580 results match your criteria: "Moss Rehabilitation Research Institute[Affiliation]"

Background: Primary progressive aphasia (PPA) is a neurodegenerative syndrome characterized by progressive language deficits. The main variants of PPA -semantic (svPPA), logopenic (lvPPA), and nonfluent (nfvPPA)- can be challenging to distinguish. Limb apraxia often co-occurs with PPA, but it is unclear whether PPA variants are associated with different gesture deficits.

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Multicenter Evaluation of Memory Remediation in Traumatic Brain Injury With Donepezil: A Randomized Controlled Trial.

J Neuropsychiatry Clin Neurosci

December 2024

Behavioral Neurology Section, Department of Neurology, University of Colorado School of Medicine, Aurora (Arciniegas); Brain Injury Research Center, TIRR Memorial Hermann, Houston (Arciniegas, Sander, Sherer); H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston (Arciniegas, Sander, Bogaards, Sherer); Research Department, Craig Hospital, Englewood, Colo. (Almeida, Harrison-Felix, Ketchum, Mellick); Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, Mass. (Giacino, Zafonte); Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston (Giacino, Zafonte); Rehabilitation Hospital of Indiana, Indianapolis (Hammond); Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis (Hammond); Moss Rehabilitation Research Institute, Elkins Park, Pa. (Hart, Whyte); Department of Rehabilitation Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia (Hart).

Article Synopsis
  • Memory impairments are a common issue after traumatic brain injury (TBI), and donepezil, a medication that helps with cognitive function, was evaluated for its effectiveness on these memory problems in a clinical trial called MEMRI-TBI-D.
  • The study involved 75 participants with severe memory issues related to TBI, who were split into two groups: one receiving donepezil and the other a placebo over 10 weeks; results showed significant memory improvement in those taking donepezil.
  • While donepezil was effective, it came with some side effects, notably diarrhea and nausea, and had a treatment-emergent adverse event rate of 46%, but overall, it demonstrated a favorable safety profile for treating memory impairments
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Subjective perception of effort affects the way we move.

J Neurophysiol

December 2024

Jefferson Moss Rehabilitation Research Institute, Thomas Jefferson University, Elkins Park, Pennsylvania, United States.

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Purpose: The primary aim of this study was to investigate how speech-language pathologists (SLPs) from Estonia, Finland, and Lithuania rate the significance of different features for diagnosing childhood apraxia of speech (CAS) in their languages.

Method: An online survey was conducted among 197 Estonian, Finnish, and Lithuanian SLPs who have worked with children with CAS. The SLPs were asked to rate the significance of 63 features for CAS diagnosis in their respective language.

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Adverse childhood experiences in adults with chronic traumatic brain injury: Support for a life course approach to brain injury rehabilitation.

Disabil Health J

January 2025

TIRR Memorial Hermann, Houston, TX, USA; Department of Physical Medicine and Rehabilitation, UT Health Sciences Center at Houston, Houston, TX, USA.

Article Synopsis
  • Adverse childhood experiences (ACEs) can increase the risk of experiencing adult traumatic brain injury (TBI) and affect recovery outcomes, but research on this is limited.
  • A study involving 85 individuals with chronic TBI examined the prevalence of both household (conventional) and community-level ACEs and found significant associations with mental health symptoms and overall quality of life.
  • The findings suggest that those with higher ACEs reported worse mental health and quality of life, highlighting the importance of considering ACEs in TBI treatment and research approaches.
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  • Many individuals who have had a stroke struggle to use their affected arm effectively even though they have the capability, a situation known as arm nonuse.
  • *A study investigated how cognitive demand affects arm choice and motor performance in stroke patients using a virtual reality task that simulates real-life activities.
  • *Results revealed that higher cognitive loads led to poorer performance with the affected arm, slower movements, and increased difficulty in reaching, highlighting the influence of cognitive factors on arm usage in daily life for stroke survivors.*
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Article Synopsis
  • Ecological momentary assessment (EMA) is a method of collecting real-time self-reported data through smartphones, which holds promise for studying behaviors and experiences in individuals with cognitive impairments, like those from traumatic brain injury (TBI).
  • This study explored adherence to a 7-week EMA protocol involving responses five times daily from participants with moderate-to-severe TBI, finding an overall response rate of 65% that decreased slightly over time.
  • Results indicated that better educational background and episodic memory correlated with higher response rates, highlighting the need for personalized approaches to improve adherence among individuals with varying levels of cognitive challenges.
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Article Synopsis
  • This study explored how enhancing cognitive control affects sentence comprehension in individuals with mild aphasia, focusing on conflict adaptation.
  • Four patients participated in eye-tracking sessions that combined auditory Stroop tasks with sentence-to-picture matching, including various conditions of sentence and auditory congruency.
  • Results indicated that one participant showed notable conflict adaptation, processing sentences more quickly after incongruent auditory cues, while effects varied among individuals, with eye tracking revealing subtler insights compared to direct behavior measurements.
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Parsing proprioception's contribution to adaptation.

