Rehabilitation R&D Progress Reports 1998

Contents

Cover
Title Page
Guidelines for Submitting Progress Reports
Masthead

Section I. Project Progress Reports
Progress reports are arranged in appropriate categories. Reports are numbered in brackets preceding the title; clicking on those numbers takes the reader dirctly to the report. VA-sponsored reports are presented first and are followed by those of other sponsoring organizations in alphabetical order.

Section II. Sponsor Index with Selected Program Summaries

A. Department of Veterans Affairs

Rehabilitation Research and Development Service: Centers and Units

B. Non-VA Sponsoring Organizations

This section contains the name and location of all sponsoring organizations and an index of the titles of the projects sponsored by each.

 

Section I
Project Progress Reports

I. Amputations and Limb Prostheses
A. General
1 New Strategy for Improved Outcome in Occult Periprosthetic Musculoskeletal Infection
2 Scientific Characterization of the Rincoe Socket and Tekscan F-Socket Interface Pressure Measurement Systems: Implications for Clinical Utility
3 Classification of Myoelectric Signals Using Neural Networks
4 Universal Myoelectrical Control System Implemented Using an HC11 Micro
B. Upper Limb: General
5 Generalized EPP Position Controller for Electric-Powered Upper-Limb Prostheses
6 Establishing Standards of Care: Upper Limb Prosthetic Services
7 Optical Sensor for Electromechanical Upper Limb Prostheses
8 Wilmer Cosmetic Prosthetic Prehensor for Children
9 Designing a Ballistic Walking Biped Ballistic Walking with Phasic Muscle Activation
10 Myoelectric Feature Space for Pattern Discrimination
11 Development of a Multifunction Myoelectric Control System
12 3-Degree-of-Freedom Myoelectric Control Suitable for Easy Implementation
C. Upper Limb: Transradial
13 Development of an Externally Powered Prosthetic Hand for Persons with Partial Hand Amputations
14 Voluntary Closing Hand Prosthesis
15 Tactile Sensing for Prosthetic Hands
16 Feasibility of a Low-Cost Prosthetic Hand for Arm Amputees
17 Body-Powered Toddler Hand
D. Lower Limb: General
18 Gait Mechanics of the Partial Foot Amputee
19 Study to Determine the Biomechanical Effects of Shock-Absorbing Pylons
20 Developmental Enhancement and Application of the VA-Cyberware Prosthetics-Orthotics Optical Laser Digitizer
21 Investigation of Dynamic Prosthetic Function: Amputee Preference for Prosthesis Flexibility
22 Paediatric Above-Knee Endoskeletal Running Prosthesis
23 Sensory Feedback for Lower Limb Prostheses
24 Tissue Biomechanical and Vascular Studies for Improved Prosthetic Socket Design
25 Force Transducer to Assist with Lower Limb Prosthetic Alignments
26 Dynamic Prosthetic Alignment Assistant
27 Quantification of Prosthetic Treatment Outcomes
E. Lower Limb: Transfemoral
28 Optimized Surface Bonding and Stiffness of Femoral Endoprostheses
29 Fracture Prediction for Femurs with Wear Particle-Induced Osteolytic Lesionswith Joint Replacement Prosthesis
30 Development of a Knee Joint for Use in a Paediatric Swimming Prosthesis
F. Lower Limb: Transtibial
31 Clinical Testing of the Enhanced VA-Cyberware BK Prosthetics Optical Digitizer
32 Evaluation of Prosthetics Hand-Held Digitization and Virtual Casting Systems
33 Development of a Powered Prosthetic Lower Limb
34 Effect of Custom Orthosis on Hindfoot Kinematics and Forefoot Pressure Distribution
35 Effect of Prosthesis Resonsant Frequency on Metabolic Efficiency in Transtibial Amputees: Study in Progress
36 Roll-Over Shapes of Prosthetic Feet
37 Evaluation of Seattle Limb System Components Used in Transtibial Prostheses
 
