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Trauma recovery: new science and technology for mental and physical health
Read the conference report (PDF).
This Transforming our Future meeting, held by the Royal Society in partnership with the Invictus Games Foundation, will bring together leading experts from industry, academia, government and the wider scientific community to discuss recent advances in technologies and treatments that have the real possibility of helping individuals recover from injury across the health spectrum.
The conference will focus upon two broad themes: Our increased understanding of the biology of human health after injury, and especially the impact of trauma on both mental and physical health and the application of innovative new technologies and treatments to help individuals adapt to life-changing injuries. Following the presentations, speakers will discuss what can be achieved in the short- and medium-term, and how such developments should be prioritised and driven forward based upon the experiences of those who have suffered injury.
Attending this event
- This event was held on 4 March 2020
Please direct any questions to the Industry team
About the conference series
This scientific meeting is part of the Royal Society’s Transforming our Future conference series. The Transforming our Future meetings are unique, high-level events that address the scientific and technical challenges of the next decade. Each conference features cutting edge science from industry and academia and brings together leading experts from the scientific community, including regulatory, charity and funding bodies.
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Organisers
Schedule
Chair
Dame Sue Ion GBE FREng FRS
Dame Sue Ion GBE FREng FRS
Dame Sue Ion GBE FRS FREng is Hon President of the National Skills Academy for Nuclear. She was previously Chairman of the UK Nuclear Innovation Research Advisory Board (NIRAB). She represents the UK on a number of international review and oversight committees for the nuclear sector including the Euratom Science and Technology Committee which she chaired until late 2018. She was the only non-US member of the US Department of Energy’s Nuclear Energy Advisory Committee on which she has served from 2005-2020.She currently serves as a member of the Office of Nuclear Regulation Independent Advisory Panel.
Sue spent 27 years with British Nuclear Fuels Ltd (BNFL) rising to the position of Chief Technology Officer in 1992, a post she held until 2006 when she assumed a number of mainly voluntary roles in Science and Engineering, including membership of the UK Council for Science and Technology and the Engineering and Physical Sciences Research Council (EPSRC). She was Vice President of the Royal Academy of Engineering 2002-2008 and chaired its MacRobert Committee 2013-2019. Sue was Deputy Chair of the Board of the University of Manchester until September 2018 and currently serves on the Board of the University of Central Lancashire.
Her core expertise is in materials science and engineering associated with the nuclear sector. Sue is a member of the Chief Scientific Advisor for Wales’s Science and Innovation Advisory Council. She has been a Visiting Professor in the Department of Materials at Imperial College since 2006, holds an Honorary Professorship at the University of Manchester and is now Chair of the Royal Society Science, Industry and Translation Committee.
Dame Sue Ion GBE FREng FRS
Dame Sue Ion GBE FREng FRSDame Sue Ion GBE FRS FREng is Hon President of the National Skills Academy for Nuclear. She was previously Chairman of the UK Nuclear Innovation Research Advisory Board (NIRAB). She represents the UK on a number of international review and oversight committees for the nuclear sector including the Euratom Science and Technology Committee which she chaired until late 2018. She was the only non-US member of the US Department of Energy’s Nuclear Energy Advisory Committee on which she has served from 2005-2020.She currently serves as a member of the Office of Nuclear Regulation Independent Advisory Panel. Sue spent 27 years with British Nuclear Fuels Ltd (BNFL) rising to the position of Chief Technology Officer in 1992, a post she held until 2006 when she assumed a number of mainly voluntary roles in Science and Engineering, including membership of the UK Council for Science and Technology and the Engineering and Physical Sciences Research Council (EPSRC). She was Vice President of the Royal Academy of Engineering 2002-2008 and chaired its MacRobert Committee 2013-2019. Sue was Deputy Chair of the Board of the University of Manchester until September 2018 and currently serves on the Board of the University of Central Lancashire. Her core expertise is in materials science and engineering associated with the nuclear sector. Sue is a member of the Chief Scientific Advisor for Wales’s Science and Innovation Advisory Council. She has been a Visiting Professor in the Department of Materials at Imperial College since 2006, holds an Honorary Professorship at the University of Manchester and is now Chair of the Royal Society Science, Industry and Translation Committee. |
