Tanya Mitchell,

Where is your control group in your research? And the groups doing workbook and digital training?

The one advantage your system has is the discipline to keep at it. Scheduled sessions and paying for those sessions makes a big difference in outcomes. So does the personal interaction.

The Posit Science and Lumosity programs are self-disciplined. I have actually complained to Posit that they need scheduling software to prompt the sessions.

Who does the assessments? What qualifications do they hold?

As you said, it is like exercising with a personal trainer. The additional discipline enforced by the trainer makes a big difference. How do the improvements of the TBI subjects compare to the improvements gained by LD and 'normal' subjects?

How do the post LRX scores of TBI subjects compare to post LRX scores of non-TBI subjects?

How do you account for "learning" the exercises? I can drastically improve my Posit Science scores by learning how to do the exercises. The various memory tricks I develop over a few repetitions of the exercises are a big part of my improvements. Personally, I have been encouraging TBI subjects to learn to work-around their dysfunctions. Doing so allow drastic improvement in daily activities.

You said <I am currently in the grant writing process to go through a independent validation of TBI soldiers against the current gold standard,> What is the gold standard to talk about?

You said <I have been told several times that after a TBI people feel like everything is foggy, after LearningRx training that fog went away> This is anecdotal and subjective. The fog is often due to a lack of activity or interaction with life. I can get rid of the fog by walking outside and doing any menial task or even just make a few trips up and down stairs.

My neuropsych scores remained the same over a 5 year period even though my ability to function increased greatly.

I do believe that many cognitive skills can be restored. I have done it over and over in the past 40+ years when I have suffered a minor concussion and decompensation. My digit span can be as low as 2 or 3 or as high as 13 to 18. It depends on many factors. Having the focus skills to use sound memory skills makes a big difference. My strong time is between 12 and 4 PM. As the day gets long, my skills drop again.

I am not saying your system does not work. I am just asking to see some validations of how it shows to work and who it works for.

btw, Most of us do much better when posts have paragraphs of only 5 or 6 lines before a paragraph space. The visual line tracking can be a persistent struggle.