Are we giving falls the respect they deserve? Role of the nervous system and the Care Pathway

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WEBINAR DESCRIPTION:
In the first part of this webinar, the presenters will discuss the Neurotrauma Care Pathways project based in Ontario. Ontario, like other jurisdictions in Canada and internationally, lacks an equitable system of care for traumatic brain injury (TBI) and traumatic spinal cord injury (tSCI), where quality of care and health outcomes depend on where you live, available funding and severity/type of injury. Evidence-based standardized neurotrauma care pathways for all persons living with TBI or tSCI of any severity were developed by engaging 170 key partners from across the Ontario representing different care and funding sectors common to all jurisdictions. Partners include people with lived experience, clinicians, researchers, funders, and community providers from different sectors. In addition, a companion set of quality indicators has been developed that map onto the Pathways and preliminary data has been collected. While these pathways and quality indicators have been developed in Ontario, they are applicable and relevant to any province or territory. Falls represent a significant cause of TBI and tSCI and data will be presented on the cohort of persons with TBI or tSCI who have sustained a fall.

To understand why falls happen, we need to understand how the nervous system reacts after balance is lost, and how the ability to recover can be impacted by neurological impairments or aging. By understanding the neural mechanisms of falls, we can better create rehabilitation programs to prevent them. At the newly established Gray Centre for Mobility and Activity at Parkwood Institute in London, Ontario we are creating several new initiatives to promote lifelong mobility for populations that are impacted by falls. These programs are designed to prevent falls and their secondary complications, and to facilitate safe participation in activities of daily living and physical activity.

Attendees will
1. Appreciate how many people sustain a brain or spinal cord injury from a fall and the type and amount of care they receive
2. Recognize how the Neurotrauma Care Pathway can help people with neurotrauma after a fall to get the right care at the right time
3. Understand how falls happen from a neural mechanisms perspective and the targeted treatment approaches to prevent falls


PRESENTERS:
Judy Gargaro is the Manager for the Neurotrauma Care Pathways Project, a project focusing on how best to support persons with neurotrauma with comorbidities who have traditionally been under-served by the healthcare system. Over the years Judy has collaborated with administrators, clinicians (brain injury, spinal cord injury and other sectors) and policy makers on quality improvement and implementation projects.

Matheus Wiest has broad experience in basic sciences, and health systems planning and evaluation. His basic research career focuses on how humans before and after injuries and ageing. Within healthcare systems, he leads the development and implementation of the Ideal Care Pathways for traumatic brain and traumatic spinal cord injuries for the province of Ontario.

Janelle Unger is an Assistant Professor in the School of Physical Therapy at Western University and the Principal Investigator of the RED Neuro Lab (Enhancing Rehabilitation, Experience, and Health Services Delivery for People with Neurological Impairments) at the Gray Centre for Mobility and Activity located within Parkwood Institute. Her research focuses on promoting lifelong mobility for people with neurological impairments. Her main interests are optimizing gait and balance to provide the foundation for safe mobility and enhancing access to rehabilitation services that support lifelong activity.