The Need

Soldiers suffering a mild traumatic brain injury (mTBI) or barotrauma need accurate, timely, in-theater assessment of symptoms to inform appropriate return-to-duty (RTD) decisions. However, first-level responders often miss, inadequately evaluate, or misdiagnose these symptoms due to a lack of familiarity with the subtleties of impaired vestibular function.

The Solution

To address this challenge, Charles River Analytics designed and prototyped the ADVISOR system. ADVISOR combines different vestibular function screening tests with an emphasis on checking Soldier for return to duty.

The Benefit

We expect the full-scope ADVISOR system to have immediate and tangible benefits for Soldier assessment in operational, training, and garrison environments. It can also benefit emergency response groups.


Assessment and Diagnosis of Vestibular Indicators of Soldier Operational Readiness

First-level responders can better assess brain injury on the battlefield with the ADVISOR system from Charles River Analytics


“Although Soldiers are similar to athletes, guidance designed for sports-related concussion falls short on the battlefield because it doesn’t address the complexities of military demands or the need to make decisions under stressful conditions or while multitasking in extreme environments. ADVISOR’s guidance takes these factors into account.”

-- Arthur Wollocko, ADVISOR Technical Lead


ADVISOR transforms the current capabilities of medical evaluation for the US military


More than 194,000 US military personnel have sustained a traumatic brain injury (TBI) since January 2000, according to the Armed Forces Health Surveillance Center. The majority of these are mild TBIs, also known as concussions. Early identification and treatment of concussion are essential to optimal recovery. First-level responders, such as medics, must assess concussive symptoms quickly—in combat environments, these often-subtle symptoms are easy to miss or misdiagnose.

Accurately Assessing Return-to-Duty Fitness with ADVISOR

Research that sheds new light on concussive events and mission integrity has moved military leaders to rethink treatment and recovery guidelines for TBI. The military's decision to revamp TBI protocol will personalize recovery guidelines for Soldiers, as well as update practices heavily reliant on sports-related studies.

The ADVISOR system combines a number of vestibular function screening tests to gather the data necessary to screen Soldiers for fitness to return to duty (RTD).

Beta licenses for the ADVISOR Researcher Kit are currently available for purchase. Click here to review prices, terms, and conditions and to contact us for more details.

This material is based upon work supported by the U.S. Army Medical Research Acquisition Activity (USAMRAA) under Contract No. W81XWH-16-C-0070. Any opinions, findings and conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of the USAMRAA.

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