Confirmed speakers
Gustav Jarl
Region Örebro län
Presentation title: Prevention of diabetic foot ulcers: the role of footwear and orthoses
Abstract:
Diabetic foot ulcers have substantial negative consequences for patients and are complex and expensive to heal. It is therefore important to prevent these ulcers from developing. However, foot ulcer etiology is complex and include a number of interacting risk factors. This complexity can make it difficult to patients and clinicians to get an overview of the interventions that are needed and understand how these are related. This presentation will use the novel “Fragile feet & trivial trauma” model to explain foot ulcer etiology and prevention. The Fragile feet & trivial trauma focusses on two broad sets of risk factors that in combination produce foot ulcers: predisposing factors and precipitating factors. The predisposing factors often consist of neuropathy (sensory, motor and autonomous), angiopathy, and foot deformities that result in the feet being “fragile”, that is, at heightened risk of developing foot ulcers. The precipitating factors are different forms of everyday trauma (mechanical, thermal and chemical) that trigger the development of the foot ulcers, and can thus be summarized as “trivial trauma”. Interventions and self-care activities can focus on both the predisposing and precipitating factors. Smoking cessation, vascular surgery and orthopedic surgery can sometime be means to reduce the “fragility” of the feet. However, in some cases this is not possible and often the focus will be on how to protect the feet against trivial trauma. It is in this context that footwear and orthoses are essential. Patient cases will be used to illustrate how these interventions can be tailored to protect the individual patient’s feet against different forms of trivial trauma, thereby preventing the development of new foot ulcers.
Biography:
Gustav Jarl is an associate professor and CPO at Dept. of Prosthetics and Orthotics and UFC, Region Örebro county. His clinical work and research mainly focus on prevention and healing of diabetic foot ulcers.
Sofi Fristedt
Jönköping University
Presentation title: Collaborations at the periphery of P&O
Abstract:
In the field of Prosthetics and Orthotics, there are many opportunities for collaboration with other professions which can offer an opportunity to improve the overall outcome of our treatment. With the unique combination of medicine, engineering, and product development, there are great opportunities for collaborations with other professions both within and outside of P&O. In this session, different examples of co-production/collaboration and teamwork, inside and outside of P&O, will be presented. The aim of this session is to highlight opportunities for creating something novel, via co-production and collaboration, at the periphery of P&O
Biography:
Sofi Fristedt is registered occupational therapist and is an assistant professor in occupational therapy and an associate professor in health and caring sciences. Her research focus on active and health ageing, co-production, gerontechnology, technology development and welfare technology.
Thomas Borregard
Bandagist Thomas Borregaard
Presentation title: Collaborations at the periphery of P&O
Abstract:
In the field of Prosthetics and Orthotics, there are many opportunities for collaboration with other professions which can offer an opportunity to improve the overall outcome of our treatment. With the unique combination of medicine, engineering, and product development, there are great opportunities for collaborations with other professions both within and outside of P&O. In this session, different examples of co-production/collaboration and teamwork, inside and outside of P&O, will be presented. The aim of this session is to highlight opportunities for creating something novel, via co-production and collaboration, at the periphery of P&O.
Biography:
Danish CPO who has invented a device for strengthening pelvic floor exercise and rehabilitation. Thomas works together with a midwife and a physiotherapist and they have launched this product with great success in Denmark and in southern Sweden. His story of developing a unique product in collaboration with two other professions is very inspiring.
Liselotte Hermansson
More information coming soon.
