bi-isig - acrmoctober 2014 at the intercontinental hotel, metro toronto centre. dr. lance trexler,...

Thank you for having me as your Chair. I hope to merit your trust and confidence. In assuming this role, I would like to acknowledge the newly elected Executive Committee (EC): Jennifer Bogner, Chair Elect; Karen McCulloch, Secretary; Alan Weintraub, Treasurer; Kristine Kingsley, Communication Officer; Dawn Neumann, Awards/Program Officer; and Monique Pappadis, Early Career Officer, with Lance Trexler now Past Chair. Each of these individuals is a self-starter with clear aims in mind and a sense of professionalism and advocacy on behalf of the BI-ISIG. Our work together is truly a pleasure!

I hope to develop two themes from the groundwork laid by my chair predecessors: Lance Trexler and Ron Seel. Ron established a pathway for BI-ISIG membership to have a greater voice in the overall goals of the BI-ISIG. Specifically, he actively solicited membership input on needs and issues and initiated meetings of the EC with task force (TF) chairs at the annual and Mid-Year Meeting (MYM). Lance embraced this theme and added quarterly calls involving the EC and TF chairs, and, in collaboration with Joshua Cantor, added a “Plan of Work” model for EC members to timeframe their responsibilities. I both appreciate and admire these steps toward greater structure and communication. Both of these former chairs had true vision for the future of the BI-ISIG.

One of my goals is to carry on the relationship and communication with BI-ISIG TF chairs, to solicit and use their input on BI-ISIG budget and “Vision Cast” decisions, and to help create pathways for them to benefit from liaisons with each other and with outside organizations that share common goals.

The second area of focus is membership and TF growth. Lance and Ron also worked to grow our TFs, and we benefit from the significant increase in ACRM membership. Yet, expansion of any community needs to be monitored and guided in order to grow effectively and productively. Herein lies our next set of challenges. For some task forces, the actual membership is not clear. With the wonderful ACRM incentives of 6-month or 12-month membership comes some difficulty tracking TF membership. Who are our new members? How do we draw them in to our TF activities? Many (and different) people may attend TF meetings, only to be lost to follow up.

I believe that we have three groups of BI-ISIG and TF members: “core” active members

Message from the ChairMessage from the Chair . . . . . . . . . . . . . . . 1

Letter from the Editor . . . . . . . . . . . . . . . . . 3

BI-ISIG General Meeting . . . . . . . . . . . . .4 - 6

Interviews with 2014 BI-ISIG Award Recipients . . . . . . . . . . . . . . . . . . . . . . 8 - 10

Across the Globe Interviews with Arshia Ahmad and Son Preminger . . . . . . . . . 11 - 12

BI-ISIG Early Career Travel Scholarship Announcement & Distinguished Work . . . 14

BI-ISIG New Members . . . . . . . . . . . . . . . 15

BI-ISIG

Continued on page 2

CON T EN T S

PROGRESS IN REHABILITATION RESEARCH

ACRM

92nd Annual Conference

25 – 30 OCTOBER 2015

HILTON ANATOLE

DALLAS, TX, USA

DONNA LANGENBAHN, PHD, FACRM

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MOVING AHEAD | Volume 30 Number 1ACRM | BI-ISIG | Brain Injury – Interdisciplinary Special Interest Group 2

who show up to both Annual and MYM meetings consistently and shoulder the work of TF projects; members on the periphery who are interested in TF activities but perhaps reluctant to participate actively; and even more peripheral members who attended a meeting or one of the Cognitive Rehabilitation (CR) workshops, but never established a true connection. TF Chairs of course want to know the names of their members in each group, and develop strategies – probably different – to cultivate interest and involvement within the latter two groups. In particular we want to draw in early career members and members across disciplines. We started this discussion on the last quarterly EC and TF Chair meeting and will continue it at the MYM. I also will be speaking with ACRM staff to determine possible ways in which they can support these efforts. For the overall membership, I encourage you to attend the MYM and participate in TF(s) that interest you. We want your involvement and enthusiasm!!

Turning to the MYM, thanks to intensive work on the part of ACRM staff, Lance Trexler, and Judy Reuter, we have a full and exciting schedule for the MYM in Indianapolis. There will once again be a two-day Cognitive Rehabilitation Training (8 April – 9 April) with faculty Keith Cicerone, Lance Trexler, Rebecca Eberle, and Jennifer Wethe. MYM meetings will start Thursday (9 April) late afternoon and evening and go through Saturday (11 April) afternoon. All task forces have meetings planned – some have planned two or more meetings. There will be an EC and TF Chair meeting on Friday, 10 April (7:30 am – 8:45 am), followed by the BI-ISIG Business Meeting (8:45 am – 10:00 am). At noon that day, thanks to the work of Lance Trexler and Flora Hammond, there will be a panel discussion sponsored by Paradigm Outcomes, with lunch provided. The discussion title is Impact of Divergent Payers on Rehabilitation: Finding the Consumer-specific Strategies. Flora Hammond will Chair the Panel; discussants include John Hinton, DO, Wellpoint/Anthem; Michael Choo, MD, Paradigm Outcomes; Daniel Woloszyn, PhD, CEO, Rehabilitation Hospital of Indiana; and Gary Ulicny, PhD, FACRM, CEO, Shepherd Center. This event is of interest across all areas of rehabilitation. Please go to http://bit.ly/MYMschedule to view the full schedule.

Best wishes and we hope to see you in Indy!

Continued from page 1

EXECUTIVE COMMITTEE

CHAIRDonna Langenbahn, PhD, FACRM

NYU Langone - Rusk RehabilitationNew York, NY

Tel: +1.212.263.6163; Fax: +1.212.263.5166

CHAIR ELECTJennifer Bogner, PhD, ABPP-Rp, FACRM

Ohio Valley Center for Brain Injury Rehabilitation & Prevention Ohio State University

