- Older Adults Driving Studies
- Traffic and Road Safety
- Stroke Rehabilitation and Recovery
- Urban Transport and Accessibility
- Acute Ischemic Stroke Management
- Multiple Sclerosis Research Studies
- Human-Automation Interaction and Safety
- Balance, Gait, and Falls Prevention
- Parkinson's Disease Mechanisms and Treatments
- Effects of Vibration on Health
- Health Systems, Economic Evaluations, Quality of Life
- Dementia and Cognitive Impairment Research
- Spatial Neglect and Hemispheric Dysfunction
- Transportation and Mobility Innovations
- Ophthalmology and Visual Impairment Studies
- Cerebrovascular and Carotid Artery Diseases
- Musculoskeletal pain and rehabilitation
- Cerebral Palsy and Movement Disorders
- EEG and Brain-Computer Interfaces
- Motor Control and Adaptation
- Sleep and Work-Related Fatigue
- Glaucoma and retinal disorders
- Neurological disorders and treatments
- Neural and Behavioral Psychology Studies
- Long-Term Effects of COVID-19
University of Kansas Medical Center
2016-2025
University of Kansas
2017-2025
Toronto Public Health
2022-2023
The University of Kansas Health System
2023
Access to Wholistic and Productive Living Institute
2023
University of Maryland, Baltimore
2020
The University of Texas MD Anderson Cancer Center
2020
The University of Kansas Cancer Center
2020
Pain and Rehabilitation Medicine
2020
University Medical Center
2019
The simplified modified Rankin Scale questionnaire (smRSq) enables a reliable and rapid determination of the score after stroke. We test reliability validity slightly revised smRSq.Fifty consecutive outpatients 4.83 ± 3.00 months stroke were scored with smRSq by 3 raters selected consecutively from list 10: 4 faculty, neurology residents, 2 medial students, 1 research coordinator. Two ratings in person within 20 minutes each other was telephone to days later. rating also included quality...
Parkinson's disease (PD) and essential tremor (ET) are movement disorders that can have similar clinical characteristics including gait difficulty. These be misdiagnosed leading to delay in appropriate treatment. The aim of the study was determine whether balance variables obtained with wearable inertial motion sensors utilized differentiate between PD ET using machine learning. Additionally, we compared classification performances several learning models.This retrospective included...
<b>Background: </b> Neurologically impaired persons seem to benefit from driving-training programs, but there is no convincing evidence support this notion. The authors therefore investigated the effect of simulator-based training on driving after stroke. <b>Methods: Eighty-three first-ever subacute stroke patients entered a 5-week 15-hour program in which they were randomly allocated either an experimental (simulator-based training) or control (driving-related cognitive tasks) group....
The process of determining whether patients with stroke should drive again often involves off-road evaluations and road tests that usually take about 2 to 3 h complete. Objectives. This prospective study sought identify the combination best predicts fitness after stroke. main aim was develop a short predictive predriving assessment battery. Methods. Sixty-eight consecutive were studied who performed mandatory at Belgian Road Safety Institute, Brussels, within 18 months. Performance in...
Background. Several driving retraining programs have been developed to improve skills after stroke. Those rely on different rehabilitation concepts. Objectives. The current study sought examine the specific carryover effect of a comprehensive training program in simulator when compared with cognitive program. Methods. Further analysis from previous randomized controlled trial that investigated Forty-two participants received simulator-based training, whereas 41 for 15 hours. Overall...
ABSTRACT Parkinson's disease (PD) affects driving ability. We aimed to determine the most critical impairments in specific road skills and clinical characteristics leading failure on a test PD. In this cross‐sectional study, certified assessment experts evaluated 104 active, licensed drivers with PD using standardized, on‐road checklist issued global decision of pass/fail. Participants also completed an off‐road evaluation assessing demographic features, characteristics, motor function,...
Driving reaction time (DRT) is one of the most important predictors motor vehicle crashes in older adults. Although individuals with preclinical Alzheimer's disease (AD) show subtle cognitive changes that may affect driving, their DRT to emergency events has not been investigated. We compared an event between 19 drivers AD and 21 controls a driving simulator. All engaged car-following task without distracters. After event, crash prompted participants brake maneuver around accident scene....
Post-concussion impairments may result in unsafe driving performance, but little research is available to guide consensus on when concussed individuals should return driving. The purpose of this study was compare performance between with and without a concussion explore relationships neuropsychological performance. Fourteen participants (age 20.2 ± 0.9 years old) 14 non-concussed age- experience-matched controls 20.4 1.1 completed graded symptom checklist, brief exam, 20.5 km simulation...
Abstract Objective The purpose of this study was to examine the association between frailty and quantity quality free-living walking mediating effect on relationship disability performance in people with multiple sclerosis (MS). Methods Ninety-nine relapsing–remitting MS (mean age = 49.3 [SD 9.8] years; 73.7% women; Expanded Disability Status Scale [EDSS] score range 2.0–6.0) wore a triaxial accelerometer for 7 days. Recorded measures reflected (daily step counts, number 30-second bouts,...
Background. No long-term studies have been reported on the effect of training programs driving after stroke. Objectives. The authors’ primary aim was to determine simulator versus cognitive rehabilitation therapy fitness-to-drive at 5 years poststroke. A second investigate differences in clinical characteristics between stroke survivors who resumed and stopped driving. Methods. In a previously randomized controlled trial, 83 received 15 hours (n = 42) or 41). this 5-year follow-up study, 61...
Visual inattention is a major cause of road accidents and problem commonly experienced after stroke.This study investigated the effects 2 training programs on performance in Useful Field View (UFOV), validated test driving-related visual attention skills.Data from 69 first-ever, moderately impaired stroke survivors who participated randomized controlled trial (RCT) to determine simulator driving were analyzed. In addition regular interventions at rehabilitation center, participants received...
Background: We previously reported that performance on the Stroke Driver Screening Assessment (SDSA), a battery of four cognitive tests takes less than 30 min to administer, predicted driving participants with multiple sclerosis (MS) road test 86% accuracy, 80% sensitivity, and 88% specificity. Objectives: In this study, we further investigated if addition driving-related physical visual other identified predictors, including Useful Field View test, will result in better accuracy predicting...
<b><i>Background:</i></b> Little is known about the critical on-road driving skills that get affected after a stroke. The purpose of this study was to investigate key impairments and their associated cognitive deficits A second aim if lateralization stroke impacts results tests. <b><i>Methods:</i></b> In cross-sectional study, 99 participants with first-ever who were actively prior underwent battery standardized road test evaluated 13 specific...