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Technology in RehabilitationCreative Force or Expensive Waste
Derek Jones PhD, MBADirector - Fixxl Ltd and Anatomical Concepts (UK) Ltd
Creative Force or Expensive WasteCan be either …But is it ALL about the Technology?
Bringing
technolo
gy
to life
Goal
ChoicesResults
Goal
ChoicesResults
Attitude/BeliefsDesire/Motive
Resourcing
Attitude/BeliefsDesire/Motive
Resourcing
Goal
ChoicesResults
Attitude/BeliefsDesire/Motive
Resourcing
Goal
Knowledge
ExperiencePersistence
Attitude/Belief InnovationSystems
Processes
Technology
Does the world need a better Wheelchair?
Wheelchair waiting times
1.2 m UK users
70% Wait more than 3 months 30% Wait more than 6 months15% Wait more than 12 months
Pressure Sores - 50% of users Huge economic impact of delay
Better Goal?- Children into an appropriate chair within a day
We need better goalsSOMETIMES..
Wishing for new technology is not
enough
Goal
Knowledge
Experience
Technology
Persistence
Attitude/Belief InnovationSystems
Processes
Rehabilitation Goal Setting
“Who, will do what, under what conditions, how well and by
when”
Rehabilitation Goal Setting
“Who, will do what, under what conditions, how well and by
when”
The Who of the Goal should always be the
patient
Goal Achievement
• Patient’s ability to achieve their goals?
• Clinicians ability to predict outcome?
• Commitment of Resources
Goal
Knowledge
Experience
Technology
Persistence
Attitude/Belief
Christine
Short Movie
Goal
Knowledge
Experience
Technology
Persistence
Attitude/Belief
in the shadow of the Goal
Technological Convergence
“New” Medicine
Robotics
ConvergenceWireless Sensors
Genomics
Imaging
Information Systems
Computing Power
‘Big’ Data
Social Networking
Internet
Mobile Connectivity &
Bandwidth
–Eric Schmidt, former CEO of Google
“… the power of individual targeting provided by technology will be so good that it will be very
hard for people to watch or consume something that has not in
some sense been tailored for them…”
Redundancy & Abundance Spontaneous Recovery?
Compensation?
Neuroplastic Mechanisms?
Stimulated/trained Recovery?
Technology can be used to IDENTIFY status, generate
RECOVERY and/or provide
COMPENSATION
Indego Rex Bionics ReWalk Ekso Bionics
The Commercial R&D Game
InventionAdoptionDiffusion
Addressable Markets
MilitaryLoad CarryInfantry Tool
Industrial
Load Carry
SafetyTool Holding
ConsumerElderlyRecreationalPerformance
Training
MedicalRehab DeviceAssistive Device
SERVICE INNOVATIONBecause No One Will Care About Your Technology
Short Product Life
Commoditisation Copying Low ROI
Tek RMD - Robotic Mobilisation Device
Unexpected Consequences
Negative Impact on Fitness
Limited Function
High Cost
Investment Brings Awareness
People Learn to Believe
http://www.daneleyfoundation.org
http://www.daneleyfoundation.org
Technology should “Emerge from the Shadow”
of a goal
Technology is always a creative forcebut it needs to be directed effectivelyWhether it is wasted is down to us
Tiny decisions
When you look back at your life, the most momentous changes came about because you made a series of small decisions.
These added up to create the life you have now.
Those small decisions have more effect than the “huge” choices you made.
Life is chaos in action - there are no ordinary moments
Derek Jones PhD MBA
Anatomical Concepts (UK) Ltd - Masters of Rehabilitation EngineeringFixxl Ltd - Bringing Technology to Life
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