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Review Course on Assistive Technology
Tuesday, January 18, 2005
This session is designed for Rehabilitation Technology Suppliers and others preparing for the RESNA Generalist Exam. Those attending this review course should have at least two or more years of practice in the field. Materials will be reviewed but not taught. The purpose of the session is to enable students to assess their strengths and weaknesses in preparation for the Generalist Exam.
The workshop will address the process of providing Assistive Technology intervention including assessment of need, development of intervention strategies, and implementation of follow-up by covering the following:
- basics of anatomy, biomechanics, and pathology
- seating and wheeled mobility
- principles of design and development
- technologies for persons with sensory impairments
- AAC, ECU, and computer access technologies
- service delivery
- test taking strategies
Faculty:
Barbara Crane, PhD, PT, ATP
Consultant, Wethersfield, CT
Sharon Ferrell, BS-CET, ATP
St. Luke’s Rehabilitation Institute, Spokane, WA
Time: 8:00 AM to 5:30 PM
Tuition: $150.00 Special ISS Rate
Includes: Course materials, Continuing education units, and Continental breakfast
0.8 Continuing Education Units (CEUs) will be awarded to individuals for attending 8 hours of instruction.
Pre-Symposium Workshops
Wednesday, January 19, 2005
(Half day)
Open Your Senses - Is a Posture a Problem Or a Solution!
This highly interactive workshop guides you in discovering what infiuences you in sitting, making you conscious of normal physical behavior and intelligent compensations in sitting.
What seems to be a basic discussion about seating principles leads you deep into analyzing “pathological” behavior often seen in long-term seated, physically challenged people.
Faculty:
Bengt Engstrom, PT
Bengt Engstrom Seating, Varmdo, Sweden
*Intermediate/Advanced
Time: 8:00 AM to 12:15 PM
Tuition: This course requires a registration fee of $100.00
Includes: Course materials, Continuing education units, and Continental breakfast
0.4 Continuing Education Units (CEUs) will be awarded to individuals for attending 4 hours of instruction.
Challenges and Strategies Associated with Bariatric Seating and Mobility
This interactive session will describe common problems associated with seating and mobility for the morbidly obese client. Measurement and positioning strategies will be discussed and several case studies presented. Mobility goals and appropriate technologies will be introduced to the group.
Faculty:
Barbara Crane, PhD, PT, ATP
Consultant, Wethersfield, CT
Brad Peterson
 Motion Concepts, Watertown, MA
Phil Mundy. PEng
PDG Product Design Group, Vancouver, BC, Canada
*Intermediate
Time: 1:00 PM to 5:15 PM
Tuition: This course requires a registration fee of $100.00
Includes: Course materials, Continuing education units, and One break
0.4 Continuing Education Units (CEUs) will be awarded to individuals for attending 4 hours of instruction.
(Full day)
Power to the People: Clinical, Technical, and Practical Aspects of Powered Mobility
This full-day session will provide the participant with a combination of lecture and hands-on labs. Topics to be covered include:
- An overview of evaluation considerations for powered versus manual mobility
- A brief summary of powered base types
- An overview of powered seating and how they relate to function
- Programming parameters with break outs
- Hierarchy of alternative controls and assessment protocols with break outs
- Beginning to advanced powered mobility case studies
*All
Faculty:
Ian Denison, PT, ATP
Doug Gayton, ATP
GF Strong Rehab Centre, Vancouver, BC, Canada
Susan Johnson-Taylor, OTR/L
Rehabilitation Institute of Chicago, Chicago, IL
David Kreutz, PT
The Shepherd Center, Atlanta, GA
* Participation limited
Time: 8:00 AM to 5:00 PM
Tuition: This course requires a registration fee of $150.00
Includes: Course materials, Continuing education units, and Continental breakfast
0.8 Continuing Education Units (CEUs) will be awarded to individuals for attending 8 hours of instruction.
New Beginnings – Seating Assessment for the Novice
This full-day workshop is designed for individuals who are new to the fascinating world of seating and mobility. The areas of focus will include principles of seating and mobility, general goals, pre-mat assessment, body-marking, terminology, mat assessment, common problems, and possible solutions. Clinical case studies will be used to enhance the learning process.
Required reading material will be provided prior to the course; thus more time can be spent on the practical, hands-on aspects of the seating assessment. This is an interactive course, please dress comfortably.
*Beginner
Faculty:
Lynore McLean, BSc, PT
Maureen Story, BSR, (PT, OT)
Sunny Hill Health Centre for Children, Vancouver, BC, Canada
Time: 8:00 AM to 5:00 PM
Tuition: This course requires a registration fee of $150.00
Includes: Course materials, Continuing education units, and Continental breakfast
0.8 Continuing Education Units (CEUs) will be awarded to individuals for attending 8 hours of instruction.
The Business Side of Assistive Technology
As clinicians, rehabilitation engineers, and rehabilitation technology and homecare supplier companies are looking for ways to be more cost efficient without sacrificing quality care, it is important to understand the business side of healthcare practice.
This workshop will outline ways to set goals and objectives, define target markets, develop solid sales strategies, and good time management skills. We will also develop ways of staying focused, setting realistic time lines, and monitoring effectiveness and outcomes through good follow-up practices. Strategies to reduce administration time while still providing necessary documentation will be discussed.
This workshop will be interactive and provide you the opportunity to share your ideas.
