Mild Traumatic Brain Injury Challenges and Controversies in

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					Mild Traumatic Brain Injury:
Challenges and Controversies
in Research
Friday, February 4th, 2011
Park Hyatt Toronto
4 Avenue Road, Toronto

Register now at:
                                                                          Program Agenda                                                                              � Recognize the resources to                �Workshop 3                                  John McLeish, Partner McLeish         This presentation will focus on the
                                                                                                                                                                      assist clinicians with opioid prescribing   Current Psychological                        Orlando Personal Injury Lawyers       diagnosis of mild TBI, beginning with
                                                                                                                                                                                                                  Interventions for Traumatic                  Dale Orlando, Partner McLeish         a discussion of the need for reliable
                                                                          7:30 – 8:30 a.m. Registration and             � Review the role of a cerebral               � Determine what is important to
                    Mild Traumatic Brain                                  Continental Breakfast                         energy crisis in terms of explaining          monitor and document when
                                                                                                                                                                                                                  Brain Injury                                 Orlando Personal Injury Lawyers       diagnosis, and the diagnostic challenges
                                                                                                                                                                                                                                                                                                     of conventional neuroimaging
                    Injury: Challenges and                                                                              cellular vulnerability after traumatic        prescribing                                 Cheryl Bradbury, PsyD, CPsych
                                                                                                                                                                                                                  Psychologist, Spinal Cord Rehabilitation     This workshop will prepare you for    techniques such as CT and MRI. The
                                                                          8:30 – 8:35 a.m.Welcoming Remarks
                    Controversies in Research                                                                           brain injury
                                                                                                                                                                      �Workshop 2                                 Program, Toronto Rehabilitation Institute;   when you are called upon to appear    talk will then move onto a discussion
                                                                                                                        � Examine the effects of                      Clinical Relevance of                       Assistant Professor, Department of           and present evidence in court. More   of diffusion tensor imaging (DTI),
                                                                          8:35 – 8:50 a.m. Challenges and               neurochemical changes after traumatic                                                                                                  specifically, the following will be
                                                                                                                                                                      Pathophysiology Following                   Psychiatry, University of Toronto                                                  which is a newer sub-type of MRI.
                                                                          Controversies with mTBI                       brain injury that differentially affects                                                                                               discussed:
This conference will focus on the challenges and controversies                                                                                                        mTBI                                                                                                                           This part of the talk will address the
surrounding the research that is being conducted on Mild                  Doug Richards, MD, Dip Sport Med              gray and white matter                                                                     This section will review the current         � the expectations you should have    transformation of DTI from an
                                                                                                                                                                      David A. Hovda, PhD                         literature on effective psychological
Traumatic Brain Injury (mTBI). It is the third in a series of             Medical Director, David L. MacIntosh                                                                                                                                                   of the lawyer calling you           experimental tool into a clinical
                                                                                                                                                                      Professor, Department of Neurosurgery       interventions subsequent to brain
leading-edge and interactive conferences that explore the                 Sport Medicine Clinic; Assistant Professor,   9:45 – 9:55 a.m. Transition Time                                                                                                       � the obligations for the patient     diagnostic tool that will hopefully be
                                                                                                                                                                      and of Molecular and Medical                injury. Empirically validated treatments,
management of this complex condition. Occupational therapists,            Faculty of Physical Education and                                                                                                                                                    � the dos and don’ts (e.g. can you    utilized across trauma centres for
                                                                                                                                                                      Pharmacology, University of California,     with demonstrated efficacy, will be
physiotherapists, case managers, physiatrists, physicians                 Health, University of Toronto                 9:55 – 10:35 a.m. �Workshops –                                                                                                                                               the diagnosis of mild TBI.
