COOPERATION. General information. VRA Annual Congress 2011

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1 VRA Annual Congress 2011 COOPERATION General information Heerlickheijd van Ermelo in Ermelo, The Netherlands Thursday November 3 rd and Friday November 4 th

2 The VRA Annual Congress 2011 has been made possible by many exhibitors. Therefore they deserve your attention and appreciation. Sponsors Allergan, Ambroise, Basko, Bewegingsvisie, Biometrics, Bioness, Careways, ECR/RAZ, Endolite, Federatie Pas, Heel Biologische geneesmiddelen, Ipsen, Loth Fabenim, Medi Nederland, Meditas, Ortho Europe, Orthomedico, Orthowel groep, Otto Bock, Tom Schoenen, VIR e-care, Wittekamp & Broos Organizing bureau T +31 (0) T +31 (0) F +31 (0) Congress Venue Regardz Hotel Heerlickheijd van Ermelo Staringlaan LA Ermelo T +31 (0) The Netherlands Organizing Society Netherlands Society of Physical and Rehabilitation Medicine Postal address Postbus GR Utrecht The Netherlands T +31 (0) Accreditation Accreditation has been granted by the Netherlands Society of Physical and Rehabilitation Medicine and the European Accreditation Council for Continuing Medical Education (EACCME). Preface It is not a coincidence that cooperation has been chosen as this year s congress theme. The field of Physical Medicine and Rehabilitation has entered an exciting time of growth and development in which cooperation plays a major role. Cooperation takes place at different levels, starting with the interaction between colleagues on the primary care process as well as inter-institutional collaboration on research and education and national and international alliances. In the clinical realm, rehabilitation physicians have increasingly incorporated the use of new treatment methods to complement traditional medical and surgical techniques. Moreover, the team-oriented approach that is at the core of rehabilitation medicine has resulted in enhanced collaboration with multiple other specialties, such as orthopaedic surgery, neurosurgery, traumatology, neurology, internal medicine, and paediatrics. The members of our society are active in these areas of clinical care, and are helping to lead the way in advancing our specialty internationally. Every kind of peaceful cooperation among men is primarily based on mutual trust and only secondarily on institutions. (Albert Einstein) At the educational level, our residency program provides a breadth and depth of training that is exceptional in the international scene. The development of fellowship programs for our graduating residents on the field of paediatric physiatry has opened the door for expansion towards other areas of our specialty. A closer cooperation between university hospitals throughout the country should lead to a new and stronger post-residence structure. The scientific basis of Rehabilitation Medicine continues to expand, and the corps of professors is playing an active role in this progress in good collaboration with non-university centres. Research in rehabilitation prognosis, treatment effectiveness and recovery outcomes in different diagnostic groups are key areas of our focus and we anticipate synergy between our basic science and applied clinical research efforts will result in innovative therapies in the coming years. I am honored to have the opportunity to lead our society at this exciting time, and committed to continuing and expanding its reputation for excellence in all aspects of our mission. It is my sincere wish that this congress will contribute to the enhancement of our cooperation. Juan Martina, President VRA Preface 3

3 Thursday November 3rd Registration of the participants Opening congress ISPO s cooperation with NGO s with respect to Education Prof. J.H.B. Geertzen, MD PhD SPARCLE, a longitudinal study of the quality of life of European Study of children with cerebral palsy Prof. A. Colver, MD PhD Working together in geriatric rehabilitation Prof. W.P. Achterberg, MD PhD Poster presentations Friday November 4th Parallel sessions 2 2a Free papers 2b WS Building a successful collaboration: key ingredients. 2c MS Rehabilitation: a patient-physiatrist dyad... 2d WS Impairments in the rheumatic hand: more than joints! Coffee break Collaboration in education and training Prof. A.J.J.A. Scherpbier, MD PhD Role of patient organizations: a plea for cooperation Programme overview Visiting posters and lunch Mrs. E. Roetering- Van Geenhuizen Poster presentations Parallel sessions Visiting posters and lunch 1a Free Papers 1b MS Multidisciplinary treatment of ALS in The Netherlands Parallel sessions 3 1c M S M. Parkinson. History, organisation of care, rehabilitation, 3a Free Papers new medical and surgical treatments. 3b MS Physical testing and training in children with disabilities 1d WS Giving and receiving feedback, for AIOS and specialist 3c MS The Explicit-stroke programme: What is the X-factor of cooperation in a Multi centre trial? Copyright Össur, July 2011 Össur, your clinical partner in post-op treatment Strong in Cooperation Tea break General Assembly VRA Free time Dinner and entertainment *optional MS = Mini-symposium WS = Workshop 3d WS Communicating with caregivers/family of rehabilitation patients Awarding : best presentation and best poster Cooperation in Rehabilitation Medicine: obligation or opportunity? Prof. F. Nollet, MD PhD Closing of the VRA Annual Congress 5