J Neurophysiol

October 2024

Jefferson Moss Rehabilitation Research Institute, Thomas Jefferson University, Philadelphia, Pennsylvania, United States.

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Upper limb actions require intersegmental coordination of the scapula, shoulders, elbows, forearms, wrists, and hand muscles. Stroke hemiparesis, presenting as an impairment of an intersegmentally coordinated voluntary movement, is associated with altered integrity of corticospinal tract (CST) transmission from the motor cortex (M1) to muscles. Motor evoked potentials (MEPs) elicited by M1 transcranial magnetic stimulation (TMS) of "at rest" muscles, or as a backup, during muscle contraction have been used to identify CST integrity and predict the outcome after hemiparesis, under the implicit assumption that MEPs present in only one or two muscles are manifest surrogates of CST integrity for other muscles of the upper limbs.

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Article Synopsis
  • Tulving defined semantic memory as a large storehouse of meanings crucial for language and cognition, prompting various fields to research it with unique methods and terms.
  • The varied interpretations of key concepts like "concept" across disciplines create confusion, contributing to the replication crisis in psychology and impacting communication and theory development.
  • To address these issues, a multidisciplinary semantic glossary is being developed to provide clear definitions and foster shared understanding among researchers while acknowledging the challenges of bias and prescriptiveness.
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Graviceptive neglect induced by HD-tDCS of the right or left temporoparietal junction: A within-person randomized trial in healthy adults.

Ann Phys Rehabil Med

November 2024

Department of Neurosciences and Behavioral Sciences, Ribeirao Preto Medical School, University of Sao Paulo. Campus Universitário, 14049-900 Ribeirão Preto, SP, Brazil; School of Allied Health, The University of Western Australia, 35 Stirling Highway, 6009 Perth, WA, Australia. Electronic address:

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The accurate estimation of limb state is necessary for movement planning and execution. While state estimation requires both feedforward and feedback information, we focus here on the latter. Prior literature has shown that integrating visual and proprioceptive feedback improves estimates of static limb position.

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Speech production in aphasia is often described as "effortful", though the consequences of consistent, high degrees of cognitive effort have not been explored. Using recent work on mental effort as a theoretical framework, the present study examined how effort-related fatigue produces decrements in performance in picture naming among participants with post-stroke aphasia. We analyzed three data sets from prior studies where participants completed a large picture naming test.

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The TBI Model Systems Neighborhood Socioeconomic Disadvantage Index (TBIMS-NSDI): Development and Comparison to Individual Socioeconomic Characteristics.

