- Stroke Rehabilitation and Recovery
- Balance, Gait, and Falls Prevention
- Mindfulness and Compassion Interventions
- Musculoskeletal pain and rehabilitation
- Cerebral Palsy and Movement Disorders
- Acute Ischemic Stroke Management
- Occupational Therapy Practice and Research
- Complementary and Alternative Medicine Studies
- Traumatic Brain Injury Research
- Diabetic Foot Ulcer Assessment and Management
- Parkinson's Disease Mechanisms and Treatments
- Dementia and Cognitive Impairment Research
- Diabetes Management and Education
- Urban Green Space and Health
- Acupuncture Treatment Research Studies
- Psychosomatic Disorders and Their Treatments
- Cardiac Arrest and Resuscitation
- COVID-19 and Mental Health
- Posttraumatic Stress Disorder Research
- Sleep and related disorders
- Resilience and Mental Health
- Human-Animal Interaction Studies
- Frailty in Older Adults
- Physical Activity and Health
- Pain Mechanisms and Treatments
Colorado State University
2016-2025
Colorado State University System
2023
Duke University
2007-2020
Mayo Clinic in Florida
2020
Rehabilitation Research and Development Service
2020
Richard L. Roudebush VA Medical Center
2007-2018
Quality Enhancement Research Initiative
2008-2018
Clemson University
2018
Indiana University – Purdue University Indianapolis
2007-2016
Regenstrief Institute
2010-2016
Gait velocity is a powerful indicator of function and prognosis after stroke. can be stratified into clinically meaningful functional ambulation classes, such as household (<0.4 m/s), limited community (0.4 to 0.8 full (>0.8 m/s). The purpose the current study was determine whether changes in velocity-based classification were related stroke-related quality life. In subacute stroke survivors with mild moderate deficits who participated randomized clinical trial rehabilitation had baseline...
Physical activity after stroke may prevent disability and recurrence; yet, physical impairments inhibit post-stroke exercise subsequently limit recovery. The goal of this study was to elicit barriers facilitators stroke. We conducted three focus groups achieved content saturation from 13 survivors—eight men five women—85% whom were African American 15% White, with a mean age 59 years. coded analyzed the transcripts for common themes. Participants across reported (physical stroke, lack...
Most people complete post-stroke rehabilitation within the first 6 months after stroke even though benefits from exercise are believed to persist well beyond months. Physical and Occupational therapists provide home programs (HEP) instruct patients on exercises continue discharge rehabilitation. Unfortunately, there is little known about HEP adherence rates in adults with stroke.The objectives of this project were (1) determine rate post-rehabilitation reasons for non-adherence, (2) assess...
Balance impairment is common after stroke; modified yoga may be able to improve balance and other important poststroke variables. Scientific-evidence needed support such treatment interventions. The purpose of this study was assess the impact a yoga-based rehabilitation intervention on balance, self-efficacy, fear falling (FoF), quality life stroke. This prospective, randomized, pilot for people with chronic All sessions were taught by registered therapist, occurred twice per week 8 weeks...
Despite the prevalence and functional, psychological, economic impact of chronic pain, few intervention studies treatment pain in veterans have been performed.To determine whether a stepped-care is more effective than usual care, as hypothesized, reducing pain-related disability, interference, severity.We performed randomized clinical trial comparing stepped care with for pain. We enrolled 241 from Operation Enduring Freedom, Iraqi New Dawn (>3 months) disabling (Roland Morris Disability...
Objective: To investigate the association between balance and quality of life (QOL) in chronic stroke survivors by (1) examining associations QOL scores; (2) identifying frequency impairment poststroke falls; (3) determining differences scores persons with those without impairment. Methods: This is a secondary analysis cross-sectional study. People who had more than 6 months earlier from 3 Midwest states were included study if they met following criteria: referred to occupational or physical...
We used qualitative data to explore the perceived consequences of poststroke falls during first 6 months after discharge from hospital.We interviewed 132 male stroke survivors 1 and describe recovery trajectories. Interviews participants who discussed falling as one their major concerns were analyzed falls.During stroke, 42 (32%) falls. The results analysis indicate three important emergent themes related falls: (1) limiting activity participation, (2) increasing dependence, (3) developing a...
<h3>Background:</h3> Poststroke depression (PSD) is common after stroke; however, the relationship to poststroke function inconclusive. Our objectives were 1) determine between PSD at baseline (1 month poststroke) and (12 weeks later) 2) assess impact of improvement on 12-week among those with baseline. <h3>Methods:</h3> We completed a secondary analysis data from cohort study participants without PSD. used logistic regression identify factors associated functional dependence for all 367 174...