Columbus, OHTel: +1.614.293.3830; Fax: +1.614.293.4870

IMMEDIATE PAST CHAIRLance E. Trexler, PhD, HSPP, FACRM

Rehabilitation Hospital of IndianaIndianapolis, IN

Tel: +1.317.879.8940; Fax: +1.317.872.0914

TREASURERAlan Weintraub, MD

Craig Hospital, Englewood, COTel: +1.303.789.8220; Fax: +1.303.789.8470

SECRETARYKaren McCulloch, PT, PhD, MS, NCS

UNC Chapel Hill, Hillsborough, NCTel: +1.919.843.8783; Fax: +1.919.966.3678

COMMUNICATIONS OFFICERKristine Kingsley, PsyD, ABPP-Rp

NYU Langone - Rusk RehabilitationNew York, NY

Tel: +1.212.263.6177; Fax: +1.212.263.5166

EARLY CAREER OFFICERMonique Pappadis, PhD

TIRR Memorial Hermann Houston, TX

Tel: +1.404.350.7353; Fax: +1.404.350.7381

PROGRAMS/AWARDS OFFICERDawn Neumann, PhD

Rehabilitation Hospital of Indiana (RHI)Indianapolis, IN

Tel. +1.317.329.2188

EDITOR, MOVING AHEADKristine Kingsley, PsyD, ABPP-Rp

NYU Langone - Rusk Rehabilitation New York, NY

Tel: +1.212.263.6177; Fax: +1.212.263.5166

ACRM STAFFJon Lindberg, MBA, CAE, ACRM CEO

Email: [email protected]: +1.703.435.5335, Fax: +1.866.692.1619

Terri ComposEmail: [email protected]

Tel: +1.760.436.5033

Donna Langenbahn, PhD, FACRMBI-ISIG Chair

BI-ISIG

CONNECT WITH ACRM BI-ISIG

facebook.com/ACRMBIISIG http://bit.ly/ACRMbiLI

CONNECT

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Letter from the Editor

Dear Moving Ahead Readers:

It has been a sincere delight to put together the spring volume of the BI-ISIG newsletter. The current issue showcases the diversity of our membership in terms of background, interests and perspectives, while at the same time it recognizes a common thread: passion, innovation, and dedication to the field of brain injury.

I would like to congratulate the 2014 BI-ISIG award recipients: Matthew Doiron, PhD Early Career Award; Simon Beaulieu-Bonneau, PhD, David Strauss, PhD Memorial Award; Monique R. Pappadis, PhD, Girls & Women with ABI Early Career Award. A sincere appreciation for taking time out of their busy schedules, to respond to the questions posed to them about their work, future research aspirations and sources of personal inspiration.

This edition of Moving Ahead, also features two distinguished BI-ISIG members from across the globe: sending my warmest greetings and salutations to Drs. Arshia Ahmad and Son Preminger. Dr. Ahmad, a neurologist, who is currently working in Indianapolis, Indiana, has spearheaded a service delivery model initiative in her native Pakistan to address the acute and long-term rehabilitation needs of individuals with traumatic brain injuries; Dr. Preminger, a neuroscientist working and living in Israel, is designing new treatment software in the domain of cognitive rehabilitation, using game technology. Both scientists, who were affected by personal tragedy in the past, are applying their experiences and knowledge to develop services which will improve rehabilitation outcome in future patients.

I continue to have the pleasure of working with ACRM Staff Cindy Robinson, Terri Compos, Signy Roberts and Glenn Collins. Cindy Robinson has worked untold hours to update our ACRM website and send e-blast announcements to the membership-at-large; Glenn Collins orchestrates our social media announcements. Please take a few minutes to visit the BI-ISIG webpages, www.ACRM.org/bi; LinkedIn page, bit.ly/BI-ISIGlinkedIn and Facebook page, bit.ly/BI-ISIGfacebook and give us feedback. Thanks to Terri Compos for her kind and true guidance through production on this issue of Moving Ahead, and my great appreciation to Signy Roberts for her dedication and commitment to designing the newsletter.

We would love to hear from you. We have much to do and look forward to adding new features that our readers want. For now, we are thrilled you are here to see what we have been doing these past few months and to help us create the next newsletter by submitting your stories & photos.

I am looking forward to seeing everyone in Indianapolis, Indiana and Dallas, Texas this year.

Sincerely,

Kristine T. Kingsley, PsyD, ABPPBI-ISIG Communications OfficerEditor, Moving Ahead

Kristine Kingsley, PsyD, ABPP

http://www.ACRM.org/bi

http://bit.ly/BI-ISIGfacebook

https://bit.ly/BI-ISIGlinkedIn


Welcome and AnnouncementsDonna Langenbahn, Chair Elect The Annual Meeting of the Brain Injury Special Interest Group (BI-ISIG) of ACRM was convened in Toronto, Canada on 9 October 2014 at the Intercontinental Hotel, Metro Toronto Centre. Dr. Lance Trexler, Chair was unable to attend the Annual Meeting due to family emergency. BI-ISIG Chair Elect, Donna Langenbahn welcomed returning members and first-time attendees. Dr. Langenbahn introduced the current Executive Committee and thanked them for their continued dedication and invaluable work to the BI-ISIG. Next, Dr. Langenbahn discussed the recent changes to the BI-ISIG bylaws that had been distributed to the membership; changes primarily address improving the nomination and election process for BI-ISIG officers and updating the bylaws. A motion for approval of bylaws was requested, made, and seconded. A vote was taken and the bylaws were unanimously accepted.

Secretary’s ReportKristen Dams O’Connor, SecretaryDr. Dams-O’Connor directed members to the Minutes from the 2014 Mid-Year Meeting, which were printed in Moving Ahead, for their review. Dr. Flora Hammond made a motion to approve the minutes from the 2014 Mid-Year Meeting. Dr. David Krych seconded this motion. Dr. Dams-O’Connor announced that the Minutes from the 2014 Mid-Year Meeting were approved.

Treasurer’s ReportRisa Nakase-Richardson, TreasurerNon Given

Early Career ReportEarly Career Chair, Andrew DennisonDr. Dennison welcomed new attendees; he reported that the early career development course with cocktail reception was again a great success. Attendees were introduced to ACRM and the BI-ISIG, as well as other ISIGs and networking groups (NGs). There is increased involvement in the early career networking group. Finally, Dr. Dennison encouraged early career

participants to apply for the Mid-Year Meeting scholarships in order to become more familiar with the inner workings of the various task forces. An application form will be sent out via email to the ACRM membership prior to the Mid-Year Meeting.

Communications ReportCommunications Chair, Kristine KingsleyDr. Kingsley reported on the results of a recent survey pertain-ing to desired communication channels for BI-ISIG member-ship. Respondents report mixed reactions regarding use of social media for professional networking. Call for timely information in the newsletter with greater variety of content (early career, international, research) has been encouraged. Dr. Kingsley invited submissions for the semi-annual newsletter; volunteers writers are strongly welcome. She suggested the need for more clarity with respect to communication guidelines for BI-ISIG Executive Committee and members at large. Dr. Kingsley finally expressed a sincere gratitude to Judy Reuter for all her support, as well as to Terri Compos, Cindy Robinson, and Jenny Richard for their dedication.

