A: Vocational Rehabilitation (VR) is a federal-state program that helps people who have physical or mental disabilities get or keep a job. VR is committed to helping people with disabilities find meaningful careers.
Chiari malformation, also known as an Arnold-Chiari malformation, is a congenital (present at birth) defect occurring in the back of the head where the brain and spinal cord connect. There are four types of Chiari malformations: 1  Type 1 â Occurring when the base of the skull and upper spinal area do not form properly, a type 1 Chiari malformation commonly goes unnoticed until problems arise in the adolescent or adult years of life.
Chiari malformations are highly variable conditions that will affect every individual person differently. Specific symptoms can occur in different combinations and generally reflect dysfunction of the cerebellum, the brainstem, the spinal cord and lower cranial nerves.