Fagkurs

Nordisk spastisitetskonferanse

Nordisk konferanse for helsepersonell som jobber tverrfaglig med spastisitetsproblematikk for barn og voksne. Konferansen ønsker å bidra til at fagpersoner i både primær -og spesialisthelsetjenesten gis mulighet til å etablere samarbeid, kunnskapsutveksling og nettverk.

14.
mars
2024
2 dager
  1. 14. mar. 2024, 09:00 - 17:15
  2. 15. mar. 2024, 08:30 - 16:15
Påmelding

Tid og sted

Når

  1. 14. mar. 2024, 09:00 - 17:15
  2. 15. mar. 2024, 08:30 - 16:15

Arrangør

Hvor

Scandic Holmenkollen Park
Kongeveien 26, Oslo

Påmelding

Konferansen

På konferansen skal vi presentere ulike typer for spastisitetsbehandling hos voksne og barn, ha gode diskusjoner og debatter om ulike behandlingstilbud til disse to gruppene, og diskutere forskjellene i klinisk praksis innen spastisitetsbehandling i ulike land. 

Hensikten er å samle fagpersoner som fysioterapeuter, ergoterapeuter og sykepleie fra både primær- og spesialisthelsetjenesten samt spesialister som nevrologer, barnenevrologer, spesialister i fysikalsk medisin og rehabilitering, nevrokirurger, ortopeder og andre som er interesserte i fagfeltet.

Vi møtes til workshops, spennende utstillere og nettverksbygging på tvers av landegrenser. 

Konferansen vil ikke bli streamet. 

Om foreleserne

Foreleserne er en god kombinasjon av internasjonale spesialister på spastisitetsproblematikk, og nordiske fagfolk med lang erfaring fra spastisitetsbehandling. 

Språk

Konferansen foregår på engelsk.

Program (in English)

08.00-09.00: Registration

09.00-09.15: Opening remarks
 
09.15-09.45: Different types of muscle overactivity and their clinical manifestations

Bo Biering-Sørensen (MD)

9.50-10.20: Muscle myopathy – changes in muscle structure which occur as a result of spastic paresis

Jelena Simic (MD, ph.d.-candidate) and Prof. Rajiv Reebye (MD)

10.20-10.35: Break
 
10.40-11.40: Multimodal therapy in adults and children

Prof. Jörg Wissel (MD), Paolo Zerbinati (MD) and Prof. Rajiv Reebye (MD).

11.40-12.00: Break
 
12.00-12.30: Guided self rehabilitation

Per Ertzgaard (MD, Ph.d.)

12.30-13.30: Lunch break + mini lectures. 

  • Equalizing the symptom “roller coaster” effect using abobotulinumtoxinA, Jorge Jacinto (MD) 

13.30-14.45: Workshops

  • A: Use of different orthoses in treatment of muscle overactivity/Demonstration of different types  of conventional and electrical orthoses in spasticity treatment, Marit Eline Spørck (Physiotherapist MSc), Petra Ahlvin (Physiotherapist MSc), Jill O’Farrell (Physiotherapist), Ingunn Svilaas (Occupational therapist) 
      
  • B: Shoulder pain in stroke patients - treating spasticity or other medical conditions? Jorge Jasinto (MD), Prof. Jörg Wissel (MD) and Ottar Berg (MD) 

  • C: What are the goals in rehabilitation related to spasticity treatment – Use of the Goal Attaintment Scale in spasticity assessment and treatment evaluation. Differences between children and adults. Bo Biering Sørensen (MD), Per Ertzgaard (MD) and Anne-Marthe Sanders (Occupational therapist, PhD-candidate)

  • D: Electrostimulation in the treatment of spasticity: how, when and why? Rajiv Reebye (MD), Jelena Simic (MD, Ph.d.-candidate) and Camilla Aksdal (Senior occupational therapist, MSc)   

14.45-15.15: Break
 
15.15-15.45: Using of nerve blocks in assessment and treatment of spasticity. Prof. Rajiv Reebye (MD)

15.45-16.45: Panel debate: Botulinum toxin A treatment of muscle overactivity - dosage and duration of intervals between treatments adults/children.

