Poster 137 Neuropsychological and Psychological Sequelae of Electrical In- jury: A Pilot Study. J. Atkins (St. John’s Rehab Hospital, Toronto, ON, Canada), A. Grigorovich, J. Fish, L. Leach. Disclosure: None declared. Objective: To explore the prevalence and type of neuropsycholog- ical and psychological sequelae following electrical injury. Design: Prospective research study. Setting: Inpatient rehabilitation hospital. Participants: Adults with electrical injury and who spoke English fluently were between January 2008 and February 2010. Patients who were medically unstable, actively abusing substances, suffered from dementia or delirium, had significant traumatic brain injury and/or upper-limb amputation were excluded. Interventions: Psychological questionnaires measuring depression, anxiety and posttraumatic stress disorder (PTSD) and psychometric measures of neuropsychological functioning. Main Outcome Measures: Beck Depression Inventory, Beck Anxiety Inventory, Post-Traumatic Checklist-Civilian Version, Wechsler Abbreviated Scale of Intelligence (WASI), California Verbal Learning Test (CVLT), Rey-Osterreith Complex Figure (Rey-O), Wechsler Memory Scales, Delis and Kaplan Executive Functioning System. Results: Of 48 patients seen in the hospital during the study period, 34 were approached and 14 excluded. Of those approached, 20 agreed and were assessed. 19 were men (95%) and 1 women, with a mean age  SD of 43.411.01 years and a mean education  SD of 12.322.23 years. They were assessed a meanSD of 35.750.98 months following injury. 12 (60%) had a high voltage injury (1000V) and 8 had a low voltage injury (1000V). 13 (65%) had a contact injury and 7 had a flash injury. Psychiatric symptoms were found in 85% (n=16) and the most frequent was PTSD-related. Chi-square analysis found that global psychiatric impairment was significantly correlated with Rey-O Copy (a measure of visual spatial impairment, P=0.026) and that anxiety was significantly correlated with WASI block design test (visual spatial construction, P=0.011), Stroop inhibition/switching trial (executive function, P=0.011), and PTSD status (P=0.007). Depression was significantly correlated with CVLT trial 5 (P=0.032) as well as with anxiety (P=0.002) and PTSD (P=0.019). Conclusions: Neuropsychological and psychiatric se- quelae are common following an electrical injury. A larger, multi- center study is warranted to further explore the neuropsychological and psychological sequelae that result following an electrical injury. Key Words: Electric injuries; Psychology; Rehabilitation. *Poster 138 Neuropsychological Sequelae Following Electrical Injury Among Patients Treated in a Rehabilitation Hospital: A Pilot Study. Jana H. Atkins (St. John’s Rehab Hospital, Toronto, ON, Can- ada), Alisa Grigorovich, Joel Fish, Larry Leach, Manuel Gomez. Disclosure: None declared. Objective: To determine the prevalence of neuropsychological se- quelae following electrical injury among patients treated in a rehabil- itation hospital. Design: Prospective research study. Setting: Outpa- tient burn clinic of a rehabilitation hospital. Participants: Adult electrical injury patients admitted between January 2008 and February 2010. Interventions: Psychological questionnaires measuring depres- sion, anxiety, and posttraumatic stress disorder (PTSD) and psycho- metric measures of neuropsychological functioning. Main Outcome Measure(s): Beck Depression Inventory (BDI-II), Beck Anxiety In- ventory (BAI), Post-Traumatic Checklist-Civilian Version (PCL-C), Wechsler Abbreviated Scale of Intelligence (WASI), California Verbal Learning Test (CVLT), Rey-Osterreith Complex Figure (Rey-O), Wechsler Memory Scales (WMS), Delis and Kaplan Executive Func- tioning System (DKEFS). Results: Of 48 patients admitted during the study period, 34 were invited to participate and 14 excluded. Of those invited, 20 agreed and were assessed. There were 19 (95%) males and 1 (5%) female, with a mean  SD age of 43.411.0 years, 12.32.2 years of education, and were assessed 35.751.0 months postinjury. Twelve (60%) participants had high voltage injury (1000V) and 8 (40%) had low voltage injury (1000V). 18 (90%) had electrical contact injury and 2 (10%) had electrical flash injury. Neuropsycho- logical symptoms were found in 85% (n=16) and the most frequent was PTSD-related. Chi-square analysis found that global psychologi- cal impairment was significantly associated with Rey-O Copy (mea- sure of visuospatial impairment, P=.026) and that anxiety was signif- icantly associated with WASI block design test (visuospatial construction, P=.011), Stroop inhibition/switching trial (executive function, P=.011) and PTSD status (P=.007). Depression was signif- icantly associated with CVLT trial 5 (P=.032) as well as with anxiety (P=.002) and PTSD (P=.019). Conclusions: These findings support the conclusion that neuropsychological sequelae are common follow- ing electrical injury among outpatients admitted to a rehabilitation hospital. A larger, multi-center study is warranted to further explore these neuropsychological sequelae. Key Words: Electric injuries; Neuropsychological sequelae; Rehabilitation. Poster 139 Is Computerized Balance Assessment More Useful Than the Berg Balance Scale in Detecting Fall Risk in Multiple Sclerosis Pa- tients? Darlene Stough (Cleveland Clinic, Cleveland, OH), Praise Opara, Michelle Harrison-Cudnik, Francoise Bethoux. Disclosure: None declared. Objective: To compare fall risk assessment using a balance plat- form or the Berg Balance Scale (BBS) with patient-reported falls. Design: Institutional review board approved chart review. Setting: Outpatient physical therapy (PT) program in a multiple sclerosis (MS) center. Participants: MS patients referred to PT for evaluation and treatment of imbalance. Intervention: Outpatient PT. This analysis focuses on baseline data. Main Outcome Measures: Reported falls, use of assistive devices, Timed 25-Foot Walk (T25FW), BBS, and Fall Index (FI) score generated by the balance evaluation platform soft- ware. Fall risk thresholds were defined as BBS score 45/56 and FI score 58/100. Results: 60 patients were analyzed (48% women, age 469y, 60% with relapsing MS, disease duration 1210y). 37% of subjects used an assistive device, 63% reported falling (T25FW was significantly slower in those who reported falls). Average scores for BBS and FI were 507 and 7930. The sensitivity/specificity of BBS 45 and FI 58 for identifying subjects who reported falls were 24%/82% and 81%/41%, respectively. FI was 100/100 in 57% of all subjects. Conclusions: The FI appears more sensitive and less specific than the Berg Balance Scale score in identifying MS patients who report falls. However, there is a significant ceiling effect with com- puterized balance assessment, which may compromise the test’s sen- sitivity to change. Key Words: Multiple sclerosis; Rehabilitation. Poster 140 Transcranial Magnetic Stimulation of Primary Motor Cortex: Ef- fects on Robotic Reach Training. Lauren Jone-Lush (University of Maryland School of Medicine, Baltimore, MD), Timothy Judkins, George Wittenberg. Disclosure: None declared. Objective: To determine the kinematic effects of transcranial mag- netic stimulation (TMS) of the M1 during a directional robotic reach- ing task. Design: Subjects served as own control, movement kinemat- ics were compared across interventions. Setting: Government/ academic medical center. Participants: 12 healthy subjects (283y). Intervention: Subjects performed center-out planar reaching move- E47 2010 ACRM–ASNR JOINT EDUCATIONAL CONFERENCE ABSTRACTS Arch Phys Med Rehabil Vol 91, October 2010