II. Biomechanics
A. Bone and Joint Studies
38 Effect of the Bankart Lesion on Anterior Joint Stability with Simulated Glenohumeral Muscle Forces
39 Biomechanics of the Patellofemoral Joint and Peripatellar Retinaculum
40 Mechanical Regulation of Peri-Prosthetic Tissue Differentiation
41 Mechanical Loading Effects on Cartilage Repair and Regeneration
42 Anatomical Basis of Osseoperception
43 Effect of Hydrostatic Pressure on Intervertebral Disc Metabolism
44 Biomechanics of Foot Deformities and Alternatives for Surgical Correction
45 Ankle Range of Motion as a Determinant of Plantar Pressure Distribution in Ambulatory Diabetics
46 Effect of Periosteum on the Impact Resistance of Bones
47 Microcrack Labelling and Fatigued Strength of Compact Bone
48 Mechanics of Backward Falls as a Risk Factor to Colles' Fractures: Feasibility Study
49 Effect of Glenohumeral Stability Requirements on the Load on the Shoulder in Manual Wheelchair Propulsion
50 Development and Validation of a Model to Determine the Relationship between Physiological and Mechanical Load on the Upper Extremity
51 Use of Tibial Angle in Determining the Amount of Valgus of the Knee Joint in Girls Aged 9 and 15
B. Human Locomotion and Gait Training
52 Differential Pressure Walking Assistance
53 Efficacy of Ankle Orthoses in Preventing Falls in Elderly
54 Effect of an Induced Leg-Length Discrepancy on Gait Biomechanics
55 Trunk Motion of Pathological Gait in Different Walking Speed
56 Development of a Direct Ultrasound Ranging System for the Quantification of Ambulation
57 Balance Control When Stepping Over Obstacles of Different Heights
C. Other
58 Wheelchair Propulsion Performance in Young, Middle-Aged, and Elderly
59 Physical Performance Measures for Young, Middle-Aged, and Elderly Manual Wheelchair Users
60 Biomechanics of the Upper Limb in Wheelchair Propulsion
61 Bilateral Deficit during Knee Extension
 
III. Functional Assessment
62 Video-Based Functional Performance Assessment and Training Tool
63 Characterizing Measures of Stroke Rehabilitation Outcomes
64 Development of Quality of Life Measures for Use in Dysphagia
65 Psychosocial Impact of Assistive Devices
 
IV. Functional Electrical Stimulation
A. General
66 Efficacy of Neuromuscular Stimulation in Enhancing the Upper Extremity Motor and Functional Recovery of Acute Stroke Survivors
67 Comparison of Discomfort Associated with Percutaneous and Surface Neuromuscular Stimulation
68 Electrostimulation for Stroke Rehabilitation: Mechanisms and Effect
69 Feasibility of a Neuroprosthesis in High Tetraplegia: Denervation and Electrical Excitability of Upper Limb Muscles
70 Muscular Factors Preventing Inferior Subluxation of the Shoulder in Hemiplegia
71 Microstimulation of the Lumbosacral Spinal Cord: Mapping
72 EMG-Controlled Stimulator for Stroke Rehabilitation
73 Myoelectric Control for a Neuroprosthetic Device
74 Dynamic Model of Skeletal Muscles and Joints for FES Applications
75 Use of EMG as Force Feedback in Closed-Loop Electrical Stimulation Systems
76 Determination of the Optimal Motor Unit Recruitment Strategy for Application in a High Performance FES System for Quadraplegics
77 Model-Based Design of Central Nervous System Neural Prosthetic Interfaces
78 FES Webguide: An Internet Accessible Interactive Resource on FES for Persons with Spinal Cord Dysfunction
B. Upper Limb Applications
79 Restoration of Forearm and Elbow Functions by FNS
80 Functional Neuromuscular Systems for Upper Extremity Control
81 EGG-Based Controller for FNS Hand Grasp Systems
82 Restoration of Shoulder Movement in C5 Tetraplegia
83 Percutaneous Neuromuscular Stimulation for the Treatment of Shoulder Subluxation in Hemiplegia
84 Multichannel Implantable System for Neural Control
85 Feasibility of Restoring Upper Extremity Function in C3-C4 Tetraplegia
C. Lower Limb Applications
86 FES on Spinal Cord Injured Patients: Effects on Muscle Blood Flow and Metabolism
87 Restoration of Gait for Acute Stroke Patients Using FES
88 FES Mobility in Paraplegia: RF-Controlled Implanted System
89 Development and Application of a Closed-Loop FES System for Standing Up Movement for Paraplegics
90 Paraplegic Walking Made Practical with FNS and Orthoses
91 Unassisted Standing by Functional Electrical Stimulation
92 Implantable FNS Systems for Standing Transfers
 
