Cognitive Research &
NCMRR
Michael Weinrich, M.D.
Director, National Center for Medical
Rehabilitation Research
NICHD, NIH
Bethesda, MD
[email protected]
NCMRR

Established 1990 PL 101-613
 Center within NICHD
 Advisory Board
 Research Plan 1993
 Rehab Coordinating Committee
 Funds research, training & SBIR
NCMRR Systems Approach
PathoFunctional Disability
physiology Impairment Limitation
Societal
Limitation
Research Plan: Areas of
Emphasis

Mobility
 Measurement,
Assessment &
 Behavioral Adaptation
Epidemiology
 Whole Body Response
 Treatment
 Assistive Technologies
Effectiveness
 Training
Rehabilitation
Scientists
October 1998
http://www.nichd.nih.gov/public
ations/pubs/traumatic/Abstracts.
htm
http://odp.od.nih.gov/consensus/
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-01-007
COOPERATIVE MULTICENTER
TRAUMATIC BRAIN INJURY CLINICAL
TRIALS NETWORK
Release Date: March 26, 2001
Data Safety Monitoring Board
Data Coordinating Center
NCMRR
Clinical Site Clinical Site Clinical Site Clinical Site Clinical Site
RFA: HD-00-016

INNOVATIVE REHABILITATION
INTERVENTIONS
Release Date: June 27, 2000

54 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-01-022
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)
Lou Quatrano, PhD
301-402-4221
[email protected]
Biological Sciences and Career
Development
Ralph Nitkin, PhD
301-402-4206
[email protected]
Clinical Practices
Program
Beth Ansel, PhD
301-496-5289
[email protected]