*Intermediate/Advanced
Faculty:
Corrinne Carriere
Carriere Consulting Inc., Quebec, QC, Canada
Time: 8:00 AM to 5:00 PM
Tuition: This course requires a registration fee of $150.00
Includes: Course materials, Continuing education units, and Continental breakfast
0.8 Continuing Education Units (CEUs) will be awarded to individuals for attending 8 hours of instruction.
General Information
Audience
- Assistive Technology Practitioners (ATP)
- Occupational Therapists
- Physical Therapists
- Assistive Technology Suppliers (ATS)
- Educators
- Manufacturers
- People with disabilities
- Physicians
- Rehabilitation Engineers
- Vocational Rehabilitation Counselors
Introduction
Presentations will cover evaluation, provision, research, funding, and evidence-based practice issues in seating and mobility for people with physical disabilities. The symposium will include scientific and clinical papers, in-depth workshops, special topic sessions, a poster session, and an extensive exhibit hall.
Program Objectives
- Identify seating and mobility interventions for people with physical disabilities
- Understand current funding and policy issues
- Discuss service delivery practices
- Know current research
- Understand features and clinical impact of seating and mobility technologies
- Materials available in alternate formats upon request.
Continuing Education Credit
The University of Pittsburgh, School of Health and Rehabilitation Sciences awards Continuing Education Units to individuals who enroll in certain educational activities. The CEU is designated to give recognition to individuals who continue their education in order to keep up-to-date in their profession. (One CEU is equivalent to 10 hours of participation in an organized continuing education activity). Each person should claim only those hours of credit that he or she actually spent in the educational activity.
The University of Pittsburgh is certifying the educational contact hours of this program and by doing so is in no way endorsing fiany specic content, company, or product. The information presented in this program may represent only a sample of appropriate interventions.
1.75 Continuing Education Units (CEUs) will be awarded to individuals for attending 17.5 hours of instruction.
Exhibits
The exhibit hall will be filled with commercial products from North America and abroad. There will be ample opportunity to explore technical seating and mobility options.
The public is invited to visit the Exhibit Hall “free of charge” on Friday afternoon from 1:00 to 3:00 PM. You must register at the ISS Registration Desk to receive an “Exhibit Hall Pass”. Admission at all other times is for Symposium participants only.
This year, for the first time, experts will be available to assist in the evaluating of products in the Exhibit Hall.
Indicates presentation by a representative of a product manufacturer
Location/Accommodations
Wyndham Palace Resort & Spa
1900 Buena Vista Drive
Lake Buena Vista, FL 32830 USA
Phone: 407-827-2727
Reservations
A block of rooms has been reserved with a rate of $149.00 plus tax, Single/Double Occupancy.
When phoning for reservations, you must state that you are attending the International Seating Symposium, to receive these reduced rates. Rooms will be provided on a space-available basis after December 19, 2004.
You can also register on-line, there is a direct link on the website at: http://www.wyndhamevents.com/palace/04pitt.htm
Airport Transportation
Mears Shuttle: 24-hour van service is available from Mears Motor Shuttle booths located outside baggage claim.
Taxi service is also available. The approximate one-way fare is $47.00.
Mears Transportation Group runs lift-equipped service between hotels, attractions and the airport, with 24-hour advance reservations. (407-839-1570; 800-223-3868)
World Transportation runs lift-equipped service between hotels, area attractions and/or to (but not from) the airport. Call for the schedule; reservations must be made by 5 p.m. the day before. You can also call here for accessible taxi service. (407-826-9999; 800-781-8999)
Symposium Information Contact Person
Linda Szczepanski, CMP
Symposium Manager
Department of Rehabilitation Science and Technology, SHRS
University of Pittsburgh
Telephone: (412) 383-6602
NEW FAX Number: 412.383.6897
e-mail: szczepan@pitt.edu
Registration Information
For security reasons, on-line registration will be a two-step process:
- Fill in the registration form, and submit electronically.
- Print out the payment form and fax it with credit card information, or mail it with a check. If we do not receive payment by December 6, 2004, you will be required to pay the full fee of $375.00.
If paying by check
Please make it payable to: University of Pittsburgh
Send it with this form to:
University of Pittsburgh
SHRS - RST
Attn.: Linda Szczepanski
5064 Forbes Tower
Pittsburgh, PA 15260
Cancellation
- All cancellations must be made in writing.
- Tuition will be refunded minus a $25.00 administrative fee for requests received before December 16, 2004.
- Requests postmarked after December 16, but before January 1, 2005, will be charged a $50.00 administrative fee.
- No tuition will be refunded if postmarked after January 1, 2005.
Special Needs
We encourage participation by all individuals. If you have a disability, advance notication of any special needs will help us better serve you. Please notify us of your needs at least two weeks in advance.
Tuition
$325 ($375 for registrations postmarked after December 6, 2004)
Tuition Includes:
- Registration materials
- Continental breakfasts and breaks
- Thursday luncheon
- Welcome reception
- Friday luncheon
- Proceedings
- Continuing education credit
University of Pittsburgh Nondiscrimination Policy Statement
The University of Pittsburgh, as an educational institution and as an employer, values equality of opportunity, human dignity, and racial/ethnic and cultural diversity. Accordingly, the University prohibits and will not engage in discrimination or harassment on the basis of race, color, religion, national origin, ancestry, sex, age, marital status, familial status, sexual orientation, disability, or status as a disabled veteran or a veteran of the Vietnam era. Further, the University will continue to take afermative steps to support and advance these values consistent with the University’s mission. This policy applies to admissions, employment, access to and treatment in University programs and activities. This is a commitment made by the University and is in accordance with federal, state, and/or local laws and regulations.
