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At least 37 records · Page 2

Leveraging Game Consoles for the Delivery of TBI Rehabilitation

Military personnel are at a greater risk for traumatic brain injury (TBI) than the civilian population. In addition, the increase in exposure to explosives, i.e. , improvised explosive devices, in the Afghanistan and Iraq wars, along with more effective body armor, has resulted in far more surviving casualties suffering from TBI than in previous wars. This effort presents the results of a feasibility study and early prototype of a brain injury rehabilitation delivery system (BIRDS). BIRDS is designed to provide medical personnel treating TBI with a capability to prescribe game activities for patients to execute using a commercially available game console, either in a clinical setting or in their homes. These therapeutic activities will contribute to recovery or remediation of the patients' cognitive dysfunctions. Solutions such as this that provide new applications for existing platforms have significant potential to address the growing incidence of TBI today.

Super, Taryn↗

RECOVER: An Automated Cloud-Based Decision Support System for Post-fire Rehabilitation Planning

RECOVER is a site-specific decision support system that automatically brings together in a single analysis environment the information necessary for post-fire rehabilitation decision-making. After a major wildfire, law requires that the federal land management agencies certify a comprehensive plan for public safety, burned area stabilization, resource protection, and site recovery. These burned area emergency response (BAER) plans are a crucial part of our national response to wildfire disasters and depend heavily on data acquired from a variety of sources. Final plans are due within 21 days of control of a major wildfire and become the guiding document for managing the activities and budgets for all subsequent remediation efforts. There are few instances in the federal government where plans of such wide-ranging scope and importance are assembled on such short notice and translated into action more quickly. RECOVER has been designed in close collaboration with our agency partners and directly addresses their high-priority decision-making requirements. In response to a fire detection event, RECOVER uses the rapid resource allocation capabilities of cloud computing to automatically collect Earth observational data, derived decision products, and historic biophysical data so that when the fire is contained, BAER teams will have a complete and ready-to-use RECOVER dataset and GIS analysis environment customized for the target wildfire. Initial studies suggest that RECOVER can transform this information-intensive process by reducing from days to a matter of minutes the time required to assemble and deliver crucial wildfire-related data.

cloud computing↗

Space Grant Research Launches Rehabilitation Chair

Working with funding from the National Space Grant College and Fellowship Program-which was implemented by NASA Headquarters to fund research, education, and public service projects-a biomedical engineering student created a vibration-based system that could combat bone loss from prolonged trips to space. A rehabilitation chair incorporating the technology is now sold by Sheboygan, Wisconsin-based VibeTech Inc. and is helping people recover more quickly from injuries and surgery.

Source record↗

2021 Corrective Measures Implementation and Interim Measures Annual Status Report: Summary of Biosparge System Operation and Maintenance, and Interim Groundwater Monitoring Mobile Launch Platform Rehabilitation Sites / Vehicle Assembly Building Area (SWMU 056) Kennedy Space Center, Florida

This report presents a summary of the Corrective Measures Implementation (CMI) and Interim Measure (IM) implementation activities that occurred from January 2021 through December 2021 at the Mobile Launch Platform Rehabilitation Sites (MLP)/Vehicle Assembly Building (VAB) Area, Solid Waste Management Unit 056 (SWMU 056), located at the John F. Kennedy Space Center, Florida. The following summaries briefly describe areas within SWMU 056 identified by historical site investigation activities where groundwater monitoring and remedial actions have been implemented to date.

Randall K. Sillan↗

In Situ Chemical Reduction Interim Measures Work Plan Hot Spot 3 Mobile Launcher Platform Rehabilitation Sites / Vehicle Assembly Building Area (SWMU 056) Kennedy Space Center, Florida

