A5012039333- Traumatic Brain Injury Research
- Cardiac Arrest and Resuscitation
- Stroke Rehabilitation and Recovery
- Trauma and Emergency Care Studies
- Spinal Cord Injury Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Emergency and Acute Care Studies
- Acute Ischemic Stroke Management
- Cerebral Palsy and Movement Disorders
- Prosthetics and Rehabilitation Robotics
- Musculoskeletal pain and rehabilitation
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Health disparities and outcomes
- Injury Epidemiology and Prevention
- Health Literacy and Information Accessibility
- Social Media in Health Education
- Patient Satisfaction in Healthcare
- Cognitive Functions and Memory
- Mobile Health and mHealth Applications
- Healthcare Systems and Technology
- Traffic and Road Safety
- Frailty in Older Adults
- Elder Abuse and Neglect
- Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
- Lymphatic System and Diseases
Baylor Medical Center at Garland
2019-2024
The Ohio State University
2024
Rehabilitation Hospital of Indiana
2024
Indiana University – Purdue University Indianapolis
2024
James A. Haley Veterans' Hospital
2024
University of South Florida
2024
University of Washington
2024
O’Connor Hospital
2024
Générale-Beaulieu Clinic
2024
Martin University
2024
To (1) determine if wearing a cloth face mask significantly affected exercise performance and associated physiological responses, (2) describe perceptual measures of effort participants' experiences while during maximal treadmill test.Randomised controlled trial healthy adults aged 18-29 years. Participants completed two (with without mask) cardiopulmonary tests (CPETs) on following the Bruce protocol. Blood pressure, heart rate, oxygen saturation, exertion shortness breath were measured....
Objective: To estimate the prevalence of chronic pain after traumatic brain injury (TBI) and identify characteristics that differ from those without pain. Setting: Community. Participants: A total 3804 TBI Model Systems (TBIMS) participants who completed Pain Survey at TBIMS follow-up. Design: multisite, cross-sectional observational cohort study. Main Outcome Measure(s): Functional outcomes, experience, treatment. Results: 46% reported current pain, 14% past (post-injury) 40% no Bivariate...
Objective: To examine the differences in participation, life satisfaction, and psychosocial outcomes among individuals with traumatic brain injury (TBI) endorsing current, past, or no chronic pain. Setting: Community. Participants: Three thousand eight hundred four TBI Model Systems participants 1 to 30 years of age postinjury classified into 3 groups based on their pain experience: current pain, past completed a Pain Survey at usual follow-up appointment which average was approximately 8...
Objective: Describe the utilization, accessibility, and satisfaction of primary preventative health-care services community-dwelling individuals with spinal cord injury (SCI).Design: Cross sectional, in-person or telephonic survey, utilizing a convenience sample.Setting: Community.Participants: Individuals SCI greater than 12-months post injury.Interventions: N/A.Outcome measures: Demographic, related, 34-item questionnaire healthcare services.Results: The final sample consisted 142...
Objective: Learning to walk is a major goal of inpatient rehabilitation and robotic exoskeletons may provide new gait training approach. Our purpose was determine the feasibility integrating Ekso Gait Training device into in neurologic population.Design: Longitudinal cohort design convenience sample including physical therapists trained use Bionics GT™ exoskeleton or inpatients with stroke SCI. Therapists completed focus group survey at baseline 6 months after initial training. Patients...
Objective: To create a census-based composite neighborhood socioeconomic deprivation index (NSDI) from geocoded residential addresses and to quantify how NSDI aligns with individual-level factors among people traumatic brain injury (TBI). Setting: Community Participants: People enrolled in the TBI Model Systems National Database (TBIMS NDB). Design: Secondary analysis of longitudinal cohort study. Main Measures: The TBIMS-NSDI was calculated at census tract level for United States population...
To examine the relationship between payer source for acute rehabilitation, residential median household income (MHI), and outcomes at rehabilitation discharge after traumatic brain injury (TBI).
Abstract Background Overground exoskeleton gait training (OEGT) after neurological injury is safe, feasible, and may yield positive outcomes. However, no recommendations exist for initiation, progression, or termination of OEGT. This retrospective study highlights the clinical use decision-making OEGT within physical therapy plan care patients during inpatient rehabilitation. Methods The records admitted to rehabilitation stroke, spinal cord injury, traumatic brain who participated in at...
Objective: The purpose was to describe the prevalence and characteristics of healthcare utilization among individuals with spinal cord injury (SCI) from a Level I trauma center.Design: Retrospective data analysis utilizing local acute registry for initial hospitalization merged Dallas-Fort Worth Hospital Council obtain subsequent health care in first postinjury year.Setting: Dallas, TX, USA.Participants: Six hundred sixty four patients were admitted an traumatic SCI January 2003 through June...
