2011: Issue 18-1 - Ontario Brain Injury Association

Transcription

r . e . v. i . e . w
. VOLUME 18 . I S S U E 1
MARCH 2011
Save the Date!
Mark November 2-4, 2011
on Your Calendar
call
1-800-263-5404
visit
www.obia.ca
email
[email protected]
The official publication of the Ontario
Brain Injury Association
Publi cations Mail Agreement # 40005485
ONTARIO BRAIN INJURY ASSOCIATION r . e . v . i . e . w
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Inside this issue:
r. e . v. i .e .w
M ARCH 2011
.
Volume 18
.
Issue 1
Board of Directors
Sue Loyst President
Tom Dow Vice-President
Donna Thomson Vice-President
Alison Mullett Treasurer
Nancy Baron-Blake Corporate Secretary
Taryn Abate Director
Dr. Sheila Bennett Director
Brian Bird Director
Barbara Claiman Director
Gayle Dawson Director
Jamie Fairles Director
Melanie Gardin Director
Maria Hundeck Director
Dr. Charles Leclerc Director
Loreigh Mitges Director
Nancy Nicholson Director
Lauren Noble Director
Norm Sinclair Director
Lucie Sirois Director
Debby Vigoda Director
OBIA Staff
Gail Coupland Financial Controller
Diane Dakiv Administrative Assistant
Ange l D’Andrea Asst. Executive Director
Tammy Dumas Community Assoc. Liaison
Dianne Radunsky Support Services
Debbie Spaulding Information Services
Carla Thoms Support Services
Ruth Wilcock Executive Director
Terry Wilcox Member & Client Services
OBIA Review
Jennifer Norquay Editor
Feature Articles:
Ruth’s Desk - Partnerships and Collaboration .......... page 5
The Relationship Between
Head Injury and Brain Injury................................ page 9
Across the Province .......................................... page 17
More Answers on Head Injury ............................. page 19
In Memoriam - Dr. Jane Gillette .......................... page 23
NFL Announces New Sideline Assessment
Concussion Protocol .......................................... page 25
Regular Features:
In Memory ....................................................... page 29
Training - Advanced Brain Injury Rehabilitation ... page 31
Donors ............................................................ page 35
Conference Calendar ......................................... page 37
Community Associations .................................... page 39
Provincial Associations ...................................... page 41
Calling OBIA?
Below is the OBIA staff listing. These extension numbers are accessible
through either our main phone #:
Ph: 905-641-8877 or toll-free Ph: 1-800-263-5404.
Support Services:
✆ Dianne Radunsky................ 229
✉ [email protected]
✆ Carla Thoms....................... 227
Information Services:
✆ Debbie Spaulding ............... 224
Executive Director:
✆ Ruth Wilcock ..................... 238
Assistant Executive Director:
✆ Angel D’Andrea .................. 242
Accounting
✆ Gail Coupland .................... 230
Member & Client Services:
✆ Terry Wilcox ...................... 234
Administrative Assistant
✆ Diane Dakiv ....................... 231
Community Association Liaison:
✆ Tammy Dumas.................... 240
OBIA Review Newsletter
✆ Jennifer Norquay
Copyright 2011, PUBLI CATIONS MAIL AGREEMENT NO. 40005845
RETURN UNDELIVERABLE CANADIAN ADDRESSES TO:
Ontario Brain Injury Association, PO Box 2338 St. Catharines, ON L2R 7R9
Ph: 905-641-8877 Fax: 905-641-0323, E-mail: [email protected]. Registered as a Canadian Charitable Organization Reg. #10779 7904RR0001
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R .u.t.h. ’s.D. e.s .k
Partnerships and Collaboration
By Ruth
Wilcock,
Executive
Director, OBIA
Over the last
n umber of
years it has
b e c o m e
increasingly
important for charitable organizations
to partner and work in collaboration
with one another. Funding agencies
such as the Ontario Trillium Foundation
and the Ministry of Health and Long
Term Care look favourably on
organizations working together in order
to achieve mutual goals—and with good
reason. When organizations and groups
collaborate there is often a sharing and
leveraging of each other’s resources and
strengths, thus enabling the outcome
to be stronger and more impacting.
Furthermore, it is extremely satisfying
to come together, work with different
people and achieve success collectively.
which all of the above mentioned key
players brought. Elsie Galbraith from
Hotel Dieu Grace Hospital was also
invited to be a member of this team.
“After the Crash” is dramatic
interpretation about what comes after
brain injury. The play was written and
directed by Julia Gray as part of a Toronto
Rehab research project led by Drs. Angela
Colantonio and Pia Kontos. The idea to
bring the play to Windsor was met with
great enthusiasm and thus, a partnership
was born. The planning process began
including finding a suitable venue,
preparation of flyers, registration forms,
press releases and promotional
considerations.
Our combined dedicated efforts were
brought to fruition when over 150
people gathered at the historic
MacKenzie Hall to take in the play.
The play itself is a moving, even
disturbing story about the devastating
effects Elliott, a lawyer, experienced
because of a traumatic brain injury. The
play also includes the effects on his
wife, family and friends as he goes
through the rehabilitation process and
attempts to recover.
The play takes the audience through a
roller-coaster ride of emotions and
explores topics such as grieving and loss
of self, how to deal with behavioural
issues arising from brain injury, how to
engage patients and families in the
rehabilitation process and how to
communicate effectively with a person
who has sustained a brain injury. At the
conclusion of the play the actors
received a standing ovation. Time was
then allotted for a brief question and
continued ...
In recent years, OBIA has put a special
effort into partnering with our local
community associations, other likeminded community groups, service
providers and law firms in order to
further our mission of enhancing the
lives of those living with acquired brain
injury.
One such collaborative event recently
took place in Windsor, Ontario.
It all started with a dinner invitation
from Suzanne Amodeo from Bayshore
Home Health. Other members around the
table included Melanie Gardin from the
Brain Injury Association of WindsorEssex, Frank Dipierdomenico from FJD
Disability Management Consulting, and
Liz Daniels from Bayshore Home Health
(Windsor office). An idea was put forward
to bring the dramatic play “After the
Crash” to Windsor, utilizing the expertise
Pictured above are the actors, Melanie Gardin, Steven James, Melina Macos,
Suzanne Amodeo (Bayshore Home Health), Mark Prince, Sarang Machin Gale and
OBIA Executive Director, Ruth Wilcock
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continued from page 5 ...
comment period. One person who stood
out for me was a health care worker
who shared through her tears that the
play had shown her what mistakes she
had made along the way. There were
other moving comments about how this
event opened their eyes to the trauma
and impact of brain injury, not just for
the individual but the family as well.
