degrees). Step 2 is the step-up maneuver on the 7.5 x 50 x 40 cm wooden step in 5-10 second unit repetition using paretic side. Step 3 is step down maneuver by normal side and weight bearing by paretic side. Step 4 is on the wooden step with weight bearing on paretic while tip toe and heel floor touching with normal side leg. Step 5 is over ground walking under supervision. 
This gait training method is applicable on people with diverse lower extremity disability.
It was applied to people with stroke, traumatic brain injury, cerebral palsy, Parkinson’s disease, and musculoskeletal problems for the last 10 years.
Step by Step task-oriented gait training not only reduces burden on the physical therapist but is applicable in multiple clinical conditions in all regions of the world. It is cost effective, simple, and user friendly.
Workshop comprises of 30 minutes lecture by chair, problem solving with aid of video clips, and actual practice with simulated patients by co-chair.
Program Details
  1. 1.Introduction (30 mins)
    • -Introduce concept of step by step task oriented gait training
  2. 2.Practice (50 mins)
    1. 1)Strengthening: Hip knee extensor with sliding rehabilitation machine, hip internal rotator, hip adductor, abductor, hip abductor with sling, ankle plantar flexor
    2. 2)Balance training: trunk balance training, standing balance training (step up, step down, step down touch), training with medical device
  3. 3.Discussion (10 mins)

Workshop 13

Title Diagnosis of Patients with Disorders of Consciousness
Organizer Jongmin Lee, Konkuk University Medical Center, Korea
Date & Time April 23 (Thu), 17:30-19:00 Venue TBD
Presenters
  1. 1.Classification and behavioral assessment of DOC
    Jongmin Lee, Konkuk University Medical Center, Korea
  2. 2.Neuroimaging and electrophysiologic strategies
    Won Hyuk Chang, Samsung Medical Center, Korea
  3. 3.New techniques for diagnosis of DOC: 3D VR-based eye tracking
    Hyun-Haeng Lee, Konkuk University Medical Center, Korea
More information
Description A certain portion of survivors of severe acquired brain injury fail to fully recover and develop a disorder of consciousness ranging from a comatose state or vegetative state to a minimally conscious state. In addition to the devastating results on the quality of life of the patients, the families and caregivers are struck by the emotional and financial consequences of these conditions. Accurate diagnosis is critical to selecting an appropriate treatment care, establishing an accurate prognosis and confirming the response to the treatment. However, accurate assessment of the consciousness of DOC patients is not easy to obtain due to the lack of objective test of consciousness, diurnal variation of the consciousness level and the environmental factors that constrain the patient’s response. Various approaches have been made in the clinical settings to accurately assess the consciousness level of DOC patients. Neurobehavioral assessments have been made to assess consciousness levels based on the behavior of DOC patients, which include Coma recovery scale - revised (CRS-R), sensory stimulation assessment measure (SSAM), Wesex head injury matrix (WHIM), Western neuro sensory stimulation profile (WNSSP), and Sensory modality assessment technique (SMART). Attempts to assess the state of consciousness of DOC patients have been made through recent advances of neuroimaging and electrophysiology such as functional MRI, positron emission tomography, electroencephalogram, and perturbation complex index. In this workshop, we will classify consciousness level of DOC patients and review several behavioral assessment tool for evaluating the consciousness level of DOC patients. In addition, we will present recent strategies to assess the consciousness of DOC patients using neuroimaging technique and electrophysiologic tools. Finally, we will introduce a study that attempted to evaluate consciousness level of DOC patients through eye-tracking technology based on virtual reality.
Program Details
  1. 1.Lecture (25 mins) - Jongmin Lee
    • -Classification and behavioral assessment of DOC
      • -We will overview the recent classification of disorders of consciousness and review several behavioral assessment tools for evaluating the consciousness level of DOC patients
  2. 2.Lecture (25 mins) - Won Hyuk Chang
    • -Neuroimaging and electrophysiologic strategies
      • -The mechanisms underlying impaired arousal and awareness have not been fully understood in patient with disorders of consciousness after traumatic brain injury. Recent advances in neuroimaging techniques to understand human neural network connectivity have provided great potential to investigate the mechanisms of disorders of consciousness. In this presentation, we will discuss on investigations of neuroimaging and electrophysiologic strategies for better knowledge of the network disruptions underlying disorders of consciousness.
  3. 3.Lecture (20 mins) - Hyun-Haeng Lee
    • -New techniques for diagnosis of DOC: 3D VR-based eye tracking
      • -We will introduce a study that attempted to evaluate consciousness level of DOC patients through eye-tracking technology based on virtual reality. (methodology and results including validity)
  4. 4.Case discussion (20 mins)
    • -We will discuss the cases of DOC patients of whom we had difficulty in evaluating consciousness levels in the clinical settings and patients whose consciousness level could be assessed more accurately through imaging or VR-based eye-tracking techniques.