4 Programme Thursday morning Programme Thursday Morning Opening Congress Professor J.H.B. Geertzen MD PhD ISPO s cooperation with NGO s with respect to Education Cooperation and collaboration is one of the main cultural components of the International Society for Prosthetics and Orthotics (ISPO). In the Netherlands more than 200 rehabilitation physicians are members of the Dutch ISPO but also of ISPO International. ISPO is a global multidisciplinary organization aiming to improve the quality of life for persons who may benefit from prosthetic, orthotic, mobility and assistive devices. Its members are all those professionals who are working in this field. For more than 40 years ISPO (through their National Societies) has provided an effective platform for the exchange and communication on all aspects of the science and practice associated with the provision of prosthetic and orthotic care and associated rehabilitation. ISPO has now more than 3000 members in over 90 countries. ISPO is a nonprofit organization in a special consultative status with the United Nations; has a special collaborative status with USAID and the WHO, and has relationships with many Non Governmental Organisations (NGO) like the International Committee of the Red Cross, Handicap International, Motivation, Cambodja Trust, The Nippon Foundation, Christian Blind Mission (CBM), etc. In addition, ISPO initiates consensus conferences, short courses etc to foster debate, exchange of information and cooperation, advance research and EBP and facilitate innovative and appropriate technology development. In the lecture the focus will be on cooperation with NGO s and international education. Jan Geertzen, rehabilitation physician, is a professor in Rehabilitation Medicine and chairman of the Department of Rehabilitation Medicine at the Center for Rehabilitation, University Medical Center Groningen and president of the International Society for Prosthetics and Orthotics Professor A. Colver MD PhD SPARCLE A longitudinal study of the quality of life of European Study of children with cerebral palsy The SPARCLE project explored the participation and subjective wellbeing of 800 children with cerebral palsy aged 8-12 years across 9 European Regions. Then we visited the young people again aged years. Children with cerebral palsy are used as exemplars of disabled children because they may have a range of impairments of movement, hearing and vision, intelligence and language; and there is a great range of severity. SPARCLE is an epidemiological study with pre-specified hypotheses, outcome measures and sampling procedures; set out in a published protocol. My talk will introduce the main concepts used which concern the social model of disability and domains of the International Classification of Functioning, Disability and Health. The results on the visits to 8-12 year olds are summarised in the handout. I shall only present some preliminary results from the visits to the year olds. I will then, as asked to do by the conference committee, discuss some of the challenges and solutions to setting up and managing a complex multi centre study. Allan Colver, Donald Court Professor of Community Child Health, Newcastle University, England Professor W.P. Achterberg MD PhD Working together in geriatric rehabilitation In the Dutch Health care system, geriatric rehabilitation can be delivered at several settings. Rehabilitation centers deliver excellent rehabilitation care, on a basis of high intensity treatment. Geriatric rehabilitation in the Netherlands is a typical long-term care reimbursement system. Unlike nursing homes in most other countries, these facilities have excellent trained staff, including specially trained physicians, psychologists, and physical, speech and occupational therapists. Almost patients each year have their rehabilitation in these facilities. In this lecture, I will focus on: 1 - present data on the epidemiology of geriatric rehabilitation in nursing homes. 2 - the innovative process, in which the nursing homes are encouraged to improve rehabilitation outcomes, in cooperation with rehabilitation physicians, hospital and health insurance companies. This innovative process is called: Proeftuin (experimental rehab garden) 3 - the cooperation between physicians working in the nursing home and the rehabilitation center Remodelling organizing geriatric rehabilitation in the Netherlands is necessary to improve integrated care and patient outcomes. Cooperation between physicians working in rehabilitation and in nursing homes is not only relevant but also imperative. Wilco Achterberg is professor of institutional care and elderly care medicine at Leiden University Medical Center, the Netherlands and Nursing home physician at Topaz Overrhyn, Leiden. Programme Thursday morning 6 7

