Agenda

2019 Brain Health & Performance Summit

Wednesday June 5



Day One: Brain Health and Sport: A Focus on Concussion and Mental Wellness

How is new research changing the way we diagnose and treat concussions? How does the timing of physical therapy affect recovery? And how does an emphasis on sports psychology improve the emotional well-being and physical performance of student athletes?

Experts from across the country bring their experience and analysis to the table in this comprehensive examination of traumatic brain injury and mental health.

7:30am - Pre-Function HallContinental Breakfast

8:20amKeynote Speaker - A Clinical Profile and Active Treatment Approach to Concussion Management

Kicking off our multi-day exploration of brain health breakthroughs, Micky Collins, PhD, presents the latest methods for assessing and treating traumatic brain injuries, as well as case studies involving both youth and professional athletes, demonstrating multidisciplinary treatment models that healthcare providers can apply in their practices.

Speaker: Micky Collins

11:00amBreak

12:00pmLunch

1:30pmBreak Out Session

1:30pm - 2:00pm Walking the Talk and Talking the Talk: What does the treadmill test tell us about concussion?

Presenter:

Join us for demonstration and discussion on the performance and interpretation of the Buffalo Concussion Treadmill Test, in combination with determining appropriate guidelines for Return to Activity based on Ohio State Universities protocol.

2:15pm - 2:45pm Neuroimaging of Chronic Mild Traumatic Brain Injury

Presenter:

In this presentation, Dr. Hayes will describe the neuropathology of mild traumatic brain injury (TBI) and present research aimed at uncovering the correlates of the injury using neuroimaging. In addition, she will present findings on the long-term consequences of mild TBI.

1:30pm - 2:00pm Complicated Concussion

Presenter:

Offering a real-life complicated concussion case presentation, Dr. Weber will review clinical skills for concussion assessment and examination, and define the process for recovery by demonstrating the importance of a team approach when employing return to play guidelines and return to sport following most up-to-date clinical guidelines and best practices identified in the literature.

Objectives:

  1. Apply appropriate return to play guidelines and discuss all confounding issues affecting athlete’s brain health and return to sport
  2. Apply the appropriate on field and follow up assessments utilizing baseline and concussive testing tools for concussed athletes
References:
  1. Giza CG, Kutcher JS, Ashwal S., et al. Summary of evidence-based guideline update: Evaluation and management of concussion in sports. Report of the Guideline Development Subcommittee of the American Academy of Neurology, Neurology 2013: E-pub 2013 Mar. 18.
  2. McCrory P, Meeuwisse WH, Aubry M, et al. Consensus statement on concussion in sport: The 4th International Conference on Concussion in Sport held in Zurich, November 2012 Br J Sports Med 2013; 47:250–258

2:15pm - 2:45pm More Than A Clipboard: Navigating the mental health continuum of today's athlete

Presenters:

We are probably experiencing an increase in the prevalence of psychological concerns in our work and interactions with athletes and performers. Though we would never claim to be psychologists, at times we feel like it and wish we were more equipped to handle some of these situations. In this entertaining and educational breakout, Dr Steve Graef, Counseling, Sport, and Performance psychologist will discuss simple strategies for communicating to clients/patients/performers/athletes about how stress occurs, it’s impact on health and performance, and simple tips to reduce it.

1:30pm - 2:00pm Return to Learn

Presenter:

Sara Timms, MEd, EdS, presents Ohio’s “Return to Learn” Concussion Team Model and how it can be implemented in schools for students who have experienced traumatic brain injury. As an example, Timms describes how this model has been employed in Columbus City Schools, Ohio’s largest school district, and provides materials to get started applying similar programs in other school environments.

2:15pm - 2:45pm Partner-Inflicted Brain Injury: An Under-recognized Cause of Concussion

Presenters:

One in three women in the United States will experience domestic violence. Abusers most commonly target the head and neck, resulting in traumatic and anoxic-hypoxic brain injuries. Research from The Ohio State University and the Ohio Domestic Violence Network indicates that exposures leading to partner-inflicted brain injuries are common among domestic violence survivors. Panelists will discuss this data as well as how these survivor s experience head injury differently, and how this affects their ability to access safety and health resources. Learn how our health responses need to change to fully serve the needs of this vulnerable population.