                                                                                                                                                                      Los Angeles                                                                                consult your colleagues?)
and insurance and legal professionals who work with mild                                                                Session 1                                                                                 briefly reviewed and the strengths
                                                                                                                                                                                                                                                               � the consequences of not             Learning objectives
traumatic brain injured clients are encouraged to attend                             8:50 – 9:45 a.m. The               All four workshops will run concurrently      This workshop presentation will             and weaknesses of each treatment
                                                                                     Pathophysiology of                                                                                                           modality will be discussed. Lastly,            remembering                         � Review the critical clinical need to
this compelling and practical one-day conference. Prominent                                                             at 9:55 a.m. and again at 1:30 p.m.           provide the new challenges put forth
                                                                                     Mild Brain Injury                  (30 minutes discussion, 10 minutes            for acute and chronic rehabilitation.       future directions and emerging               Learning objectives                   reliably diagnose mild TBI
Canadian and international experts will lead participants in
interactive sessions to explore current research evidence with            David A. Hovda, PhD                           Q & A)                                        In addition, it will emphasize how          trends in the literature will be             � Prepare for being an expert in      � Describe the current limitations of
regards to mTBI.                                                          Professor, Department of Neurosurgery                                                       cerebral development interacts with         highlighted.                                 court                                 our ability to diagnose mild TBI
                                                                          and of Molecular and Medical                  �Workshop 1                                   recovery from traumatic brain injury.       Learning objectives                                                                � Discuss a new MRI imaging
                                                                                                                                                                                                                                                               � Write reports and notes that
In addition to keynote and workshop sessions, this conference             Pharmacology, University of California,       The Role of Opioids for Pain                  Finally, it will provide new insights                                                                                          development in the diagnosis of mild
                                                                                                                                                                                                                  � Review the current literature and          don’t bite back
will offer delegates an opportunity to attend a mock trial                Los Angeles                                   After mTBI                                    into potential therapies that                                                                                                  TBI that may ultimately enable us to
                                                                                                                                                                                                                  evidence supporting psychological
which will revolve around whether mTBI is organic, psychological                                                        Andrea Furlan, MD, PhD                        challenge current dogma in the              treatment for emotional sequelae             10:35 – 11:00 a.m. Nutrition Break    sensitively and specifically diagnose
or a mixture of both based on the current evidence. Delegates             A general review of cerebral                  Staff Physician and Adjunct Scientist,        management and care of patients.            subsequent to brain injury                   and Exhibit Viewing                   mild TBI
will then have the opportunity to vote for the most compelling            metabolism and energy demands                 Toronto Rehabilitation Institute;             Learning objectives                         � Identify the strengths and weak-
arguments.                                                                will be provided as it pertains to the        Assistant Professor, Division of Physiatry,
                                                                                                                                                                      � Discuss the threat of early                                                            11:00 – 11:45 a.m. The Reliable       11:45 a.m. – 12:30 p.m. Patterns
                                                                          neurobiology of traumatic brain                                                                                                         nesses of different empirically
                                                                                                                        Department of Medicine, University                                                                                                     Diagnosis of Mild TBI:                of Play Leading to
                                                                          injury. Both basic and clinical scientific                                                  intervention for physical therapy           validated psychological interventions
Overall Learning Objectives:                                              data will be presented with an
                                                                                                                        of Toronto
                                                                                                                                                                      after even mild traumatic brain injury      subsequent to TBI                            Clinical Need, Current                Concussions in NHL Players:
                                                                                                                                                                                                                                                               Limitations, and Promising            The Video Analysis Project
By the end of the conference, participants                                emphasis on cellular vulnerability and        This workshop will provide new                � Review the dynamic interplay              �. Discuss the current trends in the
                                                                          recovery of function. This will provide       knowledge and tools via the ‘Canadian                                                                                                  New Developments Using                Paul Comper, PhD, CPsych
    Will have reviewed the wide range of controversies and                                                                                                            between the beneficial effects of           literature with respect to improving
                                                                          the audience with a clear under-              Guideline for Safe and Effective Use                                                                                                   Diffusion Tensor Imaging              Clinical Neuropsychologist, Toronto
