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Orthopedics and Rehabilitation Technology Tuesday, April 22, 2025 Session Organizers: Andrew Hansen, Minneapolis VA Health Care System and Holly Golecki, University of Illinois Urbana-Champaign (0:00:00-0:11:45) "Adaptive Sport is Meaningful – Current Literature on the Impact of Adaptive Sport on Well-Being" Madeline Czeck, PhD, Research Scientist, Minneapolis VA Health Care System Abstract: Physical inactivity impacts persons worldwide and negatively affect health outcomes. Participation in sport and adaptive sport can help individuals achieve physical activity’s beneficial health outcomes. Adaptive sport also impacts participant’s social and environmental well-being. This presentation outlines the benefits of being physically active and explores current literature for the barriers and facilitators to participating in adaptive sport, while looking for perceived needs for improvement in accessibility of sport. (0:11:46-0:21:18) "AVOCADO - Aligning Veteran-Oriented Care, Adaptive Design, & Outcomes" Alex Senk, MD Medical Director of the National Veterans Golden Age Games Deputy Chief of PM&R Medical Director of PM&R Sports Medicine PM&R Acting Internship & Clerkships Course Director Associate Site Director of PM&R Residency Minneapolis Veterans Affairs Medical Center (0:21:19-0:30:59) "Together Optimizing Adaptive Seating Technology: A TOAST to Adaptive Rowing" John Looft, PhD, Director, Motion Analysis Laboratory & Clinics Associate Director, SCI/D Research, RECOVER Abstract: One of the conner stones of sport is different backgrounds and abilities coming together to achieve a common goal. Achieving access to sport for individuals with a spinal cord injury and disease (SCID) requires a dedicated team with a wide range of expertise. This presentation introduces our team as well as the design process to take an abstract napkin idea to reality. (0:31:00-0:43:27) "Empowered Strokes: Adaptive Rowing with Electrical Stimulation" Lisa Lombardo, Research Physical Therapist and Principal Investigator, Louis Stokes Cleveland VA Medical Center Abstract: Veterans with paralysis are often extremely sedentary due to limited exercise options. This can lead to profound deconditioning, premature aging and many secondary health complications. Currently, these individuals can only exercise their uninvolved extremities and are unable to benefit from more intense exercise simultaneously involving both upper and lower extremities. We wanted to find a way to achieve this level of exercise for Veteran’s with paralysis. Our practice is an innovative way for Veterans with paralysis to exercise using electrical stimulation to contract paralyzed muscles. It consists of an adapted rowing machine that automatically coordinates upper extremity movements with lower extremity contractions of the paralyzed muscles with electrical stimulation via an intuitive tablet/cellphone-based interface. The rowing machine will allow Veterans to get a full body workout including both upper and lower extremities. A graphical user interface (GUI) will enable clinicians and users to easily setup and adjust stimulation parameters independently without technical assistance, thus advancing Veterans Health with a new exercise modality. This will significantly improve the overall health and well-being of Veterans with paralysis. Veterans with SCI, stroke or MS have few effective options to exercise paralyzed or weak muscles, and often develop numerous secondary health issues including obesity, cardiovascular disease, osteoporosis, and depression. This is an exciting new, easy to use, effective mode of exercise; it’s a liberating option and encourages community engagement. It will allow Veterans to maintain a healthy, active style and thereby reduce health care costs and prevent life threatening secondary medical and psychological complications. (0:43:28-1:02:31) Q&A