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E492012 ACRM–ASNR Annual Conference Abstracts

75% with amantadine. Subgroup analysis suggests that amantadinemay be more effective for emergence from MCS than progressingfrom a PVS to MCS. Key Words: Brain injury; Stroke; Cognition anderception; Clinical practice; Rehabilitation.

oster 119aregiver Outcomes and Burden Three Months into a Brain

njury Survivor’s Recovery. Daniel W. Klyce (Department of Psy-hological Sciences, Purdue University, West Lafayette, IN, Van-erbilt-VA Psychology Internship Consortium, Nashville, TN),nthony J. Conger, Lance E. Trexler.

isclosure: None disclosed.The purpose of this research was to identify caregiver back-

round variables contributing to caregiver outcomes three monthsfter a brain-injury survivor has been discharged from inpatientare. Indicators of survivor depression, physical and emotionalunctioning were tested to see if they provided additional value torediction of caregiver outcomes. Thirty-one adult caregivers of arain-injury survivor were assessed; of these, 17 were paired withsurvivor who was able and/or willing to participate. At threeonths post-discharge, caregivers completed measures of life-

hanges as a result of providing care, caregiver burden, and affec-ive distress. Caregivers with higher levels of education and whoere employed part-time indicated significantly less negative life-

hanges. Spouses (rather than parents) indicated a significantlyigher level of difficulty associated with providing care. Significantredictors of life-changes included the caregiver’s relationship tohe survivor, education level, and the type of injury sustained by theurvivor. Significant predictors of the amount of time devoted toroviding care included the relationship to the survivor and the totalumber of individuals in the home. The importance of settingppropriate expectations for caregivers during the post-acute re-overy phase is discussed. Implications for future research andlinical practice are reviewed. Key Words: Brain injury; Stroke;ental health; Epidemiology and outcomes research; Rehabilitation.

oster 120mplementing Agile, User-Centered Design in Video Games forognitive Rehabilitation. Sheryl Flynn (University of Southernalifornia, Leonard Davis School of Gerontology, Los Angeles,A), Joe France, Jamie Antonisse, Nina Withrington, Rachelroffitt, Bonnie L. Kennedy.

isclosure: None disclosed.Objectives: Off-the-shelf video games are widely used in the

ehabilitation environment. However, rarely are those games scaled tohe needs of consumers of rehabilitation services. Therefore, ourbjective is to implement user-centered design criteria for video gamespecifically designed for cognitive sensorimotor rehabilitation. De-ign: Product development through an agile iterative process of end-ser input, game design, focus groups, prototyping and usability test-ng by end-users. Setting: Blue Marble Game Co. studio, Los Angeles,A. Participants: Clinicians treating people with mild to moderaterain injuries, family and caregivers of people with brain injuries,eople with mTBI and a trans-disciplinary game development team.nterventions: Not applicable. Main Outcome Measures: User ac-eptance testing, focus group data and play-testing data. Results:mplement Product Release, June 2012. Conclusions: As imple-ented a transdisciplinary user-centered design approach is both fea-

ible and effective when developing engaging and immersive videoame experiences scaled to address specific needs in rehabilitation.he challenges ahead include validating measures, testing the inter-ention’s effectiveness and demonstrating sufficient ROI to sustainhis promising technology in the clinical environment. Key Words:

ehabilitation; Video games; Occupational therapy; Physical therapyodalities.

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oster 121redicting Fall Risk in Acute Inpatient Rehabilitationacilities. Emily R. Rosario (Casa Colina Centers for Rehabilita-

ion, Pomona, CA), Stephanie Kaplan.

isclosure: None disclosed.Objective: Patient falls during a hospital admission can result in

erious injury and considerable financial implications however; noalls assessment tool has been developed specifically for use in ancute inpatient rehabilitation facility (IRF). The objective for this studys to identify risk factors for falls and develop an assessment toolpecific for an IRF setting. Design: Prospective clinical study. Setting:npatient Rehabilitation Facility. Participants: Patients consecutivelydmitted to a 68-bed rehabilitation hospital. Interventions: Diagnosis,IM scores, and pre-morbid history were collected for all patients tossess predictors for fall risk. From these a risk assessment tool wasreated and tested for its effectiveness. Main Outcomes Measures:ndependent T-tests were conducted for FIM scores, and chi-squareests for diagnosis, pre-morbid history, and other symptoms to exam-ne differences between fallers and non-fallers. Logistical regressionnd chi-square analysis were used to determine the relative risk scoressociated with each predictive factor and these scores were used toevelop a risk assessment tool. Results: Several risk factors for fallsere identified including four FIM scores; toileting, bed transfer,

ub/shower transfer, and stairs, and three diagnoses; right stroke,raumatic brain injury, and amputation. From these findings a riskssessment tool was created. Conclusion: In this study several riskactors for falls were identified and used to create an assessmentool specific for an IRF. Thus far this tool has correctly predictedearly 90% of patient falls and dropped the fall rate by 25%. Keyords: Diagnosis-independent; Motor function; Clinical practice;

ehabilitation.

oster 122articipation of Taiwanese Children With Disabilities in Home,chool and Community. Hua-Fang Liao (Institute of Physicalherapy, National Taiwan University, Taipei Zhong Zheng), Wei-hang Chen, Gary Bedell, Tsan-Hon Liou, Lin-Ju Kang, Chia-eng Yen, Ai-Wen Hwang.

isclosure: None disclosed.Objective: Participation in activities that provide a sense of com-

etence and enjoyment has been linked to improve health outcomesnd quality of life of children with disabilities. The purpose of thistudy was to describe the extent to which Taiwanese children partic-pate in home, school, and community activities. Design: This descrip-ive cross-sectional study was part of a larger national survey con-ucted in Taiwan by the New Disability Evaluation System team. Thehild and Adolescent Scale of Participation – Traditional Chineseersion (CASP-C) was used to measure participation. Setting: Thirty-ne hospitals that qualified for the New Disability Eligibility System inaiwan (44% in Northern region). Participants: Data were collectedn 231 parent/caregivers of children with disabilities (67% had intel-ectual disabilities), aged 6-18 years (Mean�11.6 year-old; SD�3.5;8% were male). Interventions: Not applicable. Main Measure andutcome: The CASP-C is a 20–item parent report measure that

xamines participation in home, school and community activities.esults: Children demonstrated the greatest participation restriction

or shopping and managing money, structured events and activities inhe community, and using transportation to get around in the commu-ity. Children demonstrated the least restriction in moving around atome and school. Overall, Taiwanese children with disabilities en-ounter more restrictions in community participation and less in homend school participation. Conclusion: Our results are consistent withrevious studies that have used the CASP. Results suggest that furtheresearch is needed to know the factors that limit community

articipation. Key Words: Diagnosis-independent; Health and well-ess; Clinical practice; Rehabilitation.

Arch Phys Med Rehabil Vol 93, October 2012