5 Programme Thursday morning Programme Thursday morning, poster presentations 01 Supramalleolar orthoses improve standing and walking skills in 09 Restore4stroke: a comprehensive rehabilitation research children with pes planus and reported difficulties in motor skills. program into successful social reintegration of patients W.J. Achterberg with stroke and their partners. C.M. van Heugten 02 Computerized aiming task to assess sensorimotor impairment 10 Evaluating gait adaptability in adolescents with CP - A level in subacute stroke. J.M.Y. van den Borne treadmill approach. M. Hoesl 03 Goal attainment scaling as a person-centered outcome in 11 Influence of Environmental Factors on Prosthetic Use in Transtibial adult outpatient spasticity management services. J.F. Braam and Through Knee Amputees: A Cross-Sectional Study. A.F. ten Hoff 04 Health issues in adults with cerebral palsy; a 10-year follow-up. 12 The diagnostic accuracy of range of motion measurements in R.J. Brandwijk early symptomatic hip and/or knee osteoarthritis: results from the CHECK cohort. J.F.M. Holla 05 Nutritional status of adult men with Duchenne Muscular Dystrophy. T.A.J. de Brouwer 13 Assessment of physical activity by movement registration systems in chronic pain. I.P.J. Huijnen 06 Oral motor dysfunction in young children with cerebral palsy (CP). M.P. van Disseldorp-Voorendt 14 Coping style predicts depression, high burden and life dissatisfaction in carers of patients with a subarachnoid 07 Development of arm hand skilled performance up to 5 years hemorrhage. E.A.C. Jacobs after inpatient rehabilitation in persons with a cervical spinal cord injury. A.C. Franke 15 Self-management ideals in action in a local pulmonary 16 Steps to follow and obstacles to avoid in training functional walking ability: from technological innovation to clinical application. M.W. Kerste 17 Identification of phenotypes with different clinical outcomes in knee osteoarthritis: data from the Osteoarthritis Initiative. J. Knoop 18 Prevention and treatment of hand oedema after stroke. S.P.M. Kuppens 19 The impact of moving visual surroundings on walking stability and risk of falling. A. Mert 20 (Cost-)effectiveness of PREPARE (PRe-PAin REhabilition), a Motivational interviewing (MI)-based nurse-led intervention in patients with chronic musculoskeletal pain; design of a RCT. V.C. Mertens 21 How to enhance application of available evidence to local practices? Stroke rehabilitation as an illustrative example. C.S. Nanninga 22 Robot-assisted Treadmill Training During Rehabilitation of Stroke Patients. M.P.M. van Nunen Programme Thursday afternoon Visiting posters and lunch Parallel sessions 1 1a. Free Papers 1 Offloading efficacy of custom-made footwear in diabetic patients with foot deformity. M.L.J. Arts 2 Foot pressure optimization and preservation in newly prescribed custom-made footwear in diabetic patients with a history of plantar ulceration. R. Waaijman 3 Discrimination between the neural and non-neural origin of increased joint stiffness of the ankle in cerebral palsy. K.L. de Gooijer-van de Groep 4 The relation between gait stability and economy in hemiparetic gait. H. Houdijk 5 Falls prevention for people with stroke: a pilot study on the feasibility and effectiveness of the adapted Nijmegen Falls Programme Thursday afternoon 8 08 Reconstructive surgery of the hand in patients with unilateral spasticity: are the patients satisfied? C.C. van Hagen rehabilitation setting: an ethnographic study. F.F.I. Jansma The researcher will announce the poster in a 1 minute presentation. They have been requested to introduce themselves and to present the main message of the poster. During the lunch participants of the congress will visit the posters which are placed in the hall. Each researcher prepares a 2-3 minutes presentation to inform interested participants. Prevention Program. H.J.R. van Duijnhoven 6 The effect of C-Mill therapy on gait adaptability in chronic stroke patients: a proof of concept study. J.H.M.Heeren 9

