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Last revised Thu 05/27/1999
Rehabilitation Research and Development Service
810 Vermont Avenue, N.W.
Washington, DC 20420
Mindy L. Aisen, MD, Director
The mission of the Rehabilitation Research and Development Service is to support an Intramural Research and Development Program for improving the quality of life of impaired and disabled veterans. This is accomplished by conducting a comprehensive program of research, development, and evaluation of existing and emerging rehabilitation technology (devices, techniques, and concepts of rehabilitation). This provides for rapid transfer of Rehabilitation R&D technology and dissemination of information into the VA medical care system, allowing for greater functional independence in the activities of daily living of disabled veterans and contributes to the nation's knowledge about diseases, disability, and rehabilitation.
Areas of special emphasis include aging, physical fitness, and psychosocial rehabilitation.
In areas of prosthetics, amputation, and orthotics, VA-sponsored researchers are continuing to test new materials and use computer technology such as CAD/CAM to develop a new generation of artificial limbs. For spinal cord injuries, the use of robotics continues to be studied, as does the possibility that computer-controlled electrical stimulation can be used to restore function to paralyzed limbs. Research projects in the area of sensory aids include the continuing development of advanced mobility aids for visually impaired people, digital hearing aids for those with hearing impairment, and various studies on treatment strategies and communication systems for aphasic individuals.
The Department of Veterans Affairs Rehabilitation Research and Development Service (Rehab R&D) sponsors a national program to review proposals submitted by researchers in the field of rehabilitation. The Rehabilitation Research and Development Service Scientific Merit Review Board and ad hoc members assess proposals for their scientific and technical merit, budgetary needs, and time requirements.
Center of Excellence in Geriatric Rehabilitation
Rehabilitation Research and Development Center, VA
Medical Center Atlanta, Decatur, GA 30033
Joseph G. Ouslander, MD, Director
The mission of the Atlanta VA Rehabilitation Research and Development Center is to improve the function, independence, and quality of life of veterans aging with disabilities and those acquiring disabilities as they age. The mission will be accomplished by research directed toward understanding the mechanisms underlying impairments and disabilities and applying this understanding to the design, testing, and evaluation of creative rehabilitative interventions.
The Center is organized into three primary research programs: a Sensory Program, an Environment and Behavioral Program, and an Exercise and Physical Performance Program. The Center has 10 active Merit Review projects and 8 active center core supported Developmental projects.
The Vision Research Program focuses on rehabilitation strategies associated with functional vision losses of aging veterans. Research addresses all forms of vision impairment, especially macular degeneration. The program staff are actively engaged in research on low vision, reading, mobility, orientation and wayfinding, technology development and evaluation of aids and devices, modeling, environmental sensor systems, and outcome measures for blind rehabilitation.
The Environment and Behavior Research Program conducts research on socially and behaviorally relevant aspects of physical environments, and their implications for the health, safety, independent functioning, and quality of life of older veterans aging with and into disability; the performance and satisfaction of caregivers; and care delivery. Physical environment is defined broadly to include spatial organization and characteristics, ambient conditions, and assistive and monitoring technologies. Program staff provide technical assistance to providers seeking to create environments that respond to user capabilities and support program activities.
The Exercise and Physical Performance Program conducts research on the effectiveness of exercise protocols designed for older individuals with impairments and disabilities, as well as on strategies to improve balance and reduce the risk of falls. Research projects include: testing a long-term exercise intervention for older veterans with chronic illness; the development of an expert system on exercise interventions for physicians' offices; and a training intervention to improve balance.
Core-supported developmental projects cut across the three primary research program areas. Currently active core-funded developmental projects include an examination of the use of outdoor space in long-term care settings, a pilot study of adaptive strategies used in transferring, a pilot study of the effects of blind rehabilitation on gait and balance, and an analysis of the material and structural properties of dynamic elastic response prosthetic feet.
The Center is in the process of developing strategies to respond to suggestions made during the first annual meetings of our Consumer Advisory Group and our National Advisory Group. Center of Excellence for Functional Electrical Stimulation
Center of Excellence for Functional Electrical Stimulation
A consortium of the Cleveland VA Medical Center, Case Western
Reserve University, MetroHealth Medical Center, and Edison
BioTechnology Center
P. Hunter Peckham, PhD, Director
The VA Functional Electrical Stimulation (FES) Center of Excellence is part of an internationally recognized consortium known as the Cleveland FES Center, which includes the Cleveland VA Medical Center, Case Western Reserve University, and Metro Health Medical Center. The mission of the FES Center is to develop technology that improves the quality of life of individuals with disabilities through the use of FES and to enable the transfer of this technology into clinical deployment.
The founding director of the Cleveland FES Center/VA Center of Excellence is P. Hunter Peckham, Ph.D., Professor of Biomedical Engineering and Orthopaedics at Case Western Reserve University (CWRU) and Director of the Rehabilitation Engineering Center in the Department of Orthopaedics of MetroHealth Medical Center (MHMC). Dr. Peckham received his BS in mechanical engineering from Clarkson College of Technology, Potsdam, NY, and the MS and PhD in biomedical engineering from CWRU. He serves as Associate Editor of the IEEE Transactions on Rehabilitation Engineering and, in 1996/1997, chaired the National Advisory Board to the National Center for Medical Rehabilitation Research of the National Institutes of Health.
Historically, loss of central nervous system function has been a major cause of disability among veterans and civilians, presenting substantial individual and family burdens as well as major economic consequences. While conventional rehabilitation maximizes the retained function of the disabled individual, few interventions increase control of the paralyzed or paretic functions. One technique that does enhance function is FES, and this technique has its roots in Cleveland, where many of its first accomplishments have been achieved. FES has made the transition from the bench to the bedside, with individuals using the technology to overcome paralysis and regain the ability to manipulate objects, stand, take steps, or control their bowel and bladder.
In 1991, the FES Center was founded in Cleveland to capitalize on this work, fostering a close relationship across institutions to integrate related projects and investigators and provide resources available uniquely through resources of each institution. Recent significant accomplishments of the Center include the FDA approval of a hand grasp system and commencement of clinical trials of an advanced bladder/bowel management system. Current continuing key areas of activity include clinical development of implantable command/control systems for bilateral hand grasp and implantable systems for transfer and mobility, as well as research activities in unassisted standing, upper arm control, and evaluation of FES therapies in the treatment of stroke-related impairments.
The consortium basis of the Center provides the core support for the program, the working framework for the 20 principal investigators, and various specialized laboratory facilities. Investigators are responsible for developing their own funding outside of the core funding provided by the VA. Personnel are affiliated with the Center through a number of mechanisms: full and part-time term appointments, joint appointments with the consortium partners, and interagency personnel agreements. This leads to a multi-institutional mechanism for conducting the objectives of the Center and for leveraging the grant resources that each of the member institutions has to provide.
In the past year, VA support for Center activities, including core funding and Rehab R&D Merit Review projects, totaled approximately $1.8 million. Center investigators, through the consortium partners and others, generated an additional $2.26 million from other government and private sources for a total budget of more than $4.1 million. The core funding resources are used primarily to support the infrastructure of the research consortium. Additional support is provided for assisting fellows and young investigators in establishing careers in the field and creating pathways for their own funding support. Core funding provided for about 25 individuals, for a total of approximately 12 FTE. When project funding for the entire consortium is included, about 70 individuals (approximately 50 FTE) were supported through FES Center programs.
Progress has been steady during the past year. The Center has carried out the clinical implementation of fully implanted systems for hand-arm control in two persons with C5/6 SCI, demonstrating the first implementation of a neuroprosthesis incorporating both the stimulator and control sensor. We have implanted systems for standing-transfer and stepping for three persons with incomplete tetraplegia for transfer assist and two persons with paraplegia for walking. We have implemented percutaneous stimulation systems in stroke survivors to either reduce shoulder subluxation/pain, improve gait, or improve hand function. Research has progressed to investigate use of FES of lumbo-sacral nerves to control urination and defecation in persons with SCI within a VA multi-center framework. Instrumentation development has continued, including a smaller, portable external control unit, primarily for use in lower extremity mobility studies and an implantable stimulator/telemeter that has electromyographic recording capabilities.
Education and outreach activities have been expanded. Workshop programs on FES were presented by Center faculty at three major national meetings: the American Academy of Physical Medicine and Rehabilitation, the American Spinal Injury Association, and the Rehabilitation Engineering and Assistive Technology Society. Since 1997, Center investigators and staff have published 42 peer-reviewed articles and book chapters, with an additional 24 in press. They gave numerous presentations at national and international meetings, many by invitation of the organizers. The Center's work was covered in the lay press in more than 70 print articles and more than 151 broadcast presentations.