  • Panel: Prof. Rajiv Reebye (MD), Kristin Østlie (MD, Ph.d.) and Anne Bergsjø Karstensen (MD)
  • Moderator: Jelena Simic (MD, Ph.d.-candidate)

16:45-17.00: Spasticity diary. Per Ertzgaard (MD, PhD), Bo Biering-Sørensen (MD), Jelena Simic (MD, PhD-candidate), Andreij Netland  

17.00-17.15: End of day summery

8.00-8.05: Welcome
 
8.05-9.05: Neurosurgical treatment of muscle overactivity - difference between treatments of adults and children

Corentin Dauleac (MD)

9.05-10.05: Panel discussion: To treat or not to treat, when should we start and when we should stop

Panel: Jelena Simic (MD, Ph.d.-candidate), Prof. Jörg Wissel (MD) and Jorge Jacinto (MD) 

Moderator: Bo Biering Sørensen (MD)

10.05-10.20: Break 
 
10.20—11.35: Orthopedic treatment of muscle overactivity - difference between treatments of  adults and children

  • 25 min. leg - Per Reidar Høiness (MD, Ph.d.) 
  • 25 min. arm - Paolo Zebrinati (MD)
  • 25 min. spine - Svend Vinje (MD, Ph.d.-candidate)

11.35-11.50: Break
 
11.50-12.20: Timing for Baclofen pump

Bo Biering-Sørensen (MD)

12.20-13.20: Lunch + mini lectures

  • Early identification and treatment of spastic movement disorder is important to avoid complications and support rehabilitation, Prof. Jörg Wissel (MD) 


13.20-14.35: Workshops

  • A: Use of gait analysis in clinical practice-when? (Jorge Jacinto (MD), Bo Biering-Sørensen (MD), Jesper Bencke (MSc, Phd.) and Sandra Linnea Klund-Hansen (Human movement scientist, PhD-candidate) 

  • B: How to facilitate the transition from children`s to adult healthcare services in the best way for both patients and society. (Prof. Rajiv Reebye (MD),  Per Ertzgaard (MD, Ph.d.) and Mona Strøm (MD)

  • C: Muscle overactivity which occur in head and neck muscles after stroke and brain injury- examination and treatment-  case presentation.(Maja Villseth (MD) and  Kristin Østlie (MD, Ph.d.), Alhed Piene Wesche (Physiotherapist MSc) and Jill O’Farrell (Physiotherapist) 

  • D: Different orthopedic procedures in the treatment of spasticity in adults and children - when and which ones to opt for? (Per Reidar Høiness (MD, Ph.d.) and Paolo Zerbinati (MD), Camilla Aksdal (Senior occupational therapist, MSc) and Petra Ahlvin (Physiotherapist MSc) 

14.35-15.05: Break
 
15.05-15.35: AI in rehabilitation

Prof. Michael Alexander Riegler

15.35-16.00: Plans about the future

Dr. Dauleac is a neurosurgeon in the Functional Neurosurgery Department of the Hospices Civils de Lyon, France. He specializes in spinal cord and peripheral nerve pathologies, as well as their disabling sequelae. He is an expert in the surgical treatments  of spasticity. Working closely with rehabilitation teams, he cares for adult patients suffering from spasticity. 

Dr Dauleac co-organizes conferences and workshops on spasticity, held at conventions, meetings, and educational courses. 

Portrettbilde av Corentin Dauleac

 

Dr. Bo Biering-Sørensen is neurologist and the director of the Spasticity Clinic, Neurological Pain Clinic as well as the Movement Disorder Clinic at the Department of Neurology, Rigshospitalet Glostrup, University of Copenhagen, Denmark.

Dr. Biering-Sørensen holds a lot of lectures and workshops especially on the topics Spasticity, Dystonia, Botulinum toxin treatment and ultrasound guidance, Complex regional pain syndrome (CRPS) and Neuropathic Pain. Lectures are being held at Congresses, Meetings and Educational courses.

Portrettbilde av Bo Biering-Sørensen

Foto: Privat

 

Place of Employment: Sunnaas Rehabilitation Hospital, Spasticity Clinic and Research Department, Nesodden, Norway. 

Dr Simic is a specialist in physical medicine and rehabilitation, a PhD candidate and works in a 50% position in the Spasticity Clinic and 50% in the Research Department. Dr Simic has been working with spasticity since 2006 and has been the medical responsible chief physician for the Spasticity Clinic at Sunnaas Rehabilitation Hospital since 2016. Sunnaas Rehabilitation Hospital is the largest rehabilitation hospital in Norway where we conduct interdisciplinary assessments and spasticity treatments for various diagnostic groups, including patients with stroke, traumatic brain injuries, spinal cord injury patients, patients with cerebral palsy, hereditary spastic paraparesis, multiple sclerosis, etc. At the Spasticity Clinic, we treat all types of muscle overactivity in adults and children. We also treat some patients with cervical dystonias, especially in patients with head injuries and cerebral palsy.  

