Workshop Proposal ‐ ICVR 2017 Title: Simulated activities of daily living in cognitive rehabilitation: Contributions and outlook for the future. Organizer/Presenters Name, credentials: Evelyne KLINGER, Eng, PhD, Director of Research Affiliation: ESIEA – Digital Interactions Health and Disability Email: [email protected] Name, credentials: Naomi JOSMAN, PhD, OTI, head of Doctoral program Affiliation: Department of Occupational therapy, Faculty of Social welfare & Health Sciences, University of Haifa Email: [email protected] Organizer contact Information: Name: Evelyne KLINGER Address: 38 rue des Drs Calmette et Guérin, 53000 Laval, France Email: [email protected] Learning Objectives After completing this workshop, participants should be able to: 1) Define Executive Functions (EF) as an underline mechanism of everyday functioning 2) Demonstrate an understanding of the Virtual Reality‐based technologies available in the field of cognitive rehabilitation 3) Describe in which ways such technologies can be applied to provide cognitive rehabilitation 4) Identify the different performance and Executive Functions profiles of clients with various Central Nervous System deficits. Summary Numerous disorders such as brain injury, neurodegenerative pathologies, and mental diseases, are manifested as concomitant, significant cognitive functioning disability. There is a need to assess such cognitive functional capacity, based upon efficient methods and tools prior to planning therapeutic intervention and rehabilitation. Among the Instrumental Activities of Daily Living (IADL), shopping behavior constitutes a vital activity which invokes both complexity and integration of various cognitive functions. The assessment of, as well as the treatment of real‐life people’s shopping behavior poses practical difficulties, whereas a Virtual Reality‐based supermarket substantially facilitates this task. The proposed workshop aims: ‐ At first, to define Executive Functions (EF) as an underline mechanism of everyday functioning. ‐ Second, to provide a critical overview of the current state of, the rationale for, and the design/use of virtual supermarkets (or simulated IADL) for cognitive assessment and ‐
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rehabilitation, with a final focus on the Virtual Action Planning Supermarket (VAP‐S) and its first use in Parkinson Disease. Third, to present a description and analysis of the use of the VAP‐S for investigating Executive Functions and IADL in other Central Nervous System (CNS) deficits. Finally, the workshop will include a discussion of the key issues for developing and implementing VR‐based cognitive rehabilitation. Barriers to implementation in clinical practice and strategies to overcome these will also be discussed. Intended audience People interested in using VR in Cognitive Rehabilitation are welcome: Researchers, Therapists, Engineers, Students Presenter biographies Evelyne KLINGER, Director of Research (Digital Interactions Health and Disability) at ESIEA, Laval, France, is an internationally recognized expert in the clinical applications of Virtual Reality and associated technologies. Active in many national and international projects, her responsibilities include the chairmanship of the Interactive Systems for Participation and Autonomy of the French Research Institute on Disability (IFRH) program. The majority of her research activity is dedicated to the design of VR‐based methods, concepts and systems for cognitive rehabilitation (e.g., the Virtual Action Planning Supermarket: VAP‐S). Her fields of interest include virtual reality, human activity, rehabilitation, cognitive functions, emotions, behavior and disability, with a strong commitment to the engineering of digital technologies for the purpose of better understanding, treating and accompanying patients and people with disabilities. Naomi JOSMAN is Professor of Occupational Therapy in the Department of Occupational Therapy, the Faculty of Social Welfare & Health Sciences at the University of Haifa, Israel. She also serves as Director of their Ph.D. program. Dr. Josman is an internationally recognized leader, scholar and educator in the area of cognitive rehabilitation. Her research investigates cognition, metacognition, executive functions and their influence on everyday life. Her work is based on an ecologically‐valid assessment of cognitive impairments to performance‐based assessments, utilizing innovative methods and tools, inter alia Virtual Reality, for evaluation and intervention. Her research activities extend to the study of a wide range of populations, including people with central nervous system deficits, clients with schizophrenia, and the elderly. Workshop Proposal ‐ ICVR 2017 Title: Open Rehabilitation Initiative: Community to Share Virtual Environments and Serious Games Organizer/Presenters: Name, credentials: Judith Deutsch Affiliation: Rivers Lab, Rutgers