Clinical Program 7 May 2015 Royal International Convention Centre, Brisbane YOUR CHOICE, YOUR CONTROL Supporting inclusion and independence with Australia’s foremost exhibition of aids, equipment & allied services • FREE Entry - Opening hours 9.00am – 4.00pm • COMPLEMENTARY PARKING offered exclusively to visitors who pre register • INTERNATIONAL Speakers • More than 50 EXHIBITORS with products and services designed to get more out of life •N EW for 2015 – sessions dedicated to consumers and families •F REE Clinical Program for Occupational Therapists, Physiotherapists, Rehab Engineers, Allied Health Clinicians, Nurses, Case Managers, Carers and Medical Professionals. • A great opportunity to collect Continuing Professional Development (CPD) points REGISTER NOW www.atsaindependentlivingexpo.com.au or call 1300 789 845 Media Partner ATSA Independent Living Expo CLINICAL EDUCATION PROGRAM THURSDAY 7 MAY 2015 ROOM 1 ROOM 2 ROOM 3 ROOM 4 9:15am – 10:00am The Balancing Act – Factors in Wheelchair Seating Selection Stephanie Tanguay (Invacare, USA) New Technology in Manual Wheelchairs – New Materials, Configurations & Options. How can they promote function & satisfaction for your active clients? Amy Bjornson (Sunrise Medical) An in-depth case study of the Australian Wheelchair and seating service experience: study findings. Rachael Schmidt (Deakin University) Pressure Ulcer Etiology: What Is The New Evidence Telling Us? Tricia Garven (ROHO, USA) 10:45am – 11:15am Be Independent – how to safely use durable medical equipment to assist caregivers & their loved ones to live independently Jan Miller and Brandon Birch (Stander USA) The Importance of Precision & Driving Performance Julie Ott (Invacare, Switzerland) A practical guide to wheelchair cushion selection Jacinta Maurin (Otto Bock) The new LifeTec online learning portal: Your gateway to online assistive technology information Wendy Stevens (Lifetec) Putting it all together – translating your mat evaluation into successful wheelchair prescription Amy Bjornson (Sunrise Medical) Manual Wheelchairs and Attachments (a users perspective) Peter Mills (Wicked Wheelchairs) What to do when technology fails Lloyd Walker (Tech4Life) C 11:45am – 12:30pm Power Seat Functions: Examining The Myths Magdelena Love (Permobil USA) C 1:30pm – 2:00pm How everyone can be part of the cycling revolution – clinical considerations for trike prescription Kati Graham (Lifetec) Next Generation specialty controls Ron Smelter (Aidacare) P Who chooses your assistive technology, and how? Emily Steele (University of Queensland) C The Benefits of Immersion for Pressure Sore Prevention and Healing Matt Hodge (Star Cushions USA) C 2:30pm – 3:00pm What is custom seating and why do I need it? Traceelee Maginnity (ILS Rehab) ReWalk Exoskeleton Demonstration Kristee Shepherd (Making Strides) Introducing the New Evo3 Joseph Grosso (Neatech, Italy) C 3:15pm – 4:00pm Shoulder pain is an epidemic: Let’s talk about what we can do about it! Dr Mark Richter (Max Mobility, USA) Standard commercially available child restraints information session Ali Akbarian (Mobility Engineering) C When off the shelf solutions don’t work Traceelee Maginnity (ILS Rehab) Pressure Care Considerations and Mattress Selection Annette Curry (Novis Healthcare) Growing evidence in support of orthotic based seating interventions Joan Padgitt (Ride Designs) C REGISTER NOW - www.atsaindependentlivingexpo.com.au or call 1300 789 845 C Consumer session P Paediatric session Program correct at time of printing check www.atsaindependentlivingexpo.com.au for any changes. ROOM 1 9:15am – 10:00am The Balancing Act – Factors in Wheelchair Seating Selection Stephanie Tanguay (Invacare, USA) All seat products are constructed of combinations of materials in various shapes to achieve desired outcomes of support, stability and pressure distribution. These materials have specific intrinsic characteristics which are often compared. They are also affected by extrinsic factors which can alter their properties and performance. Selecting a seating system for an individual can present many challenges. Cushions must be evaluated and prescribed to address each consumer’s orthopaedic presentation, posture and asymmetries while considering material performance, contour and design and their impact on consumer function. This workshop will provide a review of various materials and structural design characteristics utilized in the construction of commercially available seat surfaces. It will focus on identifying selection criteria for wheelchair seat cushions and matching consumer needs with product features. The impact of external factors and their impact on surface properties and characteristics will also be examined. Improved understanding of cushion design principles and materials can enhance initial decision making and increase successful outcomes for everyone. 