The ADVANCE Study: Study rational and preliminary cardiovascular results
Historical and retrospective data have suggested an association between combat-related traumatic injury and an increased risk of cardiovascular disease. The ArmeD SerVices TrAuma RehabilitatioN OutComE Study is the first prospective study to investigate the long-term physical and psycho-social outcomes of battlefield casualties related to recent armed conflict. In this study 600 adult male UK Military Servicemen who have sustained significant combat-related injury following deployment to Afghanistan between 2002 and 2014 will be compared to 600 non exposed adults frequency-matched for deployment to Afghanistan, age, sex, service, rank and role. Professor Boos will be presenting a brief overview of ADVANCE and the preliminary cardiovascular results from the first 845 consecutive participants. Dr Christopher Boos, Poole Hospital NHS Foundation Trust
Dr Christopher Boos, Poole Hospital NHS Foundation TrustDr Boos has been an NHS Consultant Cardiologist at Poole Hospital and the Royal Bournemouth Hospitals since 2008. He is dual accredited in General Internal Medicine. After qualification at St Mary’s Hospital Medical School in 1994 he undertook Junior Doctor Training posts at St Mary’s, the Royal London, the Royal Brompton and Portsmouth Hospitals. Thereafter, his specialist training in Cardiology was initially with Wessex (2001 - 2005) followed by the West Midlands Deanery (2005-2008) where he completed an MD in cardiac research and sub-specialty training in heart failure and complex device therapy. Dr Boos has a strong academic interest and has published more than 130 papers in peer reviewed journals. He is a visiting Professor at Leeds Beckett University and a visiting research fellow at Bournemouth University and Kings College London. He leads the Cardiac trials unit at Poole Hospital. His main research interests are in the field of Sport and Exercise Medicine and Cardiovascular Risk. He is the lead for the heart failure, cardiac pacing and Cardiopulmonary Exercise Testing Services at Poole Hospital. His other clinical interests include patients with unexplained breathlessness and atrial fibrillation. Dr Boos is the current Civilian Consultant Advisor in Cardiology to the British Army. |
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The principles of (recovering from) war
Recovering from the realities of traumatic injury is a long, complicated and often painful process. However, this process can, and should, be optimised. Using the context of the principles of war, this talk provides a personal perspective of the impact of traumatic injury of all aspects of health; the process for optimising the recovery pathway; and the role of new technology and treatments within this process. David Henson MBE, Imperial College London
David Henson MBE, Imperial College LondonDave joined the British Army in 2008, commissioning into the Corps of Royal Engineers and deployed to Afghanistan in 2010 as a Royal Engineer Search Advisor. In February 2011 Dave lost both of his legs to an IED blast. Dave used sport as a catalyst for his recovery and has competed at the Warrior Games, Invictus Games, IPC World Championships and the Paralympic Games; winning medals in all competitions. Dave is currently completing his PhD in Amputee Biomechanics at Imperial College, London (submission January 2020). Dave is a trustee of the Invictus Games Foundation, the Explora Scholarship Fund, and the ADVANCE Study Charity. He is the Veterans’ Advisor to the Centre for Blast Injury Studies and the co-chair and founding member of the CASEVAC Club. Dave is married to Hayley and has two daughters. He was awarded the MBE in 2014 for services to the military, and is an Honorary Fellow of the University of Hertfordshire. |
Chair
Professor Russell Foster CBE FRS, University of Oxford
Professor Russell Foster CBE FRS, University of Oxford
Russell Foster is the Head of the Nuffield Laboratory of Ophthalmology, the founder and Director of the Sleep and Circadian Research Institute and is a Fellow of Brasenose College Oxford. His research addresses how circadian rhythms and sleep are generated and regulated and what happens when these systems fail as a result of societal pressures or disease. A key finding was the discovery and characterization of an unrecognized light-detecting system within the eye that regulates circadian rhythms and sleep, and most recently, the translation of this work to the clinic.
For his work, Russell was elected to the Fellowship of the Royal Society in 2008 and the Academy of Medical Sciences in 2013. In 2015 he received the Order of Commander of the British Empire (CBE) for services to Science. He is a member of the Governing Council of the Royal Society; he established and led for six years the Royal Society Public Engagement Committee, and is a Trustee of the Science Museum. Russell has published over 250 scientific papers and has received multiple national and international awards. He has also written four popular science books.