To examine adherence with and effect of an evidence-based healthy lifestyle intervention modified for individuals traumatic brain injury (TBI).Pre-/postintervention without control.Community.Eighteen TBI: primarily male (61%), white (67%), private insurance (50%). Mean age was 45.6 ± 12.3 years, weight 210 42.6 lb, body mass index 31.8 4.6 (obese category) at baseline.The primary goal the Diabetes Prevention Program Group Lifestyle Balance program is 5% to 7% loss through increased physical...
Objective: To measure patient functional outcomes across rehabilitation centers. Setting: Traumatic Brain Injury Model System (TBIMS) Participants: Patients with traumatic brain injury (TBI) admitted to 21 TBIMS centers (N = 6975, during 1999-2008). Design: Retrospective analysis of prospectively collected data. Main Measures: Center-specific TBI patients using Functional Independence Measure, Disability Rating Scale, and Glasgow Outcome Scale–Extended. Results: There were large differences...
Overground robotic exoskeleton gait training is increasingly utilized during inpatient rehabilitation yet without clear guidelines. We describe clinical characteristics associated with and examine outcomes of people spinal cord injury stroke who completed usual care or training. Retrospective review medical records over a 36 months period. Inpatients ≥1 session were included. After obtaining complete list participants, reviewed for comparable matches as determined by functional independence...
Abstract Aims Patient satisfaction is paramount to health‐related quality of life (HR‐QoL) outcomes. High quality, quantitative data from the US describing patients’ actual experiences, difficulties, and HR‐QoL while on an intermittent self‐catheterization (ISC) regimen very scarce. Our objective was better understand patient practices with attitudes towards ISC. Methods This a cross‐sectional, multi‐centered, clinical study adult men women performing ISC in United States. Data collected...
Abstract Background Obesity after traumatic brain injury (TBI) is a public health issue and no evidence-based weight loss interventions exist to meet the unique needs of individuals TBI. Purpose To (a) examine efficacy Diabetes Prevention Program Group Lifestyle Balance for TBI (GLB-TBI) weight-loss intervention compared an attention control primary (weight-loss) secondary outcomes; (b) determine participant compliance with GLB-TBI; (c) if associated improved outcomes. Methods Individuals...
Objective: To determine if the interaction of opiate misuse and marijuana use frequency is associated with behavioral health outcomes. Setting: Community. Participants: Three thousand seven hundred fifty participants enrolled in Traumatic Brain Injury Model Systems who completed Pain Survey had complete opioid information. Design: Cross-sectional, secondary analysis from a multisite observational cohort. Main Outcome Measure(s): Clinically significant symptoms for posttraumatic stress...
Traumatic brain injury (TBI) is a major cause of death and disability, but there are currently no therapies with proven efficacy for optimizing regeneration repair during rehabilitation. Using standard stimulation tests, as many 40 - 50% survivors severe TBI have deficiency one or more pituitary hormones. Of these, the somatotropic axis most commonly affected, Growth Hormone (GH) affecting approximately 20% persons TBI. Treatment recombinant human (rhGH) generally effective in reversing...
Objective: Explore how traumatic brain injury (TBI) is screened among spinal cord (SCI) patients across the continuum of care. Design: Retrospective chart review Setting: Emergency department, trauma, inpatient rehabilitation Participants: 325 with SCI from facility (IRF) between March 1, 2011 and December 31, 2014 were screened. 49 eligible subjects had received care in adjoining acute (AC) hospital. Outcome Measures: Demographic characteristics variables that capture diagnosis TBI/SCI...
A concussion knowledge survey was completed by 561 rehabilitation professionals across a wide range of disciplines in nationwide hospital system. Item questions were structured to reflect key areas targeted prior consensus statement. The vast majority staff provided responses consistent with the current literature regarding diagnosis and symptom presentation immediately after concussion. Greater variability seen for items assessing beliefs about typical recovery from concussion, best care...
Objective The aim of this study was to determine the association between obesity and functional motor outcome patients undergoing inpatient rehabilitation after traumatic brain injury. Design This retrospective at an urban acute center screened data from 761 subjects in Traumatic Brain Injury Model System who were admitted January 2010 September 2013. Inclusion criteria consisted age 18 years or older abnormal Functional Independence Measure score. Body mass index used population. Patients...
BACKGROUND: Robotic exoskeletons are increasingly available to inpatient rehabilitation facilities though programmatic implementation evidence is limited. OBJECTIVE: To describe therapists’ clinical practice experiences with robotic gait training (RGT) over 3 years during rehabilitation. METHODS: Therapists participated in a survey and semi-structured focus group discuss their RGT experiences. Interviews were recorded, transcribed, analyzed using theoretical analysis-driven thematic...