Parallel session C

​C1. Workshop: Social media in rehabilitation: in the right place, at the right time
C2. Workshop: Building an EPA-based training plan for residents in rehabilitation medicine: learning in the right context, at the right time
C3. Mini-symposium: Beweegziekenhuis - Exercise as a medicine in the hospital environment?!
C4. Workshop: Clinical application of exercise testing in children with walking problems due to childhood onset disability
C5. Mini-symposium: Personalised rehabilitation medicine: how to get the right assistive device on the right patient at the right time
C6. Workshop: Innovations and strategies to enhance physical activity in your rehabilitation centre
C7. Mini-sympoium: Rehabilitation medicine: care in the right place, at the right time AND by the right person
C8. Mini-symposium: Permissive weight-bearing: the next step

C1. Workshop: Social media in rehabilitation: in the right place, at the right time
Social media are dynamic and interactive computer-mediated communication tools and are the fastest growing mechanism for the exchange of personal and professional information. These technologies encompass blogs, social networks (Linkedin, Facebook, Twitter), video- and photo-sharing sites, wikis, and myriad other media, and are pervasive around the world – indeed, in 2012, Facebook surpassed a billion users worldwide, or nearly 1/7th of humanity. Within healthcare, recent estimates of social media usage by doctors has risen dramatically from 41% in 2010 to 90% in 2011, while rates of use have been found to be above 90% for medical students. Use of social media, in some form, is likely to continue in the foreseeable future. However, in rehabilitation, a large number of professionals are unaware of social media’s relevance, potential applications in their day-to-day activities, as well as the inherent risks and how these may be attenuated and mitigated. While there are advantages associated with instantaneous communication with an unlimited number of contacts, there are also consequences, anticipated or unintended, like misjudgments, and privacy violations. And is it necessary to use social media as a professional? Do we have to learn our students to use social media in the right way? 

Chair: Nicole Voet, Inez van der Ham
Speakers: Nicole Voet, Inez van der Ham, Casper van Koppenhagen, Jan-Willem Gorter

Programme

1. A short introduction on the different forms of social media. Discussion: what are the experiences of the audience with social media? (20 minutes)
2. Examples of the use of social media in Rehabilitation and other specialisms. Discussion: what are good examples? What can we learn from other experts? What can we do better? (30 minutes)
3. Practice with social media yourself, what can you tell other about the DCRM congress? (40 minutes)

C2. Workshop: Building an EPA-based training plan for residents in rehabilitation medicine: learning in the right context, at the right time
Postgraduate medical training for rehabilitation medicine residents is shifting towards EPA-based training (Entrustable Professional Activities). EPAs are descriptors of professional work that enable stepwise progression to unsupervised practice for trainees. In the Netherlands, a new EPA-based training plan will be implemented mid-2020. The new structure and building blocks of the training plan ask for a review of the way and sequence in which education is planned in place and time. In which learning context, in which order and when should residents work on their EPA’s and other elements of training? How and when is learning in the right place at the right time? Is there an ideal routing, or is that impossible in daily practice? In this workshop, we will build literally pathways for residents based on the new training plan. You will discover what the new training plan implies for your daily training practice in your training circuit (OOR). So join us together with your regional training partners.

Chair: Annette van Kuijk
Speakers: Rutger Dahmen, Vincent de Groot, Ted Burgmeijer, Marieke Bolk

Programme
After a brief introduction of the procedure, we will continue with an interactive ‘building session’. Based on a future job-opening for a just graduated resident, small groups of regional training partners of different learning-contexts will build the ‘ideal’ training route for that particular resident in their circuit. To build the pathway groups will have to meet the criteria of the new training plan. As such, you will experience and learn about the new building blocks, principles and possibilities of the training plan. Furthermore, you will also reflect on the possibilities to apply this way of planning education in your own work environment.

Programme

C3. Mini-symposium: Beweegziekenhuis - Exercise as a medicine in the hospital environment?!

Healthy Aging’ is a driving ambition today and embraces even more explicitly active mobility, exercise and participation as key elements in healthy behavior, in today’s health and hospital care, both in medical treatment, guidelines and in the physical and social environment. There is the continued need for implementation of research results and new knowledge on ‘‘mobility, exercise and sports’’ in daily rehabilitation practice, as well as in complex medical and general health care. Within a 'Beweegziekenhuis', ‘Exercise=medicine’ is not only to study, but even more so to teach, to ‘‘preach’’, and to happen and experience. Although some initiatives and promising plans are in development, the hospital environment in leading University Medical Centres – albeit at work or as a patient – still have many challenges and opportunities towards a stimulating physically active lifestyle and active participation-driven treatment. ‘Exercise as a medicine’ must be advocated among health professionals and opinion leaders. Medical centres ideally are to evolve into an exercise and movement-stimulating hospital, ‘beweegziekenhuis’, a hospital that expresses healthy aging, active lifestyle and ‘exercise=medicine’ in its essentials. With our minisymposium we hope to reach those professional leaders who can and will make the difference, change current practice in rehabilitation and beyond, start to train future professionals in ‘exercise=medicine’ and thus improve medical and rehabilitation care for future generations and over the lifespan. 

Chair:  Rienk Dekker, Luc van der Woude
Speakers: Femke van Nassau, Helco van Keeken, Martin Stevens, Johanneke Hartog, Martin Stevens, Ron Diercks

Programme

1. Chair & introduction: 5min Rienk Dekker/Luc van der Woude;
2. Physicians Implement Exercise=Medicine: 12min Femke van Nassau
3. Prehabilitation; being fit before surgery 12min Helco van Keeken/Joost Klaase;
4. DEPART: Barriers and facilitators for applying lifestyle medicine in osteoarthritis: a focus group study among health care professionals: 12min Martin Stevens;
5. Heart Rehabilitation in patients awaiting Open-heart surgery to prevent Complications and to improve Quality of life (Heart-ROCQ): a Prospective Randomized Open Blinded End-point (PROBE) trial: 12min Johanneke Hartog
6. Lifestyle advice in complex hospital care: 12min Ron Diercks
7. Discussion 25min

C4. Workshop: Clinical application of exercise testing in children with walking problems due to childhood onset disability

Purpose: This workshop provides clinical examples of how clinical exercise testing can be used in the treatment of walking problems in children and youth with childhood onset disability. Measurements of walking economy and aerobic fitness are important for clinical decision making in treatment of walking problems in children and youth with childhood onset disability. Deviated gait patterns may affect walking economy causing increased energy expenditure during walking and other daily life activities. In combination with low aerobic fitness levels, the physical strain, or effort of walking, can be extremely elevated. This may explain common complaints like early fatigue in daily life activities and reduced walking distance. Both reduced walking economy and reduced fitness levels may be underlying issues causing these complaints. As this has direct implications for treatment, it is important to measure both components and determine its effect on the physical strain of walking. This workshop starts with a theoretical background of the exercise physiological principles needed to understand and interpret energy cost and fitness test results and its application for clinical decision making. Subsequently, clinical examples are presented in an interactive setting, illustrating indication, interpretation and evaluation of treatment using clinical exercise testing. Discussed treatments include orthotic treatment, orthopaedic surgery, spasticity treatment and physical training. The presenters have a background in pediatric physiotherapy (EM), pediatric rehabilitation medicine (AB), and human movement sciences (AD), and have many years of experience with treatment and research in children and youth with walking problems due to cerebral palsy and other diagnoses.

Chair: J. Dallmeijer
Speakers: E. Muselaers, A.I. Buizer