Innovations in The Treatment of Post-traumatic Stress Disorder
The pharmacotherapy and psychotherapy literatures for post-traumatic stress disorder (PTSD) will be succinctly reviewed and discussed, focusing on cognitive behavioral treatments (CBT) and specifically exposure therapies. Innovations in the treatment of PTSD will be broadly divided into 1) Medium of Delivery of Exposure Therapy; 2) Enhancing Exposure Therapy with Pharmacological Agents; 3) Timing of Exposure Therapy, and 4) Treatment Delivery Schedules. The medium of delivery of exposure therapy will focus on Virtual Reality Exposure Therapy (VRE). Some of the pharmacological enhancing agents will include cognitive enhancers such as D-Cycloserine and psychedelics such as 3,4-methylenedioxymethamphetamine (MDMA). The timing of exposure therapy will discuss early interventions administered within hours of trauma exposure. Finally, massed prolonged exposure (PE) treatment delivery will be presented using the example of the Emory Healthcare Veterans Program intensive outpatient treatment model and pilot data will be presented. Professor Barbara Rothbaum, Emory Healthcare Veterans Program
Professor Barbara Rothbaum, Emory Healthcare Veterans ProgramBarbara O. Rothbaum, PhD is Executive Director of the Emory Healthcare Veterans Program. She is a Professor and Associate Vice Chair of Clinical Research at Emory School of Medicine in the Department of Psychiatry and Behavioral Sciences and Director of the Trauma and Anxiety Recovery Program and holds the Paul A. Janssen Chair in Neuropsychopharmcology. Dr Rothbaum specializes in research on the treatment of anxiety disorders, particularly PTSD. She was a member of the Institute of Medicine’s (IOM) Study on Assessment of Ongoing Efforts in the Treatment of PTSD, and briefed the DOD, VA, House and Senate Committees on Veterans Affairs and Armed Services Committees on the IOM report results (June 17-18, 2014). Dr Rothbaum has been studying PTSD treatments since 1986 and has developed, tested, and disseminated some of the most innovative and effective treatments available for PTSD. She is an inventor of virtual reality exposure therapy. She was a pioneer in applying it in the treatment of PTSD in combat veterans. She has authored over 350 scientific papers and chapters, has published 11 books on the treatment of PTSD and edited 4 others on anxiety, and received the Diplomate in Behavioral Psychology from the American Board of Professional Psychology. She is a past president of the International Society of Traumatic Stress Studies (ISTSS), is currently on the Scientific Advisory Boards for the Anxiety Disorders Association of America (ADAA), National Center for PTSD (NC-PTSD), and the executive committee of the Warrior Care Network. She is a fellow of the ACNP (American College of Neuropsychopharmacology), the National Academy of Inventors (NAI), the Association for Behavioral and Cognitive Therapies (ABCT), and American Psychological Association’s Division 56 (Division of Trauma Psychology) and was awarded the 2010 “Award for Outstanding Contributions to the Practice of Trauma Psychology” for APA Division 56 and the Robert S. Laufer Award for Outstanding Scientific Achievement from the International Society for Traumatic Stress Studies (ISTSS). Her outreach efforts include training community clinicians in evidenced based treatment for PTSD. |
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Using Virtual Reality (VR) to deliver engaging, efficacious, and fast psychological intervention
Mental health disorders are very common, but far too few people receive the best treatments. Much greater access to the best psychological treatments may be achieved using automated delivery in virtual reality (VR). With virtual reality simulations, individuals can repeatedly experience problematic situations and be taught, via evidence-based psychological treatments, how to overcome difficulties. A key advantage of VR is that individuals know that a computer environment is not real but their minds and bodies behave as if it is real; hence, people will much more easily face difficult situations in VR than in real life and be able to try out new therapeutic strategies. VR treatments can also be made much more engaging and appealing for patients than traditional therapies. A systematic programme of work developing and testing automated VR psychological treatments will be described, with a particular focus on the gameChange (www.gameChangeVR.com) project for schizophrenia. Professor Daniel Freeman, University of Oxford, UK
Professor Daniel Freeman, University of Oxford, UKDaniel Freeman is an NIHR Research Professor, Professor of Clinical Psychology in the Department of Psychiatry, University of Oxford, a consultant clinical psychologist in Oxford Health NHS Foundation Trust, a fellow of University College Oxford, and leads the Oxford Cognitive Approaches to Psychosis (O-CAP) research group at the University of Oxford. Daniel has been working with virtual reality (VR) since 2001 and is a co-founder and Chief Clinical Officer of Oxford VR, a University of Oxford spinout company. |
