Keynote Speakers

John Patrick	ORLAU/Movement Analysis Service, Robert Jones and Agnes Hunt Orthopaedic and District Hospital, UK. Topic: From Childhood to the Geriatric Age: the challenges of gait rehabilitation.
Casey Kerrigan	Department of Physical Medicine and Rehabilitation University of Virginia School of Medicine, USA. Topic: Clinical Gait Analysis.
Turgut Tümer	Middle East Technical University, Department of Mechanical Engineering, Ankara, Turkey.

Invited Lecturers

Zeevi Dvir	Sackler Faculty of Medicine TAU, Israel. Topic: Determination of change in rehabilitation.
Uri Givon	Sheba Medical Center Tel Aviv, Israel. Topic: Muscular weakness in childern.
Patrice L. (Tamar) Weiss	Dept. of Occupational Therapy Faculty of Social Welfare & Health Sciences University of Haifa, Israel. Topic: Virtual reality.

Half-day ESMAC Seminars

1. Musculoskeletal Modelling

Faculty:

Caroline Stewart	Robert Jones & Agnes Hunt Hospital Orthopaedic Hospital Dept. of Orlau Oswestry, Shropshire United Kingdom.
Andrew Roberts	Robert Jones & Agnes Hunt Hospital Orthopaedic Hospital Dept. of Orlau Oswestry, Shropshire United Kingdom.
Lennart Scheys	K.U. Leuven Med. Image Computing/Lab. of Ergonomics Belgium.
Ilse Jonkers	K.U. Leuven Dept. of Biomedical Kinesiology Belgium.
Mike Schwartz	Gillette Children's Specialty Healthcare, Center for Gait and Motion Analysis ST. PAUL, MN USA.
Iain Charlton	Vicon Dept. of Development Oxford UK.

Topics
Muscle Length

• Calculation of Muscle Length
• Validation of Muscle Length Measurements
• Clinical Significance of Muscle Length Measurements
• Practical utility of Muscle Length Measurements

IAA and Forward Dynamics

• Implementation of IAA and Forward Dynamics
• Validation of IAA and Forward Dynamics
• Clinical Significance of IAA and Forward Dynamics
• Practical Utility of IAA and Forward Dynamics

Extraction of Model Parameters from Imaging

• Implementation of Extraction of Model Parameters from Imaging
• Validation of Extraction of Model Parameters from Imaging
• Clinical Significance of Extraction of Model Parameters from Imaging
• Practical Utility of Extraction of Model Parameters from Imaging

Modelling of Marker Placement

• Calculation of Optimisation of Marker placement
• Validation of Optimisation of Marker placement
• Clinical Significance of Optimisation of Marker placement
• Practical Utility of Optimisation of Marker placement

2. What can Gait Analysis offer Prosthetics?

Faculty:

James Robb	Consultant Orthopaedic Surgeon, Edinburgh, UK.
Tony McGarry	National Centre for Prosthetics and Orthotics, University of Strathclyde, UK.
Susan Hillman	National Centre for Prosthetics and Orthotics, University of Strathclyde, UK.
Steven Gard	Motion Analysis Research Laboratory, Nothwestern University, Chicago, USA.
Klaas Postema	Department of Rehabilitation, University Hospital Groningen, The Netherlands.

Topics:
Principles of prosthetic practice and design. Tony McGarry
Clinical gait analysis for prosthetics. Susan Hillman
Approaches to motion analysis in prosthetic research and development Steven Gard
Applications of gait analysis in prosthetic research. Klaas Postema

3. Quality of Life

Faculty:

Adam Shortland	One Small Step Gait Laboratory, Guy's Hospital, St. Thomas St. London, UK.
Susan Ishoy Michelsen	National Institute of Public Health, University of Southern Denmark.
Christine Eiser	Child Health Psychology, University of Sheffield, UK
Marie Claude Simeoni	Public Health, University Hospital of Marseille, France

Susan Ishoy Michelsen is a medical doctor working as a researcher at the National Institute of Public Health, University of Southern Denmark. Her main interest is children and adults with disabilities. She has studied the social consequences of cerebral palsy in adulthood, focusing on participation on the labour market, education, financial situation as well as independent living and cohabitation. She is the Danish local coordinator of SPARCLE, a study of children with cerebral palsy living in Europe. SPARCLE examines how participation and quality of life in 8-12- year- old children with cerebral palsy relate to their environment.

