A primary goal of the National Center of Medical Rehabilitation Research is to bring the health related problems of people with disabilities to the attention of America's best scientists in order to capitalize upon the myriad advances occurring in the biological, behavioral, and engineering sciences. The purpose of this training grant is to continue to produce outstanding rehabilitation scientists by providing pre- and post-doctoral training (3 pre- and 1 post-doctoral slots per year) in Movement Science to health professionals from an interdisciplinary faculty. As an expansion of this successful Movement Science Program, the PIs are requesting one additional pre-doctoral slot and one post-doctoral slot. The training program is administratively housed in the Program in Physical Therapy but it is an interdisciplinary program and currently half of its pre-doctoral trainees and all of its post-doctoral trainees are from non-PT backgrounds (i.e., biomedical engineering, exercise science, kinesiology, neuroscience, occupational therapy). The environment at Washington University Medical Center is ideally suited for this training because it combines a premiere medical school with a strong infrastructure for research and a hospital system that includes a world-class rehabilitation center. The training program utilizes the expertise of outstanding investigators to provide interdisciplinary guidance in academic and research activities and is built on a core of biocontrol, biomechanics, and bioenergetics. The program has active involvement from well-respected and established investigators in many related fields including the Neurosciences, Medicine, Orthopedics, Biomedical Engineering, Radiology, and Psychology. The use of established investigators with an interest in integrating basic science and clinical manifestations of disease and injury is an effective means of producing high quality, interdisciplinary research in rehabilitation. The average duration of training has been 4.5 years in the full time pre-doctoral program over its 21 years of existence. Funded trainees are productive (average 6 peer reviewed publications associated with training) and have a low drop-out rate (12%). Training grant funded graduates are all employed in academic settings (100%) and have gone on to be productive in obtaining extramural funding, publishing research in the area of rehabilitation, and training other scientists and professionals in rehabilitation related fields.

Public Health Relevance

The purpose of this training grant is to continue to produce outstanding rehabilitation scientists in Movement Science by training health professionals from an interdisciplinary faculty and perspective. Graduates are trained to investigate and improve the movement impairments in people with chronic diseases (i.e. stroke, diabetes, neuropathy, Parkinson Disease, low back pain) so that they may be more active and participate in their community and society.

National Institute of Health (NIH)
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Institutional National Research Service Award (T32)
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Study Section
Pediatrics Subcommittee (CHHD)
Program Officer
Nitkin, Ralph M
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Washington University
Other Health Professions
Schools of Medicine
Saint Louis
United States
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Myers, Peter S; McNeely, Marie E; Koller, Jonathan M et al. (2017) Cerebellar Volume and Executive Function in Parkinson Disease with and without Freezing of Gait. J Parkinsons Dis 7:149-157
Bittel, Adam J; Bittel, Daniel C; Tuttle, Lori J et al. (2017) Explanators of Sarcopenia in Individuals With Diabesity: A Cross-Sectional Analysis. J Geriatr Phys Ther 40:86-94
Cheuy, Victor A; Hastings, Mary K; Mueller, Michael J (2016) Metatarsophalangeal Hyperextension Movement Pattern Related to Diabetic Forefoot Deformity. Phys Ther 96:1143-51
Cheuy, Victor A; Hastings, Mary K; Commean, Paul K et al. (2016) Muscle and Joint Factors Associated With Forefoot Deformity in the Diabetic Neuropathic Foot. Foot Ankle Int 37:514-21
Pilgram, Laura M; Earhart, Gammon M; Pickett, Kristen A (2016) Impact of limiting visual input on gait: Individuals with Parkinson disease, age-matched controls, and healthy young participants. Somatosens Mot Res 33:29-34
Bittel, Daniel C; Bittel, Adam J; Tuttle, Lori J et al. (2015) Adipose tissue content, muscle performance and physical function in obese adults with type 2 diabetes mellitus and peripheral neuropathy. J Diabetes Complications 29:250-7
Urbin, M A; Bailey, Ryan R; Lang, Catherine E (2015) Validity of body-worn sensor acceleration metrics to index upper extremity function in hemiparetic stroke. J Neurol Phys Ther 39:111-8
Bailey, Ryan R; Birkenmeier, Rebecca L; Lang, Catherine E (2015) Real-world affected upper limb activity in chronic stroke: an examination of potential modifying factors. Top Stroke Rehabil 22:26-33
Urbin, M A; Waddell, Kimberly J; Lang, Catherine E (2015) Acceleration metrics are responsive to change in upper extremity function of stroke survivors. Arch Phys Med Rehabil 96:854-61
Bailey, Ryan R; Klaesner, Joseph W; Lang, Catherine E (2015) Quantifying Real-World Upper-Limb Activity in Nondisabled Adults and Adults With Chronic Stroke. Neurorehabil Neural Repair 29:969-78

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