Through partnering and collaboration we
were able to put on an extremely
successful event. The success for me is
not simply measured in terms of the great
turn-out to the play, but more so that
this event left a lasting imprint on those
who attended and in turn will enhance
the lives of those living with ABI. ❖
Organizing committee - Suzanne Amodeo, Elsie Galbraith, Laura Kay, Ruth
Wilcock, Melanie Gardin, Liz Daniels, Cheryl Thoms and Frank Dipierdomenico
Ontario Brain Injury Association and
Brain Injury Association of Windsor/Essex
Wish many thanks to the sponsors of “After the Crash”
Presenting Sponsor
Food and Beverage Sponsors
Supporting Sponsors
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Feature
A. r.t.i.c.l.e
The Relationship Between Head Injury and
Brain Injury
New Treatment Options Provide Hope for Recovery
By Dr. George B. Roth
In the July-August 2010 issue of
Discover magazine, Carl Zimmer
published an article which outlines the
cellular and molecular consequences of
head injuries. According to Mr. Zimmer,
recent evidence suggests that “a blow
to the head can change the neural
architecture of the brain from elastic
to brittle, with devastating
consequences.” 8
Head
injuries
(Traumatic Brain
Injury or TBI) can
lead
to
the
n e u ro l o g i c a l
con sequences
associated with
brain injury, such as
cognitive deficit including memory loss,
learning disorders and dementia, visual
impairment, hearing loss, tinnitus, sleep
disorders, headache, vertigo, seizures,
depression and many other conditions
affecting work performance and overall
quality of life. The costs to society, both
medically and economically, are
enormous.
Cost: Human and
Economic
*
*
*
more are permanently disabled
80,000 people experience the onset
of long-term disability following a
severe brain injury annually
Approximately 5.3 million
Americans - more than 2% of the US
population - are living with a
disability that results from TBI
The cost of treating, rehabilitating
and caring for the victims of
traumatic brain injury costs the
U.S. approximately $30 billion each
year
In Canada, brain injuries are the number
one killer and disabler of people under
the age of 44. It is estimated that
approximately 1.3 million Canadians are
living with an acquired brain injury.
Canadian Motor Vehicle Traffic Collision
Statistics for 2003 indicates that there
were 222,260 victims. (Source: Brain
Injury Association of Canada)
According to Statistics Canada, of the
10,094 people admitted to Ontario
hospitals with brain injuries in 1996,
81% were diagnosed as having a “mild”
acquired brain injury. Young adults (i.e.,
ages 15 - 35 years) are at the greatest
risk for acquiring a brain injury.
Traumatic brain injury is the leading
cause of death and disability in persons
under 45 years old, occurring more
frequently than breast cancer, AIDS,
multiple sclerosis, and spinal cord injury
combined.
Some relevant statistics*:
* Brain injury is suffered by someone
in the U.S., every 15 seconds
* Each year, approximately 100,000
people die from TBI and 500,000
These are some of the reasons that TBI
is extremely common and has been
referred to as a “silent” epidemic.
Research: Evidence of
Cellular Damage
TBI has been the subject of an ongoing
study by Douglas Smith, MD, director
of the Center for Brain Injury and Repair
at the University of Pennsylvania. He
and his team of researchers have
discovered how even mild brain injury
can cause subtle damage to the
molecular structure of brain cells.
Utilizing an ingenious method by which
the effects of mild brain injury can be
examined in great detail in a laboratory
setting, Smith has been able to
reproduce the effects of mild trauma.
In these experiments, brain cell cultures
(“miniature brains”) are exposed to
gentle puffs of air. This creates the
effect of a mechanical injury to the
cells.
Nerve cells, like many other forms of
tissue, are remarkably elastic, and can
recover easily from most of these types
of “injuries”. However, when the puffs
of air are delivered in a more sudden
and forceful manner, the cells developed
more significant and
permanent structural
changes at the level of
the
microtubular
structure of the cell. The
cumulative effects over
time, lead to tissue
swelling, axonal damage
and eventual death of
the nerve cell. These
continued ...
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experimental insights may provide an
explanation for some of the more serious
effects of TBI, which medical
researchers refer to as diffuse axonal
injury. Recent evidence also suggests
that anterior pituitary dysfunction
after traumatic brain injury (TBI) is
common9.
include electrotherapy and laser. Matrix
Repatterning has been recognized as
an effective form of therapy in sports
medicine, and is currently in use with
several
professional
sports
organizations and with Olympic athletes
in Canada and Great Britain. Clinical
evidence has been mounting that
Treatment Options: New
Hope
Despite the immensely important
insights into the effects of TBI, most
researchers and clinicians agree on one
fact: there is nothing that can currently
be done to reverse the effects of brain
injury. Other than managing the effects
of TBI through occupational retraining,
family counseling and providing
guidelines for assessment, medicine has
very little to offer the sufferer of this
devastating condition. Recently
however, clinical evidence is pointing
to new hope for recovery from the
effects of certain types of traumatic
brain injury.
Matrix Repatterning is a gentle form of
structural therapy, developed by Dr.
George Roth and his team of clinicians
and researchers at the Matrix Institute
in Aurora Ontario Canada (just north of
Toronto). Therapy is based on the
restoration of cellular structure and
elasticity through the use of specifically
targeted manual treatment, which
releases mechanical tension at the
cellular level by stimulating piezoelectric current3. Supportive procedures
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measurable cellular improvement is
being achieved through these
techniques.
Certified Matrix Repatterning
Practitioners
(chiropractors,
physiotherapists, massage therapists,
continued ...
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and various other medical specialists)
treat a variety of structural conditions,
including back, neck, shoulder, hip and
knee pain, headache (including
migraine), carpal tunnel syndrome,
gastro-esophageal reflux (GERD),
snoring and sleep apnea, and TMJ
syndrome among others. In addition,
patients who have undergone Matrix
Repatterning treatment have achieved
improvements in other areas of the body
affected by traumatic injury, including
cardiac and hepatic function, as
determined by supportive hematologic
evidence. Recently, clinical evidence is
suggesting that Matrix Repatterning
treatment for head injury, results in
measurable neurological and cognitive
improvement subsequent to TBI.
A New Understanding of
the Mechanism of Injury
a nd brain), as well as osseous
structures (bone) 7. Therefore, many of
the symptoms associated with the soft
tissues, such as muscles, fascia and
joints, may in fact be influenced by
these deeper, denser structures. Recent
evidence is demonstrating that cellular
injury leads to electromechanical
changes causing inflammation and
enlargement of internal organs and
bone, leading to mechanical stress on
the more superficial structures, which
produce
symptoms.
Matrix
Repatterning is usually directed to the
deeper structures (bone and the deep
fascia associated with the internal
organs), which are considered to be the
source of many of clinical presentations
previously thought to reside in the
superficial structures alone.
Matrix Repatterning assessment and
treatment is based on the alteration of
the electrical properties of tissue, as a
result of common strain and impact
injuries. It is based on the properties
of the cytoskeleton, as elucidated by
researchers such as Donald Ingber,
Gerald Pollack and Stephen Levin1,2,4.