Since 1989, the FES Center has disseminated research information through the FES Information Center, responding to about 7,000 inquiries from individuals around the world interested in how FES can help people with disabilities. In the past year, nearly 1,000 inquiries were processed. Information Center publications include the FES Update newsletter (circulation 9,000) and the FES Resource Guide, a 200-page sourcebook for individuals with SCI or multiple sclerosis. Information about the Center is available at our website (http://feswww.fes.cwru.edu), featuring a staff directory, project descriptions, our FES Update newsletter and selected bibliographies.
National Center of Excellence on Healthy Aging with Disabilities
Rehabilitation Research and Development Service,
Houston VA Medical Center
Arthur M. Sherwood, PE, PhD, Scientific Director
The Center's mission is to conduct interdisciplinary research leading to creation of model programs for the care of aging veterans with disabilities. A primary focus will be the identification and elimination of factors promoting "accelerated aging" in disabled individuals. The Center seeks to design, implement, and evaluate programs for the prevention of disability-induced complications that limit the autonomy or quality of life of the aging veteran population. Through a wholistic framework, the Center integrates physical, mental, social and spiritual dimensions to develop strategies to eliminate preventable secondary problems and reduce risks of other disability-related conditions.
An author of more than 45 scientific papers, 18 book chapters, and 106 abstracts of presentations, Arthur M. Sherwood, PE, PhD, is a biomedical engineer who has worked in the area of assessment of motor and sensory function through use of surface EMG and evoked potentials for more than a quarter century. His work in recent years has focused upon the development of surface EMG techniques for quantitative assessment of motor control problems in severe spinal cord injury (SCI), including tracing residual motor control in paralysis and studies of spasticity.
The Houston Center began operations in October 1997. Building upon a base of strong rehabilitation and geriatrics research in Houston, the Center currently has 21 faculty and staff with full- or part-time appointments in the Center, for a total of about 7.5 FTEs. Active recruitment of faculty and staff continue, and are anticipated to add 3 FTEs in the near future. In the first year, seven projects were approved and funded. Our focus is on collaborative, interdisciplinary research toward new clinical interventions to decrease the number of secondary complications in aging disabled veterans. Education programs aimed at the consumer, family caregiver, and general public are intended to convey strategies leading to more healthful lifestyles, increased independence, and a consequent increased quality of life for those veterans.
The Center's investigators have a broad array of expertise and research interests, including fitness, nutrition, sexual function and mobility, and motor control. Center investigators are affiliated with area academic institutions, including Baylor College of Medicine, the University of Texas Houston Health Science Center, the University of Houston and Texas Woman's University. Serving their studies are motor and sensory laboratories, prosthetics shops, and a variety of biological laboratories. These laboratories were substantially enhanced through the addition of more than a half-million dollars of new equipment.
We are developing a database to capture information from veterans seen through the clinics and admitted to the services for inpatient care. This database will have two basic components: 1) a registry of all persons over 50 years of age with disabling conditions, 2) a sample database containing detailed information on a sample of persons over 50 years of age. By collecting basic demographic, social, medical and disability data on every person seen by the three services in the Center, we shall be better able to identify specific areas for further research and to provide subject information for research studies developed by the Center. Pilot testing of the database for SCI and stroke subjects is underway.
Funded research projects include work on improved crutch design, which is in process of initial clinical trials; an educational project for stroke caregivers which is underway, currently involving five families, and has also has been submitted for NIH funding; a study of the role of psychopathology in COPD, which resulted in an award for outstanding resident's presentation; sexual function after stroke, scheduled for patient enrollment in the near future; assessment of exercise levels in SCI, delayed due to unavailability of doubly-labeled water; nutrition and clinical status of veterans in long-term care, currently analyzing pilot data and enrolling subjects; and supported treadmill ambulation training, with a feasibility study completed; an NIH proposal submitted and Merit Review proposal in preparation.
FY'98 funding for research and educational activities to the Houston Center Core was $541,498; to Center faculty, staff and investigators through the Houston VAMC (exclusive of Center Core funds), $990,000; and an additional $895,000 funding from other (non-institutional) sources.
Center of Excellence on Mobility
Rehabilitation Research and Development Service,
VA Palo Alto Health Care System
Rehabilitation R&D Center
Felix E. Zajac, PhD, Director
Charles G. Burgar, MD, Medical Director
The VA Palo Alto Rehabilitation Research and Development Center of Excellence on Mobility is dedicated to developing innovative clinical treatments and assistive devices for physically disabled veterans.
Established in 1978, the Center is part of a long-standing commitment by the Department of Veterans Affairs (VA) to support rehabilitation research and development. Results from this research and development have led to unique methodologies and devices that have benefited both veterans with disabilities, the VA clinicians who serve them, and the rehabilitation community at-large.
The focus of the Center's research is to improve ambulation and manipulation in persons with neurologic or orthopaedic impairments. Stroke, spinal cord injury, arthritis, and osteoporosis are four conditions that cause significant loss of mobility.
Believing that successful rehabilitation strategies are grounded in a firm scientific understanding of the underlying impairment, research at the Center includes basic experimental and theoretical investigations of tissue properties and muscular coordination. This foundation leads to development, testing, and clinical assessment of specific assistive devices and therapeutic techniques. By integrating medicine, engineering, and related scientific disciplines, the Center fosters a cross-fertilization of ideas and methods. This, in turn, promotes the formation of cohesive, interdisciplinary research teams capable of accomplishing such a "bench to bedside" process.
Dedicated investigators and support personnel work together to achieve the Center's mission. The Center's affiliation with the Stanford University Schools of Engineering and Medicine provides a fertile intellectual and academic atmosphere, and fosters many professional collaborations and student interactions.
Physical resources housed within the Center's 19,000 square-foot building include laboratories for research of motor control, experimental mechanics and skeletal biomechanics; prototyping facilities to design and fabricate research models; and an extensive computer facility. Other laboratories are located within the VA Palo Alto facility and at Stanford University.
The Center receives an annual Core budget allocation from VA Rehabilitation Research and Development Service Headquarters, and Center investigators augment with funds from VA and non-VA peer reviewed projects.
Researchers in the Center's NeuroMuscular Systems section seek to develop techniques that will enable persons with neurologic impairments, particularly stroke and spinal cord injury, to regain the use of their limbs. These investigators employ a variety of experimental and computer modeling techniques to study coordination in healthy individuals and impaired coordination in individuals who have suffered stroke. The results are used to develop more effective rehabilitation therapies for restoring lost function after stroke. Our SCI research is directed toward maintaining the health of bone and soft tissue in the affected areas, improving the functional outcomes of surgical interventions, and developing assistive devices to enable persons with spinal cord injuries to work and to perform activities of daily living.
As individuals live longer, orthopaedic impairments are expected to have a serious impact on the quality of life in the elderly. Two of the most common skeletal diseases in the elderly are arthritis and osteoporosis. These diseases and their effect on the quality of life of veterans, motivate much of the research performed by the Center's MusculoSkeletal Systems section. Investigators' efforts target the development of new strategies and techniques for disease diagnosis, treatment and, ultimately, prevention. Computer modeling, laboratory studies, animal and clinical studies play significant roles in this group's research of osteo-, rheumatoid, and traumatic arthritis. Efforts include the identification of new design concepts for longer lasting joint replacements, cartilage repair and regeneration, and the development and evaluation of arthritis therapy devices and protocols. Investigators also perform research to gain a better understanding of the development and function of the musculoskeletal system in the non-diseased state. This understanding guides the subsequent development of new approaches, procedures, therapies, and devices to treat those at risk for or suffering from osteoporosis.
Portland RR&D Center for Rehabilitative Auditory Research
Portland VA Rehabilitation Research and Development
Center
Stephen A. Fausti, PhD, Director and Associate Chief of Staff
The VA RR&D National Center for Rehabilitative Auditory Research (NCRAR) began operations in October 1997. The NCRAR is working to alleviate the communicative, social, and economic problems resulting from auditory system impairment by focusing on: fundamental and clinical research and rehabilitation; the development of technological advances in the diagnosis, assessment, and treatment of hearing disorders; training of new investigators; and the dissemination of results useful to clinicians who assess and treat veterans with hearing loss and tinnitus.
Dr. Stephen Fausti, the Center's Director, has extensive experience as a clinician, academician, and researcher. He has been Chief of Audiology at the Portland VA Medical Center (PVAMC) for the past 27 years, and is Professor of Audiology in the Department of Otolaryngology of Oregon Health Sciences University (OHSU), and Adjunct Professor of Audiology at Portland State University (PSU). He has received continuous VA Merit Review funding to conduct research since 1977.
Dr. Fausti and his staff produced the first papers describing the validity and reliability of high-frequency (>8000 Hz) hearing thresholds and subsequently the efficacy of high-frequency audiometry to monitor hearing for early detection of ototoxicity. Data from these studies formed the basis of the national guidelines for ototoxicity monitoring published by the American Speech-Language-Hearing Association. More recently, his program has utilized the auditory brainstem response (ABR) to objectively measure high-frequency auditory function in patients who cannot provide reliable results to behavioral evaluation methods. In the area of tinnitus, his work, in collaboration with Jim Henry, Ph.D., has led to the development of an automated tinnitus evaluation system, which obtains reliable measures of hearing thresholds, tinnitus pitch, and tinnitus loudness.
