During Tuesday and Wednesday you can choose from four seminars on various topics. Seminars, which are led by world re-nowned experts, aim to further discover the depth of the issue and open up new horizons to listeners.
Seminar leader: Pam Thomason, Senior Research Physiotherapist, The Royal Children's Hospital, Melbourne, Australia - Hugh Williamson Gait Analysis Laboratory
In cerebral palsy (CP) the effect of the upper motor neurone lesion on the musculoskeletal system are two-fold. Both positive and negative features. Positive features include spasticity and hyperreflexia while the negative features include impaired selective motor control and coordination and muscle weakness.
In this seminar we will discuss the morphology and architecture of skeletal muscle in children with CP in the context of muscle weakness and spasticity.
The influence of spasticity on muscle strength and how the relationship between spasticity and muscle strength changes as the child develops will be explored.
We will discuss how to assess muscle strength in a clinical and research setting.
The current state of the evidence for interventions to improve muscle weakness will be presented.
The use of strength training to improve muscle weakness in the context of multilevel orthopaedic surgery (MLS) will be presented. Recent latest long-term outcome study results will be presented. Clinical protocols from two leading centres, Melbourne and Leuven, will be compared and contrasted.
Interactive cases will be presented using the ICF framework to illustrate the management of muscle weakness. Each case will be presented with time to discuss management strategies and outcomes.
Changing paradigm in cerebral palsy
Seminar leader: Adam Shortland & Martin Gough, Guy's & St Thomas' Hospital Trust, One Small Step Gait Laboratory, London, United Kingdom
Adam Shortland is a Consultant Clinical Scientist in the Department of Paediatric Neuroscience, at the Evelina Children's Hospital, London, and a Senior Lecturer in the School of Biomedical Engineering and Imaging Sciences at King's College, London. Adam has managed the Gait Laboratory at his hospital for nearly 20 years and assessed thousands of children with cerebral palsy. He also directs a Master's course in clinical engineering aimed at graduates with a physical science or engineering background wishing to pursue a career as a registered clinician in rehabilitation, medical device management and design and clinical measurement. His main research interest is in gross muscle structure and function in cerebral palsy.
Martin Gough is a paediatric orthopaedic surgeon with a special interest in the management of children with disability due to neuromuscular problems. He trained in Ireland, and following fellowship experience in Toronto took up his present post working with the team in the One Small Step Gait Laboratory and the Evelina Children’s Hospital in Guy’s and St Thomas’ NHS Foundation Trust, London, in 1998. His research interests include the causes and treatment of deformity in children with cerebral palsy.
"Ms Jennifer Pierce is a senior orthopaedic surgeon who has a full paediatric outpatient list this orning. Amongst the children with rotational problems, flat feet and growing pains there are children with cerebral palsy who have significant neurological as well as orthopaedic problems. Ms Pierce doesn't enjoy seeing these complex children. She is aware that the evidence-base for surgical intervention in this group is meagre. The children present with mild muscle contractures and Ms Pierce knows that she could perform surgeries that would correct the joint positions. While she is confident that she could improve their mobility in the short-term, she is less sure that she will improve the long-term function of these children."
We invite all the professionals taking care of children with cerebral palsy (clinical scientists, physiotherapists, neurologists, rehabilitation doctors as well as orthopaedic surgeons) to take part in this seminar. We will reflect on the clinical management of children with cerebral palsy in five parts. Firstly, we will consider how clinical scientific thought evolves and how it underpins our practices.
Then, we will investigate the uses and abuses of evidence-based medicine in clinical decision making with particular reference to cerebral palsy. In the third part, we will describe the development of the normal musculoskeletal system. In the fourth part, we will review the mal-development of muscles and bones in cerebral palsy. In the final section, we will suggest ways in which musculoskeletal function may be improved to maintain mobility of individuals with cerebral palsy into adulthood.
