ASHISH STEPHEN MACADEN MBBS, DNB (PMR), PhD.

Professor, Physical Medicine and Rehabilitation,

Christian Medical College Vellore, India

Address: Dept of  PMR, CMC Vellore 632004, India.

E-mail:  ashishmacaden@hotmail.com  

Phones:  Mobile +919952410797;

Landlines: 0091 (0)416 228 – 2158(o) – 2321(r)

Date of birth:   21 February 1966.

Medical council registrations: 47626 (TNMC, India), 6042000 (GMC, UK)

Demography:   Christian, Indian, Male

Married to Dr Leah Macaden, BSc(N), MSc(N), PhD, Professor of Nursing, CMC, Vellore.

Child: Mithran Macaden b.1997

  MBBS

 Christian Medical College, Vellore. University of Madras, India

 1st certificate of honour in  biochemistry,

 2nd certificates of honour in Physiology & Community Health.

(Including one year of rotatory internship in General Medicine, Surgery, Obstetrics & Gynaecology, Community Health - 01.02.89 to 31.01.90).

July 1984 to December 1990

Diplomate of the National Board, Physical Medicine & Rehabilitation.

 Christian Medical College, Vellore. National Board of Examinations, New Delhi, India.

(including 3 months each of Orthopaedics & Neurology and 1¹/₂ months each of Psychiatry, Plastic surgery, General Medicine and Developmental Paediatrics).

01.03.1995 to 28.02.1998.

PhD

Northumbria University, Newcastle upon Tyne, UK.

29.11.2002 to 05.01.2006

Residential medical officer

Church of South India Mission Hospital, Gadag

(General Medicine, Paediatrics).

 12.02.1990 – 12.02.1992.

Medical officer

Hubli Hospital for the Handicapped,  Hubli

(Leprosy hospital & community service).

 17.02.1992 – 31.12.1992

Specialist Registrar in Rehabilitation Medicine (FTTA Type 2)

Hunters Moor Regional Neurorehabilitation Centre, Newcastle upon Tyne, UK.

01.05.2002 – 30.04.2005

Registrar (Non PG & PG Including a 3 year formal postgraduate training)

Department of Physical Medicine & Rehabilitation, Christian Medical College, Vellore, India.

14.06.1993 – 19.05.1998

Consultant posts (Lecturer (3years), Assistant Professor (2 years), Associate Professor (4 years))

Department of Physical Medicine & Rehabilitation, Christian Medical College, Vellore, India. 

20.05.1998 – 19.05.2008

Professor 

Department of Physical Medicine & Rehabilitation, Christian Medical College, Vellore, India. 

20.05.2008 till date.

Deputy Medical Superintendent

Christian Medical College, Vellore, India.

01.07.2006 – 30.6.2010

Head of PMR Unit  I

Christian Medical College, Vellore, India.

03.07.2007 till date

1.      Gait Analysis (Paper presentation, March 1999), National Workshop on Biomedical Engineering, Vellore Engineering College, Vellore.

2.      Management Directed Assessment of Cerebral Palsy (Paper presentation, May 1999), Workshop on management of Cerebral Palsy, Indian Academy of Paediatrics Childhood Disability Group, Kunnamkulam.

3.      Restoration of Mobility in Spastic Diplegia (Paper presentation, August 1999), CME,  Karnataka state Indian Academy of Paediatrics, Mysore.

4.      Principles used in improving mobility & balance in a child with Central Motor Deficit, (Paper presentation, November 1999), Workshop on Neurodevelopmental Issues in early childhood, Developmental Paediatrics, CMC, Vellore.

5.      Principles used in improving mobility & balance in a child with Cerebral Palsy

6.      Newer concepts in Cerebral Palsy,

7.      Introduction to the hypotheses of spasticity,

All three Paper presentations at a CME on Cerebral Palsy, Indian Association of PM&R State chapter, December 1999, CMC, Vellore.

8.      Gait Analysis (Paper  presentation),

9.      Rehabilitation of Osteoarthritis ( Invited Panelist presentation),

Both presentations at the IAPMR International Conference, Rehabilitation Medicine beyond 2000,  January 2000, All India Institute of Medical Sciences, New Delhi, India.

10.  Rehabilitative measures in Haemophilia (Faculty presentation)

11.  Management of Chronic Synovitis (Faculty presentation)

Both at the National Workshop on Haemophilia, September 2001, Haemophilia Federation of India and Karnataka Haemophilia Society, Davangere.