Many other investigators are now working for the Center with the overall goals of providing rehabilitation for veterans with hearing loss and efficacious treatment of tinnitus. Both hearing loss and tinnitus are especially prevalent disorders among veterans because of their history of noise exposure compounded by aging, and are the focus of current and future research efforts.
During the first year of the Center's operation, the basic infrastructure was developed to support the four divisions of the Center, which include: administration, research, education and information dissemination, and technology transfer. The Center has been successful in establishing working relationships with investigators, both locally and nationally, having expertise in audiology research. Collaboration has also been implemented with several Portland VAMC Clinical Care Directors from the areas of diabetology, neurology and neurosurgery, oncology, and otolaryngology whose research interests compliment the Centers objectives.
The NCRAR has also formed a national committee of prominent scientists to advise on broad issues and strategic directions. A specific effort has been directed toward creating public awareness about the Center's existence and its objectives. The NCRAR began co-sponsorship of a quarterly seminar series entitled "Hearing Tonight," with the purpose of educating veterans and the community about preventive measures and coping strategies related to hearing impairment. The Honorable Mark O. Hatfield, former United States Senator who himself is hearing impaired, was the first speaker. The Center also established an internet website (www.ncrar.org) as a means of providing outreach to veterans and their families as well as serving as a VA national resource to disseminate information.
During its first year, the Center broadcast the first of several scheduled video-teleconferences designed to educate audiologists at distant VA sites. In August, the Portland VAMC and NCRAR commemorated the One-Year Anniversary of the Center with an Open House. During the ensuing month, the Portland VAMC and NCRAR hosted the Center's One-Year Implementation Site Visit by the Review Team from VA RR&D Central Office. In October the Center presented four research posters and its display unit at the First Annual RR&D Conference in Washington, DC.
The NCRAR has academic affiliations with universities in Oregon, including PSU, the University of Oregon, and OHSU. OHSU is connected to the Portland VAMC via a sky bridge, and OHSU affiliates include the Departments of Neurology and Otolaryngology and the Oregon Hearing Research Center (OHRC). The NCRAR also supports auditory research projects being conducted at VA Medical Centers at West Los Angeles, CA, Nashville, TN, and Albuquerque, NM, as well as the Lexington Center for the Deaf in New York. Collaborative efforts are also maintained with the American Tinnitus Association (ATA), whose Central Office is located in Portland, Oregon.
Grant support for FY98 consisted of $1,208,246 in direct funding from the VA (both Medical and Rehabilitation R&D) and the NIDCD, as well as a separate award from VA RR&D Service of $694,000 for equipment needs. Affiliates receiving support from the NCRAR commanded significantly more funding from other sources including the National Institute of Health (NIH) and the ATA.
Center publications include a quarterly newsletter, write-ups in the PVAMC "Crossings" circular and the "Oregon Legionnaire". In addition to local, regional, and national presentations and courses conducted at meetings of various professional associations, Center researchers and affiliates had more than 35 publications in peer-reviewed journals and book chapters during the past year.
Dr. Fausti's experience and network of collaborative investigators has made Portland a desirable and dynamic location to develop a National VA Center of Excellence in Rehabilitative Auditory Research.VA Rehab R&D Center of Excellence for Amputation, Prosthetics, Limb Loss Prevention
Research and Development Center for Amputation, Prosthetics, Limb Loss Prevention
VA Puget Sound Health Center, Seattle, WA
Bruce J. Sangeorzan, MD, Director
The VA Rehab R&D Center of Excellence for Amputation, Prosthetics, and Limb Loss Prevention was developed to initiate and support collaborative research studies at the VA, Prosthetics Research Study (PRS), and the University of Washington (UW) Departments of Orthopaedics, Rehabilitation Medicine, and Engineering. The overall goals are: 1) To establish a community of clinical and basic scientists to pursue research objectives in the area of prosthetics and amputation, seeking ways to improve the possibility of preservation of the lower limb and its function. 2) To create an effective program for prevention of limb loss by developing a better basic understanding of the deformities that lead to ulceration, the role of prophylactic correction of deformity, and the role of protective footwear. 3) To improve prosthetic design by comparing suspension systems, measuring the effect of impact-absorbing prosthetic shanks in transtibial prostheses and investigations into the development of a powered prostheses. 4) To develop more effective outcome tools to assess the benefits of limb salvage versus amputation, and the quality of life of the person with amputation.
Core Investigators have been established: David Boone, CP, MPH, is the Director of PRS; Allan Tencer, PhD, a Professor in the Department of Orthopaedics at UW, is the Director of the Harborview Medical Center Biomechanics Lab; Randal Ching, PhD, is an Assistant Professor in the Department of Orthopaedics at UW; Gayle Rieber, PhD, MPH, is an Associate Professor, VA HS R&D and in the Department of Epidemiology at UW. The Center office, located at the Seattle VA Medical Center, opened March 1998.
The following projects are currently being funded by the Center:
Amputation Prevention: Effect of Custom Orthotics on Hindfoot Kinematics of the Foot and Forefoot Pressure Distribution (McCormack, Tencer, Boone, Matthews, Sangeorzan). Data from flatfoot specimen will be used to determine if the constraint provided by orthotics alters kinematics of hindfoot to understand potential cause of foot ulcers. Equinus Contracture Measurement in Diabetic Foot Ulcer Patients (Weaver, Price, Czerniecki, Sangeorzan). Diabetic patients are sampled to determine the relationship between equinus contracture and healing rate of foot ulcers. 3D Geometry and Plantar Pressure in Adult Foot Deformity (Camacho, Ching, Sangeorzan). A sophisticated computer graphic foot model is being developed to further understand the mechanisms causing foot deformity.
Prosthetic Design: Development of Powered Prosthetic Lower Limb (Klute, Hannaford, Czerniecki). Actuators with muscle-like performance will be incorporated into a transtibial prosthetic limb. Silicone Suspension Liner/Socket vs. Conventional Socket with Pelite Liner (Coleman, Beck, Boone, Matthews, Czerniecki). Comparison of suspension systems using step activity monitor and questionnaire to quantify prosthetic treatment. Effect of Vertical Impact Absorbing Pylon on Amputee Function (Tencer, Boone, Czerniecki). In vivo, metabolic and bench testing will be performed to determine functional effects of a force-absorbing pylon in commercially used prosthetics.
Outcomes: Outcomes Assessment of Amputation vs. Vascular Bypass Surgery in Diabetes (Mayfield, Caps, Reiber, Sangeorzan, Czerniecki). VA hospital data is analyzed retrospectively to assess the short- and long-term outcomes of interventions for vascular disease of the lower extremity. Quality of Life: Issues of Interest to Lower Limb Amputees (Legro, Reiber, Sangeorzan, Czerniecki). A secondary data analysis addresses quality-of-life issues for VA and HMC patients. Biomechanical Risk Factors and their Relationship to Low Back Pain Post AKA (Czerniecki). This pilot study explores low back pain in persons with transhumeral amputations.
The broad-based, patient-directed focus of the Center is structured to address major questions in care and treatment of persons with amputation; amputation prevention, surgical decision making, selection of the appropriate prosthesis, design of prosthetic devices, and the assessment of the functional outcome and quality of life issues.
The following VA Medical Centers have reported
projects sponsored fully or in part by the Department of
Veterans Affairs Rehabilitation and Development
Service. (Note: VA Centers are listed alphabetically
by state.)
