J. Westerink, Prof.

Wearables that measure our heart rate and skin conductance are getting more and more accepted in our everyday lives. Not only do they measure a wealth of parameters that are informative of our health, they can also yield information about our mental state. The presentation will describe how we can use such wearables to improve our wellbeing: how they allow us to get a better grip on the stressful events in our lives, how they can automatically direct us into a more relaxed mood, and how can help us to feel connected to others.

 

J.N. Kok, Prof.

Hoe kunnen verschillende wetenschappen profiteren van de nieuwste ontwikkelingen op het gebied van data science? De beschikbaarheid van veel data gecombineerd met slimme algoritmen en krachtige computers zorgt voor wetenschappelijke doorbraken. Tijdens de voordracht willen wij u laten kennis maken met de fascinerende wereld van de data science, laten zien hoe de interactie tussen data science en andere wetenschapsgebieden plaats vindt en ook hoe data science wordt toegepast binnen de topsport.

Om in de topsport optimaal te kunnen presteren zijn optimale omstandigheden nodig. Vroeger waren voetbalschoenen en een behoorlijke bal voldoende, tegenwoordig helpt de data science een handje. Op het Sport Data Center weten ze precies hoe ze data science moeten inzetten om topsporters beter te maken maar ook om kinderen weer in beweging te krijgen. Zo was er een groot data-onderzoek tijdens het EK-vrouwenvoetbal.

Ten slotte zullen we ook iets meer vertellen over de ontwikkelingen bij de Universiteit van Twente op dit gebied. Zo startte deze universiteit het afgelopen jaar met een speciaal onderzoeksprogramma.

 

J.H. Buurke, Prof.

     Walking after stroke. It’s all about (a)symmetry.

Symmetry resembles normal. Striving for symmetry in rehabilitation training is often thought to be a very important goal during recovery. However, functional recovery of balance and gait following stroke may be more related to compensatory mechanisms of the non-paretic side and improved trunk control than to the restoration of coordination patterns of the paretic leg. Asymmetry therefore might be the optimal solution for safe and independent walking after stroke. In this talk I will focus on new assessment methods and highlight several experiments to address the importance of asymmetry during walking and balance.

 

A.C.H. Geurts, Prof.

     Analysis of stepping behavior in patients with spastic paresis; why and what does it tell us?

In this talk I will focus on the complexity of (the analysis of) dynamic balance behavior in humans, with emphasis on the consequences of a spastic paresis on the speed, quality and effectiveness of reactive stepping in patients with upper motor neuron syndrome. Several experiments performed on patients with stroke and patients with hereditary spastic paraparesis will be reviewed to address the importance of adequate stepping responses to maintain balance and prevent falls as well as the importance of assessment of such responses by means of dynamic posturography. In addition, preliminary evidence will be given for the effectiveness of training reactive stepping on a moving platform in patients with stroke to improve their stepping behavior.

 

I. Jonkers, PhD

     Simuleren en modelleren? – Wat is er mis met gewoon meten?

De laatste tien jaar is het gebruik van 3D bewegingsanalyse binnen de klinische context goed ingeburgerd en de meerwaarde van een gananalsye ter voorbereiding van complexe heelkundige interventies bij specifieke populaties zoals kinderen met Cerebral Palsy (CP), aanvaard.

Onderzoeksmatig worden complexe bewegingssimulaties gebruikt om de menselijke beweging nog meer in detail te analyseren.  Door musculoskeletale modelen en 3D bewegingsanalyse te combineren, geven deze simulaties toegang tot ‘het onmeetbare’.

Maar hoe ver staan we af van het integreren van deze bewegingssimulaties in onze standaard aanpak van klinische gangbeeld analyse?

In deze presentatie wil ik voorbeelden schetsen van de complementaire rol van bewegingssimulaties en klinische gangbeeld analyse:

Hierbij zal ik op de eerste plaats ingaan op de rol van simulaties om de belasting van het musculoskeletale systeem te analyseren en de rol van belasting in het ontstaan en progressie van ostearthrose te evalueren.