Christine Eiser trained at the University of Bristol and the Hospital for Sick Children, Great Ormond Street, London. She is currently Professor of Child Health Psychology, at the University of Sheffield. Her main research interests have focused on psychosocial implications of childhood cancer for children and their families. She has written over 100 peer reviewed articles and several books (Children with Cancer: Quality of Life. Lawrence Erlbaum, 2004). Her current interests include the late effects of cancer treatments on psychological functioning and quality of life in both children and young adults after cancer.

Marie Claude Simeoni is a medical doctor, graduated in public health and health economics. She is currently working in a public health department at the University Hospital of Marseille (France). Her specific areas of interest include health and quality of life of children and adolescents, and patients with mental illnesses. Her researches have focused on development, validation and use of quality of life measurement and patient-reported outcomes including more recently the study of impact of cognitive impairment on self-reported outcomes.

4. Movement analysis of upper extremity

Faculty:

Mick Kreulen Mark Smeulders	Amsterdam. Topic: 3D kinematics analyses to inform muscle tendon surgery in the upper extremity.
Carolien van Andel Dirk Jan Veeger Jaap Harlaar	Amsterdam. Topic: The ISB model for the UX.
Andrea Cutti	Bologna. Topic: Upper extremity kinematics analysis based on inertial sensors.
Oliver Rettig Sebastian Wolf	Heidelberg. Topic: An upper-extremity model using functional methods with a minimal marker set.
Jon Davids Laura Peace	Greenville SC, USA. Topic: The SHUEE as a basis for UX kinematic analysis.
Lena Krumlinde	Stockholm Topic: What is a functional assisting hand ?

Summary

In a context of rehabilitation medicine and orthopedics, the discipline of Clinical Movement Analysis (CMA) aims to provide an objective and quantitative description of the functions of muscles and joints when the subject executes a relevant task.
This has become feasible since the technological developments of the last 30 years, i.e. optoelectronic recording of 3D kinematics, ground reaction forces and ElectroMyoGraphy (EMG). The goal of such analyses is to provide relevant information for informed clinical decision making. The main application area was/is functions of the lower extremities in gait in children with Cerebral Palsy (CP), but has been extended to gait in other pathologies (children and adults) as well. Recently the application area of CMA has extended to upper extremity (UX) functions in relevant tasks.
Technically the unequivocal prescription of functions of the shoulder, elbow and wrist is now possible and more detailed functions of the hand are expected to follow. Application area is to inform surgical interventions in e.g. CP, OPBL, and trauma. Also and degenerative (Btx-A) treatment in CP require careful indication. As a starting point, one of the main decisions that CMA has to come forward with, is which UX tasks should be in some kind of focus. There is no single task (like gait for the LX) that is clearly the most relevant. Unilateral UX tasks are the basis of the first studies, which seem a natural choice.
However, from a broader functional perspective, this is not then case for unilateral pathologies (CP hemiplegia, OPBL, trauma). Since, even the best treatment (as a result of CMA informed decision making) will probably not restore the UX to be the functional favorable side to use in unilateral tasks. Alternatively focusing on (symmetric) bimanual tasks or tasks supporting unilateral tasks, would probably be of most functional benefit to the patient.
A second main point of attention is which marker models should be used to reliably describe the kinematics of the upper extremity and the associated biomechanical models, which are used to infer muscle functions from that.
The complexity of the model should be tuned towards the specific kind of information that is necessary to inform clinical decision making. A straight forward application is that of the ISB, which are superseded by models that use functional optimization. However, recent sensor innovations (inertial sensing) enable easy to apply evaluations outside the lab.

