- Prosthetics and Rehabilitation Robotics
- Stroke Rehabilitation and Recovery
- Diabetic Foot Ulcer Assessment and Management
- Muscle activation and electromyography studies
- Cerebral Palsy and Movement Disorders
- Balance, Gait, and Falls Prevention
- Peripheral Artery Disease Management
- Total Knee Arthroplasty Outcomes
- Telemedicine and Telehealth Implementation
- Tendon Structure and Treatment
- Parasitic Diseases Research and Treatment
- Botulinum Toxin and Related Neurological Disorders
- Autoimmune and Inflammatory Disorders Research
- Osteoarthritis Treatment and Mechanisms
- Spaceflight effects on biology
- Reconstructive Surgery and Microvascular Techniques
- Pregnancy-related medical research
- Pain Management and Treatment
- Multiple Sclerosis Research Studies
- Pain Mechanisms and Treatments
- Shoulder Injury and Treatment
- Mobile Health and mHealth Applications
- Innovations in Medical Education
- Reconstructive Facial Surgery Techniques
- Musculoskeletal pain and rehabilitation
Center for Global Health
2022-2025
Case Western Reserve University
2022-2025
Western University
2015-2024
Parkwood Institute
2015-2024
St Joseph's Health Care
2009-2024
MelroseWakefield Healthcare
2022
Dolan Park Hospital
2017
Canadian Association of Physical Medicine and Rehabilitation
2017
University of South Alabama
2015
Glenrose Rehabilitation Hospital
2012
Silicone breast implants have been in use for augmentation more than 50 years, but technological innovation has lacking implant design until recently. This study was designed to evaluate the complication and reoperation rates following utilizing Motiva silicone implants. retrospective evaluated safety of 5813 consecutive cases augmentation. Implants with two different textured surfaces were evaluated: SilkSurface (nanotextured) VelvetSurface (micro-textured). placed between April 2013 2016....
Immobility in bed and decreased mobility cause adaptations to most human body systems. The effect of immobility on fat accumulation hemopoietic bone marrow has never been measured prospectively. reversibility the effects hemopoiesis are not known. In present study, 24 healthy women (age: 25-40 yr) underwent -6 degrees head-down rest for 60 days. We used MRI noninvasively measure lumbar vertebral fraction at various time points. also hemoglobin, erythropoietin, reticulocytes, leukocytes,...
Objective: The purpose of this study was to determine the relationship between physical function and fall-related self-efficacy in older patients with a hip fracture who are undergoing an intensive rehabilitation program. Design: We used prospective cohort over 12 mo effect specialized program geriatric hospital on fear falling. Fifty-six were admitted consecutively from acute care. Physical assessed using Functional Independence Measure, measured two scales: Falls-Efficacy scale...
A single co-administered dose of a triple-drug regimen (ivermectin, diethylcarbamazine, and albendazole) has been shown to be safe more efficacious for clearing Wuchereria bancrofti microfilariae than the standard two-drug diethylcarbamazine plus albendazole in clinical trials. However, effectiveness mass drug administration with compared is unknown. We regimens reducing prevalence less 1% circulating filarial antigen 2%, levels that are unlikely sustain transmission lymphatic filariasis,...
Objective. To determine the effectiveness and cost-effectiveness of anti-tumor necrosis factor (anti-TNF) medications in a real-world environment for treatment rheumatoid arthritis (RA), psoriatic (PsA), ankylosing spondylitis (AS) using Health Assessment Questionnaire (HAQ). Methods. We created database patients with RA, PsA, or AS treated anti-TNF agents (etanercept, infliximab, adalimumab) at large outpatient rheumatology clinic. Patient characteristics, baseline HAQ prior to treatment,...
Purpose The majority of lower extremity amputations (LEAs) are the result diabetes or peripheral vascular disease. There is a paucity literature on individuals' experiences living with dysvascular LEAs in community, particularly Canada. purpose this study was to explore perceptions and community-dwelling adults LEA.Methods Semi-structured qualitative interviews were conducted individuals LEA recruited from three rehabilitation hospitals. Participants included if they English-speaking at...
