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Driver Training Simulations for Patients After Stroke

Award Information

Agency:
Department of Health and Human Services
Branch:
N/A
Award ID:
94041
Program Year/Program:
2009 / STTR
Agency Tracking Number:
NS057920
Solicitation Year:
N/A
Solicitation Topic Code:
N/A
Solicitation Number:
N/A
Small Business Information
Systems Technology, Inc.
13766 S. Hawthorne Blvd. Hawthorne, CA -
View profile »
Woman-Owned: No
Minority-Owned: No
HUBZone-Owned: No
 
Phase 1
Fiscal Year: 2009
Title: Driver Training Simulations for Patients After Stroke
Agency: HHS
Contract: 1R41NS057920-01A1
Award Amount: $104,365.00
 

Abstract:

DESCRIPTION (provided by applicant): Stroke is a big, growing and costly problem. There are 550,000 first time and recurrent stroke survivors each year in the United States, costing an estimated 57.9 billion dollars for 2006. About one third of stroke surv ivors return to driving, most with little or no formal assessment or training. Although strokes are associated with significant neurological impairments affecting driving performance, few tools are available in the rehabilitation setting for retraining dri ving skills and abilities after stroke. Driving simulations have been used to assess driver fitness, but there is little evidence that they are effective in training driving-related skills and abilities after stroke. We will test the hypothesis that combin ing driving simulator training with usual ambulatory post-stroke care improves the potential for driving resumption after stroke more than usual care alone. Driving simulator training is an interactive task that is thought to take advantage of residual neu roplasticity after stroke by stimulating cortical reorganization in a context relevant manner. The goal of this Phase I study is to develop two reliable driving simulation scenarios as a training method to improve upon traditional rehabilitation post-strok e care for patients who want to drive again. After a first time stroke, patients who are judged to be temporally unfit for driving will receive usual post-stroke care (traditional occupational, physical and speech therapy and 12 hours of general classroo m training about healthy life-style choices.) In addition, each stroke patient will receive 12 hours of training on a driving simulator before they participate in a standard behind the wheel, on road test. 20 to 30 stroke patients will be tested within thi s context. In addition, 15 normal drivers will also be tested on the simulator in order to evaluate the performance and test-retest variability of the simulator. The main outcome measure is a pass/fail rating on a behind the wheel road test. Reliability of the scenarios will be tested and a scoring system will be developed to quantify the results of driving simulation performance in patients with varying skills and abilities after stroke. It is expected that Phase I results will justify a Phase II study f or validation in a larger cohort of stroke patients and the development of normative data. At the completion of Phase II, validated simulator scenarios and normative data will be packaged as a plug in to the STISIM Drive driving simulator and marketed and sold to rehabilitation clinics and occupational therapists who deal primarily with stroke patients. PUBLIC HEALTH RELEVANCE: There are 550,000 first time and recurrent stroke survivors each year in the United States and about one third return to driving, m ost with little or no formal assessment or training. Despite the need for driver retraining after stroke, simple and practical context-relevant tools are not available in the rehabilitation setting. The goal of our research is to develop two commercially v iable driving simulation scenarios to improve the effectiveness of driver rehabilitation training in patients wishing to resume driving after stroke.

Principal Investigator:

Theodore J. Rosenthal
3106792281
TROSENTHAL@SYSTEMSTECH.COM

Business Contact:

Suxie Fosmore
suzie@systemstech.com
Small Business Information at Submission:

SYSTEMS TECHNOLOGY, INC.
SYSTEMS TECHNOLOGY, INC. 13766 S HAWTHORNE BLVD HAWTHORNE, CA 90250

EIN/Tax ID: 951957989
DUNS: N/A
Number of Employees: N/A
Woman-Owned: No
Minority-Owned: No
HUBZone-Owned: No
Research Institution Information:
SHARP MEMORIAL HOSPITAL
SHARP MEMORIAL HOSPITAL
7901 FROST ST
SAN DIEGO, CA 92123-2701
RI Type: Domestic nonprofit research organization