SOS 2013

RERC on Telerehabilitation
State of the Science Conference

Date: June 13-14, 2013
Time: 10:00am-1:00pm EST

The RERC on Telerehabilitation (RERC TR) State of the Science Conference (SOS) will take place on June 13-14, 2013. The SOS will be virtual, allowing participants from across the globe to participate from their own home or office.

Daily interactive sessions will take place on the World Wide Web!


Registration is OPEN! All health and rehabilitation professionals, industry partners, government agencies and consumers are encouraged to attend the daily online sessions.
Advanced registration is required each day

Please register for the State of the Science Conference with RST CE at
Step by step instructions for registration:

  1. Create a new profile or register with your existing profile
  2. After you log in, select “Webinars”
  3. Select “Webinar Registration”
  4. Select “State of the Science, Day 1” or “State of the Science, Day 2”
  5. Enter free payment code: “SOSDAY1” or “SOSDAY2”
  6. Submit your registration.

One of the primary goal of RERC TR is to make it possible for anyone to access the information provided at the SOS. If you have an accessibility need that we should include in the SOS please let us know. We will do our best to address any accessibility issue. Please contact Joseph Ruffing at 412.624.6279 or e-mail at

Participant Information

Thank you for registering for the RERC on Telerehabilitation State of the Science virtual conference. We look forward to your participation tomorrow, June 13th and Friday, June 14th. The address for viewing the live conference webcast is: A conference program, participation instructions for submitting questions during the webcast and closed captioning information are attached.

Please test your system connection by visiting the link above prior to the conference start. Our technical staff will be available to assist with troubleshooting technical difficulties today from 1:30pm-5:00pm U.S. EST. They will also be available before and during the webcast on each conference day. For assistance, please call (412)383-6646 or send an email to


RERC TR SOS Instructions

Daily Sessions:

Day 1: June 13, 2013 | Day 2: June 14, 2013


Day 1: June 13, 2013

Telerehabilitation Technology Usability: Lessons Learned and Future Directions
Communication, information and computer technology are the foundation upon which telerehabilitation applications are built. As communication channel capacities have opened and widened, new technical barriers to implementation of remote rehabilitation services have emerged. These new technological barriers seem to be largely centered on computing (including mobile computing) hardware and software usability. Several of our own RERC on Telerehabilitation R&D projects have either directly or indirectly evaluated usability. For example, our project on prevention and self-management of chronic edema and lymphedema uncovered issues related to the use of computer equipment and diagnostic devices in home environments. Our development and evaluation of a wellness program for people with Spinal Bifida revealed limitations associated with software on mobile computing devices—smart phones. In the area of communication technology assessment, we found limitations associated with users’ tolerances to monitoring protocols. There are many more examples.

Day 1 of the RERC-TR 2013 State of the Science Conference will consist of presentations by RERC-TR investigators on our experiences with additional presentations by others on their experiences with telerehabilitation technology usability. Invited additional expert panelists will comment on the presented material and lead discussions on potential future directions for research and development to better define usability barriers and to propose solutions for overcoming the barriers already exposed.

Please register for the State of the Science Conference with RST CE at for day One with code: SOSDAY1

DAY 2: June 14, 2013

Telerehabilitation Evidence and an Approach to Uniform Outcome Data
Establishing efficacy of telerehabilitation is must deal with the great diversity of clinical applications, disabilities served, technologies utilized and professional disciplines involved in the delivery of telerehabilitation services. The existing research on telerehabilitation is limited by a lack of randomized clinical trials, small sample sizes and a lack of common outcome measures and metrics. An accepted, standardized set of outcome definitions and measures for telerehabilitation (TR) is critical for establishing an evidence base for the efficacy, usability and cost effectiveness of telerehabilitation services. Such outcomes also facilitate clinical decision-making and optimal communication among caregivers, clinicians and payers. A set of common outcome measures that have been endorsed by clinicians and researchers is expected to enable researchers to target meaningful outcomes for comparative effectiveness studies that will potentially lead to increased evidence for telerehabilitation.  

Day II of the RERC-TR 2013 State of the Science Conference will focus upon disseminating the recommendations of the International Consensus Group on uniform outcomes in telerehabilitation. A panel of experts and stakeholders will present current the current status of the evidence for TR, nominate uniform measures for satisfaction and usability and for cost effectiveness, and provide guidelines for a standard approach to measuring efficacy that is conducive to subsequent data aggregation and meta-analysis. The panel will engage the audience in providing formative feedback for implementing the recommended outcome approaches and determining future directions.

Please register for the State of the Science Conference with RST CE at for day Two with code: SOSDAY 2

State of the Science Agenda

Day 1: Telerehabilitation Technology Usability: Lessons Learned and Future Directions

June 13, 2013 • 10AM – 1PM U.S. EST


Introductions and overview of the State of the Science format

David Brienza, Ph.D.
Michael McCue, Ph.D.
Katherine Seelman, Ph.D.

Handout of Powerpoint PDF

Self-management of Lymphedema

Treatment of lymphedema requires extensive clinic visitation as well as home care support, which is particularly difficult for persons with limited mobility. We will discuss our endeavor to evaluate a treatment utilizing telerehabilitation, advanced pneumatic compression, and self-care that will ease the burden on individuals with limited mobility with lymphedema and provide them with the skills to halt the progress of their disease.