ESMAC GAIT COURSE

Date: September 8-9-10, 2008
Duration: Three full-days (09:00-17:30)
Location: Gloria Golf Convention Center
Capacity: Up to 60 participants with registration on first come first served basis

Target Audience:

Clinicians and researchers currently working in a gait laboratory
Clinicians and researchers who plan to work in a gait laboratory
Clinicians interested in movement analysis of adults or children
Clinicians, surgeons or engineers who want to gain a detailed insight of gait analysis
Clinical directors who plan to establish a gait laboratory in his/her clinic.

Learning Objectives

By participation in this course, participants will be able to:

Make visual gait analysis
Recognize the phases of gait cycle
Define the kinematic events occuring during the gait cycle
Define the kinetic events occuring during the gait cycle
Visit a comprehensive gait laboratory, observe and participate in an interactive gait analysis session to be settled in the Gloria Golf Convention Center.

Faculty

H. Gok   Turkey	J. Stebbins UK
B. B. Westhoff  Germany	Malgorzata Syczewska   Poland
C. Stewart   UK	R. Brunner    Switzerland
I. Jonkers    Belgium	S. Gibbs   UK
B. Muller     Spain	T. Theologis  UK
J. Robb    UK	M. Walsh   Ireland

Preliminary Programme

DAY 1: ESMAC GAIT COURSE

Time	Duration	Title	Format	Lecturer
09.00-09.15	15 min	Welcome & Introduction	Lecture
09.15-09.45	30 min	Gait analysis:Terminology	Lecture	M. Walsh
09.45-10.30	45 min	Video observation of (normal) walking	Lecture	M. Walsh
10.30-11.00	30 min	Coffee
11.00-11.45	45 min	Relation between the assessment of motor potential (Clinical assessment) and motor function as observed through video analysis	Lecture	S. Gibbs
11.45-12.30	45 min	Clinical Examination	Lecture	M. Walsh
12.30-13.30	60 min	Lunch
13.30-14.00	30 min	Clinical Assessment: A Round-up	Lecture	S. Gibbs
14.00-14.45	45 min	Workshop 1: Relation between the assessment of motor potential and motor function as observed through video analysis – case studies	Workshop
14.45-15.30	45 min	Workshop 2: Relation between the assessment of motor potential and motor function as observed through video analysis – case studies continued	Workshop
15.30-16.00	30 min	Coffee
16.00-16.30	30 min	Introduction to kinematic modelling: From movement on video to kinematic graph	Lecture	C. Stewart
16.30-17.30	60 min	Workshop 3: Kinematics:normal and altered walking	Workshop

DAY 2: ESMAC GAIT COURSE

Time	Duration	Title	Format	Lecturer
09.00-09.15	15 min	Round Up Day 1	Lecture
09.15-10.00	45 min	Introduction to kinetics: Physics	Lecture	C. Stewart
10.00-10.45	45 min	Joint moments during walking	Lecture	I. Jonkers
10.45-11.15	30 min	Coffee
11.15-12.00	45 min	Joint power and EMG during walking	Lecture	I. Jonkers
12.00-13.00	60 min	Lunch
13.00-14.00	60 min	Workshop 4: Joint moments during walking	Workshop
14.00-14.30	30 min	Marker placement: sources of error	Lecture	M. Syczewska
14.30-15.00	30 min	Coffee
15.00-16.00	60 min	A kinesiological reference frame for data interpretation	Lecture	R. Brunner
16.00-17.00	60 min	Workshop 5: Case Discussion I	Workshop
17.00-17.30	30 min	Relation between the assessment of motor potential and motor function as observed in the kinematics/kinetics and EMG – Part1	Lecture	S. Gibbs

