The Ronnie Gardiner Method
RGM is a novel rhythm- and music-based rehabilitation method that has been used within Swedish healthcare and rehabilitation since 1993, with international dissemination since 2009. The Ronnie Gardiner Method (RGM) is a structured, multimodal and multi-sensory exercise method which combines movement and cognitive challenge in a playful way in order to improve cognitive functions like concentration, coordination, and memory. It also enhances postural control, energy, motivation and lifts the mood. The RGM is built on the scientific principles of motor control, motor learning, postural control, and neuroplasticity, including new ideas of enriched environment. The method is used to address many conditions such as Parkinson’s disease, MS, stroke, acquired brain injury, children with reading and learning difficulties and also as an activity to enhance healthy aging. For 20 minutes Ronnie Gardiner (aged 86) will give you a taste of his method, shows you what a drummers mind can mean for rehabilitation. Delegates with interest in more background information, possible applications and effects for the various target groups are most welcome to participate in the RGM-workshop, also scheduled for Thursday.
Ronnie Gardiner is a professional jazz drummer who lives in Stockholm, Sweden. He has played worldwide with musicians like Dizzy Gillespie, Gerry Mulligan and Dexter Gordon and has more than 85 recordings to his name. Even now, at the age of 86, he still performs with the best Swedish jazz musicians. In the late 1990’s he decided to use his talents as professional drummer for healthcare and in a period of 10 years he created what is now called the Ronnie Gardiner Method (RGM). Since 2000 the method is being used for different target groups both in healthcare as in education. Ronnie has been further improving RGM ever since and still teaches RGM in a growing number of countries. In 2001, he was the first American to be honored with the Swedish Saint Erik’s medal, and in May 2015 he received the Swedish Mensa award for the development of his method and contribution to healthcare. Ronnie Gardiner has been training therapists since 2000 and has presented countless workshops around the world.
Prof. Andrea Maier MD PhD
Micro-rehabilitation to maximize healthspan
Biological processes that contribute to aging and accompanied deteriorating health are being increasingly understood and have been summarized as nine overarching hallmarks of ageing (genomics instability, telomere attrition, epigenetic changes, loss of proteostasis, deregulated nutrient sensing, mitochondrial dysfunction, cellular senescence, altered intercellular communication, stem cell exhaustion). The aging process occurs gradually, is highly individual, with a high degree of inter and intra-individual differences, which are predominantly based on genetic and environmental factors. As such, within an aging population there is significant variation in regards to the extent of age related disease and functional impairment, which can be captured by the term ‘biological age’. Biogerontological interventions aim to target the biological age i.e. an individual’s pathophysiological processes, to prevent age related diseases and promote the healthspan.
Prof. Andrea Maier (1978) graduated in Medicine at the Medical University Lübeck (Germany) in 2003 and registered as a specialist Internal Medicine-Geriatrician at the Leiden University Medical Centre (The Netherlands) in 2009. Her research is driven by her passion to unravel ageing mechanisms and the interaction of ageing and age-related diseases, with a particular focus on sarcopenia. In 2013, she was appointed as full Professor of Gerontology at the VU University, Amsterdam Movement Sciences (The Netherlands), . Since February 2016 she is Divisional Director of Medicine and Community Care at the Royal Melbourne Hospital and Professor of Medicine and Aged Care at the University of Melbourne (Australia). During the last 8 years she conducted several national and European observational studies as well as clinical trials and published more than 180 peer reviewed articles in international journals. Her innovative, multidisciplinary @Age research team works in the Netherlands (@AgeAmsterdam) and in Australia (@AgeMelbourne). She is an invited member of several international research and health policy committees to eventually increase the visibility, quality and quantity of ageing research.
Rienk Dekker MD PhD
Physical Activity in Rehabilitation: the ultimate medicine?
