2024 Ministry of Health Stroke Conference

Start Date :	Mar 27, 2024 8:00 AM
End Date :	Mar 28, 2024 5:00 PM
Venue :	Mauritius

Program

Jump to a specific Day
Wed Mar 27th (Day 1)	Thu Mar 28th (Day 2)

Wednesday, March 27th(Day 1)
0800-0900	Registration of participants
0900-0905	Welcome and address
0900-0930	Official Opening Ceremony
0930-0950	Refreshment Break
0950-1005	Global epidemiology of stroke: risk factors, burden and temporal trends 15 Mins Vasileios-Arsenios Lioutas Assistant Professor of Neurology, Vascular Neurology Fellowship Program Director Describe in broad terms the current status of stroke incidence, mortality and morbidity across the globe and highlight the most important risk factors at a global and regional scale Session Objectives: Describe the recent trends in the global epidemiology of stroke and identify the major modifiable and non-modifiable risk factors Target: Physiatrists, Medical Students, Residents, Internists, Neurologists, other health professionals CanMEDS: Medical Expert (the integrating role), Scholar
0950-1055	Session 1: Myths, Facts and Realities of Stroke Epidemiology, Identification, reduction of stroke risk factors Chair: Prof. Thierry Deltombe / Dr. Bhooshun Ori/ Dr. Arvindsing Ramchurn
1005-1025	Overview of Stroke in Mauritius 20 Mins Harrish Reesaul
1025-1040	Public Health Measures for Prevention of Stroke 15 Mins Sudhir Kowlessur
1040-1055	Q&A 15 Mins
1055-1125	Management of acute ischemic stroke - focus on thrombolysis 30 Mins Vasileios-Arsenios Lioutas Assistant Professor of Neurology, Vascular Neurology Fellowship Program Director In this presentation we will provide a concise overview of thrombolysis in acute ischemic stroke. We will highlight the main randomized clinical trials that constitute the main supporting evidence, describe main eligibility criteria and overall patient selection process and summarize the evidence supporting the clinical effectiveness of intravenous thrombolysis. Session Objectives: Identify patients eligible for thrombolysis, list the main contraindications to thrombolysis administration, Appraise the expected clinical benefit from thrombolysis administration in properly selected patients Target: Physiatrists, Medical Students, Residents, Neurologists, Internists, Emergency Physicians, Nurses, Paramedics CanMEDS: Medical Expert (the integrating role), scholar, professional
1055-1230	SESSION 2: Acute Stroke Management Identification, Treatment and Follow-up Medical Care Chair: Prof. Rajiv Reebye / Dr. Marie France Chan Sun
1125-1140	Role of Neurosurgery in the Management of Stroke 15 Mins Koku Sossou Koussougbo
1140-1200	Stroke Best practices: Summary of Canadian Stroke Best practice guidelines 20 Mins Mark Bayley Professor and Program Medical Director The Canadian Stroke Best practice recommendation (CSSBPR) were first published in 2006 and were one of the first guidelines to be recognized by the World Stroke organization. They have evolved into a living guideline process where modules are continuously in cycles of update according to changing evidence. this presentation will present the methodology for the development of the CSSBR and some of the key recommendations. Session Objectives: Describe the Methodology for development of the Canadian Stroke Best practice guidelines Navigate to find key information on the stroke best practices website including levels of evidence, rationale, evidence reviews and Quality indicators Name 3 to 4 Key acute care best practice recommendations for stroke care Target: Physiatrists, Medical Students, Physicians, Neurologists, Nurses CanMEDS: Medical Expert (the integrating role), Leader, Health Advocate, Scholar, Professional
