2014 TBI Conference Rehabilitation following Mild to Severe Traumatic Brain Injury

Transcription

1 2014 TBI Conference Rehabilitation following Mild to Severe Friday, January 31st, 2014 Sheraton Hotel, Downtown Toronto Toronto, ON Register now at:

2 Our annual conference, formerly The Mild Traumatic Brain Injury Conference will now incorporate (TBI) of all ranges of severity, from mild to severe. Our new conference name is, Rehabilitation following Mild to Severe. With this new and exciting direction, we will also be showing abstracts at the event! There will be over 15 abstracts displayed. It is a must-attend event for healthcare practitioners who contend with traumatic brain injury in their practice: physicians, therapists, nurses, social workers, program service managers, researchers and service providers from rehabilitation, insurance and legal organizations. Participate in interactive discussions, workshops and plenary sessions in this one-day forum that will familiarize you with rehabilitation in all areas of traumatic brain injury. Workshops will focus on topics of emotional and behavioural consequences of TBI, including the implications for practice; manual therapy following TBI; goal management and a workshop on catastrophic impairment presented by Oatley, Vigmond and McLeish Orlando. Attend the 2014 Traumatic Brain Injury Conference! Register online now! Space is limited, so be sure to register early!

3 Program Agenda 7:30 8:30 a.m. Registration and Continental Breakfast 8:30 8:45 a.m. Welcoming Remarks Paul Comper, PhD, CPsych Clinical Neuropsychologist, Toronto Rehabilitation Institute UHN; Co-Director, University of Toronto Concussion Clinic 8:45 9:30 a.m. Neural Plasticity: Foundation for Neural Plasticity Jeffrey Kleim, PhD Associate Professor, School of Biological & Health Systems Engineering, Neuroscience Program, Arizona State University This presentation will describe the behavioral and neural signals that drive neural plasticity in the context of neurorehabilitation. A review of existing therapies that harness these signals will be provided and recommendations for ways to optimize therapies, discussed. At the end of the presentation, participants will be able to: Define neural plasticity Identify the behavioral and neural signals driving plasticity Identify ways to harness neural plasticity to enhance functional recovery 9:30 10:15 a.m. Blast-induced Traumatic Brain Injuries: Mechanisms, Clinical Manifestation, and Co-morbidities Ibolja Cernak, MD, ME, PhD Chair and Professor, Military and Veterans Clinical Rehabilitation Research Faculty of Rehabilitation Medicine, University of Alberta This lecture will provide an overview of military-relevant traumatic brain injuries (TBI) focusing on non-impact blast-induced neurotrauma (BINT). The pathobiology of primary BINT is extremely complex: it comprises systemic, local, and cerebral responses interacting and often occurring in parallel. Activation of the autonomous nervous system, sudden pressure-increase in vital organs such as lungs and liver, and activation of the neuroendocrine-immune system are among the most important mechanisms significantly contributing to molecular changes and cascading injury mechanisms in the brain. Upon completion of this session, participants will be able to: Define the main types of militaryrelevant traumatic brain injuries (TBI) and their underlying mechanisms Explain the main differences and similarities between blast-induced neurotrauma and civilian TBIs List the main co-morbidities of BINT and explain their importance for the injury outcome 10:15 10:30 a.m. Morning Nutrition Break, Poster and Sponsor/Exhibit Viewing 10:30 11:15 a.m. Detecting Residual Cognitive Function in the Vegetative State Adrian M. Owen, PhD Canada Excellence Research Chair in Cognitive Neuroscience and Imaging; Professor, Department of Psychology, The Brain and Mind Institute, Western University In recent years, improvements in our ability to image the injured brain have started to change the way we think about consciousness and how it should be measured. Techniques like high-density electroencephalography (EEG) and functional magnetic resonance imaging (fmri) are being used to show that some patients who were thought to be in a vegetative state are, in fact, conscious and aware and in some cases able to communicate with the outside world. In this lecture Dr. Owen will discuss how studies of coma and vegetative state are helping us to understand human consciousness and, more importantly, how it can be measured after serious brain injury. : Describe the two main components of consciousness and how they differ in coma, minimally conscious state and vegetative state Understand what percentage (approximately) of patients who appear to be entirely vegetative clinically can in fact be shown to be