DAY 3: ESMAC GAIT COURSE

Time	Duration	Title	Format	Lecturer
09.00-09.30	30 min	Relation between the assessment of motor potential and motor function as observed in the kinematics/kinetics and EMG – Part2	Lecture	A. Roberts
09.30-11.00	90 min	Workshop 6: Case Discussion II	Workshop
11.00-11.30	30 min	Coffee
11.30-13.00	90 min	Workshop 7: Case Discussion III	Workshop
13.00-14.00	60 min	Lunch
14.00-14.30	30 min	Recommendations for quality assurance	Lecture	C. Stewart
14.30-16.30	120 min	Workshop 8: Gait Lab session	Workshop
16.30-17.00		Closure

Cost

		Until June 20th , 2008	After June 20th , 2008
Monday to Wednesday	Members*	400 Euro	450 Euro
	Non- members	450 Euro	500 Euro
	Students	250 Euro	300 Euro

* ESMAC, GCMAS, SIAMOC, Supporting Turkish Societies.

Registration

Online registration is open. Plese complete the form https://secure.eventmagix.com/RegForms/esmac2008/

Course fee includes all course materials, course manual, lunches and refreshments, and social events.

Places will be allocated on a 'first come, first serve' basis with respect to the date of receipt of payment.

Workshops/Panels

1. Gait Assessment and Training: Stepping From Mechanistic Research to Practice

Workshop Speakers

Janice Eng	University of British Columbia, Canada.
Diane Damiano	Washington University, USA.
Sandra Olney	Queen's University in Kingston, Canada.
Meg Morris	University of Melbourne, Australia.

Janice Eng	Department of Physical Therapy and Graduate Program in Rehabilitation Sciences, University of BCGF Strong Rehab Centre Vancouver, Canada.
Diane Damiano	Washington University, Department of Neurology, St. Louis, USA.
Sandra Olney	School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada.
Meg Morris	School of Physiotherapy, University of Melbourne, Melbourne, Australia.

2. Gait & Balance Disorders: Neurological Perspective and Posturograpic Approach

Yakup Sarıca	Çukurova University Faculty of Medicine Department of Neurology, Adana, Turkey.
Neşe Çelebisoy	Ege University Faculty of Medicine Department of Neurology, İzmir, Turkey.
Meltem Demirkıran	Çukurova University Faculty of Medicine Department of Neurology, Adana, Turkey.

1. Potential uses of static posturograpy in neurology. Yakup Sarıca
2. Static Posturograpy in central and peripheral vestibulopathies. Neşe Çelebisoy
3. Static posturography in sensory and cerebellar ataxias. Meltem Demirkıran

Target Audience: Clinicans who are interested in gait and balance disorders
Learning Objectives: By participation in this session, participants will be able to learn the neurological perspective of gait and balance disorder as well as the clinical uses and contribution of posturography in cases with central and vestibular lesions and with peripheral neuropathy and cerebellar disorders.

3. Gait Analysis in Diabetes

Nesrin Demirsoy	Gazi University Faculty of Medicine Department of Physical Medicine and Rehabilitation, Ankara, Turkey.
Salih Angın	School of Physiotherapy, Dokuz Eylul University, Izmir, Turkey.
Hans Savelberg	Dept. Human Movement Science, Faculty of Health, Medicine and Life Science, Maastricht University, Maastricht, The Netherlands.
Carine H.M. van Schie	Department of Rehabilitation, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands
Claudia Giocomozzi	Biomedical Engineering Laboratory, Istituto Superiore di Sanita, Rome, Italy.

