1. EMG basics: NCS studies and needle EMG
Maximum
number of participants: 20
Target audience: doctors
Teacher:Tatjana
Paternostro-Sluga (Vienna, Austria)
Anatomy
and pathophysiology of the peripheral nervous system will be described. Type of
lesions, classification and biomechanical properties will be presented. The
principles of NCS and EMG techniques will be shown. The participant will learn
how to perform basically NCS and EMG examinations. Emphasis will be made on the
techniques of examination to avoid pitfalls. The frequent pitfalls will be
discussed and participants will learn to anticipate and detect technical
problems within the examination process. The electrophysiological evaluation of
the carpal tunnel syndrome will be presented as clinical example
2. EMG evaluation of the
diafragma muscle
Maximum
number of participants: 15
Target audience: doctors
Teacher: Luc
Vanden Bossche (Gent, Belgium)
After
this course the participant should be able to perform routine diaphragma EMG.
The course contains three parts. In the first part an anatomical review of the
phrenical nerve will be given.
In
the second part the different EMG evaluation techniques will be discussed.
These consist of the motor conduction studies and needle examination.
Finally,
a demonstration will be given on a test subject. After this, participant will
be given the opportunity to practise on a test subject.
3. EMG evaluation of the facial nerve
Maximum
number of participants: 15
Target audience: doctors
Teacher: Steven
Rimbaut (Gent, Belgium)
After
this course the participant should be able to perform routine facial nerve EMG.
The course contains three parts. In the first part an anatomical review of the
facial nerve and the trigeminal nerve will be given as well as the fysiology of
the blink reflex.
In
the second part the different EMG evaluation techniques will be discussed.
These consist of the motor conduction studies, the blink reflexes and needle
EMG.
Finally,
a demonstration will be given on a test subject. After this, participant will
be given the opportunity to practise the techniques on each other.
4. Localisation of muscles and injection techniques for Botulinum toxin treatment using EMG and ultrasonography
Sponsored
by Allergan
Maximum
number of participants: 30
Target audience: doctors
Teachers: Anthony
Ward (Stoke-on-Trent, UK), Kristine Oostra (Gent, Belgium)
This
workshop will assist the attendees in defining muscle selection for injections
of botulinum toxin in the treatment of adults with spasticity. The injection
process will be demonstrated for a selection on muscles and the workshop will
be directed at those doctors with no or limited experience in the treatment,
such as trainees in PRM.
There will
be a short informal quiz on muscle anatomy to exemplify the importance of knowledge in muscle selection and describing clinical; scenarios where this knowledge
may help in the defining the clinical problems. The winner(s) will receive a
small prize to add a bit of fun.
The
use of EMG and electrical muscle stimulation and ultrasound will be discussed
and demonstrated.
5. Extracorporeal shock wave therapy applications in tendinopathies
Maximum
number of participants: TBA
Target audience: doctors
Teacher: Koen
Peers (Leuven, Belgium)
6. Intrathecal Baclofen therapy – Practical troubleshooting and
advanced case studies
Sponsored by Medtronic
Maximum
number of participants: 50
Target audience: doctors and therapists
Faculty
will present a systematic approach to troubleshooting spasticity patients
implanted with intrathecal baclofen (ITB) pumps.
The
faculty will cover typical challenges such as how to determine the cause of a
sudden return of spasticity symptoms, autonomic system changes due to ITB
Therapy, and titration. The workshop will consist of a series of case studies,
supported by a practical decision tree for troubleshooting.
7. Intrathecal Baclofen Therapy – Hands on Workshop on Post-Operative
ITB Patient Management
Sponsored by Medtronic
Maximum
number of participants: 30
Target audience: doctors and therapists
The faculty will present best practices on the management of spasticity patients implanted with ITB pumps in the rehabilitation setting. This will include a general approach to pre and post-implant of ITB pumps, and specific cases of patients in some cases documented with footage.
The handshop will continue with discussion of issues of management and how to program the system to address these issues, using hands-on programming examples – and subsequent discussion of the cases.