University (Newark, NJ, USA) Email: [email protected] Name, credentials: Sergi Bermúdez i Badia Affiliation: Madeira‐ITI, Universidade da Madeira (Madeira, Portugal) Email: sergi.bermudez@m‐iti.org Name, credentials: Roberto Llorens Affiliation: Neurorehabilitation and Brain Research Group, Universitat Politècnica de València (Valencia, Spain) Email: [email protected] Organizer contact Information Name: Judith Deutsch Address: 65 Bergen Street, Newark, NJ Email: [email protected] Learning Objectives After completing this workshop, participants should be able to: 1) Explain the philosophy of the Open Rehab Initiative (ORI) 2) Access the ORI site, download, and use the applications for upper limb use, balance, and mobility and active video games 3) Contribute to the development of the ORI, by using the applications in practice and sharing developments with the community Summary The workshop will introduce, using active learning and hands‐on experience, the Open Rehab Initiative (ORI). The international collaborative effort seeks to create a community whereby virtual environments and serious games are used by both developers and practitioners alike. In this course participants will learn about the site and its philosophy, access, download and use the current applications that allow for rehabilitation of the upper limb post‐stroke, balance testing using the Wii Balance Board™ and active video games using the Kinect™. Developers will learn how to contribute to the ORI and interact with clinicians as they use the applications. Developers and clinicians will evaluate the existing resources and contribute to the ongoing development of the ORI. Intended audience Persons who develop, use, and are interested in virtual environments or serious games for rehabilitation such as Computer Engineers, Biomedical Engineers, Physical Therapists, Occupational Therapists, Recreation Therapists, Virtual Reality Program Designers, Students in any of these fields. Presenter biographies Sergi Bermudez i Badia is an assistant Prof. at the University of Madeira and research fellow at the Madeira‐ITI and member of the NeuroRehabLab group. He received his MSc. In telecommunications engineering from the Universitat Politècnica de Catalunya (Barcelona) and a PhD in neuroscience from the ETHZ (Zürich). For the past years, he has been involved in the development and clinical validation of several motor and cognitive stroke neurorehabilitation systems using interactive technologies such as Virtual Reality, Brain Computer Interfaces and haptic interfaces. Judith Deutsch PT PhD FAPTA is Professor and Director of the Rivers Lab in the Dept. of Rehabilitation and Movement Sciences in the School of Health Professions at Rutgers University. She develops and tests virtual environments and serious games for rehabilitation of mobility, balance and fitness of persons with neurologic conditions. She serves on the Editorial Boards of Games for Health and JNER. Roberto Llorens is the leader of the Neurorehabilitation and Brain Research Group of the i3B Institute at Universitat Politècnica de València (Valencia, Spain), where he combines the direction of several research projects with teaching and supervision of several Doctoral Theses and Master Theses. He graduated from the Universitat Politècnica de València with a major in Telecommunications Engineering and got a Doctorate Degree Cum Laude in the same university. His research interests focus on the neural mechanisms underlying motor and cognitive skills, and on the development of experimental neurorehab. interventions. Workshop Proposal ‐ ICVR 2017 Title: From telerehabilitation design to implementation: What does research and clinical practice tell us? Organizer/Presenters: Name, credentials: Dahlia Kairy, PhD, PT Affiliation: Université de Montréal and CRIR Email: [email protected] Name, credentials: Rachel Kizony, PhD, OT Affiliation: Sheba Medical Center and University of Haifa
Email: [email protected] Name, credentials: Brigitte Fillion, inh., B.Sc., M.Sc Adm
Name, credentials: Francois Michaud, ing. PhD
Affiliation: CIUSSS du Centre‐Sud‐de‐l’île‐de‐Montréal Affiliation: Université de Sherbrooke Email: [email protected] Email: [email protected] Name, credentials: Yanick Beaulieu, MD, FRCPC
Name, credentials: Patrice L. (Tamar) Weiss, PhD, OT
Affiliation: Innovative Imaging Technologies Affiliation: University of Haifa and Gertner Institute Email: [email protected] Email: [email protected] Name, credentials: Michel Tousignant, PhD, PT
