Cognitive Impairments Treated by Tutor System

The Committee on Cognitive Rehabilitation Therapy for Traumatic Brain Injury, in reference to a report released by the Institute of Medicine (IOM) on Oct. 11, 2011“Cognitive Rehabilitation Therapy for Traumatic Brain Injury: Evaluating the Evidence,” said “There is some evidence about the potential value of cognitive rehabilitation therapy (CRT) for treating traumatic brain injury (TBI), but overall it is not sufficient to develop definitive guidelines on how to apply these therapies and to determine which type of CRT will work best for a particular patient.” BIAA agrees with IOM’s findings and supports the call for additional research to demonstrate the therapeutic effectiveness of different interventions in improving cognition after brain injury.
The Committee on Cognitive Rehabilitation Therapy, which is comprised of representatives from the National Academy of Sciences, the National Academy of Engineering, the Institute of Medicine and the National Research Council, supports the ongoing use of CRT for people with TBI while improvements are made in the standardization, design and conduct of studies.
BIAA, in cooperation with the Wounded Warrior Project (WWP), was the force behind authorizing this study in the FY2009 National Defense Authorization Act. BIAA acknowledges the need for additional research, further development of clinical guidelines and modification to public systems of care and private sector insurance policies. In the meantime, BIAA and WWP are committed to finding ways for injured service members to access cognitive rehabilitation techniques by enjoying an open dialogue with Dr. Warren Lockette, chief medical officer of TRICARE Management Activity.


The newly developed Tutor system consisting of the HandTutor, ArmTutor, LegTutor and 3DTutor has many benefits including the fact that it treats motor, sensory and cognitive impairments.
The Tutor system has become a key system in neuromuscular rehabilitation and physical therapy. The devices are used in physiotherapy not only for brain injury but also for victims of Parkinson’s, MS, CP, stroke, SPI, Radial and Ulnar nerve injuries, development and co-ordination disorders, Brachial Plexus injuries and other disabling diseases. These innovative devices implement an impairment based program with augmented feedback and encourage motor learning through intensive active exercises. These exercises are challenging and motivating and allow for repetitive training tailored to the patient’s performance. The system also includes objective quantitative evaluations that provide the therapist information to customize the most suitable rehabilitation program to the patient’s ability. Currently part of the rehabilitation program of leading U.S. and foreign hospitals the Tutors are also used in clinics and at home through the use of telerehabilitation.