conscious using fmri and/or EEG Understand what kinds of residual fmri and EEG responses in the vegetative state are indicative of cover awareness and which are not 11:15 11:45 a.m. Poster Viewing Session 11:45 a.m. 12:45 p.m. Workshops Session 1 (Four concurrent workshops) These four workshops will run concurrently from 11:45 a.m. to 12:45 p.m. and again in the afternoon from 1:30 to 2:30 p.m. Workshop 1 Emotional & Behavioural Consequences of : Implications for Practice Cathie Percival, MSW, RSW Social Worker, Brain & Spinal Cord Rehabilitation Program, Toronto Rehabilitation Institute UHN Karen Sasaki, MSW, RSW Social Worker, Brain & Spinal Cord Rehabilitation Program, Toronto Rehabilitation Institute UHN; Adjunct Lecturer, Factor-Inwentash Faculty of Social Work, University of Toronto This presentation will provide an overview of the emotional and behavioural effects of brain injury for patients and their families, explore implications for relationships and community integration, and practical strategies for interprofessional team members. : Identify and understand the range of behavioural and emotional changes following TBI Describe helpful resources for team members in working with TBI clients and their families Workshop 2 Understanding Catastrophic Impairment and the Impact of the Definition on TBI Patients John McLeish, McLeish Orlando LLP Session 1 Roger Oatley, Oatley, Vigmond LLP Session 1 Dale Orlando, McLeish Orlando LLP Session 2 Jim Vigmond, Oatley, Vigmond LLP Session 2 Catastrophic impairment is a legal designation applied to individuals who suffer significant musculoskeletal injuries, paraplegia or quadriplegia, traumatic brain injury, etc. in the context of a motor vehicle accident. The individual classified as catastrophic has access to a much larger fund or rehab dollars ($1,000,000) than a person deemed non-catastrophic ($50,000). However, the application of catastrophic criteria to the injured person can be quite contentious; and to complicate matters, many clinicians do not understand the difference between legal and clinical terminology. Moreover, proposed legislative changes to catastrophic designation criteria may further erode the injured person s access to rehabilitation services. : Provide delegates with a basic under standing of Catastrophic Impairment Appreciate and explain the importance of the legal definition Work with lawyers to provide fair assessment of patients concerning catastrophic impairment Workshop 3 Assessment of Post-Concussion Syndrome: Clinical Approach from a Manual Therapist Theo Versteegh, BSc PT, MSc, PhD (C), FCAMPT Associate Physiotherapist, Fowler-Kennedy Sports Medicine Clinic; Doctoral Candidate, School of Physical Therapy, University of Western Ontario This presentation will provide practical techniques and tips for assessment and treatment of patients with post concussion syndrome from a manual therapist perspective using the SCAT3 symptom score as a guide. : Using the SCAT3 symptom score as a guide to identify specific areas that are likely to require further assessment and treatment Apply clinical techniques and tips to the assessment and treatment of these areas in the post-concussion syndrome patient Workshop 4 A Brain-based Approach to Enhancing Executive Control in Brain Injury Deirdre R. Dawson, PhD, OT Reg (ON) Senior Scientist, Rotman Research Institute, Baycrest; Associate Professor, Department of Occupational Science & Occupational Therapy, University of Toronto; Member, Graduate Department of Rehabilitation Sciences, University of Toronto; Adjunct Scientist, Toronto Rehabilitation Institute UHN Gary R. Turner, PhD, CPysch Assistant Professor, Department of Psychology, Faculty of Health, York University Poor goal direction, or loss of ability to concentrate and stay on task, is a common complaint for persons following brain injury. Unfortunately, few treatments for these type of executive control deficits have demonstrated efficacy, particularly with respect to real-world functional outcomes. The symposium will present the results of recent research evaluating the efficacy of a brain-based cognitive intervention to enhance goal direction. The presentation will describe how we have been investigating the brain mechanisms underlying treatment response using functional MRI. This brain-based approach is leading to the development of increasingly targeted and efficacious interventions, building from the level of brain to behavior to lasting, real-world functional change. At the end of this session, participants will be able to: Discuss the importance of executive control processes in rehabilitation Understand the importance of translating rehabilitation in the clinic to meaningful real-world change Evaluate the efficacy and clinical relevance of a brain-based approach to treatment of executive control deficits