V. Geriatrics
93 Reliability and Validity of Accelerometric Gait and Balance Diagnosis
94 Advanced Accelerometric Motion Analysis System (Design/Development)
95 Improving Stepping-Over Responses in the Elderly Using Simulated Objects
96 Long-Term Strength Training and Functional Status in Older Adults
97 Restricted Useful Field of View as a Risk Factor for Falls in Older Adults
98 Behavioral and Functional Problems in Dementia Patients with Sensory Loss
99 Noninvasive Recordings of Bladder Pressure in Elderly Males
100 Elevated Postural Muscle Activity in Elders and Its Effect on Quiet-Standing Dynamics
101 Factors Contributing to Older Adult Disability in Rising from a Bed and from the Floor
102 Preventing Slips and Falls in the Elderly: Effects of Simple Biomechanical Interventions
103 Long-Term Evaluation of Maxillary Sinus Bone Grafts with Dental Implants
104 Assessment of Intervention Efficacy for Stress Urinary Incontience Using Vesico-Urethral Pressuregram Method
105 Tensile Strength of Endopelvic Fascia and Its Association with Pelvic Organ Prolapse
106 Rehabilitation Research and Training Center on Aging with a Disability: Overview and Research Projects
107 Exercise Program Designs for Older Adults
108 Study of Policy Barriers Impeding Use of Assistive Technology by Persons Aging with Disabilities
 
VI. Head Trauma and Stroke
109 New Technique for Improving Rehabilitation of Movement after Stroke
110 Fading-In of Right Hemispatial Information in the Treatment of Unilateral Neglect
111 Graded Weight-Bearing Exercise for Improved Ambulation after Stroke
112 Mechanically Assisted Upper Limb Movement for Assessment and Therapy
113 Cortical Contributions to the Recovery of Motor Function
114 Cultural Influence on Aphasia in African-Americans
115 Continuously Infused Intrathecal Baclofen (ITB) for Spastic/Systonic Hemiplegia
116 Long-Term Continuously Infused Baclofen (ITB) for Spastic-Dystonic Hypertonia in Traumatic Brain Injury
 
VII. Independent Living Aids
A. General
117 Musical Instrument Digital Interface for Children with Physical Disabilities
118 Effectiveness of Environmental Control Units
119 Computer Access Selector and Vocaselect
120 Characteristics of Genital Skin Flora in Persons with SCI and Their Effect on Development of Urinary Tract Infection
121 Assessing Individuals' Predispositions to the Use, Avoidance, or Abandonment of Assistive Technologies
B. Robotics
122 Development of an Assistive Robot for Effective Health Care Delivery
C. Communication Methods and Systems
123 Development of an Assistive Memory Device for Patients with Severe Amnesia
124 Creation of a Single Switch Interface to a MIDI Keyboard
125 Personal Portable Communications through Cellular Telephone Interfaces
126 Internet-Based Interactive Video in Rehabilitation
127 Vocabulary Organiser: Formerly the AUSMAP Database
128 Effectiveness of Using Voice Recognition Systems
129 Toward Task Transparency: Selection of Text through Switch-Based Scanning
130 WIVIK On-Screen Access to Computers
131 WIVIK Tools for Students Who Are Learning to Write
132 WIVIK Computer-Based Communication
D. Private and Public Programs
133 Violence Against Women with Physical Disabilities
134 Breast Cancer Screening among Women with Disabilities
135 Increasing the Capacity of Independent Living Centers to Serve Minority Populations
136 Relationships among Age at Onset, Adequency of Personal Assistance, Negative Health Incidents, and Health Care Utilization for Persons with Physical Disabilities
137 Health Promotion for Women with Physical Disabilities
138 Reducing Risk Factors for Abuse among Low-Income, Minority Women with Disabilities
 