“Sitting is the new smoking”
“Physical inactivity is the 4th leading risk factor for death, worldwide”
“The lack of exercise is a serious public health concern for all people”
These quotes are familiar to most of us: a healthy life style is important for instance in the prevention of (cardio)vascular diseases and is considered by some as a crucial element of health(care). Nearly every journal or magazine, whether it is of a scientific or of a layman’s background, publishes information on this topic. If we consider physical activity to be an important, scientifically proven, cheap and easy accessible medicine, then it is surprising and very disappointing that this therapy is not broadly applied in our medical practice. In the presentation, reasons for this default will be explained. The focus of the lecture will be on the opportunities to apply the principles of an active lifestyle in the rehabilitation treatment. Even when resources are limited, easy accessible ways to implement physical activity in every phase of the rehabilitation of our patients are within reach and will be discussed. Implementation is possible, for instance, by applying testing and training protocols, as well as by using scientifically substantiated methods to motivate and encourage patients to become and, even more importantly, stay physically active after having ended the rehabilitation treatment. Through illustrating the background and the considerations concerning the application of physical activity, the presentation aims to motivate and encourage the use of this treatment option in rehabilitation.
Rienk Dekker is a consultant in rehabilitation medicine and an associate professor in the Department of Rehabilitation Medicine of the University Medical Center Groningen, the Netherlands. In the field of scientific research, education and patient care he focuses on physical activity, sports and rehabilitation. In the context of research he delivered his PhD in 2004, has published over 65 peer-reviewed international (co-)authored articles on this subject and is involved in a number of related PhD-projects. He succeeded in acquiring relevant grants to facilitate research in this field. As a principal investigator and rehabilitation physician he aims to implement the principles of an active life style in preferably all rehabilitation treatments as a means to enhance the outcome of the rehabilitation process. For that purpose, in close collaboration with a number of (research) partners, he is committed to develop several initiatives. Starting up a network of rehabilitation physicians working in the field of exercise, developing protocols for enhancing physical fitness, defining performance indicators, delivering presentations on the topic and setting up specific training options for personnel are some examples of these initiatives.
Prof. Mark Nash MD PhD
Cardiometabolic Disease Management Following Spinal Cord Injury: Exercise and Nutritional Imperatives
People sustaining spinal cord injuries (SCI) frequently experience component and coalesced health risks of the cardiometabolic syndrome (CMS). The CMS hazards of overweight/obesity, insulin resistance, hypertension, and dyslipidemia - the latter as depressed high-density lipoprotein cholesterol and elevated triglycerides - are strongly associated with physical deconditioning, which is common after SCI and worsens the prognosis for all-cause cardiovascular disease occurring early after injury. Evidence supports a role for physical activity after SCI as an effective countermeasure to these risks, and often represents the first-line approach to CMS abatement. This evidence is supported by authoritative guidelines that recommend specific activities, frequencies, and activities of work. In many cases, the most effective exercise programming uses a combination of resistance and endurance maneuvers with limited rest taken between sets. As SCI is also associated with food intake that is excessive in calories and saturated fat, more comprehensive lifestyle intervention incorporating both exercise and nutritional modification represents a favored approach for overall health management. Irrespective of the interventional strategy, improved surveillance of the population for CMS risks and encouraged incorporation of moderate exercise and nutritional intake by health care professionals may play an important role in preservation of activity, optimal health, and preserved independence throughout the lifespan. The presentation will focus on best practice solutions for exercise deconditioning and imprudent nutrition after SCI, and evidence that their management is associated with improvement in cardiometabolic component risks for the most threatening of post-injury health hazards.
Mark S. Nash, Ph.D., FACSM is a tenured Professor of Neurological Surgery and Physical Medicine & Rehabilitation at the University of Miami Miller School of Medicine, and Director of the Applied Physiology Research Laboratory for the Miami Project to Cure Paralysis. Professor Nash is Director of Research in the Department of Physical Medicine & Rehabilitation and Co-Director of the NIDILRR Spinal Cord Injury Model System. He is a Fellow of the American College of Sports Medicine, has published more than 130 peer-review manuscripts, scholarly monographs and books, and is a Director for the American Spinal Injury Association. Professor Nash has received multiple grant awards from the U.S. Departments of Defense, Health & Human Services, and Education, and the Nielsen Foundation. He’s been a grant reviewer for these federal agencies as well as the NIH and CDC, sits on Research Advisory Boards of 5 research/medical foundations, and advises federal/foundation research agencies in four overseas countries. His works have examined causes for, and interventions on cardiometabolic risks and diseases after SCI. In 2012 he was honored by ASIA with the David Apple MD Award, and in 2018 her received the John Stanley Coulter Award from the ACRM for lifetime achievement in rehabilitation.