This document presents the design details of an In Situ Chemical Reduction (ISCR) Interim Measures Work Plan for Hot Spot 3 within Mobile Launcher Platform Rehabilitation Sites/Vehicle Assembly Building Area, Solid Waste Management Unit (SWMU) 056 (SWMU 056), located at the John F. Kennedy Space Center, Florida. The interim measures (IM) treatment zone encompasses an area identified as the High Concentration Plume (HCP), which is defined as the area with chlorinated volatile organic compound (CVOC) groundwater concentrations greater than their respective Natural Attenuation Default Concentration (NADC). The objective of the IM is to remove CVOC mass within the treatment area to levels that facilitate a transition to natural attenuation monitoring. The IM design consists of the selected ISCR amendment, Provect-IR, which is a mixture of solid reagents in a single product that promotes enhanced reductive dechlorination and ISCR. ProvectIR includes natural antimethanogenic compounds; multiple hydrophilic, nutrient-rich organic carbon sources; zero valent iron; chemical oxygen scavengers; and vitamin and mineral sources. The proposed treatment area for this IM encompasses less than 1 acre and includes three vertical treatment intervals to reach the NADC plumes that vary per CVOC and depth: 4 to 10 feet below land surface (bls), 10 to 18 feet bls, and 42 to 52 feet bls. The amendment will be distributed through 16 injection points (IP01 through IP16) using dosing rates ranging from 0.4% to 0.6% of soil mass within the treatment interval and a 15% or 20% slurry strength. Dosage rates and slurry strength are based on groundwater geochemistry, soil characteristics, and contaminant concentrations. To aid in the evaluation of the ISCR IM performance, six performance monitoring wells will be installed following injections and sampled semiannually. CVOC parameters will be sampled until concentrations reduce to below their NADC. Underground Injection Control parameters will be sampled until concentrations decrease to background levels or to levels that meet respective groundwater standards. Sampling frequency will be evaluated annually and modified as needed. The path forward for the ISCR IM implementation includes preparing the IM Implementation Work Plan, ISCR injections, monitoring well installation, performance monitoring, and reporting.

Randall K. Sillan↗

2022 Through April 2023 Corrective Measures Implementation and Interim Measures Annual Status Report: Summary of Biosparge System Operation and Maintenance, Interim Measures and Monitoring Mobile Launch Platform Rehabilitation Sites / Vehicle Assembly Building Area (Swmu 056) Kennedy Space Center, Florida

This report presents a summary of the Corrective Measures Implementation (CMI) and Interim Measure (IM) implementation activities that occurred from January 2022 through April 2023 at the Mobile Launch Platform Rehabilitation Sites (MLP)/Vehicle Assembly Building (VAB) Area, Solid Waste Management Unit 056 (SWMU 056), located at the John F. Kennedy Space Center, Florida. The following summaries briefly describe areas within SWMU 056 identified by historical site investigation activities where groundwater monitoring and remedial actions have been implemented to date.

VOCs↗

The current status of rehabilitation engineering

Mechanical and electrical engineering devices for paralytic patient care are discussed as they are applied to medical problems. These include means of preventing bedsores, mobility aids, upper extremity orthoses, and electrical stimulation.

Reswick, J. B.↗

Lunar rover vehicle - an implication for rehabilitation

The feasibility of adapting the lunar roving vehicle control concept to automobiles and vans for quadriplegics was investigated. Topics discussed include the current state of automobile handicapped controls, a description of the affected population, and a design for interfacing the control system into a passenger vehice.

Mcfarland, S. R.↗

The application of remotely sensed data in support of emergency rehabilitation of wildfire-damage areas

The depth, texture, and water holding capacity of the soil before the fire in the Bridge Creek area of Deschutes National Forest (1979) were determined from available aerial photography and LANDSAT MSS digital data. Three days after the fire was out, complete coverage of the burned area was acquired on 35 mm color infrared film from a near vertical or low oblique perspective. These photographs were used in assessing the condition of vegetation, and in predicting the likelihood of survival. Negatives from vertical natural photography obtained during the same flight were used to produce 3R prints from which large scale mosaics of the entire burned area were obtained. LANDSAT MSS data obtained on the day the fire was under control were used to evaluate vegetative vigor (by calculating a band 7/band 5 ratio value for each spectral class) and to determine the boundary between altered and unaltered land.

Isaacson, D. L.↗

Rehabilitation of 64-meter-antenna radial bearing

The performances of the radial bearings on three 64-meter antennas are presented. Explanations for the distortion of the bearing at DSS 14 are made and the repairs are described. Recommendations for future tests and action are given.