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How to sleep well – understanding the causes and cures for a bad night after trauma
Better nights for better days? Normal quantity and timing of sleep is vital for normal brain function. If sleep is interrupted for any reason it affects mood, memory and metabolism. Therefore improving sleep after a physical or mental health problem should be thought of as a key tool for recovery. The talk will cover the different causes of sleep disturbance after trauma and the evidence for effective therapies. Our research and sleep clinic work focuses upon the impact of sleep upon mental health and the benefits and sometimes side effects of the therapies and in particular medications used during and after major trauma. Education of health professionals, patient and families about sleep and sleep disorders is needed for health after injury. Dr Kirstie Anderson, Newcastle-upon-Tyne Hospitals NHS Foundation Trust
Dr Kirstie Anderson, Newcastle-upon-Tyne Hospitals NHS Foundation Trust |
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Improving lives for people following traumatic brain injury
Traumatic brain injury (TBI) arises as a result of a physical injury to the brain and dramatically impacts the lives of both the patient involved and the people around them. There is a desperate need for new options to improve lives following TBI and give patients and their families hope for the future. TBI arises from a range of circumstances, such as concussion from playing sport, an elderly person having a fall or severe injury arising following a road accident. The resulting injuries vary in severity, ranging from mild to moderate or severe trauma to the brain. Symptoms also span a spectrum of severity, such as deficits in cognition through to vegetative states, varying degrees of lack of emotional control, poor mental health, disrupted balance and sleep disturbances. These can lead to dramatic, often long-lasting, impacts on patients and their families and a substantial financial drain on society. The Australian Mission for TBI is a large scale federally funded initiative in Australia, providing 10 million AUD over 10 years. The Expert Advisory Panel for the Mission will define priorities for research funding that will improve outcomes for people following TBI of all severity, from concussion through to severe injuries. It is likely that the approach will include a large scale research registry that will enable the prediction of outcomes following injury. In addition, nationwide clinical trials of promising treatments will be conducted. The research of the Australian Mission for TBI has the potential to be transformative and lead to substantially improved outcomes for people who have experienced a TBI. Professor Melinda Fitzgerald, Curtin University and the Perron Institute for Neurological and Translational Science
Professor Melinda Fitzgerald, Curtin University and the Perron Institute for Neurological and Translational ScienceMelinda Fitzgerald is Professor of Neurotrauma and Deputy Director of the Curtin Health Innovation Research Institute, Curtin University, jointly appointed by the Perron Institute for Neurological and Translational Science. Professor Fitzgerald’s research goal is to improve outcomes for patients who have experienced traumatic injury to their central nervous system. She leads her pre-clinical research team in studies to understand how damage spreads following neurotrauma, and uses findings from these fundamental studies to design and test treatment strategies. She is working with her collaborators and clinical research team to facilitate translation of her pre-clinical findings, focusing on prediction of persisting post-concussion symptoms, in order to identify suitable patients for treatment. The work is part of a broader national initiative to improve outcomes following traumatic brain injury of all severities, which has led to the establishment of a federally funded Mission for Traumatic Brain Injury, for which she is the provisional Chair of the Expert Advisory Panel. She has published over 85 scientific papers, including in discipline leading journals such as J Neuroscience, Nature Nano, ACS Nano, and Biomaterials. She is a Handling Editor for the Journal of Neurochemistry, the Australian representative for the Asia Pacific Regional Committee for IBRO and serves on NHMRC and MS Australia grant review panels as well as a range of scientific advisory committees and steering groups. |
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Knowledge for the benefit of Blind Veterans and wider humanity