Charles Vukotich, BS

Handout of Powerpoint PDF

Audience discussion:

Speaker answering questions from audience

Audience discussion:

Speaker and Respondent answering questions from audience

5-minute technical transition

Evaluation of remote computer access service delivery

The Communication Technology Assessment and Training focus area is developing and evaluating technologies for remote computer access and augmentative communication service delivery. Results to date and the implications for service delivery will be discussed.

Richard Simpson, Ph.D., ATP

Handout of Powerpoint PDF


Denis Anson, MSOT, Assistive Technology Research Institute, Misericordia University

Audience discussion:

Speaker and Respondent answering questions from audience

5-minute technical transition

TR enhanced wellness program in Spina Bifida

The medical complexity of spina bifida (SB) results in equally complex self-care regimes that many persons with SB struggle to manage. The R3 project has focused on the development and initial clinical testing of an innovative mHealth system, called iMHere, to help support adults with SB. While this project focused on SB, use of this system could be generalized to many other disability populations with chronic conditions.

Brad Dicianno, M.D.
Andrea Fairman, Ph.D., OTR/L

Handout of Powerpoint PDF


Dr. Clayton Lewis, Professor of Computer Science, Coleman Institute for Cognitive Disabilities, Boulder, CO

Audience discussion:

Speaker and Respondent answering questions from audience

5-minute technical transition

Autism Service, Education, Research, and Training (ASERT)
Cognitive Skills Enhancement Program (CSEP)

The ASERT is a collaborative network of providers of comprehensive, high-quality, state-of-the-art diagnostic assessments, research, education, and training programs. The RERC TR has supported ASERT in delivering services using VISYTER and the TR portal, specifically: delivering an adult autism assessment, the Autism Diagnostic Observation Schedule (ADOS) Module 4, remotely.
In addition, VISYTER and a TR portal are used in CSEP to support a variety of clinical activities to increase efficiency and to improve clinical practices.

Jamie Schutte, Ph.D., CRC

Handout of Powerpoint PDF


Ben Handen, Ph.D., Associate Professor of Psychiatry and Pediatrics at the Western Psychiatric Institute and Clinic, Merck Child Outpatient Program

Audience discussion:

Speaker and Respondent answering questions from audience

Panel discussion

Technical challenges working in the natural environment will be discussed.

Bambang Parmanto, Ph.D.

Audience discussion:

Speaker and Respondent answering questions from audience


Day 2: Telerehabilitation Evidence and an Approach to Uniform Outcome Data

June 14, 2013 • 10AM – 1PM, U.S. EST


Overview of the session, rationale, and goals

Michael McCue, Ph.D.

Handout of Powerpoint PDF

Evidence for TR

Review of literature

Michael McCue, Ph.D. (moderator)
Marco Rogante, M.S. (Italy)
Dahlia Kairy, pht, PhD (Canada)

Handout of Powerpoint PDF

Discussion Q&A

5-minute technical transition

Satisfaction and Usability Outcomes

Review of approaches to satisfaction and usability, promotion of uniform S+U measure

Allen Lewis, Ph.D., CRC (moderator)
Bambang Parmanto, Ph.D.

Handout of Powerpoint PDF

TUQ-Actual Questionnaire

Discussion Q&A

Cost Effectiveness measures

Review of approaches to cost effectiveness research and measures, promotion of cost effectiveness measure

Allen Lewis, Ph.D., CRC (moderator)
Richard Schein, Ph.D.
Suzanne Paone, Ph.D.

Handout of Powerpoint PDF

Discussion Q&A

Measuring Clinical TR Outcomes

Discussion of complexity of TR Clinical outcome; TR outcome paradigms; introduction to Guidelines for Conducting Clinical TR Research

Allen Lewis, Ph.D. (moderator)
Michel McCue, Ph.D.
Mark Schmeler, Ph.D., OTR/L, ATP

Handout of Powerpoint PDF

Discussion Q&A

Wrap Up

Process and timeframe for building in SOS feedback, future directions, accessing and implementing measures

Allen Lewis, Ph.D., CRC
Michael McCue, Ph.D.

Technical Requirements for Participation:

The RERC on Telerehabilitation’s  VISYTER technology will be used to broadcast  a live stream of the conference sessions directly to your computer.

Register today!

Continuing Education Units

The University of Pittsburgh, Department of Rehabilitation Science & Technology (RST CE) is certifying the educational contact hours of this program, and by doing so is in no way endorsing any specific content, company, or product. The information presented in this program may represent only a sample of appropriate interventions. Each person should claim only those hours of credit that he or she actually spent in the educational activity.
Each day is awarded 0.3 CEUsfor attending 3 hours of instruction.
Instructions for completing the online course evaluation and post test to receive your Certificate:
1. To complete the online evaluation form, log into the RSTCE database.
(use the email address and password that you created on the registration).
2. Select the button that says Post Tests and Evaluations (for Webinars only).
3. Select and complete the course Evaluation and the Post Test.

CEU Certificates are sent to the email address you provided on the registration.
If you do not receive your Certificate within an hour in your email, please check your Spam/Bulk/Junk mail folder.

Sponsored by:

Department of  Rehabilitation Science and Technology | School of Health and Rehabilitation Sciences | University of PittsburghDepartment of  Rehabilitation Science and Technology | School of Health and Rehabilitation Sciences | University of Pittsburgh,  National Institute on Disability and Rehabilitation Research, RERC on Telerehabilitation

Please contact Cheryl Rohall for more information at:
Phone: 412.624.6256  •  E-mail:  •  Fax: 412.624.6501




Journal of Telerehabilitation


D3 video screen on YouTube

TeleWellness: Interactive Mobile Health and Rehabilitation



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