DCRM 2024

  • Beatrixtheater Utrecht
  • 7 november 2024 09:00 - 8 november 2024 17:00

Parallel session D: PhD award and debate

D1. PhD thesis session: presentations of the best PhD theses in the Netherlands

Chair: prof. Sander Geurts MD

Tijdens de DCRM 2024 in ‘s-Hertogenbosch worden de beste proefschriften op het gebied van revalidatiegeneeskunde in het academisch jaar 2023-2024 gepresenteerd. Na afloop kiest de jury de winnaar van de PhD Award Revalidatiegeneeskunde 2024.
De PhD Award Revalidatiegeneeskunde is een prijs die jaarlijks wordt uitgereikt voor het beste en meest aansprekende proefschrift op het gebied van revalidatiegeneeskunde in Nederland. Het doel van deze prijs is om kwalitatief hoogstaand onderzoek te waarderen en te bevorderen en de onderzoekers in het zonnetje te zetten.

De vier genomineerden voor de prijs zijn (in alfabetische volgorde)

On the road to optimize rehabilitation for young individuals with acquired brain injury

Identifying, targeting, and evaluating the consequences of Acquired Brain Injury (ABI) in young individuals (4-25 years old) are essential elements of medical specialist rehabilitation care for this group. Several knowledge gaps regarding the occurrence and severity of consequences and the delivery of rehabilitation existed.

This thesis enhanced the understanding of ABI-related consequences and aimed to optimize rehabilitation care provided to young Dutch individuals with ABI.

Section 1 of this thesis investigated the severity and course over 2 years of persisting ABI-related problems in young people with ABI and their families. In this cohort, many problems were found in the domains of Health-related Quality of Life (HRQoL), fatigue, participation, and family impact at time of referral to rehabilitation and these problems tended to persist over time.

In section 2, the structure and process of rehabilitation for young patients with ABI across Dutch rehabilitation centers and the development of a national consensus-based framework for clinical practice, including preferred assessments, interventions, and psychoeducation, for young people with ABI was described.

This thesis emphasizes the importance of a holistic approach to rehabilitation and lays the foundation for future initiatives aiming to further optimize rehabilitation treatment for young individuals with ABI and their families.

Florian Allonsius is an enthusiastic postdoc researcher at Basalt Rehabilitation Center in The Hague, The Netherlands and a lecturer in Pediatric Physical Therapy at the Avans University of applied sciences in Breda. He started his career as a pediatric physical therapist and worked in several (academic) hospitals and at Basalt Rehabilitation Center. During his master studies in Physical Therapy he became very interested in doing research. His current field of research contains brain injuries in young patients (children, adolescents, and young adults) in the rehabilitation phase after the onset of brain injury. He completed his PhD at the Leiden University Medical Center (Leiden, The Netherlands) with the thesis ‘On the road to optimize rehabilitation for young individuals with Acquired Brain Injury’. He currently works as a postdoc researcher on several research projects.

The effectiveness and cost-effectiveness of upper limb prostheses

Last decade, the cost of upper limb prostheses increased substantially. One reason might be the introduction of expensive multi-grip myoelectric hands, which can perform multiple grips. However, literature suggests that the additional grip options of these hands are not always used. Paired with the high rejection rates of upper limb prostheses, this suggests that there is room for improving both the effectiveness and cost-effectiveness of upper limb prostheses.

In this thesis the multi-grip and ‘standard’ myoelectric hands were compared using physical tests and questionnaires, which showed no clear advantages for multi-grip over ‘standard’ hands. Furthermore, our nationwide survey study showed that the average annual cost of myoelectric hands, especially multi-grip hands, is higher than other hand prostheses while no differences in quality of life or user experiences were found. More specifically, multi-grip hands were less cost-effective than ‘standard’ myoelectric hands. Lastly, to support the prosthesis selection process and help inform potential prosthesis users, we developed a digital patient decision aid in a systematic co-creation process.

Ultimately, we hope this thesis will help to improve the prosthesis prescription process, decrease rejection rates of upper limb prostheses, and increase the cost-effectiveness of upper limb prosthesis related healthcare.

Nienke Kerver started her academic journey in 2010 with a Bachelor of Human Movement Sciences at the University of Groningen. After completing the Bachelor’s, she started the Pre-Master and Master of Medicine in 2013. Subsequently, in 2018, she worked as a medical doctor at the neurology department at the Isala Hospital in Zwolle. During this period, she gained experience as a doctor, however, research also continued to interest her. In December 2018, Nienke started her PhD research at the department of Rehabilitation Medicine of the University Medical Centre Groningen. The results are described in this thesis (see above). During her “journey”, she found out that within the rehabilitation medicine all her interests came together. Currently, Nienke works as a medical trainee in rehabilitation medicine. After finishing her specialization, she hopes to combine research and clinical work.

Compensation strategies for gait impairment in Parkinson’s disease: towards personalized gait rehabilitation

Anouk Tosserams

Plasticity of neural networks

Jord Vink

D2. Debat

Meer patiënten minder middelen: kansen voor de revalidatiegeneeskunde

Meer info volgt.

Debatleider is Hans Oosterkamp.