For information on University equal opportunity and afermative action programs and complaint/grievance procedures, please contact the University of Pittsburgh, Office of Affermative Action, William A. Savage, Assistant to the Chancellor and Director of Affirmative Action (and Title IX and 504, ADA Coordinator), 901 William Pitt Union, Pittsburgh, PA 15260; 412-648-7860.
Seating Symposium
Wednesday, January 19, 2005
| 7:00 AM |
Registration Desk Opens (Great Hall Foyer)
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| 6:00 PM |
Registration Desk Closes (Great Hall Foyer)
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Thursday, January 20, 2005
| 7:30 AM |
Registration Desk Opens (Great Hall Foyer)
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| 8:30 AM |
Opening (Great Hall)
Elaine Trefler, MEd, OTR/L, FAOTA
Assistant Professor
Department of Rehabilitation Science and Technology
School of Health and Rehabilitation Sciences
University of Pittsburgh
Rory A. Cooper, PhD
Distinguished Professor and
Federation of Independent School Alumni & Paralyzed Veterans of America Chair
Department of Rehabilitation Science and Technology
School of Health and Rehabilitation Sciences
University of Pittsburgh
Director, Human Engineering Research Laboratories
VA Rehabilitation Research & Development Center of Excellence
VA Pittsburgh Healthcare System
Professor of Bioengineering, Physical Medicine & Rehabilitation, and Orthopaedic Surgery
Professor McGowan Institute for Regenerative Medicine
VA Senior Career Scientist
Pittsburgh, PA
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| 8:45 AM |
Sunrise Medical Keynote Address
What Is Important?
Bengt Engström, PT
Bengt Engström Seating
Värmdö, Sweden
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| 9:45 AM |
General Session – Papers – Great Hall
Sensory Systems and Seating for Function: The Need for Both Active Postural Control (Use of the Vestibular System) and Passive Postural Management (Use of the Tactile System)
Karen M. Kangas, OTR/L
Shamokin, PA
Prevalence of Shoulder Pain in Adult Versus Childhood Onset Wheelchair Use
Bonita Sawatzky, PhD
British Columbia’s Children’s Hospital, Vancouver, BC, Canada
Braking and Swerving of Large Transit Buses Related to Wheelchair and Occupant Safety
Linda van Roosmalen, PhD
University of Pittsburgh, Pittsburgh, PA
The Power of Success Sits in the Future
Faye Warren, BA
Consultant for Assistive Technology, Orlando, FL
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| 11:00 AM |
Walk-about Lunch (Included in tuition)
Exhibit Hall
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| 1:00 PM |
Instructional Courses
Four-Hour Sessions (1:00–5:00 PM)
1. Review of Principles and Practices of Automotive Safety for Wheelchair Seated Passengers
Douglas Hobson, PhD
Linda van Roosmalen, PhD
Mary Ellen Bunning, OTR/L, PhD
University of Pittsburgh, Department of Rehabilitation Science and Technology, Pittsburgh, PA
Over the past decade significant advances have been made in the provision of safer transportation for persons that must remain seated in their wheelchairs while being transported in private or public vehicles. All persons responsible for the selection or provision of wheelchairs should be aware of these developments. The workshop will indicate how the principles of automotive passenger safety have been successfully applied to wheelchair seated passengers. It will briefly review both the published and developing industry standards that are now resulting in transport-tested products in the market place. Practical problem-solving scenarios will be discussed, future developments presented, and sources of additional information will be shared with the participants.
2. The Dilemma of Assistive Technology Justification
Laura Cohen, PhD, PT, ATP
The Shepherd Center, Atlanta, GA
When durable medical equipment such as wheelchairs and seating systems, positioning devices (i.e. standers, feeding chairs, car seats, etc.) are being supplied, most insurance carriers (public and private) require that a document indicating the medical necessity for the device accompany any request for prior approval. Herein lays the dilemma. Who is responsible for writing the letter of medical necessity? What information is important to include? Who reviews these letters and what are they looking for? This course will cover the in’s and out’s of writing a letter of medical necessity. Participants will be invited to adopt a reviewer’s perspective. Case studies and discussion will be included.
3. Considerations for the Selection and Fitting of Manual Wheelchairs for Optimal Mobility
Rory Cooper, PhD
Michael Boninger, MD
Rosemarie Cooper, MPT, ATP
Alicia Koontz, PhD
University of Pittsburgh, Department of Rehabilitation Science and Technology, Pittsburgh, PA
VA Pittsburgh Healthcare System, Pittsburgh, PA
Herfried Eisler, KT
Rehabilitations Zentrum, Tobelbad, Austria
Proper selection and fitting of the manual wheelchair has critical implications to mobility, injury prevention, and long term health. This workshop will cover injury mechanisms associated with manual wheelchair usage, basic propulsion biomechanics (including the use of the SMARTWheel), seating ergonomics, preparation of the certificate of medical necessity and wheelchair standards.
Two-Hour Sessions (1:00–3:00 PM)
4. Welded for Wheeling: Custom Ultralights Prescribed with Confidence
Kendra Betz, MSPT
VA Puget Sound Health Care System, Seattle division, Bellevue, WA
A wheelchair should “fit like a glove” with a highly customized configuration that provides optimized comfort, function and performance. The ultralight custom welded frames, when properly prescribed, are the lightest chairs available that best meet individual postural support and mobility needs. Participants will learn to identify chair pushers that would be best served with a custom frame and will gain increased skill and confidence for prescribing custom ultralights that are welded for wheeling.
