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