Daarnaast zal ik voorbeelden geven waarbij musculosekeltaal modeleren en beweginsgsimulaties aanvullende inzichten geven in de rol van afwijkende botgeometrie in insufficiente spiercontrole bij CP kinderen en hun rol in de geobserveerde gangafwijkingen. Daarnaast zal ik de rol van de simulaties in het begrijpen van het therapeutische effect van tonusreducerende behandeling bij CP-patienten toelichten.

Tot slot, zal ik aantonen dat patiënt-specifieke, model-gebaseerde predicties van behandelingsoutcome na chirurgische interventie nog even op zich kunnen laten wachten, maar dat ondertussen ‘in silico’ evaluatie van verschillende behandelingsmodaliteiten misschien toch al sneller dan verwacht tot de mogelijkheden kan behoren.

 

J. Reenalda, PhD

     Innovative analysis of motion in sports for prevention of injuries

Advancements in sensor technology allow for 3d analysis of human motion outside the laboratory setting. Measurements in the sport specific setting of athletes gives a better understanding of the relation between movements patterns and injuries. This presentation will cover topics like the effect of fatigue on running mechanics in relation to running related injuries as well as innovative methods to objectify knee mechanics after ACL reconstruction in relation to return to play determination. In addition it will describe the possibilities of using real time feedback on technique parameters that can be used for primary injury prevention or gait retraining.

 

J. Feenstra, MSc

     Runner Assist: realtime feedback for runners

In the Netherlands, over 2 million people run regularly. Unfortunately many of them are familiar with injuries as well. Within the Runner Assist project, Roessingh RRD, TRIMM, Xsens and Sensorun have joined forces to develop a solution that can provide runners with realtime feedback to help them prevent injuries, but also the enable them to improve their results. The Runner Assist project combines inertial sensor data with algorithms to present the runner with relevant parameters, during and after the run.

 

H. op den Akker, PhD

     Council of Coaches – A Novel Holistic Behavior Change Coaching Approach

Despite the proliferation of ICT solutions for personalized healthcare, there is still no easy way to provide older adults with integrated coaching services. Council of Coaches (COUCH) introduces a radically new virtual coaching concept based on multiple autonomous, embodied virtual coaches, which form together a personal council that fulfils the needs of older adults in an integrated way. Each Coach has his own expertise, personality and style of coaching; they might not always agree with each other, but they all share a single goal: to support you across every aspect of well-being, including physical, social, cognitive and mental support. The Council members listen to you, inform you, help you to set personal goals and inspire you to take control of your health. Give the council your thoughts, or listen and observe how the individual Coaches exchange their views on numerous issues. Apply your new skills in daily life and if the need arises, contact any of the coaches anytime, anywhere.

 

L. van Dam van Isselt, PhD

     eHealth in geriatric rehabilitation; possibilities and barriers in developing future rehabilitation programs for older adults

Geriatric rehabilitation has emerged as a relatively young but important and evolving field of interest in daily practice and scientific research. Geriatric rehabilitation has been defined as “evaluative, diagnostic and therapeutic interventions whose purpose is to restore functional ability or enhance residual functional capability in older people with acute or chronic disabling impairments”. Geriatric rehabilitation does not differ from rehabilitation medicine in its approach and aims, but patients admitted for geriatric rehabilitation do have specific characteristics, problems and needs associated with ageing.

eHealth can be defined as the use of information and communication technologies for health and has huge potential in terms of improving patient empowerment, quality of care and saving costs. Research on the effectiveness of eHealth among older adults and geriatric patients is however scarce, but promising.

The potential benefits of integrating eHealth into geriatric rehabilitation programs are increasingly being recognized. However, several barriers for implementation into practice can be identified. In this session we will discuss the possibilities and barriers of integrating eHealth into geriatric rehabilitation and will elaborate on what is already used and known and which gaps can be identified, both from a practice and evidence based perspective.

 

M. Hettinga, PhD

     IT-innovations in health care: bridging the gap between great promises and sustainable use in daily care practice

Despite great promises, the actual daily use in care practices of IT-innovations is limited. In this talk Marike Hettinga will discuss a few of the obstacles and dilemmas that are being faced by care professionals, managers of care organisations, entrepreneurs of IT-innovations, and researchers. With concrete examples from her own research projects in the field of diabetes, dementia care, and mental health care she will suggest best practices and describe good failures.