5. Pressure Mapping: Bench Testing of Cushions and Clinical Applications
David Brienza, PhD
University of Pittsburgh, Department of Rehabilitation Science and Technology, Pittsburgh, PA
Sharon Pratt, PT
Sunrise Medical, Longmont, CO
Stephen Sprigle, PhD, PT
Georgia Institute of Technology, Atlanta, GA
6. Matching Client Function with Specialized Manual Mobility Options
Jane Fontein, OT
Phil Mundy, PEng
PDG Product Design Group Inc., Vancouver, BC, Canada
This seminar provides practical instruction in assessing and dispensing manual mobility devices for people with complex needs. Using case histories this presentation will emphasize manual tilt wheelchairs, manually operated bariatric wheelchairs and wheelchairs for persons with high agitation.
7. Early Interventions for Positioning the Infant and Small Child
Sheena Schoger, Dip. OT, OT Reg (Ont.)
Children’s Rehabilitation Centre of Essex County, Windsor, ON, Canada
Assessment of the pediatric client, for the prescription of seating and mobility products, is more than measurements, range of motion and alignment. This presentation will help you identify strategies with which to incorporate the seating and mobility products with other functional needs such as switch access, oral motor control and other functions
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| 3:00 PM |
Break – Exhibit Hall
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| 3:30 PM |
Instructional Courses
Two-Hour Sessions (3:30-5:30 PM)
8. Client Evaluation Demonstration
Adrienne F. Bergen, PT, ATP/S
Boca Raton, FL
Clients from the Orlando area with complex seating and mobility challenges will be evaluated as part of a learning experience. They will be accompanied by their local practitioners, so that evaluation information will be complete and follow-up is possible.
9. International Standard for Postural Measures of a Wheelchair Seated Person
Barbara Crane, PhD, PT, ATP
Consultant, Wethersfield, CT
Kelly Waugh, MS, PT
Assistive Technology Partners, University of Colorado Health Sciences Center, Denver, CO
The technical content of an international standard defining measures used in wheelchair seating and seated postural assessment is now complete. This session will discuss clinical guidelines and strategies for performing postural assessments consistent with the international standard. Attendees will hear about documentation available including a clinical guidelines document and a companion document containing common terminology associated with seated postural assessment and defining postural support devices.
10. Development and Use of a Standard Clinical Tool for the Assessment of Manual Wheelchair Propulsion Biomechanics
Carmen DiGiovine, PhD, ATP, RET
University of Illinois at Chicago, Chicago, IL
Alicia Koontz, PhD
University of Pittsburgh, Department of Rehabilitation Science and Technology, Pittsburgh, PA; VA Pittsburgh Healthcare System, Pittsburgh, PA
This session will highlight the importance of the development and use of a standard clinical tool to assess manual wheelchair propulsion biomechanics, including propulsion strength, style, and efficiency. A step-by-step description of the clinical protocol and the way in which outcome variables are calculated will be provided. We will also review the ways in which propulsion data gathered through the clinical protocol is presently being used, and we will suggest additional future applications.
11. Clinical Protocol for the Administration and Interpretation of Interface Pressure Mapping for Sitting
Jillian Swaine, OT
Swaine f Assoc., Calgary, AB, Canada
Stephen Sprigle, PhD, PT
Georgia Institute of Technology, Atlanta, GA
Linda Janzen, PT
Foothills Medical Center, Calgary, AB, Canada
Cherly Oga, OT
Foothills Medical Center, Calgary, AB, Canada
Interface pressure mapping (IPM) is used as a clinical assessment and educational tool for clients who are at high risk for developing sitting acquired pressure ulcers (SAPUS). This interactive workshop will present an evidenced based clinical protocol that was developed and piloted by a group of occupational and physical therapists working in community and acute care hospital settings.
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| 5:30 PM |
Adjournment
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| 5:30 PM |
Welcome Reception (Exhibit Hall)
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Friday, January 21, 2005
| 7:00 AM |
Continental Breakfast (Exhibit Hall)
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| 8:00 AM |
Instructional Courses
Four-Hour Sessions ( (8:00 AM - Noon)
12. Power Wheelchair Access Evaluation and Programming
Michelle Lange, OTR, ABDA, ATP
The Children’s Hospital of Denver, Denver, CO
This course will present assessment strategies for determining the optimal access method for independent and funcitonal control of a power wheelchair. A variety of power wheelchairs and access methods will be available for a hands-on lab. Finally, programming strategies to optimize use of various access methods will also be covered.
13. Making It My Choice: Beyond the Theory of Seating And
Mobility - A Review of Equipment Prescriptions Based on Client Needs for Function
Sheila Buck, BSc (OT), Reg (Ont.), ATP
Therapy Now, Inc., Milton, ON, Canada
This workshop will review the basic elements of a full seating/mobility service. The presentation will begin with the MAT assessment, go on to positioning of essential body segments, the simulation of the seated position and technology placement and conclude with the final evaluation of the system as it is to be used to accomplish functional activities. Case studies as well as hands on simulation will be used throughout the session to assist in the learning process.
