How to solve the every-day problems faced in later life, Bioengineering. Geoff Fernie Toronto Rehabilitation Institute University of Toronto
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1 How to solve the every-day problems faced in later life, Bioengineering Geoff Fernie Toronto Rehabilitation Institute University of Toronto
2 Example: Prevent Hip Fractures There are 30,000 hip fractures each year in Canada 4 out of every 10 die within a year Almost nobody recovers their walking ability fully
3 causes prevention mitigate injury call for help new research tools to share
4 causes
5 causes observe falls
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9 Optic Flow by Alex Mihailidis
10 causes observe falls perturb balance in lab
11 3D motion measurement multi-axis perturbation platform force plates Brian Maki As you can see here, there is sufficient room to perform stepping reactions. Under each foot of the subject is a force plate, measures obtained from the force plates include vertical and shear forces, COP, COM and step timing. Overhead cameras allowed for classification of arm and leg reaction characteristics, include step placement and length and confirmation of step timing. Our platform moves in horizontal plane in any direction (usually AP or ML)
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16 causes prevention mitigate injury call for help new research tools to share
17 prevention
18 prevention exercise & training
19 Avril Mansfield
20 68 year old male, approximately 2 months post left haemorrhagic stroke (frontal, parietal and occipital lobes & also white matter atrophy and an old right cerebellar stroke that had not been previously detected) with right-side inattention, aphasia, apraxia, Bill McIlroy & Liz Innes
21 Text Alex Mihailidis
22 prevention exercise & training remove hazards
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25 327 deaths of all ages due to house fires in 2000 Majority of 12,000 deaths from falls occur on steps and stairs inside (78%) and outside (66%) the home
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27 Brian Maki 27
28 prevention exercise & training remove hazards augment balance
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30 Jennifer Hsu
31 SoleSensor Stephen Perry Stephen Perry found lateral stepping response very much dependant on mechano-receptor function. Hence developed Sole Sensor Grabbing response lead to handrail design parameters and building codes. Grab bar has different purpose. Won competitive contract to write standards for ABMs in Canada and introduced grab bars. Unstable person can hold on while not able to use mobility aid or reaching for purse, etc. Place grab bars also to help seated person pull up to standing.
32 SturdyGrip
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37 causes prevention mitigate injury call for help new research tools to share
38 mitigate injury
39 mitigate injury absorb impact
40 Stephen Robinovitch 40
41 34% peak force attenuation with no significant effect on balance or mobility Laing AC & Robinovitch SN Accident Analysis and prevention (2009)xt 41
42 causes prevention mitigate injury call for help new research tools to share
43 call for help
44 call for help advanced ERS
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46 System Components 46
47 Example of Use 47
48 causes prevention mitigate injury call for help new research tools to share
49 new research tools to share
50 new research tools to share CEAL
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53 Laboratory Simulator Real World
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60 CEAL stairway
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65 causes collect real falls inside & out with AI help reproduce real activities and environments in the lab include multisensory investigations and arm response
66 prevention develop evidence for built environment standards including stairs and slopes/ramps develop better footwear that is easy to don & doff, enhances sensory feedback and adapts to slippery conditions develop best practices for rehabilitation including a kiosk
67 mitigate injury optimise and conduct large scale field tests of protective flooring
68 call for help expand abilities of advanced ERS to include preditive capabilities and commercialize it
69 Let s collaborate to reduce fall injuries and deaths by half in the next decade Please join us at CEAL
70 FICCDAT June 5 8, 2011 Toronto, Canada
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