VIII. Muscles, Ligaments, and Tendons
A. Muscles
139 Surface EMG during Dynamic Contractions of Limb Muscles
140 Multimedia Tool for Teaching/Learning Surface EMG
141 Effects of Intramuscular Aponeurotomy and Recovery on Pennate Skeletal Muscle
142 Patterns of Muscle Substitution Used to Compensate for Focal Weakness in Survivors of Polio and Individuals with Recent Musculoskeletal Surgery
143 Repeatability of Surface EMG Variables during Voluntary Isometric Contractions of the Biceps Brachii Muscle
144 Surface and Wire EMG Crosstalk in Neighboring Muscles
145 Control of Joint Motion with Synergistic Stimulation of Its Agonist/Antagonist Muscles
146 Three-Dimensional Description of Muscle Properties
147 Isometric Length Force Characteristics of Pennate Muscle During and After Shortening: Experimental and Modelling Results
148 Skeletal Muscle Length Force Characteristics during Maximal and Submaximal Activation
149 Lateral or Myo-Fascial Force Transmission in Skeletal Muscle
B. Ligaments and Tendons
150 Ligamento-Muscular Protective Reflex in the Knee, Shoulder, Ankle, Elbow, and Spine
 
IX. Neurological and Vascular Disorders
A. General
151 Effect of Exercise Training on Hemoglobin A1c's of Type II Diabetics in Supervised vs. Home Exercise Programs
152 Effects of Aging on Motor Unit Firing Behavior
153 Sweat Response in MS Patients during Exercise: A Pilot Study
B. Swallowing Disorders
154 Sensitivity and Specificity of a Clinical Examination of Swallowing
155 Biomechanics and Sensory Input of Swallow after Head and Neck Cancer
156 Long-Term Survivors of Head and Neck Cancer
157 Effects of Radiotherapy/Chemotherapy on Voice, Speech, and Swallowing Function
158 Effects of Surgical Intervention on Speech and Swallowing Function in Persons with Recurrent/Residual Disease
159 Head and Neck Cancer: Quality of Life, Performance, and Patients' Priorities
160 Effects of Surgical Reconstruction on Speech and Swallowing
161 In Search for Proper Boundary Condition at the Glosso-Palatal Junction for Pharyngeal Bolus Modeling: A Study Using Neural Network Inversion
C. Vascular Disorders
162 Polestriding Exercise and Vitamin E for Management of Claudication Pain
 
X. Orthopedics
A. General
163 Improved Bone Cement Fatigue Resistance Via Controlled Strength Interfaces
164 Disuse-Induced Articular Cartilage Atrophy, Over-Exercise and Arthritis
165 Biological Responses in the Pathogenesis of Aseptic Loosening
166 Dupuytren's Disease
167 Survey of Parents of Children Who Use Orthoses and Prostheses
B. Hip Implants
168 Fatigue Strength of Composite Femoral Components for Hip Arthroplasty
169 Use of Ultrasonic Vibration in Improving the Mechanical Properties of Bone Cement
C. Knee Implants
170 Modification of Polyethylene to Improve the Wear Performance of Joint Replacement Prostheses
171 Development of Data Capture Software for an Artificial Knee with Sensors and Telemetry
D. Low Back Pain
172 Minimal Effort Test for Patients in Pain Using the Back Analysis System
173 Back Exercise Prescription and Implementation by Surface Electromyographic Procedures
 
