Cognitive Rehabilitation

Sunday, 15 Rajab 1439 AH - 1 April 2018 AD 4:00 PM-5:40 PM Round Auditorium

Session moderator : Dr Khulood Al Hussein


1- O-39 : Effects of Hippotherapy on Gross Motor Function Measure (GMFM) and Functional Performance of Children with Cerebral Palsy

Speaker: Ghadeer Mira

Time : 4:00 PM-4:20 PM 

Ghadeer Mira

Pediatric Physical Therapist

Disabled Children Association


She is on a mission to help people with disability achieve their goals and live a near normal and fulfilling beautiful life. She wants to increase the society awareness about them and wants everyone to know how able and strong they are. Ghadeer holds a bachelor degree in Physical Therapy and a master degree in Anatomy both from King Abdul-Aziz University in Jeddah, Saudi Arabia. Ghadeer have been working in Disabled Children Association, Jeddah Center, Saudi Arabia for 7 years now. She is the acting head of physical therapy department. She did part time teaching of pediatric physiotherapy in King Abdul-Aziz University. Ghadeer gave an oral presentation on (Effect of Therasuit Therapy on Standing Position in Cerebral Palsy Children) in the 6th Applied Medical Science Students Meeting. She has conducted and been involved in 4 researches 3 of it related to cerebral palsy children.


Effects of Hippotherapy on Gross Motor Function Measure (GMFM) and Functional Performance of Children with Cerebral Palsy as a 20 minute presentation


Purpose: To investigate/evaluate effects of Hippotherapy on gross motor function and functional performance in children with CP
Material & Methods
Setting: Disabled Children’s association(Jeddah center).
Participants: We recruited 40 children for experimental group and 40 children for control group. Both ages 5-12 years with spastic CP Presenting variable function between GMFCS levels (11- 1V).
Intervention: Experimental group recieved hippotherapy for 45 minutes once a week ; 24 sessions in addition to conventional therapy. While control group had only conventional therapy.
Outcome Measures:GMFM-66 & PEDI-CAT
There were significant differences between experimental and control groups in mean baseline total scores of GMFM-66 and PEDI-CAT. After 24 weeks mean GMFM-66 and PEDI-CAT scores were improved in both groups. However the hippotherapy group had significant improvement in dimension B,C and D and total score than control group. The PEDI-CAT total score and sub score of its 4 domain areas were systematically assess before and after intervention as outcome measures.
The result of our study demonstrates the beneficial effects of hippotherapy on GMFM and functional performance in children with CP as compared to control group. The significant improvement in PEDI-CAT suggests that hippotherapy may be useful to maximize the functional performance of children with CP.

2- O-40 : Augmentative communication and ALS: Why refer early?

Speaker: Dr John Costello

Time : 4:20 PM-4:40 PM

Dr John Costello
Director, Pediatric Augmentative Communication Program and the ALS
Augmentative Communication Services
Boston Children’s Hospital

John has been a Speech Language Pathologist in the Augmentative Communication
Program (ACP) at Boston Children’s Hospital for nearly 33 years and is the director of
the Pediatric Augmentative Communication Program and the ALS Augmentative
Communication Services.   John founded the first and only dedicated AAC in the
Pediatric ICU/Acute Care Setting Program in the early 90’s and has founded a full-time
ALS Augmentative Communication Program being used as a model for other programs
internationally.   He is a full-time clinician providing clinical care to children and adults
with non-speaking conditions and is adjunct instructor for Boston University and MGH
Institute of Health Professionals.   John has lectured nationally and internationally on
topics of AAC and authored/co-authored several articles and chapters related to AAC.

Augmentative communication and ALS: Why refer early?

For most people, having to learn a new tool or strategy when fatigued, uncomfortable or
in pain; when unable to ask questions or engage partners or; when having difficulty
physically engaging, results in confusion, misunderstanding and personal
compromise.For this reason, and to maximize opportunities for control and success,
people with ALS should be referred early for AAC assessements. Collaborating in
design and selection of tools and participating in message banking and voice banking
will be highlighted.