4 12:45 1:30 p.m. Networking Lunch, Poster and Sponsor/Exhibit Viewing 1:30 2:30 p.m. Workshops Session 2 (Four concurrent workshops) See above at 11:45 a.m. for descriptions 2:30 2:45 p.m. Afternoon Nutrition Break, Poster and Sponsor/Exhibit Viewing 2:45 3:30 p.m. MR Imaging of David J. Mikulis, MD Professor and Director of Functional Brain Imaging Research; Department of Medical Imaging, The University of Toronto; Toronto Western Hospital UHN During this presentation an overview of MR Imaging of TBI will be presented covering the spectrum from concussion to more severe forms of injury. Emphasis will be placed on limitations as well as recent advances. At the end of the session, participants will: Be knowledgeable about the limitations of MRI in the assessment of TBI Be familiar with advances in MRI that may improve future diagnosis and patient management 3:30 4:30 p.m. Neuropsychiatric Interventions after Abe Snaiderman, MD, FRCP(C) Director, Neuropsychiatry, Neuro Rehabilitation Program, Toronto Rehabilitation Institute UHN; Assistant Professor, Departments of Psychiatry and Medicine, University of Toronto This presentation will outline the main principles to help patients with common neuropsychiatric sequelae following traumatic brain injury. Understand common neuropsychiatric syndromes affecting patients suffering from a traumatic brain injury Understand the indications for the different treatment modalities Discuss the different implications that each modality has for the treatment by the different health disciplines involved in the care of the TBI patient 4:30 p.m. Closing Remarks Register online at Registration Information Register by Monday, January 6, 2014 to take advantage of our Early Bird Rate. Registration includes a continental breakfast, refreshment breaks, lunch and a certificate of attendance. Conference Rates $250 Early Bird Rate on or before January 6, 2014 $280 Individual Rate $165 Student Rate* $300 Onsite Rate *Students must present a photocopy of a valid student ID Registration closes at 5 p.m. on Tuesday January 28, Payment by VISA, MasterCard or cheque must accompany the completed online registration form. All cheques must be made payable to the order of Toronto Rehabilitation Institute. Payment must be received on or before Monday January 6, Registration deadlines and fees are subject to change. Letter s of invitation will not be issued to any registered delegate. Cancellation Policy A full refund, minus a $75 administration fee, will be issued for cancellations received via facsimile or on or before Monday January 6, No refunds will be issued after this date. Refunds will not be granted to registrants who do not attend the conference. If you would like more information about registration guidelines and prices, please contact the University Health Network s Conference Services by at conferences@uhn.ca or by phone at , ext Conference Venue Sheraton Toronto 123 Queen Street West Toronto, Ontario Hotel Reservations Sheraton Toronto 123 Queen Street West, Toronto, Ontario M5H 2M9 A group rate has been secured at The Sheraton. In order to make your reservations, please call direct to the hotel at (416) and ask for the Reservations Department. You can also call the Toll Free Reservations line at Please mention the Traumatic Brain Injury Conference Toronto Rehab in order to receive our special hotel rate of $259.00/night plus taxes. Please ensure that you book on or by Monday, December 23rd, 2013 as the rates will be subject to availability after this date. About Us University Health Network (UHN) Providing care to the community for more than 200 years, UHN is a major landmark in Canada s healthcare system and a teaching hospital of the University of Toronto. Building on the strengths and reputation of each of our four hospitals, UHN brings together the talent and resources needed to achieve global impact and provide exemplary patient care, research and education. UHN is made up of Toronto General Hospital, Toronto Western Hospital, Princess Margaret Hospital and the Toronto Rehabilitation Institute. Each hospital retains its identity and name within the Network. For more information about the University Health Network, please visit

5 2014 TBI Conference Rehabilitation following Mild to Severe Thank you to our Platinum Sponsors: For more information about this conference or other UHN events, please contact Conference & Educational Technology Services at: Phone: , ext