Affiliation: Research Center on Aging of Sherbrooke, Université de Sherbrooke Email: [email protected] Organizer contact Information Name: Dahlia Kairy Email: [email protected] CIUSSS Centre‐Sud‐de‐l’île‐de‐Montréal‐IRGLM, 6300 Darlington, Montreal, Quebec, H3S 2J4 Learning Objectives After completing this workshop, participants should be able to: 1) Identify factors which impact on the development and implementation of telerehabilitation technologies (organizational, clinical, client, industry and policy‐level factors) 2) Compare the affordances of technologies used for clinical and community‐based telerehabilitation (e.g. mobile applications, desktop technologies, high‐resolution cameras, video‐game based technologies) 3) Explain how technologies can be combined to provide telerehabilitation that best corresponds to the client’s needs Summary With changing demographics, increased prevalence of chronic diseases, limited health care resources and health network reform, it is essential to consider alternative methods of rehabilitation service delivery in order to optimize recovery across the continuum of care. For example, research evidence shows that people with neurological deficits can benefit from rehabilitation even in the chronic stages since brain plasticity continues to occur with intensive therapy. However, the availability of rehabilitation services is severely limited in the chronic stages and the intensity of treatment is often low. The goal of this workshop is to present and discuss ways in which existing and novel technologies can be used to provide remote rehabilitation services, thereby ensuring accessibility, continuity and quality of specialized care. Through case studies stemming from research and clinical experience as well as hands‐on demonstrations, participants will explore the process from telerehabilitation technology development to its clinical use. The steps for developing telerehabilitation technologies for in‐home use will be examined and examples of technologies developed and currently used by the presenters will be discussed for various patient groups (e.g. stroke, COPD, joint arthroplasty, TBI). Factors impacting on clinical implementation and adoption of telerehabilitation will be discussed, and strategies to overcome barriers throughout the implementation process will be examined. Intended audience Rehabilitation clinicians (physiotherapists, occupational therapists, speech therapists, doctors, nurses) and managers (in a community, rehabilitation or hospital setting), decision‐makers, researchers, engineers, computer programmers and others interested telerehabilitation technologies or combining existing technologies with telerehabilitation. Presenter biographies Yanick Beaulieu: Dr. Beaulieu is the founder of Innovative Imaging Technologies (IIT) and creator of the Reacts platform. He is Assistant Professor in the Department of Medicine at Université de Montréal, and a practicing cardiologist‐echocardiographer and critical care physician. He has been leading IIT’s team through the Reacts project since 2012. Brigitte Fillion: Brigitte Fillion has over 25 years of work experience the Quebec healthcare system and completed graduate studies in healthcare administration. She has experience as a registered respiratory therapist, in management, in the development of various clinical and information technology projects and in academic affairs. Currently, Clinical Pilot at the CIUSSS du Centre Sud de l’ile de Montréal, she is responsible for the promotion, the development and the coordination of the telehealth activities within the organization. Dahlia Kairy: Prof. Kairy is a physiotherapist, Assistant Professor in the Physiotherapy Program in the School of Rehabilitation at Université de Montréal and researcher at the Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR). Using a user‐centered design approach, her research aims to develop and evaluate innovative rehabilitation interventions. She leads and contributes to research projects evaluating the efficacy of telerehabilitation and virtual reality systems, their implementation and adoption into clinical practice. Rachel Kizony: Dr. Kizony is an occupational therapist with expertise in neurological rehabilitation. She has clinical and research experience in using technology for neurological and cognitive rehabilitation. Prof. Kizony is a senior researcher at the Center of Advanced Technologies in Rehabilitation at the Sheba Medical Center and is a senior lecturer and researcher in the Department of Occupational Therapy at the University of Haifa, Israel. For the past 8 years she has played a major role in both the scientific and clinical aspects of developing a low‐cost Kinect‐based system for tele‐rehabilitation of people with neurological deficits at the Gertner Institute. François Michaud : Prof. Michaud is a Professor in the Department of Electrical Engineering and Computer Engineering, Faculty of Engineering, Université de Sherbrooke and director of IntRoLab (Intelligent, Interactive, Integrated and Interdisciplinary Robotics Lab, Interdisciplinary Institute for Technological Innovation (3IT)). His research aims to have autonomous systems operate in real life settings. He is also the Founding Director (since 2011) of the Strategic Cluster INTER (Engineering Interactive Technologies for Rehabilitation) with 