Program at a glance

Program Main Conference

Abstracts

The abstracts are published in Gait and Posture Volume 57 Supplement 1. This issue will be distributed among the participants during registration and can also be found following this link

All abstracts are also available on the abstract app for android phones: Search for ESMAC2017

Unfortunately due to issues with the app-store, the abstracts are not easily reachable for iOS.

 

All submitted abstracts can also be found here (PDF) 

Pre conference - Seminars

Seminar 1: Body worn sensors 

Tuesday September 5 (morning; 09-12h)

Faculty: 

  • Dr. Ellen Marie Bardal, NTNU Trondheim Norway
  • Dr. Kerstin Bach, Department of Computer Science, NTNU.
  • Dr. Paul Jarle Mork, Department of Public Health Nursing, NTNU 

The aim of this seminar is to show the possibilities and limitations of body worn sensors in clinical settings. The use of body worn sensors (e.g. activity monitors) has greatly increased in popularity in the last decade, with assessment of physical activity level as the main area of application. However, the rapidly developing field of sensor technology is constantly providing improved sensors and data models which open for new areas of application and population-tailored analysis. In the future, body worn sensors may provide a robust tool for identification of function and behavior outside the laboratory (e.g. gait characteristics and energy cost of bipedal activities in daily life). The seminar will give an overview on the technical aspects, possibilities and limitations of the use of body worn sensors. Moreover, the seminar will discuss the application of those sensors in clinical practice, like clinical decision making and patient monitoring. Furthermore, examples of sensors, signals and applications will be demonstrated.    

Seminar 2: Stability in Gait

 Tuesday Sept 5 (afternoon; 13-16)

Faculty: 

  • Dr. Espen Ihlen, NTNU Trondheim Norway 
  • Dr. Sjoerd de Bruijn, VUA Amsterdam Netherlands
  • Dr. Ann Hallemans, University of Antwerp, Belgium

The aim of this seminar is to introduce the concept gait stability, as well as different gait stability measures and their possibilities and limitations in clinical research. Gait stability is a concept that is important in the research of gait function in different patient groups. Proper assessment of gait stability may improve diagnostic tools, and may lead to more adequate evaluation of treatment outcomes. However, multiple methods to assess gait stability exist. All of these analyses have pros and cons, which one should be aware of before applying them in clinical research settings. This seminar will focus on the use of different gait stability measures, like the extrapolated center-of-mass, local dynamic stability, and variability in foot placement. The seminar will include demonstrations of stability analyses for data from body worn sensors and 3D motion capture systems, and will also include examples of applications in clinical research.

Seminar 3: Muscle structure in neurological diseases 

Wednesday September 6, morning (09-12h)

Faculty: 

  • Kaat Desloovere, Lynn Bar-On, Simon Schless. Clinical Motion Analysis Laboratory Pellenberg, KU Leuven, Belgium
  • Adam Shortland. One Small Step Gait Laboratory, Evelina London Children's Hospital, UK
  • Helga Haberfehlner. Move, VU Medical Center, Amsterdam, The Netherlands

Muscles are one of the most plastic tissues in the body, adapting to various negative and positive stimuli such as disuse and increased activity. Hence, patients with neuromuscular diseases, such as cerebral palsy and stroke, experience significant alterations in soft tissue structures within the muscle and tendon unit. The clinical picture of these muscular impairments involves spasticity, increased stiffness, and weakness, resulting in pathological gait and gross motor function, for which many treatment modalities have been well-established. Although the injury associated with neuromuscular diseases frequently occurs in the brain, the majority of treatments (such as muscle strengthening, stretching and selective tone reduction) are directed at the muscle. Recent investigations highlighted that muscle volume, muscle fascicle architecture and tendon properties are all responsive to treatment, but treatment response seems to be muscle and patient-specific. Therefore, objective clinical tools and evaluation protocols to assess morphological muscle and tendon properties should be implemented in routine clinical practice. This is needed to guide patient-specific selection of appropriate, rationalized treatment choices and to determine the impact of these treatments on the morphological muscle and tendon properties, the muscular impairment (spasticity, stiffness, and weakness) and function in children with CP. 
The goal of the seminar is to present an evaluation protocol to define morphological muscle properties, based on an integrated measurement system that creates a 3D reconstruction of the muscle and tendon, and that is simple and safe to be used in a clinical setting for different lower limb muscles and to highlight how this evaluation protocol can be used in the clinical decision making and treatment management. Special focus will be on the effect of different treatment modalities on the morphological muscle and tendon properties and on the relation of morphological muscle and tendon properties with the clinical symptoms (muscle stiffness, spasticity and weakness, as well as gait pathology and altered gross motor function).

