Scientific Program - Rehabilitation / Sleep

Print
Please see below the CONy Scientific Program. Please click on the appropriate section (ordered by ABC) to view the relevant program. Please note that the program and timing is subject to change. To view the program timetable, please click here
 
 
Rehabilitation Program
Section Heads: Xanthi Michail, Greece & Dafin Muresanu, Romania                            
SATURDAY, MARCH 25, 2017
 Hall D
 7:00-7:50 E-poster Guided Tours (Stroke, Parkinson's, Headache, & MS)
8:00-10:00
STROKE REHABILITATION: APHASIA AND BOTULINUM TOXIN
  Chairs: Xanthi Michail, Greece; Tatyana Slobodin, Ukraine 
8:00-8:30 Lecture: The Quantum Brain
  Dafin Muresanu, Romania 
8:30-9:00
Lecture: Transcranial stimulation may be effective in post-stroke aphasia
8:30-8:50
Speaker: Wolf-Dieter Heiss, Germany
8:50-9:00
Commentator: Christina-Anastasia Rapidi, Greece 
9:00-10:00 Debate: Botulinum toxin in post stroke spasticity: When should therapy start?
Capsule: After a stroke, in the early stage “pure spasticity” may be seen when an arm or leg
appears to “catch” momentarily when a relaxed limb is quickly moved. During the recovery process, abnormal movements may appear. In time, spastic dystonia develops with changes in muscle composition. Muscles may reach a state of permanent contraction. That occurrence is called “secondary spasticity.” The benefits and disadvantage of injection at each stage of development of spasticity will be discussed.
9:00-9:10
Host: Konstadina Petropoulou, Greece
9:10-9:25
Treatment in early stage: Athanasios Tsivgoulis, Greece
9:25-9:40 Treatment in chronic stage: Prokopios Manthos, Greece
9:40-10:00
 Discussion and rebuttals
   
10:00-10:15  Coffee break
   
10:15-12:10   STROKE REHABILITATION: WHERE AND WHEN?
  Chairs: Bakas Eleftherios, Greece; Jacek Bojakowski, Poland 
10:15-12:10
Proposition: Stroke rehabilitation should be offered only in a rehab facility  (for in or outpatients)
Capsule: There are many levels of care in rehabilitation. The organization of rehabilitation services is extremely heterogeneously. Ideally, rehabilitation services should be delivered by a multidisciplinary team. Should rehabilitation continue after discharge in outpatient hospital settings, in rehab center, or at home?
10:15-10:25
Host: Nikos Roussos, Greece
10:25-10:40 Yes: Aikaterini Kotroni, Greece
10:40-10:55 No, Home Is the Best Place for Stroke Rehabilitation: Angeliki Galata, Greece   
10:55-11:10 Discussion and rebuttals
11:10-12:10 Debate: Is neurorehabilitation after stroke useful in the immediate postacute stage
Capsule:
Although all clinical guidelines support early neurorehabilitation, the time of initiation was not yet clearly defined. Some studies argue that the shorter is the time the better is the prognosis, especially because of the possibility to reduce secondary complications that can seriously interfere with vital and functional prognosis.  
11:10-11:20 Host: Safouris Apostolos, Greece 
11:20-11:35 Yes: Dafin Muresanu, Romania  
11:35-11:50 No: Volker Hoemberg, Germany 
11:50-12:10 Discussion and rebuttals

 

Sleep Program
Section Head: Hans Hamburger, the Netherlands                         
15:00-17:00 SLEEP DISORDERS: DIAGNOSIS
  Chairs: John Ellul, Greece; Teofilo Lee-Chiong, USA 
15:05-16:05
Capsule: Collapse of the upper airway can be reversed using continuous positive airway pressure through a nasal mask nCPAP. This has been considered as the golden standard for treatment for OSAS. Most obstructions however are caused by blockage of the upper airway by the tongue in supine position. Treatment could therefore also be focused on dental devices preventing collapse of the throat or sleep position trainers (SPT) to prevent supine position during sleep.
15:05-15:15 
Host: Monique Vlak, The Netherlands
15:15-15:30 Yes: Nicolas Tiberio Economou, Greece
15:30-15:45   No: Konstantinos Tsoutis, Greece
15:45-16:05 Discussion and rebuttals
16:05-17:00 Debate: Are questionnaires sufficient for diagnosing sleep disorders?
Capsule:
Approximately 15-20% of the world population is suffering from a sleep disorder, mainly insomnia. Even a massive number of sleep specialists armed with diagnostic centres cannot cope with these large numbers. There is just no place enough for PSG testing which is the golden standard for the diagnosis. Many sleep disorders have a specific history like insomnia, RLS, RBD and narcolepsy. Is the use of questionnaires sufficient for diagnosing sleep disorders?
16:05-16:15 Host: Dimitris Dikeos, Greece
16:15-16:30 Pro: Patricia Genet, The Netherlands
16:30-16:45 Con: Monique Vlak, The Netherlands
16:45-17:00 Discussion and rebuttals
   
17:00-17:15  Coffee Break
   
17:15-18:45
SLEEP DISORDERS: TREATMENT ISSUES
  Chairs: Charalampos Mermigkis, Greece; Manos Alchanatis, Greece
17:15-17:45 Lecture: Obstructure sleep apnea syndrome (OSAS) is a cardiovascular disease
Capsule: Sleep apnea is caused by intermittent stoppage of breathing. It has therefore been adopted as a breathing disorder and is generally diagnosed and treated by pulmonologists. However there is no involvement of the lungs, the stoppage is in the upper area in the field of the ENT. The most important effect on health is on the heart. OSAS is causing cardio-vascular disease and vice versa, CVD is causing OSAS.
  Sofia Schiza, Greece  
Discussant: Hans Hamburger, The Netherlands
17:45-18:45
Proposition: Polysomnography (PSG) is mandatory for diagnosing OSAS 
Capsule: For diagnosing most sleep disorders a sleep test is mandatory. Attended polysomnography is considered as the golden standard for the diagnosis. Second best is non-attended PSG and third is Home Sleep Apnea Testing (HSAT) with PSG or PG. However do we always need full PSG? OSAS is present in 5-7% of the world population.  PSG is not available for these numbers. HSAT with simple devices is reliable enough for diagnosing OSAS.
17:45-17:55 Host: Sofia Schiza, Greece
17:55-17:10 Pro: Monique Vlak, The Netherlands
17:10-17:25 Con: Hans Hamburger, The Netherlands
17:25-18:45 Discussion and rebuttals