Prof. Mai Chin A Paw PhD
Confusion, Contradiction and Consternation – Promoting physical activity or reducing sedentary behaviour for child health?
Despite the widely acknowledged health effects of regular physical activity, many children do not follow physical activity recommendations. Over the past 10 years the attention for the potential adverse health effects of sedentary behaviour has steeply increased. Although the body of evidence that excessive sedentary time contributes to ill health among adults is expanding, the evidence in children is still contradictory. Further, relationships between measures of sedentary behaviour (e.g., through self-report vs accelerometer or inclinometry) and health indicators vary considerably. Effectiveness of interventions aimed at promoting physical activity and reducing sedentary behaviour is disappointing. In this presentation, I will critically discuss the current evidence on the health effects of child sedentary behaviour as well as new insights into how to develop more effective, attractive and sustainable interventions.
Position: University Research Chair, Prof. of Public and Occupational Health, specifically the Epidemiology of Child Health
Mai is fascinated by why we do what we do and how this affects health, with particular interest in youth. She combines her scientific expertise in human movement science and epidemiology to unravel working mechanisms using innovative methodologies, exploring unique intervention strategies and creatively combining multiple disciplines. Her research focuses on determinants and health consequences of physical activity and sedentary behaviour in youth, with a strong interest in measurement, underlying mechanisms and innovations in risk factor research. She was awarded University Research Chair professor at VU University Medical Center in Amsterdam. Also, she has been chosen as one of the two directors of the program Health Behaviours and Chronic Diseases of the Amsterdam Public Health Research Institute, an alliance between AMC/UvA and VU/VUmc.
Olaf Verschuren PhD
Exercise, Nutrition, and Sleep are Critical to Success
Good health and fitness across the lifespan are critical to all people, but may be challenging for people with physical disabilities. “Exercise Is Medicine’ is a global initiative to mobilize physicians and healthcare professionals to promote exercise in their practice or prescribe activities to prevent, reduce, manage, or treat diseases that impact health. This initiative has resulted in an increasing interest in exercise and physical activity programs for people with disabilities. In rehabilitation, physical activity promotion has been the main focus to optimize fitness and health in both clinical practice and research. However, for professional athletes physical activity and exercise training are just part of their formula for success. Elite athletes know the importance of nutrition and sleep as key contributors of sport success. Physical activity, sleep, and nutrition are considered the three main components that allow an individual’s body to achieve its goals related to physically demanding activities in daily life and optimal health. Given the heterogeneity of the disabilities that are common in rehabilitation, physical activity alone may not be enough for individuals to improve health, specifically those more severely affected. So, at present, opportunities to promote health and to prevent disease might be missed. In this presentation, I hope to motivate physicians and other health care practitioners to include, in addition to physical activity promotion, nutrition and sleep management in patient encounters. Managing these three components, preferably in a comprehensive fashion, will afford a vitally important opportunity to promote the health of people across the lifespan.
Olaf Verschuren is a senior researcher working at the Brain Center Rudolf Magnus and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands. His research focuses on (pediatric) rehabilitation, specifically on the physical function and physical health of children and adolescents with Cerebral Palsy (CP). Most of his research is related to fitness measures for aerobic and anaerobic capacity, exercise fitness programs, and physical health for children and adolescents with CP. He has experience implementing fitness measures and exercise programs in various rehabilitation centers/schools for special education across Europe, Canada and Australia. The overall goal of his innovative research is to improve the physical health of people with CP. Therefore, the last three years he has broadened his research areas; besides physical activity, he also focuses on sleep and nutrition.
Programme overview DCRM