12.   Three important gait abnormalities in Children with Spastic Cerebral Palsy (Paper presentation), Eighth Annual Conference of the Paediatric Orthopaedic Society of India, 23-24 March 2002, New Delhi.

13.  Gait Analysis in Cerebral Palsy (Paper presentation), Regional Rehabilitation Meeting of the British Society of Rehabilitation Medicine, 9 October 2002, Scotch Corner, North Yorkshire.

14.  Sustaining employment in a supported employment programme – a qualitative approach, Regional Rehabilitation Meeting of the British Society of Rehabilitation Medicine (BSRM), 5 March 2003, Scotch Corner, North Yorkshire.

15.  Department of Physical Medicine and Rehabilitation, Vellore, BSRM Newsletter November 2003: 8-9

16.  Sustaining employment in a supported employment programme – problems with a qualitative approach, Research in progress day, Specialist Neurological Rehabilitation Division (Hunters Moor), 10 April 2003, Kirkley hall, Ponteland.

17.  Vocational Rehabilitation (Faculty presentation), Certificate course in Neurological Rehabilitation, Academic Unit of Neurological Rehabilitation and Action for Disability, University of Newcastle, 9 October 2003 and 14 April 2005, Newcastle upon Tyne.

18.  Medical Assessment in Brain Injury – Working Together, Brain Injury Assessment Workshop, JS Parker & Associates, December 2004, Newcastle upon Tyne.

19.  Keeping Jobs (after you get them) – a research update on software, Research in  progress day, July 2004, Hunters Moor, Newcastle upon Tyne.

20.  Final update: Sustaining employment after ABI, Regional Rehabilitation Meeting of the BSRM, January 2005, Scotch Corner, North Yorkshire.

21.  Qualitative methodology in ABI research, Junior medical graduates day of the Northern and Scottish region, BSRM, January 2005, Newcastle upon Tyne.

22.  Characteristics of Qualitative Research

23.  Designing a qualitative study

24.  The Case Study approach

All three presentations as faculty on the Research methodology update for nurses, Continuing Nursing Education department, CMC Vellore: 25, 27 July 2005.

25.  Characteristics of Qualitative Research, Research methodology update for nurses, Continuing Nursing Education department, CMC Vellore: 7 December 2005, 9 July 2006, 29-30 January 2007.

26.  Brain injury rehabilitation

27.  Vocational rehabilitation in Spinal Cord Injury,

Both faculty presentations at PMR CME, PMR Department, SMS Medical College and Hospital, Jaipur: 25 February 2006.

28.  Acquired Brain Injury Rehabilitation, Continuing Medical Education Programme, Occupational Therapy, CMC Vellore, 8 April 2006.

29.  Evolving a Patient centred Haemophilia Assessment, Toronto-Utrecht-Vellore meeting, Van Creveldkliniek, University Medical Centre, Utrecht: 2-4 July 2006.

30.  Modern Principles & Practice of Brain Injury Rehabilitation, 36^th Annual Conference of Indian Association of Physical Medicine Rehabilitation, Sweekaar Academy of Rehabilitation Sciences, Secunderabad 18^th Jan 2008.

31.  Gait Analysis, National Workshop on Inter disciplinary Approach in Evaluation of Human performance, Department of Physical Education and Sports Sciences,  Annamalai University, Chidambaram, 30th March 2008

32.  Rehabilitation issues and outcome, Brain Attack (Stroke) – CMC CME Update in Neurology, CMC Vellore 19 July 2008.

33.  Sensori-motor rehabilitation protocols in brain injury. Sensorimotor retraining programme – Academic Physiatrists of the IAPMR TN Chapter, Bone and Joint Clinic, Chennai, October 5 2008.

34.   Rehabilitation of persons with Haemophilia. WFH Hemophilia Symposium Colombo, SriLanka, 6 December 2008.

35.  Rehabilitation of gait in amputees with Diabetes. Update on diabetic foot CME, Endocrinology, CMC Vellore, 7 February 2009.

36.  Rehabilitation of Visual and Communicative function in Stroke, Continuing Medical Education: Stroke Treatment and Rehabilitation, CMC Ludhiana, 3 April 2009.

37.  Stroke Rehabilitation; a neglected domain, National Stroke CME 2009 Emerging Trends In Management Of Stroke, Dept Of Neurology and Faculty Of Internal Medicine, Armed Forces Medical College,  Command Hospital, Pune, 28 June 2009

38.  Perceptual deficits in stroke

39.  Communication deficits in traumatic brain injury, Annual Conference of Indian Association of Physical Medicine Rehabilitation, SMS Medical  College & Hospital,  Jaipur , 23Jan 2010.