Program/Awards Report Program/Awards Chair, Teresa AshmanDr. Teresa Ashman provided an introduction to the newly created BI-ISIG- sponsored Cantor Scholar Award in memory of our beloved colleague Dr. Joshua Cantor. The recipient of the first annual Cantor award 2014 is Risa Nakase-Richardson, PhD, FACRM for her outstanding body of scientific work in the field of traumatic brain injury and strong involvement with the ideals of the BI-ISIG. Dr. Ashman announced BI-ISIG awards. The BI-ISIG Early Career Poster Award winner was Matthew Doiron, PhD; the BI-ISIG David Strauss Poster Award winner was Simon Beaulieu-Bonneau, PhD, the newly created Women & Girls with ABI award went to Monique Pappadis, PhD. Finally, Dr. Ashman announced the 2014 Sheldon Berrol Memorial Chautauqua: “A Call to Action for Health Disparities” organized by Drs. Angela Colantonio and Yelena Goldin.

BI-ISIG General Business Meeting 9 October 2014INTERCONTINENTAL, TORONTO CENTRE AND THE METRO TORONTO CONVENTION CENTRE // TORONTO, CANADA

MINUTES


Task Force Updates Task Force chairs provided updates on each BI-ISIG Task Force:

COGNITIVE REHABILITATIONKeith Cicerone & Donna Langenbahn, Co-chairs (Co-chair Lance Trexler absent) Dr. Cicerone is in the process of completing assignments for reviewers for its 4th systematic review of cognitive rehabilitation effectiveness for TBI and Stroke. The group is also updating its review of cognitive rehabilitation for other medical conditions that impact cognition. The task force continues to run successful cognitive training workshops with newly vetted faculty: Cedars Sinai, Los Angeles (August 2014); Sunnaas Rehabilitation Hospital, Oslo/Norway (September 2014); Toronto, Canada (October 2014); Indianapolis, Indiana (April 2015). The task force is also interested in developing a 2nd edition of the Cognitive Rehabilitation Manual.

COMMUNIT Y-BASED TREATMENTNina Geier & Ann Marie McLaughlin, Co-chairsTask force members have collected responses to a provider survey on community-based treatment. The data will be analyzed from recent survey and will be presented in the future as a poster or lecture.

DISORDERS OF CONSCIOUSNESS Risa Nakase-Richardson & John Whyte, Co-ChairsThe DOC Task Force is focusing its work in four areas: clinical work, education, research, and advocacy. There are currently 8 products in various stages of development, including guideline development for documentation, program standards, and case definitions for post traumatic confusional state. Covering more than 16 hours, an impressive agenda for DOC meetings and educational seminars at ACRM was announced, with an interdisciplinary emphasis.

GIRLS AND WOMAN WITH ABI Angela Colantonio & Yelena Goldin, Co-chairsThe Girls and Women with ABI Task Force is this year’s organizer of the Sheldon Berrol Memorial Chautauqua: “A Call to Action for Health Care Disparities.” This session is the outcome of a successful collaboration with the Women with SCI Task Force of the SCI Networking Group. The TF is also the sponsor of an Archives special issue on Sex, Gender, and Acquired TBI.

MILD TBI Ronald Seel, ChairThe Mild TBI Task Force membership is resetting its goals. Much interest has been expressed in topics, with it being to avoid duplication with other professional

groups. The task force will not meet at the annual conference, but aim for meetings at the 2015 Mid-Year Meeting. There is a general plan to produce 1-3 papers focusing on education and mTBI. Interested new members can e-mail Dr. Seel.

PROGNOSIS AFTER TBI Rosette Biester & David Krych, Co-chairs The Prognosis after TBI Task Force has submitted a paper to JHTR detailing data collection and results of its survey on the information about prognosis that consumers and their families received after TBI. The task force is open to new ideas for projects. David Krych will be stepping down as co-chair after the annual conference. Chari Hirshson, PhD is the newly appointed co-chair.

PEDIATRIC & ADOLESCENT Julie Haarbauer-Krupa & Drew Nagele, Co-chairsThis task force is building its membership and working on conference programming in collaboration with the Pediatric Rehabilitation Networking Group. One of their goals is to increase pediatric content in the annual conference. One potential paper is a model of care for pediatric TBI. They plan a survey of ACRM membership focusing on a needs assessment for the pediatric population with TBI, with a comparison survey of schools.

Teresa Ashman, Risa Nakase-Richardson &Kristen Dams-O’Connor

Girls & Women With ABI Task Force

mailto:ron_seel%40shepherd.org?subject=ACRM%20mTBI

mailto:ron_seel%40shepherd.org?subject=ACRM%20mTBI


LONG-TERM ISSUES Kristen Dams-O’Connor & Flora Hammond, Co-chairsTask force chairs outlined plans for new projects, to include a review of existing clinical management guidelines for common post-TBI challenges and a systematic review of issues with individuals 20+ years post-TBI.

Other BusinessDr. Cate MillerDr. Cate Miller of NIDDR then gave an update on the National Research Action Plan for TBI.

Dr. Langenbahn commended the impressive work that task force chairs and members are doing. She acknowledged the contributions of David Krych to the Prognosis after TBI Task Force.

NEW EXECUTIVE COMMITTEE 2014-2015 Dr. Langenbahn described the procedures as documented in the bylaws for electing new BI-ISIG officers. The nominating committee which involved Drs. Langenbahn, Ron Seel, and Stephanie Hayner-Kolakowsky worked to promote diversity and

involvement across the years of BI-ISIG service, professional discipline, and affiliation. An email was sent to BI-ISIG membership in September 2014 to solicit nominations; an online ballot was subsequently distributed leading to an anonymous vote. Dr. Langenbahn announced the results of BI-ISIG vote for the 2014-2015 new Executive Committee: Jennifer Bogner, PhD, FACRM, Chair Elect; Alan Weintraub, MD, Treasurer; Karen McCulloch, PhD, Secretary; Dawn Neumann, PhD, Program/Awards Chair; Kristine Kingsley, PsyD, Communications Chair; Monique Pappadis, PhD, Early Career Chair. Other officers are Donna Langenbahn, PhD, FACRM, Chair, and Lance Trexler, PhD, HSPP, FACRM, Past Chair. She congratulated the new executive committee and expressed a sincere appreciation to the nominating committee members.

