Journal of Rehabilitation Research and Development (JRRD) Department of Veterans Affairs JRRD has been a leading research journal in the field of rehabilitation medicine and technology for more than 40 years. JRRD, a peer-reviewed, scientifically indexed journal, publishes original research papers, review articles, as well as clinical and technical commentary from US and international researchers on all rehabilitation research disciplines. JRRD's mission is to responsibly evaluate and disseminate scientific research findings impacting the rehabilitative healthcare community. http://www.vard.org/jour/about_us.htm Articles in Volume 43 - 2 of potential interest to RESNA SIG-11 members: 1. Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke High-intensity and task-specific therapy with active, repetitive movements provided by robotic devices may effectively restore arm and hand function after a stroke. The authors reviewed eight clinical trials to assess the effect of robot-aided therapy on motor control and functional abilities of stroke patients' arms. In all studies, they found that robot-aided therapy improved shoulder and elbow motor control; however, they did not find any consistent influence on functional abilities. Two studies compared robot-aided therapy with conventional therapy and reported significantly larger improvements after robot-aided therapy. http://www.vard.org/jour/06/43/2/pdf/prange.pdf 2. Employment issues and assistive technology use for persons with spinal cord injury The purpose of this study was to determine the effect of assistive technology (AT) on employment for two groups (civilian and veteran) of working-age adults (18-64 yr) with spinal cord injury or dysfunction (SCI/D). AT is designed to maximize independence and increase activity participation and employability for persons with SCI/D. The study indicated that AT is important to employment success for persons with SCI/D. The majority of AT was characterized as important to work and was 3.5 times more than AT identified as not important to work. Satisfaction with AT was very high regardless of employment status. By identifying the cost of AT devices that enhance employment outcomes for persons with SCI/D, our results could influence policy makers as they discuss issues related to AT for working-age individuals with disabilities. http://www.vard.org/jour/06/43/2/pdf/hedrick.pdf 3. Development of a remote accessibility assessment system through three-dimensional reconstruction technology We developed a Remote Accessibility Assessment System (RAAS) to analyze environments for wheelchair accessibility from a remote location. Our goals were to investigate the system's accuracy, compare different cameras, and demonstrate the feasibility of applying the system in an actual environment. We performed an accuracy analysis and a comparison of camera systems with the hardware and software components; therefore, we can specify a consumer-level digital camera and PhotoModeler (EOS Systems, Inc, Vancouver, Canada) software for the system. Finally, we tested the system in an actual environment to evaluate its assessment of accessibility in a wheelchair user's environment, which resulted in accurate validation of our system. The RAAS could improve rehabilitation outcomes by making accessibility assessments and modifications available to a larger proportion of the population of people with mobility limitations. http://www.vard.org/jour/06/43/2/pdf/kim.pdf 4. Development of a teletechnology protocol for in-home rehabilitation This paper describes the feasibility of teletechnology for delivering in-home rehabilitation interventions to community-dwelling adults recently prescribed a mobility aid. We provided telerehabilitation interventions with wireless videoconferencing equipment that used standard telephone lines to provide live, two-way video and audio interaction between the patient and a technician located in the home and a therapist located at the hospital. The interventions included prescription of functionally based exercises, home-hazard assessment, and prescription and/or training in use of assistive technology, environmental modifications, and adaptive strategies. Telehealth technology has great potential to increase patients' access to rehabilitation providers in the home setting. http://www.vard.org/jour/06/43/2/pdf/hoenig.pdf