10:45am – 11:15am Be Independent – how to safely use durable medical equipment to assist caregivers & their loved ones to live independently Jan Miller and Brandon Birch (Stander, USA) This presentation will focus on how to safely use durable medical equipment products to enhance quality of life by allowing caregivers and their loved ones to live independently. As the popularity of Bed rails and similar bedside mobility aids has grown, so has the risk of entrapment. Entrapment occurs when a user gets becomes wedged between a bed rail and any other object, and has resulted in serious injury or death. Attendees will be educated on how to safely use bed safety devices to minimize the risk of entrapment. Most people are familiar with common mobility equipment such as walkers, canes and grab bars.This session will offer insight into a range of mobility solutions that broaden the typical scope of durable medical equipment. Topics include safe, affordable, effective options to help people in and out of the automobile, how to safely use a bathroom grab bar without needing to screw it into the wall, and what you can do to make standing from the couch or chair safe and reliable. C 11:45am – 12:30pm Power Seat Functions: Examining The Myths Magdelena Love (Permobil, USA) Power seating is often prescribed to manage the risk of pressure ulcers, a potentially serious complication for individuals who use wheelchairs. There is much evidence suggesting the use of power seat functions will reduce the risk of pressure ulcers; however, clinicians sometimes have negative perceptions about the use of certain seat functions. Additionally, there is interesting research about the usage patterns of the various power seat functions that may impact the prescription of these features. The purpose of this session is to examine the research that is available and dispel the myths surrounding power seating. Also, through anatomical perspectives, the use of case studies and current research, attendees will better understand the importance of a holistic assessment for proper prescription of seat functions for functioning as well as management of pressure in the seated individual. 1:30pm – 2:00pm How everyone can be part of the cycling revolution – clinical considerations for trike prescription Kati Graham (Lifetec) This presentation aims to discuss components of the clinical prescription process of tricycles for children, teenagers and adults alike. This includes discussion of features available and how we can best support our clients in the saddle and how this can benefit their lives in regards to health, development and social inclusion. This presentation will also include case scenarios. 2:30pm – 3:00pm What is custom seating and why do I need it? Traceelee Maginnity (ILS Rehab) Your therapist has recommended a custom seat for the wheelchair, what does this mean? What are the processes that guide the fabrication? How do you ensure that the seating will meet your goals? What are some of the questions needing to be asked when identifying an appropriate seating system for your wheelchair. This workshop will take you from assessment through the steps of designing and fabricating a custom seating system. You will learn about what kind of information is gathered at assessment and why. We will break down some of the terminology and clinical reasoning that the therapists use to identify potential products to trial. Using a case study we will work through all aspects of the assessment, fabrication and trial process. We will look at different styles of custom seating and look at some of the benefits and disadvantages to a specific custom solution. This workshop is an informative and interactive experience where you will learn more about the “behind the scenes” of custom seating fabrication and experience a demonstration of the moulding process. 