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Birmingham VA Medical Center 700 South 19th St. Birmingham, AL 35233 |
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| Number | |
|---|---|
| New Technique for Improving Rehabilitation of Movement after Stroke | 109 |
| Effects of Spinal Instrumentation | 214 |
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West Los Angeles VA Medical Center Brentwood Division Wilshire and Sawtelle Blvd. West Los Angeles, CA 90073 |
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| Number | |
| FES on Spinal Cord Injured Patients: Effects on Muscle Blood Flow and Metabolism | 86 |
| Effects of Stimulus Variability and Lexical Difficulty on Speech Recognition | 187 |
| Physical Exercise Strength Training to Improve the Health of Dialysis Patients | 263 |
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Long Beach VA Medical Center 5901 E. Seventh St. Long Beach, CA 90822 |
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| Number | |
| Gait Mechanics of the Partial Foot Amputee | 18 |
| Effect of the Bankart Lesion on Anterior Joint Stability with Simulated Glenohumeral Muscle Forces | 38 |
| Biomechanics of the Patellofemoral Joint and Peripatellar Retinaculum | 39 |
| Fading-In of Right Hemispatial Information in the Treatment of Unilateral Neglect | 110 |
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Palo Alto VA Medical Center 3801 Miranda Ave. Palo Alto, CA 94304 |
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| Number | |
| Mechanical Regulation of Peri-Prosthetic Tissue Differentiation | 40 |
| Mechanical Loading Effects on Cartilage Repair and Regeneration | 41 |
| Differential Pressure Walking Assistance | 52 |
| Video-Based Functional Performance Assessment and Training Tool | 62 |
| Reliability and Validity of Accelerometric Gait and Balance Diagnosis | 93 |
| Advanced Accelerometric Motion Analysis System (Design/Development) | 94 |
| Improving Stepping-Over Responses in the Elderly Using Simulated Objects | 95 |
| Graded Weight-Bearing Exercise for Improved Ambulation after Stroke | 111 |
| Mechanically Assisted Upper Limb Movement for Assessment and Therapy | 112 |
| Development of an Assistive Robot for Effective Health Care Delivery | 122 |
| Static versus Dynamic FES Exercise and Heart Disease Risk Factors in SCI | 215 |
| Fracture Occurrence and Healing in Spinal Cord Injured Patients | 216 |
| Clinical Trial of Artificial Peripheral Nerve Graft | 217 |
| Functional Restoration of Grasp in Quadriplegia | 218 |
| Comparison of Semi-Synthetic and Antologous Connection Tissue Grafts | 247 |
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San Diego VA Medical Center 3350 La Jolla Village Dr. San Diego, CA 92161 |
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| Number | |
| Anatomical Basis of Osseoperception | 42 |
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Denver VA Medical Center 1055 Clemont St. Denver, CO 80220 |
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| Number | |
| Improved Bone Cement Fatigue Resistance Via Controlled Strength Interfaces | 163 |
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West Haven VA Medical Center 950 Campbell Ave. West Haven, CT 06516 |
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| Number | |
| Rehabilitation Effects of Pay, Activity, and Support Intensity on Schizophrenia | 185 |
| Effects of Work Activity and Cognitive Rehabilitation on Schizophrenia: A Matching Study | 186 |
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Miami VA Medical Center 1201 Northwest 16th St. Miami, FL 33125 |
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| Number | |
| Disuse-Induced Articular Cartilage Atrophy, Over-Exercise and Arthritis | 164 |
| |
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Atlanta VA Medical Center 1670 Clairmont Rd. Decatur, GA 30033 |
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| Number | |
| Effect of Hydrostatic Pressure on Intervertebral Disc Metabolism | 43 |
| Long-Term Strength Training and Functional Status in Older Adults | 96 |
| Restricted Useful Field of View as a Risk Factor for Falls in Older Adults | 97 |
| Behavioral and Functional Problems in Dementia Patients with Sensory Loss | 98 |
| Exercise Program Designs for Older Adults | 107 |
| Measuring Low Vision Reading Assessments Using a Scanning Laser Ophthalmoscope | 199 |
| Employment of Infra-Red Beacons as Guides for People with a Visual Disability | 200 |
| Outcome Assessment of the Rehabilitation of the Visually Impaired | 259 |
| Team Characteristics and Patient Outcomes on VA Rehabilitation Services | 260 |
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Chicago VA Medical Center (Lakeside) 333 E. Huron St. Chicago, IL 60611 |
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| Number | |
| Generalized EPP Position Controller for Electric-Powered Upper-Limb Prostheses | 5 |
| Development of an Externally Powered Prosthetic Hand for Persons with Partial Hand Amputations | 13 |
| Study to Determine the Biomechanical Effects of Shock-Absorbing Pylons | 19 |
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Chicago VA Medical Center (West Side) 820 S. Damen Ave. Chicago, IL 60612 |
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| Number | |
| Evaluation of Central and Peripheral Vision Enhancement Devices for Driving | 201 |
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Edward Hines Jr. VA Hospital 5th Ave. and Roosevelt Rd. Hines, IL 60141 |
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| Number | |
| Noninvasive Recordings of Bladder Pressure in Elderly Males | 99 |
| Polestriding Exercise and Vitamin E for Management of Claudication Pain | 162 |
| Microphotodiode Tiles as Prostheses for the Restoration of Visual Function | 202 |
| Quantitative Study and Augmentation of Cough in Persons with Spinal Cord Injury | 219 |
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Richard L. Roudebush VA Medical Center 1481 W. 10th St. Indianapolis, IN 46202 |
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| Number | |
| Is There an "Acclimatization Effect" with Hearing Aids? | 188 |
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New Orleans VA Medical Center 1601 Perdido St. New Orleans, LA 70146 |
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| Number | |
| Transport of NGFs+MIF-1 into Spinal Cord | 204 |
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VA Outpatient Clinic 21 Causeway St. Boston, MA 02114 |
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| Number | |
| Elevated Postural Muscle Activity in Elders and Its Effect on Quiet-Standing Dynamics | 100 |
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Brockton/West Roxbury VA Medical Center 940 Belmont St. Brockton, MA 02401 |
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| Number | |
| Optimized Surface Bonding and Stiffness of Femoral Endoprostheses | 28 |
| Fracture Prediction for Femurs with Wear Particle-Induced Osteolytic Lesionswith Joint Replacement Prosthesis | 29 |
| Modification of Polyethylene to Improve the Wear Performance of Joint Replacement Prostheses | 170 |
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Baltimore VA Medical Center 10 N. Greene St. Baltimore, MD 21201 |
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| Number | |
| Wheelchair Propulsion Performance in Young, Middle-Aged, and Elderly | 58 |
| Physical Performance Measures for Young, Middle-Aged, and Elderly Manual Wheelchair Users | 59 |
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Ann Arbor VA Medical Center 2215 Fuller Rd. Ann Arbor, MI 48105 |
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| Number | |
| Factors Contributing to Older Adult Disability in Rising from a Bed and from the Floor | 101 |
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Detroit VA Medical Center 4646 John R Detroit, MI 48201 |
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| Number | |
| Biological Responses in the Pathogenesis of Aseptic Loosening | 165 |
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Kansas City VA Medical Center 4801 Linwood Blvd. Kansas City, MO 64128 |
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| Number | |
| Characterizing Measures of Stroke Rehabilitation Outcomes | 63 |