70 researchers over 9 institutions in Québec. He is leading numerous technological projects in rehabilitation, such as the use of mobile robots as telepresence and Activities of Daily Living assistants, and a telecommunication framework design for telerehabilitation and telehealth applications. Tousignant, Michel : Prof. Tousignant is a Full Professor at the School of Rehabilitation of the Faculty of Medicine and Health Sciences of University of Sherbrooke. He is Vice‐Dean of Rehabiitation and holds a research Chair in Telerehabilitation. The principal objective of his research program is to increase rehabilitation services using telerehabilitation between health facilities and the patient’s home and he has been a main leader in the development of the Vigil and Tera telerehabilitation plateforms in Quebec. Patrice L. (Tamar) Weiss: Prof. Weiss directs the Laboratory for Innovations in Rehabilitation Technology (LIRT) at the University of Haifa where she and her team develop and evaluate novel virtual environments, haptic interfaces, co‐located and online technologies to explore the effect of individual and collaborative rehabilitation. Rehabilitation and special education populations of interest include stroke, spinal cord injury, cerebral palsy, developmental coordination disorder, autism and head trauma. She is also a researcher for the ReAbility Online tele‐rehabilitation service (Gertner Institute, Sheba Medical Center). Workshop Proposal ‐ ICVR 2017 Title: Treating complex anxiety‐related disorders with virtual reality: Evidences for best practices Organizer/Presenters Name, credentials: Stéphane Bouchard, Ph.D., psychologist Affiliation: Université du Québec en Outaouais Email: [email protected] Organizer contact Information: Name: Stéphane Bouchard Address: Département de psychoéducation et psychologie, Université du Québec en Outaouais, CP 1250, Succ Hull, Gatineau, Qc, J8X 3X7 Email: [email protected] Learning Objectives After completing this workshop, participants should be able to: 1) Outline the scientific results about exposure in VR for complex anxiety disorders; 2) Identify the key ingredients relevant to treat panic disorder, social anxiety, general anxiety disorder, obsessive‐compulsive disorder and post‐traumatic stress disorder; 3) Recognize and deal with cybersickness and take necessary clinical precautions; 4) Describe how to increase the sense of presence in order to make VR work more efficiently. Summary Virtual reality (VR) possess’ significant assets for the treatment of anxiety disorders (as they were defined in DSM‐IV) and can lead to reliable changes in behaviors, especially for disorders such as panic, social anxiety, OCD, PTSD, and even GAD. This powerful technology offers more control over exposure stimuli, is less intimidating for patients than in vivo exposure, provides easy access to feared stimuli in the therapist’s office, and allows therapists to expose patients to situations in ways they might not dare to do in vivo. Several studies have confirmed the efficacy of VR in the treatment of specific phobias and randomized control trials (RCT) are now replicating these findings for more complex anxiety disorders such as panic, agoraphobia, social anxiety and PTSD. Experimental studies and smaller trials have also confirmed the potential of VR for OCD and GAD. However, treating anxiety‐related disorders with VR requires some specialized training, such as understanding the concepts of presence and immersion, being aware of cybersickness and how to reduce it, knowing how to use the technology, etc. Finally, the increase in popularity of head‐mounted displays is leading to a plethora of new immersive applications, leaving clinicians with few cues to decide which can be effective, and how to use them. The goal of this workshop is to present evidence‐based data on complex anxiety‐related disorders and their treatment, and the nuances required to know when and how to use them. The workshop will not be detailing treatment protocols, and therefore non‐clinicians are welcome. Intended audience People interested in the use of VR with mental health disorders. Occupational therapists, Recreation therapists, VR program designers, managers, students. Mental health professionals are welcome. Presenter biographie Stephane Bouchard holds the Canada Research Chair in Clinical Cyberpsychology. His current research projects involve developing VR environments to treat complex anxiety disorders and pathological gambling, leading randomized control trials, and conducting experimental studies to understand why VR is an effective treatment tool. He is a prolific writer and workshop leader who has been developing mental health applications of VR since 1999. His workshops attract both clinicians interested in including VR in their practice and 3D artists and engineers interested in understanding what elements they must focus on when developing new applications.