3:15pm – 4:00pm Shoulder pain is an epidemic: What we can do about it! Dr Mark Richter (Nax Mobility, USA) C Pushing a wheelchair is hazardous to your health. Nearly 3 out of every 4 wheelchair users have shoulder pain. That is a staggering percentage. The old saying “Use it or lose it” does not apply any longer. Now we must be careful and take steps to reduce stress on the shoulder if we want to keep it healthy. I like to use a new saying “Use it, but don’t abuse it”. I will review the things you should know to help prevent shoulder problems, including wheelchair setup, propulsion technique, and ergonomic technology. ROOM 2 9:15am – 10:00am New Technology in Manual Wheelchairs – New Materials, Configurations & Options. How can they promote function & satisfaction for your active clients? Amy Bjornson (Sunrise Medical) Innovations in design and materials in lightweight manual wheelchairs have redefined the level of performance users can expect from their wheelchair. This workshop will explore this new technology: its impact on ride performance, customization, product weight and ultimately – client functionality and satisfaction. This workshop will allow clinicians to feel confident in their prescription of customized manual wheelchairs. 10:45am – 11:15am The Importance of Precision & Driving Performance Julie Ott (Invacare, Switzerland) Lightweight rigid and foldable wheelchairs that fits to user’s needs as if they were an extension of their body. Wheelchairs provide precision, comfort and outstanding driving performance, which are key to live an active daily life. 11:45am – 12:45pm Putting it all together – translating your mat evaluation into successful wheelchair prescription Amy Bjornson (Sunrise Medical) For many therapists working in the field of rehabilitation a significant part of their role is prescribing seating equipment for their clients. Selecting the wheelchair frame is just the beginning. The functional needs of each individual user vary greatly, so how do we truly maximise mobility and participation for each client? In this instructional workshop we will look at what a postural mat evaluation is, and how this translates into equipment prescription, frame configuration and seating components. Case studies will emphasize the importance of using evaluation techniques to assist therapists in confident selection, clear documentation and positive outcomes.In this instructional workshop we will look at what a postural mat evaluation is, and how this translates into equipment prescription, frame configuration and seating components. 1:30pm – 2:00pm Next Generation specialty controls Ron Smelter (Aidacare) This presentation will look at the advancements in the specialty controls area like Head Array/Sip Puff/Two switch drives and types of Joystick driving that now have their own programming capabilities via a PC based programming station. We look at how they work in conjunction with the power chair’s own electronics system and how you can use a combination of both along with the many possible options to navigate the system and Bluetooth connectivity to get solutions for your client’s chair options. We will also cover the different types of specialty switches that are available and mounting options that can also help to get a positive outcome. 2:30pm – 3:00pm ReWalk Exoskeleton Demonstration Kristee Shepherd (Making Strides) Making Strides is an exercise based spinal cord injury recovery centre. We are the exclusive distributor of the ReWalk exoskeleton for Australia. ReWalk™ is an exoskeleton mobility solution which provides individuals with user-initiated mobility through the integration of a light wearable brace support suit, a computerbased control system and motion sensors. By a shift in the wearer’s balance, the sensors recognise a change in position and trigger the desired knee or hip movement to take a step forward and make ‘walking’ relatively easy. The ReWalk™ enables individuals with lower-limb disabilities such as Spinal Cord Injury to stand, ascend and descend stairs and walk indoors and outdoors. 3:15pm – 4:00pm When off the shelf solutions don’t work Traceelee Maginnity (ILS Rehab) Tried off the shelf seating options and not getting the required outcomes? What other options are available? When do you choose custom seating over off the shelf or aftermarket options? This workshop looks at the technical and clinical aspects of custom moulded seating. This workshop will be co-facilitated by our international guest, PRM owner / engineer / seating fabricator; Todd Dinner and our senior Seating Therapist and Clinical Educator Tracee-lee Maginnity. Todd has over 20 years’ experience in the industry, and works closely with therapists in USA and Canada. Tracee-lee is a well-known and popular presenter on clinical aspects of seating and mobility within NSW. Whilst many of the moulded seating systems available on the market follow some similar principles, the use of materials to fabricate and the way it is digitised differ, consequently impacting on the achievable outcomes. Participants will be guided through the custom seating process from identification of the clinical indicators, demonstrations of good moulding techniques, the PRM