8. Articular and periarticular infiltration techniques ultrasound guided
– Hands-on session
Maximum
number of participants: 20
Target audience: doctors and therapists
Teachers:
Thierry Parlevliet (Gent, Belgium)
The
course consists of two parts.
In the
first part theoretical information will be given about indications,
contra-indications as well as the place of preference to give the
interventional infiltration.
In
the second part a practical demonstration on a model will show how to perform the infiltration with explanation of the most commonly performed procedures.
Examination,
placement of needle and approach will be discussed.
Regions
that will be addressed: shoulder, knee, carpal tunnel, lateral elbow
9. Strength measurement of the hand - techniques, indications, and interpretation
Maximum
number of participants: 50
Target audience: doctors and therapists
Teachers: T.Schreuders,
R. Selles (Rotterdam, The Netherlands)
The aim of
the workshop is to present an overview of the most important techniques to
assess muscle strength of the hand and conduct a hands-on workshop on strength measurements of the intrinsic muscles. In the workshop, we will review
manual muscle strength testing and dynamometry (e.g, Jamar, Vigori, Digit grip, pinch strength). In addition, the RIHM will be introduced: A dynamometer for measuring the strength of the intrinsic muscles. We will also discuss different aspects of
strength, such as maximum strength, fatigue and coordination.
Using case
studies, we will discuss indications for measurements and how to determine
which instruments should be used to measure strength in a specific pathology.
Finally, the interpretation of strength measurements will be discussed
focussing on aspects such as comparing outcome with normative data or the
contra-lateral hand, accounting for variables such as age and gender and
accounting for measurement error and validity.
In
addition to a theoretical background, there will be an interactive part in
which participants can practice hand strength measurements in small groups,
supervised by the presenters and other researchers. Focus of this part will be
on manual and dynamometer measurements of the intrinsic muscles.
10. Rehabilitation of adolescent idiopathic scoliosis: clinical cases on
bracing and exercises
Organized
by the Society on scoliosis orthopedic and rehabilitation treatment (SOSORT)
Maximum
number of participants: 100
Target audience: doctors and therapists
Teachers: Manuel Rigo, (President of
the SOSORT, Spain), Jean-Claude De Mauroy (France), Stefano Negrini (General
Secretary of the SOSORT, Italy)
In this
workshop we will introduce participants to the world of adolescent idiopathic
scoliosis rehabilitation treatment, giving three clinical cases presentation of
patients with different patterns of scoliosis: thoracic scoliosis, lumbar
scoliosis and double curve scoliosis. The three clinical cases will related to
patients treated with bracing and exercises according to the three main
European schools: Lyon brace and exercises, Cheneau brace and Schroth
exercises, SPoRT brace and SEAS exercises.
For each
patient the clinical presentation and initial data collection will be given,
together with the x-ray presentation; the clinical reasoning and “what, why
& how” to do will be presented, and the treatment applied will be
thoroughly discussed, together with the results obtained. The participant will
appreciate similarities and specific differences, and will be able at the end
of the workshop to understand what a modern, evidence-based, committed approach
to these patients should be.
This workshop will be complimentary to
the theoretical Lectures that will be given in a specific session during the
Meeting.
11.
Plantar pressure measurements as part of the biomechanical assessment
Sponsored by RSscan
Maximum number of participants: 30
Target audience: doctors and therapists
Teacher: P. Roosen (Gent, Belgium)
In
the literature pressure distribution is concerned as the mirror of gait. Many
articles have been published about the use of plantar pressure measurements in
specific clinical situations. These systems have also been used in scientific
research, for example in looking at risk factors for overuse injuries.
Therefore the measurement of plantar pressures offers the clinician an objective
tool to detect abnormal gait patterns and to evaluate a specific treatment in a
pre/post situation.
After
this workshop the attendees will be aware of the indications of plantar
pressure measurements. By means of case-studies variables such as peak pressure,
pressure time integral, impulse, centre of pressure displacement and velocity
and several ratios will be discussed. The workshop will also illustrate the
clinical interpretation and misinterpretation of plantar pressure measurements.