J Head Trauma Rehabil

August 2024

Author Affiliations: Department of Rehabilitation and Human Performance (Drs Kumar and Dams-O'Connor), Department of Population Health Science & Policy (Dr Delgado), Department of Emergency Medicine (Dr Taylor), Department of Neurology (Dr Dams-O'Connor), Icahn School of Medicine at Mount Sinai, New York, New York; Department of Physical Medicine and Rehabilitation (Drs Corrigan and Bogner), College of Medicine, The Ohio State University; Research Department, Craig Hospital, Englewood, Colorado(Drs Eagye and Whiteneck); Brain Injury Research Center, TIRR Memorial Hermann (Dr Juengst), Houston, Texas; Department of Physical Medicine and Rehabilitation (Dr Juengst), UT Health Sciences Center at Houston, Houston, Texas; Baylor Scott and White Institute for Rehabilitation (Dr Callender), Dallas, Texas; Department of Physical Medicine and Rehabilitation (Dr Pinto), University of Texas Southwestern Medical Center, Dallas, Texas; Moss Rehabilitation Research Institute (Drs Rabinowitz and Venkatesan), Elkins Park, Pennsylvania; Department of Rehabilitation Medicine (Drs Rabinowitz and Venkatesan), Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania; Central Virginia Veterans Affairs Health Care System (Dr Perrin), Richmond, Virginia; School of Data Science and Department of Psychology (Dr Perrin), University of Virginia, Charlottesville, Virginia; Kessler Foundation (Drs Botticello and Lequerica), East Hanover, New Jersey; Rutgers-New Jersey Medical School (Drs Botticello and Lequerica), Newark, New Jersey; Department of Physical Medicine and Rehabilitation (Dr Zafonte), Harvard Medical School, Boston, Massachusetts; Spaulding Rehabilitation Hospital (Dr Zafonte), Boston, Massachusetts; Massachusetts General Hospital (Dr Zafonte), Boston, Massachusetts; Brigham and Women's Hospital (Dr Zafonte), Boston, Massachusetts.

Objective: To create a census-based composite neighborhood socioeconomic deprivation index (NSDI) from geocoded residential addresses and to quantify how NSDI aligns with individual-level socioeconomic factors among people with traumatic brain injury (TBI).

Setting: Community.

Participants: People enrolled in the TBI Model Systems National Database (TBIMS NDB).

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Individuals who have experienced a left hemisphere cerebrovascular accident (LCVA) have been shown to make errors in naturalistic action tasks designed to assess the ability to perform everyday activities such as preparing a cup of coffee. Naturalistic action errors in this population are often attributed to limb apraxia, a common deficit in the representation and performance of object-related actions. However, naturalistic action impairments are also observed in right hemisphere stroke and traumatic brain injury, populations infrequently associated with apraxia, and errors across all these populations are influenced by overall severity.

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Background: Improvement of functional movements after supratentorial stroke occurs through spontaneous biological recovery and training-induced reorganization of remnant neural networks. The cerebellum, through its connectivity with the cortex, brainstem and spinal cord, is actively engaged in both recovery and reorganization processes within the cognitive and sensorimotor systems. Noninvasive cerebellar stimulation (NiCBS) offers a safe, clinically feasible and potentially effective way to modulate the excitability of spared neural networks and promote movement recovery after supratentorial stroke.

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Predictors of Physical Activity One Year After Moderate to Severe Traumatic Brain Injury.

J Head Trauma Rehabil

June 2024

Author Affiliations: Department of Rehabilitation Medicine (Dr Pradhan and Dr Bombardier), Department of Neurological surgery (Dr Barber and Dr Temkin), University of Washington, Seattle, Washington; Department of Physical Medicine and Rehabilitation (Dr Esterov), Mayo Clinic, Rochester, Minnesota; Department of Physical Medicine and Rehabilitation (Dr Driver), Baylor Scott and White Research Institute, Dallas, Texas; Department of Physical Medicine and Rehabilitation (Dr Whyte), Moss Rehabilitation Research Institute, Elkins Park, Pennsylvania; and Department of Physical Medicine and Rehabilitation (Dr. Bell), University of Texas Southwestern Medical Center, Dallas, Texas.

Objective: To identify predictors of moderate to vigorous physical activity (MVPA) at 12-months post-moderate-severe traumatic brain injury (TBI). Setting: Four inpatient rehabilitation centers.

Participants: Individuals enrolled in the TBI Model Systems with moderate to severe TBI, admitted to inpatient rehabilitation, and able to ambulate without physical assistance from another person.