Topographical digitisation and fabrication process to fitting the seating to the mobility base of choice. A range of case studies will be presented to demonstrate some unique options that have resulted in successful outcomes for end users and as a basis for evidence based practice. Therapists will leave this workshop with a clearer idea of when they should consider custom seating and the processes of completing a good clinically directed moulded seating system. ROOM 3 9:15am – 10:00am An in-depth case study of the Australian Wheelchair and seating service experience: study findings Rachael Schmidt (Deakin University) Matching a person who requires a timely, cost effective, appropriate wheelchair and seating technology requires proficient, competent wheelchair and seating services. There is scant Australian data on what service works best. The study exposed forming trustworthy partnerships and a personcentred service approach assisted manage case complexity and restrictive funding policies that impact on wheelchair-seating procurement. There are seven major findings. This presentation exposes seven major study findings and their implication to best practice service provision and to wheelchair and seating procurement. Some of these findings include: the Determinants of Case Complexity that alert service providers of the anticipated complexity and of the essential service resources required. In addition, a non-linear dynamic Six Seating Service Steps is described with estimates of service time to construct an Australian Seating Service Benchmark. For the first time, these findings provides evidence based data to structure robust, sustainable seating service sector to meet anticipated NDIS fuelled consumer demand. 10:45am – 11:15am A practical guide to wheelchair cushion selection Jacinta Maurin (Ottobock) Good wheelchair seating should consider each individual‘s unique combination of requirements in order to optimise their comfort, health and functional independence. Ottobock have developed The Clinical Seating Molecule, a visual representation of the most critical design features that should be identified and prioritised in order to select the optimal seating solution. At the conclusion of this session participants will be able to: Identify the underlining cause of pressure related injuries. Identify and describe the extrinsic and intrinsic factors relating to pressure care. Identify and understand the different technologies and materials used for pressure care cushions. 11:45am – 12:30pm Manual Wheelchairs and Attachments (a users perspective) Peter Mills (Wicked Wheelchairs) C P This presentation delivered by experienced wheelchair users will demonstrate the effects of various wheelchair configurations in an open and light hearted presentation. Through live demonstrations we will look at the choices that need to be considered when assessing chair configuration and the associated advantages and disadvantages. Some of the examples will be backed by presenting some true weights and measures. We hope to help prescribers consider a user’s point of view when examining the choices of various wheelchair configuration options. We will follow-on with various attachments that also may be considered. 1:30pm – 2:00pm Who chooses your assistive technology, and how? Emily Steele (University of Queensland) C The NDIS heralds a move toward individualised supports for people with disability, where they become consumers making plans and choices. What does this mean for assistive technology users and providers? This talk will examine the nature of choice in assistive technology provision, and discuss challenges for consumers, practitioners and policy-makers. AT choices are complex and the nature and extent of choice is influenced by information, policies and regulations, and interactions between consumers and providers. We need to design our AT provision systems carefully so that they are flexible enough to facilitate individual solutions, but also consistent enough to ensure equity of access. 2:30pm – 3:00pm Introducing the New Evo3 Joseph Grosso (Neatech, Italy) The Evolution of the 3th generation EVO powerchair is equipped with a compact chassis for high outdoor performance and for great indoor maneuverability. It is highly configurable and has a modular seating system that allows you to adjust easily the seating according to the user’s needs. The optional four power modules create a higher value of comfort. The EVO 3 powerchair is highly recommended for patients with strong or degenerative pathologies with postural needs that requires highly flexible solutions. 