Presentation title: Collaborations at the periphery of P&O
Abstract:
In the field of Prosthetics and Orthotics, there are many opportunities for collaboration with other professions which can offer an opportunity to improve the overall outcome of our treatment. With the unique combination of medicine, engineering, and product development, there are great opportunities for collaborations with other professions both within and outside of P&O. In this session, different examples of co-production/collaboration and teamwork, inside and outside of P&O, will be presented. The aim of this session is to highlight opportunities for creating something novel, via co-production and collaboration, at the periphery of P&O
Biography:
Liselotte Hermansson is an occupational therapist and researcher at Örebro University. Her research mainly investigates consequences of the health condition in patients with congenital or acquired upper limb difference. The focus is on how treatments such as training of function and activity performance, use of prostheses and other assistive technology devices, enable an active and independent life. The research also covers treatment of phantom limb pain, prevention of over-use and pain in upper limb amputees. Currently, Liselotte Hermansson holds a position as researcher at the department of Prosthetics and Orthotics at Örebro University hospital and adjunct professor of Occupational Therapy at Örebro University https://www.oru.se/english/research/research-teams/rt/?rdb=g325
Gauti Laxdal
Læknastödin Orkuhusid
Presentation title: The development of cruciate ligament injury treatment for the last 40 years
Abstract:
The treatment for ACL injuries has developed a lot for the last 40 years beginning with open surgery but fortunately cruising into arthroscopic treatment which has led to less pain, day care operation and vigorous physiotherapy training from day one. I will try to go through what has happened for the last decades, what has changed in the treatment category etc, hopefully for the better for both the patient and the surgeon.
Biography:
Born in Minneapolis USA 1966 MD diploma from Iceland 1997 Residency at Sahlgrenska University hospital Gothenburg from 1999, gained orthopaedic specialist licence in 2003 Worked in Orkuhusid Iceland from 2006 as an orthopeadic specialist working with knee, shoulder, hip and ankle surgery. Been involved in sports medicine and been a team doctor for IFK Gothenburg 2005 and the Icelandic national team in football.
Jette Schack
Sophies Minde Ortopedi
Presentation title: Oppmerksomhetskrav – blir gangfunksjonen automatisert etter benamputasjon?
Abstract:
Evnen til å kunne utføre visse aktiviteter automatisk er et viktig aspekt av motorisk kontroll. Det øker funksjonaliteten og øker evnen til å kunne gjøre flere ting samtidig som ofte kreves når man beveger seg i samfunnet. Foredraget vil belyse hvordan man med en nyere hjerneavbildningsteknikk, som heter funksjonell nær infrarød spektroskopi (fNIRS), kan undersøke visse områder av hjernen som er spesielt aktive når gangfunksjonen ikke er automatisert. Foredraget vil belyse hjerneaktiviteten hos benprotesebrukere sammenliknet med friske kontrollpersoner under forskjellige gangsituasjoner og vil gi et innblikk i hvilke hverdagslige situasjoner som kan være utfordrende i forhold til de oppmerksomhetsressurser man har til rådighet. Foredraget vil også komme med innspill på hvordan vi muligvis kan minske oppmerksomhetskravene og dermed gjøre gangfunksjonen mer automatisert hos benprotesebrukere.
Biography:
Jette Schack er fysioterapeut og ble utdannet i 1992. Hun har i mange år jobbet klinisk med rehabilitering av personer med benamputasjon på Oslo universitetssykehus og vært medansvarlig for driften av Gåskolen. Hun har en mastergrad i rehabilitering fra 2010 samt en PhD fra 2020. Jette jobber nå for Sophies Minde Ortopedi og jobber både i klinikken og med fag- og forskningsutvikling primært relatert til benamputasjon.
Ingrid Skaaret
Oslo Metropolitan University
Presentation title: The role of the ankle plantar flexor muscles in human gait and efficacy of ankle foot orthoses to compensate for plantar flexor weakness in neuromuscular disorders.
Abstract:
Using published literature and clinical gait laboratory examples the lecture aims to review the role of the ankle plantar flexor muscles and how they work during gait normally, and the biomechanical deviations and functional consequences of impaired gait related to plantar flexor weakness. Furthermore, the efficacy of dynamic ankle-foot orthoses to optimize gait in patients with neuromuscular disorders and plantar flexor muscle weakness will be assessed.
Biography:
Ingrid finished her CPO studies in Jönköping 1992, has an MSc in rehabilitation from University of Strathclyde (2009), and defended her PhD thesis about ankle-foot orthoses and their impact on gait in children with CP after lower limb surgery, at University of Oslo in April 2021. Ingrid worked many years in Sophies Minde Ortopedi, specializing in children’s orthotics, and since 2001 combined with motion analysis in the dept of Clinical Neuroscience for Children, Oslo University Hospital.