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Objective: The long-term consequences of traumatic brain injury (TBI) on brain structure remain uncertain. Given evidence that a single significant brain injury event increases the risk of dementia, brain-age estimation could provide a novel and efficient indexing of the long-term consequences of TBI. Brain-age procedures use predictive modeling to calculate brain-age scores for an individual using structural magnetic resonance imaging (MRI) data.

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Predictors of Multidimensional Profiles of Participation After Traumatic Brain Injury: A TBI Model Systems Study.

J Head Trauma Rehabil

November 2024

Brain Injury Research Center, TIRR Memorial Hermann, Houston, Texas (Drs Juengst and Sander); Department of Physical Medicine & Rehabilitation, UT Health Science Center at Houston, Houston (Dr Juengst); Department of Physical Medicine & Rehabilitation, UT Southwestern Medical Center, Dallas (Dr Juengst); Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York City, New York (Dr Kumar); Moss Rehabilitation Research Institute, Elkins Park, Pennsylvania (Drs Venkatesan and Rabinowitz); Department of Rehabilitation Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania (Drs Venkatesan and Rabinowitz); Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, Massachusetts (Dr O'Neil-Pirozzi); Department of Communication Sciences and Disorders, Northeastern University, Boston, Massachusetts (Dr O'Neil-Pirozzi); Department of Physical Therapy, Sargent College of Health and Rehabilitation Sciences, Boston University, Boston, Massachusetts (Dr Evans); H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas (Dr Sander); Richmond Veterans Affairs Medical Center, Richmond, Virginia (Dr Klyce); Virginia Commonwealth University Health System, Richmond (Dr Klyce); Sheltering Arms Institute, Richmond, Virginia (Dr Klyce); Research Department, Craig Hospital, Englewood, Colorado (Drs Agtarap and Whiteneck); Department of Occupational Therapy, MGH Institute of Health Professions, Boston, Massachusetts (Dr Erler); Rusk Rehabilitation, NYU Langone Health, New York City, New York (Dr Bushnik); Rehabilitation Outcomes Center (ROC), Spaulding Hospital, Charlestown, Massachusetts (Dr Kazis); Department of Health Law, Policy & Management, School of Public Health, Boston University, Boston, Massachusetts (Dr Kazis); and Harvard Medical School, Boston, Massachusetts (Dr Kazis).

Objectives: To identify personal, clinical, and environmental factors associated with 4 previously identified distinct multidimensional participation profiles of individuals following traumatic brain injury (TBI).

Setting: Community.

Participants: Participants ( n = 408) enrolled in the TBI Model Systems (TBIMS) Participation Module, all 1 year or more postinjury.

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When one directs their attention to an intended effect (external focus of attention, EFOA), motor performance is generally better than when one directs their attention to their own body movements (internal focus of attention, IFOA). However, the effect of attentional focus is unclear when a skill is practiced through motor imagery (MI) in the absence of physical trials. Participants ( = 30,  = 22.

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Apathy and Depression Among People Aging With Traumatic Brain Injury: Relationships to Cognitive Performance and Psychosocial Functioning.

J Neuropsychiatry Clin Neurosci

October 2024

Moss Rehabilitation Research Institute, Elkins Park, Pa.; Department of Rehabilitation Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia.

Article Synopsis
  • A study focused on older adults with chronic moderate to severe traumatic brain injury (TBI) aimed to understand the impact of apathy and depression on cognitive performance and psychosocial functioning.* -
  • Researchers found that severity of apathy was linked to cognitive performance, particularly executive functioning, while depression did not show a significant correlation with cognition after adjustments.* -
  • The presence of both apathy and depression negatively affected health-related quality of life (HRQoL) and societal participation, highlighting the need for tailored interventions for this population.*
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Article Synopsis
  • - This study compares self-reported cardiovascular conditions (like hypertension and stroke) among individuals with moderate to severe traumatic brain injury (TBI) to a matched control group without TBI.
  • - Researchers found that those with TBI were more likely to report high blood pressure and stroke, but less likely to report heart failure and heart attacks, particularly in individuals over 50 years old.
  • - The results suggest that TBI survivors have varying rates of cardiovascular issues compared to uninjured adults, possibly influenced by factors such as age and survival bias post-injury.
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