Seminar 4:  Neuromechanics of human movement

Wednesday September 6 (afternoon)

Faculty:

  • Dario Farina, Department of Bioengineering, Imperial College London, United Kingdom
  • José L. Pons, Neural Rehabilitation Group, Cajal Institute, Spanish National Research Council, Spain
  • Marjolein van der Krogt, Department of Rehabilitation Medicine, VU University Medical Center, Netherlands
  • Manish Sreenivasa, Optimization in Robotics & Biomechanics, IWR, Heidelberg University, Germany

The neuromechanics approach to the study of human movements involves an interdisciplinary combination of methods and knowledge from neuroscience, biomechanics and robotics. Here, the focus is on modeling and experimental methods that study the combined dynamics of the neural and biomechanical systems, as well as the influences coming from the environment in which we move. Beyond basic research interest, a deeper – neuromechanical - understanding of movement can be applied in the clinical context to help with patient care, as well as for the development of personalized wearable technologies to augment or restore the motor capabilities of impaired individuals.

This seminar will feature a series of short talks followed by a discussion round, and will provide an overview of research in neurophysiology, biomechanics and robotics. The topics dealt with would be of interest to a broad audience ranging from clinical researchers to medical specialists.

Pre conference - Gait course

September 4-6th, 2017

Aims

  • Multi-disciplinary appropriate
  • Provide a structure for setting up robust local practices
  • Provide a framework for critical evaluation of gait data collection, processing and interpretation processes

Learning objectives

  • Understand normal gait
  • Understand the impact of pathological gait on individuals
  • Understand what constitutes high quality, accurate data collection and have a framework to evaluate local data collection procedures
  • Understand principles behind data processing/manipulation and have a framework to evaluate local data processing procedures
  • Understand principles of interpreting data including critical evaluation of data and integrating data from different sources
  • Using gait data in clinical management of patients 

Planning committee

  • Julie Stebbins
  • Martin Gough

Teachers

Neil Postans Jaap Buurke | Han Houdijk | Sebastian Wolf | Kaat Deslovere | Martin Gough | Adam Shortland | Andrew Roberts | Julie Stebbins | More information about our teachers

Content

Monday September 4th Tuesday September 5th Wednesday September 6th
Introduction to Gait Analysis Quiz/re-cap Day 1 Quiz/re-cap Day 2
Normal gait Clinical Examination  Integrating data
Musculo-skeletal requirements for gait Video assessment  Interpreting Data - principles
Neurological requirements for gait Kinematics during gait Communicating gait data
Cognitive requirements for gait Kinetics during gait 
Break Break Break
Development of normal walking across the lifespan EMG during gait Case examples
Pathological development of walking across the life span Evaluating validity of data
Case study (review effect of pathology on development of walking Quality Assurance
Lunch Lunch Lunch
From markers to models Practical sessions Case examples
Critical review of descriptions of motion
  • Marker placement
Case study (example of critically analysing data)
  • EMG placement
Break
  • Trouble shooting data
Break
Fundamentals of mechanics
  • Setting up a gait lab
Case examples
Application of mechanics Final comments
Q&A session Q&A session

 

 

Keynote speakers

Baumann lecture

 

Prof. Eva Broström, Karolinska Institute, Stockholm

Is patient reported outcome enough? Do we need functional assessment?

WomanEva Weidenhielm Broström was educated in physical therapy. Her PhD described disease consequences and treatment effects on muscle strength, gait and pain in children with juvenile idiopathic arthritis. Her primary interest is in developing valid and reliable experimental methods, and she currently supervises several projects concerning validity and reliability. Musculoskeletal injuries and diseases are very common. One major difficulty in evaluating the effect of different treatments is that we don´t have validated and reliable methods that allow us to evaluate and compare various treatment of musculoskeletal injuries and diseases. Weidenhielm Broström's research has focused on development and evaluation of such methods.  
She works in an integrated multidisciplinary framework to unravel the interaction between impairments and function, such as pathological gait, thereby supporting clinical decision-making. She is the research leader for motion analysis and the pediatric orthopedic group at the Karolinska Institute and acting head of Neuro Pediatric, Pediatric Orthopedic and Pediatric Rheumatology at Karolinska University Hospital, Stockholm. Weidenhielm Broström did a postdoc as a visiting professor at The Harris Orthopedic Biomechanical Laboratory, Dep. of Orthop, Massachusetts General Hospital and Harvard Medical School Boston, USA. 
She is a board member in the European Society of Movement Analysis for Adults and Children (ESMAC), Handfast AB, and at BioMEx, a competence center for biomechanics. More information about Eva Broström