Joseph Czerniecki
University of Washington
Presentation title: Optimizing Amputation Level Determination in Patients Requiring Dysvascular Amputation
Abstract:
As a researcher I have been and is involved in several projects aiming to develop technology together with rather than for an ageing society. In these project for example, older adults, their next-of-kins, companies and staff from health and social care have been involved. I will present some of those projects including their outcomes, and particularly a project done in collaboration with a company specialised on assistive devices.
Biography:
Dr. Czerniecki is a Professor Emeritus, in the Department of Rehabilitation Medicine at the University of Washington, Seattle. He is a Physical Medicine and Rehabilitation physician who specializes in the rehabilitation of lower extremity amputees and has held numerous clinical and research leadership positions. His research has spanned a wide spectrum of amputation related issues, but is currently focused on prediction modeling as an approach to enhancing clinical decision making.
Eva Torbjörnsson
Södersjukhuset, Karolinska Institutet
Presentation title: Protesanvändningens betydelse för den upplevda livskvalitet hos patienter som genomgått en amputation.
Abstract:
Att genomgå en amputation innebär en stor förändring för patienten och det är ofta ett svårt beslut att fatta för såväl patient som läkare. Resultatet från två studier med följande frågeställning kommer att tas upp:- Hur ser patienternas upplevelse av att genomgå en amputation ut?- Påverkar protesanvändning efter en amputation patienternas HRQoL?Studie 1 var en intervjustudie som utfördes två månader efter amputationen. Intervjuerna (n=13) analyserades med kvalitativ innehållsanalys och resulterade i tre teman: Från irreversibla symtom till amputationsbeslut, En känsla av att befinna sig i ett vacuum samt Anpassning till sin nya livssituation. Patienterna upplevde en informationsbrist då beslutet om en amputation fattades. Trots detta upplevde samtliga patienter sig nöjda med sitt beslut att genomgå en amputation, vissa uttryckte även en önskan om att beslutet om amputation skulle fattats tidigare i processen.Studie 2 inkluderade 98 patienter som genomgått en amputation under åren 2014–2018. Vid BL fyllde patienterna i en enkät om upplevd HRQoL (EQ-5D) samt deras gångförmåga veckan innan operation. Efter ett år följdes de (n=73) upp utifrån EQ-5D samt eventuell protesanvändning. Samtliga patienter skattade en högre HRQoL ett år efter amputation jämfört med värdet innan de genomgått sin amputation. Den största skillnaden i upplevd HRQoL efter ett år var i gruppen som klassades som gångare (0.78;IQR 0.52-1.00 vid ett år vs. 0.12; IQR-0.04-0.59, p
Biography:
Jag är operationssjuksköterska och arbetar på Södersjukhuset, Stockholm, Sweden. Jag disputerade 2020 på en avhandling med titeln “Major lower limb amputation in peripheral arterial disease. Treatment outcomes, risk factors and Health-Related Quality of life”. Min forskning rör till huvuddelen patienter som genomgår en amputation pga benartärsjukdom.
Ulla Madsen
Holbaek Hospital
Presentation title: Public rehabilitation after major lower limb amputation in Denmark, results from a national survey
Abstract:
Each year approximate 1800 people have a leg amputated in Denmark. They have complex needs of rehabilitation, and as 40-50% die within 12 months, also palliative care needs. However, little is known of the rehabilitation and palliative care these patients are offered. AimTo investigate current Danish public rehabilitation and palliative care services for patients who have lower limb amputations.MethodsAn electronic survey was distributed to all hospitals performing major amputations and to all municipalities in Denmark, autumn 2020. Questionnaires was developed based on current legislation, available guidelines, and in corporation with a group of clinical experts and patients.ResultsIn total, 86% of hospitals (n=19) and 97% (n=95) of municipalities responded. Mean length of stay in hospital after the operation was 5-15 days, and the early pre-prosthesis rehabilitation was a shared responsibility between hospital and municipality. In total 78% of all municipalities had the full responsibility of the prosthetic rehabilitation. Of those, 91% provided prosthesis for.