Simultaneously, Dr Simic is working on a PhD project in the field of spastic paralysis.  The PhD-project is carried out in close collaboration with Sunnaas Rehabilitation Hospital, Rigshospitalet in Copenhagen, and the Intervention Center at Rikshospitalet in Oslo. Dr Simic is also active in the work of several pharmaceutical companies as a board member in organizing various courses and conferences, a workshop supervisor, and a lecturer. 

Portrettbilde av Jelena Simic

 

Prof. Joerg Wissel, MD, FRCP, is a Neurologist since 1995 and specialist in Neuro-rehabilitation, Movement Disorders and Botulinumtoxin treatment. He is member of the Board of Directors of the International Neurotoxin Association (INA) and Chairman of the Spasticity Interest Group of the Movement Disorder Society (MDS), since 2010 he is Fellow of the Royal College of Physician (FRCP).

Prof. Wissel was member of the guideline committee for the “German Guideline of Spasticity Management” of the German Neurology Society (DGN) and is elected to join the update committee in 2023. Prof. Wissel authored more than 150 original publications (>3500 citations).

Since 2000 he is Professor of Neurology and member of the Faculty at University of Innsbruck, Austria and since 2010 he is also Professor at University of Potsdam and Health Campus Brandenburg in Rehabilitation Science, Sports Medicine and Clinical Exercise Science (CES). Since 2012 he is head of the Department Neurorehabilitation and Physical Therapy at Vivantes Hospital Spandau in Berlin, Germany. 

Portrettbilde av Jörg Wissel

 

Prof. Rajiv Reebye is a Physical Medicine and Rehabilitation (PMR) specialist and Clinical Professor in the department of Medicine at the University of British Columbia (UBC), Vancouver, Canada.  

Prof. Reebye is a Fellow of the Royal College of Physicians of Canada (FRCPC) and holds a specialist certificate in Physical Medicine and Rehabilitation from the Royal College of Physicians and Surgeons of Canada.  

He is the program director for the Neuro-rehabilitation and Spasticity fellowship program in the Division of Physical Medicine and Rehabilitation, University of British Columbia. 

Prof. Reebye is the co-founder of the Canadian advances in neuro-orthopedics for spasticity consortium (CANOSC), an organization created to provide excellence in enhancing collaborative care between physicians and surgeons for the treatment of spasticity. 

Prof. Reebye has a special clinical and research interest in spasticity management including use of ultrasound for evaluation and targeting of spastic muscles and multimodal therapy in spasticity management. 

His research interests include multi-modal treatment of spasticity including casting post botulinum toxin injections for post stroke spasticity, peri-operative botulinum toxin use and use of ultrasound for chemodenervation in the treatment of spasticity. 

He is an attending physician on the inpatient neuro-musculoskeletal program and on the outpatient acquired brain injury and neuro-musculoskeletal programs at GF Strong Rehabilitation Center, Vancouver, Canada.   

He is also a consulting physician in the spinal cord clinic at BC Children’s Hospital and at the UBC Multiple Sclerosis Clinic.   

Prof. Reebye is the director of the New Westminster Rehabilitation Medicine spasticity clinic- a community based spasticity clinic focusing on the treatment of patients with adult spasticity and also children with spasticity transitioning to adulthood. 

Prof. Reebye teaches locally and internationally on the use of ultrasound guided injections for spasticity management.  

Prof. Reebye received the 2022 Meredith Marks Award (the highest national award for medical education) awarded by the Canadian Association of Physical Medicine and Rehabilitation for Excellence in Education. 

Prof. Reebye was also awarded as co-director of CANOSC- the 2022 Haim Ring Award by the International Society of Physical Medicine and Rehabilitation (ISPRM) for excellence in International educational exchanges and collaboration. 

Portrettbilde av Rajiv Reebye

 

Michael A. Riegler is the Head of AI Strategy at SimulaMet and Professor at OlsoMet. Michael’s main research is in the area of artificial intelligence with a focus on transparent AI systems. His main application areas are at the intersection of social sciences and medicine. 

Portrettbilde av Michael Alexander Riegler

 

Dr. Villseth is a senior consultant in neurology at Drammen Hospital in Norway.  She has her medical degree from the University in Oslo.