14. Positioning 24/7 – Using Seating and Alternative Positioning for All Populations
Ann Eubank, OTR/L, ATP
Bryan Malone, PT
Deborah Poirier, ATP
Clover Bottom Developmental Center, Nashville, TN
This course will offer intermediate to advanced simulation techniques and seating and alternative positioning methodology. A hands-on, experiential learning environment, providing the latest simulation equipment and techniques, along with lecture, will be included. Advanced case studies, using video and slides, will address the following: molded simulation including foam sculpting techniques, custom incline supine (bed positioner), quadruped on forearms, planar simulation, and custom modification techniques and methodology.
Two-Hour Sessions (8:00 - 10:00 AM)
15. Special Session on Medicare Legislation
Facilitators:
Barbara Crane, PhD, PT, ATP
Consultant, Wethersfield, CT
Laura Cohen, PhD, PT, ATP
The Shepherd Center, Atlanta, GA
16. Wheelchair Sports/Recreation at the Rehabilitations Zentrum
Herfried Eisler, KT
Rehabilitations Zentrum, Tobelbad, Austria
17. Transportation Integration--Thinking Beyond the Wheelchair
Kevin Phillips
Ability Center, San Diego, CA
Kathryn Fisher, BSc, OT Reg (Ont.)
Therapy Supplies and Rentals, Ltd., Toronto, ON, Canada
Jan Miller Polgar, PhD, OT Reg (Ont.)
The University of Western Ontario, London, ON, Canada
Mobility demands of an active lifestyle require that the personal mobility equipment of a person with a disability integrates seamlessly with their personal transportation. Participants will learn how to assess transportation needs and recommend integration compatible wheelchairs. The in-vehicle consideration of visual, cognitive and mobility abilities of the user as well as vehicle types, entry/exit modes and lift options will be covered in the presentations.
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| 10:00 AM |
Break - Exhibit Hall
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| 10:30 AM |
Instructional Courses
One-Hour Sessions (10:30 - 11:30 AM)
18. Assessing A Seating System For The Long Haul
Trudie Read OTR/L
Varilite™, Seattle, WA
This presentation discusses the issue of how to assess a seating/mobility system to meet the needs of persons who are aging. They live longer, have more chronic problems and require an ongoing change to their performance needs including pressure management and the prevention of over-use syndrome.
19. Pain: Defining, Categorizing, and Determining Seating Involvement
Jessica Pedersen, MBA, OTR/L, ATP
Rehabilitation Institute of Chicago, Chicago, IL
Everyone experiences pain at some point in their lives and seeks relief. This requires one to know the cause of the pain so intervention can be focused. Participants will learn categorizations of pain followed by a discussion on how to determine if client described pain is caused by the seating system. Methods of specific intervention to decrease or alleviate the pain using seating products will be discussed.
20. Seating and Positioning for Medical Issues in Individuals with Developmental Disabilities
Karen Hardwick, PhD
Austin State School, Austin, TX
Persons with developmental disabilities are faced with issues such as positioning for medication administration, circulatory problems, poor esophageal motility, impaired LES function, poor gastric emptying, scoliosis, poor skin integrity, and respiratory difficulty. This session will present technology available for evaluation and solutions for positioning challenges
Paper Session - Pressure
Under Pressure - Strategies for Reducing the Likelihood of Skin Breakdown While in the ER
Ian Denison, PT, ATP
Kathy Norton, MSc, OT
GF Strong Rehab Centre, Vancouver, BC, Canada
Objective Insight in Loading Characteristics in Sitting
Joke H. Grady, OT, MSc
Grady Onderzoek en Advies BV, Haaksbergen, Netherlands
A Marriage Made in Heaven - Join Two Old Technologies for a Customized Cushion
Eva K. Ma, OTR, ATP, PC
Portland, OR
Sitting Acquired Pressure Ulcers: Collecting Incidence Data in Tasmania, Australia
Jillian Swaine, BSc (OT)
Swaine f Associates, Calgary, AB, Canada
Spectroscopic Assessment of the Blanch Response in Elderly Nursing Home Residents at Risk for Pressure Ulcers
Jeanne Zanca, MPT
University of Pittsburgh, Pittsburgh, PA
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| 11:30 AM |
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| 12:00 PM |
Interactive Poster Session
Note: Posters will be available for viewing from Thursday, 11:00 AM through, Friday 3:00 PM.
Approach to Prevention of Pressure Ulcers in National Rehabilitation Center
Hideyuki Hirose, PT, Mech. Eng.
National Rehabilitation Center for Persons with Disabilities, Tokorozawa, Saitama, Japan
The Effect of Wheelchair Tilt and Recline on Seated Pressure Distribution
Kathryn Wilson, OT
Jan Miller Polgar, PhD, OT Reg (Ont.)