Biography:
Ulla Riis Madsen, PHD, MPH, RN is affiliated Holbaek Hospital and REHPA, University of Southern Denmark as a postdoc. Her research is focusing on rehabilitation and palliative care for people in risk of / or having lower limb amputations.
Paulette Larsen
Sahva
Presentation title: Med få greb kan protesebrugere faciliteres til et aktivt liv i sociale sammenhænge
Abstract:
Få idéer og værktøjer til hvordan du gennem brugerorienteret aktiviteter skaber mulighed for et liv i bevægelse. Gå fra tanke til handling – hør bl.a. om hvordan en løbeskole, “BOB” og “Kvinde og protesebruger” har gjort en forskel.
Biography:
Jeg er uddannet fysioterapeut og har arbejdet indenfor amputationsområdet i 20 år, hvor jeg har mødt borgere i forskellige faser af deres liv – fra før amputation besluttes til borgerne er i slutningen af deres liv.I dag er jeg ansat hos Sahva som leder af rehabiliteringsafdelingen. Vores tilbud henvender sig både til borgere og fagpersoner. Vi tilbyder sparring og undervisning, ligesom vi faciliterer diverse aktiviteter indenfor amputationsområdet.
Louise Bæk Larsen
Jönköping University
Presentation title: Collaborations at the periphery of P&O
Abstract:
In the field of Prosthetics and Orthotics, there are many opportunities for collaboration with other professions which can offer an opportunity to improve the overall outcome of our treatment. With the unique combination of medicine, engineering, and product development, there are great opportunities for collaborations with other professions both within and outside of P&O. In this session, different examples of co-production/collaboration and teamwork, inside and outside of P&O, will be presented. The aim of this session is to highlight opportunities for creating something novel, via co-production and collaboration, at the periphery of P&O
Biography:
Louise is a certified prosthetist orthotist and an assistant professor in health and care sciences at the Department of Rehabilitation at Jönköping University. Louise has worked at the P&O program since 2009 and she defended her thesis 2018. Louise is currently program director of the MAStech program and leading a research project on behalf of the Swedish police in collaboration with Uppsala University and Sahlgrenska Universitetssjukhus.
Christoph Gumpinger
Lohja District Hospital
Presentation title: Knee problems: Surgery or Orthosis – or both?
Abstract:
A clinical practice talk about the treatment of typical and complex knee problems ranging from fractures, ligamentous and meniscal injuries to osteoarthritis and patellofemoral problems. Treatment modalities range from surgery or bracing as a stand-alone treatment to combined treatment as well as to staged treatment strategies. The use of orthoses prior to surgery has become a valuable tool for testing patients´ suitability for surgery or as an all-alone treatment option +/- orthobiologics based on criteria as comorbidities, risk factors, age, overall state of the knee and severity of symptoms. Many sports surgery and fracture patients benefit from early functional treatment protected by well-fitted orthoses when needed. Joint preservation is the goal of treatment, but how far can or should we go?
Biography:
Christoph graduated from Vienna Medical University in 2000 whereafter he had received his surgical training in U.K. and Finland. After completing specialty training in Orthopaedics & Traumatology at Helsinki University Hospital in 2012 he has been working as a consultant surgeon at Lohja District Hospital, Southern Finland. Christoph´s practice is mainly built on treating complex knee problems ranging from fracture surgery over sports surgery to osteoarthritis and patellofemoral disorders.
Joanne Paton
University of Plymouth
Presentation title: 6 steps to off loading diabetic feet; INTIME
Abstract:
AbstractThis session will provide delegates with a clinical guide, outlining the six steps to achieving a complete offloading insole solution, to help patients with diabetes protect their feet against ulceration. Following this clinical guide will not only optimise offloading of the insoles issued but also motivate and support patients to wear their insoles to better effect. Ulceration is a devastating complication of the diabetic foot. Although the aetiology is multifactorial, sensory perception loss combined with the increased plantar tissue stress generated during gait is known to play an important role in neuropathic foot ulcer development. Biomechanical foot pathology and gait dysfunction is a consequence of the diabetes disease process. Understanding how these changes may influence tissue stress levels at a specific plantar foot location and at a specific point of gait cycle is a central principle of this approach.