Losing your sight is devastating. It is both physically and mentally challenging and leads to a plethora of difficulties at different stages of life. What do we know about our Blind Veterans? We research factors to enable beneficiaries to maintain and improve the quality of their health and well-being, and their level of social inclusion and satisfaction with life. We accelerate innovation by stimulating the rapid development of technologies such as autonomous vehicles for disabled individuals. Our detailed research of Blind Veterans’ state of health allows for a personalised approach, whilst gathering valuable longitudinal data. With an international approach to all that we study, our research cohort includes both UK Blind Veterans and the Blinded Veterans of America. Can we predict sight loss? Can we prevent avoidable sight loss? Whilst focussed on blind veterans, our research has relevance and applicability beyond this population, with implications for both wider veteran and visually impaired communities throughout the world. Major General (Rtd) Nick Caplin CB, Blind Veterans UK
Major General (Rtd) Nick Caplin CB, Blind Veterans UKCommissioned into the Army Air Corps Nick saw operational service flying helicopters in Northern Ireland and Bosnia. He has extensive experience of training troops in UK, Germany, Canada, Belize and Kenya. Promoted to Major General in 2008, Nick had top level posts in Kosovo and Germany. He completed his 34-year Army career as the Senior Army Directing Staff at the Royal College of Defence Studies in Seaford House, London. He became CEO of Blind Veterans UK in October 2014. He is a Director of the Confederation of Service Charities (Cobseo) and a Director of Action Against Age-related Macular Degeneration (AAAMD). Nick has been awarded the Queen's Commendation for Valuable Service and has been appointed a Companion of the Most Honourable Order of the Bath. |
Chair
Professor Jackie Hunter CBE, BenevolentAI
Professor Jackie Hunter CBE, BenevolentAI
BenevolentAI is a British held AI company which is using AI to augment the research capabilities of drug scientists, radically changing the way R&D is done. Uniquely, BenevolentAI has an end to end capability from early discovery to clinical development. Jackie joined the company with over thirty years of experience in the bioscience research sector, working across academia and industry including leading neurology and gastrointestinal drug discovery and early clinical development for GlaxoSmithKline. She has also been a champion of new business models such as open innovation in the pharmaceutical sector.
Jackie moved to BenevolentAI because she recognized the need for disruption in the industry and the need to apply novel advanced technologies to R&D to improve efficiency and increase the successful discovery of new medicines for patients. She was awarded a CBE in the Queen's Birthday Honours list for Services to the Pharmaceutical Industry and was recognized by Forbes Magazine as one of the top 20 Women Advancing AI Research. She is a member of the Biomedical Board for A*Star in Singapore and the Science Advisory Board for the Data Science Institute at Imperial College. She is also a visiting Professor at Imperial College and at St George's Hospital Medical School.
The future of human wearable bionics from industry's point of view
In its 100 years history, Ottobock has been a leader in human mobility: The introduction of C-leg®, the world's first microprocessor controlled knee (MPK), in 1997 has set a new standard for safety of people with transfemoral knee disarticulation and hip disarticulation amputations. Advances in the fields of bionic reconstructive surgery and the use of artificial intelligence in controls allow patients to intuitively move their artificial limbs, and to lead a more active and independent lifestyle. Clinical evidence provided by us and others has demonstrated that patients with lower mobility grades benefit most from MPKs as evidenced by gains of the health utility score EQ5D. The translation of these advances in prosthetics into orthotics led to the first knee-ankle foot orthosis (KAFO) with stance and swing phase control: The C-Brace® helps patients suffering from neurological indications such as incomplete spinal cord injury, poliomyelitis and post-polio syndrome to regain a natural gait. Exoskeletons like the personal assistive device Paexo® help prevent work related disorders of the musculoskeletal system. As the field of wearable human bionics is rapidly evolving, new opportunities emerge to overcome previously unsolved challenges. This includes the optimization of human comfort, and man-machine interfaces for improved control and somatosensory perception to foster embodiment - make users feel that the device becomes part of them. Dr Andreas Goppelt, Ottobock