 

G.B. Prange, PhD

     Lending a hand? Supporting arm/hand rehab with technology, in clinic and at home

With increased availability of technology used for rehabilitation, the question arises in which ways thistechnology is, and should be, applied in care practice. Throughout the years, we’ve been involved in various projects that applied rehab technology in their intended environments and studied its effects. This ranged from arm supports to dynamic hand orthoses to soft-robotic gloves, and evolved from in clinic to at home. During this process, we learned valuable lessons about the effect of such devices, and, maybe even more importantly, about their applicability in their respective care environments. This led to interesting insights in what we can expect when technology is applied in rehabilitation, and how we can lend a hand to facilitate this process.

 

M. Pijnappels, Prof.

     Quality of daily life activities as a measure to monitor and promote mobility

Daily life activity monitoring with wearable sensors is a good means to measure the quantity of daily physical activities. However, the amount of daily physical activity is not necessarily representative of people’s physical function. With ageing, for example, people with poor physical status may be still very active and therefore at risk of falling, whereas others may still have a good physical capacities but may be fearful or inactive, hence boosting their physical decline. In this presentation I will focus on how measurements of the quality of daily life can be used to monitor an individual’s mobility. For example, monitoring quality of daily life gait with inertial sensors appears a good measure to screen older individuals for risk of falling. Another example is the use of complexity of daily life activity patterns to monitor and evaluate an intervention for life style integrated behavioural change, as used in the PreventIT programme.

 

M.L. Noordzij, PhD

     SENSE-IT: A stable platform to design and research real-time, real world biofeedback into personalized mental healthcare

Most interventions in mental healthcare aimed at emotion, self, stress or aggression regulation emphasize the importance of being able to feel your own physiological state (e.g. current heart rate). To some (limited) extent biofeedback is already used for this, but when it is offered it occurs at a table in a static controlled environment. Unfortunately, the challenges of life come unexpectedly, away from a safe environment and often require a direct, adequate response. For these situations people should also remember to take into account their bodily state when they are reacting. However, who knows the state of their own autonomic nervous system in a challenging emotional situation (e.g. your child is going into a tantrum)? In this presentation I will introduce the Sense-IT platform, which has been developed together with patients with Borderline Personality Disorder, and allows for continuous, personalized heart rate biofeedback (corrected for movement) on any Android smartwatch. This platform will be explained and some of the projects in mental healthcare (surrounding emotion and aggression regulation) in which the Sense-IT will be integrated will be highlighted.

 

T. Beinema, MSc

     Creating an artificial coaching engine for multi-domain conversational coaches in eHealth applications

The European H2020 Council of Coaches project aims at developing a council of embodied conversational coaches for holistic lifestyle coaching. One of the central components in this application is the Artificial Coaching Engine, which is currently being developed at Roessingh Research and Development. This coaching engine should ensure that the coaches in the council continuously apply the coaching strategy most suited to help each specific user reach their goal. The topic of this talk is the development of the engine, with specific attention for its functions as a knowledge base, automatic goal setter, and coaching strategy selector.

 

W.J. Renger, MSc

     Why applied games are like medieval bibles

Applied games have established themselves as a point of interest for researchers and clinicians to try and influence illusive yet vital ingredients in cure and cure like patient motivation and behaviour. Despite some of its promising prospects, there are some critical pitfalls and risks involved in this approach.

In this presentation we will address these risks and how to deal with these, especially the transfer from R&D to full scalability in cure and care.

 

D. Reidsma, PhD

     Behaviour steering in digital-physical playgrounds

In this talk, Dennis will present an overview of projects on behaviour steering in digital-physical playgrounds. He will talk about the technologies underlying these systems, the relation between user goals and research goals in such work, and the methods used for evaluating the outcome of these projects. These topics will be illustrated through examples from a number of earlier projects in various application domains.

 

M. Tabak, PhD

     Will persuasive technology be a game changer for rehabilitation?

What happens when we make treatment more fun? Can we persuade people using technology as an active part of their rehabilitation treatment? In this presentation, Monique will highlight some of the latest state-of-the arts persuasive (e)Health technologies for rehabilitation. For example, virtual reality for chronic pain, interactive playgrounds for children with asthma and interactive game layers to support online exercising via a rehabilitation webportal.

