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Cognitive Research & NCMRR. Michael Weinrich, M.D. Director, National Center for Medical Rehabilitation Research NICHD, NIH Bethesda, MD mw287K@nih.gov. NCMRR. Established 1990 PL 101-613 Center within NICHD Advisory Board Research Plan 1993 Rehab Coordinating Committee
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Cognitive Research & NCMRR Michael Weinrich, M.D. Director, National Center for Medical Rehabilitation Research NICHD, NIH Bethesda, MD mw287K@nih.gov
NCMRR • Established 1990 PL 101-613 • Center within NICHD • Advisory Board • Research Plan 1993 • Rehab Coordinating Committee • Funds research, training & SBIR
NCMRR Systems Approach Societal Limitation Patho-physiology Functional Limitation Disability Impairment
Research Plan: Areas of Emphasis • Mobility • Behavioral Adaptation • Whole Body Response • Assistive Technologies • Measurement, Assessment & Epidemiology • Treatment Effectiveness • Training Rehabilitation Scientists
October 1998 http://www.nichd.nih.gov/publications/pubs/traumatic/Abstracts.htm http://odp.od.nih.gov/consensus/cons/109/109_statement.htm
AHCPR Evidence-Based Practice Report • 1.Should interdisciplinary rehabilitation begin during acute hospitalization for TBI? • 2.Does the intensity of inpatient interdisciplinary rehabilitation affect long-term outcomes? • 3.Does the application of cognitive rehabilitation enhance outcomes for persons who sustain TBI? • 4.Does the application of supportive employment enhance outcomes for persons with TBI? • 5.Does the provision of long-term care coordination enhance the general functional status of persons with TBI?
Needs in Cognitive Rehabilitation Research • Establish and evidence base for clinical practice • Incorporate knowledge from experimental psychology: errorless learning, imagery, etc. • Adopt new technologies: adaptive learning, VR, multi-modal presentation, cueing strategies, etc.
Range of Current Research on Cognition Supported by NCMRR • Cognitive Rehabilitation for TBI • “Talking Lights” • fMRI & EP especially in recovery • VR and driving • Rehabilitation of cognitive symptoms in MS • Cognitive rehabilitation--acquired dyslexia • Problem solving in acquired brain damage
RFA: RFA-HD-01-007 COOPERATIVE MULTICENTER TRAUMATIC BRAIN INJURY CLINICAL TRIALS NETWORKRelease Date: March 26, 2001
RFA: HD-00-016 • INNOVATIVE REHABILITATION INTERVENTIONSRelease Date: June 27, 2000 • 54 Applications received
CLINICAL TRIAL PLANNING GRANTS TO GUIDE TIMING, INTENSITY, AND DURATION OF REHABILITATION FOR STROKE AND HIP FRACTURE Release Date: September 20, 2001 RFA: RFA-HD-01-022 Letter of Intent Receipt Date: January 18, 2002 Application Receipt Date: February 14, 2002
ALTERNATIVE AND ALTERNATIVE COMMUNICATION STRATEGIES FOR TREATMENT OF COGNITIVE-LINGUISTIC DISORDERS Letter of Intent Receipt Date: February 2002 (30 days prior to submission date) Application Receipt Date: March 2002
NCMRR Behavioral Sciences and Rehabilitation Engineering (SBIR) Lou Quatrano, PhD 301-402-4221 lq2n@nih.gov Ralph Nitkin, PhD 301-402-4206 rn21e@nih.gov Biological Sciences and Career Development Clinical Practices Program Beth Ansel, PhD 301-496-5289 anselb@mail.nih.gov