The University of Western Ontario, London, ON, Canada
Evaluation of Newly Designed Water Cushion for Wheelchair Users
Junichi Kubo, BS
Graduate School of Science and Technology, Niigata University,Niigata, Japan
Hisaichi Ohnabe, PhD
University of Pittsburgh, Dept. of Rehabilitation Science and Technology, Pittsburgh, PA
VA Pittsburgh HealthcareSystem, Pittsburgh, PA
Local Tissue Perfusion Recovery Using an Automated Seating System Featuring Dynamic Ischial Unloading
Mohsen Makhsous, PhD
Northwestern University f Rehabilitation Institute of Chicago, Chicago, IL
The Clinical Assessment and How It Relates to Technology
Sharon Pratt, PT
Sunrise Medical, Longmont, CO
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| 1:00 PM |
Instructional Courses
Three and 1/2 Hour Sessions (1:00 - 4:30 PM)
21. Review of Medical, Technology, and Psychosocial Issues for Persons With MS
Michael L. Boninger, MD
Rosemarie Cooper, MPT, ATP
University of Pittsburgh, Department of Rehabilitation Science and Technology, Pittsburgh, PA
VA Pittsburgh Healthcare System, Pittsburgh, PA
Jean Minkel, MA, PT
Minkel Consulting, New Windsor, NY
22. Interfacing Assistive Technology and Power Wheelchairs
Michelle Lange, OTR, ABDA, ATP
The Children’s Hospital of Denver, Denver, CO
This course will present clinical indicators for appropriate and successful interfacing of a variety of assistive technology devices through power wheelchair electronics. Interfacing will be demonstrated on Invacare, Quickie, and Permobil power wheelchairs with hands-on opportunities for the participants. Interfaced technology will include power actuators, communication devices, computers and Electronic Aids to Daily Living.
Two-Hour Sessions (1:00 - 3:00 PM)
23. Wheelchair is a Compound Word
Ian Denison, PT, ATP
GF Strong Rehab Centre, Vancouver, BC, Canada
Bonita Sawatzky, PhD
British Columbia’s Children’s Hospital, Vancouver, BC, Canada
Wheelchair is a compound word. All too frequently the first part of a word, “wheel” is overlooked. This presentation will provide information on wheel and tire selection that will help optimize the performance of the “chair” you have so careful to prescribed.
24. Custom Contoured Seating: A Pediatric Lightweight System and an Adjustable Contoured Back
Delia “Dee Dee” Freney-Bailey, OTR/L, ATS
Private Therapy Consultant, Castro Valley, CA
25. Place and Meaning of Sit Load Analysis Software (SLAS) in Diagnostics and Treatment of Sit Complaints /Impairments
J. de Vries, MD, PhD
Revalidatie Centrum Kastenjehof, Apeldoorn, Netherlands
The ZAS, a pressure measurement analysis program developed to provide input data for custom designed seating system, was used in a study performed between two groups of wheelchair users who received custom made seating systems. The ZAS was applied to the experimental group and standard procedures were applied to the control group. The experimental group showed better performance.
26. Functioning Everyday with a Wheelchair (FEW): Applications for Assessing Wheelchair Function in Clinic, Home, and Community Environments
Tamara Mills, PhD, OTR/L
Kessler Medical Rehabilitation Research and Education Corp., West Orange, NJ
Mark Schmeler, MS, OTR/L, ATP
UPMC Center for Assistive Technology; University of Pittsburgh, Department of Rehabilitation Science and Technology, Pittsburgh, PA
The Functioning Everyday with a Wheelchair (FEW) performance-based observation tools were developed to assess seating-mobility functioning of consumers in a clinic setting and their home or community environment. The objectives of this course are to demonstrate the applicability of these instruments in measuring consumer independence, safety, and quality of performance with seating-mobility technology in a clinic and non-clinic environment. Participants will have the opportunity to administer the tool and become familiar with its scoring system.
27. Seating Under the Influence
Joan Padgitt, PT, ATP
Ride Designs, Denver, CO
Faced with pressure sores that will not heal, postural deformities, chronic pain, shoulder/elbow/wrist joint dysfunction, wheelchair users aging with their disability tend to be the most complex and challenging for assistive technology practicioners and suppliers. Using case studies, pressure mapping, and interactive dialog, this presentation will discuss the option of Orthotic and Prosthetic influenced contoured seating where the person’s shape does not dictate but instead influences the shape of their seating system while meeting both the skin AND postural outcomes.
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| 3:00 PM |
Break (Exhibit Hall)
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| 3:30 PM |
Instructional Courses
One-Hour Sessions (3:30 - 4:30 PM)
28. Impact of Long Term Sitting in the Spinal Cord Injury
Population: Effects on Posture, Pulmonary Function, and Skin Integrity
Amy Bjornson, PT, ATP
Sunrise Medical, Longmont, CO
Persons with a spinal cord injury are experiencing near normal life expectancies due to advances in health care and SCI management. This course will utilize case studies to illustrate how clients age with spinal cord injuries and will demonstrate the impact a seating system on the pulmonary system, posture, skin integrity, function and quality of life.
29. Modification of a Seat Digitizer to Accommodate Significant Musculoskeletal Deviations
Linda Elsaesser, PT, ATP
Elsaesser Consulting, Saylorsburg, PA
This workshop will review various technologies that have attempted to provide custom seating technology. Specifically it will use case studies to illustrate a shape sensor seat digitizer designed to provide effective custom contoured seat cushions for clients with significant pelvic obliquity.
30. The Trouble With the Shoulder...
Patrick Meeker, MS, PT
The ROHO Group, Inc., Belleville, IL
There is research and clinical information regarding the correlation between upper extremity overuse injuries and the manual wheelchair user. How do we answer our clients questions regarding how to manage their functional limitations and/or relieve their pain. This session will provide current information about conservative and surgical approaches for managing shoulder and upper extremity injuries in manual wheelchair users.
31. Empower and Assist!
Brenlee Mogul-Rotman, BSc, OT, OTR, ATP, OT Reg (Ont.)
Toward Independence, Richmond Hill, ON, Canada
Not all clients that would benefit from a powered mobility device require a powered wheelchair. How about a “middle of the road” option of a Powered Assist unit. This session will discuss the concept of power assist, appropriate client selection and justification guidelines.