Meeting AdjournmentThe BI-ISIG Annual Summit was adjourned by Dr. Langenbahn at 2:05 pm

Respectfully submitted,

Kristen Dams-O’Connor, PhD BI-ISIG Secretary

Ron Seel & Angela Yi Alan Weintaub & Tessa Hart Donna Langenbahn

2014–2015 BI-ISIG EXECUTIVE COMMITTEE

DONNA LANGENBAHN, PHD, FACRM, Chair DAWN NEUMANN, PHD, Program/Awards Chair

JENNIFER BOGNER, PHD, ABPP-RP, FACRM, Chair Elect MONIQUE PAPPADIS, PHD, Early Career Chair

LANCE TREXLER, PHD, HSPP, FACRM, Immediate Past Chair KRISTINE KINGSLEY, PSYD, ABPP-RP, Communications Officer

ALAN WEINTRAUB, MD, Treasurer JON LINDBERG, MBA, CAE, ACRM CEO (Ex Officio)

KAREN MCCULLOCH, PT, PHD, MS, NCS, Secretary


Prognosis After TBI Task Force Cate Miller David Krych

Jennifer Bogner, John Corrigan & Susan Horn Julie Haarbauer-Krupa & Drew Nagele

Chris MacDonell, Phil Morse, Jenny Richard Felicia Connor & Brian Im Joe Marcantuono & Gerry Voelbel

<<< Yelena Goldin & Keith Ganci


AWARDS & DISTINCTIONSInterviews with 2014 BI-ISIG Award Recipients

Q: Would you mind giving us a bit of background information on the study, and where did the idea for this project emerge from? What if anything, surprised you about your findings?

A: For me, this project was about increasing clinical effectiveness without increasing patient burden or clinical workload. Studies have reported that misdiagnosis rates of people with disorders of consciousness as high as 40%, but these rates can be mitigated through standardized clinical assessments such as the Coma Recovery Scale-Revised (CRS-R); however, a proper CRS-R assessment can take approximately 20-45 minutes depending on level of training and a number of other factors. In a perfect world it would be great to monitor someone’s recovery with serial assessment daily or even multiple times per day, but it is simply not feasible for the patient or clinician. Our project wanted to determine if we could gather any diagnostic information from another scale (i.e. Disability Rating Scale) that was faster and already being administered regularly. It turned out that we could. While it was not as precise as the CRS-R, certain Disability Rating Scale total scores and sub-score profiles were associated with probable diagnoses, suggesting that, with further research, results could supplement more rigorous assessment tools (i.e. CRS-R) or function as a quick screening measure.

Q: What are some current projects and/or areas of research interest for you? What have been some areas of challenge?

A: While we completed this study when I was a research assistant at Spaulding, I have since moved on to pursue my PhD in Clinical Psychology at Drexel University. I am currently working in the Applied Neuro-Technologies Lab and focusing within the Neuropsychology concentration. While I am still working with Spaulding on a project to further improve the psychometric properties of CRS-R, my current research interests have shifted to technology and cognitive assessment during everyday tasks. I am really interested in studying how we can move from making assessments in a clinic seem more “real-world” to actually assessing people during their everyday lives. Think about how much information about yourself and your daily behaviors are potentially in something like your smartphone. In many ways, our digital behaviors are becoming proxies for our actual lives, and I think that represents a massive clinical opportunity.

Q: How did you become acquainted with ACRM? What would you advise a colleague (early career) who is thinking of submitting their work for an upcoming ACRM Annual Conference?

A: I think ACRM is a great place to submit work to as a young researcher. The multidisciplinary aspect of the organization really helps you consider your research from multiple perspectives. I think we have an incredibly supportive organization, whether that's friendly feedback at a poster session or more formal mentoring through the Early Career Networking Group and other ACRM projects.

BIO SKETCH: Matt’s primary research interests are moderate/severe brain injury and technologically augmented cognitive assessment. Before joining the Applied Neuro-Technologies Lab drexelantlab.wordpress.com at Drexel University, he worked in the Neurorehabil-itation Lab, srhneurorehabilitationlab.org, at Spaulding Rehabilitation Hospital. He is an active member within the ACRM Brain Injury Interdisciplinary Special Interest Group and Early Career Networking Group.

Early Career Award Winner: MATTHEW DOIRON

Co-Authors: Anne Citorik, Stephanie Gilmore, Eileen Hunsaker, Anne O’Brien, Marianne Beninato, and Joseph GiacinoDisability Rating Scale Criteria as a Screen for Consciousness

MATTHEW DOIRON

https://drexelantlab.wordpress.com/

http://srhneurorehabilitationlab.org/


Girls and Women with ABI Early Career Poster Award Winner: MONIQUE R. PAPPADIS

Co-Authors: Angelle M. Sander, Patrick Leung, Danielle Parrish, and Maxine W. EpsteinImpact of Gender Role Conflict on Adjustment in Women with Traumatic Brain Injury

Q: Congratulations on the 1st Girls & Women with ABI poster award. The topic of the presentation focused on gender role conflict and adjustment in women with TBI.

Would you mind telling us a little about the origin of the idea for this project? Were you surprised by your findings?

A: Thank you! The idea started several years ago while I conducted qualitative interviews with persons with TBI for a project on ethnic diversity in acceptance of disability acceptance for our then RRTC on Community Integration of Persons with TBI grant. Men with TBI shared that they felt less of a man and had difficulty accepting their role changes after injury. Women with TBI expressed feeling less than a woman or mother because they were usually the ones caring for their family and now they are receiving care from their family. The underlining theme was – Gender Role Conflict – which is a concept missing in the TBI literature and I believed it needed to be investigated further. Therefore, I created this study along with my mentors to investigate not only gender role conflict but loss of self and how they impact one’s adjustment to traumatic brain injury.

Q: What are some current areas of research interest for you and your team?

A: My brain is constantly full of research ideas and interests. I will spare you with describing all of them. My two main research ideas are: (1) ethnic minority health and behavioral health disparities and

(2) psychosocial adjustment to disability. I plan to create health interventions aimed at increasing health equity for ethnic minorities and other underserved populations. My most recently funded project investigates the perception of resource availability and accessibility in Spanish-speaking persons with TBI and their caregivers. Once completed, I will expand this project by creating a project to test an intervention aimed to improve access to care and services for both English- and Spanish-speaking persons with disabilities.

