Abbreviations: AGS = American Geriatrics Society, GDS = Geriatric Depression Scale, GRECC
= Geriatric Research Education and Clinical Center, MAC = Memory Assessment Clinic, MMSE = Mini-Mental State Examination, MoCA = Montreal Cognitive Assessment, PCA = principal components analysis, QI/QA = quality improvement/quality assurance, RBANS = Repeatable Battery for the Assessment of Neuropsychological Status, SD = standard deviation, TMT = Trail
concept and organization continued to change and morph all the way to deployment (and in theater).
clinic interdisciplinary staff, composed of physicians, a nurse practitioner, a social worker, a pharmacist, a psychologist, a nutritionist, and a program assistant, was given rosters of the clinic patients and asked to recommend patients for the CCC based on eligibility criteria developed from the Kaiser Permanente model:
From the Departmenst of Psychiatry & Behavioral Sciences and Medicine, Duke University Medical Center, GRECC
VA Medical Center, Durham, NC.
Abbreviations: A/P = anterior-posterior, AROM = active range of motion, bEMG = background electromyography, DF = dorsiflexion, DOF = degree of freedom, DST = double-support stance, EMG = electromyography, EV = eversion, GAS = gastrocnemius, GRECC
= Geriatric Research Education and Clinical Center, HC = home, INV = inversion, LC = limited community, MIT = Massachusetts Institute of Technology, PAS = passive ankle stiffness, PF = plantar flexion, PMS = prolonged muscle stretch, PROM = passive range of motion, ROM = range of motion, SD = standard deviation, SPCA = summed physiological cross-sectional area, SST = single-support stance, STP = step, STR = stride, TA = tibialis anterior, VA = Department of Veterans Affairs, VAMC = Department of Veterans Affairs Medical Center.
program is widely recognized within the medical community as a national resource for preparing physicians and other health-care professionals to work with the problems of aging," said VA Acting Under Secretary for Health Dr.
Address all correspondence to Jacqueline Hind, MS, CCC-SLP, BRS-S; VAMC GRECC
11G, 2500 Overlook Terrace, Madison, WI 53705; 608-256-1901, ext 11337; fax: 608-280-7023.
Director For Research, Seattle VA GRECC
, who led the VA team.
Ivey, PhD; Department of Neurology, University of Maryland School of Medicine, Baltimore VA Medical Center Geriatrics Service/ GRECC
, BT(18) GR, 10 North Greene St, Baltimore, MD 21201-1524; 410-637-3218; fax: 410-605-7913.
Division of Geriatrics and Gerontology, University of Texas Health Science Center, San Antonio, TX, and GRECC
, South Texas Veterans Health Care System, San Antonio, TX.
Abbreviations: AL = associative motor learning; AROM = active range of motion; CL = cognitive learning; DF = dorsiflexion; DOF = degree of freedom; GRECC
= Geriatric Research, Education, and Clinical Center; HP = hemiparetic; INV/EV = inversion-eversion; LL = lower limb; MA = motor adaptation; MAS = Modified Ashworth Scale; ML = motor learning; MMT = Manual Muscle Test; NIHSS = National Institutes of Health Stroke Scale; PF = plantar flexion; ROM = range of motion; STMA = short-term motor adaptation; STML = short-term motor learning; UL = upper limb; VA = Department of Veterans Affairs; VAMC = VA medical center.
From the Departments of Psychiatry and Medicine, Duke University Medical Center, GRECC
, VA Medical Center, Durham, NC.