3- O-41 : Length of stay and functional outcomes among patients with stroke discharged from an inpatient rehabilitation facility in Saudi Arabia

Speaker: Saad Bindawas

Time : 4:40 PM-5:00 PM


Dr. Saad Bindawas

Associate professor and physical therapy consultant, Department of Rehabilitation Sciences

King Saud University


He was formerly the chair of the department of rehabilitation sciences and the director of the research center in the college of applied medical sciences. He graduated with bachelor's degree from King Saud University in 2001 and completed his master's degree at Sydney University in 2003. He then completed his PhD at the University of Texas Medical Branch in 2009. His research interests include rehabilitation outcome research, development and validation of patient-reported outcome measures as well as clinical research related to geriatric rehabilitation. He has published several peer-reviewed articles in international high impact journals.


The associations between length of stay and functional outcomes among patients with stroke discharged from an inpatient rehabilitation facility in Riyadh


By: Saad M. Bindawas1, Vishal Vennu1, Hussam Mawajdeh2, Hisham Alhaidary2, and Emad Moftah1,3

1Department of Rehabilitation Sciences, King Saud University, Saudi Arabia

2Rehabilitation Hospital, King Fahad Medical City, Riyadh, Saudi Arabia

3Department of Rehabilitation, King Abdulaziz Medical City, Riyadh, Saudi Arabia.


The goal of this study was to examine the associations between length of stay (LOS) and functional outcomes among patients with stroke discharged from an inpatient rehabilitation facility in Saudi Arabia. It included all patients (N = 409) who were admitted to an inpatient rehabilitation for stroke during 2008–2014. Patients were divided into four groups according to days of rehabilitation: ≤30 days (n = 114), 31–60 days (n = 199), 61–90 days (n = 72), and >90 days (n = 24). Multivariate regression analyses were used to evaluate functional outcomes using the functional independence measure (FIM). The fully adjusted model showed higher total and sub-scale FIM scores were significantly associated with a LOS ≤30 days (total: 18.2, standard error [SE] = 4.43, P = < 0.0001; motor-FIM: β = 13.9, SE = 3.70, P = 0.0002; cognitive-FIM: β = 4.3, SE = 1.29, P = 0.001), and 31–60 days (total: 11.3, SE = 4.07, P = 0.005; motor-FIM: β = 8.8, SE = 3.40, P = 0.009; cognitive-FIM: β = 2.4, SE = 1.19, P = 0.038) compared with >90 days. A short or intermediate LOS is not necessarily associated with worse outcomes, assuming adequate care is provided.

4- O-42 : The link between cognitive and non-cognitive disabilities: two ends of the same spectrum

Speaker: Dr M.A. Ikram

Time : 5:00 PM-5:20 PM

Dr. M.A. Arfan Ikram is professor and chair of Epidemiology

Erasmus University Medical Center,Rotterdam, the Netherlands

He is also adjunct professor of Epidemiology at the Harvard School of Public Health, Boston, MA, USA. He is principal investigator of the Rotterdam Study and a key collaborator in the CHARGE (Cohorts for Heart and Aging Research in Genomic Epidemiology) consortium. Dr. Ikram’s research focuses on investigating the etiology of neurologic diseases in the elderly, with a particular focus on dementia, Alzheimer disease, stroke, and Parkinson disease. The main areas of research are to elucidate the earliest signs of brain diseases, before clinical symptoms are present, and to understand how these lead to clinical manifestation of disease. Moreover, he is interested in preclinical signs that can be used to identify persons at highest risk of developing disease. To this aim he has used data from the large population-based Rotterdam Study that has followed nearly 15,000 persons for a period of nearly 25 years. A main focus on dr. Ikram's research has been the use of MRI-imaging to understand brain disease. Also, he has used neuropsychological testing, genome-wide, exome chip, DNA-methylation and sequencing technologies, and recently electronic gait assessments. Not only is he interested in how these pre-clinical markers lead to clinical disease, he also want to disentangle the intricate relationships between these markers.