1200-1215	Stroke Continuum of Care: From the acute care setting to care in the community: a neurologist perspective 15 Mins Jörg Wissel Professor, MD, FRCP Session Objectives: Describe internationally recommended settingsin acute care, rehabilitation phase, and long term community setting in stroke management Identify advantages of interdisciplinary settings in acute care and multiprofessional, multimodal management approach in rehabilitation phase and long-term community settings in a comprehensive person-centered approach Understand the necessity of regular re-evaluations of stroke survivors every 3 to 6 months
1215-1230	Q&A Discussion 15 Mins
1230-1310	Lunch
1310-1420	Session 3: Stroke Rehabilitation - The importance of Rehabilitation in Maximizing Patient Abilities Chair: Prof. Jorg Wissel/ Mrs. Selvina Chemen
1325-1355	How to build an acute stroke unit: evidence-based approach 30 Mins Mark Bayley Professor and Program Medical Director This presentation will present the evidence for stroke units and the importance of organizing stroke care geographically in specialized stroke centers to achieve best outcomes. Session Objectives: Identify the key components of stroke system and rationale for organizing specialized stroke centers and stroke units Discuss strategies to implement stroke units and promote optimal efficiency of rehab and recovery post stroke Describe how Mauritius might measure outcomes Target: Physiatrists, Medical Students, Physicians, Neurologists, Nurses CanMEDS: Medical Expert (the integrating role), Leader, Health Advocate, Scholar, Professional
1340-1325	Stroke rehabilitation pathway: primary and secondary prevention 15 Mins Stefano Carda Deputy head at the Neurorehabilitation & neuropsychology service at Lausanne University Hospital, Switzerland, Description of costs and impact of stroke worldwide and in African countries. Description of primary prevention strategies and secondary prevention following current guidelines Session Objectives: Describe the burden of stroke worldwide Summarise the primary and secondary stroke prevention strategies Recognise the importance of secondary prevention during stroke rehabilitation phase Target: Physiatrists, Residents CanMEDS: Professional
1355-1410	Strategies to minimizing territoriality and maximizing collaborative approaches in stroke care setting 15 Mins Rajiv Reebye Professor I will be describing the WHO Health Promotion and Systems Research and its potential use in developing robust systems research to help policy change. Session Objectives: Cite importance of Health Promotion on Systems Research in Stroke pathway development Distinguish traditional and novel research methods in enhancing stroke care Formulate strategies in collaborative with WHO WRA to help monitor stroke pathway research using Health Promotion and Systems Research
1410-1425	Q&A Discussion 15 Mins
1425-1445	Epidemiology, pathophysiology and importance of Early identification of Spasticity 20 Mins Jörg Wissel Professor, MD, FRCP Explore the prevalence and impact of spasticity, dissect its pathophysiology, and understand the importance of early detection. Analyze management outcomes and guidelines, and discuss screening tools for predicting spasticity. Gain insights to inform clinical practice. Session Objectives: Describe the prevalence of velocity dependent increase in muscle tone and disabling spasticity and related pain Discuss pathophysiology, neuronal, and non-neuronal factors of spasticity and the phasic and tonic components Analyse published evidence (systematic reviews) of management results of disabling spasticity in the chronic and post-acute stage following stroke and the recommended settings in guidelines and consensus statements in the post-acute phase Discuss the importance of early detection and use of screening instruments for predictors of spasticity Target: Physiatrists, Medical Students, Physicians, Neurologists, Nurses CanMEDS: Medical Expert (the integrating role), Leader, Health Advocate, Scholar, Professional
1425-1555	Session 4: Post- Stroke Complications - Identification and treatment of Spasticity Chair: Dr. Mark Bayley, Canada / Dr. Sudhir Kowlessur