32. External Stabilization Systems Used in Sitting and Standing
Catherine Mulholland, OTR/L
Pacific Rehab Inc., Scottsdale, AZ
Orthotic undergarments and strapping systems are currently being used internationally as aides to provide dynamic postural stability. Case histories will be reviewed to show the positive affects that this type of intervention can have in sitting, standing and dynamic movement.
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| 4:30 PM |
Chris Bar Research Forum
Sponsored by
The ROHO Group, Inc.
Chairman:
Geoff Bardsley, PhD
TORT Centre, Ninewells Hospital, Dundee, Scotland
The 2005 Chris Bar Research Forum is a British Parliamentary style debate focusing on current research or service delivery issues.
The motion to be debated is as follows:
This house believes that the gathering of clinical evidence to support Assistive Technology practice is a waste of time!
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Saturday, Januarry 22, 2004
| 8:00 AM |
Continental Breakfast
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| 8:30 AM |
Instructional Courses
Three-Hour Sessions (8:30 - 11:30 AM)
33. CPT Coding and Reimbursement for AT Service Providers
Barbara Levy, PT, ATP
Thoms Rehabilitation Hospital, Asheville, NC
This course will provide background information on Common Procedural Terminology (CPT) Codes and how to utilize them for billing of health care professional services in AT Practice. Included will be a review of how codes are edited and changed and the role RESNA, AOTA, and APTA, took in obtaining the recent revisions. Documentation requirements and reimbursement issues for various practice settings and disciplines will be reviewed. Participants will be encouraged to share their experiences of what has been reimbursed and what has been denied in their particular practice setting or region.
Two-Hour Sessions (8:30 - 10:30 AM)
34. Man’s Best Friend: The Benefits of Service Dogs
Shirley G. Fitzgerald, PhD
Diane Collins, PhD, OTR/L
VA Pittsburgh Healthcare System, Department of Rehabilitation
Sciences and Technology, University of Pittsburgh, Pittsburgh, PA
Natalie Sachs-Ericcson, PhD
Florida State University, Tallahassee, FL
Service dogs are trained to help individuals with disabilities in a variety of ways, such as retrieving items, opening doors and repositioning people in their wheelchairs. This session will provide information on service dogs including how the dogs are trained, how clients can obtain a service dogs as well as an overview on what research has been conducted to validate the efficacy of service dogs. A demonstration, showing different tasks that the service dogs can perform, will be given.
35. Impact of a Progressive Seating Program on the Spinal Cord Injury Patient
Vicki Bunton, PTA
Charlotte Institute of Rehabilitation, Charlotte, NC
Paul Wilkie, RTS
Chesapeake Rehab Equipment Company, Charlotte, NC
Progressively seating the spinal cord injured patient in the rehabilitation phase of recovery promotes a healthy client / interdisciplinary team interaction. This contributes to the patient achieving the maximum potential for functioning at home and in the community. Using a comprehensive team approach to assess the various needs of persons with a spinal cord injury, a customized provision of seating and mobility components will promote maximum functional outcomes and interaction with their environment.
36. Too Much “Hyperextension,” and “Obligatory Re&Mac223;ex,” or The Opisthotonic Reaction?
Karen M. Kangas, OTR/L
Shamokin, PA
When a child is diagnosed with cerebral palsy, brain injury, and/or clinical rigidity, often an opisthotonic reaction is present. We will explore how seating can be provided that does not activate this reaction as well as strategies that will assist the children gain increased control of their bodies.
37. Under Pressure: Managing Pressure Outside The Bed
Linda Norton, OT Reg (Ont.)
Shoppers Home Health Care, Etobicoke, ON, Canada
Managing the pressure throughout a client’s normal routine begins with an assessment of pressure and shearing during all activities, and in relation to all surfaces with which the client comes in contact. Strategies can then be developed to manage pressure in each domain that may include transfers, bathroom fixtures, transportation, and seating and mobility devices. This interactive workshop will highlight seating practices in relation to pressure ulcers as well as sharing solutions to high pressure and shear during all activities of daily living.
38. Creative Molding or Why Everything We’ve Learned Doesn’t Always Work!
Jill Sparacio, OTR/L, ATP, ABA
Sparacio Consulting Services, Downers Grove, IL
The use of custom molded seating components can be an effective means of providing support and alignment for individuals with skeletal deformities. Creative molding and non-traditional techniques and orientations can result in providing individuals a position of comfort and balance. The evaluation process will be examined using case studies. Specific client goals including areas of function such as respiration, oral motor skills, upper extremity function and pressure management will be presented.
39. Therapeutic Positioning During Sleep
Kelly G. Waugh, MA, PT
Assistive Technology Partners, University of Colorado
Health Sciences Center, Denver, CO
Many individuals with physical disabilities have a difficult time sleeping due to movement dysfunction, pain, or because of difficulties with breathing, swallowing or digestion. This leads to poor sleep quality and duration – both for the disabled individual and their caregiver. Additionally, many children with severe motor impairments sleep in asymmetrical postures that promote the development of orthopedic deformities. A specific therapeutic position program will be presented including goals of sleep positioning, interventions strategies and equipment options.