3:15pm"PINK" Concussion - Sex, Gender and Why Both Matter

The lack of education and awareness about the differences in brain injury between men and women can lead to a patient’s unrealistic expectations of recovery time and an underestimation of the need for support from family, school and the workplace. In medical professionals, this knowledge gap can inhibit diagnoses and appropriate interventions across the care continuum. Katherine Price Snedaker, LCSW, provides a broad overview of these differences, based on current scientific research and her experience working with the thousands of women in PINK Concussions Support Groups. Participants will be able to describe ways brain injuries differ in men and women; articulate factors that can account for sex and gender differences in TBI incidences, severity and recovery; and understand the urgent need to develop better practices in the care and education of women with brain injury.

Speaker: Katherine Price Snedaker, LCSW

4:15pmBrain Chatter: Dialog on Mental Health of the Modern Athlete

What is mental health? Why is it such a hot topic in sport today? How are those in sport affected, and what can we do about it? During this hour-long discussion, a diverse and engaging set of panelists will offer their wide-ranging perspectives on the subject. Covering topics relevant to everyone from spectators to team physicians to professional athletes, Brain Chatter will get you thinking about the state of mental health in sport and your role in it.

Panelists:

Moderator:

5:15pmDay 1 Closing Comments

Speaker: Gail Hogan

Thursday June 6



Day Two: Technology and Analytics

Professionals in nearly any industry can benefit from these presentations on creative problem-solving, dazzling new technology and the ethics of data-gathering.

What is the future of wearable technology? What ethical and legal responsibilities exist when wearables’ health data is collected? How are XR and AI influencing human potential for physical and cognitive performance? And how can “design thinking” improve our problem-solving skills?

7:30amContinental Breakfast

8:45amCognition and Technology

What’s your “connectivity fingerprint,” and how does it determine your potential to learn and perform? We’re discovering how to identify individuals by patterns in their brains (the ways they perform cognitive tasks) and how we can better predict behavior when these individuals are placed in different scenarios.

Panelists:


Moderator: Ruchika Prakash, PhD

9:30amDesign Thinking

What is innovation, and how do we accomplish it? Andrew Chacko, MD, MSE, helps us examine innovation – what it is, what it isn’t – as we delve into processes to bring greater creativity to our problem-solving. Last, we review what it is that’s holding us back from innovating.

Speaker: Andrew Chacko, MD

10:30amBreak

10:45amFuture of XR in Healthcare Disruption

Virtual reality is transforming the healthcare industry, and augmented reality is improving diagnostic accuracy. Tech entrepreneur Will Burrus describes how healthcare providers can now learn more effectively with 360 video immersive training, retaining up to 60 percent more information and with zero risk. Patient care can be transformed with empathetic, fully immersive virtual reality therapies that reduce chronic pain and shorten recovery time after traumatic brain injuries. Immersive technology will disrupt marketing, training, education, simulation and visualization, and it’s time, Burrus says, to think about how to leverage this innovative technology in your organization.

Speaker: Will Burrus

11:30amWhose Data Is It?

The aspects of sports biometrics data has proliferated in the past decade with innovations in wearable sensors and monitoring devices. A key question to consider is who owns this data relative to employer vs. employee, player vs. coach, and performance vs. medical personnel? The presenters and panel established for this discussion topic will include ethical considerations, coaching perspectives, legal aspects, and athlete viewpoints relative to “Whose Data Is It”?

Panelists:
Moderator: Jeremy Abbate

12:30pmLunch

1:45pmBreak Out Session

1:45pm - 2:15pm Turning Data Into Insights Using Cloud-Based Data Management and Analytics

Presenters:

Explore real-world examples of how athlete management systems provide novel data management solutions. We will showcase two instances in which SMARTABASE has helped athletic programs solve unique issues. Attendees will gain insight into trends on an athlete specific level and learn how this applies to increased recovery tech usage.

