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Complex Assessment of Military Performance (CAMP) Focus areas: Ecological Assessment, Outcome measure development

CAMP leverages lessons learned in the AMMP project to refine tasks found to be sensitive to concussion in order to develop a test battery that will be useful in rehabilitation settings for those recovering from concussion. We will add physiologic and post-exertional testing to the test battery., components not included in AMMP, which have been shown to be sensitive to concussion. The use of standardized ecologically valid physical tests can be integrated into existing guidance for progressive return to activity.

Our team will evaluate the CAMP test battery that consists of ecologically valid activities relevant to military function as informed by military end-users. CAMP will include a modified AMMP agility task with a dual-task challenge, and an AMMP patrol/exertional test with embedded auditory reaction time measures and heart rate variability measurement. These tasks will be integrated into an existing platform that has been developed for POWAR-TOTAL.

Clinicians will be able to use items from the test battery together or separately, tapping common mTBI impairments in functional ways at a level appropriate for the typical rehabilitation context in MTFs. Our performance based menu of tests will allow selection of measures including challenges for those who have vestibular impairments, exertional limitations, and who may demonstrate post-exertional deficits using sensitive measures of vision and reaction time. Flexibility to select the “just right” challenge for an individual patient will allow clinicians to identify patient impairments early in rehabilitation but also increase physical and cognitive challenges to approach the demands of active duty service, thereby informing return to duty decisions. The CAMP will ultimately be interpreted in real time based on active duty SMs control data, providing feedback for the therapist and patient.

 

CAMP agility demonstration videos: