Technology to transform mobility for people with a disability

1. Technology to transform mobility for people with a disability NSF/NIH/VA/WTEC European Study on Mobility

2. WTEC/NSF/VA/NIH Study of Mobility Technology: Panelists • Current and past areas: • Prosthetics and Orthotics • Sensory Augmentation • Environmental Adaptation for Persons with Disabilities Ted A. Conway Theoretical & Applied Mechanics, Tissue Engineering Mechanics, Rehabilitation Engineering Biography: Program Director – Research to Aid Persons with Disabilities, Engineering Directorate, National Science Foundation Ph.D. – University of Illinois at U-C M.S. – University of Illinois at U-C B.S. – Florida State University • New research directions • Robotics Applications in Rehabilitation • Tele-Rehabilitation • Neural Regeneration & Integration • Brain-Computer Interface Web: http://www.nsf.gov

3. WTEC/NSF/VA/NIH Study of Mobility Technology: Panelists Current and past research: Robot-assisted movement training after stroke and spinal cord injury Human motor learning David Reinkensmeyer Panel Chair robotics, neuromuscular control, rehabilitation engineering, motor learning Biography: Professor, Department of Mechanical and Aerospace Engineering, Department of Biomedical Engineering, University of California at Irvine Post-doctoral Fellow, Northwestern University, Rehabilitation Institute of Chicago Ph.D. University of California at Berkeley B.S. M.I.T. New research directions Wearable devices for monitoring stroke recovery Neural models of brain recovery Robot-assisted wheelchair driver’s training Motor learning in golf and dance Combining rehabilitation with neuroregeneration Web: biorobotics.eng.uci.edu

4. WTEC/NSF/VA/NIH Study of Mobility Technology: Panelists • Current and past research: • Biomechanics and overuse injury prevention in manual wheelchair users • Biomechanical analyses of upper and lower extremity movement in individuals with hemiparesis • Rehabilitation robotics Mary Rodgers Rehabilitation biomechanics , healthcare policy, education/training Biography: George R. Hepburn Dynasplint Professor and Chair, Department of Physical Therapy & Rehabilitation Science, University of Maryland School of Medicine AAAS Fellowship – NIBIB/NIH Ph.D. – The Pennsylvania State University M.S. – University of North Carolina, Chapel Hill B.S. – University of North Carolina, Chapel Hill • New research directions: • Rehabilitation and Wellness Technology • Healthcare policy and education/training Web: http://pt.umaryland.edu/research/mrodgers.asp

5. WTEC/NSF/VA/NIH Study of Mobility Technology: Panelists • Current and past areas: • Dynamic EMG Analysis Techniques • Biomechanics of Human Motion • Applications of Wearable Sensors in Motor Disorders Paolo Bonato Wearable Technology, Rehabilitation Robotics, Biomechanics Biography: Director – Motion Analysis Lab, Spaulding Rehab Hosp, Assistant Prof of PM&R Harvard Medical School, Affiliated Faculty Harvard-MIT Division of Health Science and Technology Ph.D. – Universita` di Roma “La Sapienza” M.S. – Politecnicodi Torino • New research directions • Integration of Wearable Technology and Home Robots • Motor Adaptations and Learning during Robotic Gait Training Web: http://www.spauldingrehab.org/

6. WTEC/NSF/VA/NIH Study of Mobility Technology: Panelists • Current and past research: • Shoulder and Wrist Injuries in wheelchair users • Ultrasound to detect soft tissue injury • Brain Computer Interfaces • Skeletal muscle repair • Michael Boninger • Assistive Technology • Repetitive Strain Injury • Biomechanics • Teaching Researchers Biography: Professor & Chair, Department of Physical Medicine & Rehabilitation, Professor Bioengineering, and Rehabilitation Science and Technology, University of Pittsburgh Director, UPMC Rehabilitation Institute MD The Ohio State University BS Mechanical Engineering, The Ohio State University • New research directions • Neuromuscular stimulation for muscle derived stem cell regeneration • Single unit CNS recording for robotic arm control in spinal cord injury • Disparity in provision of assistive technology Web: http://www.rehabmedicine.pitt.edu/