1445-1500	International Spasticity Curriculum: incorporation of educational module for spasticity 15 Mins Thierry Deltombe Professor Session Objectives: Describe the need to identify goal before to choose an appropriate spasticity treatment List the medical and surgical treatment of spasticity
1500-1515	Multi-modal approach in spasticity management: definition and importance 15 Mins Rajiv Reebye Professor Cite the importance of multimodal treatment in spasticity management Assess the pathophysiology of multimodal treatment in spasticity management Formulate treatment decision using multimodal treatment strategies in spasticity management Session Objectives: I will be discussing the definition of multimodal treatments in spasticity and how it is important to have multimodal stragtegies to achieve active and passive goals. Target: Physiatrists, Residents, Physiotherapists, OT, nurses
1515-1530	Post- Stroke Complications - Identification And Treatment Of Spasticity 15 Mins Stefano Carda Deputy head at the Neurorehabilitation & neuropsychology service at Lausanne University Hospital, Switzerland, Definition of multimodal and adjunctive treatment strategy for spasticity management, with some proposed options. Then a case-study to show the importance of interprofessional collaboration to attain a specific goal. Session Objectives: Define adjunctive and multi-modal therapies for spasticity management Provide an evidence-based review of adjunctive therapist post BoNT-A and evidence for multi-modal therapy for spasticity management Describe the mechanism of action, practical clinical pearls in using adjunctive therapies post BoNT-A and multi-modal therapies Target: Physiatrists, Residents, Physiotherapists, OT, nurses CanMEDS: Medical Expert (the integrating role)
1530-1545	Diagnostic nerve blocks and neuro-orthopedics in management of problematic spasticity 15 Mins Thierry Deltombe Professor The diagnostic nerve block (DNB) helps to assess spastic pattern observed in case of deforming spastic paresis syndrome. By suppressing spasticity DNB allows to better identify the respective responsability of contracture and paresis in the deformity. DNB also predicts the outcome obtained after an appropriate spasticity treatment. DNB are mandatory before proposing neuro-orthopedic surgery such as neurotomy and tendon lenghtening and transfer. Session Objectives: Identify nerve block indication Distinguish spasticity from contracture Formulate therapeutic option after nerve block Evaluate indication for neuro-orthopedic surgery Diagnose deforming spastic paresis syndrome Target: Physiatrists CanMEDS: Medical Expert (the integrating role)
1545-1555	Q&A Discussion 30 Mins
1555-1615	Tea Break
1615-1630	Post-stroke seizures and epilepsy 15 Mins Vasileios-Arsenios Lioutas Assistant Professor of Neurology, Vascular Neurology Fellowship Program Director In this brief presentation we will provide an overview of the risk of seizures and epilepsy post-stroke and list the main treatment options. Session Objectives: Identify the risk of epilepsy after stroke and list the main treatment options Target: Physiatrists, Medical Students, Residents, Neurologists, Internists, Nurses CanMEDS: Medical Expert (the integrating role), Scholar, Professional
1615-1715	Session 5: Post-Stroke Complications: Seizures, Cognitive Dysfunction, Dysphagia, Dysphasia Chair: Dr. Stefano Carda/ Dr. Prithviraj Ramputty/ Dr Harrish Reesaul
1630-1645	Post-stroke cognitive impairment 15 Mins Vasileios-Arsenios Lioutas Assistant Professor of Neurology, Vascular Neurology Fellowship Program Director Session Objectives: Identify the cognitive trajectories of patients after a stroke and appraise the risk of post-stroke dementia Target: Physiatrists, Medical Students, Residents, Neurologists, Internists CanMEDS: Medical Expert (the integrating role), Scholar, Professional
1645-1700	Post-stroke dysphagia and dysphasia 15 Mins Mrs Rachna Sungkur
1700-1715	Q&A Discussion & Close 15 Mins