Biography:
Joanne is a Podiatrist and Researcher at University of Plymouth. She has extensive experience in biomechanics of the diabetic foot. Her current clinical focus is improving diabetic foot health, through interventions that support patients at risk of diabetic foot ulcers. Joanne leads the BEUP (Balance Enhancement and Ulcer Prevention) research team at Plymouth University Link: https://www.plymouth.ac.uk/research/institutes/health/supporting-patients-at-risk-of-diabetic-foot-ulcers?preview=true
Ulla Hellstrand Tang
Sahlgrenska University Hospital
Presentation title: Living with diabetes
Abstract:
Is it time to act toward a person centre care in the prevention of diabetic foot ulcers? Yes! says Ulla and Leif.Person-centred care is a partnership between patients/relatives and health care professional. The starting point is to listen actively to the patient’s narrative. This, along with other examinations, forms the basis for a personal health plan (from University of Gothenburg Centre for Person-centred Care – GPCC).Listen to th talk between Leif Sundberg, the chairman of Gothenburg Diabetes Association and Ulla Hellstrand Tang. They will talk about:
• living with diabetes
• 40 years of pitfalls and successes of the prevention of diabetic foot ulcers, 1981-2021
– guidelines
– implementation
• collaboration, clinicians – researchers – persons with diabetes
– eHealth
– insoles and shoes
Biography:
Research:1. Longitudinal study of risk factors to develop diabetic foot ulcers (DFU)2. eSystems, used in the DFU care3. Sustainable health care – ecological, economic and social foot prints of different interventions in DFU care https://www.gu.se/om-universitetet/hitta-person/c54cf772-f548-4a17-9fc2-85a1124dddb2
Nerrolyn Ramstrand
Jönköping University
Presentation title: Breaking the mould – evolving the prosthetic and orthotic industry
Abstract:
The goal of this presentation is to challenge current practices within the prosthetic and orthotic industry and to discuss opportunities for quality improvement and innovation. The point of departure for the discussion will be results of a qualitative study exploring the life experience of prosthesis users in Sweden. The study utilised a phenomenographic approach to analyse interviews with lower-limb prosthesis users. Based upon the results of the qualitative study, four key areas for quality improvement and innovation in prosthetics and orthotics will be discussed. Suggestions for quality improvement interventions and ideas for innovative solutions will also be made.Specific areas for improvement that will be highlighted during the presentation are;1/ Interactions between clinicians and clients – challenging clinicians to consider how their clients perceive their professional interactions. 2/ Helping clients to accept their disability – challenging clinicians to consider their scope of practice and the role they play in empowering clients.3/ Affective product design – challenging clinicians to consider the feelings and impressions evoked by the products they provide their clients. 4/ Lobbying for change – challenging individuals and the profession to reflect upon their role in advocating for change.
Biography:
Nerrolyn Ramstrand completed her undergraduate training in prosthetics and orthotics at LaTrobe University in Australia before completing her doctoral studies at the same institution. Following her doctoral dissertation she spent 3 years working in Canada before moving to Sweden in 2003. Nerrolyn is currently employed 50% as a senior advisor to the president of Jönköping University and 50% as a professor in Prosthetics and Orthotics within the Department of Rehabilitation.
Morten Bild Simonsen
Aalborg University
Presentation title: Custom-made foot orthoses effect on pain and lower extremity biomechanics among patients with rheumatoid arthritis
Abstract:
In this talk, we explore how foot orthoses (FO) affects gait biomechanics and how it relates to changes in pain perception after prolonged usage of a custom-made FO. We will primarily focus on individuals with rheumatoid arthritis (RA). RA is a chronic inflammatory disease affecting synovial tissue in multiple joints, especially in the feet. More than 69 % of the patients will experience foot pain during the cause of the disease, although clinical remission has been archived. Therefore, FO is within the first line of treatment for foot pain in RA. Furthermore, we will also examine why some patients respond differently to a custom-made FO.
