Department of Health Care Science
The Department Clive Thursfield David  Pratt David  Harrison Tom Stone Jemma  Newman Mike Ryan Ralf Palmer John Spriggs Ge...
ACT CML Project  Work
Project Overview  HCS ACT- clinical work CML- clinical work Cognitive Therapy Devices Clinic Posturography Head Mouse Virt...
Overview <ul><li>Today we will cover </li></ul><ul><ul><li>project examples </li></ul></ul><ul><ul><li>Current services </...
Product Evaluation
Head Control of PC Use your head.. Camera sits on monitor of PC User wears reflective dot on head.   Camera sees where the...
Head Mouse Evaluation <ul><li>Only had one device to issue to patients £800 each </li></ul><ul><li>Required technical and ...
Virtual Reality
Virtual Reality <ul><li>Using Virtual Worlds </li></ul><ul><ul><li>Cognitive behavioural therapy </li></ul></ul><ul><ul><l...
Virtual Reality Gait Training <ul><li>Clinical need from medical staff for gait retraining in safe environment. </li></ul>...
 
 
Set Up <ul><li>Treadmill, projector and screen </li></ul>
Clinical Measurement Laboratory <ul><li>Using CML Motion Capture system to record patient movement   </li></ul>
Sports Injury
Effectiveness and Efficiency <ul><li>Fully utilising expensive specialist equipment  </li></ul><ul><ul><li>Supporting clin...
Preventing the future  Tiger  from injury…
Keeping the amateur Ashes wanabee healthy…?
New Design and Development
 
 
Design and production of specialised patient equipment There are no low-cost, simple  body-worn communication aids Therapi...
Collision Avoidance
Clinical Research and Evidence Base
Measuring effectiveness <ul><li>How do we know if what we are doing is effective ? </li></ul><ul><li>How do we compare alt...
Posturography Physiotherapists want to measure and record the balance of stroke recovery patients <ul><li>Possible solutio...
Activities of Daily Living Dr. Thomas Stone Healthcare Science  ©2008 <ul><li>Quantifying Change </li></ul><ul><ul><li>Inv...
Activities of Daily Living <ul><li>Evaluate user feelings about new tools </li></ul><ul><ul><li>Acceptance </li></ul></ul>...
Foot Pressure Measurement Current reporting methods for clinical foot pressures ambiguous <ul><li>Clinical Scientist atten...
Lycra ®  Effectiveness Measuring effect of Lycra ®  splinting on function in patients with multiple sclerosis Healthcare S...
Cognitive Technology Clinic
New possibilities for patients and the Foundation Trust ? <ul><li>A monthly  Cognitive Technology Clinic  has been setup  ...
An articulate memory aid to promote independent living.
“Geoff, your cooking is ready” “Geoff, your cooking is ready” “Geoff, your cooking is ready” Kitchen Lounge Geoff puts on ...
Preventing leaving the house at inappropriate times of night/ early morning.
Collaborations HCS Industry Healthcare Academic Toumaz ETT Sony Physio Prosthetics Orthotics SLT Birmingham Leeds Met Bath...
Summary <ul><li>42 project have been identified by discussing and educating staff about the possibilities </li></ul><ul><l...
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Hcs Projects

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  • Head Mouse Extreme COST BENEFIT 07-08 issued 8 total cost £6400 08-09 issued 9 total cost £7200 09 so far issued 6 total cost £4800 But issued 5 Smart Nav at total cost of £1250, saving of £2750
  • PATIENT EXPERIENCE
  • COST BENEFIT
  • SAFETY
  • EFFECTIVENESS
  • EFFECTIVENESS
  • EFFECTIVENESS
  • Hcs Projects