Thursday, March 28th(Day 2)
0800-0900	Registration
0900-0915	Top 3 Stroke Papers 2020-2024 15 Mins Vasileios-Arsenios Lioutas Assistant Professor of Neurology, Vascular Neurology Fellowship Program Director Present three of the most influential studies published in the field of Vascular Neurology between 2020 and 2024 Session Objectives: Cite three of the most influential and practice-changing studies published in the field of stroke in the last 4 years Target: Physiatrists, Medical Students, Residents, Neurologists, Internists, Emergency Physicians CanMEDS: Medical Expert (the integrating role), Scholar, Professional
0900-0945	Session 6: Critical Appraisal of Scientific Paper: Acute and Rehabilitation Top Key Papers Chair: Prof. Jorg Wissel/ Prof. Thierry Deltombe
0915-0930	Top 3 Rehabilitation Papers 2020-2024 15 Mins Stefano Carda Deputy head at the Neurorehabilitation & neuropsychology service at Lausanne University Hospital, Switzerland, I will show 3 most important stroke rehabilitation papers published in 2020-2024. One deals with motor rehabilitation; one with cognitive rehabilitation and the last one on organisation of stroke rehabilitation. Session Objectives: Integrate knowledge on recent stroke rehabilitation Translate scientific evidence into clinical practice Target: Physiatrists, Medical Students, OT, PT, SLT, nurses CanMEDS: Medical Expert (the integrating role)
0930-0945	Q&A Discussion 15 Mins
0945-1015	Tea Break
1015-1030	Stroke care in Mauritius: historical perspective 15 Mins Dr. Arvindsing RamchurnMauritius
1015-1115	Acute Stroke Care
1015-1205	Session 7: Island Dynamics: Understanding the Mauritian context: minimizing territoriality & maximizing collaborative approaches Chair: Dr. Vasileios-Arsenios Lioutas / Dr. Eleanor Elisabeth Mohith-de Muinck Keizer
1030-1100	Mauritian stroke pathways 30 Mins Dr. Harrish ReesaulMauritius
1100-1115	Q&A Discussion 15 Mins
1115-1120	Neurologist: role in stroke team, barriers and opportunities 5 Mins Dr. Arvindsing RamchurnMauritius
1115-1205	Acute and Rehabilitation Stroke Care in Mauritius - the role of interdisciplinary medical team members in stroke management.
1120-1125	Internal Medicine: role in stroke team, barriers and opportunities 5 Mins Dr. Jaynandra Kumar Singh DusowothMauritius
1125-1130	Radiologist: role in stroke team, barriers and opportunities 5 Mins Dr. Ateelesh MangrooMauritius
1130-1135	ICU: role in stroke team, barriers and opportunities 5 Mins Dr. Meetheelesh Kumar Abeeluck.Mauritius
1135-1140	Occupational Therapist: role in stroke team, barriers and opportunities 5 Mins Mrs. Selvina ChemenMauritius
1140-1145	Physiotherapist: role in stroke team, barriers and opportunities 5 Mins Mrs Gitanjali Vandana RamdinMauritius
1145-1150	Importance of exercise post stroke: barriers and opportunities 5 Mins Dr. Adisha BholahMauritius
1150-1205	Q&A Discussion 15 Mins
1205-1305	Lunch
1305-1315	Psychological implication of stroke: impact on stroke survivors, families and caregivers 10 Mins Vasileios-Arsenios Lioutas Assistant Professor of Neurology, Vascular Neurology Fellowship Program DirectorUSA In this presentation we will describe the psychological impact of stroke on (a) stroke survivor and (b) their families and caregivers Session Objectives: Identify and decribe the psychological impact of stroke on survivors and their caregivers Target: Physiatrists, Medical Students, Residents, Neurologists, Psychiatrists, Internists, Nursing Staff CanMEDS: Medical Expert (the integrating role), Scholar, Professional
1305-1445	Session 8: The importance of Rehabilitation in Maximizing Patient Abilities: strategies to enhance patient outcomes Chair: Prof. Jörg Wissel / Prof. Rajiv Reebye
1315-1325	Importance of Nutrition post Stroke 10 Mins Mrs. Leela MoothoosamyMauritius
1325-1335	Importance of Stroke Awareness for early identification: what is new in Mauritius 10 Mins Mr. Rizwan ChumrooMauritius
1335-1345	Impact of Stroke on Children and their Families 10 Mins Eleanor Elisabeth Mohith-de Muinck Keizer Dr (GP)Mauritius The impact of strokes on Mauritian children and their families is profound, triggering a spectrum of emotions from grief and anxiety to uncertainty and PTSD among parents and grandparents. They face a steep learning curve in becoming specialists in their child's care without adequate training or support, leading to burnout and exploitation due to a lack of respite. Close family reactions vary widely, from supportive to isolating or blaming, intensifying grief cycles of denial, anger, and acceptance. Societal responses compound challenges through blame-shifting, isolation, and ostracization, hindering the child's acceptance and integration. Children's experiences encompass physical, emotional, and social complexities, often hindered by societal assumptions and insufficient support structures that limit their desires for independence. The healthcare system plays a crucial role, necessitating improved communication, empathy, and comprehensive rehabilitation services to promote autonomy and holistic well-being. Despite challenges, children's ongoing growth and neural pathway development present opportunities for therapists to capitalize on, fostering healing, recovery, and community integration by enhancing function and instilling hope. Session Objectives: Examine the impact of pediatric stroke diagnosis on Mauritians families Discuss the implications of diagnosis for social integration and public stigma Discuss the impact of stroke on children's development, identity, and long-term expectations CanMEDS: Medical Expert (the integrating role), communicator, collaborator, leader, health advocate, scholar professional
