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1. Rehabilitation Research & Development Service Patricia A. Dorn, Ph.D. Acting Deputy Director Website: www.vard.org

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3. Centers of Excellence Large group investigators: research, training, outreach to veterans & community at large Research Enhancing Award Program Support small group of researchers Multi-Year Projects Single investigator studies Multi-site trials for evaluation & efficacy Pilot Studies Collect preliminary data to lead to full project Career Development Awards

4. Rehab R&D Centers of Excellence Functional Electrical Stimulation: Cleveland Restoration of Function in SCI & MS: West Haven Functional Recovery in Chronic SCI: Miami Medical Consequences of SCI: Bronx Wheelchair & Associated Rehab Technologies: Pittsburgh Bone & Joint Rehab: Palo Alto Rehabilitative Auditory Research: Portland Limb Loss Prevention & Prosthetic Engineering: Seattle Aging Veterans with Vision loss: Atlanta Innovative Visual Rehab: Boston Brain Rehab: Gainesville Rehab Outcomes Research: Gainesville http://www.vard.org/cent/centers.htm

5. Continued Growth in all Career Development Programs Mentored Awards Associate Investigator Research Career Development Advanced Research Career Development Disability Supplement Continue to seek applications from outstanding rehabilitation researchers

6. Current Initiatives BION ® Technology Prosthetics/Orthotics/Orthopedics Vocational Rehabilitation Research Enhancing Award Program (REAP) Rehabilitation Enhancing Activity-Dependent Plasticity

7. CRADA with Alfred Mann Foundation to provide Veterans with promising technological advances for restoration of function, prevention of secondary disabilities and amelioration of pain due to neurologic dysfunction Reviewed BION proposals July 2003 Merit Review Several proposals received meritorious scientific reviews Mann Foundation is in contact with the individual investigators to manufacture BIONs that meet specific research applications New Directions: BION® Technology

10. Prosthetics/Orthotics/Orthopedics November 17-18, 2003 State-of-the-Art Prosthetics Workshop Approximately 90 attendees from VA, DOD, Academia &  Private Industry Secretary Anthony J. Principi gave speech of support to group This strategic planning meeting has set an agenda for the direction of amputee healthcare research over the next 10-years Will launch major collaborative efforts with other federal agencies, non-profits & academic institutions Potential for wounded (amputee) military personnel to return to active duty Seamless transition in healthcare from active military to veteran through the establishment of joint databases between DOD and VA

11. Prosthetics/Orthotics/Orthopedics: cont’d Major efforts are currently underway. Workshop participants are designing studies in the following areas: Databases Socket design Computer Aided Design/Computer Aided Manufacturing (CAD/CAM) Integration of computer technology & robotics into prosthetic design Osseointegration Amputation QUERI (with HSRD)

12. Vocational Rehabilitation Impact of Vocational Rehabilitation Programs Among Veterans Researchers in the field pleased we recognized need to target this area Enthusiastic response to the Request For Proposals Scientific Merit Review in January 2004

13. Research Enhancing Award Program (REAP) Solicitation Researchers are glad to have the opportunity to develop formal collaborative partnerships Resemble small-scale research centers with a specific research focus Scientific Merit Review in January 2004

14. Rehabilitation Enhancing Activity-Dependent Plasticity In response to the Secretary’s request for multidisciplinary proactive approaches to functional recovery following SCI Special program to form new collaborations exploring neurobiological issues in SCI, MS & other conditions leading to loss of neurological function These research efforts will seek ways to restore function & fully understand mechanisms underlying recovery Some involve use of Lokomat® Scientific Merit Review: January 2004

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16. Represents concerted effort to incorporate cutting edge technology used in other venues (DOD, entertainment) into rehabilitative care Virtual Reality Telemedicine Nano-, micro–, macrotechnology Robotics Review: May 2004 Why Measurement-Based Stopping Rules? Increases test efficiency - don’t waste time measurements are terminated if low noise is achieved, meaning that, if a response was present, further averaging will not improve the SNR measurements are terminated if high SNR is observed, meaning a response is present measurements are terminated after some time limit, preventing the test from continuing indefinitely Why Measurement-Based Stopping Rules? Increases test efficiency - don’t waste time measurements are terminated if low noise is achieved, meaning that, if a response was present, further averaging will not improve the SNR measurements are terminated if high SNR is observed, meaning a response is present measurements are terminated after some time limit, preventing the test from continuing indefinitely

17. Long-term Care / Quality of Life In conjunction with Rosalynn Carter Institute Caregiver training program Dual Sensory Loss (hearing & vision) Hearing loss & vision loss a major problem among aging veterans ALS Initiative

18. Pain control & management Innovative interventions to address problem Obesity & comorbidities In conjunction with several centers Balance / Vestibular Dysfunction & Rehabilitation In conjunction with NASA Biomedical Institute

19. Journal of Rehabilitation Research & Development Primary information dissemination vehicle Highest impact factor of any Rehab Res. Journal Accepts manuscripts on Rehab Res. From VA, non-VA, international Scientifically peer-reviewed & indexed Six issues a year & supplements JRRD.org Journal: Primary information dissemination vehicle Scientifically Reviewed and Indexed Six Issues a year and supplements Comprehensive coverage of all rehab research available electronically www.vard.org over 16,000 regular electronic users Journal: Primary information dissemination vehicle Scientifically Reviewed and Indexed Six Issues a year and supplements Comprehensive coverage of all rehab research available electronically www.vard.org over 16,000 regular electronic users

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