Q: You have been actively involved in Early Career Networking Group. What were some challenges you experienced as a young professional in your field? What may be some advice to share with other early career professionals who are thinking of submitting their work at a future ACRM conference?

A: I’ve been a member of ACRM’s Early Career Development Course Task Force since 2009. I have and continue to face many challenges as a young professional in my field. One of my biggest challenges is making a name for myself in a field that consists of majority physicians and neuropsychologists. My training is in biology, psychology, public health and social work and so I see the world with a different lens. So, it can be challenging to try to get some to appreciate how a different perspective can still add value to the field of brain injury research. Another big challenge is trying to handle the work-life balance. The more productive I am in the field impacts my energy and time as a mother and so I try to be creative with

finding ways to be the best in both. Also, as an early career professional, the transition from doing other’s research to getting funding so that you can do your own research can be challenging.

My advice to any young professional is that I highly recommend you to submit your work for presentation at an ACRM conference. The future of ACRM and your field depends on early career participation. ACRM is a great place to get exposure in the field of rehabilitation medicine. A lso, the networking opportunities are limitless. It has been through my involvement with ACRM that has given me opportunities to collaborate locally, nationally, and internationally with experts in the field. I also encourage all early career professionals to participate in ACRM’s Early Career Development Course. Every year we add something new and exciting so even if you have participated in the past, I encourage all early career professionals to participate.

BIO SKETCH: Monique R. Pappadis, PhD is the Early Career Chair for the BI-ISIG Executive Committee and the Chair-Elect for the Early Career Development Course Task Force. She is an Investigator at the Brain Injury Research Center

Continued on page 13

MONIQUE R. PAPPADIS


Interviews with 2014 BI-ISIG Award Recipients

David Strauss, PhD Memorial Award Winner: SIMON BEAULIEU-BONNEAU

Co-Authors: Myriam Giguère and Marie-Christine OuelletAlcohol and Drug Use Before and in the First Year After Traumatic Brain Injury: Association with Injury Severity

Q. I would like to congratulate you on your study regarding alcohol and drug use before and in the first year of TBI.

Would you mind telling us a little about this project: Do you know whether your findings were endemic only to your region of practice, or do they represent a general trend across Canada? What are some of the implications for assessment and rehabilitation treatment outcomes?

A. This study on alcohol and drug use before and in the first year after traumatic brain injury (TBI) is part of a larger longitudinal study investigating mental health in the first four years after the injury. In traumatology and rehabilitation settings in the province of Québec, the typical recommendation is to completely avoid substance use (alcohol and drug) at least in the first year following the brain injury. We wanted to see to what extent individuals with TBI follow this recommendation. We were particularly interested in comparing mild and moderate/severe TBI subsamples as they may have different premorbid characteristics in terms of substance use, and they significantly differ regarding the duration and intensity of post-injury healthcare (and, therefore substance use recommendations). For the most part, our results are in line with our hypotheses and the existing literature. They are also probably fairly representative of the clinical picture across Canada, although regional specificities may exist due to differences in sociodemographics and healthcare systems. Our main findings were that the proportion of individuals

with TBI using alcohol or drug significantly decreased shortly after the injury, but increased closer to pre-injury levels by the end of the first year. This was especially true after a mild TBI. Preinjury drug use was more common in persons with moderate/severe TBI, as was high-risk alcohol use (although this was not statistically significant). About 11% of the sample met criteria for substance abuse or dependence after the injury, and this was associated with poorer outcome. We believe that our data advocate for the need to monitor substance use throughout the first year after TBI. Clinical guidelines should be developed to standardize recommendations on substance use in traumatology and rehabilitation settings, especially for individuals with mild TBI since they often rapidly return to the community without further follow-up.

Q: What are some current areas of research interest for you and your team?

A: Our research team is mostly interested in understanding the long-term consequences of TBI, especially on mental health, sleep, and fatigue, and in developing cognitive-behavioral interventions to prevent or treat these issues. In addition to the longitudinal study on mental health in the first four years after TBI, our main current project is the elaboration of an assessment and treatment manual for insomnia and fatigue following TBI. The manual is intended for rehabilitation clinicians and was developed by a team of researchers, clinicians, and knowledge transfer experts. It will be

available in French very shortly, in both paper and electronic versions, and the English version is in preparation.

Q: How did you become acquainted with ACRM? What has been the overall experience for you attending conference(s)? Would you recommend the ACRM Annual Conference to other Canadian researchers who would like to showcase their work?

A: I first attended the ACRM annual conference in 2008 in Toronto, where my mentor Marie-Christine Ouellet was speaking in a symposium on sleep-wake disturbances after TBI. I was really impressed by the quality and clinical relevance of the scientif ic content, and the atmosphere of friendliness and collaboration shared by everyone, from the established researcher to the undergraduate student. Since then, I attended the conference four more times and, while it is getting bigger and better, the same collegial atmosphere remains. I would definitely recommend the conference to rehabilitation researchers and clinicians.

BIO SKETCH: Simon Beaulieu-Bonneau is a licensed clinical psychologist and neuropsychologist in the province of Québec, Canada. He works as a research associate at the Center for Interdisciplinary Research on Rehabilitation and Social


SIMON BEAULIEU-BONNEAU


Dr Arshia Q Ahmad, MD, MRCP (UK), MSc Clinical Neurology, is a Consultant Neurologist / Internal Medicine. She trained in UK, and is a Member of the Royal College of Physicians of London. She did her Masters in Clinical Neurology from Queen Square, University of London.

She is currently Assistant Research Professor PM&R, at the Indiana University Purdue University, Indianapolis based at the Rehabilitation Hospital Indiana. She is visiting faculty member and consultant in Neurological Rehabilitation at Shaheed Zulfiqar Ali Bhutto University and Pakistan Institute of Medical Sciences Islamabad, Pakistan.

Her interests expand to collaborations with Neurologists and Physicians in different parts of the world to formulate practice guidelines of neurological rehabilitation of various conditions, especially in third world countries, which take into account local cultural, economic, religious, political and other factors.

She has been invited to conduct workshops and training programs on neurological rehabilitation including the Armed Forces Institute of Rehabilitation Medicine (AFIRM) and deliver talks at various forums, medical and non-medical, to spread the awareness of improving brain injury rehabilitation, resulting in appropriate

management of brain injured individuals so that they can be re-integrated into practical life more productively. She is an author, a motivational speaker and manages a blog titled “Mind over Body” dealing with neurological rehabilitation issues. She is running a not-for-profit Charity organization called NIPPR (National Institute for Pain, Palliation, as an umbrella company for her work on Brain Injury management and rehabilitation in Pakistan.