1345-1355	Building the Daily Living skills for Person with Stroke (Autonomy & Independence) 10 Mins Mrs. Selvina ChemenMauritius
1355-1400	Carer Fatigue & Care Education and its impact on stroke recovery 5 Mins Mrs. Selvina ChemenMauritius
1400-1415	Resources available for stroke survivors and secondary prevention:role of social services 15 Mins Dr. Shiv SeegobinMauritius
1415-1425	End of life care: respite and palliative care of stroke patients 10 Mins Dr. Inayat Sameer MowlahMauritius
1425-1445	Q&A Discussion 20 Mins
1445-1515	Tea Break
1515-1525	Future developments in Stroke Recovery: from early identification, intervention and to robotics (Robotics, vagus nerve stimulation, PONS therapy, spinal cord stimulation) 10 Mins Jörg Wissel Professor, MD, FRCPGermany Discover the latest recommendations for rehabilitation settings and learn about the comprehensive person-centered approach within interdisciplinary teams. Explore the implementation of multimodal treatments, including rehabilitation robotics and various stimulation options for brain, spinal cord, peripheral nerves, and vagus nerve. Gain insights into the evolving landscape of neurorehabilitation practices. Session Objectives: Cite up-to-date recommendations rehabilitaiton settings and then comprehensive person-centered approach in an interdisciplinary setting with a multi-disciplinary team implementing a multimodal treatment to manage neurorehabilitation Explain the application rehabilitation robotics and the different options of brain, spinal cord, and peripherel nerve stimulation as well as vagus nerve stimulation within multimodal treatment Target: Physiatrists, Medical Students, Physicians, Neurologists, Nurses CanMEDS: Medical Expert (the integrating role), Leader, Health Advocate, Scholar, Professional, Collaborator
1515-1545	Session 9: Novel Developments: Technology and Robotics to Enhance Stroke Recovery Chair: Prof. Rajiv Reebye/ Mrs. Selvina Chemen
1525-1535	Use of virtual reality in stroke recovery 10 Mins Mark Bayley Professor and Program Medical DirectorCanada this brief presentation will review the rationale for use of virtual reality and the strengths and weaknesses of the evidence in support of Virtual reality Session Objectives: Define what is virtual reality based therapies Discuss evidence for virtual reality to enhance motor and cognitive recovery after stroke Target: Physiatrists, Medical Students, Physicians, Neurologists, Nurses CanMEDS: Medical Expert (the integrating role), Leader, Health Advocate, Scholar, Professional
1535-1545	Q & A Discussion 10 Mins
1545-1600	Brainstorming on the resources to be mobilized for implementation of a Stroke Registry in Mauritius: A multi-stakeholder approach for secondary and tertiary prevention 15 Mins Dr. Marie France Chan SunMauritius
1545-1630	Session 10: Importance of Research and Continuing Education to Optimize Stroke Care Chairs: Chair: Prof. Mark Bayley / Prof. Thierry Deltombe
1600-1605	Snapshot: Stroke-related Training and Research Development at the UoM in collaboration with Key Stakeholders 5 Mins Dr. Marie France Chan SunMauritius
1605-1615	Strategies to enhance patient care and development of stroke pathway through WHO World Rehabilitation Alliance Health Policy and Systems Research 10 Mins Rajiv Reebye ProfessorCanada I will be discussing the impact of collaborative care as per the Canadian Medical Association guidelines and to discuss the importance of addressing territoriality in stroke management. Session Objectives: Identify the importance of territoriality in health care setting Assess strategies to reduce territoriality in the stroke care setting Formulate interdisciplinary plan to discuss the impact of territoriality in stroke team
1615-1620	Continuing education programs by CANOSC conducted on Stroke and future directions 5 Mins Ms Heather DowCanada We strive to promote excellence in the professional practice of physiatrists. Our CPD programming supports the life-long learning needs of physiatrists and physiatrists in training. Through a continuous iterative process, the goals of our programming are to: assess the needs of the target audience. provide educational activities to fill those educational gaps. Provide CPD using a variety of synchronous and asynchronous learning tools Evaluate the effectiveness of the CPD and measure patient outcomes. Through these goals, CANOSC strives to enhance the knowledge, skills and attitudes (Confidence, Competence) of physicians in order to continue to improve health care in Canada. Session Objectives: Provide innovation, instill confidence and competency, through education and collaboration for enhancement of stroke education.
1620-1630	Q&A Discussion 10 Mins
1630-1700	Session 11: Declaration/Position Statement on Stroke and Neuro-Rehabilitation 30 Mins Chair: Mrs Indira Rugjee Dr. Bhooshun Ori Prof. Rajiv Reebye Dr. Harrish Reesaul Dr. Sudhir Kowlessur Dr. Marie France Chan Sun Prof. Thierry Deltombe Prof. Jörg Wissel Prof. Mark Bayley Dr. Stefano Carda Dr. Vasileios-Arsenios Lioutas Ms Heather Dow Mrs. Selvina Chemen
1700-1715	Closing ceremony