Impact injury, for example, is thought
to be more easily absorbed by the more
dense fluid-filled structures, such as
internal organs an d the cranium (head
Page 13
TBI often involves direct injury to the
head or indirect injury by way of spinal
trauma. Head injury affects the boney
plates of the skull, as well as the fluid
compartment surrounding the brain
itself. Certified Matrix Repatterning
Practitioners are trained to accurately
locate the effects of these injuries and
to apply a gentle and precise form of
manual pressure to create a piezoelectrical effect, which releases
mechanical stress within these tissues.
Matrix Repatterning has demonstrated
clinical effectiveness in restoring the
structural and mechanical properties of
the body, including the spine and the
skull, leading to a profound and lasting
normalization of structure and function.
continued ...
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Patients from all walks of life, from
pro fessional athletes to medical
professionals, and young children, have
experienced significant levels of
improvement in functional capacity, the
reduction of pain, as well as relief from
many of the consequences of traumatic
brain injury. Further research to
determine the potential of Matrix
Repatterning is being actively pursued.
For more information
contact:
The Matrix Institute and the Matrix
Wellness Centre
33 Victoria St. Aurora Ontario Canada
L4G 1R1
Phone: 905-726-8770
www.matrixrepatterning.com
[email protected]
References:
1.
Ingber DE. The architecture of life. Sci Am
1998;278:48-57.
2. Levin SM: The tensegrity-truss as a model
for spine mechanics. Journal of Mechanics
in Medicine and Biology 2002, 2:375-388.
3. MacGuintie LA, Streaming and piezoelectric
potentials in connective tissues. In: Blank
M (ed) Electromagnetic fields: biological
interactions and mechanisms. Advances in
Chemistry Series 250. American Chemical
Society, Washington DC, ch. 8, pp 125142, 1995.
4. Pollack GH. Cells Gels & the Engines of Life.
Seattle, Ebner & Sons, 2001.
5. Oschman JL. Energy Medicine: The Scientific
Basis. New York, Churchill Livingstone,
2001
6. Roth GB. The Matrix Repatterning Program
for Pain Relief: Self-treatment for
Musculoskeletal Pain. Oakland, CA, New
Harbinger, 2005.
Page 15
7.
Sierpowska J, et al. Predictions of
mechanical properties of human trabecular
bone by electrical measurements. Physiol.
Meas. 26S119-S131, 2005.
8. Zimmer C, What happens to linebacker’s
neurons? In: Discover Magazine, July-August
2010.
9. Agha A, Rogers B, Sherlock M, O’Kelly P,
Tormey W, Phillips J, Thompson CJ, Anterior
Pituitary Dysfunction in Survivors of
Traumatic Brain Injury, The Journal of
Clinical Endocrinology & Metabolism Vol.
89, No. 10 4929-4936. ❖
Note: the opinions expressed herein
are those of the respective authors and
advertisers and not necessarily those
of the Ontario Brain Injury Association
(OBIA).
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Across the Province
An OBIA Advisory Council (OAC) Update - February 1, 2011
By Tammy
Dumas,
Community
Association
Liaison, OBIA
The OAC met
on Ja nu ary
22, 2011 in
Toronto at the
Miles Nadel Jewish Community Centre.
Ruth Wilcock provided an OBIA Executive
Director’s report. Her report was
distributed to each association with the
OAC meeting minutes. Tammy Dumas also
provided an update on the Peer Support
Mentoring Program and her ongoing work
with local community associations. A
written report was also attached to the
minutes.
golf tournament; triathlon in each region
with finalists competing in one final
race; relay; transit advertising campaign;
candle vigils/virtual candles on website.
A survey link will be sent to all local
associations for their input regarding an
annual provincial event.
There was also some discussion about
OBIA’s current re-branding exercise,
which includes the development of one
unified database at OBIA and a new
logo, tagline and website for OBIA.
One idea that was put forward, as
suggested by the marketing firm that
OBIA is currently working with, is
developing a new ‘symbol’ to represent
the Community Support Network. OBIA
Following the OBIA updates, Jeff Chartier
from the Head Injury Association of
Durham Region presented on the
Transitional Coordinator Support
Initiative. This initiative is a collaborative
effort among service providers aimed at
assisting individuals with completing
applications for ODSP or CPP Disability.
The primary target groups for the initiative
are those that are disconnected from any
type of support. HIA Durham is the lead
agency on this project, with Jeff in the
role of Transitional Support Coordinator.
Statistics for the program indicate that
there is a significant need for this type
of service. This is a three year program
funded by the Trillium Foundation. For
more information on the program, you
can contact Jeff at HIA Durham at
905.723.2732.
Following lunch, there was a roundtable
discussion regarding having an Annual
Provincial ABI Event. The purpose of the
discussion was to determine the level of
support among the group for holding an
event across the province on the same
day in each community to collectively
raise awareness of ABI. Ideas included:
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may or may not incorporate this new
symbol as their logo but local associations
could keep their own logo and brand
identity. Another idea that generated
support was the option for local
associations to ‘grandfather’ in the new
symbol /logo and over time all
associations could assume one consistent
logo across the province. OBIA will be
sending out a survey link for stakeholder
feedback about OBIA’s current brand.
The Brain Injury Association of Waterloo
Wellington and Four Counties Brain
Injury Association received their OBIA
affiliation certificates.
During Show and Tell we learned that Four
continued ...
MARCH 2011
Counties BIA has the LHIN’s new ABI
Navigator working out of their office. This
close working relationship has provided
opportunities for FCBIA to educate the
LHIN about ABI and the services the
association provides. Cheryl Ann Hassan
also reported that FCBIA has been able
to significantly increase the number of
employment positions at the agency
through job sharing. Additionally, the
Brain Injury Society of Toronto is now
running a family support group; the Brain
Injury Association of Waterloo Wellington
will be hosting a fundraiser “Brilliance in
Music”, they now have an eight month
Caregiver Support Group, they received a
Trillium Grant for $120,000 over two years
to hire a fundraiser and their glass
program has raised over $ 15,000!
Peer Support Mentoring Program
* 21 Community Associations (100%)
* 15 have entered into a Shared
Activity Agreement (at some point)
(71%) 4 of the 15 are currently
inactive (no PSC)
1. Belleville
2. Chatham
3. Kingston
4. London
5. North Bay
6. Ottawa
7. Peel-Halton
8. Peterborough
9. Sarnia-Lambton
The next OAC meeting has been
scheduled for March 26, 2011. Location
TBD. ❖
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10. Sault Ste Marie
11. Sudbury
12. Thunder Bay
13. Timmins
14. Toronto
15. Windsor
* 6 d o not participate in this
provincial program (28%)
1. Brantford
2. Durham
3. Fort Erie
4. Hamilton
5. Niagara
6. Waterloo
MARCH 2011
More Answers on Head Injury
Diagnostic Imaging at Southlake Regional Health Centre
Dr. Norman Just MD, FRCP(C), Staff Radiologist, Clinical Director MRI Southlake Regional Health Centre
Dr. Yin-Hui Siow, MD, FRCP(C), Staff Radiologist, Director Nuclear Medicine, Southlake Regional Health Centre
Jean-Marie Fiala, B.Sc., M.R.T., M.B.A. , MRIappointments.com
“Good diagnosis is essential to good
treatment.”