6 Programme Thursday afternoon 1b. Mini-symposium: Multidisciplinary treatment of ALS in The Netherlands H.J. Schelhaas MD PhD, R.O. van Vliet MD, P.J. Wijkstra MD PhD, T.P.C. van Doormaal MD, E.T. Kruitwagen MD, J. Raaphorst MD Patients with amyotrophic lateral sclerosis have symptoms of progressive muscle weakness, disturbed speech, swallowing, siallorhoea, cramps, and in the terminal phase respiratory weakness. Subtle cognitive changes or even frontal temporal dementia may occur. The diagnosis is based on clinical features, disease progression and by exclusion of ALS mimics. The El Escorial diagnostic criteria are used in clinical trials and clinical practice. Multidisciplinary treatment aims at reduction of the different symptoms, to optimize quality of life from the patient and his system. Respiratory weakness is treatable by treating the symptoms of respiratory weakness and by non invasive ventilation (NIV) which improve both survival and quality of life. During the terminal phase palliative treatment pays attention to restlessness, anxiety, pain, and dyspnoea. The Prospective ALS study Netherlands (PAN) studies riskfactors for etiology and course in ALS. All items mentioned above will be highlighted during this meeting. 1c. Mini-symposium: M. Parkinson. History, organisation of care, rehabilitation, new medical and surgical treatments. Chair: R. Meijer BA MSc MD PhD E.C. Wolters MD PhD, E. Drossaer MD, M. Munneke PhD, J.I. Hoff MD PhD This is the first mini-symposium on Parkinson Disease at the VRA scientific meetings. PD as a diagnosis is known since 1817 when James Parkinson summarised the symptoms of paralysis agitans. In the last decades the focus is shifting from the motor symptoms to cognitive deficits. As soon as diagnosis is confirmed in hospital neurologist, physiatrist and parkinson nurse should make an analysis of the patient s clinical profile in accordance with the ICF. The Parkinson Net is an organisation of first line specialised therapists who deliver basic care according to professional standards. In case of complex problems and/or complex analysis and treatment a clinical rehabilitation will be given with a multidisciplinary analysis and treatment according to standards, which is only possible in a few highly specialised centres. The newest developments on Deep Brain Stimulation, Duodopa pump and Apomorfine pump show current possibilities and restrictions. 1d. Workshop: Giving and receiving feedback, for AIOS and specialist W.G.M. Bakx MD, A. van Meeteren MD, G.M. Rommers MD PhD Feedback turns out to be one of the most effective instruments to improve the learning process and achievements of AIOS. Furthermore feedback is highly valued by AIOS. The purpose of this workshop is to learn how to effectively give and receive constructive feedback by means of the rules of Pendleton: ask what went well, add your own observations (only strengths), ask what went less well (weaknesses) and what they would do differently next time, and again add your own observations and recommendations. By means of the Pendleton rules the AIOS becomes actively involved in and is put on to self reflection. The methodology is constructive en contributes to a positive training atmosphere. At first the workshop proposes a theoretical background, subsequently by means of short video films (situations in rehabilitation practice) you will learn to give and receive feedback by applying the Pendleton rules. Interactive workshop; maximum 25 participants Programme Thursday afternoon Tea break General Assembly VRA During the General Assembly, the Board will present the Mission and Vision of our society, anticipating the new strategy for the period The proposal for the budget 2012 will be presented. Several Sections will report on their activities and developments during this year.in addition, progress on specific items like DBC, Zichtbare Zorg and Revalidatie Kennisnet will be presented Free time Sportsbar (downstairs) is opened. Drinks are for your own account Dinner and social programme *optional Registration for the social programme is required. We invite you to join us for a predinner drink and buffet dinner. This will be accompanied by (music) entertainment Sportsbar (downstairs) is opened Drinks are for your own account. Programme Thursday afternoon 10 11