Background WHO recommends two annual rounds of mass drug administration (MDA) with ivermectin, diethylcarbamazine, and albendazole (IDA) for lymphatic filariasis (LF) elimination in treatment naïve areas that are not co-endemic onchocerciasis such as Papua New Guinea (PNG). Whether MDA necessary or sufficient the optimal sampling strategies endpoints stopping remain undefined. Methods findings Two cross-sectional studies were conducted at baseline (N = 49 clusters villages) 12 months after...
Gait is a complex process that involves coordinating motor and sensory systems through higher-order cognitive processes. Walking with prosthesis after lower extremity amputation challenges these However, the factors influence cognitive-motor interaction in gait among amputees has not been evaluated. To assess of cognition mobility, individuals must be evaluated using dual-task paradigm.To investigate effect etiology time on performance those amputations.Cross-sectional study.Outpatient...
Objective Determine efficacy of the novel WiiNWalk intervention on walking-related outcomes in older adults with lower limb amputation. Design Multi-site, parallel, evaluator-masked randomized controlled trial. Setting Home-setting three Canadian cities. Participants Community-dwelling prosthesis users over 50 years age. Interventions The group (n = 38) used modified Wii Fit activities for prosthetic rehabilitation. attention control 33) Big Brain Academy: Degree, comprising cognitive...
Clinicians use the Activities-specific Balance Confidence Scale to understand balance confidence. A short-form scale, was developed using six most difficult tasks from original scale; however, scale psychometrics and agreement with have yet be explored in people lower extremity amputations.To determine relative absolute reliability, construct validity, of scale.Test-retest a 2-week interval.Analysis for reliability internal consistency intraclass correlation coefficient Cronbach's α,...
Each year in Canada, a substantial number of adults undergo limb amputation, with lower amputation (LLA) the most prevalent. Enhancing walking ability is crucial for optimizing rehabilitation outcomes, promoting participation, and facilitating community reintegration. Overcoming challenges during acute post-amputation phase sub-acute necessitates alternative approaches, such as motor imagery mental practice, to maximize success. However, current evidence on activation patterns using...
To describe admission and discharge characteristics of participants admitted to prosthetic rehabilitation following a lower limb amputation determine changes in participant including if the population has gotten older over time at admission.
Purpose To determine the incidence of peripheral nerve injury in patients referred to an electrodiagnostic laboratory with a history shoulder trauma. The characteristics those presenting triad dislocation, injury, and rotator cuff tear were further examined. Methods We conducted retrospective chart review all our over 17-month period. Requisitions, clinical histories, physical findings, electrophysiological results, radiologic investigations reviewed. Inclusion for analysis was trauma...
Individuals with cerebral palsy (CP) experience a significant gap in care as they move from interdisciplinary pediatric programs to limited or non-existent the adult sector. A lack of knowledgeable providers has repeatedly been identified challenge transitioning those CP care. The objective this study was determine extent which Physiatrists provide adults and identify barriers their engagement population.A survey distributed across Canada. Results were analyzed descriptively using SPSS...
The number of older adults living with lower limb amputation (LLA) who require rehabilitation for improving their walking capacity and mobility is growing. Existing practices frequently fail to meet this demand. Nintendo Wii Fit may be a valuable tool enable interventions. Based on pilot studies, we have developed "Wii.n.Walk", an in-home telehealth intervention targeted improve in LLA.The objective study determine whether the Wii.n.Walk enhances compared attention control group.This project...
Individuals with dysvascular lower limb amputations (LLA) secondary to complications of peripheral arterial disease (PAD) and/or diabetes have high rates co-morbidities.To describe self-reported health condition severity and their association sociodemographic factors ambulations status among individuals major LLA.Cross sectional telephone in person survey adults LLA living the community setting Ontario, Canada.Survey by phone/in person, completion Dysvascular Conditions Scale Special...