Vasileios-Arsenios Lioutas Assistant Professor of Neurology, Vascular Neurology Fellowship Program Director

https://www.bidmc.org/
vlioutas@bidmc.harvard.edu

Session:

Global epidemiology of stroke: risk factors, burden and temporal trends[...] (2024-03-27 0950-1005)
Management of acute ischemic stroke - focus on thrombolysis[...] (2024-03-27 1055-1125)
Post-stroke seizures and epilepsy[...] (2024-03-27 1615-1630)
Post-stroke cognitive impairment[...] (2024-03-27 1630-1645)
Top 3 Stroke Papers 2020-2024[...] (2024-03-28 0900-0915)
Psychological implication of stroke: impact on stroke survivors, families and caregivers[...] (2024-03-28 1305-1315)

Dr. Lioutas is a Vascular Neurologist at Beth Israel Deaconess Medical Center and an Assistant Professor of Neurology at Harvard Medical School. He serves as the Director of the Vascular Neurology Fellowship program at the BIDMC. His research interests include the epidemiology of stroke, and he is an Investigator at the Framingham Heart Study. Dr. Lioutas is also an alumnus of the first class of the World Stroke Organization's Future Leaders Program and has significant interest in the global aspects of stroke. He spearheaded the effort for establishment of the first stroke unit and thrombolysis services in Ethiopia in 2021-2022. Under the auspices of the WSO he organized and led a hands-on workshop on stroke care in the context of the 3rd African Stroke Organization Conference in 2023. He has several ongoing stroke clinical research collaborations in Ethiopia, Tanzania and Egypt.

Mark Bayley Professor and Program Medical Director

www.uhn.ca mark.bayley@uhn.ca

Session:

Stroke Best practices: Summary of Canadian Stroke Best practice guidelines[...] (2024-03-27 1140-1200)
How to build an acute stroke unit: evidence-based approach[...] (2024-03-27 1325-1355)
Use of virtual reality in stroke recovery[...] (2024-03-28 1525-1535)

Mark Bayley is Program Medical Director & Physiatrist-in-Chief at UHN-Toronto Rehabilitation Institute. He is a Professor at the Temerty Faculty of Medicine at University of Toronto in the Division of Physical Medicine and Rehabilitation,. He holds the Coriat Family Chair in Rehabilitation Innovations at the University Health Network.

His Research has three foci:

Enhancing neurological recovery through novel combinations of therapies. He has led large randomized controlled trials including the the EVREST (Efficacy of Virtual Reality Exercises using Wii gaming technology in STroke Rehabilitation). He is also very interested in robotics and telerehabilitation for recovery.

ii) Improving outcomes through ensuring implementation of best practice guidelines eg. www.strokebestpractices.ca and smartphone app to determine post stroke arm rehabilitation (www.viatherapy.org).

iii) Studies of early predictive assessment tools that are determinants of outcomes such as early AlphaFIM score

Jörg Wissel Professor, MD, FRCP

joerg@schwarz-wissel.de

Session:

Stroke Continuum of Care: From the acute care setting to care in the community: a neurologist perspective[...] (2024-03-27 1200-1215)
Epidemiology, pathophysiology and importance of Early identification of Spasticity[...] (2024-03-27 1425-1445)
Future developments in Stroke Recovery: from early identification, intervention and to robotics (Robotics, vagus nerve stimulation, PONS therapy, spinal cord stimulation)[...] (2024-03-28 1515-1525)

Prof. Jörg Wissel, MD, FRCP is a specialist in Neurorehabilitation, Movement Disorders and Botulinumtoxin treatment. He is board certified Neurologist, Rehabilitation specialist and Psychotherapist and authored more than 135 original articles. Since 2012 he is head of the Department Neurorehabilitation and Physical Therapy at Vivantes Hospital Spandau in Berlin, Germany. Since 2000 he is Professor of Neurology and member of the faculty at University of Innsbruck, Austria. Since 2010 he is also Professor of Neurology at University of Potsdam, Germany. He was Member of the Board of the German Neurorehabilitation Society, scientific advisor of the German Dystonia Society (patient association) and was chair of the German Botulinumtoxin User Group of the German Society of Neurology (AK-Btx of the DGN). Since 2022 he is Director and member of the board of the International Neurotoxin Association (INA) and chair of the Spasticity Sudy Group of the Movement Disorder Society (MDS).