A combination of new technology and
incredible dedication from the staff in
the Diagnostic Imaging department at
Southlake Regional Health Centre in
Newmarket provides answers to patients
with traumatic brain injury.
Computed tomography (CT) is the
standard imaging modality for patients
with an acute head injury, whether mild,
moderate or severe. CT scanning is a
fast scan modality that quickly answers
critical care issues concerning
contusions, hemorrhages and skull
fractures. Patients with a mild to
moderate head injury may have a normal
CT scan, but continue to experience
symptoms that include headaches and
cognitive changes. Very small and very
deep micro-hemorrhages are not
routinely visible on a standard CT scan,
or, for that matter, on routine Magnetic
Resonance Imaging (MRI) scans.
New developments in MRI are providing
increasingly detailed neuropathological
information that helps clinicians
und erstand neurocognitive and
neurobehavioural changes in patients
following a head injury. This detailed
knowledge of the injury severity (type,
size and location of lesions) inevitably
helps to better predict patie nt
outcomes.
A recently introduced scanning
application for neurological MRI
exploits magnetic susceptibility
differe nces between tissues by
amplifying the magnitude of the signal
given by injured areas containing any
blood breakdown products (ferritin,
deoxyhemoglobin, methemoglobin and
hemosiderin).
The new application is called
Susceptibility Weighted Imaging (SWI).
It is 3-6 times more sensitive than
traditional MRI methods for detecting
small hemorrhages resulting from
trauma to the brain, as in, for example,
cases of diffuse axonal injuries (DAI).
DAI is a common pathology found after
a traumatic brain injury and is a major
cause of prolonged functional deficits.
DAI lesions reflect an injury to the
continuity of the white matter in the
brain. SWI is sensitive to DAI by
detecting micro-hemorrhages that
would otherwise go unnoticed. SWI
makes it possible for the radiologist to
see the size and number of very small
areas of injury.
Additionally the
sequence is sensitive for examining
small veins and any bleeding occurring
in the white/grey matter boundaries.
Brain microstructure is evaluated using
another technique at Southlake MRI called
Diffusion Weighted Imaging (DWI). This
technique provides information on cell
health by sensing disturbances in the
diffusion of water in the extracellular
space and across cell membranes. The
application of this technique focuses on
the assessment of cerebral ischemia (lack
of blood flow) and infarction (tissue death
due to the lack of oxygen). Abnormal
diffusion appears as a result of a stroke,
continued ...
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tumour, brain abscess or a traumatic
event. DWI can detect cytotoxic edema
(a fluid shift first into the intracellular
space and then to the extracellular space
of brain tissue) and therefore
demonstrates hyperacute/acute (6 to 24
hours post injury) and acute/subacute (24
hours to 1 week post injury) cerebral
infarctions. Thus DWI can identify acute
infarctions and differentiate them from
other chronic diseases including old
chronic infarctions.
The examination also includes a look at
the health of the vessels in the brain.
Called Magnetic Resonance Angiography
(MRA), this sequence produces a threedimensional image of the vessels,
enabling the radiologist to view the
vessels from several different directions
and check for aneurysms, blockages or
any other disruptions.
While MRI examines the disruption of
normal anatomy by traumatic brain
injury, Single Photon Emission
Computed Tomography (SPECT) imaging
examines the disruption of normal brain
function. SPECT is complementary to
MRI because each can expose
abnormalities that are not apparent on
the other study. When taken together,
they are a powerful tool for assessing
traumatic brain injury.
From a patie nt’s perspective, a
deficiency in the amount of blood
within the injured area signals a poorly
functioning area and a generally
unfavourable outcome.
At Southlake, patients benefit from both
an MRI using the advanced techniques
described above and a SPECT scan. The
exams are done on the same day and
interpreted together by one or two
radiologists. The synthesis of MR
(morphology) and SPECT (functional)
information provides the clinician with a
unique combination of information that
has valuable prognostic implications.
Suggested Further
Reading:
Bigler, E. Neuroimaging in Mild Traumatic Brain
Injury. Psychological Injury and Law 2010;
3:36-49
Neil, J. Diffusion Imaging Concepts for Clinicians.
The Journal of Magnetic Resonance Imaging
2008; 27(1):1-7
Mittal S., Wu Z., Neelavalli J., Haacke E.M.
Susceptibility-Weighted Imaging: Technical
Aspects and Clinical Applications. American
Journal of Neuroradiology 2009; 30:23252
Mosely M. Diffusion and Perfusion Weighted
MRI. SMRT Education Seminars 2007;
10(4);11-22
Prayer, L., Wimbeger, D., Oder W. Kramer, J. et
al. Cranial MR Imaging and cerebral 99mTc
HM-PAO-SPECT in Patients With Subacute
or Chronic Severe Closed Head Injury and
Normal CT Examinations. ACTA Radiologica
1993; 34:593-99
Runge, V. Clinical MRI, 2002, W.B. Saunders
Company, Pennsylvania
Schonberger, M., Ponsford, J. Reutens, D.,
Beare, R., et al. The Relationship between
Age, Injury Severity and MRI Findings after
Traumatic Brain Injury. Journal of
Neurotrauma 2009; 26:2157-2167 ❖
Note: the opinions expressed herein are those of the respective authors
and advertisers and not necessarily those of the Ontario Brain Injury
Association (OBIA).
SPECT provides insight into the function
of the brain based on the uptake of an
isotope tracer. A number of studies have
been performed on patients with mild
traumatic brain injury using technetium99m labeled hexamethypropyleneamine
oxime (99mTC-HMPAO) for SPECT
imaging. Whether the injury is acute or
chronic, SPECT examines patterns of
cerebral blood flow and identifies areas
of hypo-perfusion. The areas of hypoperfusion (low blood flow) are associated
with injury. Depending on the location,
the identified hypo-perfused areas can
help explain loss of consciousness,
cognitive difficulties and cerebral
atrophy.
Page 21
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In Memoriam - Dr. Jane Gillette
(reprinted from the Brain Injury Association of Canada website)
The Brain Injury Community in Canada
and in the World has lost a great
Canadian who championed the cause for
paediatric brain injury and research. Dr.
Gillett was the Preside nt of the
International Paediatric Brain Injury
Association.