ACROSS THE GLOBE INTERVIEWS . . . with Arshia Ahmad

Q. Please give us a brief history of this remarkable endeavor. What was the spark igniting this initiative, who is involved, and what are some objectives of this endeavor?

A. First of all thank you for asking me to speak to you about this project, which is dear to my heart. The roots of this project stem from a very personal experience, involving my younger brother who sustained near fatal injuries in Pakistan, 8 years ago. His recovery was very complicated and when he finally emerged from a coma 2 ½ months later, he demonstrated severe hemiplegia and global aphasia. In that moment, my family and I discovered the complete absence of an integrated care plan to deal with early rehabilitation, and we struggled to provide services by formulating our own plan. In Pakistan, there was not one comprehensive care facility for acute and sub-acute neurological management that could provide a multidisciplinary service delivery model to deal with multiple issues that arise with such neurological conditions.

Like many life-altering events, this incidence brought about a change in my career plans and ambitions. I was thrown in the deep end to understand the gaps

in management of neurological conditions and decided to do something about it.

Q. Could you share with us so far, some of the highlights of this project?

A: The incidence and prevalence of traumatic brain injuries has increased exponentially over the last 14 years, since the global war of terrorism. Hundreds of soldiers and civilians are affected by terror attacks, combat and bomb blasts. The economic implications of brain injury are devastating because most of the victims are young men, who are also bread winners for their families. Although there are large tertiary centers, the national guidelines for comprehensive, integrative, interdisciplinary rehabilitation approach are lacking. The objective of my project is to bridge the gap in management of acute/early neurological diseases in third world countries, using Pakistan as a model. The idea is to integrate the local socio-political, geo-economic factors into coming up with service delivery plans.

Our plan is to formulate strategies that work on a two pronged process:

1) to improve the existing facilities or develop new ones so that the infrastructure of providing care is strengthened;

2) to develop awareness-imparting programs for medical and paramedical staff as well as general public, so that brain injury does not continue to be thought of as an untreatable dire condition.

Indeed, training forms the core of our project at all levels. Because of the lack of facilities and infrastructure, many of the trainee doctors and paramedical staff do not receive adequate training on appropriate management of individuals with acquired brain injuries, so many of them are unaware of the gaps in their management strategies.

On the other hand, the general public awareness is at a very poor level, and people do not know what they should expect from service providers. This opens up many windows for negligence and mismanagement.

Our project focuses on increasing awareness at all levels. I have been


ARSHIA AHMED


Hi, my name is Son Preminger, I am the founder of Intendu, a company that develops software for brain rehabilitation.

Ten years ago, when I was doing my PhD in neuroscience, studying brain plasticity, my father had an accident and suffered a brain injury. During my father's rehabilitation process I was exposed to the rehabilitation world. I was very surprised to see that after a short rehabilitation period at the hospital and clinic, TBI survivors are left at home without any therapy at all, which leads to limited recovery and even deterioration. As a neuroscientist I knew that well-designed continuous cognitive training can dramatically improve rehabilitation. I thought that with the advanced computerized and virtual interaction methods available today, it does not make any sense that rehabilitation does not extend to the home environment. In addition, I realized that therapists in rehabilitation institutions have very limited tools to perform cognitive rehabilitation - they lack engaging and motivating activities to challenge and stimulate patients' cognition in an appropriate way and they lack good tools to measure and analyze patients' performance.

When I looked for existing technology-based solutions for this problem I found that available cognitive training software are commonly not suitable for people with brain disability and are not effective in transfer to real-life. They do not adapt dynamically to the behavior of the specific person, so they are hard to use by people

with brain disorders. Also, they are usually based on artificial and simplistic training settings and therefore rarely transfer into daily-function improvements.

One moment changed the path of my life. It was after the final meeting with my father's rehabilitation team. They told us that my father's functioning cannot be improved any further. "You should accept the situation as it is" they said. That moment I decided to make a change.

I decided to create a solution that will allow the hundreds of millions people with brain dysfunction to receive the effective and affordable rehabilitation that they deserve, both at the clinic and at home. This decision started a long journey. An amazing team of professionals joined me to fulfil this mission and together we created a breakthrough product that will transform brain rehabilitation.

The Intendu training platform is based on videogames that are designed specifically for brain training. The patient plays a fun game, interacting with characters and using natural body gestures. We train the brain with natural experiences, to achieve transfer of benefits to real life. The games react and adjust to patient's needs in real-time. Our patent-pending cognitive engine, decides at every moment, based on patient's actions and history, what is the best way for the game to stimulate the patient's brain to achieve his rehabilitation goals. Basically, our software engineers experiences to rewire the brain. For the patient it is just a game. For his brain it is an optimized personal trainer.

Our beta product is being used to train patients in pilots at leading Israeli rehabilitation institutions with very positive feedback from both clinicians and

patients. We are also in conversation with several leading US rehabilitation hospitals that tried our product and expressed their desire to work with Intendu’s solution as soon as it will be available. We are currently performing a clinical trial with our beta product to validate the effectiveness of the training.

Intendu is supported by governmental grants as well as private investors, many of which are social investors that support only ventures that benefit the global society. Last year our company was selected to participate in the Microsoft Accelerator program and we maintain their collaboration and support.

Our technology is applicable not only for brain injury from trauma but for all brain disorders, such as stroke, mental disease and Alzheimer. People with schizophrenia and Alzheimer who tried the product were challenged by the training games yet were able to play and were engaged and interested to continue the training. In the future we plan to adapt the product to support these populations as well.

A long journey in front of us, and our mission empowers us to continue to towards our goal - to deliver personalized, science based and effective brain rehabilitation to everyone who needs it everywhere.

ACROSS THE GLOBE INTERVIEWS

By Dr. Son Preminger, daughter of a survivor, founder of Intendu


COGNITIVE REHABILITATION TO EVERYONE WHO NEEDS IT, EVERYWHERE

“Grant me the serenity to accept the things I cannot change,

the courage to change the things I can, and the wisdom

to know the difference.” — Reinhold Niebuhr

SON PREMINGER


We are applying to present the first results of our clinical trial at the ACRM 2015 Annual Conference in Dallas. Hope to see you there. You can sign up for a free trial at www.intendu.com.

