Enhanced neurorehabilitation techniques in the DVBIC Assisted Living Pilot Project

Issue title: Military Traumatic Brain Injury and Blast

Guest editors: David F. Moorexy and Michael S. Jaffeex

Article type: Research Article

Authors: Hoffman, Stuart W.^{a; *} | Shesko, Kristina^a | Harrison, Catherine R.^b

Affiliations: [a] Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Defense and Veterans Brain Injury Center – Johnstown DVBIC/DCoE, Johnstown, PA, USA | [b] Air Force Research Laboratory, WPAFB, OH, USA | [x] Defense and Veterans Brain Injury Center, Walter Reed Army Medical Center, Washington, DC, USA | [y] Institute of Soldier Nanotechnology, Massachusetts Institute of Technology, Cambridge, MA, USA

Correspondence: [*] Address for correspondence: Stuart W. Hoffman, Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Defense and Veterans Brain Injury Center – Johnstown DVBIC/ DCoE, 109 Sunray Drive, Johnstown, PA 15905, USA. E-mail: [email protected]

Abstract: Traumatic Brain Injury has been labeled the “silent epidemic” in our current wars. Both CBO and the RAND reports predict that the costs of these injuries will be both extensive and enduring. The projected costs are based not only upon the loss contribution of these warriors to our economy, but also the long-term medical and assistive care that will be needed to support these veterans for decades to come. Thus, the primary goal of the Assisted Living Pilot Project (ALPP) at the Defense and Veterans Brain Injury Center – Johnstown (DVBIC-J) is to promote the ability of the injured warrior to move from assisted living to living independently and to be self-supporting by providing a continuum of care. To accomplish this goal the DVBIC-J ALPP is providing full set of traditional services (physical, occupational, speech, psychological/cognitive, social/familial, vocational, and spiritual), along with “cutting-edge” rehabilitative treatment technologies. These cutting-edge therapies include transdisciplinary clinical consultations, interactive patient and family counseling, and telemedicine-teleconferencing for clinical evaluations and family/significant other care participation. These services will be available to those who require assisted living through their progression to community re-entry. The ALPP also serves as a vehicle for clinical trials to investigate the effects of an enriched environment (e.g., recreational therapies, massage, multisensory stimulation, etc.) on neurorehabilitation therapy, rural telemedicine for servicemembers with traumatic brain injury, and long-term outcome measures of those who have received neurorehabilitation services at the DVBIC-J site. DVBIC-J is also developing collaborative projects with universities and private industry to create an incubator for new rehabilitation technologies. The technologies that DVBIC-J will be focusing on will include assistive technologies (to assist cognitive, physical, and communicative impairments), virtual and augmented reality simulations (for both diagnosis and treatment of TBI and PTSD), and telecommunication technologies to improve rehabilitation services to those warriors that have returned to their homes in rural areas.

DOI: 10.3233/NRE-2010-0561

Journal: NeuroRehabilitation, vol. 26, no. 3, pp. 257-269, 2010