3:15pm – 4:00pm Pressure Care Considerations and Mattress Selection Annette Curry (Novis Healthcare) The aging population of Australia will place ever increasing pressures on our healthcare system over the next few decades. It is therefore important that we actively prevent unnecessary wastage of resources, by introducing effective strategies to preserve health and well-being in the population group most at risk. Pressure injury prevention has been highlighted as an important area of focus by the National Safety & Quality Health Service Standards (NSQHS Standard 8). The aim of this clinical presentation is to give an overview of the statistics, physiology, risk factors and management strategies for preventing pressure related injuries, without placing unnecessary burden on the care giver or health system. The presentation is supported by practical information regarding static and dynamic mattress functionality, features and selection criteria for the desired clinical outcomes. ROOM 4 9:15am – 10:00am Pressure Ulcer Etiology: What Is The New Evidence Telling Us? Tricia Garven (ROHO, USA) This clinical presentation will review the current evidence of pressure ulcer pathophysiology; including ischemia, reperfusion tissue injury and tissue deformation. Detailed discussions will revolve around the differences in the development of a superficial pressure ulcer versus a suspected deep tissue injury. The latest evidence on tissue deformation, including time frames for tissue necrosis, will specifically be reviewed along with the tissue deformation cause and effect, as studied by the most recent scientific analysis tool Finite Element Modeling for the skin and soft tissues of the pelvis. We will discuss how the researchers are now able to study and better understand how various clinical scenarios, such as previous tissue injury/scars or changes in weight or boney structure, affect tissue loading and tolerances. Finally, the intrinsic and extrinsic risk factors commonly associated with pressure ulcers will be discussed along with strategies to minimize the risks for pressure ulcers and internal tissue damage. 10:45am – 11:15am The new LifeTec online learning portal: Your gateway to online assistive technology information Wendy Stevens (Lifetec) LifeTec is a leading provider of education and training in the field of assistive technology. We have been delivering face to face workshops statewide for many years. In order to make our education services available to as many people as possible, we have recently developed an online learning management system to help deliver this information. Our new learning management system enables us to combine theoretical content and face to face leaning in a way that allows consumers to engage with materials in a way and at a time that suits them. The learning management system also allows users to track their learning so that they can easily access their CPD record with LifeTec or access past course information C 11:45am – 12:30pm What to do when technology fails Peter Slattery, Kristen Morris and Lloyd Walker (Tech4Life) Rehabilitation Engineers are arguably the most experienced in understanding ‘what went wrong’ when assistive technology fails. This presentation will draw on a number of forensic investigations undertaken by NCRE members to give participants an understanding of: • How things fail – often in a minor way at first but at times catastrophically • What to do when a failure happens including reporting approaches, • Catching a failure early or even preventing it -the importance of maintenance and timely repair • Tell-tale signs that failure is imminent, and • Everything has its limit - technology service life. 1:30pm – 2:00pm Benefits of Immersion for Pressure Sore Prevention and Healing Matt Hodge (Star Cushions, USA) New research, including a study from a former member of the European Pressure Ulcer Advisory Panel has continued to build a strong case that deeper immersion in a seating surface is the key to pressure ulcer prevention and healing. This presentation will present the results of that research, which compares various seating surfaces, including air cell based cushions, gel cushions, and foam cushions, along with other studies showing the benefits of deeper immersion to pressure prevention. The presentation will also introduce new patented options in seating surfaces which allow for deeper immersion for many types of patients, and which have only recently become available in Australia. 