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1. Rehabilitation Research & Development Service
Patricia A. Dorn, Ph.D.
Acting Deputy Director
Website: www.vard.org
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3. Centers of Excellence
Large group investigators: research, training, outreach to veterans & community at large
Research Enhancing Award Program
Support small group of researchers
Multi-Year Projects
Single investigator studies
Multi-site trials for evaluation & efficacy
Pilot Studies
Collect preliminary data to lead to full project
Career Development Awards
4. Rehab R&D Centers of Excellence Functional Electrical Stimulation: Cleveland
Restoration of Function in SCI & MS: West Haven
Functional Recovery in Chronic SCI: Miami
Medical Consequences of SCI: Bronx
Wheelchair & Associated Rehab Technologies: Pittsburgh
Bone & Joint Rehab: Palo Alto
Rehabilitative Auditory Research: Portland
Limb Loss Prevention & Prosthetic Engineering: Seattle
Aging Veterans with Vision loss: Atlanta
Innovative Visual Rehab: Boston
Brain Rehab: Gainesville
Rehab Outcomes Research: Gainesville
http://www.vard.org/cent/centers.htm
5. Continued Growth in all Career Development Programs Mentored Awards
Associate Investigator
Research Career Development
Advanced Research Career Development
Disability Supplement
Continue to seek applications from outstanding rehabilitation researchers
6. Current Initiatives BION ® Technology
Prosthetics/Orthotics/Orthopedics
Vocational Rehabilitation
Research Enhancing Award Program (REAP)
Rehabilitation Enhancing Activity-Dependent Plasticity
7. CRADA with Alfred Mann Foundation to
provide Veterans with promising technological
advances for restoration of function, prevention
of secondary disabilities and amelioration of
pain due to neurologic dysfunction
Reviewed BION proposals July 2003 Merit Review
Several proposals received meritorious scientific reviews
Mann Foundation is in contact with the individual investigators to manufacture BIONs that meet specific research applications
New Directions: BION® Technology
10. Prosthetics/Orthotics/Orthopedics November 17-18, 2003 State-of-the-Art Prosthetics Workshop
Approximately 90 attendees from VA, DOD, Academia & Private Industry
Secretary Anthony J. Principi gave speech of support to group
This strategic planning meeting has set an agenda for the direction of amputee healthcare research over the next 10-years
Will launch major collaborative efforts with other federal agencies, non-profits & academic institutions
Potential for wounded (amputee) military personnel to return to active duty
Seamless transition in healthcare from active military to veteran through the establishment of joint databases between DOD and VA
11. Prosthetics/Orthotics/Orthopedics: cont’d Major efforts are currently underway. Workshop participants are designing studies in the following areas:
Databases
Socket design
Computer Aided Design/Computer Aided Manufacturing (CAD/CAM)
Integration of computer technology & robotics into prosthetic design
Osseointegration
Amputation QUERI (with HSRD)
12. Vocational Rehabilitation Impact of Vocational Rehabilitation Programs Among Veterans
Researchers in the field pleased we recognized need to target this area
Enthusiastic response to the Request For Proposals
Scientific Merit Review in January 2004
13. Research Enhancing Award Program (REAP) Solicitation
Researchers are glad to have the opportunity to develop formal collaborative partnerships
Resemble small-scale research centers with a specific research focus
Scientific Merit Review in January 2004
14. Rehabilitation Enhancing Activity-Dependent Plasticity
In response to the Secretary’s request for multidisciplinary proactive approaches to functional recovery following SCI
Special program to form new collaborations exploring neurobiological issues in SCI, MS & other conditions leading to loss of neurological function
These research efforts will seek ways to restore function & fully understand mechanisms underlying recovery
Some involve use of Lokomat®
Scientific Merit Review: January 2004
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Represents concerted effort to incorporate cutting edge technology used in other venues (DOD, entertainment) into rehabilitative care
Virtual Reality
Telemedicine
Nano-, micro–, macrotechnology
Robotics
Review: May 2004
Why Measurement-Based Stopping Rules?
Increases test efficiency - don’t waste time
measurements are terminated if low noise is achieved, meaning that, if a response was present, further averaging will not improve the SNR
measurements are terminated if high SNR is observed, meaning a response is present
measurements are terminated after some time limit, preventing the test from continuing indefinitely
Why Measurement-Based Stopping Rules?
Increases test efficiency - don’t waste time
measurements are terminated if low noise is achieved, meaning that, if a response was present, further averaging will not improve the SNR
measurements are terminated if high SNR is observed, meaning a response is present
measurements are terminated after some time limit, preventing the test from continuing indefinitely
17. Long-term Care / Quality of Life
In conjunction with Rosalynn Carter Institute
Caregiver training program
Dual Sensory Loss (hearing & vision)
Hearing loss & vision loss a major problem among aging veterans
ALS Initiative
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Pain control & management
Innovative interventions to address problem
Obesity & comorbidities
In conjunction with several centers
Balance / Vestibular Dysfunction & Rehabilitation
In conjunction with NASA Biomedical Institute
19. Journal of Rehabilitation Research & Development Primary information dissemination vehicle
Highest impact factor of any Rehab Res. Journal
Accepts manuscripts on Rehab Res. From VA, non-VA, international
Scientifically peer-reviewed & indexed
Six issues a year & supplements
JRRD.org
Journal:
Primary information dissemination vehicle
Scientifically Reviewed and Indexed
Six Issues a year and supplements
Comprehensive coverage of all rehab research
available electronically
www.vard.org
over 16,000 regular electronic users
Journal:
Primary information dissemination vehicle
Scientifically Reviewed and Indexed
Six Issues a year and supplements
Comprehensive coverage of all rehab research
available electronically
www.vard.org
over 16,000 regular electronic users