Jane Gillett passed away recently after
a short but very tough battle with a
rare and highly aggressive form of
cancer. I understand through her friends
that although she experienced pain, she
was surrounded by great love and
amazingly was able to return that love
throughout her illness. In recent days,
she was cared for in a wonderful hospice
and was able to experience peace, and
for that we are extremely grateful.
Jane was an incredible force in the ABI
community who was always willing to
share her expertise. She was a devoted
doctor who greatly impacted the lives
of her patients and their families. She
will be missed by so many.
Dr. Gillett was a fully qualified
Neurologist certified by the Royal College
of Physicians and Surgeons of Canada in
both pediatric and adult neurology. Dr.
Gillett created and developed the
Paediatric Acquired Brain Injury
Community Outreach Program (PABICOP)
at the Children’s Hospital of Western
Ontario and was the Medical Director for
4 years. Prior to and during that time,
Dr. Gillett was the Medical Director of
the inpatient Pediatric Acquired Brain
Injury Program at the Children’s Hospital
of Western Ontario for 12 years. Dr.
Gillett, at the time of her passing, was
the Medical Director of the Acquired
Brain Injury Program at Hamilton Health
Sciences and an Associate Professor at
McMaster University. Before her entrance
into medicine Dr. Gillett was a Speech
Language Pathologist specializing in
neurogenic communication problems. Dr.
Gillett was a Member of the Canadian
Association of Child Neurology, and the
International Society for the Study of
Acquired Brain Injury, as well as a
Member of the American Academy for
Neurorehabilitation and the North
American Brain Injury Society. Dr. Gillett
was the founder and a current member
on the Paediatric Head Injury Group of
Ontario (PHIGO). Dr. Gillett was also a
Member on the Paediatric Sub-Committee
of the Provincial Acquired Brain Injury
Advisory Committee (PABIAC). Dr. Gillett
was on the board of the Ontario
Neurotrauma Foundation (ONF) for 6
years and was currently the chair of the
knowledge mobilization committee of
the ONF and a member of the research
committee of the ONF.
Dr. Gillett has made presentations to
several local, provincial, national and
international brain injury conferences.
She has been invited to speak at
conferences in Denmark and Sweden
and was asked to return as the featured
speaker in each of these countries. She
has also presented in Italy and
Australia. In the past year Dr. Gillett
has been asked to speak in the United
States and in Portugal at the world
congress in the Study of ABI and in
Holland to help advise on a program
for services for children and youth with
Page 23
an ABI. Dr. Gillett also frequently runs
“Ask the Doc” session at the local ABI
confere nces which provides an
opportunity to those with an ABI or
their families to ask questions in an
informal setting to better understand
their special issues.
Memories of Jane from
OBIA
by Dianne Radunsky
J ane was always supportive about
OBIA’s new programs. She was always
encouraging and understood OBIA’s
advocacy role even when I would be
there for a family and she was the
attending physician (especially in her
role at HHS). She was very encouraging
about us continuing our collection of
data through the then CISL and now
the Survey.
It was evident at every level of our
involvement with her how dedicated
Jane was to ABI and the families. She
worked tirelessly at providing the care
that she felt her patients needed and
worked just as tirelessly sharing her
knowledge with her colleagues
whenever and where ever possible. I
could call her at any time with questions
and she would willingly and quickly
provide me with her expert opinion. Not
only did she give of herself and
knowledge so enthusiastically to the
ABI community from which she worked
but to those who had interest in ABI
internationally. She demonstrated this
with her eagerness to travel when
invited to speak all over the world,
whether that be Sweden, Germany, and
Portugal or beyond, Jane would be
there. Whether sitting with her around
a family case conference or hearing one
of her presentations I could always
count on coming away with a shopping
cart full of information about ABI. ❖
Page 24
MARCH 2011
MARCH 2011
NFL announces new sideline concussion
assessment protocol
By National Football League, February 25, 2011
NFL team medical personnel will use this
season a new standardized sideline
concussion assessment protocol, the NFL
Head, Neck and Spine Committee
announced Friday. The announcement
was made in Indianapolis at the NFL
Combine by Dr. Margot Putukian, member
of NFL Head, Neck and Spine Committee
a nd chair of the Return-to-Play
Subcommittee.
Developed by the subcommittee in
response to a team medical staff survey
conducted last season, the new protocol
combines a symptom checklist, a limited
neurological examination including a
cognitive evaluation, and a balance
assessment. It uses as a foundation many
compone nts of the sideline tool
developed by the Concussion in Sport
group that most recently met in Zurich
in 2008. It was developed by the NFL
Head, Neck, and Spine Committee, with
input from the NFLPA and its medical
advisors, NFL team physicians, athletic
trainers and their professional societies,
and other medical experts.
"This tool provides a standardized
format for evaluating head injury that
medical staff can use on the sideline,"
said Dr. Putukian, who also is head team
physician for Princeton University, a
past preside nt of the
American Medical Society
for Sports Medicine and the
physician representative of
NCAA and the American
College of Sports Medicine.
"It incorporates the most
important aspects of a
focused exam, so that
injury is identified, and
athletes with concussion
and more serious head and
spine injury can be
removed from play."
The new medical protocol is the latest
in a series of developments as part of
the NFL's commitment to player health
and safety. The NFL and its clubs have
created numerous programs, initiatives
and partnerships to protect the health
of the members of the NFL family and
to encourage safe play at all levels of
football. In addition, standardized
assessment techniques will support ongoing research and development of
return-to-play protocols that can be
used to enhance player safety in both
the NFL and other sports. For more
information on the league's
commitment to health and safety, visit
www.nflhealthandsafety.com.
Dr. Putukian and the NFL Head, Neck
and Spine Committee, co-chaired by Dr.
Hunt Batjer of Northwestern University,
and Dr. Richard Ellenbogen of University
of Washington/UW Medicine, provided
the below information on the sideline
concussion assessment protocol.
Fact sheet on NFL
sideline concussion
assessment protocol:
What is the protocol and what does
it accomplish?
Building on the foundation of the
Sideline Concussion Assessment Tool II
developed by the Concussion in Sport
group in Zurich, 2008 (McCrory, BJSM
'09), the new protocol includes
modifications specific to professional
football. It includes a focused screening
neurological examination to exclude
cervical spine and intracranial bleeding,
a nd assessme nts of orie ntation,
immediate and delayed recall,
concentration, as well as a balance
evaluation. The performance of these
tests can be compared with a pre-season
evaluation to see if any decline in
function is present. It does not replace
more sophisticated tests, and does not
replace the individualized assessment by
the clinician of the athlete, but does
provide the medical staff with a
continued ...
Page 25
MARCH 2011
225 King William, Suite 508
Hamilton, ON L8R 1B1
Tel: 905-523-8852
Fax: 905-523-8211
www.braininjuryservices.com
[email protected]
standardized protocol to evaluate for
head injury.
How it was created?