Dr Andreas Goppelt, OttobockAs Chief Technology Officer (CTO), Dr Andreas Goppelt has been in charge of Research and Development at Ottobock since September 2017. Goppelt was previously managing director of Otto Bock Mobility Solutions GmbH, the company’s wheelchair business. He joined the Ottobock Group in 2015 as managing director of nstim NeuroBionics GmbH. Goppelt was a consultant for biopharmaceuticals and medical technology between 2013 and 2015. From 2005 to 2013, he served as head of R&D for the BioSurgery and Regenerative Medicine business unit at Baxter. Goppelt began his career in business in 1997 as co-founder and chief scientific officer of biotech company Switch Biotech AG, which specialises in curing wound healing disorders and skin diseases. A native of Erlangen, he studied chemistry at Ludwig Maximilian University (LMU) in Munich and earned his doctorate in biochemistry. After earning his doctorate, Goppelt worked as a postdoc at the LMU’s gene centre and the Max-Planck Institute for Biochemistry in Martinsried, Germany. |
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Driving neural recovery following Spinal Cord Injury
Recent research both with animals and people with SCI has shown the potential for neural recovery. Some studies have used implanted systems, but we have recently designed and tested an inexpensive non-implanted novel cycling ergometer with a small number of patients. The ‘iCycle’ uses Functional Electrical Stimulation (FES). Electrical stimulation activates the leg muscles during each revolution of the pedals. The position of the crankshaft enables the stimulation to be timed accurately. The amount of effort the person exerts is monitored and used as feedback in a virtual cycle race. We propose that greater neuroplasticity will be achieved by synchronising stimulation with voluntary drive and that the motivation provided by the race will encourage the cyclist to work harder. In this talk I will explain the neuroscience that underpins the concept, describe the device, how we developed it and report on the effect it had on a small number of people who trained on it for four weeks. Professor Jane Burridge, University of Southampton
Professor Jane Burridge, University of SouthamptonProfessor Jane Burridge leads the Neurorehabilitation Research Group at the University of Southampton. Her research aims to understand the mechanisms of sensory-motor recovery following neurological damage. She and her Group use this better understanding to design and evaluate rehabilitation technologies that will improve recovery following central nervous system lesions such as stroke and spinal cord injury. Neurological rehabilitation is changing. Already most rehabilitation takes place in people's own homes and over the next few years technologies to support them will become commonplace. |
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Making direct neural interface therapies a clinical reality
Direct neural interfaces for limb control have been used in a variety of research and pilot studies for multiple decades now and clinical practice makes regular use of neuromodulation for pain or other conditions. However, continuous bi-directional connections to the nervous system for treating physical health have so far remained clinically elusive. This is in large part due to the technology required for real-time decoding and encoding being unpractical to put in implantable medical devices. Yet this technology is essential for realising the promise shown by direct neural recording and stimulation for prosthetic control, SCI, neurotrauma or a host of other therapies. BIOS is pioneering AI technologies for long-term direct neural interfaces for lifelong health by continuous decoding and encoding of neural information on small-scale devices for bringing to clinical practice the promise shown over decades of research. Dr Oliver Armitage, BIOS
Dr Oliver Armitage, BIOSOliver Armitage is Co-Founder and Chief Scientific Officer at BIOS, a leading neural engineering startup. Oliver has always had a vision that the human body could be repaired or made better through augmentative technology and how that can be used to improve people’s lives. He studied for his PhD at the University of Cambridge in Bioengineering, working in the world-renowned Nanoscience Centre. He specializes in tissue interfaces and engineering to allow technology to be fused with the body. Oliver was named to Forbes 30 Under 30 in 2018. |
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RoboTrainer: Making effective rehab training available to everyone
A large amount of trauma victims suffer neurological damage to motor function, that severely inhibit rehabilitative training. Overcome by gravity, they are locked in a viscous circle, risking atrophy, circulatory disease and other physical complications, while depression may further undermine their quality of life. Underwater training, exoskeletons and advanced training machines may break the circle, but their high operational cost is in stark contrast to the high amounts of training needed to make a difference. In the RoboTrainer projects, we explore the design and impact of training robots optimized for simplicity and low cost. Our initial studies show that such devices can easily be operated by physical therapists in simple clinics, and potentially also by patients and their helpers at home. Case tests on the long term robot training made feasible by RoboTrainer show promising results in terms of strength and functional improvement in chronic (abandoned) patients with neurological damage. Dr Anders Sørensen, University of Southern Denmark