BIO SKETCH: Dr. Preminger is the Founder and CEO of Intendu a cognitive rehabilitation company, and Assistant Professor at IDC (Interdisciplinary Center Herzliya). Son has 13 years of experience in research and development of cognitive training and rehabilitation (IDC, Sheba rehab hospital, Weizmann, Yad Sara rehab). Prior to that she worked in the software industry in product management and marketing (Microsoft USA, CogniTens 3D Vision), business development (Schema), and R&D (CogniTens, Amdocs). She holds a PhD in Neuroscience (Weizmann), MBA (Harvard), MSc in Computer Science (Weizmann), and BSc in Mathematics (TAU).

at TIRR Memorial Hermann. She has been an active BI-ISIG member since 2011, serving on the Community-Based Treatment Task Force and the Girls and Women with ABI Task Force. Dr. Pappadis has been the recipient of several ACRM poster awards. Dr. Pappadis is also a FAHS-BECK scholar and a 2014-2016 NIH-NIMHD Health Disparities LRP scholar, which focuses on addressing access and service needs in ethnic minority TBI populations.

Integration (Dr. Marie-Christine Ouellet’s team) and the Université Laval’s Sleep Disorders Research Center (Dr. Charles Morin’s team). He also maintains a part-time private practice focusing on cognitive-behavior therapy (CBT) for sleep disorders. He completed a PhD in clinical psychology at Université Laval, Québec, QC, Canada in 2012, and his dissertation was entitled Sleepiness, fatigue, and attention problems after moderate/severe traumatic brain injury. He completed his clinical internship in neuropsychological assessment and CBT at the Baycrest Centre for Geriatric Care, in Toronto, ON, Canada. His main research and clinical interests are long-term consequences of traumatic brain injury (mental health, sleep, fatigue), efficacy and accessibility of CBT for sleep disorders, and normal and pathological aging. He has authored 13 peer-reviewed articles, 5 book chapters, 1 treatment manual, and 48 congress abstracts.

conducting workshops and training seminars for medical and paramedical personnel to talk about these gaps in management.

The service delivery model we are proposing is a three layered project:

1) To develop a state of the art, international standard early neurological rehabilitation institute to provide patients with comprehensive, integrated, interdisciplinary care

2) To develop national guidelines, including a mobile team of health care professionals who can track individuals and provide onsite care

3) To create a mobile team which would follow individuals with traumatic brain injury in the community to ensure continuation of care, as well as psycho-education to family members, who in turn can be elicited to support treatment endeavors.

Q. What would you deem are some additional challenges in training and service delivery of individuals with rehabilitation needs in the region?

A: The potential challenges we face are deeply ingrained existing medical practices which will be hard to change. The way medical structure works in a country like Pakistan is that most emphasis is placed on rescue medicine and emergency treatment, but there is no concept of integrating healthcare professional advice at the preventative or long term management stage. So, for instance they will come to a doctor when things have gotten worse, and then expect immediate miracles from doctors. This unrealistic expectation is counter-productive in a modality like rehabilitation which requires consistent, sometimes prolonged but persistent

care and re-evaluation. If a treatment intervention doesn’t yield immediate or early results, most patients are de-motivated and either start going to another doctor or even alternate healers, which may or may not be qualified to deal with brain injuries. This potentially, is the biggest challenge but our plan of making mobile rehab teams to get to people in their homes should be a step in the right direction.

In addition, further down the line we also aim to incorporate the alternate healing modalities into our institution. We realize that we cannot overlook their importance and involvement in the lives of the general public and indeed, in their own capacity, they may be providing valuable help. By getting them under the umbrella of research and development based medicine we will increase their authenticity and ensure that maligned practices are weeded out from the system.

Continued from page 9 Continued from page 11

Continued from page 10

MONIQUE R. PAPPADIS

SIMON BEAULIEU-BONNEAU

ARSHIA AHMAD

Continued from page 12SON PREMINGER

http://www.intendu.com/


BI-ISIG Early Career Travel Scholarship Announcement & Distinguished WorkACRM BI-ISIG, is pleased to announce the 2015 Early Career Travel Scholarship recipients. Four (4) scholarships were awarded to BI-ISIG members who are within five (5) years of completion of training (terminal degree OR postdoctoral fellowship, if applicable) and would like to attend the Mid-Year Meeting. Each scholarship awarded will reimburse travel expenses up to $400.

We would like to thank everyone who applied for a scholarship and congratulate those of you who were selected this year. All four recipients have demonstrated an avid involvement in BI-ISIG task force work, and we are confident will make an invaluable contribution during the Mid-Year-Meeting. Amanda Childs, Erica Kaplan, Daniel Gellar, Maria Kajankova

EARLY CAREER TRAVEL SCHOLARSHIP RECIPIENTS

FELICIA CONNOR, PSYDStaff PsychologistNYU Langone Medical CenterRusk Rehabilitation

MARY ALEXIS IACCARINO, MD Clinical FellowHarvard Medical SchoolSpaulding Rehabilitation Hospital MARIA KAJANKOVA, PHDPostdoctoral FellowIcahn SOM at Mount Sinai QURATULAIN KHAN, PHDPostdoctoral FellowJFK Johnson Rehabilitation Institute

BI-ISIG UPDATES

IN PRESS:

STAVITSKY GILBERT, K.KARK, S. M.GEHRMAN, P.BOGDANOVA, Y. (2015) Sleep Disturbances, TBI and PTSD: Implications for Treatment and Recovery. (In Press)

PEER-REVIEWED PRESENTATIONS AND ABSTRACTS

CURRENT PROJECTS Principal Investigator: YELENA BOGDANOVA, PHD

Three ongoing federally funded RCTs evaluating efficacy of cognitive rehabilitation and multi-modal neurorehabilitation program for the returning Veterans with TBI:

1). Cognitive Rehabilitation of Blast-induced Traumatic Brain Injury (VA RR&D),

2). Noninvasive Brain Stimulation (TMS) in blast TBI (NIH), and

3). Neuromodulation (LED) treatment to improve cognition in TBI (VA RR&D).