Dr. Villseth has cutting-edge expertise in stroke including active involvement in emergency medicine, headaches and treatment of dystonia and spasticity. She has been using ultrasound and EMG-guided injection techniques with botulinum toxin since 2013. This involves injection treatment with botulinum toxin for spasticity, dystonia, hemifacial spasm, migraine, sialorrhea, hyperhidrosis, bruxism, and neuralgia. In addition, she does intrathecal baclofen test, ultrasound of the carotids and muscle biopsy.

Dr. Villseth holds a lot of lectures and practical workshops in the use of botulinum toxins. She has been giving several courses on the practical use of the Collum Caput Consept in the treatment of neck dystonia, spasticity, blepharospasm and hemifacial spasm, but also acute stroke treatment and ultrasound of the carotids.

Portrettbilde av Maja Villseth

 

Jesper Bencke, PhD, is manager of the Human Movement Analysis Laboratory at Copenhagen University Hospital, Amager-Hvidovre, Denmark, which is also a part of the department of Orthopaedic surgery and affiliated with IOC research centre Copenhagen.

He holds a master’s degree in Exercise Science and Biomechanics and a PhD in Human Physiology from the University of Copenhagen. He has more than 15 years of clinical experience in gait analysis of patients with neurological and/or orthopaedic disorders. In the clinical work, biomechanical gait analyses and plantar pressure measurements are used for improving evaluation and clinical decision making in collaboration with doctors, physiotherapists, or orthopaedic engineers.

His research during the past 20 years has within clinical biomechanics but within two subareas. In close relation to the clinical work, he has focused on improving diagnostics, evaluation, and treatment of neurological and orthopaedic pathologies in children and adults. The other subarea has focused on prevention of injuries in sports, through prospective studies on risk factor identification, mechanistic studies, intervention studies and evaluation of exercises for rehabilitation and injury prevention.

Portrettbilde av Jesper Bencke

 

Kristin Østlie, MD PhD, is specialist in physical medicine and rehabilitation, chief senior consultant at the Department of Physical Medicine and Rehabilitation and head of the Spasticity Clinic at Innlandet Hospital Trust in Norway.

She is chair of the Norwegian Dystonia and Spasticity Association (NFDS), head of the Norwegian professional network for spasticity and member of the steering group of the Scandinavian Education Society for Dystonia and Spasticity Treatment (SkanDySpas).

Kristin holds lectures and workshops on spasticity treatment in the Scandinavian countries, with focus on multidisciplinary clinical evaluation and ultrasound-guided botulinum toxin injections. 

Portrettbilde av Kristin Østlie

 

Director Neuroorthopedics Unit, Sol et Salus Hospital Torre Pedrera Rimini (RN) Italy 

 Professional Activities 

After several experiences in the orthopedic field, from about twenty years he has been working in Neuroorthopedics surgery. He attended in Philadelphia for several years the service of Neuroorthopedics surgery directed by Professor Mary Ann Keenan and developed a growing experience in Neuroorthopedics field. 

From about five years he is the chief of the Neuroorthopedics Service in Sol et Salus Hospital. With experience, Dr. Zerbinati has become consultant of the largest neurologic rehabilitation hospital in Italy where perform a clinic college with physicians, neurologists and physical therapists in the treatment of  orthopedics problems resulting from the Upper Motor Neuron Syndrome. He thus acquired over the years specific expertise in these fields: 

  • comprehensive management of musculoskeletal problems in people with neurological disorders : Stroke; Traumatic Brain Injury; Spinal Cord Injury; Polio; Cerebral Palsy; Multiple Sclerosis; Nerve Injuries; Muscle Dystrophy; Charcot Marie Tooth 
  • common Orthopedics Problems Treated in Neurological Patients: correction of deformities of the arms or legs; removal of heterotypic ossification (bone);  
  • orthopedics deformity in diabetics patients: Charcot  Foot, Diabetic Foot. 

He takes part in different meetings in quality of speaker and in quality of secretary in the organization of the meetings in different field of Neuroorthopedics surgery. 

Portrettbilde av Paolo Zerbinati

 

 

Per Ertzgaard, MD, PhD, is a medical doctor specialized in Physical Medicine and Rehabilitation. He has been a senior consultant at the department of Rehabilitation at the University Hospital of Linköping since mid-1990 and was head of the department between the years of 2000 and 2012.