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Durham VA Medical Center 508 Fulton St. Durham, NC 27705 |
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| Number | |
| Study of VA Stroke Rehabilitation Services and Patient Outcomes | 261 |
| |
|
|
Salisbury VA Medical Center 1601 Brenner Ave. Salisbury, NC 28144 |
|
| Number | |
| Factors Leading to Disuse of Low Vision Devices by Visually Impaired Elderly | 203 |
| |
|
|
Omaha VA Medical Center 4101 Woolworth Ave. Omaha, NE 68105 |
|
| Number | |
| New Strategy for Improved Outcome in Occult Periprosthetic Musculoskeletal Infection | 1 |
| New Bioelectric Method for Early Diagnosis of Delayed Fracture Healing | 255 |
| Stimulation of Bone Healing Using Bone-Matrix-Related Biomaterials | 256 |
| |
|
|
East Orange VA Medical Center 385 Tremont Ave. East Orange, NJ 07018 |
|
| Number | |
| Eustachian Tube and Middle-Ear Prosthesis Implants: Chronic-Ear Disease | 189 |
| Acclimatization in Monaurally Fitted Adults | 190 |
| Cause of Male Infertility after Spinal Cord Injury and Its Prevention: Effect on Spermatogenesis and Sertoli Cell Function | 205 |
| Cause of Male Infertility after Spinal Cord Injury and Its Prevention: Responses of Sertoli Cells to FSH and Testosterone | 206 |
| Acute Effects of SCI on Sperm Function | 220 |
| |
|
|
Albuquerque VA Medical Center 2100 Ridgecrest Dr., SE Albuquerque, NM 87108 |
|
| Number | |
| Effect of Exercise Training on Hemoglobin A1c's of Type II Diabetics in Supervised vs. Home Exercise Programs | 151 |
| |
|
|
Neuromuscular Research Center 44 Cummington St. 5th floor Boston, MA 02215 |
|
| Number | |
| Preventing Slips and Falls in the Elderly: Effects of Simple Biomechanical Interventions | 102 |
| Effects of Aging on Motor Unit Firing Behavior | 152 |
| Minimal Effort Test for Patients in Pain Using the Back Analysis System | 172 |
| Back Exercise Prescription and Implementation by Surface Electromyographic Procedures | 173 |
| |
|
|
New York VA Medical Center 423 E. 23rd St. New York, NY 10010 |
|
| Number | |
| Developmental Enhancement and Application of the VA-Cyberware Prosthetics-Orthotics Optical Laser Digitizer | 20 |
| Clinical Testing of the Enhanced VA-Cyberware BK Prosthetics Optical Digitizer | 31 |
| Evaluation of Prosthetics Hand-Held Digitization and Virtual Casting Systems | 32 |
| Computer-Aided Design and Computer-Aided Manufacturing of Orthopedic Footwear | 174 |
| |
|
|
Syracuse VA Medical Center 800 Irving Ave. Syracuse, NY 13210 |
|
| Number | |
| Cortical Contributions to the Recovery of Motor Function | 113 |
| |
|
|
Cleveland VA Medical Center 10701 East Blvd. Cleveland, OH 44106 |
|
| Number | |
| Restoration of Forearm and Elbow Functions by FNS | 79 |
| Functional Neuromuscular Systems for Upper Extremity Control | 80 |
| Restoration of Gait for Acute Stroke Patients Using FES | 87 |
| FES Mobility in Paraplegia: RF-Controlled Implanted System | 88 |
| Electrical Control of Bladder and Bowel in Spinal Cord Injury Patients | 221 |
| Electrical Activation of the Diaphragm for Ventilatory Assist | 222 |
| |
|
|
Dayton VA Medical Center 4100 West 3rd St. Dayton, OH 45428 |
|
| Number | |
| Sweat Response in MS Patients during Exercise: A Pilot Study | 153 |
| |
|
|
Portland VA Medical Center 3710 Southwest U.S. Veterans Hospital Rd. Portland, OR 97207 |
|
| Early Detection of Ototoxcity by High-Frequency Objective Evaluation | 191 |
| Development of an Automated Technique for Clinical Tinitus Evaluation | 192 |
| Early Detection of Hearing Loss Due to Ototoxic Agents by High-Frequency Auditory Evaluation | 193 |
| Investigation of Individualized High-Frequency Regions for Early Detection of Ototoxicity | 194 |
| Problem-Solving Strategies of Brain-Injuried and Normal Subjects | 197 |
| |
|
|
Philadelphia VA Medical Center University and Woodland Aves. Philadelphia, PA 19104 |
|
| Number | |
| In Vivo Study of the Incorporation of in Vitro Synthesized Bone | 257 |
| |
|
|
Pittsburgh VA Medical Center (Highland Dr.) Highland Drive Pittsburgh, PA 15206-1297 |
|
| Number | |
| Efficacy of Ankle Orthoses in Preventing Falls in Elderly | 53 |
| Development of an Assistive Memory Device for Patients with Severe Amnesia | 123 |
| Quantifying Spoken Language Handicap in Aphasia | 198 |
| Manual Wheelchair User Upper Extremity Pain | 232 |
| Effects of Cushion and Back Support on Wheelchair Ride Comfort | 240 |
| |
|
|
Pittsburgh VA Medical Center (University Dr. ) University Drive C Pittsburgh, PA 15240 |
|
| Number | |
| Quantifying Auditory Perceptual Learning Post Hearing Aid Fitting | 195 |
| |
|
|
Ralph A. Johnson VA Medical Center 109 Bee St. Charleston, SC 29403-5799 |
|
| Number | |
| Fatigue Strength of Composite Femoral Components for Hip Arthroplasty | 168 |
| |
|
|
Nashville VA Medical Center 1310 24th Ave., South Nashville, TN 37212-2637 |
|
| Number | |
| Cultural Influence on Aphasia in African-Americans | 114 |
| Sensitivity and Specificity of a Clinical Examination of Swallowing | 154 |
| |
|
|
Houston VA Medical Center 2002 Holcombe Blvd. Houston, TX 77030-4298 |
|
| Number | |
| Establishing Standards of Care: Upper Limb Prosthetic Services | 6 |
| Urinary Tract Infection Prophylaxis Using Bacterial Interference following Spinal Cord Injury | 223 |
| Use of Tretinoin to Prevent Pressure Ulcers in Spinal Cord Injury Patients | 248 |
| Prevention of Recurrent Pressure Ulcers after Myocutaneous Flap | 249 |
| |
|
|
Audie L. Murphy Memorial Veterans Hospital 7400 Merton Minter Blvd. San Antonio, TX 78284 |
|
| Number | |
| Long-Term Evaluation of Maxillary Sinus Bone Grafts with Dental Implants | 103 |
| |
|
|
Seattle VA Medical Center 1660 South Columbian Way Seattle, WA 98108 |
|
| Number | |
| Investigation of Dynamic Prosthetic Function: Amputee Preference for Prosthesis Flexibility | 21 |
| Biomechanics of Foot Deformities and Alternatives for Surgical Correction | 44 |
| Clinical Trial of Footwear in Patients with Diabetes | 175 |
| Quantitative Measurement of Upper Limb Spasticity: A Pilot Study | 224 |
| Prospective Study of Plantar Foot Pressures and Diabetic Foot Ulcer Risk | 258 |
| |
|
|
William S. Middleton Memorial Veterans Hospital 2500 Overlook Terrace Madison, WI 53705 |
|
| Number | |
| Development of Quality of Life Measures for Use in Dysphagia | 64 |
| |
|
|
Clement J. Zablocki VA Medical Center 5000 West National Ave. Milwaukee, WI 53295 |
|
| Number | |
| Design of a Motorized Prone Cart | 239 |
| |
|
|
Huntington VA Medical Center 1540 Spring Valley Dr. Huntington, WV 25704 |
|
| Number | |
| Frequency Selectivity Assessment: Implications for Auditory Rehabilitation | 196 |
| |
|
|
Center for Excellence in FES 11000Cedar Avenue, Suite 230 Cleveland, OH 44106-3052 |
|
| Number | |
| Efficacy of Neuromuscular Stimulation in Enhancing the Upper Extremity Motor and Functional Recovery of Acute Stroke Survivors | 66 |
| Electrostimulation for Stroke Rehabilitation: Mechanisms and Effect | 68 |
| Feasibility of a Neuroprosthesis in High Tetraplegia: Denervation and Electrical Excitability of Upper Limb Muscles | 69 |
| Muscular Factors Preventing Inferior Subluxation of the Shoulder in Hemiplegia | 70 |
| Microstimulation of the Lumbosacral Spinal Cord: Mapping | 71 |
| EMG-Controlled Stimulator for Stroke Rehabilitation | 72 |
| Myoelectric Control for a Neuroprosthetic Device | 73 |
| Restoration of Shoulder Movement in C5 Tetraplegia | 82 |
| Percutaneous Neuromuscular Stimulation for the Treatment of Shoulder Subluxation in Hemiplegia | 83 |
| Feasibility of Restoring Upper Extremity Function in C3-C4 Tetraplegia | 85 |
| Consumer Perspectives of Mobility Function in Persons with Spinal CordInjuries: A Needs Assessment | 207 |
| |
|
|
Rehab R&D Center for Excellence in Amputation, Prosthetics, and Limb Loss Prevention VA Puget Sound Health Care System 1660 S. Columbian Way, MS 151 Seattle, WA 98108 |
|
| Number | |
| Development of a Powered Prosthetic Lower Limb | 33 |
| Effect of Custom Orthosis on Hindfoot Kinematics and Forefoot Pressure Distribution | 34 |
| Ankle Range of Motion as a Determinant of Plantar Pressure Distribution in Ambulatory Diabetics | 45 |
| |
|
| Part B: Non-VA Sponsoring Organizations | |
| |
|
|
Am. Assoc. of SCI Psychologists & Social Workers 75-20 Astoria Blvd. Jackson Heights, NY 11370-1178 |
|
| Number | |