Stefano Carda Deputy head at the Neurorehabilitation & neuropsychology service at Lausanne University Hospital, Switzerland,

stefano.carda@chuv.ch

Session:

Stroke rehabilitation pathway: primary and secondary prevention[...] (2024-03-27 1340-1325)
Post- Stroke Complications - Identification And Treatment Of Spasticity[...] (2024-03-27 1515-1530)
Top 3 Rehabilitation Papers 2020-2024[...] (2024-03-28 0915-0930)

Stefano Carda MD, obtained his medical degree and PhD at University of Eastern Piedmont, Italy and his PM&R graduation from the University of Insubria, Italy.

He currently holds the position of Deputy head at the Neurorehabilitation & neuropsychology service at Lausanne University Hospital, Switzerland, where he leads the Spasticity program. Member of ToxNet group and co-leads the Educational Committee of CANOSC.

He is also Senior Lecturer at the University of Lausanne and responsible for post-graduate teaching in neurorehabilitation.

His main field of interest and research are spasticity treatment, ultrasound guidance, spinal cord injuries and neuromotor rehabilitation.

He has authored and co-authored more than 60 peer-reviewed papers and several book chapters.

Thierry Deltombe Professor

thierry.deltombe@chuuclnamur.uclouvain.be

Session:

International Spasticity Curriculum: incorporation of educational module for spasticity[...] (2024-03-27 1445-1500)
Diagnostic nerve blocks and neuro-orthopedics in management of problematic spasticity[...] (2024-03-27 1530-1545)

Professor Thierry Deltombe is the head of the Physical Medicine and Rehabilitation department at the CHU UcL Namur site Godinne of the well-known Université de Louvain (UcL) in Belgium. He is the Past- President of the Belgian PM&R scientific society and a member of the executive committee of the European Academy of Rehabilitation Medicine. He also lead the Toxnet group composed for an international panel of expert in spasticity management.

For 20 years, he is the head of an interdisciplinary group devoted to the spasticity treatment. The group also includes a neurosurgeon (Prof. T. Gustin), three orthopaedic surgeons (Drs F. Bom, D. Hadj-Sadok and D. Wautier), an anaesthesist (Dr. M. Fostier), a neurologist (Prof. M. Ossemann) and a rehab team. He published more than 60 papers dealing neurorehabilitation, spasticity assessement (diagnostic nerve block) and spasticity treatments (botulinum toxin, neurotomy and interdisciplinary management).

Eleanor Elisabeth Mohith-de Muinck Keizer Dr (GP)

eedmk@doctors.org.uk

Session:

Impact of Stroke on Children and their Families[...] (2024-03-28 1335-1345)

Dr. EE Mohith graduated from Erasmus Universiteit Rotterdam Medical Faculty in 1988. She later completed her General Practitioner (GP) training, GP Vocational Training Scheme (VTS), and earned a Diploma of the Royal College of Obstetricians and Gynaecologists (DRCOG) in the United Kingdom. Dr. Mohith has held various positions, including long-term GP locums in Buckinghamshire and surrounding areas.

Since her move to Mauritius in 2003, her professional scope has encompassed a private practice GP at Clinique Darne, a school doctor, a food company GP, Artemis Hospital GP, and Therapy Horses EquiRx.

In 2015, Dr. Mohith founded Therapy Horses EquiRx, a part-time rehabilitation service that utilizes a psychomotor-centric model with trained horses and animals to enhance functional independence. The service collaborates with allied health professionals to ensure tailored, evidence-based care. Her focus on animal-assisted rehabilitation reflects her dedication to holistic patient care.

Rajiv Reebye Professor

Rajiv Reebye

Session:

Strategies to minimizing territoriality and maximizing collaborative approaches in stroke care setting[...] (2024-03-27 1355-1410)
Multi-modal approach in spasticity management: definition and importance[...] (2024-03-27 1500-1515)
Strategies to enhance patient care and development of stroke pathway through WHO World Rehabilitation Alliance Health Policy and Systems Research[...] (2024-03-28 1605-1615)

I am a specialist in Physical Medicine and Rehabilitation and Professor at the University of British Columbia, Division of Physical Medicine and Rehabilitation.

