ARRA: Sensory driven motor recovery in poorly recovered subacute stroke patients

  • Sawaki Adams, Lumy (PI)

Grants and Contracts Details


The request for a Recovery Act Administrative Supplement is to accelerate the tempo of enrollment of research subjects. Enrollment is limited by the necessity to structure motor training of the patients in a 1:1 trainer-to-patient ratio design. Therefore, while we have received several referrals of subacute stroke patients, we are not able to immediately enroll each appropriate subject due to the need for 1:1 over an extended duration (18-day intervention plus 4 days of evaluation), as well as current limited availability of personnel. Presently, we have one part-time occupational therapist, Laurie Nichols, in addition to another occupational therapist, Cheryl Carrico. Ms. Carrico provides partial effort to the parent grant but also has responsibilities with other ongoing studies and with clinic/office administration. We fear that many subacute stroke subjects (less than 1 year) will become ineligible for the protocol if our understafting necessitates continued waitlisting of patients. Hiring Ms. Nichols as a full-time member of the research program would allow us to accelerate subacute enrollment during their limited period of eligibility. Additionally, supplement funding will allow retention of our biomedical engineer, Kenneth Chelette. Mr. Chelette is actively involved in all ongoing studies, including the parent grant. However, he is not supported by any grant at the moment. Rather, he is currently supported by start-up money that was provided when the P1, Lumy Sawaki, accepted a position at the University of Kentucky on April 1st, 2008. The start-up funds will expire in the near future, and then no support will be available for a biomedical engineer. This position was crucial to start the new research program at the University of Kentucky and will be crucial to develop new strategies to improve motor function in subjects with neurological disorders such as stroke. It will also be pivotal as we optimize our data collection, especially with the image-guided transcranial magnetic stimulation (TMS) and development of electronic forms for all outcome data, as well as the development of a functional data base. Finally, a small amount is requested to purchase a device (TMS coil) to optimize the transcranial magnetic stimulation data collection.
Effective start/end date9/30/099/29/11


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