Target Audience:
Medical Doctors (PM&R, Vascular Surgeons, Endocrinologists, Orthopedic Surgeons), Podiatrists, Biomedical Engineers, Physical Therapists, Prosthetists and Orthotists, Rehabilitation Nurses
Learning Objectives:
By participation in this symposium, participants will be able to

• Review underlying causes of the effects of Diabetes Mellitus on muscle activation and its innervation,
• Know associations between muscle weakness and the gait deviations,
• Understand intrinsic foot muscle atrophy, foot deformities and their effects on gait and plantar pressure, and importance of early identification of the risks for neuropathic foot ulcers
• Know common kinematic and kinetic changes in gait pattern and plantar pressure alterations in diabetic patients.

4. Movement Analysis in Sports

Moderators: Feza Korkusuz and Mustafa Karahan

Mustafa Karahan	Marmara University Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey.
Selim Yalçın and Nadire Berker	Marmara University Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey.
Torn Krosshaug	Oslo Sports Trauma Research Center, Norway.
Feza Korkusuz	Middle East Technical University, Department of Physical Education and Sports, and Medical Center, Ankara, Turkey.

1. Motion analysis of throwing. Mustafa Karahan
2. Application of motion analysis for training in rowing, running and other sports: Is it really worth the effort? Selim Yalçın and Nadire Berker
3. Video analysis of the mechanisms for ACL injuries. Torn Krosshaug
4. Middle East Technical University experience. Feza Korkusuz

Following the workshop, the participant should be able to:

1. Discuss shoulder and elbow motion specific to the overhead athlete during throwing.
2. Understand the controversies related to the application of motion analysis in sports training
3. Understand the mechanisms underlying ACL injuries and the methods to prevent them.
4. Share experience of movement analysis in sport at laboratory and field settings.

Workshop Summary:

Sports injuries are major socio-economic burden for the society in addition to its toll on the individual athlete. More research has been done on the treatment methods of sport injuries than prevention methods. In order to prevent injuries, mechanism of injuries should be clearly defined. Motion analysis is one of the best methods to delineate injury mechanisms. In this session, features of motion-analysis, pitfalls of video-analysis will be discussed. Further insight into features of overhead athletic activities and prevention of ACL injuries will be revealed. Share experience of movement analysis in sport at laboratory and field settings.

Biographies

Mustafa Karahan, Professor of Orthopedics and Traumatology at Marmara University in İstanbul, Turkey. He is also the director of the Sports Sciences and Sports Health Research and Application Center at the same center. He is actively involved in the sports injuries of the shoulder, knee and ankle and their arthroscopic treatment and prevention of sports injuries. He is in the health subcommittee of the National Olympic Committee and various sports federations. He is a member of Turkish Sports Traumatology and Arthroscopic Surgery Association, ESSKA, ISAKOS, AOSSM.

Selim Yalcin, Professor of of Orthopedics and Traumatology at Marmara University in İstanbul, Turkey. A competitive rower and runner for over 30 years. He is an amateur rowing, running and sailing coach and has been an active member of the rowing federation. He is the coauthor of the first Turkish gait analysis book. He founded the Marmara University Gait Analysis Laboratory in 2001. He treats many young rowers, sailors and swimmers.

Nadire Berker, Professor of Physical Medicine and Rehabilitation, currently working at the VKV American Hospital in Istanbul, Turkey. She is a competitive masters runner, rower and sailor. She is the coauthor of the first Turkish gait analysis book and co-founder of the Marmara University Gait Analysis Laboratory in 2001. She has extensive experience of clinical gait analysis in cerebral palsy and spina bifida.

Tron Krosshaug, PhD is a researcher at the Oslo Sports Trauma Research Center. He has a masters degree in biomechanics from the University of Sport and Physical Education. He has also taken several mathematics, mechanics and robotics courses at the University of Oslo. He defended his PhD thesis on the topic "Video analysis of the mechanisms for ACL injuries" in August 2006. Krosshaug also functions as a computer consultant for the research group. His main research area is sports injury prevention, with a primary focus on video analysis and inverse dynamics analysis of serious knee injuries various sports. Tron Krosshaug is devoted to lifting weights, and claims that life quality increases with frequent bench pressing.