April 24 (Fri)

Plenary Session 1

Date & Time April 24 (Fri), 08:30-10:00 Venue TBD
Speaker
  1. 1.Robotic Assisted Training in Neurorehabilitation
    Alberto Esquenazi, MossRehab, USA
  2. 2.State of the Art: Wearable Robot for Enhancing Gait
    Yun-Hee Kim, Samsung Medical Center, Korea

Parallel Session 1

Non-invasive Neuromodulation in Rehabilitation
Date & Time April 24 (Fri), 10:30-12:00 Venue TBD
Speakers
  1. 1.Paired Vagal Neuromodulation and Upper Limb Rehabilitation in Chronic Stroke Recovery
    Gerard E. Francisco, University of Texas Health Science Center, USA
  2. 2.Neuromodulation for Cognitive Impairment
    Myoung-Hwan Ko, Chonbuk National University Hospital, Korea
  3. 3.Neuromodulation for Motor Impairment
    Masahiro Abo, The Jikei University School of Medicine, Japan

Parallel Session 2

From Diagnosis to Treatment of Entrapment Neuropathy
Date & Time April 24 (Fri), 10:30-12:00 Venue TBD
Speakers
  1. 1.Inching Technique for the Assessment of Entrapment Neuropathies
    Jun Kimura, University of IOWA Hospitals & Clinics, Japan
  2. 2.Diagnosis of the Entrapment Neuropathy: Electrodiagnosis and Ultrasonography
    TBD
  3. 3.Perineural Injection with 5% Dextrose and PRP for Carpal Tunnel Syndrome: A Novel Treatment
    Yung-Tsan Wu, National Defense Medical Center, Taiwan

Parallel Session 3

Pediatric Rehabilitation
Date & Time April 24 (Fri), 10:30-12:00 Venue TBD
Speakers
  1. 1.Early Identification and Intervention in Cerebral Palsy
    Eun Sook Park, Severance Hospital, Korea
  2. 2.Single Event Multi-Level Chemoneurolysis (SEMLC) –Botulinum Toxin and Beyond
    Heakyung Kim, Columbia University Medical Center, USA
  3. 3.Rehabilitation Management for Survivors of Thalidomide Embryopathy
    Nobuhiko Haga, The University of Tokyo Hospital, Japan

Parallel Session 4

Emerging Issues in Rehabilitation after Traumatic Brain Injury
Date & Time April 24 (Fri), 13:30-15:00 Venue TBD
Speakers
  1. 1.Disorders of Consciousness after TBI: Advances in the Assessment and Treatment
    TBD
  2. 2.Post-traumatic Headaches: Natural History, Evaluation and Management
    Thomas Watanabe, MossRehab, USA
  3. 3.Rehabilitation Management for Survivors of Thalidomide Embryopathy
    Nobuhiko Haga, The University of Tokyo Hospital, Japan

Parallel Session 5

Technology and Rehabilitation
Date & Time April 24 (Fri), 13:30-15:00 Venue TBD
Speakers
  1. 1.Brain–machine Interfaces for Rehabilitation of Poststroke Hemiplegia
    Junich Ushiba, Keio University, Japan
  2. 2.BCI-Based Strategies on Stroke Rehabilitation with Avatar and FES Feedback
    Jing Jin, East China University of Science and Technology, China
  3. 3.Telerehabilitation: Future Challenges
    Nam-Jong Paik, Seoul National University Bundang Hospital, Korea