Biography:
Morten Bilde Simonsen has a PhD in biomechanics from Aalborg University, Denmark. His primary area of research is to study disease, injury, and pain affect on human motion. He uses a combined computational, experimental, and clinical approach to solve research and clinical problems. Morten strongly believes that a combined experimental and computational approach can provide more in-depth knowledge about our complex musculoskeletal system.
Leif Sundberg
Göteborgs Diabetesförening
Presentation title: Living with diabetes
Abstract:
Is it time to act toward a person centre care in the prevention of diabetic foot ulcers? Yes! says Ulla and Leif.Person-centred care is a partnership between patients/relatives and health care professional. The starting point is to listen actively to the patient’s narrative. This, along with other examinations, forms the basis for a personal health plan (from University of Gothenburg Centre for Person-centred Care – GPCC).Listen to th talk between Leif Sundberg, the chairman of Gothenburg Diabetes Association and Ulla Hellstrand Tang. They will talk about: • living with diabetes • 40 years of pitfalls and successes of the prevention of diabetic foot ulcers, 1981-2021 – guidelines – implementation • collaboration, clinicians – researchers – persons with diabetes – eHealth – insoles and shoes Is it time to act toward a person centre care in the prevention of diabetic foot ulcers? Yes! says Ulla and Leif.Person-centred care is a partnership between patients/relatives and health care professional. The starting point is to listen actively to the patient’s narrative. This, along with other examinations, forms the basis for a personal health plan (from University of Gothenburg Centre for Person-centred Care – GPCC).Listen to th talk between Leif Sundberg, the chairman of Gothenburg Diabetes Association and Ulla Hellstrand Tang. They will talk about: • living with diabetes • 40 years of pitfalls and successes of the prevention of diabetic foot ulcers, 1981-2021 – guidelines – implementation • collaboration, clinicians – researchers – persons with diabetes – eHealth – insoles and shoes
Biography:
Patientrepresentant. Ordförande Göteborgs Diabetesförening. Ingår sedan flera år i olika fotprojekt för att få till stånd en bättre vård av fötter för personer med diabetes. Pensionär. Ekonomexamen, Göteborgs Universitet. Har arbetat med ekonomi under många år på Sahlgrenska Universitetssjukhuset.
Liselotte Hermansson
Anders Tange
Ortos A/S
Presentation title: National Klinisk Retningslinje for Større Benamputationer
Christopher Nester
Kevin Deschamps
Presentation title: The biopsychosocial-digital continuum of foot orthosis practice and research: the VALUATOR model
Abstract:
Foot orthoses have been used for decades despite uncertainty surrounding their therapeutic efficacy. Orthoses have been used exclusively to affect neuro-biomechanical input and outcome variables, however, there is emerging evidence that therapeutic efficacy may be affected by a psychological stimulus. Critical appraisal of the literature highlights that there is no holistic model upon which foot orthosis practice is taught, practised nor investigated. During this presentation, we will introduce a conceptual model of foot orthosis practice (Value Based Foot Orthosis Practice (VALUATOR) model) that embraces a broader range of factors that are pertinent to orthosis practice. The VALUATOR model is targeted at students, lecturers, scientists and practitioners and includes carefully chosen terminology to support a robust basis for educational and scientific discussion. It is believed that it provides a contemporary viewpoint and a structured conceptual metaphor that builds on existing evidence from a wide range of sources, invites constructive intellectual debate, and is anchored in the experiences of practitioners too.
Biography:
Kevin Deschamps holds a Bachelor (Hons) and Master’s of Science in Podiatry (University of Brighton,UK). He also holds a PhD from the Katholieke Universiteit Leuven. During his PhD, he studied the foot and lower limb biomechanics in patients with diabetes. During this doctoral training, he developed a strong profile in the integrated measurement of foot and lower limb biomechanics. Currently, he holds an Assistant Professor position at the Katholieke Universiteit Leuven.
Toni Arndt