A survey was performed of team medical
staff (head athletic trainers and team
physicians) in November 2010 to
evaluate what was currently being
performed in terms of pre-season, injury,
a nd post-injury evaluations for
concussion. It was clear from this survey
that most teams were using a
combination of symptoms, cognitive
evaluations, balance testing and
additional testing to evaluate
concussion, but a standardized protocol
did not exist. Following the results of
that survey, the NFL Head, Neck and
Spine Committee, including the Returnto-Play Subcommittee, decided to create
the sideline medical protocol to assist
team medical staff in evaluating head
injuries. A sub-committee of athletic
trainers and team physicians was
assembled to assist in development,
along with the support from the
Professional Football Athletic Trainers
Society (Green Bay Packers Head Athletic
Trainer Pepper Burruss, ATC) and the NFL
Physicians Society (Tony Yates, MD).
Both Burruss and Yates also serve on
the Return-to-Play Subcommittee. The
NFLPA and its medical advisors and other
medical experts also provided insight
throughout the development process.
The protocol will be further refined this
offseason.
Why it was created?
The protocol was created to support
medical staff in providing care to
players. Concussion is a complicated
injury and one that is complex in its
presentation. Unlike a fracture or
ligament injury, the initial evaluation
is not always abnormal, and there are
often no obvious findings from a
physical exam. Teams will benefit from
a standardized approach to evaluating
concussive injury on the sideline. ❖
Page 26
Survivor
S.t.o. r.i.e.s
Do you have a story to
tell about your recovery
after brain injury? We’d
love to share it with
our readers.
Please send your
article/pictures to:
[email protected]
nrio
rehab that works
• Rehabilitation for
Children and Adults
with Neurologic
Impairment
• Assessment and
Treatment
• Residential and
Supported Living
• Community
Rehabilitation
Page 27
MARCH 2011
Neurologic
Rehabilitation
Institute
59 Beaver Bend
Crescent
6 Kelso Street
Etobicoke, ON
Hamilton, On
M9B 5R2
L9A 1C6
Ph: 416-231-4358 Ph: 905-318-8038
1320 Woodeden
Drive
Mississauga, ON
L5H 2T6
Waterloo, Ontario
Information: 1-800-561-9158
www.nrio.com
e-mail: [email protected]
Outcome Oriented, Cost
Effective and Innovative
Page 28
MARCH 2011
MARCH 2011
In
M.e.m.o.r. y
OBIA received recent donations in
memory of the following people. Our
heartfelt condolences to their family
and friends.
Donations were received In
Memory of Andrew Krstanovic from
Memory of Norman Elliott from
Mr. & Mrs. Raimondo
Tammy Elliott
Our condolences to the
Krstanovic Family
Elliott Family
Memory of Joe Ryan from
J. Demick, Community Living Parry
Sound
Corinne Alves-Morden
Ryan Family
Page 29
Page 30
MARCH 2011
T.r.a.i.n.i. n.g
Page 31
MARCH 2011
Page 32
MARCH 2011
F.O.R.S.
Family Oriented Rehab Services
MARCH 2011
For Children,
Adolescents and
Adults living with
Brain Injury
Our services are client centred under the direction of a regulated health care professional to
support the client, family and other professionals involved in the rehabilitation process.
F.O.R.S. is also now providing Social Work Services. Our Social Workers have extensive
experience working with clients with a Brain Injury.
We provide:
• Consultation
• Community Based
Rehabilitation Support Services
(RSW) in: Hospital, Home,
School and Community
• Post Settlement Support
• Social Worker and Counselling
• Summer Camp
For further information, please contact:
1009 Scarlett Road, Toronto, ON M9P 2V3
Ph: (416) 763-1111 or 1-866-403-FORS (3677)
Fax: (416) 604-0144
[email protected]
www.forstherapy.com
Page 33
Established in 1984
REHABILITATION FOR BRAIN INJURY
Infants to Adults • Individualized Programs
PHYSIOTHERAPY
OCCUPATIONAL THERAPY
SPEECH THERAPY
THERAPY SUPPORT SERVICES
Home, Work, School, or Clinic
Serving an area from Peel-Halton to Durham to York Simcoe
Clinics in Toronto, Mississauga, and Whitby
Inquiries to Head Office:
(416) 445-5125 • 1 (800) 216-0488
Page 34
MARCH 2011
D.o.n.o. r.s
Recognizing the
Friends of OBIA
Our thanks go to the following people
and businesses that made contributions,
either financial or in-kind, to OBIA’s
initiatives for the three-month period
ending December 31, 2010.
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Greg Neinstein,
Neinstein & Associates
RBC Royal Bank, EVO Program Coord.
William & Beverley Mantell
Jane Gillette
Mark Mantell
Gale Haydon
Rita Lenhardt
Tim & Becky Ceelen
Panagiota Vrysells
Melinda Brandon
Angela Tamburri
Deborah Young
Juri Suurna
Kathy O’Neill
Ezra Prince Musah
Jodi Harendorf,
Catastrophic Injury Management Inc.
Ann Fitzhenry Bedard
Nicole Moore
Doug Hicks
Terry Lamont, Mindworks
Claudette Fex
Violet Wilson
David Cohen,
Vocational Alternatives Inc.
Jessie Morrison
OBIA gratefully acknowledges the financial
support of the Ontario Trillium Foundation,
an agency of the Ministry of Tourism,
Culture and Recreation. The Foundation
receives annually $100 million in
government funding generated through
Ontario’s charity casino initiative. It provides
grants to eligible charitable and not-forprofit organizations in the arts, culture,
sports, recreation, environment and social
service sectors.
Page 35
MARCH 2011
Page 36
MARCH 2011
MARCH 2011
C. a. l. e.n.d. a.r
Send your conference listing information
to Terry Wilcox at the OBIA office for
publication in the OBIA Review and a
listing on the website.
Contact: Brain Injury Association Sarnia
Lambton, 519-337-5657 or e-mail:
[email protected]
1) Caregiving in the 21st Century
2) 34th Canadian Medical and Biological
Engineering Conference
3) Growing Older with a Disability
4) 3rd International Conference on
Technology and Aging
5) Advances in Neurorehabilitation 2
6) Independence, Community and
Empowerment
7) International Conference on Best
Practices in Universal Design
Location: Sheraton Centre, Toronto,
Ontario
Contact: Email: [email protected], Web:
www.ficcdat.ca
April 28-29
June 16
2011
April 7
7th Annual Sarnia-Lambton Brain Injury
Conference: All This And Brain Injury Too
Location: Lambton Inn Conference
Facility, Sarnia, Ontario
18th Annual Conference on
Neurobehavioural Rehabilitation in
Acquired Brain Injury: Mild Traumatic
Brain Injury: Advances in Research and
Practive
Location: Hamilton Convention Centre,
Hamilton, Ontario
BIST/OBIA Mix & Mingle
For details: See page 36
July 12-14, 2011
Second bi-annual conference hosted by
SickKids Centre for Brain and Behaviour:
Contact: Joyce Lambert, Hamilton
Health Sciences, Phone: 905-521-2100
ext. 40833, Email: [email protected],
Web: www.hamiltonhealthsciences.ca/
body.cfm?id=2127
May 30-June 1
Advanced Brain Injury Rehabilitation Level Two
Location: Brock University, St.