Parallel Session 6

New Trend of Cancer Rehabilitation
Date & Time April 24 (Fri), 13:30-15:00 Venue TBD
Speakers
  1. 1.Multidisciplinary Rehabilitation in Women Following Breast Cancer Treatment
    Fary Khan, Royal Melbourne Hospital, Australia
  2. 2.The Front Line of Cancer Rehabilitation in Japan: Current Status and Future Issues
    Tetsuya Tsuji, Keio University School of Medicine, Japan
  3. 3.Mobile Health (mHealth) Application for Cancer Survivors
    Ji Hye Hwang, Samsung Medical Center, Korea

April 25 (Sat)

Parallel Session 7

Ultrasound Guided Intervention
Date & Time April 25 (Sat), 08:30-10:00 Venue TBD
Speakers
  1. 1.Ultrasound Guided Intervention for Spinal lesion
    Ozcakar Levent, Hacettepe University, Turkey
  2. 2.Ultrasound-guided Intervention for Upper Limb
    Gi-Young Park, Daegu Catholic University Medical Center, Korea
  3. 3.Ultrasound-guided Intervention for Lower Limb
    Tyng-Guey Wang, National Taiwan University, Taiwan

Parallel Session 8

Update on Stroke Rehabilitation
Date & Time April 25 (Sat), 08:30-10:00 Venue TBD
Speakers
  1. 1.Hi or Low Tech in Stroke Rehabilitation
    Leonard Li, The University of Hong Kong, Hong Kong
  2. 2.Optimal Phase for Poststroke Upper Limb Spasticity: Early vs Late
    Witsanu Kumthornthip, Mahidol University, Thailand
  3. 3.The Balance Control in Stroke Rehabilitation
    Bijan Forogh, Iran University of Medical Sciences, Iran

Parallel Session 9

Critical Care Rehabilitation
Date & Time April 12 (Fri), 08:30-10:00 Venue TBD
Speakers
  1. 1.Noninvasive Respiratory Management of Ventilatory Pump Failure
    John Robert Bach, Rutgers University New Jersey Medical School, USA
  2. 2.The Effectiveness and Safety of Cardiopulmonary Rehabilitation Program in the Intensive Care Unit
    Willy Chou, Chia Li Chi Mei Hospital, Taiwan
  3. 3.How to Expand the Scope of Rehabilitation in ICU: Early Prevention of Medical and Musculoskeletal Complications
    Hyung-Ik Shin, Seoul National University Hospital, Korea

Plenary Session 2

Date & Time April 25 (Sat), 10:30-12:00 Venue TBD
Speaker
  1. 1.The Role of Nutrition in the Pathogenesis and Treatment of Sarcopenia
    Jean L.F. Woo, The Chinese University of Hong Kong, Hong Kong
  2. 2.Can Exercise Change the Course of Sarcopenia?
    Walter R. Frontera, University of Puerto Rico School of Medicine, USA

Parallel Session 10

Update on Management of Spinal Pain
Date & Time April 25 (Sat), 13:30-15:00 Venue TBD
Speakers
  1. 1.Peripheral and Central Mechanisms of Spinal Pain
    Reynaldo R. Rey-Matias, Asian Oceanian Society of Physical and Rehabilitation Medicine, Philippines
  2. 2.Interventional Management of Chronic Spinal Pain
    Sang-Heon Lee, Korea University Medical Center, Korea
  3. 3.Advanced Pain Interventions for Spinal Stenosis
    Areerat Suputtitada, Chulalongkorn University, Thailand