Mcginness, H.↗

Investigation and Rehabilitation to Extend Service Life of DSS-13 Antenna Concrete Foundation

An investigation to establish the cause and, devise a repair technique to maintain the serviceability of the DSS-13 26 meter antenna is described. Core samples are obtained from the concrete and various laboratory tests conducted. In-place nondestructive type tests are also performed. The tests established that the concrete is deteriorating because of alkali aggregate reactivity. This is a phenomenon wherein certain siliceous constituents present in some aggregates react with alkalies in the portland cement to produce a silica gel which, in turn, imbibes water, swells, and cracks the concrete. The scheme consists of a supplemental steel frame friction pile anchored grade beam encircling the existing foundation. This system provides adequate bracing against base shear and overturning due to seismic loading. Larger cracks are sealed using a pressure injected two-component epoxy.

Riewe, A. A., Jr.↗

Lockable Knee Brace Speeds Rehabilitation

Marshall Space Flight Center develops key transportation and propulsion technologies for the Space Agency. The Center manages propulsion hardware and technologies of the space shuttle, develops the next generation of space transportation and propulsion systems, oversees science and hardware development for the International Space Station, manages projects and studies that will help pave the way back to the Moon, and handles a variety of associated scientific endeavors to benefit space exploration and improve life here on Earth. It is a large and diversified center, and home to a great wealth of design skill. Some of the same mechanical design skill that made its way into the plans for rocket engines and advanced propulsion at this Alabama-based NASA center also worked its way into the design of an orthotic knee joint that is changing the lives of people with weakened quadriceps.

Source record↗

Musculoskeletal Changes, Injuries and Rehabilitation Associated with Spaceflight

The in-flight musculoskeletal database provides the foundation for directing operationally-relevant research in space medicine. This effort will enable medical operations to develop medical kits, training programs, and preventive medicine strategies for future CxP missions: a) Quantify medications and medical supplies for next-generation spacecraft. b) Objective data for engineers to determine weight requirements. Flight surgeons can make specific recommendations to astronauts based on injury data, such as emphasizing hand protection while in-flight. EVA and spacecraft engineers can examine evidence-based data on injuries and design countermeasures to help prevent them.

Scheuring, Richard A.↗

Evaluating the Socioeconomic Impacts of Rapid Assembly and Deployment of Geospatial Data in Wildfire Emergency Response Planning: A Case Study Using the NASA RECOVER Decision Support System (DSS)

Today’s extended fire seasons and large fire footprints have prompted state and federal land management agencies to devote increasingly larger portions of their budget to wildfire management. As fire costs continue to rise, timely and comprehensive fire information becomes increasingly critical to response and rehabilitation efforts. The NASA Rehabilitation Capability Convergence for Ecosystem Recovery (RECOVER) post-fire decision support system is a server-based application designed to rapidly provide land managers with the information needed to develop a comprehensive rehabilitation plan. This study tested the efficacy of RECOVER through structured interviews with land managers (n=15) who used RECOVER and were responsible for post-fire rehabilitation efforts on over 645 000 ha of fire-affected lands. Although the benefit of better-informed decisions is difficult to quantify, the results of this study illustrate RECOVER’s decision support capabilities provided information to land managers that either validated or altered their decisions on post-fire treatments estimated at over $1.2 million (USD) and saved nearly 800 hours of staff time by streamlining data collection as well as communication with local stakeholders and partnering agencies.