I am very involved in curriculum design with the Royal College of Physicians and Surgeons of Canada and also Fellowship Director of the Neurorehabilitation and Spasticity programs at UBC. I am the chair of the Mauritius stroke workshop/confernce.

Ms Heather Dow

hdow@eventsmgt.com

Session:

Continuing education programs by CANOSC conducted on Stroke and future directions[...] (2024-03-28 1615-1620)

Heather Dow, CPhT, CAE, CPC(HC), HPDE, HMCC is the Chief Executive Officer and Executive Director/CEO for the Canadian Association of Physical Medicine & Rehabilitation (CAPM&R), Canadian Association of Pathologists-Association canadiennes des pathologistes (CAP-ACP), the Canadian Spinal Cord Injury Rehabilitation Association (CSCI-RA) and Canadian Advances in Neuro-Orthopedics for Spasticity Consortium (CANOSC).

Heather chairs the CEO Roundtable of Canadian National Medical Organizations, contributes to the Community of Interest Working Group for the Coalition for Physician Learning and Practice Improvement, participates in the Royal College of Physicians and Surgeons of Canada CPD Accreditation Committee (RCPSC), Rapid Response Team – CPD, and the RCPSC National Specialty Summit Committee for the National Accreditation Conference.

Internationally, Heather is a member of the Workforce Committee for the World Rehabilitation Alliance under the World Health Organization and a Management Committee member for the Center for Promotion of Rehabilitation Medicine and Disability Research in Yaoundé, Cameroon. She collaborates with the Ministry of Health and Wellness in Mauritius focusing on education and research.

A sought-after speaker for national and international scientific and medical education conferences, Heather addresses topics related to technology use with synchronous and asynchronous delivery platforms. Her contributions extend to several published peer-reviewed journal articles in both physical medicine and rehabilitation and pathology specialties.

Program Speakers

2024 Ministry of Health Stroke Conference

Strategies to enhance collaborative interdisciplinary stroke care and maximize Patient Abilities

Themes:

Participation is by Invitation Only.

Goals

Audience/Participants

Scientific Planning Commitee

Program

Jump to a specific Day

Wednesday, March 27th(Day 1)

Registration of participants

Welcome and address

Official Opening Ceremony

Refreshment Break

Global epidemiology of stroke: risk factors, burden and temporal trends

Session Objectives:

Target:

CanMEDS:

Session 1:

Chair:

Overview of Stroke in Mauritius

Public Health Measures for Prevention of Stroke

Q&A

Management of acute ischemic stroke - focus on thrombolysis

Session Objectives:

Target:

CanMEDS:

SESSION 2:

Chair:

Role of Neurosurgery in the Management of Stroke

Stroke Best practices: Summary of Canadian Stroke Best practice guidelines

Session Objectives:

Target:

CanMEDS:

Stroke Continuum of Care: From the acute care setting to care in the community: a neurologist perspective

Session Objectives:

Q&A Discussion

Lunch

Session 3:

Chair:

How to build an acute stroke unit: evidence-based approach

Session Objectives:

Target:

CanMEDS:

Stroke rehabilitation pathway: primary and secondary prevention

Session Objectives:

Target:

CanMEDS:

Strategies to minimizing territoriality and maximizing collaborative approaches in stroke care setting

Session Objectives:

Q&A Discussion

Epidemiology, pathophysiology and importance of Early identification of Spasticity

Session Objectives:

Target:

CanMEDS:

Session 4:

Chair:

International Spasticity Curriculum: incorporation of educational module for spasticity

Session Objectives:

Multi-modal approach in spasticity management: definition and importance

Session Objectives:

Target:

Post- Stroke Complications - Identification And Treatment Of Spasticity

Session Objectives:

Target:

CanMEDS:

Diagnostic nerve blocks and neuro-orthopedics in management of problematic spasticity

Session Objectives:

Target:

CanMEDS:

Q&A Discussion

Tea Break

Post-stroke seizures and epilepsy

Session Objectives:

Target:

CanMEDS:

Session 5: Post-Stroke Complications:

Chair:

Post-stroke cognitive impairment

Session Objectives: