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Lebanon, NH, United States

Grant
Agency: Department of Health and Human Services | Branch: | Program: SBIR | Phase: Phase II | Award Amount: 1.06M | Year: 2014

DESCRIPTION (provided by applicant): The Center for Disease Control (CDC) estimates the yearly incidence of mild Traumatic Brain Injury (mTBI) at approximately 1.2 million cases in the United States alone. Approximately 1/3 of these injuries occur in football. The Principal Objective of this NIH Phase IIb SBIR project is to expand the utility of the current, and now commercially available, InSite impact alert monitoring system developed in Phase I/Phase II to integrate long-term player specific head impactexposure tracking for identifying both at- risk impacts (i.e. on-field alerting) and high-risk behavior (i.e. poor tackling technique). Brain injur is difficult to see , particularly on the field. We have successfully developed a sideline tool that can identify atypical impacts or series of impacts in the field that can be used to trigger management of concussion on the sideline. What is currently lacking is the ability to identify high-risk behavior that may eventually lead to concussion. The propose


Grant
Agency: Department of Health and Human Services | Branch: | Program: SBIR | Phase: Phase II | Award Amount: 969.03K | Year: 2010

DESCRIPTION (provided by applicant): The Center for Disease Control (CDC) estimates the yearly incidence of mild Traumatic Brain Injury (mTBI) at approximately 1.2 million cases in the United States alone. Approximately 1/3 of these injuries occur in football. The Principal Objective of this NIH Phase II SBIR project is to develop and validate HitAlert , a low cost head impact alert system for monitoring mTBI for widespread use. Brain injury is difficult to see , particularly on the field. What is lacking from the current state-of-the-art clinical techniques is the identification of the impact or series of impacts that triggers the clinical symptoms and changes in brain physiology that are indicative of concussion in the athlete. HitAlert provides the enabling technology that allows users at all playing levels to receive the highest level of care.


Grant
Agency: Department of Health and Human Services | Branch: | Program: SBIR | Phase: Phase I | Award Amount: 172.42K | Year: 2011

DESCRIPTION (provided by applicant): Anterior cruciate ligament (ACL) injuries are a significant problem for athletes, and women in particular. Both surgical and non-surgical treatment options exist, with the ultimate goal of regaining joint stability, knee kinematics, and quadriceps strength compared to the uninjured contralateral limb to allow full return of function and activity level and to prevent additional injury to the cartilage and the meniscus in the knee which might lead to an increased likelihood of osteoarthritis (OA). Published research has demonstrated clinically relevant effects of perturbation of support surface training for both ACL-deficient and ACL-reconstructed populations for improving dynamic knee stability, particularly in females. The clinically available methods of delivering the desired perturbations are currently limited to static balance boards that are manually pushed or pulled by the physical therapist. These perturbations may not simulate real-life perturbations that would occur during walking or running. The Principal Objective of this Fast Track SBIR project is to develop and validate a cost-effective commercial product, ActiveStep-Sport , for providing task-specific, neuromuscular, dynamic perturbation training to improve outcomes for both conservative and surgical treatment of ACL injury (ACL), particularly in young athletes and women. PUBLIC HEALTH RELEVANCE: The proposed ActiveStep-Sport system provides the enabling technology for large-scale application of clinicallyrelevant perturbation of support surface training for anterior cruciate ligament (ACL) injury rehablitiation. Approximately 100,000-175,000 ACL reconstructions performed annually in the US annually, with females significantly more likely to suffer an ACL rupture than males. Perturbation training in certain ACL injured populations has been shown to reduce episodes of giving way and to reduce abnormal knee kinematics, both of which often lead to an inability to regain functional levels of sports participationand increase the potential for developing knee osteoarthritis. Use of perturbation training is hypothesized to improve knee kinematics compared to strengthening alone, and to improve outcomes for ACL rehabilitation. The technology developed here represents a translation of validated laboratory-based research methodology to a system more suited for widespread clinical use. If technically and economically feasible, ActiveStep-Sport will help reduce the overall health care costs associated with the treatmentand rehabilitation of ACL injuries and the onset of osteoarthritis.


A new apparatus, system and method for fall prevention training is provided that delivers, studies and analyzes the biomechanics of a disturbance event, such as a slip or trip incident, so that an appropriate response can be executed by the person to reduce or eliminate the number of falls experienced. The apparatus includes a platform that delivers a disturbance event in less than about 500 ms and preferably in the range of about 100 ms to about 200 ms. The method includes a unique protocol for fall prevention training using the apparatus. The disturbance event can create instability in the joint of the individual. An individuals walking gait can be monitored with the portions thereof detected. A disturbance event can be triggered when a given portion of the walking gait is detected. Also, the disturbance even can be triggered manually, at preset intervals or according to preset script.


Grant
Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: SBIR | Phase: Phase II | Award Amount: 620.15K | Year: 2016

DESCRIPTION provided by applicant Anterior cruciate ligament ACL injuries are a significant problem for athletes and the prevalence has increased exponentially due to the fold increase in sports participation by women Despite demonstrated ability to decrease injury rates through the use of neuromuscular training programs the incidence of ACL injuries remains high due to poor adoption and subsequent integration of these programs into traditional strength and performance training routines Ideally a prophylactic training program would incorporate training features that address both intrinsic and extrinsic factors associated with ACL injury risk without increasing athlete training time supervision or specialized training requirements for the coach Perturbation training in particular has been shown to cause adaptation in the sensorimotor system and restoration of normal neuromuscular coordination that results in improved dynamic postural stability postural control and enhanced muscle activation patterns that actively stabilize the knee during unanticipated movements To date adoption of perturbation training has been limited because it requires specialized equipment additional training time and additional resources The Principal Objective of this Phase IIB SBIR project is to complete product development and demonstrate usability in the field of a cost effective and fully automated perturbation platform that improves an athleteandapos s neuromuscular response due to unanticipated perturbations for the prevention of ACL injuries PUBLIC HEALTH RELEVANCE More than Anterior Cruciate Ligament ACL injuries occur annually in the US and approximately of these are non contact related There are a disproportionate number of injuries in female athletes when compared to their male counterparts with females having a times higher incidence rate than males and increased from to per person years from to The largest increases over this time period occurred in female athletes younger than years and likely related to the increase in female participation in high school and college sports For each ACL injury the lifetime costs can range from $ to over $ depending on surgical and non surgical interventions Due to other structural damage to the knee that often accompanies ACL injuries of ACL injured patients will eventually show radiographic evidence of osteoarthritis OA requiring additional costs and potential surgeries Despite demonstrated ability to decrease injury rates through the use of neuromuscular training programs the incidence of ACL injuries remains high The technology developed here represents a translation of validated clinic based training approach for ACL rehabilitation to a system more suited for widespread use for ACL prevention

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