Feza Korkusuz, MD. Professor of Orthopedic Surgery and Traumatology at Middle East Technical University (METU). Head of METU Physical Education and Sport Department. Studies on movement analysis of sport in laboratory and field setting.

5. Proprioception in Sports Medicine

Emin Ergen	Ankara University Medical School, Department of Sports Medicine, Ankara, Turkey.
Bülent Ülkar	Ankara University Medical School, Department of Sports Medicine, Ankara, Turkey.
Taner Aydın	GATA, Department of Sports Medicine, Ankara, Turkey.

1. Neuromuscular training in Sports Rehabilitation. Emin Ergen
2. Clinical Importance of Proprioception. Taner Aydın
3. How to measure and evaluate proprioceptive status? Bülent Ülkar

6. SWOT Analysis of Clinical Gait Analysis

Gunes Yavuzer	Ankara University Faculty of Medicine Department of Physical Medicine and Rehabilitation, Ankara,Turkey.
Franco Molteni	Villa Beretta Rehabilitation Center, Ospedale Valduce, Costamasnaga, Italy.
Guy Molenaers	Clinical Motion Analysis Laboratory, Department of Rehabilitation Sciences, University Hospital Pellenberg, Catholic University of Leuven, Belgium.
Hans Bussmann	Department of Rehabilitation Medicine, Erasmus MC, Rotterdam, The Netherlands.
Henk Stam	Department of Rehabilitation Medicine, Erasmus MC, Rotterdam, The Netherlands.
Jaap Buurke	Roessingh Research & Development, Enschede, The Netherlands.
Jill Rodda	Hugh Williamson Gait Laboratory Royal Children's Hospital Melbourne , Australia.
Kaat Desloovere	Clinical Motion Analysis Laboratory, Department of Rehabilitation Sciences, University Hospital Pellenberg, Catholic University of Leuven, Belgium.
Richard Baker	Murdoch Childrens Research Institute Royal Childrens Hospital Parkville 3052, Victoria, Australia.
Jozef Opara	"Repty" Rehab Centre Poland.
Linamara R. Battistella	Department of Rehabilitation Medicine, Hospital das Clinicas, School of Medicine at University of Sao Paulo, Brazil.
James J. Carollo	Director, Center for Gait and Movement Analysis (CGMA) Director, Musculoskeletal Research Center (MRC) Associate Professor, Departments of Physical Medicine & Rehabilitation and Orthopaedics University of Colorado at Denver Health Sciences Center, Denver, CO, USA

7.Force Plates in Movement Analysis

Necip Berme	Department of Mechanical Engineering, Ohio State University, Columbus, USA. Bertec Corporation, Columbus, Ohio, USA.
Cenk Güler	Department of Mechanical Engineering, Ohio State University, Columbus, USA. Bertec Corporation, Columbus, Ohio, USA.

8. Observational Gait Analysis and Gait Deviations in Amputees

Serap Alsancak	Ankara University, Vocational School of Health, Prosthetics and Orthotics Programme, Turkey
Haydar Altınkaynak	Ankara University, Vocational School of Health, Prosthetics and Orthotics Programme, Turkey
Tim Bach	National Centre for Prosthetics and Orthotics and Department of Human Physiology and Anatomy School of Human Biosciences, La Trobe University, Victoria, Australia
Siegmar Blumentritt	Otto Bock HealthCare, Duderstadt ; Georg-August-University Göttingen, Germany
Yusuf Yıldız	Ankara University Faculty of Medicine Department of Orthopedics and Traumotology, Turkey

Topics
1. Observational gait analysis in amputees. Tim Bach
2. Surgical reasons of gait deviations in amputees. Yusuf Yıldız
3. Alignment of leg prosthesis. Siegmar Blumentritt
4. Prosthetic component reasons of gait deviations. Haydar Altınkaynak
5. Other reasons of gait deviations in amputees. Serap Alsancak