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