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EACE: Overview of the Research and Surveillance Division
MILITARY MEDICINE, 181, 11/12:13, 2016
The Bridging Advanced Developments for Exceptional
Rehabilitation (BADER) Consortium: Reaching in Partnership
for Optimal Orthopaedic Rehabilitation Outcomes
Steven J. Stanhope, PhD*; Jason M. Wilken, PhD, MPT†‡; Alison L. Pruziner, PT, DPT, ATC‡§;
Christopher L. Dearth, PhD‡§; Marilynn Wyatt, MA, PT∥; CAPT Gregg W. Ziemke, MSC USN (Ret.)¶;
Rachel Strickland, MBA*; Suzanne A. Milbourne, PhD, OTR/L**; Kenton R. Kaufman, PhD††
ABSTRACT The Bridging Advanced Developments for Exceptional Rehabilitation (BADER) Consortium began in
September 2011 as a cooperative agreement with the Department of Defense (DoD) Congressionally Directed Medical
Research Programs Peer Reviewed Orthopaedic Research Program. A partnership was formed with DoD Military
Treatment Facilities (MTFs), U.S. Department of Veterans Affairs (VA) Centers, the National Institutes of Health (NIH),
academia, and industry to rapidly conduct innovative, high-impact, and sustainable clinically relevant research. The
BADER Consortium has a unique research capacity-building focus that creates infrastructures and strategically connects
and supports research teams to conduct multiteam research initiatives primarily led by MTF and VA investigators.
BADER relies on strong partnerships with these agencies to strengthen and support orthopaedic rehabilitation
research. Its focus is on the rapid forming and execution of projects focused on obtaining optimal functional outcomes
for patients with limb loss and limb injuries. The Consortium is based on an NIH research capacity-building model that
comprises essential research support components that are anchored by a set of BADER-funded and initiative-launching
studies. Through a partnership with the DoD/VA Extremity Trauma and Amputation Center of Excellence, the BADER
Consortium
’s research initiative-launching program has directly supported the identification and establishment of eight
BADER-funded clinical studies. BADER
’s Clinical Research Core (CRC) staff, who are embedded within each of the
MTFs, have supported an additional 37 non-BADER Consortium-funded projects. Additional key research support infra-
structures that expedite the process for conducting multisite clinical trials include an omnibus Cooperative Research and
Development Agreement and the NIH Clinical Trials Database. A 2015 Defense Health Board report highlighted the
Consortium
’s vital role, stating the research capabilities of the DoD Advanced Rehabilitation Centers are significantly
enhanced and facilitated by the BADER Consortium.
INTRODUCTION
The signi
ficant traumatic injuries to limbs sustained by service
members during combat deployments in Operations Enduring
Freedom, Iraqi Freedom, and New Dawn posed new chal-
lenges to Department of Defense (DoD) Military Treatment
Facilities (MTFs) and U.S. Department of Veterans Affairs
(VA) sites.
1
During active periods of con
flict, the number
and complexity of injuries resulting in limb loss and limb
salvage grew substantially relative to past con
flicts.
2
This is
attributed to advancements in the effectiveness of body armor,
rapid evacuation, and early medical attention programs.
3
To address the new clinical challenges associated with
combat-related limb injuries and loss, DoD and VA of
ficials
established specialized clinical programs for extremity trauma
care and research, technology development initiatives in
orthotics and prosthetics, and the development of consortia
to conduct and support clinically focused research programs
related to orthopaedics and rehabilitation.
The Bridging Advanced Developments for Exceptional
Rehabilitation (BADER) Consortium, started in September
2011, is part of that collaborative effort. Its overall goal is to
strengthen evidence-based orthopaedic rehabilitation care to
achieve optimal functional outcomes for wounded warriors
and civilians with traumatic limb loss and limb differences.
The purpose of this article is three-fold. First, we highlight
the BADER Consortium
’s model system and methods for
supporting the establishment of impactful and sustainable
research capabilities. This includes research capacity-building
components, research support infrastructures, and initiative-
launching studies. Second, we demonstrate results indicating
*University of Delaware, 540 S. College Ave, Newark, DE 19713.
†Center for the Intrepid, Department of Rehabilitation Medicine, Brooke
Army Medical Center, 3551 Roger Brooke Drive, Joint Base San Antonio,
Fort Sam Houston, TX 78234.
‡Extremity Trauma and Amputation Center of Excellence, 2748 Worth
Road, Suite 29 Fort Sam Houston, TX 78234.
§Research and Development Section, Department of Rehabilitation,
Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda,
MD 20889.
∥Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego,
CA 92134.
¶Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth,
VA 23708.
**Center for Disabilities Studies, University of Delaware, 540 Wyoming
Road, Newark, DE 19716.
††Biomedical Engineering, Mayo Clinic, 200 First St. SW, Rochester,
MN 55905.
This article was presented at the Extremity War Injuries Meeting,
Washington, DC, January 26
–28, 2015, and the Defense Health Board
Brie
fing, Washington, DC, May 21, 2014.
The views expressed herein are those of the authors and do not re
flect
the of
ficial policy or position of Brooke Army Medical Center, U.S. Army
Medical Department, U.S. Army Of
fice of the Surgeon General, Department
of the Army, Department of Defense, or the U.S. Government.
doi: 10.7205/MILMED-D-15-00501
MILITARY MEDICINE, Vol. 181, November/December Supplement 2016
13