STEPHANIE LOEFFLER US

SAMIR BELAGAJE US

WILLIAM NIEHAUS US

ALLISON CERNICH US

KELLY FEDORKA US

SANDY JENKYNS CANADA

BESSIE PERKEY US

DAWN WALTERS US

ALLISON KESSLER US

SUDHIN SHAH US

KATRINA ROWE CANADA

CAROLINE SCHNAKERS US

DANIELLE KINCH CANADA

KIMBERLY ALFANO US

BRYAN THOMAS US

AMY BERRYMAN US

RAVI KASI US

MARK ALFANO US

CASEY ROTH US

AMY HAO US

SHANNON ORR CANADA

CECILIA RANSOM US

SUSAN BRESKY US

NICOLE MARCANTUONO US

KEVIN HOUSTON US

MOCID KHAN US

JENNIFER PRINS US

VALERIE POMEROY US

KAREN SASAKI CANADA

TINA FOCARILE US

MAZLINA MAZLAN MALAYSIA

DANIEL SALDANA US

SABRENA DEONARAIN CANADA

JENNY MYGLAND NORWAY

CLARA DISMUKE US

JAN BJORDAL NORWAY

JASON CARMICHAEL CANADA

ROBERT PEPPER US

MOHAMMED AHMED US

SUZANNE DAGHSTANI US

ROBERT KRUG US

STEVE DENISON CANADA

KATHRYN DECKER US

SON PREMINGER ISRAEL

PEGGY CIERI US

ALYSON RAYNOR US

NAZANIN BAHRAINI US

MONICA WATFORD US

ABDULLAH NASIF US

TAMMY BOYD US

CHARLES MARQUEZ US

RITA COLE US

ITZEL FERNANDEZ CAMACHO US

AMANDA STEEN US

HEIDI DARLING US

LAURA GOOD DEVEREAUX US

AMY HERROLD US

AJAY BHARATULA AUSTRALIA

JACLYN POCIASK US

Xiaolei Hu

We welcome all stakeholders in the field of

rehabilitation, including clinicians, researchers,

administrators, consultants, consumers, educators,

funders, insurers, policymakers, and others.

Students and new entrants to the field are especially

encouraged to join the ACRM BI-ISIG.

BI-ISIG New Members SEPTEMBER 2014 – JANUARY 2015

WELCOME

JOIN NOW

http://www.acrm.org/join/#howtojoin


Kristine Kingsley

Nina Geier

Donna Langenbahn, Keith Cicerone

Kristen Dams-O’Connor

2014 ACRM Annual Conference Memories…

Andrew Dennison, Risa Nakase-Richardson, Kristen Dams-O’Connor, Ron Seel, Donna Langenbahn, Teresa Ashman

Donna Langenbahn, Risa Nakase-Richardson

Donna Langenbahn, Ron Seel

BI-ISIG Executive Committee, Yelena Goldin

TORONTO, CANADA

BI-ISIG Annual Meeting

N O N - S T O P C O N T E N T

ACRM IS GOING, BIGGER, BETTER, BRIGHTER

www.ACRM.org

TEL: +1.703.435.5335

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ACRM 92nd Annual Conference

STROKESPINAL CORD SPINAL CORD INJURY

NEURONEURODEGENERATIVE

DISEASESPAINBRAIN INJURY CANCER

“ACRM is SERIOUS about rehabilitation

research and about

IMPROVING LIVES”JOSEPH GIACINO, PHD, FACRMSPAULDING R EHABIL ITATION HOSPITALACR M INSTITUTIONAL MEMBER SINCE 2011

http://www.acrm.org/

MOVING AHEAD | Volume 30 Number 1ACRM | BI-ISIG | Brain Injury – Interdisciplinary Special Interest Group << 18 >>WWW.ACRM.ORG PHONE: +1.703.435.5335

Primary Author Edmund C. Haskins, PhD

Hook Rehabilitation Center, Indianapolis, Indiana

COGNITIVE

REHABILITATION

MANUAL

TRANSLATING EVIDENCE-BASED

RECOMMENDATIONS INTO PRACTICE

Contributing Authors

and Editors

Keith Cicerone, PhD, ABPP-Cn, FACRM

JFK Johnson Rehabilitation Institute, Edison, New Jersey

Kristen Dams-O’Connor, PhD

Mount Sinai School of Medicine, New York, New York

Rebecca Eberle, MA, CCC-SLP

Indiana University, Bloomington, Indiana

Donna Langenbahn, PhD, FACRM

Rusk Institute of Rehabilitation Medicine, New York, New York

Amy Shapiro-Rosenbaum, PhD

Park Terrace Care Center, Flushing, New York

Lance E. Trexler, PhD

Rehabilitation Hospital of Indiana, Indianapolis, Indiana

BRAIN INJURY – Interdisciplinary Special Interest Group (BI-ISIG)

“The Cognitive Rehabilitation Manual is a landmark volume translating decades of research

into clearly described procedures indispensable for working clinicians. This manual is an

invaluable guide to the evidence-based practice of cognitive rehabilitation for clinicians with

or without strong research backgrounds.”

James F. malec, PhD, aBPP-cn, RP, FacRm

RehaBilitation hosPital oF inDiana, inDianaPolis, in (Usa)

“Thoughtfully organized, practical, and invaluable — this manual provides step-by-step

techniques for delivering cognitive therapies. This promises to be an essential guide to the

delivery of cognitive rehabilitation services for persons with brain injury.”

RonalD t. seel, PhD

DiRectoR oF BRain inJURy ReseaRch

shePheRD centeR, atlanta, Ga (Usa)

“This manual has moved the post-acute brain injury industry significantly forward by

providing clear guidelines for delivering ‘best practice’ cognitive rehabilitation.”

siD Dickson, PhD, aBPP

Pate RehaBilitation, Dallas, tX (Usa)

“Useful for both experienced professionals in cognitive rehabilitation and for a first approach.”

Paolo BolDRini, mD,

osPeDale ca’ Foncello, Piazzale osPeDale

tReviso, italy

“The Cognitive Rehabilitation Manual is a comprehensive collection of evidence-based

research practices organized in a clear manner. The information is presented in a format that

will benefit both seasoned professionals and entry level clinicians working with patients who

present with cognitive/communication deficits.”

DaviD J. haJJaR, ms, ccc-slP

cRotcheD moUntain FoUnDation, GReenFielD, nh (Usa)

“The manual is well aimed at ACBIS qualified staff and Clinical Psychologists and

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case studies and the larger group outcome studies up to the present. It is certainly evidence-

based in my view and it succeeds in translating the disparate evidence base in the clinical

literature to workable recommendations for staff

on the ground.”

DR BRian WalDRon

acqUiReD BRain inJURy, DUBlin, iRelanD

BRAIN INJURY – Interdisciplinary Special Interest Group (BI-ISIG)

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bi-isig - acrmoctober 2014 at the intercontinental hotel, metro toronto centre. dr. lance trexler,...

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