 

L.H.V. van der Woude, Prof.

     A case for manual wheeled mobility

A rough 1% of the World’s population is dependent on wheeled mobility. Manual wheelchair propulsion is biomechanically straining and inefficient in terms of coordination, often leading to upper extremity discomfort and injury. On another dimension, manual wheeled mobility impacts cardiovascular health as a consequence of consistent physical inactivity. An often avoidable imbalance of stress, strain and capacity will impact daily functioning of the user.

Vehicle mechanics and technology, ergonomics of user-wheelchair interfacing and design and user abilities are key to individual freedom of mobility and range of action, i.e. priorities for functioning, participation and quality of life. Premium technology and individualized ergonomic fitting, beyond quality wheelchair and propulsion skills, are required to healthy and functionally productive living. This  highly individualized priority set requires knowledgeable professionals and coaching in the context of a changing rehabilitation field and health care system, where patients and clients rapidly outnumber caregivers and professionals. Supportive technology is expected to allow to bridge this controversy.

‘Human and technology asset management’ in the context of rehabilitation and health care is fundamental to quality care, treatment and outcomes. Yet, in a participation-modelled society it becomes more and more a challenge, and often, personal responsibility in the principle of self-management and self-organization. It’s complexity however will allow only the happy few to be successful here in the line-up of professional support, if not supported by individualized smart technology.  Preserving health and preventing secondary health risks of wheeled mobility can indeed be supported by eHealth,  sensor technology and smart knowledge-based algorithms. Propulsion technique and mechanical loading, as well as cardio-respiratory strain may be monitored and instructed with machine learning algorithms using individualized bandwidths of healthy (active) behavior. In short, future smart technology is expected to provide an individualized monitoring, coaching and feedback platform, that helps to create a healthy living environment and lifestyle.

 

F. Amirabdollahian, PhD

     Technology mediated rehabilitation and care: the journey of SCRIPT and ACCOMPANY projects

The rise in our ageing demographics is paralleled with the progress in our technological capabilities. Many researchers have tried to utilise the capabilities in meeting unmet demands for care and rehabilitation. Over the past 30 years, these technologies have made some progress in establishing supportive evidence for their utility and cost-effectiveness arguments. The talk will over a reflective account of the two projects, SCRIPT and ACCOMPANY, that focused on stroke rehabilitation at home, and robot-companionship for social care. It uses these reflections to encourage interaction with the audience regarding role of technology in supporting care or rehabilitation.

 

M.G.H. Dekker, PhD

     Supportive technology: challenges for implementation and adoption

Why is it so difficult to embed telemedicine into daily practice and make it routine care? What are main barriers and facilitators in adopting telemedicine in rehabilitation practice? What are the lessons learned and future directions?

After this presentation, you will have insight in the barriers for the adoption of supportive technologies by healthcare professionals and their patients and possible strategies to improve the adoption of supportive technologies in clinical practice.

 

J. van Rijswijk, MsC

     Rehabilitation: a serious matter in a playful manor

In his presentation Jurriaan van Rijswijk will travel with you through a selection of dinner choices, where the menu consists of serious games, applications or techniques to stimulate rehabilitation and to facilitate a happier live instead of better health.

You will be impressed about the, occasionally simple, solutions which have been developed by the Game Solutions Lab in cooperation with partners like Abbvie, St. Maartensclinic, University Hospital Leuven, and also the RIVM. The Game Solutions Lab also is major partner in the Interreg NorthWest Europe VR4REHAB project.

Gaming techniques are applied to create a playfull environment for the patient,  the patient’s social environment and the medical professional. In this environment the frequently boring, repetitive and painful rehabilitation process all of a sudden becomes sustainable and enjoyable. The rehabilitation process is facilitated by the combination of play, fun and serious training resulting in improved quality of life for all people involved.

Essential for the designed games and associated business models is the concept of Value Based Healthcare, an innovative model for Happiness and a novel way of Design Thinking. Jurriaan van Rijswijk will introduce you in this world of games and serious healthcare matters with many examples from practice on hand.