Nội dung

REHABILITATION: MOBILITY, EXERCISE AND SPORTS Assistive Technology Research Series The Assistive Technology Research Series (ATR) aims to disseminate and archive assistive technology research summaries widely through publishing proceedings, monographs, and edited collective works. The series aspires to become the primary world-wide source of information in assistive technology research, through publishing state-of-the-science material across all continents. ATR defines assistive technology (AT) as any tool, equipment, system, or service designed to help develop, maintain or improve a person with a disability to function in all aspects of his or her life. Assistive technology helps people of all ages who may have a broad range of disabilities or limitations. The ATR series will accept manuscripts and proposals for a wide range of relevant topics. Editor-in-Chief : Rory A. Cooper Editorial Board: Angel Gil Agudo, Geoff Bardsley, Robert Bingham, Christian Buhler, H.S. Chhabra, Gerry Craddock, Jin Dewen, Sten Ekman, Martin Ferguson, Shirley G. Fitzgerald, Antal (Tony) Huba, Jeffrey Jutai, Kiyomi Matsuo, Mounir Mokhtari, Johan Molenbroek, Hisaichi Ohnabe, Paul F. Pasquina, Marcia Scherer, Nigel Shapcott, Richard Simpson, Ronaldo de Souza Moraes Jr., Thijs Soede, Pierre Soto, Eric Tam, Osamu Tanaka, Julian Verkaaik, Howard Wactlar, Hans-Werner Wahl, Lloyd Walker, Jue Wang, Brian Woods, Lucas van der Woude, Yusheng Yang Volume 26 Recently published in this series Vol. 25. Vol. 24. Vol. 23. Vol. 22. Vol. 21. Vol. 20. Vol. 19. P.L. Emiliani, L. Burzagli, A. Como, F. Gabbanini and A.-L. Salminen (Eds.), Assistive Technology from Adapted Equipment to Inclusive Environments – AAATE 2009 P. Topo and B. Östlund (Eds.), Dementia, Design and Technology – Time to Get Involved M. Cabrera and N. Malanowski (Eds.), Information and Communication Technologies for Active Ageing – Opportunities and Challenges for the European Union W.C. Mann (Ed.), Aging, Disability and Independence – Selected Papers from the 4th International Conference on Aging, Disability and Independence (2008) A. Mihailidis, J. Boger, H. Kautz and L. Normie (Eds.), Technology and Aging – Selected Papers from the 2007 International Conference on Technology and Aging G. Eizmendi, J.M. Azkoitia and G. Craddock (Eds.), Challenges for Assistive Technology – AAATE 07 C. Nugent and J.C. Augusto (Eds.), Smart Homes and Beyond – ICOST2006, 4th International Conference On Smart homes and health Telematics ISSN 1383-813X Rehabilitation: Mobility, Exercise and Sports 4th International State-of-the-Art Congress Edited by L.H.V. van der Woude Centre for Human Movement Sciences, University Medical Centre Groningen, University of Groningen, The Netherlands Centre for Rehabilitation, University Medical Centre Groningen, University of Groningen, The Netherlands F. Hoekstra Faculty of Human Movement Sciences, VU University Amsterdam, The Netherlands S. de Groot Centre for Human Movement Sciences, University Medical Centre Groningen, University of Groningen, The Netherlands Rehabilitation Centre Amsterdam, The Netherlands K.E. Bijker Research Institute MOVE, Institute for Fundamental and Clinical Human Movement Sciences, Faculty of Human Movement Sciences, VU University Amsterdam, The Netherlands R. Dekker Centre for Rehabilitation, University Medical Centre Groningen, University of Groningen, The Netherlands P.C.T. van Aanholt Department of Rehabilitation, Scheperziekenhuis, Emmen, The Netherlands F.J. Hettinga Centre for Human Movement Sciences, University Medical Centre Groningen, University of Groningen, The Netherlands T.W.J. Janssen Research Institute MOVE, Institute for Fundamental and Clinical Human Movement Sciences, Faculty of Human Movement Sciences, VU University Amsterdam, The Netherlands Rehabilitation Centre Amsterdam, The Netherlands and J.H.P. Houdijk Research Institute MOVE, Institute for Fundamental and Clinical Human Movement Sciences, Faculty of Human Movement Sciences, VU University Amsterdam, The Netherlands Rehabilitation Centre Heliomare, Wijk aan Zee, The Netherlands Amsterdam • Berlin • Tokyo • Washington, DC © 2010 The authors and IOS Press. All rights reserved. No part of this book may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without prior written permission from the publisher. ISBN 978-1-60750-080-3 Library of Congress Control Number: 2009941383 Publisher IOS Press BV Nieuwe Hemweg 6B 1013 BG Amsterdam Netherlands fax: +31 20 687 0019 e-mail: order@iospress.nl Distributor in the USA and Canada IOS Press, Inc. 4502 Rachael Manor Drive Fairfax, VA 22032 USA fax: +1 703 323 3668 e-mail: iosbooks@iospress.com LEGAL NOTICE The publisher is not responsible for the use which might be made of the following information. PRINTED IN THE NETHERLANDS Sponsors Hosted by: Research Institute MOVE Faculty of Human Movement Sciences (FBW) Institute for Fundamental and Clinical