    challenges surrounding the research done on mild traumatic                                                                                                        quiescence and activation across            psychological outcomes post-TBI
                                                                          standing of the energy demanded               of Opioids for Chronic Non-cancer             time after injury for different regions                                                  Robin Green, PhD, CPsych              Rehabilitation Institute; Co-Director
    brain injury                                                                                                                                                                                                  and future directions
                                                                          by the human brain to respond and             Pain’ to assist clinicians to safely and      of the brain                                                                             Canada Research Chair (II)            University of Toronto Concussion Clinic
�   Will have reviewed the latest research in mild traumatic              recover from traumatic brain injury.          effectively use opioids to manage                                                                                                      Traumatic Brain Injury,
    brain injury                                                                                                                                                      � Achieve a new appreciation for            �Workshop 4                                                                        This presentation will summarize the
                                                                          Learning objectives                           pain after mTBI.                                                                          How to Present Evidence in                   Senior Scientist & Head, Cognitive    main identifiable patterns of play
                                                                                                                                                                      the combination of imaging, neuro-
                                                                                                                        Learning objectives                                                                       Court                                        Neurorehabilitation Sciences Lab,     leading to concussions in NHL players,
                                                                          � Review the role of cerebral                                                               chemical and electrophysiological
                                                                                                                                                                                                                  Roger Oatley, Partner Oatley,                Toronto Rehabilitation Institute;     specifically who they happen to,
* We are applying to have this event approved as an accredited group      glucose metabolism in terms of the            � Review the Canadian Opioid                  monitoring to evaluate, manage and
                                                                                                                                                                                                                  Vigmond Personal Injury Lawyers              Associate Professor, Department of    where and under what conditions
learning activity as defined by the Maintenance of Certification of the   neurobiology of traumatic brain               Guideline                                     treat patients with traumatic brain
                                                                                                                                                                                                                                                               Psychiatry, University of Toronto                            continued over
Royal College of Physicians and Surgeons of Canada.                       injury                                                                                      injury

                                                                                                                        Mild Traumatic Brain Injury: Challenges and Controversies in Research                                                                   Register at:
they occur, and perhaps most             and Chronic Traumatic Encephalo-             Robin Green, PhD, CPsych                   refuted? During this session,
importantly, how concussions most        myelopathy (CTEM) will be presented.         Canada Research Chair (II)                 Mark Bayley and Robin Green will
frequently occur in the NHL.             The clinicopathological aspects of           Traumatic Brain Injury, Senior Scientist   present different scientific arguments.
Learning objectives                      CTE and CTEM will be distinguished           & Head, Cognitive Neurorehabilitation      The debate will revolve around
                                         from other neurodegenerative                 Sciences Lab, Toronto Rehabilitation       whether mTBI is organic, psychological
� Identify and characterize how          disorders. Proposed diagnostic               Institute; Associate Professor,            or a mixture of both. They will face
concussions happen in the NHL,           criteria and a rating scheme to stage        Department of Psychiatry, University       trial lawyers from Oatley, Vigmond
who they happen to and the pat-          the severity of the disorders will be        of Toronto                                 and McLeish Orlando as they argue
terns of play leading to these types     discussed. Hypothetical pathogenetic                                                    both sides of the case.
of injuries                                                                           Legal Counsel:
                                         mechanisms will be offered as well           Jim Vigmond, Partner Oatley,
                                         as recent findings with regard to                                                       This session will present an overview
� Describe the challenges in tackling                                                 Vigmond Personal Injury Lawyers
                                         neuroimaging and other diagnostics.                                                     of the typical challenges that you
an applied research project
                                                                                      Dale Orlando, Partner McLeish              may encounter when testifying in
� Review how a scientific approach       Learning objectives                                                                     court and give you tools to overcome
                                                                                      Orlando Personal Injury Lawyers
using a systematic analysis of a very    � Review the neuropathological                                                          them. Review the clinical case material
practical issue led to an evidence       changes associated with Chronic              How are mild traumatic brain injury        then vote for the most compelling
based decision to make changes to        Traumatic Encephalopathy (CTE)               cases treated in a court of law? How       arguments yourself!
reduce the number of concussions in      and the association with repetitive          is scientific evidence presented and
professional hockey players                                                                                                      4:25 – 4:30 p.m. Closing Remarks
                                         head trauma
                                         � Describe the neuropathological
12:30 – 1:30 p.m. Networking
                                         difference between CTE and other
Lunch and Exhibit Viewing
                                         diseases such as Alzheimer’s Disease                 Register online at
                                         or ALS                                               injury-registration
1:30 – 2:10 p.m. Workshops –
                                         � Assess clinical implications of this               Registration includes continental breakfast, refreshment breaks,
Session 2                                                                                     lunch, workshop materials and a certificate of attendance.