| Facilitation of Optimal Outcomes of Persons with SCI through Assessment of Perceived Needs and Person-Technology Fit | 225 |
| |
|
|
American Paraplegia Society c/o Eastern Paralyzed Veterans Association 432 Park Avenue South New York, NY 10016 |
|
| Number | |
| Partial Weight Bearing in Walking Rehabilitation: Development of a Pratical Weight Supporting Device | 226 |
| |
|
|
Bell Mobility 2920 Matheson Boulevard, East Mississauga, Ontario Canada L4W 5J4 Web: http://www.bellmobility.ca |
|
| Number | |
| Personal Portable Communications through Cellular Telephone Interfaces | 125 |
| |
|
|
Bloorview MacMillan Centre 350 Rumsey Road Toronto Ontario M4G 1R8 Canada |
|
| Number | |
| Paediatric Above-Knee Endoskeletal Running Prosthesis | 22 |
| Creation of a Single Switch Interface to a MIDI Keyboard | 124 |
| |
|
|
Bloorview Children's Hospital Foundation 350 Rumsey Road Toronto, M4G 1R8 Ontario Canada |
|
| Number | |
| Musical Instrument Digital Interface for Children with Physical Disabilities | 117 |
| Creation of a Single Switch Interface to a MIDI Keyboard | 124 |
| Personal Portable Communications through Cellular Telephone Interfaces | 125 |
| |
|
|
Boston University 705 Commonwealth Ave. Boston, MA 02215 |
|
| Number | |
| Minimal Effort Test for Patients in Pain Using the Back Analysis System | 172 |
| Back Exercise Prescription and Implementation by Surface Electromyographic Procedures | 173 |
| |
|
|
Camera di Commercio di Torino Torino, Italy |
|
| Number | |
| Surface EMG during Dynamic Contractions of Limb Muscles | 139 |
| Multimedia Tool for Teaching/Learning Surface EMG | 140 |
| |
|
|
Canadian Paraplegic Association 1500 Don Mills Road, Suite 201 Don Mills, M3B 3K4 Ontario Canada |
|
| Number | |
| Internet-Based Interactive Video in Rehabilitation | 126 |
| |
|
|
Crippled Children's Association of South Australia Inc. Regency Park, South Australia 5942 |
|
| Number | |
| Effectiveness of Environmental Control Units | 118 |
| Computer Access Selector and Vocaselect | 119 |
| Vocabulary Organiser: Formerly the AUSMAP Database | 127 |
| |
|
|
Centers for Disease Control 1600 Clifton Road, NE Atlanta, GA 30333; Web: http://www.cdc.gov |
|
| Number | |
| Violence Against Women with Physical Disabilities | 133 |
| Breast Cancer Screening among Women with Disabilities | 134 |
| Clinical Trial of Footwear in Patients with Diabetes | 175 |
| Crash Study | 237 |
| |
|
|
Centro Protesi INAIL via Rabuina, 14 Vigorso di Budrio Bologna - Italia; email: cprotesi.budrio@inail.it |
|
| Number | |
| Optical Sensor for Electromechanical Upper Limb Prostheses | 7 |
| Sensory Feedback for Lower Limb Prostheses | 23 |
| |
|
|
Ciba-Geigy Jubileum Stiftung Basel, Switzerland |
|
| Number | |
| Effects of Intramuscular Aponeurotomy and Recovery on Pennate Skeletal Muscle | 141 |
| |
|
|
Clemson University Clemson, SC 29634-0905 |
|
| Number | |
| Effect of Periosteum on the Impact Resistance of Bones | 46 |
| Use of Ultrasonic Vibration in Improving the Mechanical Properties of Bone Cement | 169 |
| |
|
|
Delft University of Technology Laboratory for Measurement & Control Delft, 2628 CD Mekelweg 2 The Netherlands |
|
| Number | |
| Wilmer Cosmetic Prosthetic Prehensor for Children | 8 |
| Designing a Ballistic Walking Biped Ballistic Walking with Phasic Muscle Activation | 9 |
| Voluntary Closing Hand Prosthesis | 14 |
| |
|
|
DePuy, Inc. U.S. Highway 30 East Warsaw, IN 46581-0988 |
|
| Number | |
| Development of Data Capture Software for an Artificial Knee with Sensors and Telemetry | 171 |
| |
|
|
Department of the Army The Pentagon, VA 20310 |
|
| Number | |
| Effect of an Induced Leg-Length Discrepancy on Gait Biomechanics | 54 |
| Patterns of Muscle Substitution Used to Compensate for Focal Weakness in Survivors of Polio and Individuals with Recent Musculoskeletal Surgery | 142 |
| |
|
|
Eastern Paralyzed Veterans Association 75-20 Astoria Blvd. Jackson Heights, NY 11370-1177 |
|
| Number | |
| Crash Study | 237 |
| |
|
|
Easter Seal Research Institute of Ontario 250 Ferrand Drive, Suite 200 Don Mills, ON M3C 3P2 Canada |
|
| Number | |
| Toward Development of a System to Aid Orthopaedic Surgical Decision Making | 262 |
| Health Behaviours in School-Aged Children with Physical Disabilities | 264 |
| |
|
|
European Concerted Action Seniam Roessingh Research and Development Roessinghsbleekweg 33 7522 AH Enschede The Netherlands |
|
| Number | |
| Repeatability of Surface EMG Variables during Voluntary Isometric Contractions of the Biceps Brachii Muscle | 143 |
| |
|
|
G.T.H. LAMB Group |
|
| Number | |
| Tissue Biomechanical and Vascular Studies for Improved Prosthetic Socket Design | 24 |
| |
|
|
Health Research Board of Ireland 73 Lower Baggot Street Dublin 2, Ireland |
|
| Number | |
| Microcrack Labelling and Fatigued Strength of Compact Bone | 47 |
| |
|
|
Huntleigh Healthcare Luton, Bedfordshire LU1 1TD England |
|
| Number | |
| Computerized Technique for the Assessment of Alternating Pressure Relief Index | 253 |
| |
|
|
Institute for Fundamental and Clinical Human Movement Sciences Faculty of Human Movement Sciences Vrije Unitersiteit Amsterdam, The Netherlands |
|
| Number | |
| Effect of Glenohumeral Stability Requirements on the Load on the Shoulder in Manual Wheelchair Propulsion | 49 |
| Development and Validation of a Model to Determine the Relationship between Physiological and Mechanical Load on the Upper Extremity | 50 |
| Performance Capacity and Physical Strain in Subjects with a Spinal Cord Injury | 208 |
| Ergonomics of Manual Wheelchair Propulsion | 233 |
| |
|
|
Instituto Superiore di Sanita Viale Regina Elena, 299-00161 Roma, Italy |
|
| Number | |
| Sensory Feedback for Lower Limb Prostheses | 23 |
| |
|
|
Italian Ministry for University and Scientific Research Lungotevere Thaon di Revel 76 Rome, 00100 Italy |
|
| Number | |
| Development and Application of a Closed-Loop FES System for Standing Up Movement for Paraplegics | 89 |
| Analysis and Optimization of Hybrid Systems for Walking Restoration of Paraplegic Patients | 176 |
| |
|
|
Lever Foundation |
|
| Number | |
| New Experiences for Young Children with Physical Disabilities: Developing New Products to Access Exisiting Recreation Technologies | 241 |
| |
|
|
Louisiana Board of Regents 150 Riverside Drive, Suite 129 Baton Rouge, LA 70801-1389 |
|
| Number | |
| Medical Evaluation of 70 Paraplegics Using a Practical FES Walking Orthosis | 177 |
| |
|
|
Mayo Clinic and Mayo Foundation 200 First Street SW Rochester, MN 55905 |
|
| Number | |
| Mechanics of Backward Falls as a Risk Factor to Colles' Fractures: Feasibility Study | 48 |
| Balance Control When Stepping Over Obstacles of Different Heights | 57 |
| Assessment of Intervention Efficacy for Stress Urinary Incontience Using Vesico-Urethral Pressuregram Method | 104 |
| Tensile Strength of Endopelvic Fascia and Its Association with Pelvic Organ Prolapse | 105 |
| |
|
|
Moss Rehabilitation Hospital 12th St. & Tabor Road Philadelphia, PA 19141 |
|
| Number | |
| Trunk Motion of Pathological Gait in Different Walking Speed | 55 |
| Determination of the Effect of Range of Motion Changes in an Articulated Ankle Foot Orthosis on Lower Extremity Muscle Demands | 178 |
| Role of Orthotic Intervention in Resolution of Plantar Fasciitis | 179 |
| |
|
|
Movement Disorder Foundation Bowral N.S.W. 2576 Australia |
|
| Number | |
| EGG-Based Controller for FNS Hand Grasp Systems | 81 |
| |
|
|
National Health Research and Development Programme Department of Health and Welfare, Canada Tunney's Pasture Ottawa, K1A 0K9 Ontario Canada |
|
| Number | |
| Toward Task Transparency: Selection of Text through Switch-Based Scanning | 129 |
| |
|
|
Natural Sciences and Engineering Research Council of Canada 200 Kent St. K1A 1H5 Ottawa Canada |
|
| Number | |
| Myoelectric Feature Space for Pattern Discrimination | 10 |
| Tactile Sensing for Prosthetic Hands | 15 |
| Force Transducer to Assist with Lower Limb Prosthetic Alignments | 25 |
| Development of a Knee Joint for Use in a Paediatric Swimming Prosthesis | 30 |
| |
|
|
National Institute on Aging National Institutes of Health 9000 Rockville Pike Bethesda, MD 20892; Web: http://www.nih.gov |
|
| Number | |
| Percutaneous Neuromuscular Stimulation for the Treatment of Shoulder Subluxation in Hemiplegia | 83 |
| |
|
|
National Institute on Disability and Rehabilitation Research 600 Independence Ave., MES 3060 Washington, DC 22202-2572; Web: http://www.ed.gov/offices/OSERS/NIDRR/ |