Human Movement Sciences (IFKB) VU University, Amsterdam, The Netherlands Co-sponsored by: Body@Work Heliomare KNAW RCA UMCG-RUG VRA ZonMw Commercial sponsors: Berkelbike Biometrics Europe BV Cardinal Health Delsys Double Performance ForceLink Human Kinetics Informa Healthcare IOS Press JRRD Max Mobility McRoberts OIM Orthopedie Össur Europe Otto Bock Procare RS Scan Trike - Diamond Semi Conductor Xsens 3W-Infomed This page intentionally left blank Rehabilitation: Mobility, Exercise and Sports L.H.V. van der Woude et al. (Eds.) IOS Press, 2010 © 2010 The authors and IOS Press. All rights reserved. vii Introduction to the 4th International Stateof-the-art-Congress ‘Rehabilitation: Mobility, Exercise & Sports’ L.H.V. VAN DER WOUDEa,e, S. DE GROOTa,c, K.E. BIJKERb, R. DEKKERe, P.C.T. VAN AANHOLTf, F. HOEKSTRAb, F.J. HETTINGAa, T.W.J. JANSSENb,c and J.H.P. HOUDIJKb,d a Centre for Human Movement Sciences, University Medical Centre Groningen, University of Groningen, b Research Institute MOVE, Institute for Fundamental and Clinical Human Movement Sciences, Faculty of Human Movement Sciences, VU University Amsterdam, c Rehabilitation Centre Amsterdam, d Rehabilitation Centre Heliomare, Wijk aan Zee, e Centre for Rehabilitation, University Medical Centre Groningen, University of Groningen, f Department of Rehabilitation, Scheperziekenhuis, Emmen, the Netherlands 1. Introduction Rehabilitation medicine in the Netherlands was officially founded as a separate medical profession in 1955. Being a young multidisciplinary area of clinical practice and health care, rehabilitation medicine evolved from an initially clinically-founded discipline towards a more academic-based discipline at the start of this millennium. In 2008 clinical rehabilitation care was offered in 24 specialized rehabilitation centers, in university hospitals and in many of the larger general hospitals in the Netherlands. 1 Rehabilitation medicine and care is based upon the conceptual framework of the International Classification of Functioning, Disability and Health (ICF [2]), and on an integral, structured and multidisciplinary team approach. The rehabilitation medical doctor is trained (in a 4 yr specialization program) largely towards the concepts and aims stated in the ‘Whitebook on Physical and Rehabilitation Medicine in Europe’ [3], published by the governing bodies of European specialists in physical and rehabilitation medicine. The rehabilitation medical specialist is a clinical specialist, yet part of the training program is directed towards research methodological content and skills. Human Movement Sciences has been intimately linked to rehabilitation from its inception as an academic discipline in Amsterdam in the early seventies. As distinct from other Western countries, in the Netherlands the professional training of paramedical and nursing staff is outside the university teaching program and part of a separate system of higher education that primarily offers professional bachelor and 1 www.revalidatie.nl/english viii master programs. This is where physio-, occupational, vocational therapists, physical education and sports teachers are trained, also for rehabilitation practice. Human movement scientists follow a research-oriented university-based training program, focussed on the study of human movement, both with a fundamental and an applied connotation. ‘Human movement sciences’ (HMS) is an interdisciplinary study, encompassing a wide range of disciplines such as (exercise) physiology, psychology, anatomy, biomechanics, motor control & learning etc. It is offered as an independent scientific bachelor-master program at two universities (Amsterdam 2 and Groningen3) and as a Master specialization in two other universities (Nijmegen and Maastricht) in the Netherlands today. Among the most important applied contexts are the fields of sports, health care, and labor. Within the context of health, rehabilitation has from the beginning of HMS been of great interest to staff and students and has led to active collaborations between rehabilitation professionals and human movement scientists from the outset. It has generated two professors in human movement sciences and rehabilitation, in Amsterdam and Groningen. As such HMS has – together with the technical and social sciences – almost by nature contributed to the continued metamorphosis of rehabilitation from a clinical field of (para)medical care and practice, towards a much more evidence-based academic and clinical-research (multi-) disciplinary environment. Today in the Netherlands human movement scientists are in many cases the link between the programs of their schools and those of research institutes on the one hand and the rehabilitation centers/ departments on the other. Human movement scientists are often the knowledge managers and/or brokers [4] in multidisciplinary research networks and are trained to be the research-focussed liaison between clinical practice and academia. 