injuries and experiences may alter a veteran’s pre-deployment driving identity; resulting in driving-related anxiety and aggressive driving (e.g., over speeding) post-deployment. Data indicated that risky driv- ing behaviors were responses to driving-related anxieties. Veterans identified specific driving-anxiety triggers, and triggers that led to speeding and to road rage. Data also indicated that veterans use a variety of strategies to manage their driving anxiety but continue to drive aggressively. Conclusions: Veterans’ driving experiences offer insight into their aggressive driving behaviors. Findings suggest that veterans are aware of these behaviors, but require effective strategies for managing them. OEF/OIF veterans may require individualized driving evaluations and interventions. Interventional and outcomes studies are needed to comprehensively address the driving needs of returning veterans. Key Words: Rehabilitation; Veterans with mTBI/ PTSD; Driving. Poster 129 Longitudinal Changes in Self-reported Quality of Life among Individuals with TBI 10-55 Years Post-injury. Julie E. Balzano (Mount Sinai School of Medicine, New York, NY), Lisa A. Spiel- man, Theodore Tsaousides, Joshua B. Cantor, Kristen Dams- O’Connor. Disclosure: None disclosed. Objective: To examine differences between importance and needs ratings for quality of life (QOL) domains over time for individuals with and without TBI. QOL domains important to individuals with TBI will also be identified. Design: Longitudinal, observational. Setting: Research center at an urban medical facility. Participants: Eighty-one community-dwelling individuals with TBI, mild to severe in severity (51.9% male; 87.7% Caucasian) and 47 non-disabled individuals (57.4% male; 78.7% Caucasian). Data was collected at two time-points, with years since injury averaging 10.57 and 21.11 at times one and two respectively. Mean ages for partici- pants at T1 included: TBI (M=39.32, SD=8.55), Non-disabled (M=46.17, SD=11.61). Interventions: Not applicable. Main Out- come Measures: The Flanagan Quality of Life Scale consists of 15-items (5-point likert scale) measuring self-reported importance ratings and perceived degree of met needs for QOL domains. Results: A one-way ANOVA indicated a significant difference between groups on age (p.001); non-disabled individuals were older. Differences in “importance” and “needs” across time among TBI and non-disabled individuals were examined with a repeated measures ANCOVA, with age as a covariate. A significant main effect of group was found (p=.018) and qualified by the finding that TBI and non-disabled groups differed on perceived degree of met needs (p=.005), but not on importance ratings, across time. A significant time by group interac- tion was found only for importance ratings (p=.023); the non-disabled group showed a significantly greater increase over time than the TBI group. Conclusions: Individuals with TBI perceive their needs as met to a lesser degree than non-disabled individuals, even 10-55 post-injury. Importance ratings of QOL domains increase for both groups over time, although to a lesser degree than non-disabled individuals. Key Words: TBI; Quality of life; Longitudinal; Perceived QOL; Rehabilitation. Poster 130 Assessing Remnant Attentional Processing in Minimally Conscious Patients using an Active Electrophysiological Paradigm: Preliminary Results. Caroline Schnakers (Coma Science Group, Cyclotron Re- search Center, University of Liège, Liège, Belgium), Joseph Gia- cino, Dina Habbal, Melanie Boly, Steve Majerus, Steven Laureys. Disclosure: None disclosed. Objective: To explore sustained attention as a necessary cognitive component of consciousness in patient in a minimally consciousness state (MCS) by using a new active electrophysiological paradigm. Design: Cases series. Setting: Neurology and neurorehabilitation units. Participants: We assessed 8 MCS patients (4 traumatic, 3months to 6 years post-onset) and 11 healthy volunteers (matched for laterality and age). Main Outcome Measures: Our paradigm included two conditions: a passive condition wherein the participants heard their first name repeated 100 times (SOA: 2s) and an active condition wherein the participants also heard their first name but were instructed to voluntarily focus their attention on their name. We used a 32 electrode skull cap (Quik-cap; http://medcat.nl) connected to a porta- ble NuAmp EEG amplifier (NeuroSoft, Sterling, VA). ERP recordings were performed at the bedside with the participants’ eyes opened (sample rate: 500 Hz). The administration of this paradigm lasted about 10 minutes. Interventions: Not applicable. Results: Our data were analyzed using Statistical Parametric Mapping (SPM8; www.fil- .ion.ucl.ac.uk/spm). Grand-averaged ERPs were constructed for all controls and for all MCS patients. Using a two-sample t-test, we observed in controls as well as in MCS patients significant (p.005) larger negative (490ms at C4 and 658 ms at P4, respectively) and positive responses (942ms at TP7 and 942 ms at Pz, respectively) for the active versus the passive condition. We did not observe any significant amplitude decrease in MCS patients as compared to controls. Conclusion: Like controls, the MCS patients were able to voluntarily orient and sustain their attention for a specified target suggesting preserved sustained attention in patients recovering consciousness. Key Words: Severe brain injury; Consciousness; Min- imally conscious state; Attention; Electrophysiology; Rehabilitation. Poster 131 Age Functional Decline and Level of Assistance Up To 10 Years Post Traumatic Brain Injury. Stephanie Kolakowsky-Hayner (Santa Clara Valley Medical Center, San Jose, CA), Flora Hammond, Jerry Wright, Thomas Novak, Jeff Englander, Ramon Diaz-Ar- rastia, Andrew Dennison, Paul Sueno. Disclosure: None disclosed. Objective: To understand the course of changes in function and need for assistance in the chronic stages of TBI; and to identify factors associated with these changes. Design: Longitudinal review of partic- ipants in the TBI Model Systems Database, who have been prospec- tively followed for at least 10 years. Setting: TBIMS Centers. Par- ticipants: 1246 individuals with TBI that occurred between October 25, 1988 and December 31, 1998, enrolled in the TBI Model Systems National Database; age 16 years or older; presented to a designated TBIMS Emergency Department within 8-hours of sustaining a TBI; received acute medical care and inpatient rehabilitation within the TBIMS; and provided informed consent. Of 1246 subjects eligible for 10-year follow-up when data was extracted, subjects were included if they completed data collection at either year 1 or 2 and year 10 resulting in a final sample of 478 subjects. Interventions: None. Main Outcome Measures: FIM components, DRS components, the Supervi- sion Rating Scale (SRS), place of residence, and GOS. Results: Signif- icant between age group differences were found for FIM toileting, bladder, bowel, toilet transfers, locomotion, problem solving and memory; SRS; DRS level of functioning, employability and total; and GOS. With regard to functional independence, there were significant differences by age category for all FIM components except memory. Significant differences were noted for age category and level of dependence as measured by the DRS (LOF 1.5-5), and GOS (GOS 2-4). Supervision needs significantly increased as a function of age. Significant differences were found for diminished function over time. Significant differences were noted for residence at 10 years post-injury. Conclu- sions: For those individuals that survive to 10 years post TBI, age is a major factor in requiring assistance of another person for supervision as well as assistance in basic self-care, continence and mobility. Key Words: Rehabilitation; Brain injury; Aging. Poster 132 Health and Wellness in TBI: Associations among Health-Related Constructs and Quality of Life Measures. Cynthia Braden (Craig Hospital, Englewood, CO), Lisa Brenner, Lenore Hawley, Jody Newman, Jeffrey Cuthbert, Kristi Staniszewski, Cynthia Harri- son-Felix. 1729 2011 ACRM-ASNR ANNUAL CONFERENCE ABSTRACTS Arch Phys Med Rehabil Vol 92, October 2011