XI. Orthotics
174 Computer-Aided Design and Computer-Aided Manufacturing of Orthopedic Footwear
175 Clinical Trial of Footwear in Patients with Diabetes
176 Analysis and Optimization of Hybrid Systems for Walking Restoration of Paraplegic Patients
177 Medical Evaluation of 70 Paraplegics Using a Practical FES Walking Orthosis
178 Determination of the Effect of Range of Motion Changes in an Articulated Ankle Foot Orthosis on Lower Extremity Muscle Demands
179 Role of Orthotic Intervention in Resolution of Plantar Fasciitis
180 Orthotics for Myelomeningocele Patients, Teenage versus Childhood
181 Mobile Arm Supports for Children
182 Development of Lower Extremity Orthotics for Children with Myelomeningocele
183 Logic-Controlled Electromechanical Free-Knee Orthosis
184 Development of a Fully Adjustable Post Operative Hip Abduction Orthosis
 
XII. Psychological and Psychosocial Disorders
185 Rehabilitation Effects of Pay, Activity, and Support Intensity on Schizophrenia
186 Effects of Work Activity and Cognitive Rehabilitation on Schizophrenia: A Matching Study
 
XIII. Sensory, Cognitive, and Communication Aids
A. Hearing Impairment
187 Effects of Stimulus Variability and Lexical Difficulty on Speech Recognition
188 Is There an "Acclimatization Effect" with Hearing Aids?
189 Eustachian Tube and Middle-Ear Prosthesis Implants: Chronic-Ear Disease
190 Acclimatization in Monaurally Fitted Adults
191 Early Detection of Ototoxcity by High-Frequency Objective Evaluation
192 Development of an Automated Technique for Clinical Tinitus Evaluation
193 Early Detection of Hearing Loss Due to Ototoxic Agents by High-Frequency Auditory Evaluation
194 Investigation of Individualized High-Frequency Regions for Early Detection of Ototoxicity
195 Quantifying Auditory Perceptual Learning Post Hearing Aid Fitting
196 Frequency Selectivity Assessment: Implications for Auditory Rehabilitation
B. Speech Impairment
197 Problem-Solving Strategies of Brain-Injuried and Normal Subjects
198 Quantifying Spoken Language Handicap in Aphasia
C. Vision Impairment
199 Measuring Low Vision Reading Assessments Using a Scanning Laser Ophthalmoscope
200 Employment of Infra-Red Beacons as Guides for People with a Visual Disability
201 Evaluation of Central and Peripheral Vision Enhancement Devices for Driving
202 Microphotodiode Tiles as Prostheses for the Restoration of Visual Function
203 Factors Leading to Disuse of Low Vision Devices by Visually Impaired Elderly
 
XIV. Spinal Cord Injury and Related Neurological Disorders
A. General
204 Transport of NGFs+MIF-1 into Spinal Cord
205 Cause of Male Infertility after Spinal Cord Injury and Its Prevention: Effect on Spermatogenesis and Sertoli Cell Function
206 Cause of Male Infertility after Spinal Cord Injury and Its Prevention: Responses of Sertoli Cells to FSH and Testosterone
207 Consumer Perspectives of Mobility Function in Persons with Spinal CordInjuries: A Needs Assessment
208 Performance Capacity and Physical Strain in Subjects with a Spinal Cord Injury
209 Rehabilitation Research and Training Center on Aging with Spinal Cord Injury
210 Causes and Costs of Unplanned Rehospitalizations among Persons with Spinal Cord Injury
211 Natural History and Clinical Course of Urinary Tract Complications in Patients with Spinal Cord Dysfunction
212 Wheelchair Ergonomics and Chronic Pain Prevention
B. Treatment and Rehabilitation
213 Evaluation of Various Filtering Schemes in Whitening Biological Noise for Somatosensory-Evoked Potential Detection
214 Effects of Spinal Instrumentation
215 Static versus Dynamic FES Exercise and Heart Disease Risk Factors in SCI
216 Fracture Occurrence and Healing in Spinal Cord Injured Patients
217 Clinical Trial of Artificial Peripheral Nerve Graft
218 Functional Restoration of Grasp in Quadriplegia
219 Quantitative Study and Augmentation of Cough in Persons with Spinal Cord Injury
220 Acute Effects of SCI on Sperm Function
221 Electrical Control of Bladder and Bowel in Spinal Cord Injury Patients
222 Electrical Activation of the Diaphragm for Ventilatory Assist
223 Urinary Tract Infection Prophylaxis Using Bacterial Interference following Spinal Cord Injury
224 Quantitative Measurement of Upper Limb Spasticity: A Pilot Study
225 Facilitation of Optimal Outcomes of Persons with SCI through Assessment of Perceived Needs and Person-Technology Fit
226 Partial Weight Bearing in Walking Rehabilitation: Development of a Pratical Weight Supporting Device
227 Immune Responses to Pneumococcal Vaccine in Spinal Cord Injury
228 Obstetric/Gynecologic Complications in Women with Spinal Cord Injury
229 Longitudinal and Cross-Sectional Analysis of Well-Being in Persons wi th Spinal Cord Injury and Their Caregivers
230 Video and Other Instructional Tools for Education about Neurogenic Bo wel Dysfunction after Spinal Cord Injury
231 Neurogenic Bowel Dysfunction after Spinal Cord Injury: Medications and Techniques to Improve the Efficiency of Bowel Care
 