Catharines, Ontario
Faculty: Dr. Sherrie Bieman Copland, Dr.
Dawn Good and Dee Sperry.
Contact: Debbie Spaulding or Angel
D’Andrea, Phone 1-800-263-5404 or email: [email protected] or see
Registration form on page 31-32.
June 5-8
Festival of International Conference on
Caregiving, Disability, Aging and
Technology
Seven conferences in one:
Page 37
Brain Injury in Children
Location: The Four Seasons Hotel,
Toronto, Ontario
Web: www.sickkids.ca/BrainNetwork
August 24-26
Annual Conference of the Brain Injury
Association of Canada
Location: University
Charlottetown, PEI
of
PEI,
Contact: Barb Butler, Confere nc e
Committee Chair, Ph: 306-530-8703, or
e-mail: [email protected].
Closing dates for abstracts: February 4,
2011
November 4-5
ABI Provincial Conference 2011: The Art
of Living...Life After Brain Injury
For details: See page 20 ❖
Page 38
MARCH 2011
MARCH 2011
C . o . m . m . u . n . i . t. y
Associations
Ontario Brain Injury Association
(Mail) PO Box 2338, St. Catharines, ON L2R 7R9
(Courier) 3550 Schmon Parkway, 2nd Floor, Thorold, ON L2V 4Y6
Phone: (905) 641-8877 or Toll-free (800) 263-5404, Fax: (905) 641-0323
E-mail: [email protected] and Web Site: www.obia.ca
Belleville
BIA of Quinte District
281 Front Street
Belleville, ON K8N 2Z6
Phone: 613-967-2756 or toll free:
1-866-894-8884
Fax: 613-967-1108
E-mail: [email protected]
Web Site: www.biaqd.ca
Contact: Pam Ferrill
Durham Region
HIA of Durham Region
24-850 King Street West
Oshawa, ON L1J 8N5
1-866-354-4464
Fax: 905-723-4936
Web Site: www.hiad.ca
Contact: Frank Murphy, Exec. Dir.
Brantford & District
Brantford & District BIA
75 Chatham St., Box 488
Brantford, ON N3T 2P2
Phone: 519-756-3350
Fax: 519-751-0838
E-mail: n/a
Web Site: n/a
Contact: Vince Boucci
Fort Erie
HIA of Fort Erie and District
649 Niagara Boulevard
Fort Erie, ON L2A 3H7
Phone: 905-871-7789
Fax: 905-871-7832
Contact: Donna Summerville
Chatham
BIA of Chatham Kent
9 Maple Leaf Drive
Chatham, ON N7M 6H2
Phone: 519-351-0297
Fax: 519-351-7600
Web Site: www.biack.com
Contact: n/a
Dufferin County
Headwaters ABI Group (HABI)
Orangeville, ON
Phone: 519-215-1519
Fax: n/a
E-mail: n/a
Web Site: www.headwatersabi.ca
Contact: Volunteer Intake Coord.
Hamilton-Wentworth
Hamilton BIA
PO Box 57603 Jackson Station
Hamilton, ON L8P 4X2
Phone: 905-521-2100 Ext. 74632
Fax: 905-521-7927
Web Site: www.hbia.ca
Contact: Melinda Ale
Kingston and Area
BIA of Southeastern Ontario
c/o Epilepsy Kingston
100 Stuart St.
Kingston, ON K7L 2V6
Phone: n/a
Fax: n/a
E-mail:[email protected]
Website: www.epilepsyresource.org
London and Region
BIA of London and Region
560 Wellington St., Lower Level
London, ON N6A 3R4
Phone: 519-642-4539
Fax: 519-642-4124
Web Site: www.braininjurylondon.on.ca
Contact: Donna Thomson
PSYCHOLOGICAL
NEUROPSYCHOLOGICAL
CAPACITY
CONSULTATIONS
CHILDREN
ADULTS
C.I. GAYLE KUMCHY, LL.M, Ph.D.
C.PSYCH.
1240 Bay Street, Suite 407
Toronto, Ontario M5R 2A7
Ph: (416) 410-0721
Facs: (773) 829-4433
Page 39
197 George Street
Sarnia, Ontario N7T 4N6
Ph: (519) 339-0113
Facs: (773) 829-4433
Niagara Area
BIA of Niagara
Office: Stokes Community Village
36 Page Street
Mailing: 9 Pine St. North,
PO Box 20019,
Thorold, ON L2V 5B3
1-888-267-4298
Fax: 905-984-5354
Web Site: www.niagara.com/bian
Contact: Pat Dracup
North Bay Area
BIA of North Bay and Area
c/o PHARA
280 Oakwood Ave.
North Bay, ON P1B 9G2
Ph: 705-840-8882
Fax: n/a
Web Site: www.bianba.ca
Ottawa Area
BIA of Ottawa Valley
211 Bronson Avenue, 3rd Floor
Ottawa, ON K1R 6H5
Phone: 613-233-8303
Fax: 613-233-8422
E-mail:
[email protected]
Web Site: www.biaov.org
Contact: Wendy Charbonneau
Peel-Halton
BIA of Peel & Halton
240-2155 Leanne Blvd.
Mississauga, ON L5K 2K8
Phone: 905-823-2221
or 1-800-565-8594
Fax: 905-823-9960
Web Site: http://www.biaph.com
Contact: Jorun Rucels
MARCH 2011
Peterborough Area
Four Counties BIA
100-160 Charlotte St.
Peterborough, ON K9J 2T8
Phone: 705-741-1172
or 1-800-854-9738
Fax: 705-741-5129
Web Site: www.fcbia.org
Contact: Cheryl Ann Hassan
Timmins
Brain and Seizure Association
733 Ross Ave. E.
Timmins, ON P4N 8S8
Phone: (705) 264-2933
Fax: (705) 264-0350
E-mail:[email protected]
Web Site:
www.seizurebraininjurycentre.com
Contact: Rhonda Latendresse
Sarnia-Lambton
BIA of Sarnia-Lambton
1705 London Line, Unit 1032
Sarnia, ON N7W 1B2
Phone: 519-337-5657
Fax: 519-337-1024
Web Site: www.biasarnialambton.ca
Contact: Lindsay Scott
Toronto (GTA)
Brain Injury Society of Toronto
Box 49999
660 Eglinton Ave. East
Toronto, ON M4G 4G1
Phone: 416-830-1485
Fax: n/a
Web Site: www.bist.ca
Sault Ste. Marie
BIA of Sault Ste. Marie & District
127-31 Old Garden River Rd.
