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Projects of the TBINDC Registry by Research Center
Force Perception in Varying Feedback Situations Involving Persons with TBI
Abstract: Many individuals with moderate and severe TBI may experience lack of coordination, weakness, and a loss of fine motor control. Motor dyscontrol impacts balance, activities of daily living and ambulatory capacity. Therapies to improve functional capacity have met with varying success and the resources required for such interventions have been extensive. While individuals recover elements of extremity function after stroke or TBI, the problem of motor dyscontrol remains. Understanding the gaps between real and perceived performance may help to enhance motor training. A technique that could employ robotic assisted rehabilitation while utilizing perceptual gaps (the difference between perceived and true ability) would have unique... more
Investigators: Zafonte R view full
Lead Center: University of Pittsburgh
Personal Powered Mobility for Persons with Traumatic Brain Injury
Abstract: Personal powered mobility is well recognized as a crucial component in successful rehabilitation following severe physical disability. The ability of an adult to drive an electric powered wheelchair (EPW) functionally and unsupervised in a variety of environments is a significant determinant for employability, social access and self-esteem. The joystick is the traditional control device between a person with a disability and an EPW. Conventional movement-sensing joysticks (MSJ) provide access to electric powered wheelchairs (EPW) for many individuals, but some individuals with traumatic brain injury (TBI) do not have the motor skills to functionally operate a standard MSJ. Individuals with TBI often have tremors, spasticity, weakness,... more
Investigators: Zafonte R view full
Lead Center: University of Pittsburgh
The Virtual Case Manager
Abstract: Traumatic brain injury (TBI) poses significant and enduring problems for both the survivors and caregivers. Chronic and ongoing issues often require individuals with TBI to be institutionalized in order to provide a safe environment capable of providing 24-hour supervision. For others, where the family assumes the primary caregiver role, substantial economic, emotional, and social costs are associated with meeting ongoing and supervision and care needs. Difficulties often arise for families in determining what is available, and how to access available resources. Given the NIDRR priority requesting projects that evaluate the impact of selected innovations on service delivery to persons with TBI, we have developed the Virtual Case Manager.... more
Investigators: Rotondi A view full
Lead Center: University of Pittsburgh
Feasibility of administration of a brief neuropsychological battery for use during acute inpatient rehabilitation after TBI
Abstract: Previous investigations have studied the association of early neuropsychological test performance with late outcome in patients who were initially evaluated during inpatient rehabilitation. However, in these previous investigations, neuropsychological test findings have been confounded with patient injury severity. Neuropsychological assessment was performed at resolution of PTA and PTA duration is a well-recognized index of injury severity. Clinical experience would suggest that a patient who reaches a given level of neuropsychological functioning at one month post injury will have a better long term outcome than another patient who takes 3 months to reach the same level of neuropsychological functioning. By basing timing of testing... more
Investigators: Kalmar K, Giacino J, Novack T, Sherer M, Nakase-Thompson R, Frol A, Hanks R, Millis S, Gordon W, Ricker J view full
Lead Center: JFK Johnson Rehabilitation Institute
Collaborating Centers: University of Alabama, Methodist Rehabilitation Center, North Texas Traumatic Brain Injury Model System, Rehabilitation Institute of Michigan, Mount Sinai School of Medicine, University of Pittsburgh
A Prospective Observational Study of Screening and Prophylaxis for Deep Vein Thrombosis in Survivors of Traumatic Brain Injury During Inpatient Rehabilitation
Abstract: During the period of acute rehabilitation for traumatic brain injury (TBI), the development of deep vein thrombosis (DVT) is a significant complication that increases morbidity and mortality. Pulmonary embolism (PE) is one of the most ominous, and frequently life-threatening, complications that occur during TBI rehabilitation. TBI patients often sustain concomitant multiple trauma and have cumulative risk factors for DVT. Because these TBI patients are usually maintained at bed rest during their acute hospitalization, they are at increased risk for existing DVT to embolize when they enter the rehabilitation setting and resume mobility. Prior to initiating this study, a practice survey was distributed to the 16 rehabilitation centers of... more
Investigators: Carlile M, Diaz-Arrastia R, Mysiw W view full
Lead Center: North Texas Traumatic Brain Injury Model System
Collaborating Centers: Carolinas Rehabilitation, JFK Johnson Rehabilitation Institute, Mayo Medical Center, Mount Sinai School of Medicine, Santa Clara Valley Medical Center, Methodist Rehabilitation Center, Ohio State University, University of Alabama, University of Pittsburgh

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