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Technology in Rehabilitation
Creative Force or Expensive Waste
Derek Jones PhD, MBA
Director - Fixxl Ltd and Anatomical Concepts (UK) Ltd
Creative Force or Expensive Waste
Can be either …But is it ALL about the Technology?
Bringing
technology
to life
Goal
ChoicesResults
Goal
ChoicesResults
Attitude/BeliefsDesire/Motive
Resourcing
Attitude/BeliefsDesire/Motive
Resourcing
Goal
ChoicesResults
Attitude/BeliefsDesire/Motive
Resourcing
Goal
Knowledge
ExperiencePersistence
Attitude/Belief Innovation
Systems
Processes
Technology
Does the world
need a better
Wheelchair?
Wheelchair waiting times
1.2 m UK users
70% Wait more than 3 months
30% Wait more than 6 months
15% Wait more than 12 months
Pressure Sores - 50% of users
Huge economic impact of delay
Better Goal?- Children into an appropriate chair within a day
We need better goals
SOMETIMES..
Wishing for new
technology is not
enough
Goal
Knowledge
Experience
Technology
Persistence
Attitude/Belief Innovation
Systems
Processes
Rehabilitation Goal Setting
“Who, will do what, under what
conditions, how well and by
when”
Rehabilitation Goal Setting
“Who, will do what, under what
conditions, how well and by
when”
The Who of the Goal
should always be the
patient
Goal
Achievement
• Patient’s ability to
achieve their goals?
• Clinicians ability to
predict outcome?
• Commitment of
Resources
Goal
Knowledge
Experience
Technology
Persistence
Attitude/Belief
Christine
Short Movie
Goal
Knowledge
Experience
Technology
Persistence
Attitude/Belief
in the shadow of the Goal
Technological
Convergence
“New” Medicine
Robotics
Convergence
Wireless
Sensors
Genomics
Imaging
Information
Systems
Computing
Power
‘Big’ Data
Social
Networking
Internet
Mobile
Connectivity &
Bandwidth
–Eric Schmidt, former CEO of Google
“… the power of individual
targeting provided by technology
will be so good that it will be very
hard for people to watch or
consume something that has not in
some sense been tailored for
them…”
Redundancy &
Abundance
Spontaneous Recovery?
Compensation?
Neuroplastic Mechanisms?
Stimulated/trained Recovery?
Technology can be
used to IDENTIFY
status, generate
RECOVERY and/or
provide
COMPENSATION
Indego Rex Bionics ReWalk Ekso Bionics
The Commercial R&D Game
Invention
Adoption
Diffusion
Addressable Markets
Military
Load Carry
Infantry Tool
Industrial
Load Carry
Safety
Tool Holding
Consumer
Elderly
Recreational
Performance
Training
Medical
Rehab Device
Assistive Device
SERVICE INNOVATION
Because No One Will Care About Your Technology
Short
Product Life
Commoditisation Copying Low
ROI
Tek RMD - Robotic Mobilisation Device
Unexpected Consequences
Negative Impact on Fitness
Limited Function
High Cost
Investment Brings Awareness
People Learn to Believe
http://www.daneleyfoundation.org
http://www.daneleyfoundation.org
Technology should
“Emerge from the Shadow”
of a goal
Technology is always a creative force
but it needs to be directed effectively
Whether it is wasted is down to us
Tiny decisions
When you look back at your life,
the most momentous changes
came about because you made
a series of small decisions.
These added up to create the
life you have now.
Those small decisions have
more effect than the “huge”
choices you made.
Life is chaos in action - there are
no ordinary moments
Derek Jones PhD MBA
Anatomical Concepts (UK) Ltd - Masters of Rehabilitation Engineering
Fixxl Ltd - Bringing Technology to Life

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