Restoration of Life Role Participation Through Cognitive and Motor Training for TBI
| Status: | Completed |
|---|---|
| Conditions: | Hospital, Neurology |
| Therapuetic Areas: | Neurology, Other |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 3/28/2019 |
| Start Date: | May 2012 |
| End Date: | October 2017 |
Restoration of Life Role Participation Through Integrated Cognitive and Motor Training for Individuals With TBI
The purpose of this study is to restore life role participation for those with TBI by
customizing, applying, and testing integrated cognitive and motor training protocols that
were successful in populations with impairments similar to TBI. The treatment protocols are
based on principles of brain plasticity and re-learning, required to restore cognitive and
motor function. The intervention targets an array of impairments that are obstacles to life
role participation. These include cognitive attention and executive control; motor control
for upper limb function; balance and gait; and cognitive executive control of simultaneous
cognitive and motor tasks required by everyday tasks. The intervention utilizes training
specificity, framing the intervention within functional task and life role activity component
practice.
customizing, applying, and testing integrated cognitive and motor training protocols that
were successful in populations with impairments similar to TBI. The treatment protocols are
based on principles of brain plasticity and re-learning, required to restore cognitive and
motor function. The intervention targets an array of impairments that are obstacles to life
role participation. These include cognitive attention and executive control; motor control
for upper limb function; balance and gait; and cognitive executive control of simultaneous
cognitive and motor tasks required by everyday tasks. The intervention utilizes training
specificity, framing the intervention within functional task and life role activity component
practice.
The investigators will use an assessment and treatment decision schema that has been
successful in restoration of life role participation for stroke survivors and a comparable
schema used for cognitive training for TBI patients. The subject assessment and decision
schema will be used to identify for each subject, the optimal array of impairment
interventions. The proposed treatment will optimize outcome by customizing the intervention
and use of technologies, while ensuring the application of the array of impairment
interventions required to produce restoration of function and life role participation. The
investigators will target an array of impairments preventing participation in life role
activities, which will include dyscoordination and weakness of upper limb, impaired balance,
gait deficits, and impaired attention and executive function. In treatment, the investigators
will use a dual-task paradigm combining motor and cognitive training, with treatment
extending to the every day environment. Treatment will be up to 5 times/wk, 5hrs/day for 12
weeks.
successful in restoration of life role participation for stroke survivors and a comparable
schema used for cognitive training for TBI patients. The subject assessment and decision
schema will be used to identify for each subject, the optimal array of impairment
interventions. The proposed treatment will optimize outcome by customizing the intervention
and use of technologies, while ensuring the application of the array of impairment
interventions required to produce restoration of function and life role participation. The
investigators will target an array of impairments preventing participation in life role
activities, which will include dyscoordination and weakness of upper limb, impaired balance,
gait deficits, and impaired attention and executive function. In treatment, the investigators
will use a dual-task paradigm combining motor and cognitive training, with treatment
extending to the every day environment. Treatment will be up to 5 times/wk, 5hrs/day for 12
weeks.
Inclusion Criteria:
- Medically Stable
- Age > 18 years
- Ability to walk at least with the minimum assistance of one person or an assistive
device
- At least 6 months post injury
- Ability to follow 2 stage commands
Exclusion Criteria:
- pacemaker
- Acute medical conditions
- potential subjects will undergo a screening evaluation to determine eligibility for
study entry
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