7 Specialist in: Gaan en staan waar je wilt Programme Friday Morning Parallel sessions 2 2a. Free papers 1 Sensibility of the stump in adults with an acquired upper extremity amputation. W. van Gils 2 Treatment for postpolio syndrome: results from a Cochrane Review. F.S. Koopman 3 Determining the Anaerobic Threshold in Patients with Postpoliomyelitis Syndrome. E.L. Voorn 4 The relationships between psychological factors and quality of life in patients with amyotrophic lateral sclerosis: a systematic review. A.C. van Groenestijn 5 The why, what and how of learning ability in brain injury rehabilitation: a clinicians view. H. Boosman 6 Memory self-efficacy training after stroke: predictors of success. E.M.P. van Loon 2b. Workshop: Building a successful collaboration: key ingredients. W. Raadgers MSc, R.F.A. Oosterwijk MD, F.B. van de Weg MD Consultants in physical medicine and rehabilitation are required to take part in quality audits once every 5 years. Key tool in assessing the effectiveness of medical practice is the Quick scan; a questionnaire designed to access the level of cooperation between professionals. A survey of results from the Quick scan shows that key factors requiring improvement are shared values and opinions with respect to responsibilities, open communication, and respect for each other. In an interactive workshop these and other critical factors elemental to optimal medical practice are discussed. Hindrances for an effective cooperation are discussed. This frequently requires thinking outside the box for the betterment of all. Cornerstones for a successful practice are openness, tolerance, trust and a lack of prejudice. This workshop can be useful for all M.D. s who are convinced that working together creates a synergy beneficial to both caregivers and patients. Programme Friday morning OIM heeft vestigingen in: 13

8 Programme Friday morning Programme Friday Morning 2c. Minisymposium: Rehabilitation: a patient-physiatrist dyad... H. Jans Msc, V. Mertens MSc and A.R.J. Sanders MD A decision to start rehabilitation treatment will be most effective when accomplished in mutual agreement between patient and physiatrist. But, how can we best discuss personalized treatment goals for every patient? During this mini symposium, the state of the art of Motivational Interviewing and Shared Decision Making will be presented. Theoretical backgrounds, results from scientific studies and knowledge out of clinical practice on both topics will be discussed. The application of both concepts in rehabilitation of patients with chronic pain will be of special interest. In addition, an interactive session in Motivational Interviewing will be part of this mini symposium. 2d. Workshop: Impairments in the rheumatic hand: more than joints! Chair: Prof. J. Dekker PhD, A.F. Hoeksma, MD PhD, N.C.A. Horsten MD, N.N. van Merendonk MD, V. van Alebeek BSc An interactive workshop in which we will start giving information concerning the course of deterioration of hand deformities in rheumatic diseases. After this, we will practice the physical examination of the hand (in subgroups of about 5 persons), in order to specify the different impairments that can lead to progressive hand deformities. In an interactive way we will have a plenary discussion about possible therapeutic options. Finally we can try out, in subgroups, a recently developed device for treatment: the E-cone. Interactive workshop; maximum 25 participants Coffee break Programme Friday morning Professor A.J.J.A. Scherpbier MD PhD Collaboration in education and training Most doctors will have to work nowadays together with other health professionals to solve the problems of their patients. When students enter medical school they are not always aware of the amount of collaboration in their later life. This means that they need to get in contact with doctors early in the curriculum and have early clinical experience to adjust their picture to a more real picture. They will experience then that collaboration is an important issue for later professional life. A consequence of the amount of collaboration in later life is that students have to learn how to work together. This can be done in curricula where working in small groups is a key element like in Problem Based Learning. As well undergraduate as postgraduate curriculum developers should pay enough attention to collaborative learning. From the viewpoint of a clinical discipline early contact with students is also important to give information about the discipline, this is crucial for disciplines that are not so well-known. Students choice for specialization is influenced by early contact with the discipline. The above mentioned issues will be discussed in the presentation. Albert Scherpbier is Professor of Quality Promotion in Medical Education and Scientific Director of the Education Institute of the Faculty of Health, Medicine and Life Sciences at the University Maastricht Mrs. E. Roetering- Van Geenhuizen Role of patient organizations: a plea for cooperation Policy makers in Dutch Healthcare use many nice slogans like More Power to the Patient or Patient centered healthcare. Also cooperation is an increasingly recurring theme. Politically, these are beautiful words and intentions, but implementation of it is more difficult than expected. Not every doctor, healthcare worker or scientist is willing to leave his own comfort zone or to allow others to enter in it. This requires a change in thinking, and this is a time consuming process. The fact that patients can think for themselves is difficult to accept for many of these healthcare workers. Luckily, more and more examples of projects show up in which it proves that working together with a patient group has its advantages. In recent years, many treatment protocols and guidelines were improved thanks to the experience, expertise and knowledge present in patients organizations. It proves that the combination of Expertise and Experience has additional value! The Pijn-Hoop Foundation was founded in 1988 with the mission to improve the quality of life for people with chronic pain. Many of the original wishes are not fulfilled yet. Chronic pain is still not accepted as an independent disorder and additional problems are still underestimated. Elly Roetering is president of Foundation Pain Hope, the Dutch organisation for people with chronic pain. Programme Friday morning 15