XV. Wheelchairs and Powered Vehicles
A. General
232 Manual Wheelchair User Upper Extremity Pain
233 Ergonomics of Manual Wheelchair Propulsion
234 Webbing Pretensioning Wheelchair Securement System
235 Evaluation of the Yamaha JWII Electric-Powered, Add-On Unit for Manual Wheelchairs
236 Power Wheelchair Comparison Study
237 Crash Study
238 Occupant Restraint System for Wheelchair Users
B. Powered Controllers
239 Design of a Motorized Prone Cart
C. Seating Systems
240 Effects of Cushion and Back Support on Wheelchair Ride Comfort
241 New Experiences for Young Children with Physical Disabilities: Developing New Products to Access Exisiting Recreation Technologies
242 Development of AquanautTM--An Adaptive Toiletting System for Young Children
243 Development of an Advanced Wheelchair Seating System
244 Better Anterior Pelvic Stabilizers for Children with Seating Problems
245 Development of TranSit SystemTM for Children with Seating Problems
246 Stresses in the Soft Tissue of the Human Buttocks in the Sitting Position
 
XVI. Wound and Fracture Healing
A. Pressure Sores
247 Comparison of Semi-Synthetic and Antologous Connection Tissue Grafts
248 Use of Tretinoin to Prevent Pressure Ulcers in Spinal Cord Injury Patients
249 Prevention of Recurrent Pressure Ulcers after Myocutaneous Flap
250 Use of Growth Factors in Pressure Ulcer Healing: Clinical Trials
251 Problem-Solving Skills Training in the Treatment of Pressure Ulcers
252 Improving Tissue Viability of Paralyzed Muscle Using Neuromuscular Electrical Stimulation
253 Computerized Technique for the Assessment of Alternating Pressure Relief Index
254 Characteristics of Intra-Tissue Stress and Strain: A Study Using a Heel-Cushion Finite Element Model
B. Fracture Healing
255 New Bioelectric Method for Early Diagnosis of Delayed Fracture Healing
256 Stimulation of Bone Healing Using Bone-Matrix-Related Biomaterials
257 In Vivo Study of the Incorporation of in Vitro Synthesized Bone
C. Other
258 Prospective Study of Plantar Foot Pressures and Diabetic Foot Ulcer Risk
 
XVII. Functional Outcomes
259 Outcome Assessment of the Rehabilitation of the Visually Impaired
260 Team Characteristics and Patient Outcomes on VA Rehabilitation Services
261 Study of VA Stroke Rehabilitation Services and Patient Outcomes
262 Toward Development of a System to Aid Orthopaedic Surgical Decision Making
 
XVIII. Miscellaneous
263 Physical Exercise Strength Training to Improve the Health of Dialysis Patients
264 Health Behaviours in School-Aged Children with Physical Disabilities
265 Adaptive Biological Signal Processing
266 Electrophysiological Behaviour of Postural Muscles during Prolonged Seated Tasks
267 Real-Time Implementation of a Non-Linear Adaptive Filter for Stimulus Measurements

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Last revised Thu 04/29/1999