40.  Principles of brain injury rehabilitation, International Congress on Neurology & Rehabilitation (Maharashtra Association of Neurology, World Federation for NeuroRehabilitation and Epilepsy Foundation). Holiday Inn Resort, Goa, India. 25 April 2010.

 Non indexed national JOURNALS

 1.      Gurunagarajan S, Robinson A, Elango A, Venketesan LB, Prasad RK, Macaden AS, Oommen J, Bhattacharji  S.  Vocational Rehabilitation of severely disabled people,  Actionaid Disability News, Vol. 6, No 2, 1995 : 43-46.

2.      Macaden AS. Improving motor control in Cerebral Palsy, Indian Academy of Paediatrics Childhood Disability Group Newsletter, Vol. 1, Issue 5, December 1998: 5-6.

3.      G Tharion, G Kurien, AS Macaden, K Venugopal, G Nagarajan, S Bhattacharji. Long term morbidity in persons with Neuropathic Bowel, Indian Journal of Physical Medicine & Rehabilitation, 1999-2000, 10&11, 24-29.

4.      AS Macaden, S Bhattacharji, RKR Chilman, Ganesh T, J George, NG Nair. What Gait Analysis tells us about clinical examination of spastic gait in children. Indian Journal of PMR October 2005; 16(2): 45-47.

5.      A Macaden. The challenges of transition from child to adult in Spina Bifida. Childhood Development and Disability - Indian Academy of Pediatrics Childhood Disability Group 2006: 6-7. Accessed for GMC registered doctors at : http://www.doctors.net.uk/medipaedia/article.aspx?topic=medipaedia|the_challenges_of_transition_from_child_to_adult_in_spina_bifida

6.      Anna Mathew, MC Mathew, Ashish Stephen Macaden, B. Antonisamy, Kalpana M Ernest. Measurement of the Angle of Plantar Flexion An Objective Way of Assessing Muscle Relaxation in Children with Spastic Cerebral Palsy. Indian Journal of Physical Medicine & Rehabilitation 2007 April; 18 (1): 11-14.

7.      Binu Cherian, Chrisly Midea, Ashish S. Macaden, Judy Ann John. Vocational outcome after brain injury. Indian Journal of Physiotherapy and Occupational Therapy. July - September 2009, Vol. 3, No. 3: 20-23 (Print ISSN:09735666 Electronic ISSN:09735674)

BOOK CHAPTER

1.      Macaden AS. Vocational Rehabilitation, Chapter in ‘Recovery after Stroke’, Eds. Bougousslavsky J, Barnes MP, Dobkin B, Cambridge University Press, 2005.

INDEXED JOURNALS

1.      C Manigandan, B Saravanan, A. Macaden, L Gopalan, G Tharion, S Bhattacharji. Psychological wellbeing among carers of people with spinal cord injury, Spinal Cord (2000) 38, 559-562.

2.      Thomas N, Macaden AS, Kumar NK, Sridhar S, Jana AK. Neonatal spinal cord injury, Indian J Pediatr. 2002 Nov; 69(11):983-4.

3.      P. M. Poonnoose, R. Thomas, S. N. Keshava, R. S. Cherian, S. Padankatti, D. Pazani, M. L. Kavitha, M. Devadarasini, S. Bhattacharji , A. Viswabandya, J. A. John, A. S. Macaden, V. Mathews and A. Srivastava. Psychometric analysis of the functional independence score in haemophilia (FISH). Haemophilia (2007), 13, 620–626.

4.      George, J., Tharion, G., Richard, J., Macaden, A.S., Thomas, R., and Bhattacharji, S. (2007) The effectiveness of intravesical oxybutynin, propantheline, and capsaicin in the management of neuropathic bladder following spinal cord injury. TheScientificWorldJOURNAL:  TSW Urology 7, 1683–1690.  DOI 10.1100/tsw.2007.271.

5.      Judy A. John, Reeba M. Mani, Raji Thomas, Ashish S. Macaden, Alok Srivastava, Debbie Skeil, Suranjan Bhattacharji. Low-cost treatment for haemophilic knee contractures. BMJ Rapid responses 6 April 2007 to Editorial by Christine Lee, Caroline Sabin, and Alexander Miners. High cost, low volume care: the case of haemophilia. BMJ 1997; 315: 962-963 . Accessed at http://bmj.bmjjournals.com/cgi/eletters/315/7114/962

6.      Jacob George, George Tharion, Shyamkumar NK, Kurien Thomas, Ashish S Macaden, Suranjan Bhattacharji. Bone mineral density in persons with acute spinal cord injuries and response to oral potassium bicarbonate. Journal of Medical Society January 2004, 18(1):9-14. (ISSN: 09724958)

7.      Raji Thomas, T Ganesh, J George, K Venugopal, A Macaden, P Poonnoose, G Tharion, SR Devasahayam, S Bhattacharji. Instrumented gait analysis for planning and assessment of treatment in cerebral palsy. Indian J of Orthopaedics July 2005, 39(3): 182-186.