|
| Number | |
| Scientific Characterization of the Rincoe Socket and Tekscan F-Socket Interface Pressure Measurement Systems: Implications for Clinical Utility | 2 |
| Feasibility of a Low-Cost Prosthetic Hand for Arm Amputees | 16 |
| Body-Powered Toddler Hand | 17 |
| Effect of Prosthesis Resonsant Frequency on Metabolic Efficiency in Transtibial Amputees: Study in Progress | 35 |
| Roll-Over Shapes of Prosthetic Feet | 36 |
| Development of a Direct Ultrasound Ranging System for the Quantification of Ambulation | 56 |
| Rehabilitation Research and Training Center on Aging with a Disability: Overview and Research Projects | 106 |
| Characteristics of Genital Skin Flora in Persons with SCI and Their Effect on Development of Urinary Tract Infection | 120 |
| Increasing the Capacity of Independent Living Centers to Serve Minority Populations | 135 |
| Relationships among Age at Onset, Adequency of Personal Assistance, Negative Health Incidents, and Health Care Utilization for Persons with Physical Disabilities | 136 |
| Survey of Parents of Children Who Use Orthoses and Prostheses | 167 |
| Orthotics for Myelomeningocele Patients, Teenage versus Childhood | 180 |
| Mobile Arm Supports for Children | 181 |
| Development of Lower Extremity Orthotics for Children with Myelomeningocele | 182 |
| Rehabilitation Research and Training Center on Aging with Spinal Cord Injury | 209 |
| Causes and Costs of Unplanned Rehospitalizations among Persons with Spinal Cord Injury | 210 |
| Natural History and Clinical Course of Urinary Tract Complications in Patients with Spinal Cord Dysfunction | 211 |
| Immune Responses to Pneumococcal Vaccine in Spinal Cord Injury | 227 |
| Obstetric/Gynecologic Complications in Women with Spinal Cord Injury | 228 |
| Longitudinal and Cross-Sectional Analysis of Well-Being in Persons wi th Spinal Cord Injury and Their Caregivers | 229 |
| Use of Growth Factors in Pressure Ulcer Healing: Clinical Trials | 250 |
| Problem-Solving Skills Training in the Treatment of Pressure Ulcers | 251 |
| |
|
|
National Institutes of Health 900 Rockville Pike Bethesda, MD 20892; Web: http://www.nih.gov |
|
| Number | |
| Balance Control When Stepping Over Obstacles of Different Heights | 57 |
| Efficacy of Neuromuscular Stimulation in Enhancing the Upper Extremity Motor and Functional Recovery of Acute Stroke Survivors | 66 |
| Comparison of Discomfort Associated with Percutaneous and Surface Neuromuscular Stimulation | 67 |
| EGG-Based Controller for FNS Hand Grasp Systems | 81 |
| Multichannel Implantable System for Neural Control | 84 |
| Unassisted Standing by Functional Electrical Stimulation | 91 |
| Health Promotion for Women with Physical Disabilities | 137 |
| Reducing Risk Factors for Abuse among Low-Income, Minority Women with Disabilities | 138 |
| Biomechanics and Sensory Input of Swallow after Head and Neck Cancer | 155 |
| Long-Term Survivors of Head and Neck Cancer | 156 |
| Effects of Radiotherapy/Chemotherapy on Voice, Speech, and Swallowing Function | 157 |
| Effects of Surgical Intervention on Speech and Swallowing Function in Persons with Recurrent/Residual Disease | 158 |
| Head and Neck Cancer: Quality of Life, Performance, and Patients' Priorities | 159 |
| Effects of Surgical Reconstruction on Speech and Swallowing | 160 |
| Clinical Trial of Footwear in Patients with Diabetes | 175 |
| Wheelchair Ergonomics and Chronic Pain Prevention | 212 |
| Webbing Pretensioning Wheelchair Securement System | 234 |
| |
|
|
National Cancer Institute National Institutes of Health Executive Plaza North, Room 300 Bethesda, MD 20892; Web: http://www.nih.gov |
|
| Number | |
| Biomechanics and Sensory Input of Swallow after Head and Neck Cancer | 155 |
| Long-Term Survivors of Head and Neck Cancer | 156 |
| Effects of Radiotherapy/Chemotherapy on Voice, Speech, and Swallowing Function | 157 |
| Effects of Surgical Intervention on Speech and Swallowing Function in Persons with Recurrent/Residual Disease | 158 |
| Head and Neck Cancer: Quality of Life, Performance, and Patients' Priorities | 159 |
| Effects of Surgical Reconstruction on Speech and Swallowing | 160 |
| |
|
|
National Institute of Child Health & Human Dev. National Institutes of Health Bethesda, MD 20892; Web: http://www.nih.gov |
|
| Number | |
| Biomechanics of the Upper Limb in Wheelchair Propulsion | 60 |
| Electrostimulation for Stroke Rehabilitation: Mechanisms and Effect | 68 |
| Feasibility of a Neuroprosthesis in High Tetraplegia: Denervation and Electrical Excitability of Upper Limb Muscles | 69 |
| Muscular Factors Preventing Inferior Subluxation of the Shoulder in Hemiplegia | 70 |
| Restoration of Shoulder Movement in C5 Tetraplegia | 82 |
| Percutaneous Neuromuscular Stimulation for the Treatment of Shoulder Subluxation in Hemiplegia | 83 |
| Feasibility of Restoring Upper Extremity Function in C3-C4 Tetraplegia | 85 |
| Paraplegic Walking Made Practical with FNS and Orthoses | 90 |
| |
|
|
National Institute of Neurological Disorders & Stroke National Institutes of Health Bethesda, MD 20892; Web: http://www.nih.gov |
|
| Number | |
| Microstimulation of the Lumbosacral Spinal Cord: Mapping | 71 |
| EMG-Controlled Stimulator for Stroke Rehabilitation | 72 |
| Myoelectric Control for a Neuroprosthetic Device | 73 |
| EGG-Based Controller for FNS Hand Grasp Systems | 81 |
| Multichannel Implantable System for Neural Control | 84 |
| Paraplegic Walking Made Practical with FNS and Orthoses | 90 |
| Unassisted Standing by Functional Electrical Stimulation | 91 |
| |
|
|
National Science Foundation Biomed. Eng. & Aiding Disabled, Room 565 4201 Wilson Blvd. Arlington, VA 22330; Web: http://www.nsf.gov |
|
| Number | |
| Dynamic Model of Skeletal Muscles and Joints for FES Applications | 74 |
| Use of EMG as Force Feedback in Closed-Loop Electrical Stimulation Systems | 75 |
| Determination of the Optimal Motor Unit Recruitment Strategy for Application in a High Performance FES System for Quadraplegics | 76 |
| Model-Based Design of Central Nervous System Neural Prosthetic Interfaces | 77 |
| Assessing Individuals' Predispositions to the Use, Avoidance, or Abandonment of Assistive Technologies | 121 |
| Surface and Wire EMG Crosstalk in Neighboring Muscles | 144 |
| Control of Joint Motion with Synergistic Stimulation of Its Agonist/Antagonist Muscles | 145 |
| Three-Dimensional Description of Muscle Properties | 146 |
| Ligamento-Muscular Protective Reflex in the Knee, Shoulder, Ankle, Elbow, and Spine | 150 |
| |
|
|
National Center for Medical and Rehabilitation Research National Institutes of Health Bethesda, MD 20892; Web: http://www.nih.gov | |
| Number | |
| Restoration of Shoulder Movement in C5 Tetraplegia | 82 |
| Logic-Controlled Electromechanical Free-Knee Orthosis | 183 |
| |
|
|
Netherlands Organization for Scientific Research (NWO) Laan van Nieuw Oost Indië 131 P.O. Box 93138, 2509 AC The Hague, The Netherlands Web: http://www.nwo.nl |
|
| Number | |
| Effect of Glenohumeral Stability Requirements on the Load on the Shoulder in Manual Wheelchair Propulsion | 49 |
| Development and Validation of a Model to Determine the Relationship between Physiological and Mechanical Load on the Upper Extremity | 50 |
| |
|
|
NeuroControl Corporation Valley View, OH 44125 |
|
| Number | |
| Muscular Factors Preventing Inferior Subluxation of the Shoulder in Hemiplegia | 70 |
| Myoelectric Control for a Neuroprosthetic Device | 73 |
| Feasibility of Restoring Upper Extremity Function in C3-C4 Tetraplegia | 85 |
| |
|
|
Ontario Ministry of Health 11th Floor, 80 Grosvenor Street Toronto, Ontario M7A 1S2 Canada |
|
| Number | |
| Effectiveness of Using Voice Recognition Systems | 128 |
| |
|
|
Ontario Rehabilitation R&D Consortium Ottawa, Ontario Canada |
|
| Number | |
| Dynamic Prosthetic Alignment Assistant | 26 |
| Psychosocial Impact of Assistive Devices | 65 |
| Toward Task Transparency: Selection of Text through Switch-Based Scanning | 129 |
| WIVIK On-Screen Access to Computers | 130 |
| WIVIK Tools for Students Who Are Learning to Write | 131 |
| WIVIK Computer-Based Communication | 132 |
| Development of a Fully Adjustable Post Operative Hip Abduction Orthosis | 184 |
| Development of AquanautTM--An Adaptive Toiletting System for Young Children | 242 |