Paper Session
Comparison of Telerehabilitation f In Person Assessments in the Determination of Wheelchair Accessories Recommendations
Ana Allegretti, MS, OT
University of Pittsburgh, Pittsburgh, PA
Custom Body Support Using the 2nd Generation Matrix System
Steven J, Cousins
Royal Hospital for Neuro-disability, London, England
Client Satisfaction with a Wheelchair and Seating Program: An Evaluation of Alternative Service Delivery Methods
Erica Dowdell, OT
Laura Titus, OT
Jan Miller Polgar, PhD, OT Reg (Ont.)
The University of Western Ontario, London, ON, Canada
Living With the iBOT: a Functional and Vocational Profile of iBOT Users in the First 6 Months
Martin Ferguson-Pell, PhD
University College of London, Stanmore, UK
Sharing Research Results - What Is the Scoring System of the F.I.M. Really Measuring?
Jean Minkel, MA, PT
Minkel Consulting, New Windsor, NY
A RCT to Compare the Effectiveness of an Individualized Seating Intervention With Conventional Seating System
Anna Wu, MS
Caritas Medical Centre, Hospital Authority, Hong Kong
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| 10:30 AM |
Break
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| 10:45 AM |
Instructional Courses
One-Hour Sessions (10:45 - 11:45 AM)
40. Challenges and Solutions to Providing Assistive Technology for the Bariatric Client
Elizabeth Cole, MSPT
Sunrise Medical, Longmont, CO
The needs of bariatric clients encompass more than increasing seat width and depth and equipment weight limits. In addition to the effects of disability, injury and secondary medical complications and aging, our bariatric clients present with a special set of challenges. This course will discuss the challenges of performing an evaluation, addressing skin issues, accommodating variable body shapes and types and addressing environmental issues.
41. The Henry Ford Approach to Custom Made Seats and Backs
Steve Cousins
Royal Hospital for Neuro-disability, London, England
Richard Hannah
Symmetric Designs, Salt Spring Island, BC, Canada
In this course we will explore the structural matrix concept, the opposite of the Henry Ford approach that you can have any color car as long as it is black, in which we use mass-produced components for one-of, custom shaped, non-identical products. We will cover the transformation of the 'off the shelf' mass produced technology in to a shapeable/lockable, and clinically acceptable structure that can be fitted and delivered to clients. We will discuss the biomechanical, clinical and workshop implications of this technique as well as future applications.
42. Measuring Wheelchair Seat Comfort: Research Methodology and Application to Clinical Practice
Barbara Crane, PhD, PT, ATP
Consultant, Wethersfield, CT
The Tool for Assessing Wheelchair Comfort (TAWC) was designed to measure one clinical outcome of seating intervention in a seating practice, comfort. Results from a 3 year development and testing process will be discussed as well as potential application of the tool in future research or clinical practice.
43. Non-Traditional Roles for Clinicians
Kay Koch, OT, ATP
Children’s Healthcare of Atlanta, Mobility Designs, Atlanta, GA
44. Who Needs Power?
Gloria Leibel, OT (C)
Bloorview Macmillan Children’s Centre, Toronto, ON, Canada
Kathryn Fisher, BSc, OT Reg (Ont.)
Therapy Supplies f Rentals, Toronto, ON, Canada
By discussing three diagnostic groups (Spina Bifida, Cerebral Palsy and Muscular Dystrophy) in case history format, strategies that assist in making appropriate recommendations for powered mobility based on evidence-based practice will be presented. For each group we will present trends related to effective choice, medical conditions and implications and finally technical options.
45. Getting it Right the First Time!
Tina Roesler, MSPT, ABDA
The ROHO Group, Belleville, IL
Josh Anderson
TiLite, Kennewick, WA
When fitting a client for a manual mobility device, the first chair can be the most important chair! Size, configuration of components and the selection of a seating system will have a significant impact on a client’s ability to maximize function and mobility while limiting the risk for upper extremity injury. This course will present up to date clinical research and demonstrate how this information can help us to make good equipment recommendations.
46. Impossibility or Probability? EADLs in a Long-Term Care Facility
Faith Saftler Savage, PT, ATP
The Boston Home, Natick, MA
The Boston Home is a 96 bed long-term care facility with many residents having a diagnosis of Multiple Sclerosis. Residents are struggling with maintaining independence an all activities of their life including using a phone, television, bathing, dressing and mobility. There is technology to assist but they are costly. This workshop will report on a two-year effort by the facility to maximize residents independence using alternative funding sources.
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| 11:45 AM |
Special Session
Dream On !
Service Delivery Challenges
Around the Globe
Funding?
Location?
Unique population?
Payment?
Technology Limits?
Government Directives?
What is it that is giving you a headache?
This panel of experts from many parts of the world will set the scene for an interesting discussion on what can be done to overcome some of the problems we have in providing service delivery.
Share your own perspective in the discussion period.
Then go back home and make it work!
Geoff Bardsley, PhD
TORT Centre, Ninewells Hospital, Dundee, Scotland
Martin Ferguson-Pell, PhD
University College of London, Stanmore, UK
Ray Fulford, P.Eng, MSc
Society for Manitobian’s with Disabilities, Winnipeg, MB, Canada
Jean Minkel, MA, PT
Minkel Consulting, New Windsor, NY, USA
Sheila Buck, BSc (OT), Reg (Ont.), ATP
Therapy Now, Inc., Milton, ON, Canada
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| 1:00 PM |
Adjournment
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Registration Form
 Web Submission Form
Electronic submission is strongly recommended for this form, and will help process your informtion faster.
PDF Submission Form
This form is a Adobe PDF file (81kb) if you do not have © Adobe Acrobat Reader you can download it for free at: http://www.adobe.com
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