Parallel Session 11

New Technology for Dysphagia
Date & Time April 25 (Sat), 13:30-15:00 Venue TBD
Speakers
  1. 1.Dynamic CT for Dysphagia Evaluation
    Eiichi Saitoh, Fujita Health University, Japan
  2. 2.rTMS for Dysphagia Treatment
    Jin-Woo Park, Dongguk University Ilsan Hospital, Korea
  3. 3.Application of tDCS in Post-stroke Dysphagia
    Dongyu Wu, Wnagjing Hospital of China, China

Parallel Session 12

Disaster Rehabilitation
Date & Time April 25 (Sat), 13:30-15:00 Venue TBD
Speakers
  1. 1.Developing Mental Resilience in Medical Rehabilitation: A Priority in a Climate Changed World
    Filipinas G. Ganchoon, Philippine Academy of Rehabilitation Medicine, Philippines
  2. 2.The Role of Rehabilitation Professionals When Faced with a Disaster
    Meigen Liu, Keio University School of Medicine, Japan
  3. 3.Chinese Experience in Long-term Rehabilitation from Earthquake – 20 years Follow-up
    Jianan Li, Nanjing Medical University, China

April 26 (Sun)

Parallel Session 13

Regeneration Medicine in Rehabilitation
Date & Time April 26 (Sun), 08:30-10:00 Venue TBD
Speakers
  1. 1.Novel Technologies for Functional Restoration after Spinal Cord Injury
    Jung Keun Hyun, Dankook University Hospital, Korea
  2. 2.Cell Therapy in Chronic Stroke Patients
    TBD
  3. 3.Rehabilitation and Regeneration of Peripheral Nerve Injury
    Ryosuke Ikeguchi, Kyoto University Hospital, Japan

Parallel Session 14

Leadership and Future of Asia-Oceania Rehabilitation
Date & Time April 26 (Sun), 08:30-10:00 Venue TBD
Speakers
  1. 1.Indonesian PMR facing Social Economical Cultural Geographical Challenges
    Angela Tulaar, University of Indonesia, Indonesia
  2. 2.International Cooperation for Research in Asian Countries
    Masami Akai, International University of Health and Welfare, Japan
  3. 3.National Thai FLS
    Sukajan Pongprapai, Vichaiyut Hospital, Thailand
  4. 4.The Changing Landscape of Australasian Rehabilitation Services and Benchmarking Outcomes
    John Olver, Epworth HealthCare, Australia
  5. 5.Echo-guided Injection for Joint Deformity and Contracture
    Simon Fuk Tan Tang, Lotung Poh-Ai Hospital, Taiwan
  6. 6.Factors for the Development of Rehabilitation Medicine in Korean History
    Tai Ryoon Han, Seoul National University Hospital, Korea
  7. 7.What is the Key Issue to Develop PRM in AOSPRM
    Changil Park, Yonsei University, Korea
  8. 8.New Challenge and Opportunity for Rehabilitation Medicine in 5G era
    Jianan Li, Nanjing Medical University, China

Parallel Session 15

Pain after Spinal Cord Injury
Date & Time April 26 (Sun), 08:30-10:00 Venue TBD
Speakers
  1. 1.Pain Types and Taxonomies following Spinal Cord Injuries
    Hyun-Yoon Ko, Pusan National University Yangsan Hospital, Korea
  2. 2.Management of Neuropathic Pain after SCI: Review of Practice Guideline
    Nan Liu, Peking University Third Hospital, China
  3. 3.Developing Innovative Approaches to Tackling the Debilitating Problem of Chronic Pain following SCI
    James Middleton, The University of Sydney, Australia

Plenary Session 3

Date & Time April 26 (Sun), 10:30-12:00 Venue TBD
Speaker
  1. 1.Rehabilitation : the 21st Health Strategy for Functioning
    Pauline Kleinitz, WHO, Switzerland
Panels
  1. 1. Khin Myo Hla, Executive Council, Myanmar
  2. 2. Yusniza Mohd Yusof, Hospital Rehabilitasi Cheras, Malaysia
  3. 3. Taslim Uddin, Executive Council, Bangladesh
  4. 4. Wan-Ho Kim, National Rehabilitation Center, Korea
  5. 5. Ajit Kumar Varma, Executive Council, India