His main focus has been in neurological rehabilitation both for adults and children. He has written multiple book chapters, a book (Introduktion till Neurologisk rehabilitering) and more than 30 papers in peer reviewed journal. His PhD in 2018 was on spasticity. 

Portrettbilde av Per Ertzgaard

 

Dr Høiness is a paediatric orthopaedic surgeon with the Vestre Viken Health Trust, Drammen Dept. He also collaborates with the Movement Laboratory at Oslo University Hospital Health Trust, National Hospital. He has previously worked with paediatrics and neuroorthopaedics at Oslo University Hospital for 20 years. Høiness has a PhD from 2003, and a collaboration with Sunnaas Hospital through their Movement Lab and Spasticity Clinic.   

Dr Høiness is engaged in several projects on neuroorthopaedics and is currently working with the Norwegian Quality and Follow-up Registry for Cerebral Palsy (NorCP) to develop guidelines and recommendations for orthopaedic treatment of children/adults with CP, among other projects. He works clinically with problems related to the hips/lower extremities (classic paediatric orthopaedics), and in some cases adults with spasticity. 

Portrettbilde av Per Reidar Høiness

 

Physical therapist at Sunnaas Rehabilitation Hospital.

Portrettbilde av Alhed Wesche

 

We have selected exhibitors who are pertinent to the field of spasticity and will make meaningful contributions to the conference. Spasticity issues are intricate, necessitating complex and interdisciplinary treatments involving numerous professionals and specialists. These companies will showcase their equipment and materials on exhibition stands, serving as valuable teaching resources. The objective of this presentation is to advance diverse treatment methods to optimize patient outcomes. Additionally, some exhibitors will host mini-lectures during lunch breaks, featuring captivating topics and speakers.

Explore the list of conference participants below: 

AbbVie’s mission is to discover and deliver innovative medicines and solutions that address complex health issues and enhance people’s lives. Our commitment is measured by the impact we make – to patients, to our communities, and to the world. Our 50,000+ employees strive to make a remarkable impact that lasts, driven by our compassion for people, commitment to innovation and inclusion, service to the community and uncompromising integrity. Today our products help more than 50 million people living in more than 175 countries, and we are making significant advancements with a robust pipeline of potential new medicines as we look to find the treatments of tomorrow.  

Bold thinking. Bolder actions. We are Medtronic. 

We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions. Our Mission — to alleviate pain, restore health, and extend life — unites a global team of 90,000+ passionate people. Powered by our diverse knowledge, insatiable curiosity, and desire to help all those who need it, we deliver innovative technologies that transform the lives of two people every second, every hour, every day. Expect more from us as we empower insight-driven care, experiences that put people first, and better outcomes for our world. 

In everything we do, we are engineering the extraordinary.

With over 25 years of research, development and commercial experience in neuroscience, we are fully committed to improving health outcomes for patients suffering from debilitating neurological disorders. 

Better outcomes for more patients. This is the vision of Merz therapeutics - a privately held, family-owned company that has dedicated more than 110 years to developing innovations that meet patient and customer needs. 

Merz therapeutics is also hosting a mini-lecture during lunch on thursday the 14th of March:  

Early identification and treatment of spastic movement disorder is important to avoid complications and support rehabilitation 

Speaker: Prof. Jörg Wissel 

Camp Scandinavia is part of Allard Support for Better Life, which is a Swedish family company. The business has a long history dating back 70 years. Since its inception in 1954, Camp Scandinavia has been a supplier to the entire orthopedic industry in the Nordic region. 

Our business idea is to provide customers with added value through innovative products, supported by knowledge, creativity, and local anchoring. Camp Scandinavia's ambition is to continue being a privately owned company that leads the development in orthoses along with associated materials and products in the Nordic region. 

* Exhibitors have not participated in the development of themes, conference programs, or the selection of speakers. These responsibilities have been undertaken by the program committee of Sunnaas Rehabilitation Hospital in collaboration with certain speakers. 

Pris og målgruppe

Målgrupper for konferansen er helsepersonell som jobber sær,- og tverrfaglig med spastisitet, både i primær- og spesialisthelsetjenesten.

  • Konferansen ink. en overnatting: 5240 kr
  • Konferansen ink. to overnattinger: 7035 kr
  • Konferansen inkl. middag uten overnatting: 4200 kr
  • Konferansen uten middag og uten overnatting: 3700 kr

Deadline for registration: 27th of February 2024

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