9 Programme Friday morning Programme Friday morning 01 Reach training with arm support to improve unsupported arm movements in chronic stroke. G.B. Prange 02 Adaptation strategies of the lower extremities of patients with a transtibial or transfemoral amputation during level walking: A systematic review. E.C. Prinsen 03 The effect of an ankle-foot orthosis with dorsiflexion-stop on gait analysis parameters, energy cost, and patient satisfaction in former polio patients with plantar flexor weakness. H.E Ploeger 04 A short sign language course for parents of children with motor disorders and language impairment improves communication. W.L. Roelofsen 05 The amount of bedside teaching of Specialist Registrars in Rehabilitation Medicine during hospital-ward consultations. G.M.Rommers 08 Potential effects of an increased aerobic capacity on walking effort and walking speed in lower limb amputees. D. Wezenberg. 09 Avoidance of activities in early symptomatic knee osteoarthritis: results from the CHECK cohort. J.F.M. Holla 10 Lower muscle strength is associated with self-reported knee instability in osteoarthritis of the knee: results from the AM-OA cohort. J. Knoop 11 Unchained - Delivering state of the art rehabilitation care for stroke patients of all ages through transmural collaboration. S.H. Berdenis van Berlekom Visiting posters and lunch Wittekamp & Broos Palmentuin KJ Rotterdam (IJsselmonde) Tel Fax BOTULINUM TOXINE TYPE A Wittekamp & Broos Dé Orthopedisch schoenspecialist van regio Rotterdam! Openingstijden: ma-vr 08:30-17:30 uur, za 08:30-16:00 uur Ankle-foot orthoses in stroke rehabilitation: what is the right timing? C.D.M. Simons 07 Responsiveness of the Child Health Questionnaire Parent Form in adolescents with nonspecific chronic pain or fatigue. T. Westendorp BOTULINUM BOTULINUM TOXINE TOXINE TYPE A