William Toombs↗

Evaluation of Markerless Motion Capture for Monitoring Sensorimotor Performance

BACKGROUND Astronauts returning from long-duration exposure to microgravity frequently exhibit alterations in sensorimotor function leading to postural imbalance, impaired locomotion, and operational challenges to manual control. Mission duration and individual responses often influence both the severity of performance decrements and the variability in adaptation timelines. Postflight disruptions during functional tasks are often detected through body-worn inertial measurement unit (IMU) devices. While IMU sensors are relatively compact, the long-term wear may lead to discomfort, displacement of the sensors on the body, and restrictions in movement or crew behavior. Although IMU data offers valuable insights from a research standpoint, interpreting changes in pre- and post-flight measures can be difficult for crew support personnel beyond the research domain, which can hinder the application for medical assessments and rehabilitation. Finally, the availability of inertial sensors in-flight is limited. There is a need for unobtrusive monitoring tools to improve our ability to monitor adaptation following gravitational transitions in various postflight evaluations and rehabilitation settings. Markerless motion capture (MMC) is an evolving unobtrusive technology that builds upon decades of research with marker-based motion capture systems to provide 3D human pose estimation from multiple synchronized 2D camera views using deep learning algorithms. Markerless technology can revolutionize how data is captured pre- and post-flight and potentially in-flight during intravehicular activity by enabling pose estimation of multiple crew members from onboard camera hardware. METHODS The following presents the initial evaluation of a state-of-the-art commercial-off-the-shelf MMC system, Theia Markerless, compared to IMU devices during various ground-based functional tasks and environmental conditions. The featured functional tasks include assessments from Human Research Program (HRP) funded studies such as Sensorimotor Standard Measures and Sensorimotor Assessments. Synchronous data collected using both motion capture and IMUs are analyzed for six male and female subjects of varying anthropometry. The analysis includes limited assessments of clothing, capture volume configurations, and the tool's sensitivity to detecting performance changes after a spaceflight analog centrifuge exposure. The development of visualization tools to enhance the application of the pose estimation output is also presented. RESULTS Initial results demonstrate comparable root mean square error (RMSE) to existing literature evaluating markerless and marker-based motion capture systems. Considering the relative functional range of motion of the cervical spine, normalized error values for the markerless system’s accuracy of the head was 0.032 in pitch, 0.025 in roll, and 0.018 in yaw plane of motion across a subset of functional tasks. The raw RMSE values were 3.49, 2.25, and 2.81 degrees respectively. For the torso, results suggest normalized errors of 0.469 in pitch, 0.191 in roll, and 0.307 in yaw planes of motion and raw RMSE values of 3.52, 1.53, and 3.07 degrees respectively. The data suggests the functional demands of a particular task influences the estimation accuracy of the MMC system where more dynamic motion and cases where subjects are not upright may introduce diminished tracking accuracy. DISCUSSION The following work lays the foundation for future implementations leveraging markerless motion capture to assess the time course of recovery and provide insight for rehabilitation protocols to enhance crew readiness for the resumption of daily activities. These tools offer effective methods for anonymizing sensitive crew data, facilitating numerous applications across research, medical, and rehabilitation groups. Collaborations with the Anthropometry and Biomechanics Facility will provide further comparisons of the Markerless system to a marker-based system. ACKNOWLEDGEMENT</ This work is supported by NASA’s Exploration Systems Development Mission Directorate Mars Campaign Office Crew Health Countermeasures.

Hannah M. Weiss↗

NASA Musculoskeletal Space Medicine and Reconditioning Program

The Astronaut Strength, Conditioning, and Rehabilitation (ASCR) group is comprised of certified strength and conditioning coaches and licensed and certified athletic trainers. The ASCR group works within NASA s Space Medicine Division providing direction and supervision to the astronaut corp with regards to physical readiness throughout all phases of space flight. The ASCR group is overseen by flight surgeons with specialized training in sports medicine or physical medicine and rehabilitation. The goals of the ASCR group include 1) designing and administering strength and conditioning programs that maximize the potential for physical performance while minimizing the rate of injury, 2) providing appropriate injury management and rehabilitation services, 3) collaborating with medical, research, engineering, and mission operations groups to develop and implement safe and effective in-flight exercise countermeasures, and 4) providing a structured, individualized post-flight reconditioning program for long duration crew members. This Panel will present the current approach to the management of musculoskeletal injuries commonly seen within the astronaut corp and will present an overview of the pre-flight physical training, in-flight exercise countermeasures, and post-flight reconditioning program for ISS astronauts.

Kerstman, Eric↗

On the Efficacy of Isolating Shoulder and Elbow Movements with a Soft, Portable, and Wearable Robotic Device

Treatment intensity has a profound effect on motor recovery following neurological injury. The use of robotics has potential to automate these labor-intensive therapy procedures that are typically performed by physical therapists. Further, the use of wearable robotics offers an aspect of portability that may allow for rehabilitation outside the clinic. The authors have developed a soft, portable, lightweight upper extremity wearable robotic device to provide motor rehabilitation of patients with affected upper limbs due to traumatic brain injury (TBI). A key feature of the device demonstrated in this paper is the isolation of shoulder and elbow movements necessary for effective rehabilitation interventions. Herein is presented a feasibility study with one subject and demonstration of the device's ability to provide safe, comfortable, and controlled upper extremity movements. Moreover, it is shown that by decoupling shoulder and elbow motions, desired isolated joint actuation can be achieved.

Kadivar, Zahra↗