    1. 1. Department of Health Care Science
    2. 2. The Department Clive Thursfield David Pratt David Harrison Tom Stone Jemma Newman Mike Ryan Ralf Palmer John Spriggs Geoff Harbach 5 Regional Rehab Engineers Mark Tucker part II trainee Helen Davies part I trainee Kevin McGrath Clinical Scientist Clinical Technologists Technicians Clinical Scientist Trainees
    3. 3. ACT CML Project Work
    4. 4. Project Overview HCS ACT- clinical work CML- clinical work Cognitive Therapy Devices Clinic Posturography Head Mouse Virtual Reality Gait Re-training Voice Recorder Eye Gaze Upper Limb Lycra Evaluation Wheelchair Collision Avoidance Attention Call Response Monitoring Amputee Rehabilitation Prosthetic Socket Interface Pressure Measurement Quality System Development Orthotic Serial Casting Biofeedback Weight Bearing Average Gait Velocity Animated Exercise Activities Daily Living Measurement Dysphagia Re-training VR Errorless Learning Transfemoral Amputee Assessment Environmental Control Assessment Procedures Lecturing MEng Biomedical Engineering EMG Reporting Methodology CML Kinematics Modelling External Devices Power Supply for Wheelchairs Visual Display Depth Prosthetic Liner …… .
    5. 5. Overview <ul><li>Today we will cover </li></ul><ul><ul><li>project examples </li></ul></ul><ul><ul><li>Current services </li></ul></ul><ul><ul><li>Some future Projects </li></ul></ul>
    6. 6. Product Evaluation
    7. 7. Head Control of PC Use your head.. Camera sits on monitor of PC User wears reflective dot on head. Camera sees where the dot is and tells the computer to move the mouse on the screen
    8. 8. Head Mouse Evaluation <ul><li>Only had one device to issue to patients £800 each </li></ul><ul><li>Required technical and clinical evaluation of devices </li></ul><ul><li>Comparison of dedicated head mice and web camera performances </li></ul><ul><li>Potential Cost Savings so far this year of £2750 </li></ul>
    9. 9. Virtual Reality
    10. 10. Virtual Reality <ul><li>Using Virtual Worlds </li></ul><ul><ul><li>Cognitive behavioural therapy </li></ul></ul><ul><ul><li>Errorless route learning </li></ul></ul><ul><ul><li>Augmenting traditional intensive therapy </li></ul></ul><ul><li>Highly novel work </li></ul><ul><ul><li>IP exploitation </li></ul></ul><ul><ul><li>“ Paradigm” shifting </li></ul></ul>Dr. Thomas Stone Healthcare Science ©2008 Photo’s courtesy of the Serious Games Department Birmingham University
    11. 11. Virtual Reality Gait Training <ul><li>Clinical need from medical staff for gait retraining in safe environment. </li></ul><ul><li>Development of virtual environment and physical interface. </li></ul><ul><li>Measure movement using current motion analysis suite in CML. </li></ul>
    12. 14. Set Up <ul><li>Treadmill, projector and screen </li></ul>
    13. 15. Clinical Measurement Laboratory <ul><li>Using CML Motion Capture system to record patient movement </li></ul>
    14. 16. Sports Injury
    15. 17. Effectiveness and Efficiency <ul><li>Fully utilising expensive specialist equipment </li></ul><ul><ul><li>Supporting clinical services by income generation. </li></ul></ul><ul><ul><li>Advancing Diagnostic Movement Analysis </li></ul></ul>
    16. 18. Preventing the future Tiger from injury…
    17. 19. Keeping the amateur Ashes wanabee healthy…?
    18. 20. New Design and Development
    19. 23. Design and production of specialised patient equipment There are no low-cost, simple body-worn communication aids Therapist identified problem <ul><li>High level design skills </li></ul><ul><li>Use of sophisticated software </li></ul><ul><li>Communication with industry </li></ul><ul><li>Design of prototype </li></ul><ul><li>Promotion with MidTech </li></ul><ul><li>Potential IP and income generation </li></ul>Portable Communication Income Generation
    20. 24. Collision Avoidance
    21. 25. Clinical Research and Evidence Base
    22. 26. Measuring effectiveness <ul><li>How do we know if what we are doing is effective ? </li></ul><ul><li>How do we compare alternative therapies ? </li></ul><ul><li>How do we prioritise input ? </li></ul><ul><li>Measurement of Impairment </li></ul>