| Development of an Advanced Wheelchair Seating System | 243 |
| Better Anterior Pelvic Stabilizers for Children with Seating Problems | 244 |
| Development of TranSit SystemTM for Children with Seating Problems | 245 |
| |
|
|
Office of Orphan Product Program Food and Drug Administration 5600 Fishers Lane Rockville, MD 20857; web: http://www.fda.gov/orphan/ |
|
| Number | |
| Implantable FNS Systems for Standing Transfers | 92 |
| Dupuytren's Disease | 166 |
| |
|
|
Paralyzed Veterans of America, Buckeye Chap. 25100 Euclid Ave Cleveland, OH 44117 |
|
| Number | |
| FES Webguide: An Internet Accessible Interactive Resource on FES for Persons with Spinal Cord Dysfunction | 78 |
| |
|
|
Paralyzed Veterans of America, Spinal Cord Injury
Education and Training Program 801 18th Street Washington, DC 20006 |
|
| Number | |
| FES Webguide: An Internet Accessible Interactive Resource on FES for Persons with Spinal Cord Dysfunction | 78 |
| Video and Other Instructional Tools for Education about Neurogenic Bo wel Dysfunction after Spinal Cord Injury | 230 |
| Improving Tissue Viability of Paralyzed Muscle Using Neuromuscular Electrical Stimulation | 252 |
| |
|
|
Paralyzed Veterans of America, Spinal Cord Research
Foundation 801 18th Street, N.W. Washington, DC 20006; Web: http://www.pva.org |
|
| Number | |
| Feasibility of a Neuroprosthesis in High Tetraplegia: Denervation and Electrical Excitability of Upper Limb Muscles | 69 |
| Feasibility of Restoring Upper Extremity Function in C3-C4 Tetraplegia | 85 |
| Evaluation of the Yamaha JWII Electric-Powered, Add-On Unit for Manual Wheelchairs | 235 |
| Power Wheelchair Comparison Study | 236 |
| Crash Study | 237 |
| Improving Tissue Viability of Paralyzed Muscle Using Neuromuscular Electrical Stimulation | 252 |
| |
|
|
Post Polio Clinic of the Albert Einstein Medical Center Philadelphia 5501 Old York Road Philadelphia, PA 19141 |
|
| Number | |
| Effect of an Induced Leg-Length Discrepancy on Gait Biomechanics | 54 |
| Patterns of Muscle Substitution Used to Compensate for Focal Weakness in Survivors of Polio and Individuals with Recent Musculoskeletal Surgery | 142 |
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Prentke Romich Company 1022 Heyl Road Wooster, OH 44691 |
|
| Number | |
| WIVIK On-Screen Access to Computers | 130 |
| WIVIK Tools for Students Who Are Learning to Write | 131 |
| WIVIK Computer-Based Communication | 132 |
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Rehabilitation Research and Training Center on Aging Rancho Los Amigos Medical Center 7600 Consuelo St. Downey, CA 90242; Web: http://www.usc.edu/dept/gero/RRTConAging/index.html |
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| Number | |
| Study of Policy Barriers Impeding Use of Assistive Technology by Persons Aging with Disabilities | 108 |
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Ron Shapiro Charitable Foundation Bethesda, MD 20814 |
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| Number | |
| EGG-Based Controller for FNS Hand Grasp Systems | 81 |
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Rotary Club of Toronto York Reception Centre 1100 Millwood Road (at Overlea) Toronto, Ontario Canada |
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| Number | |
| Development of TranSit SystemTM for Children with Seating Problems | 245 |
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STTR Program - Small Business Technology Transfer 6701 Rockledge Drive Room 1040-MSC 7710 Bethesda, MD 20892 |
|
| Number | |
| Webbing Pretensioning Wheelchair Securement System | 234 |
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Transportation Research Board 2101 Constitution Ave. NW Washington, DC 20418 |
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| Number | |
| Occupant Restraint System for Wheelchair Users | 238 |
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|
|
Tehran University of Medical Sciences Piche Shemiran Enghelab Ave. - P.O. Box 11365-8148 Tehran, Iran |
|
| Number | |
| Use of Tibial Angle in Determining the Amount of Valgus of the Knee Joint in Girls Aged 9 and 15 | 51 |
| |
|
|
University of Alabama at Birmingham Birmingham, AL 35223 |
|
| Number | |
| Continuously Infused Intrathecal Baclofen (ITB) for Spastic/Systonic Hemiplegia | 115 |
| Long-Term Continuously Infused Baclofen (ITB) for Spastic-Dystonic Hypertonia in Traumatic Brain Injury | 116 |
| |
|
|
University of Alabama College of Engineering Tuscaloosa, AL 35487 |
|
| Number | |
| Stresses in the Soft Tissue of the Human Buttocks in the Sitting Position | 246 |
| |
|
|
University of New Brunswick Research Fund Fredericton, NB E3B 5A3 Canada |
|
| Number | |
| Classification of Myoelectric Signals Using Neural Networks | 3 |
| Universal Myoelectrical Control System Implemented Using an HC11 Micro | 4 |
| Development of a Multifunction Myoelectric Control System | 11 |
| 3-Degree-of-Freedom Myoelectric Control Suitable for Easy Implementation | 12 |
| Bilateral Deficit during Knee Extension | 61 |
| Evaluation of Various Filtering Schemes in Whitening Biological Noise for Somatosensory-Evoked Potential Detection | 213 |
| Adaptive Biological Signal Processing | 265 |
| Electrophysiological Behaviour of Postural Muscles during Prolonged Seated Tasks | 266 |
| Real-Time Implementation of a Non-Linear Adaptive Filter for Stimulus Measurements | 267 |
| |
|
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University of Salford Venture and Enterprise Fund Salford, Greater Manchester M5 4WT, England, UK |
|
| Number | |
| Computerized Technique for the Assessment of Alternating Pressure Relief Index | 253 |
| |
|
|
University of Twente Biomedical Engineering Division P.O. Box 217 7500 AE Enschede, The Netherlands |
|
| Number | |
| Isometric Length Force Characteristics of Pennate Muscle During and After Shortening: Experimental and Modelling Results | 147 |
| Skeletal Muscle Length Force Characteristics during Maximal and Submaximal Activation | 148 |
| |
|
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University of Washington Seattle, WA 98195 |
|
| Number | |
| Characteristics of Intra-Tissue Stress and Strain: A Study Using a Heel-Cushion Finite Element Model | 254 |
| |
|
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U.S. Department of Education 400 Maryland Ave. SW Washington, DC 20202 |
|
| Number | |
| Feasibility of a Low-Cost Prosthetic Hand for Arm Amputees | 16 |
| Body-Powered Toddler Hand | 17 |
| Orthotics for Myelomeningocele Patients, Teenage versus Childhood | 180 |
| Mobile Arm Supports for Children | 181 |
| Causes and Costs of Unplanned Rehospitalizations among Persons with Spinal Cord Injury | 210 |
| Natural History and Clinical Course of Urinary Tract Complications in Patients with Spinal Cord Dysfunction | 211 |
| Longitudinal and Cross-Sectional Analysis of Well-Being in Persons wi th Spinal Cord Injury and Their Caregivers | 229 |
| Use of Growth Factors in Pressure Ulcer Healing: Clinical Trials | 250 |
| Problem-Solving Skills Training in the Treatment of Pressure Ulcers | 251 |
| |
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Vrije Universitiet Faculty of Human Movement Sciences Van der Boechorststraat 9 Amsterdam, 1081 BT The Netherlands |
|
| Number | |
| Isometric Length Force Characteristics of Pennate Muscle During and After Shortening: Experimental and Modelling Results | 147 |
| Skeletal Muscle Length Force Characteristics during Maximal and Submaximal Activation | 148 |
| Lateral or Myo-Fascial Force Transmission in Skeletal Muscle | 149 |
| Performance Capacity and Physical Strain in Subjects with a Spinal Cord Injury | 208 |
| Ergonomics of Manual Wheelchair Propulsion | 233 |
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Whitaker Foundation 1700 North Moore Street, Suite 2200 Rosslyn, VA 22209; Web: http://www.whitaker.org/ |
|
| Number | |
| In Search for Proper Boundary Condition at the Glosso-Palatal Junction for Pharyngeal Bolus Modeling: A Study Using Neural Network Inversion | 161 |
| |
|
| No Sponsor Listed | |
| Number | |
| Evaluation of Seattle Limb System Components Used in Transtibial Prostheses | 37 |
| Neurogenic Bowel Dysfunction after Spinal Cord Injury: Medications and Techniques to Improve the Efficiency of Bowel Care | 231 |
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Last revised Thu 05/27/1999