8.      K Samuel Kamalesh, Kumar SK, Macaden AS. Cognitive rehabilitation for occupational outcomes after traumatic brain injury. Cochrane Database of Systematic Reviews 2009, Issue 3. Art. No.: CD007935. DOI: 10.1002/14651858.CD007935.

9.      Macaden AS, Chandler C, Chandler BJ, Berry A. Sustaining employment after vocational rehabilitation in acquired brain injury. Accepted for publication by Disability & Rehabilitation on 4 Sep 2009.

10.  Merritta C, Cherian B, Macaden AS, John JA. Measurement of physical performance and objective fatigability in people with mild-to-moderate traumatic brain injury. Int J Rehabil Res. 2009 Jul 9. [Epub ahead of print]

 Neurorehabilitation – mainly Traumatic Brain Injury and Stroke

Paediatric rehabilitation – mainly gait analysis in Cerebral palsy.

Rehabilitation issues in Haemophilia arthropathy.

COURSES & WORKSHOPS ATTENDED

1. Course in Principles and Practice of Epidemiology, Epidemiology Resource Centre, Christian Medical College, Vellore: 19.10.94 – 29.10.94.
2. Workshop on designing toys for Active Learning and Play, Developmental Paediatrics Unit, Christian Medical College, Vellore: 9.11.98 – 13.11.98.
3. Workshop on Neuro-developmental Issues in early childhood, Developmental Paediatrics, Christian Medical College, Vellore: November 1999.
4. Workshop on Cerebral Palsy, Paediatric Orthopaedic Society of India, New Delhi: 22.03.02
5. Workshop on Assessment and Management of People in States of Impaired Consciousness, Thames Valley Test Company Ltd – Agnes Shiel and Barbara A. Wilson, 24.06.02, Lister Postgraduate Institute, Edinburgh.
6. Workshop on Getting Started In Academic Publishing - Jo Campling, 3^rd and 4^th December 2002, Northumbria University School of Health, Community & Education Studies, Coach Lane East, Newcastle upon Tyne.
7. National Conference of the British Society of Rehabilitation Medicine, 11-12 July 2003, St. John’s College, Cambridge.
8. Neurodegenerative disorders, 22 September 2003, St. William’s College, York.
9. ILAE Specialist Registrar Training weekend on Epilepsy, 3-5 October 2003, St. Anne’s College, Oxford.
10. Research in a Wider Context, Combined Newcastle and Northumbria University course in October & November 2003, Newcastle university.
11. Qualitative Methodology, a second semester Northumbria University module, February – May 2004, Coach Lane campus, Newcastle upon Tyne.
12. Introduction to Welfare & Disability Benefits, 29 January 2004, Carolynne Radcliffe for Irwin Mitchell, Newcastle Centre for Life, Newcastle upon Tyne.
13. BSRM Medico-legal & Ethics Study day, 7 May 2004, Cedar Court Hotel, Wakefield.
14. Sensory Modality Assessment and Rehabilitation Technique Course, 21 – 25 June, 2004, Royal Hospital of Neuro-Disability, Putney.
15. Developing a protocol for a Cochrane Systematic Review, 17-19 July 2006, BVM Centre for Clinical Trials and Evidence Based Medicine, South Asian Cochrane Network, CMC Vellore.

Work experience as a consultant at Christian Medical College, Vellore.

 Clinical Work (Inpatient)

• Consultant in the PM&R department and Rehabilitation Institute (an 83 bedded spinal cord and acquired brain injury centre with 40 staff) of  CMC Vellore (a tertiary hospital) since 1998.
• Clinical supervision and coordination of registrars in the PM&R postgraduate program (a 3 year national board certification including a thesis).
• Supervision of the Prosthetic and Orthotic Research workshop and International Committee of the Red Cross project on Prosthetic Research and production.
• Development of a clinical gait service in the gait laboratory, Rehabilitation Institute.
• Development of a brain injury service in collaboration with Neurosurgery and Neurology.