2. The Dutch rehabilitation–research situation The academic or research performance of the rehabilitation discipline in the Netherlands and Europe has been described briefly by Stam [5]. The survey involved the input in 4 key-rehabilitation sciences journals (Archives of Physical Medicine and Rehabilitation, Clinical Rehabilitation, Journal of Rehabilitation Medicine and Disability and Rehabilitation) throughout the year 2004. All publications were ranked to country of origin of the research and authors. The Netherlands ranked 3 rd, among a group of 12 countries, and was responsible for 8% of the total number of publications. At (31%) the USA headed the list. However, the list would be quite different if the population size of each country were taken into account, as is indicated by Coppen and Bailey for a similar ranking on clinical medicine [6], where the USA ranked 9 and the Netherlands 6 on the number of citations per 1000 population. The impact of the contribution of the Netherlands to the field of rehabilitation research in an international context is considerable and in part explains the active organization of the current congress. With the 4th International congress we also in part celebrate the 2 nd lustrum and the success of the Rehabilitation program of the Netherlands Organization for Health Research and Development (ZonMw) 4 which started some ten years ago. This very 2 www.fbw.vu.nl www.umcg.nl 4 www.ZonMw.nl/english 3 ix successful research stimulation program initiated 8 rehabilitation research networks. In particular, the national rehabilitation research network ‘Restoration of mobility in SCI rehabilitation’ has benefitted greatly from the research stimulation program, which has also been highly productive in terms of the number and diversity of research projects initiated, as well as in terms of successful PhD projects and publications.5 A continued effort for the implementation of research findings in practice is sought through the joint effort of rehabilitation physicians, paramedical professionals and researchers. An important example of this collaboration is the patient monitoring project, where individual patients are monitored both clinically and through regular tests to further structure their individual status, rehabilitation strategy and program, and their prognosis [7]. Many rehabilitation centers and university departments, and thus the rehabilitation field and the patients, benefit to this day from the success of the ZonMw funding program. It has boosted the scientific infrastructure of rehabilitation centers, both in personel as well as in technical facilities. It has – above all – stimulated the academic observation and thinking processes in rehabilitation practice and boosted the number of rehabilitation professionals with a research background. This is clearly of crucial importance for the quality of rehabilitation treatment and outcome. The importance of such a rehabilitation research and sciences agenda was very clearly stipulated recently by Frontera and colleagues with their analysis of the North American rehabilitation situation [8,9]; the bottom line of their statement being that: “…survival of the (…rehabilitation…) specialty, may depend, among other things on the quality of the knowledge base. Very few things could be more important for our patients.” 3. 4th International State-of-the-art-Congress ‘Rehabilitation: mobility, exercise & sports’ It is indeed in the context of this brief history that the 4 th International Congress ‘Rehabilitation: Mobility, Exercise & Sports’ is taking place, as a multidisciplinary event and team effort, and as a natural outcome of the continued collaboration between (local and international) rehabilitation professionals, human movement, social and engineering sciences. The current congress program follows the preceding congresses in 1991 [10], 1998 [11] and 2004 [12–14] and the academic evolvement of the organizing team in a very natural way. The theme ‘Rehabilitation: Mobility, Exercise & Sports’ of the 4th International Congress has also evolved from the continued research work in recent years in the (inter)national context. The program follows the intricate collaboration between human movement sciences and rehabilitation professionals and practice, which among others have evolved in the working group ‘Rehabilitation’ of the Netherlands Society of Human Movement Sciences (VvBN)6 and ‘Human Movement & Sports’ of the Dutch Association of Physical Medicine and Rehabilitation (VRA). 7 The latter stresses the recognition of exercise, active lifestyle and sports, not only as an important part of clinical rehabilitation, but much more also as a lifetime commitment, assumed to increase health and quality of life [15–20]. 5 www.scionn.nl www.bewegingswetenschappen.org/english/english.html 7 vra.artsennet.nl 6