Knee injury prevention and return to sport testing
Seminar leader: Richard Jones, University of Salford, Manchester, United Kingdom
Professor Richard Jones is a Professor of Clinical Biomechanics and Director of the Salford Gait Laboratory at the University of Salford. He is also Salford’s clinical biomechanics lead at the Manchester Institute of Health and Performance. Richard leads the Knee Biomechanics and Injury Research Programme in the School of Health Sciences investigating the typical and abnormal function and treatment of the knee joint. Richard has vast experience of biomechanical movement analysis in a wide range of neurological and orthopaedic conditions but his research focuses primarily on lower limb osteoarthritis, anterior cruciate ligament injury prevention and rehabilitation and conservative management of knee injuries.
Dr Lee Herrington is a Physiotherapist, Senior Lecturer in Sports Rehabilitation, University of Salford; programme leader for the MSc Sports Injury Rehabilitation course. Lee has a clinical role as technical lead physiotherapist with the English Institute of Sport, leading on issues related to lower limb injury rehabilitation and also acts a consultant physiotherapist to a number of premiership & championship football and rugby union clubs. Lee has worked as part of the Team GB medical team at the London 2012 and Rio 2016 Olympic Games and has previously worked with British Swimming, Great Britain Women’s Basketball team, Wigan Warriors and Great Britain Rugby League teams along with England Table Tennis and Netball. He is the lead clinical researcher in the Knee Biomechanics and Injury research programme at the University of Salford where his research interests are the treatment and rehabilitation of sports injuries, specifically: anterior knee pain; hamstring muscle injuries and rehabilitation following knee surgery (principally ACL reconstruction), with over 150 peer reviewed papers published, along with numerous book chapters.
It is important that an individual returning to sport after an injury is in the best possible condition from a psychological, physiological and biomechanical perspective. This involves both ensuring that the individual can perform at the required standard but also ensuring they are not at risk for an injury or follow-on injury after the initial occurrence. The return to play concept is an important element which is attracting a lot of attention worldwide and utilising this in a clinical biomechanics setting has been established in many centres.
The objective of this seminar is to give a broad overview of the research underpinning knee injury prevention and return to sport testing. The seminar will start by introducing the concepts of prevention and whether this can be achieved and also introduce the field tests that can be utilised to gain enhanced information on the individual alongside the 3D clinical biomechanics approaches that have been utilised and investigated to aid clinicians and athletes in the return to play.
Advanced MoCap data processing
Seminar leaders: Pavel Zezula & Jan Sedmidubsky, Faculty of Informatics, Masaryk University, Brno, Czech Republic
Pavel Zezula is a professor of computer science at Masaryk University (Czech Republic). His professional interests mainly focus on content-based retrieval, large-scale similarity search, and big data analysis. He is a co-author of a famous metric-based similarity search structure "M-Tree" and book "Similarity Search: The Metric Space Approach". He is also a co-author of more than 150 research publications.
Jan Sedmidubsky is a researcher of computer science at Masaryk University (Czech Republic) where he received the Ph.D. degree in 2011 along with the dean's and rector's prize for a distinguished dissertation thesis. His research activities are primarily concentrated on computer-aided similarity processing of 3D motion capture data. He is a co-author of about 30 research publications.
Motion capture technologies have already been utilized in a broad range of application fields, such as sports, computer animation, smart-homes, or medicine. However, with the fast increasing volume of collected data the manual analysis is becoming practically impossible. The objective of this seminar is to present the state-of-the-art approaches, techniques, and advanced prototypes able to automatically analyze the motion data, as needed for numerous clinical scenarios.
The seminar will introduce fundamental computerized operations, such as motion comparison, clustering, classification, searching, and annotation. As any specific motion is in the real world unique, the special emphasis will be given to the notion of similarity able to express the degree of accordance between pairs of motion sequences. In addition to traditional similarity-based comparisons, the seminar will discuss the state-of-the-art machine-learning approaches that learn descriptive movement features automatically from classified training data. The seminar will also focus on operations recognizing a given type of movement activity and searching for similar occurrences of the specific activity in very large motion archives. An efficient approach to annotate or label long sequences of motion data in real time will also be discussed.
The applicability and quality of presented operations will be demonstrated by interactive web applications, developed by the authors of this seminar. The topics of the seminar should be of interest to a broad audience – ranging from clinical researchers to medical specialists – focusing on automatic motion data manipulation.