Claude D Pepper Older Americans Independence Center

描述（由申请人提供）：马里兰州OAIC更新的大学的使命是进行基于运动和运动学习的康复研究，以优化患有中风，髋部骨折或其他慢性衰弱性疾病的老年人的恢复，并将这些发现转化为有效的社区康复计划。这将通过以下具体目标来实现：1）进行基础和临床研究，检查与慢性衰老疾病相关的功能性残疾的潜在机制，以确定神经运动、肌肉、代谢、心血管和心理社会功能领域的功能性损伤的特征; 2）将这些科学发现应用于设计新的基于运动和运动学习的康复策略; 3）确定这些康复干预措施改善功能障碍老年人的功能和临床结果的机制; 4）将有效的康复策略转化为以社区为基础的临床研究; 5）支持试点探索性核心（P/EC）项目，研究残疾表型的机制以及对康复的功能和临床反应;以及6）促进初级教师获奖者（JFA）的职业发展成为独立的调查人员和老龄化研究的学术领导者。我们研究残疾和老龄化康复的动力是其对慢性残疾老年人生活方式的健康和质量至关重要，以及在这一调查领域缺乏机械和转化研究。马里兰大学拥有一支出色的领导团队，他们在老龄化研究，管理和监测大型项目方面具有专业知识，并组建和激励多学科的调查团队。有一个研究职业发展核心（RCDC），提供了一个基于导师的培训计划，以促进JFA的职业发展，一个P/EC与OAIC目标一致的5项研究，以及1）临床和转化研究方法，2）神经运动功能，3）应用临床生理学，4）肌肉生物学和炎症的分子机制，以及5）生物统计学和信息学的5个RC。 我们乐观地认为，马里兰大学的研究将通过开发创新的、以证据为基础的运动和运动学习康复计划来改变临床实践，这些计划将改善老年残疾人的功能和临床结果，促进他们的康复和独立生活。

DESCRIPTION (provided by applicant): The mission of the University of Maryland OAIC renewal is to conduct exercise and motor learning based rehabilitation research to optimize the recovery of older adults who have suffered a stroke, hip fracture or other chronic debilitating disease, and translate these findings into effective community-based rehabilitation programs. This will be accomplished through specific aims to: 1) conduct basic and clinical research examining the mechanisms underlying functional disabilities associated with chronic diseases of aging to characterize the functional impairments that define the disability phenotype across domains of neuromotor, muscular, metabolic, cardiovascular and psychosocial function; 2) apply these scientific findings to design novel exercise and motor learning-based rehabilitation strategies; 3) determine the mechanisms by which these rehabilitation interventions improve functional and clinical outcomes in older people with functional impairments; 4) translate efficacious rehabilitation strategies into community-based clinical studies; 5) support Pilot Exploratory Core (P/EC) Projects that study the mechanisms underlying the disability phenotype and functional and clinical responses to rehabilitation; and 6) foster the career development of junior faculty awardees (JFA's) into independent investigators and academic leaders in aging research. Our impetus to study rehabilitation in disability and aging is its critical importance for the health and quality of lifestyle older people living with chronic disability, and the dearth of mechanistic and translational research in this area of investigation. The UNIVERSITY OF MARYLAND-OAIC has an accomplished leadership team with expertise in aging research, administration and monitoring large programs, and assembling and motivating a multidisciplinary team of investigators. There is a Research Career Development Core (RCDC) that provides a mentor-based training program to promote the career development of JFA's, a P/EC with 5 studies congruent with OAIC goals, and 5 RCs in 1) Clinical and Translational Research Methods, 2) Neuromotor Function, 3) Applied Clinical Physiology, 4) Muscle Biology and Molecular Mechanisms of Inflammation, and 5) Biostatistics and Informatics. We are optimistic that UNIVERSITY OF MARYLAND-OAIC's research will change clinical practice by developing innovative, evidence-based exercise and motor learning rehabilitation programs that improve the functional and clinical outcomes of older people with disabilities to promote their recovery and independent living.