7. WTEC/NSF/VA/NIH Study of Mobility Technology: Panelists • Current and past research: • Wheelchair propulsion mechanics • Mobility and fitness field tests for wheelchair users • Physical capacity and personal mobility • Rachel Cowan • manual wheelchairs • physical capacity interventions • functional evaluations • ‘mobility phenotypes’ Biography: Post-Doctoral Associate, Applied Physiology Laboratory,Miami Project to Cure Paralysis, Department of Neurological Surgery, Miller School of Medicine, University of Miami PhD University of Pittsburgh MS Wake Forest University BA University of North Carolina Wilmington • New research directions • Technology & fitness to mitigate environmental barriers • Non-linear propulsion/mobility • Postural & surface transitions • Stability for mobility Web: http://www.themiamiproject.org/

8. WTEC/NSF/VA/NIH Study of Mobility Technology: Panelists • Current and past research: • Health services • Quality of care given to Medicare beneficiaries • Medicare payment policy Leighton Chan Medicare payment systems, population based disability studies, stroke, TBI, lung disease Biography: Chief, Rehabilitation Medicine DepartmentNational Institutes of Health, Clinical Center MPH - University of Washington MS, Rehabilitation Science – University of Washington MD - UCLA School of Medicine BA, Political Science - Dartmouth College • New research directions • Cohort studies: TBI, stroke patients • Pulmonary rehab for PH and IPF • Collaboration with SSA to improve disability determination process Web: http://www.cc.nih.gov/rmd/index.html

9. WTEC/NSF/VA/NIH Study of Mobility Technology: Panelists • Current and past research: • Progressive wear simulation of knee total replacements • Model-based gait retraining for knee osteoarthritis rehabilitation • Simultaneous prediction of knee muscle and contact forces during gait B.J. Fregly Musculoskeletal modeling and simulation, osteoarthritis treatment design, rehabilitation engineering Biography: Professor, Department of Mechanical & Aerospace Engineering, Department of Biomedical Engineering (joint), Department of Orthopaedics & Rehabilitation (courtesy), University of Florida Post-doctoral Fellow – University of Lyon Ph.D. –Stanford University M.S. – Stanford University B.S. – Princeton University • New research directions • Computational simulation of knee osteoarthritis development • Validation of in vivo knee load predictions using instrumented implants • Treatment planning for gait pathologies based on whole-body momentum Web: http://www.mae.ufl.edu/~fregly

10. Disclosures Chan- none Fregly- none Rogers- none Cowan-none Boninger- Inventor and receive royalties from mobility technology not discussed Bonato- Hocoma Advisory Board, Research and student funding from Hocoma and Intel Reinkensmeyer- Co-inventor of technology licensed by Hocoma (receives royalties and owns stock)

11. Visit/Virtual Visit Locations • Two groups covered ~10 cities in five days • Some researchers traveled to see us • Will write ~ 30 site reports

12. WTEC/NSF/VA/NIH Study of Mobility Technology: Goals • This study is intended to gather information on the worldwide status and trends in technology that will transform mobility for people with a disability, for the benefit of government decision makers and the research community. • Key questions for site visit hosts: • What are three key accomplishments of your group in the past ten years? • What do you feel are the grand challenges in the field of mobility technology, and what engineering and scientific advances must be made to achieve these grand challenges?

13. Plan for the Day Why do we need improved mobility technology?: Observations from our trip (Michael Boninger and Rachel Cowan) A working definition of mobility technology (Rachel Cowan) Technologies for enhancing movement therapy and combination therapies (David Reinkensmeyer and Michael Boninger) Personalized models and health maintenance for mobility (B.J. Fregly and Mary Rodgers) Sensing technologies for mobility (Paolo Bonato and Leighton Chan) Assistive technologies for mobility (Rachel Cowan. Michael Boninger, and David Reinkensmeyer) Organizational structures promoting research, training, and technology transfer in mobility technology (Michael Boninger, Rachel Cowan, B.J. Fregly)