Restoration of Life Role Participation Through Cognitive and Motor Training for TBI

The investigators will use an assessment and treatment decision schema that has been successful in restoration of life role participation for stroke survivors and a comparable schema used for cognitive training for TBI patients. The subject assessment and decision schema will be used to identify for each subject, the optimal array of impairment interventions. The proposed treatment will optimize outcome by customizing the intervention and use of technologies, while ensuring the application of the array of impairment interventions required to produce restoration of function and life role participation. The investigators will target an array of impairments preventing participation in life role activities, which will include dyscoordination and weakness of upper limb, impaired balance, gait deficits, and impaired attention and executive function. In treatment, the investigators will use a dual-task paradigm combining motor and cognitive training, with treatment extending to the every day environment. Treatment will be up to 5 times/wk, 5hrs/day for 12 weeks.

Inclusion criteria

• Medically Stable
• Age > 18 years
• Ability to walk at least with the minimum assistance of one person or an assistive device
• At least 6 months post injury
• Ability to follow 2 stage commands

Exclusion criteria

• pacemaker
• Acute medical conditions
• potential subjects will undergo a screening evaluation to determine eligibility for study entry