See description above                    emerging, important area of research
                                                                                      Conference Rates                            to the order of Toronto Rehabilitation
2:10 – 2:20 p.m. Transition Time         3:15 – 3:30 p.m. Nutrition Break and
                                                                                      $295 Individual Rate                        Institute. Cheque payment must be
                                         Exhibit Viewing                                                                          received on or before Friday,
                                                                                      $265 Early Bird Rate before                 January 14, 2011.
2:20 – 3:15 p.m. Chronic                                                              January 10, 2011
Traumatic Encephalopathy:                3:30 – 4:25 p.m. Mild Brain
                                         Injury on Trial — A Mock-                    $275 Group Rate* (cost is per               Cancellation Policy
Mild TBI, Major                                                                                                                   A full refund, minus a $75
                                         Jury Trial in Which the                      person)
Consequences                                                                                                                      administration fee, will be issued
                                         Audience Is the Jury!                        $195 Student Rate**                         for cancellations received via fac-
Ann C. McKee, MD                                                                      *Groups of three or more from the
Director of Neuropathology, New          Judge: Roger Oatley, Partner, Oatley,                                                    simile or e-mail on or before Friday,
                                                                                      same organization                           January 14, 2011. No refunds will
England Veterans Health Care System;     Vigmond Personal Injury Lawyers              **Students must present a photo-            be issued after this date. Refunds
Associate Professor of Neurology and     Clinicians:                                  copy of a valid student ID                  will not be granted to registrants
Pathology, Boston University School of   Mark Bayley MD, FRCPC                                                                    who do not attend the conference.
                                                                                      The online registration closes at 5
Medicine; Co-Director, Center for the    Physical Medicine and Rehabilitation,        p.m. on Tuesday, February 1, 2011.
Study of Traumatic Encephalopathy        Medical Director, Neuro Rehabilitation                                                   Hotel Reservations
                                                                                      You will be able to register at the         Please call the toll free
                                         Program; Toronto Rehabilitation              event after this date.
The clinical symptoms and                                                                                                         reservation line 1-800-233-1234
                                         Institute; Associate Professor, University
comprehensive neuropathology of                                                       Payment by VISA, MasterCard or              or 416-925-1234 and mention the
                                         of Toronto                                                                               “Mild Brain Injury Conference” in
a 24 case series of Chronic                                                           cheque must accompany the
Traumatic Encephalopathy (CTE)                                                        completed online registration form.         order to receive our special hotel
                                                                                      All cheques must be made payable            room rate of $165.00 plus taxes.
About Us
Toronto Rehab is Canada’s largest teaching and research hospital
specializing in adult rehabilitation, complex continuing care and
long-term care. At Toronto Rehab, our goal is to advance
rehabilitation and enhance quality of life by pushing the frontiers
of rehabilitation science. As a fully affiliated and specialized teaching
and research hospital of the University of Toronto, we do everything
humanly possible to generate new knowledge, put it into practice
and share our discoveries with others. Each year, Toronto Rehab’s
patient care, research and education programs make a difference in
the lives of more than 15,000 people who experience disabling injury,
illness and conditions associated with aging. More information is
available at
If you would like to support Toronto Rehab’s work, please contact
the Toronto Rehab Foundation at 416-597-3040 or
Contact Us
For more information about the mTBI conference 2011 or about
other Toronto Rehab events, please contact Conference Services at:
Phone: 416-597-3422, ext. 3693

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