1:45pm - 2:15pm Virtual Reality Platform for Distraction During Pediatric Intravenous Procedures

Presenter:

  • Amy Dunn, MD

Dr. Dunn will describe a pediatric customized virtual reality platform that was developed at Nationwide Children's Hospital. She will present the results of the first randomized clinical trial using the platform for distraction during needle related procedures.

2:45pmAI / Machine Learning in the Social Space

Adam Russell, PhD, a program manager with the Defense Advanced Research Projects Agency (DARPA), explores artificial intelligence from a sociological standpoint. AI can be a tool for understanding and maximizing brain health and performance. What does it look like? Where has progress been made? And how far do we still have to go?

Speaker: Adam Russell, PhD

4:00pmCreativity & The Brain

What’s the neuroscience “under the hood” of the conscious mind? David Eagleman, PhD, a neuroscientist, New York Times bestselling author, adjunct professor at Stanford University and presenter of the PBS series The Brain with David Eagleman, explores the neuroscience and behavior behind human creativity. As co-founder of the company NeoSensory, we may even get a sneak peek at one of his new projects, the VEST (versatile extra-sensory transducer) that takes in real-time streams of information and maps it to unique patterns of vibrations on the body.

Speaker: David Eagleman, PhD

5:15pmClosing Session Day 2

5:30pm - Olentangy A/BPoster Session

Visit with researchers and their exciting and compelling work during this one-hour session.

Friday June 7



Day Three: Pain and Performance

While an opioid addiction epidemic sweeps the United States, we still face an epidemic of chronic pain, with some 100 million people in some form of pain management treatment throughout the country. How do healthcare providers, researchers and patients work together to find root causes and new, effective treatments for that pain? Internationally respected researchers and clinicians discuss how to give patients their life back through orthobiologics, neuro-visual stimulation, mindfulness and other treatments.

7:30am - Pre-Function HallContinental Breakfast

8:30amOrthobiologics for Pain Management

“Orthobiologics” refers to the use of biological substances to help musculoskeletal injuries heal quicker. They are used to improve the healing of fractured bones and injured muscles, tendons and ligaments and are derived from substances that are naturally found in body. When they are used in concentrations many times the norm, they can potentially help speed up the healing processes. This concept of employing growth for healing of musculoskeletal lesions is relatively recent and therefore still considered experimental. We will discuss which types of patients may benefit, the pros, the cons, current research findings and areas that require further research for each treatment option. These sessions will help referring providers understand these treatment options and which types of patients may benefit from each option when traditional treatments fail to produce desired results.

Speakers:

9:30amOpioids in Chronic Pain Management: “Wait a sec, is that still a thing?”

In this session, we will briefly examine the current state of the opioid crisis. We will review some of the evidence regarding opioid use in chronic non-cancer pain (NCP) as well as some practical considerations and challenges. Ultimately, we will try to explore if there is a role for opioid therapy in chronic NCP.

Speaker:

  • Jayesh Vallabh, MD, MBA

10:05amBreak

10:20amBreak Out Session

10:20am - 10:50am Interventional Pain Therapies – Tools in the Toolkit for Severe Pain

Presenter:

Have you ever heard the words "pain management" and wondered what this exactly means? At The Ohio State University Wexner Medical Center, we offer several interventional pain therapies. During this breakout, we will discuss cutting-edge therapies designed to target pain at its source. This includes minimally invasive procedures, radio-frequency ablation, spinal cord stimulation, intrathecal drug delivery systems, peripheral nerve stimulation and other therapies. Please bring your questions and be prepared to learn about tools in the toolkit for severe pain.