    23. 27. Posturography Physiotherapists want to measure and record the balance of stroke recovery patients <ul><li>Possible solution is use of a force platform </li></ul><ul><li>Highly Accurate </li></ul><ul><li>Very expensive </li></ul><ul><li>Concreted in laboratory </li></ul><ul><li>Solution was to produce a mechanism to record the position of a digital pen on a digital tablet </li></ul><ul><li>In-house data collection software is also being developed with input from the end user </li></ul><ul><li>Quick and easy to implement </li></ul><ul><li>Clinically viable?? – currently trialling with MSc student (University of Birmingham) </li></ul>
    24. 28. Activities of Daily Living Dr. Thomas Stone Healthcare Science ©2008 <ul><li>Quantifying Change </li></ul><ul><ul><li>Investigating activity changes in patients </li></ul></ul><ul><ul><li>How does therapy affect change </li></ul></ul><ul><li>Ambulatory monitoring </li></ul><ul><ul><li>Away from clinical environment </li></ul></ul><ul><li>Links to tele-rehabilitation and tele-health </li></ul>
    25. 29. Activities of Daily Living <ul><li>Evaluate user feelings about new tools </li></ul><ul><ul><li>Acceptance </li></ul></ul><ul><ul><li>Dignity </li></ul></ul><ul><li>Collaboration with industry </li></ul><ul><ul><li>Get what we want, not what we’re given </li></ul></ul><ul><li>Monitor improvement </li></ul><ul><ul><li>In “everyday” context </li></ul></ul><ul><ul><li>We know we make a difference but can we prove it? </li></ul></ul>Dr. Thomas Stone Healthcare Science ©2008
    26. 30. Foot Pressure Measurement Current reporting methods for clinical foot pressures ambiguous <ul><li>Clinical Scientist attended manufacturer training </li></ul><ul><li>Understand the equipment - hardware + software </li></ul><ul><li>Literature evidence </li></ul><ul><li>Feedback to MDT </li></ul><ul><li>New reporting methods being implemented </li></ul><ul><li>Working towards implementing these measures into regular clinical practice within orthotics </li></ul><ul><li>Evidence based practice </li></ul><ul><li>Clinical effectiveness and biofeedback for patient </li></ul>
    27. 31. Lycra ® Effectiveness Measuring effect of Lycra ® splinting on function in patients with multiple sclerosis Healthcare Science used digital reaching tasks and functional movement to better quantify movement Historical measures qualitative – Clinicians observing tasks before and after Lycra® intervention <ul><li>Quick and easy to implement </li></ul><ul><li>Routine measures within clinical environment available </li></ul><ul><li>Accuracy </li></ul><ul><li>Smoothness of movement (Jerk reduced = smoother movement) </li></ul><ul><li>Time taken to carry out tasks </li></ul><ul><li>Presented at Society for Research in Rehabilitation </li></ul>
    28. 32. Cognitive Technology Clinic
    29. 33. New possibilities for patients and the Foundation Trust ? <ul><li>A monthly Cognitive Technology Clinic has been setup where Health Care Scientists work along side Psychologists, PT’s, OT’s , and SLT’s bringing innovation to wider range of patients. </li></ul>
    30. 34. An articulate memory aid to promote independent living.
    31. 35. “Geoff, your cooking is ready” “Geoff, your cooking is ready” “Geoff, your cooking is ready” Kitchen Lounge Geoff puts on his speaking belt He then puts his meal on the cooker and sets the system accordingly He goes about his normal business …. When his meal is ready a radio signal is sent to his belt ..and the belt speaks to him repeatedly until … He goes back to the kitchen, takes his food off the cooker and resets the system … and eats his dinner !
    32. 36. Preventing leaving the house at inappropriate times of night/ early morning.
    33. 37. Collaborations HCS Industry Healthcare Academic Toumaz ETT Sony Physio Prosthetics Orthotics SLT Birmingham Leeds Met Bath Surry VR Gait analysis Mech Testing ADL Wheelchair Stability Computer Controls Posture Measurement ADL’s Lycra Outcomes Dysphagia Serial Casting Bio-feedback Bespoke Wedges Brunel Biomechanics Clinical Measurement Gait analysis
    34. 38. Summary <ul><li>42 project have been identified by discussing and educating staff about the possibilities </li></ul><ul><li>Staff are now beginning to initiate new projects. </li></ul>

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