Falls are common after stroke; however, circumstances and consequences relatively unknown. Our objectives were to identify the differences between fallers non-fallers among people with chronic stroke, of fall events, examine falls. This is a secondary data analysis; all participants included sustained stroke. Variables demographics, stroke characteristics, comorbidities. collected via self-report, derived from participant description event categorized as appropriate. Among 160 participants,...
Individuals with Parkinson's Disease (PD) experience significant limitations in motor function, functional gait, postural stability, and balance. These often lead to higher incidences of falls, which have complications for individuals PD. Yoga may improve these deficits The objective this study was determine changes balance control community dwelling This randomized, wait-list controlled pilot examined the influence an 8-week yoga intervention people PD who met following inclusion criteria:...
The purpose of this mixed-methods case study was to investigate whether an 8-week 1:1 yoga program feasible and beneficial people with traumatic brain injury (TBI).This a one-to-one for TBI included three people. We completed assessments before after the intervention measures balance, balance confidence, pain, range motion, strength mobility. Qualitative interviews were at post-assessment. include percent change calculation salient quotes that represent perceived impact intervention.All...
The purposes of this mixed-methods study were to (1) investigate whether walking faster or farther was more important for getting "out and about" persons with chronic stroke (2) explore explanations preferences.A convenience sample 77 adults completed questionnaires outcomes in one visit. Participants asked them about", differences between response groups (faster vs. farther) evaluated. also described their preference farther. Qualitative responses analyzed using content analysis.The...
To compare the effects of body weight-supported treadmill training and overground walking when matched for task dose (duration/frequency/intensity) on improving function, activity, participation after stroke.Single-blind, pilot randomized controlled trial with three-month follow-up.University community settings.A convenience sample participants (N = 20) at least six months post-stroke able to walk independently were recruited.Thirty-minute interventions (body or training) administered five...
Background: Fatigue and pain are common after stroke, potentially impacting stroke recovery. Objective: This study examines the frequency impact of fatigue in people with chronic stroke. Method: Seventy-seven completed a one-time assessment consisting battery self-report performance tools to describe quantify mobility issues post We assessed proportion individuals relationship between other variables including gait (10-meter walk 6-minute test), balance (Berg Balance Scale), activity...
Abstract OBJECTIVE. Fear of falling (FoF) after stroke is not well understood. We assessed change in FoF over the first 6 mo a and compared 6-mo anxiety, depression, balance, quality life (QoL) scores between people with without baseline (at time hospital discharge). METHOD. Data for this longitudinal study were collected at mo. Of 28 included baseline, 18 remained later. RESULTS. significantly decreased (p = .015). Participants had higher anxiety depression (s .002 .005, respectively) lower...
We assessed the prevalence of fear falling (FoF) in a sample people with chronic stroke and compared multiple variables (balance, anxiety, depression, activity participation, severity) without FoF.This study was secondary analysis data collected from cross-sectional mobility after 77 participants (>6 mo poststroke).Of participants, 51 (66%) reported experiencing FoF. People FoF had significantly decreased balance (p<.001) participation (p=.006) increased anxiety (p=.007). also worse severity...
Objective: Although yoga shows promise as a treatment for posttraumatic stress disorder (PTSD), there are few randomized controlled trials that demonstrate significant benefits individuals with PTSD.The present study addresses this need by comparing the effects of Holistic Yoga Program (HYP) to Wellness Lifestyle (WLP) on PTSD symptom severity clinical trial (RELIEVE).Method: The sample consisted 209 participants (91.4 % veterans; 66% Male; 61.7% White) who met diagnostic criteria at...
To explore behavioral risk factors contributing to fall and near-fall scenarios for Veterans with dysvascular lower-limb amputation. Participants were a convenience sample of unilateral amputation, receiving care at single Administration Regional Amputation Center, who participated in an interview (12/2021-04/2023). We used phenomenological research directed content analysis participant perspectives on scenarios. Two frameworks informed priori codes (The Health Action Process Approach, the...
Autistic children often have impaired self-regulation which can impact daily functioning and life outcomes. Occupational Therapy Using Zones of Regulation™ Concepts in an Equine Environment (OT-ZOR-Equine) is a standardized intervention that integrates both the curriculum horses into occupational therapy to address autistic children. We aimed assess acceptability OT-ZOR-Equine participating A qualitative descriptive research study was conducted with six ages 7–9 years who received ten weeks...