Dr Anders Sørensen, University of Southern DenmarkDr Anders Stengaard Sørensen is an electronics and robotics engineer, employed as Associate professor with University of Southern Denmark's department for Health Technology. As head of the Training Technology Lab, he is working closely with health professionals, training experts and humanistic researchers, to create real-world technology for better training. Using robotic devices and components to create bodily interaction with users play a major role in the development of new training methods, but are also employed in improving existing ones. Dr Sørensen and his lab are thus collaborating with Danish patient, elite sports and aerospace organizations to improve and renew training in general. From patients to athletes and even astronauts. |
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Amputee Biomechanics: it is not just about getting active
The ability of young, fit, healthy traumatic amputees to achieve very high levels of performance through their own determination, excellent rehabilitation and advanced prosthetics is one of the features of modern life. Expectations have risen that all should be able to achieve these levels of activity and maintain them through to old age, and yet this seems to be out of reach for so many. Biomechanics is the study of the interaction between forces, motion and deformation and is the underlying science that can shed light on the reasons why such high levels of performance are unsustainable for most, unattainable for many, and detrimental for others. Understanding amputee biomechanics can aid in devising novel rehabilitation, surgery and prosthetics. Professor Anthony Bull, Centre for Blast Injury Studies, Imperial College London
Professor Anthony Bull, Centre for Blast Injury Studies, Imperial College LondonProfessor Bull leads and is PI on the Royal British Legion Centre for Blast Injury Studies that exists to improve the mitigation of injury, improve and advance treatment, rehabilitation and recovery thus increasing lifelong health and quality of life after blast injury (www.imperial.ac.uk/blastinjurystudies). This has a strong biomechanics focus on lower limb and spinal injuries and he has extensive research activity in the area of ligament injuries due to sporting activities. As Director of the Musculoskeletal Medical Engineering Centre funded by the Wellcome Trust and EPSRC (www.imperial.ac.uk/msk) Professor Bull leads his own research group in musculoskeletal dynamics, and also provides underlying research technology support for nine other investigators funded through the Centre. He has in addition extensive research activity in orthopaedic implant and surgical design in many areas associated with lower limb and upper limb biomechanics and ageing. |
Chair
Sir Simon Wessely FMedSci, King's College London
Sir Simon Wessely FMedSci, King's College London
Professor Sir Simon Wessely is Professor of Psychological Medicine and Regius Professor of Psychiatry at King’s College London and a Consultant Liaison Psychiatrist at King’s College and the Maudsley Hospitals.
Simon Wessely studied medicine and history of art at Trinity Hall, Cambridge, and finished his medical training at University College Oxford, graduating in 1981. He obtained his medical membership in Newcastle, before moving to London to train in psychiatry at the Maudsley. He has a Master’s and Doctorate in epidemiology. He is a Foundation Senior Investigator of the National Institute for Health Research, past President of the Royal College of Psychiatrists, current President of the Royal Society of Medicine and is also chairing the Independent Review into the Mental Health Act.
He has over 750 original publications, with an emphasis on the boundaries of medicine and psychiatry, unexplained symptoms and syndromes, population reactions to adversity, military health, epidemiology and others. He founded the King’s Centre for Military Health Research, which is now the main source of information on the health and well-being of the UK Armed Forces past and present and has been Civilian Consultant Advisor in Psychiatry to the British Army since 2001, He has co-authored books on chronic fatigue syndrome, randomised controlled trials and a history of military psychiatry, although sadly none of them are best sellers.
He is active in public engagement activities, speaking regularly on radio, TV and at literary and science festivals. He is a trustee of Combat Stress and his contributions to veterans’ charities include cycling (slowly) eight times to Paris to raise funds for the Royal British Legion.