10 Programme Friday afternoon Programme Friday afternoon Parallel sessions 3 3a. Free Papers 1 Handwriting difficulties in juvenile idiopathic arthritis: a pilot study. H. Haberfehlner 2 Predictors of outcome of multidisciplinary treatment in patients with chronic wide spread pain: an observational study. A. de Rooij 3 Factors influencing the use of ankle foot orthoses in boys with Duchenne Muscular Dystrophy. A.J.M. Schreven 4 Gluteal Blood Flow and Oxygenation During Pressure Relief Movements and Muscle Activation in Wheelchair Users. T.W.J. Janssen 5 Power assisted wheelchair propulsion affected shoulder load. M.G.M. Kloosterman 6 A systematic review of unilateral versus bilateral upper limb training after stroke. A.E.Q. van Delden 3b. Mini-symposium: Physical testing and training in children with disabilities Chair: M. Schoenmakers PhD J. de Groot PhD, M. Jansen MSc, O. Verschuren PhD, E. Bolster MPPT, E. Ramaeckers PhD Physical fitness is important for all children, including children with disabilities. This mini-symposium demonstrates the state of the art on testing and training principles for children with disabilities. These issues have become increasingly important in the last decade. The one size fits all principle is outdated and specific testing and training programs have been developed for several childhood conditions. The presenters will inform you about their experiences in finding out the best testing and training methodologies for these children. This program is developed in cooperation with the Dutch Paediatric Physical Therapy Association. 3c. Mini-symposium: The Explicit-stroke programme: What is the X-factor of cooperation in a Multi centre trial? Prof. G. Kwakkel PhD, Prof J.H. Arendzen, MD PhD, R.H.M. Nijland MSc, J.van Kordelaar MSc, F.E. Buma MSc, C.D. Bakker MD MSc, J.M. van der Krogt MD, A. Klomp MSc In this mini-symposium three aspects of cooperation in the large multicentre Explicit-stroke trial will be addressed. This symposium will start by unveiling some aspects of interventions (Constraint Induced Movement Therapy and EMG triggered neuromuscular stimulation) as applies in the trial and on patients experience during the trial. Next, the researchers will shed light on translational research: how to measure longitudinally from function (fmri, TMS, neuromechanics) to activities and participation (kinematics and clinimetrics). The last part of the session will focus on multi-disciplinary use of prediction models and the accuracy of predictions on outcome in terms of upper limb function, made by therapists. 3d Workshop: Communicating with caregivers/family of rehabilitation patients Chair: C. Linssen MSc Caregivers of rehabilitation patients require time, energy and creativity. Often they are very concerned of the patient but they also have their own needs and preferences. Sometimes these seem to clash with needs and preferences of the patient. Caregivers in some instances display extreme behavior, out of powerlessness and a need to act. The healthcare professional may find this behavior a challenge. Tensions may occur between patients and caregivers, but also between caregivers and healthcare professionals. Cilia Linssen wrote a book about behavioral patterns that may occur in the triangle patient/doctor/caregiver. ( Onmacht en Daadkracht Bohn Stafleu van Loghum, 2010). In this workshop she will give a presentation on these patterns, specifically aiming at the rehabilitation specialist. Additionally cases of the audience will be illustrated by actors. Participants will receive practical tips and tricks to deal with caregivers. Cilia Linssen is trainer, coach and consultant in healthcare. She provides training in teambuilding, communication and collaboration for physicians, nurses and multidisciplinary teams. Programme Friday afternoon Interactive workshop; maximum 25 participants 18 19

11 Programme Friday afternoon Programme Friday afternoon Awarding : best presentation and best poster Professor F. Nollet MD PhD Cooperation in Rehabilitation Medicine: obligation or opportunity? Physicians used to be vain individualists with a high perception of autonomy. As they ruled over the health of helpless patients they mainly cooperated by ordinance. Only some decades ago specialists were undiscussed authorities, and heads of staff emperors defending their territories. Coming from this cultural background, things have changed rapidly in recent years and nowadays, cooperation is an inevitable part of medical care. But do doctors really want to cooperate or are echoes of the past still influencing our attitude and behaviour? In quality audits of medical staffs cooperation is a major issue. Of course, difficulties in cooperation occur. Everyone knows disastrous examples of cooperation with patients, between doctors and in teams. However, this applies to others and not us. Is this a lack of illness perception? How do we work together in patient care, in research and in education for the specialty? Some areas of cooperation are battle fields at best characterized by a truce. A confronting analysis will be made of the present status of cooperation in rehabilitation medicine in the arena s of patient care, research, and education. Primary targets for improvement of our field by cooperation will be denominated. Achievement requires individual responsibility and (painful) decisions. Frans Nollet, rehabilitation physician, is professor in Rehabilitation Medicine, and head of the department of Rehabilitation of the Academic Medical Centre, University of Amsterdam Closing of the VRA Annual Congress Tom heeft net z n nieuwe schoenen van Livit. Hij kan nu echt uren buitenspelen. Livit Orthopedie is sinds 1926 de specialist in Nederland voor orthopedische hulpmiddelen. En om een betrouwbare partner te kunnen blijven, ontwikkelen wij voortdurend onze expertise. Zo bieden wij vooruitstrevende voetzorg met gegarandeerde korte levertijden. Het afleveren van orthopedische schoenen duurt bij Livit nog slechts 3 weken. Daardoor kan Tom al snel weer uren buitenspelen. Wilt u meer weten over onze vooruitstrevende voetoplossingen? Bezoek dan onze stand op het VRA Jaarcongres of neem een kijkje op onze geheel vernieuwde website