2:30pm – 3:00pm Standard commercially available child restraints information session Ali Akbarian (Mobility Engineering) C In many cases disabled and special needs children (and even some adults) can use standard commercially available child restraints which are far cheaper than disabled restraints. In many cases OT’s are also required to explore the option of standard commercially available restraints and provide a case as to why they are not suitable in their case. We find there is a lack of understanding and information around the available types of child restraints and their uses along with the correct road rules. This information session will arm you with correct information about all of the commercially available child restraints and their correct use and the correct interpretation of the laws and regulations. This presentation will benefit people caring for all children, not just disabled children. 3:15pm – 4:00pm Growing evidence in support of orthotic based seating interventions Joan Padgitt (Ride Designs) Wheelchair seating based on orthotic science has been successfully used to protect skin, improve stability, and manage heat and moisture. These successes have been reported through anecdotal experience and case studies. This session will summarize several recent studies comprising a body of evidence on how orthotic based seating addresses sitting stability, microclimate, skin integrity and deep tissue deformation. The data collected includes the Modified Functional Reach Test, Interface Pressure Mapping (IPM) and MRI studies on orthotic based seating compared to an immersive air floatation wheelchair cushion. Preliminary human tester microclimate data using specially adapted temperature sensors will also be presented. ALZHEIMER’S QUEENSLAND WORKSHOP DESIGN FOR LIFE Wednesday 6th May 2015 | Duration: 2 hours from 9.00am | Price: $75 + GST per person Dementia design is not just for people with dementia it universally caters for all people living with an impairment- cognitive, visual, or physical. Dementia design has revolutionized health care by giving a framework to improve the living experience for everyone. Attendees will gain an understanding on how the disease of dementia impacts a person’s life. We will lay out the key dementia design principles and how these can be adopted on varying scales to create comfortable, enriching spaces both in one’s home and in an aged care facility. Operational clarity is a key factor in the success of implementing design change. The session will address operational elements that are key to maximize the impact and success of built environments. Register at www.atsaindependentlivingexpo.com.au. CONFIRMED EXHIBITORS INCLUDE: •Access Health •HMR Healthcare •Mobility Plus Wheelchairs Pty Ltd •Sunrise Medical •Tab Timer Pty Ltd •Alzheimer’s Queensland •Home Medical Products Australia •Otto Bock Australia Pty Ltd •Austech Medical •ILS Rehab •Permobil •Auto Extras •INS Lifeguard •Push Mobility •Automobility Pty Ltd •Karma Wheelchairs •Seating Dynamics Pty Ltd •Total Ability •Blue Badge Insurance •Life Tec •Signature Seating & Mobility •VitalCall •ClubMates Travel •Linak Australia •SlipOn Swimsuits •Dejay Medical •Lodgesons Ltd •Special Care Travel •Drive Medical •Magic Mobility •Special Needs Solutions •Eden Healthcare Solutions •Medifab Ltd •Spinal Injuries Australia Ltd •Wheelies Van Rentals •Freedom Healthcare •Merits Australia •Splittbacks and Adaptive Kidz •Wicked Wheelchairs •Aidacare Pty Ltd •Paragon Medical •The Bidet Shop •The Country Care Group •Walk on Wheels Australia Pty Ltd •Walk on Wheels NSW Exhibitor list correct at time of printing check www.atsaindependentlivingexpo.com.au for latest list. HOW TO GET THERE Just 1.6kms from the CBD, the Royal ICC is located at the Brisbane Showgrounds which is bordered by Bowen Bridge Road, O’Connell Terrace, St Paul’s Terrace and Gregory Terrace at Bowen Hills. Royal ICC is just 15 minutes from Brisbane’s Domestic and International Airports, and is in easy reach of the Gold and Sunshine Coasts. By pa ss Anderson St Trains and Buses - Bowen Hills and Fortitude Valley railway stations are less than a ten minute walk from the Convention Centre. Buses access the surrounding streets Royal International regularly. For further information phone TransLink on 13 12 Convention Centre 30, or visit TransLink. Gregory Terrace Taxis Royal - The International White Cabs Convention Centre ty Ci er Inn main taxi companies in Brisbane are Black and (ph. 13 32 22), or Yellow Cab (ph. 13 19 24). Driving - The entrance to the Convention Centre is via Gregory Terrace, Bowen Hills, Brisbane. Car parking is available. COMPLEMENTARY PARKING OFFERED EXCLUSIVELY TO VISITORS WHO PRE REGISTER REGISTER NOW - www.atsaindependentlivingexpo.com.au or call 1300 789 845
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