Air Commodore Rich Withnall QHS, UK Defence Medical Services
Air Commodore Rich Withnall QHS, UK Defence Medical ServicesAir Commodore Rich Withnall joined the RAF as a Medical Cadet in 1990. After GP vocational training, he undertook Senior Medical Officer appointments on fast jet, multi-engine and rotary flying stations, and the RAF’s recruit training unit. He has completed Command & Staff appointments at HQ Personnel and Training Command, HQ AIR Command, HQ Surgeon General and the Ministry of Defence (MOD). He won the Brooke-Popham Prize (Best Defence Research Paper) and the Sir Michael Howard Prize (Best MA student) on the Advanced Command & Staff Course in 2007/8. After a policy role in MOD, Rich returned to HQ AIR Command as Deputy Director Health Services (RAF) in 2010. He became the first RAF Defence Professor of General Practice & Primary Care in 2013. He was promoted to Air Commodore in 2017, becoming the first primary care clinician to be appointed as Medical Director of the UK Defence Medical Services. Wing Commander Marcus Stow, JHubMed
Wing Commander Marcus Stow, JHubMedWing Commander Stow has worked all over the world in support of Operations and humanitarian crises. As an example, in 2011, he deployed to Afghanistan with the US Marine Corps and was responsible for the medical evacuation of 1100 sick and wounded people. He volunteered to support the Ebola crisis in Sierra Leone and whilst there helped develop a novel method of moving infective casualties by land and air. In 2016 Stow was invited into the Order of Saint John for his collective efforts to preserve life and reduce suffering for the good of humanity, and in 2019 Stow received the Worshipful Cutler’s prize for Innovation. Marcus is currently the Chief Operating Officer of JhubMed, the Defence Medical Innovation Hub, working to bring world leading technology into the hands of the Military Medical User, at pace. Professor Barbara Rothbaum, Emory Healthcare Veterans Program
Professor Barbara Rothbaum, Emory Healthcare Veterans ProgramBarbara O. Rothbaum, PhD is Executive Director of the Emory Healthcare Veterans Program. She is a Professor and Associate Vice Chair of Clinical Research at Emory School of Medicine in the Department of Psychiatry and Behavioral Sciences and Director of the Trauma and Anxiety Recovery Program and holds the Paul A. Janssen Chair in Neuropsychopharmcology. Dr Rothbaum specializes in research on the treatment of anxiety disorders, particularly PTSD. She was a member of the Institute of Medicine’s (IOM) Study on Assessment of Ongoing Efforts in the Treatment of PTSD, and briefed the DOD, VA, House and Senate Committees on Veterans Affairs and Armed Services Committees on the IOM report results (June 17-18, 2014). Dr Rothbaum has been studying PTSD treatments since 1986 and has developed, tested, and disseminated some of the most innovative and effective treatments available for PTSD. She is an inventor of virtual reality exposure therapy. She was a pioneer in applying it in the treatment of PTSD in combat veterans. She has authored over 350 scientific papers and chapters, has published 11 books on the treatment of PTSD and edited 4 others on anxiety, and received the Diplomate in Behavioral Psychology from the American Board of Professional Psychology. She is a past president of the International Society of Traumatic Stress Studies (ISTSS), is currently on the Scientific Advisory Boards for the Anxiety Disorders Association of America (ADAA), National Center for PTSD (NC-PTSD), and the executive committee of the Warrior Care Network. She is a fellow of the ACNP (American College of Neuropsychopharmacology), the National Academy of Inventors (NAI), the Association for Behavioral and Cognitive Therapies (ABCT), and American Psychological Association’s Division 56 (Division of Trauma Psychology) and was awarded the 2010 “Award for Outstanding Contributions to the Practice of Trauma Psychology” for APA Division 56 and the Robert S. Laufer Award for Outstanding Scientific Achievement from the International Society for Traumatic Stress Studies (ISTSS). Her outreach efforts include training community clinicians in evidenced based treatment for PTSD. Professor Jane Burridge, University of Southampton
Professor Jane Burridge, University of SouthamptonProfessor Jane Burridge leads the Neurorehabilitation Research Group at the University of Southampton. Her research aims to understand the mechanisms of sensory-motor recovery following neurological damage. She and her Group use this better understanding to design and evaluate rehabilitation technologies that will improve recovery following central nervous system lesions such as stroke and spinal cord injury. Neurological rehabilitation is changing. Already most rehabilitation takes place in people's own homes and over the next few years technologies to support them will become commonplace. Alexandra Crick, Consultant Plastic and Reconstructive Surgeon, Salisbury NHS Foundation Trust
Alexandra Crick, Consultant Plastic and Reconstructive Surgeon, Salisbury NHS Foundation Trust |