12 General information Accreditation Accreditation has been granted by the Netherlands Society of Physical and Rehabilitation Medicine and the European Accreditation Council for Continuing Medical Education (EACCME). Registration Registration is only possible via the VRA website: You will receive a confirmation of your registration by . The applicable registration fee needs to be paid directly after your registration. From that moment on you are registered and obligated to pay the mentioned registration fee. Cancellation policy is stated below. Registration fees (prices are including VAT) Registration and payment received before October 2nd Social Programme On Thursday, 3rd of November, we invite you to join us for a predinner drink followed by a buffet dinner and (music) entertainment. Payment Your payment for the congress (and social programme) should be made by I-DEAL together with your registration. In case of separate payment please mention your BIG-number or name. For participants from abroad please pay by bank transfer in time but no later than October 24th to: Account nr. Rabobank , Treasurer VRA, Utrecht, The Netherlands IBAN nr: NL03RABO BIC/ Swift nr: RABONL2U Registration and payment received after October 2nd On-site registration and payment Social programme Social programme: payment on-site VRA member 100,- 125,- 150,- 90,- 100,- Non-VRA member 200,- 225,- 250,- 90,- 100,- AIOS / trainees 50,- 75,- 100,- 60,- 75,- Please mention your surname and Participation VRA annual congress We will not send you an invoice. On-site registration is possible during the conference. Payment can be made only in cash. Cancellation Up to October 8th, 2011: full refunds minus administration costs 25,00 After October 8th, 2011: no refund Cancellation/substitution after registration confirmation will be accepted only by to In case of substitution please forward the personal data of your substitute. Hotel accommodation We are pleased to offer you special conference prices at Regardz Hotel Heerlickheijd van Ermelo. Single room 130,00 per night including breakfast, double room 155,00 per night including breakfast. Prices are including VAT but excluding tourist tax of 0,81 p.p.p.n. When you make reservations through please mention: 1 Single or double room 2 Name (in case of a double or triple room, please give all names) 3 Number of nights and dates of your stay 4 Smoking/non-smoking Within one week after reservation you will receive confirmation of your reservation. When the Heerlickheijd is fully booked, we can offer you a stay at the Hotel van der Valk at Harderwijk. Special conference price: Single room 125,00 per night including breakfast. Double room 150,00 per night including breakfast. Triple room 187,50 per night including breakfast. Prices are including VAT but excluding tourist tax of 0,81 p.p.p.n. For other hotels check General information Retired member 50,- 75,- 100,- 90,- 100,- Speakers participating in the congress are obliged to register. For special tariffs check VRA has an option on all 127 hotel rooms of the Heerlickheijd for Thursday November 3rd. After your stay you will have to pay the costs directly to the hotel

13 De zorgwereld verandert onder onze voeten. Van patiënt, naar client, naar zorgconsument. Welke ontwikkelingen vraagt dit binnen de gezondheidszorg en wat verandert er voor zorgverleners? Waar staan we nu en wat brengt de toekomst Locatie Hotel de Cantharel in het auditorium de Hoge Veluwe, Apeldoorn Sprekers o.a. Tom van t Hek (Dagvoorzitter en spreker) - Adjiedj Bakas (Trendwatcher) - Jaap van Netten (Postdoc researcher) - Huub van der Heide (Orthopedisch chirurg) - Annet van Kuijk (Kinderrevalidatiearts) - Sicco Bus (Bewegingswetenschapper) - Ingrid Ruys (Podotherapeut) Accreditatie is aangevraagd Samenwerkingsverband tussen Buchrnhornen, Hanssen Footcare, OIM Orthopedie en Penders Voetzorg inschrijving via

EUROPEAN BOARD OF PHYSICAL AND REHABILITATION MEDICINE LOGBOOK EUROPEAN UNION OF MEDICAL SPECIALISTS UEMS

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