The link between cognitive and non-cognitive disabilities: two ends of the same spectrum.

Dementia has become a global health urgency with numbers of people suffering from this disease set to double worldwide by the year 2050. So far, there are no effective therapeutic interventions, which has led to a focus towards disease prevention. Dementia is a complex disease with many risk factors involved as well as multiple co-morbidities present that together lead to considerable frailty, cognitive and physical impairment and ultimately loss of independence. The pre-clinical phase of dementia is protracted with gradual accumulation of brain pathology over the course of decades. Such pathology manifests itself clinically as cognitive deterioration. Interestingly, in recent years emerging evidence shows that brain pathology also leads to loss of non-cognitive brain functions, such as motor function and (para)sympathetic function.

This presentation will focus on gait as a motor dysfunction that deteriorates in the dementia disease process. Specific attention will be paid to the link between cognitive and motor function and how that translates into impairments in daily function and frailty. Results will be presented from the Rotterdam Study, which is a longstanding population-based cohort study among 14,926 individuals aged 45 years and over.

Recommendations for future research and translation towards clinical implementation will also be discussed.

5- O-43 : Hybrid Stroke Rehabilitation Technologies: Combining Gesture-based Interaction with Brain-Computer Interfaces

Speaker: Dr Areej Al Wabil

Time : 5:20 PM-5:40 PM

Dr Areej Al Wabil

Principal Investigator in Center for Complex Engineering Systems (CCES) at KACST and MIT

Principal Investigator in the Joint Center of Excellence for Earth and Space Sciences at KACST and Caltech


Prior to joining the King Abdulaziz City for Science and Technology (KACST), she was a Postdoc in MIT's Ideation Lab at the School of Engineering and served as the Vice Chair of KSU's Software Engineering Department, Vice Dean for Academic Affairs at Prince Sultan University (PSU), Research Associate at the University of Texas, and Honorary Research Fellow at the University of Kent's School of Engineering and Digital Arts. Her research interests are in Human-Computer Interaction (HCI), User experience (UX) and Interaction Design. She is currently the director of the Human-Computer Interaction (HCI) Design lab in Riyadh, a leading research and development center for assistive technologies for individuals with disabilities.


Hybrid Stroke Rehabilitation Technologies: Combining Gesturing-based Interaction with Brain-Computer Interfaces

Presenter: Dr. Areej Al-Wabil

Co-authors (Team): Bushra Alkadhi, Shahad Alwalan, Layla Alzamil, Amal Sultan, Nouf Alshareef, Roaa Makhashin, Nada Alshowaish


In this presentation, we describe a hybrid Brain-Gesture stroke rehabilitation system design and developed in the Human-Computer Interaction (HCI) lab in collaboration with students and researchers at Princess Noura University's College of Computer and Information Sciences. The game-based system is designed for motor function rehabilitation, with a focus on upper-limbs. It is an interactive home-based product which combines the Leap Motion hand movement sensor with the Brain Computer Interface (BCI) system Emotiv for emotion recognition. The Leap Motion recognizes the hand gestures in real-time while the BCI receives inputs from brain waves to detect emotions and stress levels. The combination of these technologies is used for interaction in a rehabilitation game for patients with motor and/or cognitive impairments due to stroke. The interaction with the BCI system occurs by changing the game's interface, based on the patient's emotions using an adaptive interface concept. This technology can provide specialists with the ability to perform objective assessments of patients, as well as motivate patients to participate in rehabilitation programs, and thus decrease attrition rates. It is designed as an easily transportable, wearable device that could improve rehabilitation after discharge, in an outpatient or home-based settings