Clinical Work (Outpatient)

·        A general rehabilitation clinic twice a week (around 16 people a day)  for Cerebral Palsy, Stroke, Arthritis, Amputation, Brain injury and Spinal Cord Injury.

·        Once a week transdisciplinary clinics for:

o       Brain Injury with the departments of Neurosurgery and Neurology fro traumatic brain injury and stroke.

o       Cerebral Palsy with Developmental Paediatrics, Paediatric Orthopaedics, Child and Adoloscent Psychiatry we review and plan together for children with multiple needs.

o       Haemophilia with the department of Haematology

o       Diabetic foot with Diabetic endocrinology, Vascular surgery

o       Neuroradiology with Radiology

o       Previously Neuromuscular clinic (with the department of Neurology)

o       Previously Pain clinic (with the departments of Anaesthesia, Psychiatry)

Clinical Work (Surgical)

·        Multiple soft tissue release surgeries for children with Cerebral Palsy,

·        Cystolithotomies and Plastic surgeries for Pressure sores (one morning a week).

·        Minor surgical work includes Cystoscopies, Cystolitholapaxies, and Suprapubic catheterizations (one afternoon a week).

Research

·        Gait analysis in children with Cerebral Palsy:  Kinematic, kinetic, dynamic EMG and energy efficiency data from 32 children with Cerebral Palsy with and without solid and articulated ankle foot orthoses compared with 20 normal children.

·        Postgraduate thesis: A descriptive study of ankle movement in the sagittal plane of children with cerebral palsy. During this time, I developed an evaluation form for children with Cerebral Palsy which is being used by the doctors in our department.

·        I have helped guide projects examining different types of prosthetic feet, upper limb Functional Electrical Stimulation, electric upper limb prostheses, developing a database for normal Indian children’s gait and developing a cost effective gait analysis system, assessing activity and participation in spinal cord and acquired brain injuries and haemophilia and exploring diffusion tensor imaging in brain injury.

·        I have helped nurture a transdisciplinary  rehab research group since 2007 which has been productive in completing 4 research projects.

·        Reviewer for Archives of PMR since April 2007 (9 papers)

·        Reviewer for Disability & Rehabilitation since July 2009 (1 paper).

Teaching

·        Clinics for undergraduate medical students in PM&R.

·        Training of Physical Therapy, Occupational Therapy and Prosthetic & Orthotic undergraduate students in Rehabilitation Medicine and Biomechanics courses.

·        Planning and implementation of medical post graduate theses in PM&R.

·        Organisation of two National Board PMR and annual MD(PMR) examinations in Vellore as a non examiner coordinator.

·        Developing and evaluating Haemophilia therapy training workshops and CMEs on Haemophilia.

·        Examiner for DPMR in Univeristy of Calicut on 8 June 2006

·        Examiner for MD (PMR) and DPMR in University of Trivandrum on 9 June 2006 and 30 November 2007.

Administrative

·        Deputy Medical Superintendent (5 Peripheral departments of CMC) from 1 July 2006.

·        Head of PMR Unit I from 3 July 2007.

PREVIOUS work experience

(Specialist Registrar at the Hunters Moor Regional Neurorehabilitation Centre, Newcastle)

Clinical

• Participating in inpatient care of around 20 persons with largely physical-cognitive sequelae of head injury and around 10 persons with specific neuropsychiatry sequelae at the Janie Heppell Unit, Prudhoe.
• Participating in the outpatient work of the Medical spasticity clinic, the Dystonia clinic, the Multidisciplinary team clinic, Regional Disability Team Clinic including the administration of Botulinum Toxin.
• Visiting Rehabilitation Biomedical Engineers’ Paediatric Gait Analysis Service at Palmers Hospital, Jarrow.
• Participating in the Neurosciences-Rehabilitation ward round and Neuro-radiology meeting on selected Tuesday mornings at the Newcastle general hospital.
• Participating in clinics and home visits for community Neurorehabilitation with Northumberland Head Injury Service, Morpeth.

Research

• Sustaining employment after a supported employment programme - a qualitative research project as a PhD with Northumbria University in collaboration with Rehab UK Tyne & Wear Brain Injury Centre and Hunters Moor Regional Neurorehabilitation Centre, Northgate and Prudhoe NHS Trust.
• Member and Co-chair of the Neurorehabilitation Research Programme Committee, Northgate and Prudhoe NHS Trust – monthly meetings and research days.

Teaching

·        Tutor for clinics and evaluation sessions in Rehabilitation Medicine for undergraduate medical students (Medical school of University of Newcastle).