Sault Ste. Marie, ON P6B 5Y7
Phone: 705-946-0172
Fax: 705-946-0594
Web Site: www.braininjuryssm.ca
Waterloo-Wellington
BIA of Waterloo-Wellington
5A-607 King St. West
Opportunity Centre
Kitchener, ON N2G 1C7
Phone: 519-579-5300
Fax: 519-579-0118
Web Site: www.biaww.com
Contact: Patti Lehman, Exec. Dir.
Sudbury and District
BIA of Sudbury & District Branch
576A Haig Street
Sudbury, ON P3C 5P8
Phone: 705-670-0200
Fax: 705-222-2427
Web Site: www.biasd.ca
Thunder Bay
BIA Thunder Bay & Area
217 - 1100 Memorial Ave.
Thunder Bay, ON P7B 4A3
Phone: (807) 621-4164
Web Site: www.biatba.org
Please contact Tammy Falovo at the OBIA
office with any changes to this mailing list.
Page 40
Windsor-Essex
BIA of Windsor and Essex County
200-201 West Grand Blvd.
Windsor, ON N9E 3W7
Phone: 519-733-4900
Contact: Laura Kay
York Region
York Region Head Injury Support
Group
11181 Yonge St., 3rd Floor
Richmond Hill, ON L4S 1L2
Office Voicemail: 905-780-1236
Fax: 905-780-1524
Web Site: www.yorkabi.ca
Contact: Dave Blakemore, President
MARCH 2011
Provincial Association Contact List:
as of February 1, 2011
British Columbia Brain
Injury Association
PO Box 2324
Chilliwack, BC V2R 1A7
Ph: 604-465-1783 or
Toll Free: 877-858-1788 (outside
Greater Vancouver)
Fax: 888-429-0656
Web Site:
www.bcbraininjuryassociation.com
E-mail:
[email protected]
Contact: Patti MacAhonic, Exec.
Director
of Alberta
4916-50th St
Red Deer, AB T4N 1X7
Ph: 403-309-0866
Toll Free: 888-533-5355 (in AB or NWT)
Fax: 403-342-3880
Web Site: www.biaa.ab.ca
Saskatchewan Brain
Injury Association
1702-20th Street West, C Wing
Saskatoon, SK S7M 0Z9
Ph: 306-373-1555 or
Toll Free (in Sask) 866-373-1555
Fax: 306-373-5655
Web Site: www.sbia.ca
Manitoba Brain Injury
Association
204-825 Sherbrook St.
Winnipeg, MB R3A 1M5
Ph: 204-975-3280 or
Toll Free: 866-327-1998
Fax: 204-975-3027
Web Site: www.mbia.ca
Newfoundland
and
Labradore Brain Injury
Association
49-55 Elizabeth Ave.
PO Box 14
St. Johns, NL A1A 1W9
Ph: 709-579-3070
Fax: 709-579-3019
Web Site: www.nlbia.ca
Contact: Keri McGrath, Exec. Director
Acquired Brain Injur y
Society of Yukon
c/o The Yukon Council on Disability
1154A 1st Ave
Whitehorse, YN Y1A 6K8
Ph: 867-668-6703
Fax: 867-393-4992
WebSite: www.ycod.yk.ca
Ontario Brain Injur y
Association
PO Box 2338
St. Catharines, ON L2R 7R9
Ph: 905-641-8877 or 800-263-5404
Fax: 905-641-0323
Web Site: www.obia.ca
Regroupement
des
associations de personnes
traumatisées
craniocérébrales du Québec
911, rue Jean-Talon Est
bureau 106
Montreal, QC H2R 1V5
Ph: 514-274-7447 (poste 224)
Fax: 514-274-1717
Web Site: www.aqtc.ca
Page 41
of New Brunswick
101-130 Main St.
PO Box 6315
Sackville, NB E4L 1G6
Phone: 506-939-3101
Fax: n/a
Web Site: www.bianb.ca
Contact: Heather Drew, President
of Nova Scotia
Civic: 13th Floor, Victoria Bldg.
VG Site, QEII Health Sciences Centre
Halifax, NS B3H 2Y9
Mailing: PO Box 8804
Halifax, NS B3K 5M4
Ph: 902-473-7301
Fax: 902-473-7302
Web Site: www3.ns.sympatico.ca/
bians1
Brain Injury Coalition of
PEI
32 Birchwood St.,
PO Box 1532
Charlottown, PEI C1A 7N3
Ph: 902-892-0367
Web Site: www.bicpei.com
of Canada/Association
Canadienne des lés és
Cérébraux
808-155 Queen St.
Ottawa, ON K1P 6L1
Telephone: 613-762-1222
Toll Free Line: 1-866-977-2492
Fax: 613-236-5208
Web Site: www.biac-aclc.ca
MARCH 2011
Advertiser Index
ABI Community Services ............... 24
Gluckstein & Associates LLP .......... 43
Pace Law Firm ............................. 28
Anagram Premier ......................... 12
Back to Health ............................ 37
Henderson Structured Settlements .... 22
Hill Program ............................... 34
Pathways to Independence ........... 10
Practice in Rehabilitation ............. 16
Bartimaeus ................................. 24
Howard Yegendorf & Associates ..... 16
Inter-Action ............................... 34
Rehab First ................................. 30
Shekter, Dychtenberg LLP ............. 18
Bayshore Home Health ................ 14
Bergeron Clifford ......................... 10
Judith Hull & Associates .............. 14
Singer, Kwinter ............................. 6
Brain Injury Services .................... 26
Brainworks ................................. 29
Kumchy, Dr. Gayle ....................... 39
Lawlor Therapy Support Services .... 15
Source Rehab .............................. 33
Storrie, Velikonja & Assoc. ............ 25
Carranza Barristers & Solicitors ...... 12
Legate & Associates..................... 11
Lerners LLP................................... 8
The Lifekills Centre ...................... 18
Thomson Rogers .......................... 38
McKellar Structured Settlements ...... 2
Tierney, Stauffer LLP .................... 35
Champaigne Klassen .................... 27
ComCare ..................................... 21
Community Solutions ................... 13
Continuum (Community Rehab) ..... 26
McLeish Orlando ............................ 4
Mindworks.................................. 34
Credit Valley Neuropsychology Group . 35
Neuro-Rehab Services Inc. ............ 19
NRIO ......................................... 27
Dale Brain Injury Services ............. 17
Family Oriented Rehab Services ..... 33
Oatley, Vigmond............... back cover
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OBIA Review.
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Deadline for submissions for the
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Page 42
PAGE 43
MARCH 2011
MARCH 2011

2011: Issue 18-1 - Ontario Brain Injury Association

Transcription

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