11:05am - 11:45am Enhancing Neuromodulation-Induced Analgesia Through Personalized Neuro-Visual Stimulation

Presenter:

Can virtual reality be leveraged to augment pain response from neuromodulation? Through this pilot study, the investigators integrated neurovisual stimulation using immersive virtual reality and spinal cord stimulation to augment relief from chronic neuropathic pain. This approach has the potential for improving the outcomes after neuromodulation procedures, and its efficacy should be tested in future clinical trials. Learning objectives:
1. To understand the experimental setup for integrated neurovisual and spinal cord stimulation
2. To distinguish the analgesic response between congruent ON, incongruent ON and congruent OFF conditions
3. To identify the carry over analgesic response after congruent ON stimulation.

10:20am - 10:50am Role of Diet in Chronic Pain and Reconditioning

Presenter:

Industrialized nations demonstrate higher prevalence of chronic pain syndromes and associated disabilities. Lifestyle modifications form the core of chronic pain management, and diet is an integral, universal component. Other chronic prevalent conditions, such as heart disease, diabetes and stroke have shown strong association to diet, and interventions to diet have translated to better disease control. Is there a role for general awareness about diet and specific foods in the treatment of chronic pain? Are certain foods harmful to certain conditions and conversely are certain foods helpful to rebuild and heal the body and mind? This session will uncover some of the tantalizing facts and fictions about diet, chronic pain, wellness and healing.

11:05am - 11:45am Giving patients their lives back: A mental health provider’s experience in a specialty pain clinic

Presenter:

Evidence supports integrated treatment incorporating pharmacologic, psychological/behavioral, exercise/movement and other modalities. Key components of effective integrated approaches are being identified. There is a need to address organizational, provider and patient barriers, and expose facilitators to full implementation of this model. This breakout session will focus on a clinic’s experience with integration of mental health services into a specialty pain setting. It will review the patient barriers and facilitators that may play a role in integrated, coordinated, multimodal and interdisciplinary pain care. Specifically, it will address the who, what and when of care and discuss whether there are patient factors that may more likely benefit from these care models.

10:20am - 10:50am rTMS for Chronic Pain: It Works and It's Here

Presenter:

Repetitive Transcranial Magnetic Stimulation (TMS) is a type of non-invasive neuromodulation and was originally developed to treat depression. In the last several years it has been used to treat chronic pain in countries outside of the US with increasing success. Multiple studies have been performed which demonstrated significant improvements in pain control when rTMS targets various areas of the brain. Several targets have emerged as ideal locations for treatment and while target and protocol optimization are still taking place, it is already established as safe for long term human use and as an effective tool to reduce pain. The objective of this talk to is to highlight the role of rTMS in treating multiple types of chronic pain, summarize several of the studies performed to date and finally to discuss why it is not widely used in the US.

11:45amLunch

1:00pmA Balanced Approach to Pain Management

Kurt Kroenke, MD, MACP, is a research scientist whose study focuses on physical and psychological symptoms in medical patients, including pain, depression, anxiety and somatization. Dr. Kroenke will review evidenced-based pharmacological and non-pharmacological pain-management techniques and new care models for pain management, as well as how they intersect with several other practical issues, such as the epidemiology of pain and pain measurement.

Speaker: Kurt Kroenke, MD

2:15pmKeynote Speaker - Cannabis and Pain Management

As more states implement medical cannabis and recreational cannabis policies, there is tremendous interest in the risks and benefits of this polarizing plant. Unfortunately, advocates and detractors alike have been guilty of presenting partial or incorrect portrayals of the science of cannabis. In this keynote talk, Kevin Hill, MD, MHS, reviews common misconceptions about cannabis before covering the latest science, including randomized clinical trials, in the area of cannabis as pharmacotherapy for chronic pain. Preclinical and clinical evidence for cannabis as a treatment for other medical conditions will be covered as well, before Dr. Hill reviews the hypothetical and actual evidence for cannabis pharmacotherapy for psychiatric conditions, including anxiety, post-traumatic stress disorder, depression and psychosis. A Q&A period will follow.

Speaker: Kevin Hill, MD, MHS

3:30pmClosing 2019 Summit

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