A5053998387- Spinal Cord Injury Research
- Innovations in Medical Education
- Stroke Rehabilitation and Recovery
- Musculoskeletal Disorders and Rehabilitation
- Cerebral Palsy and Movement Disorders
- Pressure Ulcer Prevention and Management
- Musculoskeletal pain and rehabilitation
- Cardiac Arrest and Resuscitation
- Clinical Reasoning and Diagnostic Skills
- Diversity and Career in Medicine
- Orthopedic Surgery and Rehabilitation
- Graphite, nuclear technology, radiation studies
- Nuclear and radioactivity studies
- Assistive Technology in Communication and Mobility
- Nerve Injury and Rehabilitation
- Cardiovascular Syncope and Autonomic Disorders
- Acute Ischemic Stroke Management
- Nerve injury and regeneration
- Neuroscience of respiration and sleep
- Cardiovascular Issues in Pregnancy
- Neurogenesis and neuroplasticity mechanisms
- Diabetic Foot Ulcer Assessment and Management
- Telemedicine and Telehealth Implementation
- Injury Epidemiology and Prevention
- Occupational Therapy Practice and Research
VA Boston Healthcare System
2015-2024
Harvard University
2015-2024
Mayo Clinic
2016-2022
Foundation for Physical Medicine and Rehabilitation
2016-2022
WinnMed
2021-2022
Vanderbilt University Medical Center
2022
Memorial Hermann Institute for Rehabilitation and Research Foundation
2022
University of Alabama at Birmingham
2022
Mayo Clinic in Florida
2021-2022
BitPlus (United States)
2022
Background/Objective: Recurring annual costs of caring for patients with chronic spinal cord injury (SCI) is a large economic burden on health care systems, but information SCI beyond the acute and initial postacute phase sparse. The objective this study was to establish frame reference estimate direct medical associated sample (ie, >2 years after injury).Methods: Patients were recruited from 3 Veterans Health Administration (VHA) facilities; baseline patient cross-referenced Decision...
This text is excerpted from the complete document, which includes Consortium Member Organizations and Steering Committee Representatives, Acknowledgments, Reviewers, Glossary, Appendix (Search Strategies).Administrative financial support provided by Paralyzed Veterans of America.Reprinted with permission America (PVA) for Spinal Cord Medicine Clinical Practice Guidelines Consumer Guide: "Cardiometabolic Risk after Injury: A Guideline Health Care Providers." Washington, DC: © 2018 America....
Administrative and financial support provided by Paralyzed Veterans of AmericaReprinted with permission from the America (PVA) Consortium for Spinal Cord Medicine Clinical Pra...
Respiratory dysfunction after cervical spinal cord injury (SCI) has not been examined experimentally using conscious animals, although clinical SCI most frequently occurs in midcervical segments. Here, we report a C5 hemicontusion model rats with abnormalities that emulate human post-SCI pathophysiology, including spontaneous recovery processes. Post-C5 demonstrated deficits minute ventilation (Ve) responses to 7% CO 2 challenge correlated significantly lesion severities (no or 12.5, 25, 50...
Objectives To test the hypotheses that community-dwelling veterans with spinal cord injury (SCI) who receive Wheelchair Skills Training Program (WSTP) in their own environments significantly improve manual wheelchair-skills capacity, retain those improvements at one year and participation comparison an Educational Control (EC) group. Methods We carried out a randomized controlled trial, studying 106 SCI from three Veterans Affairs rehabilitation centers. Each participant received either five...
Suicide is at least 3 times more common in individuals with spinal cord injury (SCI) than without SCI, and anxiety posttraumatic stress disorder (PTSD) are twice as prevalent. Substance use also significantly However, even though SCI usually have contact health care professionals, these mental disorders often not recognized therefore addressed optimally, perhaps because of the other obvious physical impairments caused by stigma that surrounds disorders.This clinical practice guideline (CPG),...
Importance Robotic exoskeletons leverage technology that assists people with spinal cord injury (SCI) to walk. The efficacy of home and community exoskeletal use has not been studied in a randomized clinical trial (RCT). Objective To examine whether wheelchair plus an exoskeleton compared only led clinically meaningful net improvements patient-reported outcomes for mental physical health. Design, Setting, Participants This RCT veterans SCI was conducted at 15 Veterans Affairs medical centers...
Objective Although osteoporosis is common following spinal cord injury (SCI), no guidelines exist for its treatment, diagnosis, or prevention. The authors hypothesized that wide variations in diagnosis and treatment practices result from the absence of guidelines. This study sought to characterize management within VA health care system SCI. Design Online survey regarding SCI composed 27 questions designed gather information on responder demographics, diagnostics, options. Setting system....
Chinese translation Background: Anabolic steroids have been reported to improve wound healing. Objective: To determine whether oxandrolone increases the percentage of target pressure ulcers (TPUs) that heal compared with placebo and healed remain closed 8 weeks after treatment. Design: Parallel-group, placebo-controlled, randomized trial conducted from 1 August 2005 30 November 2008. Patients, clinical care providers, study personnel, statisticians were blinded treatment assignment....
Functional improvements after spinal cord injury (SCI) have been reported anecdotally following neurotization, in other words, rerouting nerves proximal to injured segments distal neuromuscular targets, although the underlying mechanisms remain largely unknown.To test our hypothesis that neurotization-mediated recovery is primarily attributable CNS neuroplasticity therefore manifests optimal response during particular therapeutic windows, we anastomosed T12 intercostal nerve ipsilateral L3...
There are more than 300,000 estimated cases of spinal cord injury (SCI) in the United States, and approximately 27,000 these Veterans. Immobilization from SCI results adverse secondary medical conditions reduced quality life. Veterans with who have completed rehabilitation after unable to ambulate receive a wheelchair as standard care. Powered exoskeletons technology that offers an alternative form limited mobility by enabling over-ground walking through external framework for support...
Abstract Spinal cord injury (SCI) results in muscle weakness but the degree of impairment at level single fibers is not known. The purpose this study was to examine effects T9–level SCI on from tibialis anterior rats. Significant decreases cross‐sectional area (CSA), maximal force (Po), and specific (SF = Po/CSA) were noted 2 weeks. Atrophy force‐generating capacity reversed 4 weeks, SF remained impaired. Maximum shortening velocity (Vo) did change after injury. thus appears affect various...
The objective of this study was to examine the likelihood passing Part I and II American Board Physical Medicine Rehabilitation (ABPMR) certification examinations after initially failing.This a retrospective review candidates who had taken ABPMR initial between 2010 2014.Passing rates declined markedly with repeated attempts for both part II. Passing (mean [95% confidence interval]) were first attempt, 90% (87%-92%); second 58% (52%-66%); third 41% (26%-54%); fourth or greater 17% (3%-31%)....