- Traumatic Brain Injury Research
- Cardiac Arrest and Resuscitation
- Traumatic Brain Injury and Neurovascular Disturbances
- Stroke Rehabilitation and Recovery
- Occupational Therapy Practice and Research
- Musculoskeletal pain and rehabilitation
- Family and Disability Support Research
- Patient-Provider Communication in Healthcare
- Healthcare Decision-Making and Restraints
- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Acute Ischemic Stroke Management
- Geriatric Care and Nursing Homes
- Dementia and Cognitive Impairment Research
- Cerebral Palsy and Movement Disorders
- Palliative Care and End-of-Life Issues
- Health Policy Implementation Science
- Reliability and Agreement in Measurement
- Hip and Femur Fractures
- Spinal Cord Injury Research
- Health and Wellbeing Research
- Health Sciences Research and Education
- Long-Term Effects of COVID-19
- Assistive Technology in Communication and Mobility
- Functional Brain Connectivity Studies
Colorado State University
2021-2025
Pacific Northwest University of Health Sciences
2023
George Washington University
2017-2022
Northwestern University
2020-2022
Edward Hines, Jr. VA Hospital
2020-2022
Collins College
2022
Center for Innovation
2020
University of Illinois Chicago
2020
Loyola University Chicago
2020
Captain James A. Lovell Federal Health Care Center
2020
The purpose of this study was to differentiate clinically meaningful improvement or deterioration from normal fluctuations in patients with disorders consciousness (DoC) following severe brain injury. We computed indices responsiveness for the Coma Recovery Scale-Revised (CRS-R) using data a clinical trial 180 participants DoC. used CRS-R scores baseline (enrollment trial) and 4-week follow-up assessment period these calculations. To improve precision, we transformed ordinal total (0-23...
To synthesize requirements and recommendations addressing sport-related concussion (SRC). Qualitative study. Scholastic non-scholastic athletic programs. Coaches of youth 18 years under, select Midwest state SRC laws, cross-section organizational policies published guidelines/position statements. Data was collected analyzed using deductive inductive qualitative analysis framed around the categories education training, removal from play return to play. Methods for each data source varied...
This study aimed to empirically evaluate the hierarchical structure of Coma Recovery Scale-Revised (CRS-R) rating scale categories and their alignment with Aspen consensus criteria for determining disorders consciousness (DoC) following a severe brain injury. CRS-R data from 262 patients DoC injury were analyzed applying partial credit Rasch Measurement Model. Analysis produced logit calibrations each category. Twenty-eight 29 operationalized criteria. We expected order reflect also examined...
Occupational therapy practitioners use yoga in practice to achieve holistic care, and the American Therapy Association has provided guidance on of occupational therapy. For people with acquired brain injury (ABI), however, it is unknown whether affects performance.
Objective: Report pilot findings of neurobehavioral gains and network changes observed in persons with disordered consciousness (DoC) who received repetitive transcranial magnetic stimulation (rTMS) or amantadine (AMA), then rTMS+AMA. Participants: Four DoC 1 to 15 years after traumatic brain injury (TBI). Design: Alternate treatment-order, within-subject, baseline-controlled trial. Main Measures: For group individual analyses, predetermined thresholds, based on mixed linear-effects models...
The purpose of this study is to describe the clinical lifeworld rehabilitation practitioners who work with patients in disordered states consciousness (DoC) after severe traumatic brain injury (TBI). We interviewed 21 using narrative interviewing methods from two specialty health systems that admit DoC inpatient rehabilitation. overarching theme arising interview data “Experiencing ambiguity and uncertainty reasoning about consciousness” when treating persons DoC. practitioners’ practices...
<h3>Importance</h3> Medicare is shifting from payment for postacute care services based on the volume provided to value as determined by patient characteristics and functional outcomes. Matching therapy time length of stay (LOS) needs will be critical optimize outcomes manage costs. <h3>Objective</h3> To investigate association among time, LOS, patients following hip fracture surgery. <h3>Design, Setting, Participants</h3> This retrospective cohort study analyzed data 4 inpatient...
Objective: To investigate whether the relationships between acute care occupational therapy (OT) and physical (PT) utilization community discharge are moderated by functional or performance at among individuals hospitalized with traumatic brain injury (TBI). Setting: 14 hospitals in state of Colorado. Participants: We studied 5,599 adults TBI June 2018 April 2021. Design: In a secondary analysis de-identified electronic health record (EHR) data, multivariable moderation logistic regression...
Background: To date, no one has prospectively evaluated yoga intervention-induced changes in brain structure or function adults with acquired injuries (ABI). Thus, this study was conducted to test the feasibility of acquiring neuroimaging data from ABI before and after a intervention. Methods: This single-arm intervention that included 12 chronic (i.e., greater than 6 months post-injury) self-reported limitations balance. Neuroimaging were yoga. The completed once per week for eight weeks....
For people with disordered consciousness (DoC) after traumatic brain injury (TBI), relationships between treatment induced changes in neural connectivity and neurobehavioral recovery have not been explored. To begin building a body of evidence regarding the unique contributions treatments to network relative recovery, we conducted pilot study identify meriting additional examination future research. address this objective, examined previously unpublished data derived from randomized clinical...