Keynote lectures
 

Prof. Freeman Miller, University of Delaware

Towards better scientific evidence

Dr. Freeman Miller is an orthopedic surgeon, with special expertise in neuro-orthopedics. He is director at the Cerebral Palsy Program and clinical director of the Gait Analysis Laboratory of the Al duPont Hospital for Children in Wilmington, Delaware. He is currently Adjunct Associate Professor at the University of Delaware, and received many Awards and Honors. He is past president of North American Society of Gait & Clinical Movement Analysis, past editor-in-chief for Gait and Posture, guest lecturer at hundreds of national and international events, and is currently editorial board member for Gait and Posture, Journal of Children’s Orthopedics and Journal of Pediatric Rehabilitation. His research interest is on the treatment management of children with cerebral palsy. He is author of different books on cerebral palsy and of 180 publications in peer-reviewed journals, mostly on the topic related to management of children with cerebral palsy. More information about Freeman Miller 
 

Dr. Jonathan Whitlock, NTNU, Norway 

Neural coding of 3D posture and movement in freely behaving rodents (PDF)

Jonathan Whitlock was a graduate student of Mark Bear, first at Brown University, then MIT, studying the effects of single-trial learning on synaptic connections in the hippocampus in rats. In 2007, Whitlock took a post-doctoral position with Nobel laureates Edvard and May-Britt Moser in Trondheim, Norway, comparing navigational representations across parietal and entorhinal cortices in freely-behaving rats. Dr. Whitlock now has his own group at the Kavli Institute under the auspices of a recently awarded ERC starting grant, with a focus on unraveling the neural circuits involved in action-planning and action understanding. More information about Jonathan Whitlock
 

Prof. Walter Herzog, Canada 

Basic Muscle Mechanics: from single Sarcomeres to Whole Muscle Function in Health and Disease (PDF)

ManDr. Herzog did his undergraduate training in Physical Education at the Federal Technical Institute in Zurich, Switzerland (1979), completed his doctoral research in biomechanics at the University of Iowa (USA) in 1985, and completed postdoctoral fellowships in Neuroscience and Biomechanics in Calgary, Canada in 1987. Currently, Dr. Herzog is a Professor of Biomechanics with appointments in Kinesiology, Medicine, Engineering, and Veterinary Medicine, holds the Canada Research Chair for Cellular and Molecular Biomechanics, and is appointed the Killam Memorial Chair for Inter-Disciplinary Research at the University of Calgary.  His research interests are in musculoskeletal biomechanics with emphasis on mechanisms of muscle contraction and the biomechanics of joints with focus on mechanisms of onset and progression of osteoarthritis. Dr. Herzog is the recipient of the Borelli Award from the American Society of Biomechanics, the Career Award from the Canadian Society for Biomechanics and is the past president of the International, American and Canadian Societies for Biomechanics and was recently inducted into the Royal Society of Canada. More information about Walter Herzog

New this year: Evidence based clinical reasoning in clinical motion analysis

This year, a novel session with a strong clinical focus will be introduced. The session will be allocated to clinical reasoning, triggered by clinical cases that are focused on a specific pathology or motor problem and/or focused on an uncommon clinically relevant assessment approach (innovative technology/method/reporting). These cases will include patient specific data, but should also be supported by a literature review, to ensure a framework of evidence based clinical reasoning. 

To encourage the submission of strong cases, there will be a special Award for the best clinical case. This award will lead to an ESMAC review paper in Gait & Posture, in which the clinical case can be used as a trigger for a review paper on a clinically relevant question in human movement analysis.

This clinical forum will be introduced by the keynote lecture of Prof. Freeman Miller.

Social programme

Welcome to Trondheim!

Wednesday September 6

At 19.30, Trondheim municipality invites you to an organ concert in Nidaros Cathedral, the world’s northernmost medieval cathedral and Norway’s national sanctuary.

The Cathedral is the grave church of St. Olav, the patron Saint of Norway. In addition to it now being one of Europe’s major historical pilgrim destinations, coronations and royal blessings take place in the church. 

After the concert, we walk to The Archbishop's Palace where we will have the welcome reception. The work of the palace began in the second half of the 12th century and it is today one of the best preserved buildings of its kind in Europe. The Archbishop Palace has been both the residence of the most powerful men in Norway and a military installation.  

Friday September 8

Conference dinner

The conference dinner will be held at Clarion Hotel and Congress, the same venue as the conference, on Friday evening. After a nice dinner, it will be possible to conquer the dance floor.