A5048086805- Traumatic Brain Injury Research
- Cardiac Arrest and Resuscitation
- Traumatic Brain Injury and Neurovascular Disturbances
- Cerebral Palsy and Movement Disorders
- Musculoskeletal pain and rehabilitation
- Stroke Rehabilitation and Recovery
- Occupational Health and Performance
- Trauma and Emergency Care Studies
- Balance, Gait, and Falls Prevention
- Injury Epidemiology and Prevention
- Heart Rate Variability and Autonomic Control
- Pain Management and Treatment
- Resilience and Mental Health
- Human-Automation Interaction and Safety
- Transcranial Magnetic Stimulation Studies
- Spinal Cord Injury Research
- Scoliosis diagnosis and treatment
- Neurology and Historical Studies
- Health Systems, Economic Evaluations, Quality of Life
- Occupational Therapy Practice and Research
- Occupational Health and Safety Research
- Health Sciences Research and Education
- Advances in Oncology and Radiotherapy
- Health and Wellbeing Research
- Health and Medical Research Impacts
University of North Carolina at Chapel Hill
2014-2024
University of North Carolina Health Care
2005-2023
Tempe Union High School District
2021
Jackson Foundation
2020
Henry M. Jackson Foundation
2020
Naval Medical Center San Diego
2019
Laboratório Bacchi
2017-2019
Washington Center for Weight Management and Research
2010-2017
McMillan and Moss Research
2017
Earth Resources Technology (United States)
2017
Background and Purpose— In research on Constraint-Induced Movement (CI) therapy, a structured interview, the Motor Activity Log (MAL), is used to assess how stroke survivors use their more-impaired arm outside laboratory. This article examines psychometrics of 14-item version this instrument in 2 chronic samples with mild-to-moderate upper-extremity hemiparesis. Methods— Participants (n=41) first study completed MALs before after CI therapy or placebo control procedure. addition, caregivers...
At least 3 million Americans sustain a mild traumatic brain injury (mTBI) each year, and 1 in 5 have symptoms that persist beyond month. Standards of mTBI care evolved rapidly, with numerous expert consensus statements clinical practice guidelines published the last years. This Special Communication synthesizes recent evidenced-based for civilians, athletes, military, pediatric populations clinicians practicing outside specialty clinics, including primary providers. The article offers...
Abstract Participant recruitment is considered the most difficult aspect of research process. Despite integral role in randomized clinical trials, publication data defining effort not routine rehabilitation initiatives. The process for Extremity Constraint-Induced Therapy Evaluation (EXCITE) trial illustrates obstacles to and strategies participant accrual retention that are inherent trials. purpose this article increase awareness multiple facets necessary successful thus supporting...
Over the last decade, numerous concussion evidence-based clinical practice guidelines (CPGs), consensus statements, and guidance documents have been published. These typically focused on diagnosis of medical management individuals post concussion, but provide little specific for physical therapy its associated impairments. Further, many these targeted populations in care contexts. The primary purpose this CPG is to a set recommendations therapist wide spectrum patients who experienced...
As part of an initiative led by the Brain Injury Special Interest Group Mild Traumatic (TBI) Task Force American Congress Rehabilitation Medicine (ACRM) to update 1993 ACRM definition mild TBI, present study aimed characterize current expert opinion on diagnostic considerations.Cross-sectional web-based survey.Not applicable.An international, interdisciplinary group clinician-scientists (N=31) with expertise in TBI completed survey invitation between May and July 2019 (100% completion...
The aim of this article is to consider how impairments in attention may affect the performance two tasks during balance or walking individuals recovering from acquired brain injury (ABI). Guidelines experimental dual-task paradigm cognitive psychology are reviewed. In paper, conditions described as use performed simultaneously, but not necessarily following all guidelines paradigm. How and why costs emerge discussed well considerations for task selection. Review literature that describes...
To examine the relationship between balance, attention, and dual-task performance in individuals with acquired brain injury.Cross-sectional study.Rehabilitation center supported living program.Twenty-four aged 18 to 58 years (mean = 39 years) injury who were able ambulate 40 ft (29%) or without an assistive device. Fifty-eight percent independent community ambulators. Fifty-four had fallen past 6 months; 42% reported feeling unsteady standing walking.Participants completed a battery of...
Within the last decade, more than 220,000 service members have sustained traumatic brain injury (TBI) in support of military operations Iraq and Afghanistan. Mild TBI may result subtle cognitive sensorimotor deficits that adversely affect warfighter performance, creating significant challenges for members, commanders, clinicians. In recent conflicts, physical therapists occupational played an important role evaluating member readiness to return duty (RTD), incorporating research best...
Previously published mild traumatic brain injury (mTBI) management guidelines provide very general recommendations to return individuals with mTBI activity. This lack of specific guidance creates variation in military rehabilitation. The Office the Army Surgeon General collaboration Defense and Veterans Brain Injury Center, a component center Centers Excellence for Psychological Health Traumatic Injury, convened an expert working group review existing literature propose clinical that...
Objectives: (1) To examine the reliability of a new clinical measure simultaneous walking with performance working memory task, Walking and Remembering Test (WART). (2) compare older adult to younger WART illustrate preliminary validity. Subjects: Convenience sample 25 young adults (ages 22-35) 65-86) performed twice. Methods: Subjects walked 6.1 meters at their fastest safe speed along path requiring narrowed base support in both single dual-task (with digit span task) conditions....
Background and Purpose: The use of standardized outcome measures (OMs) is essential in assessing the effectiveness physical therapy (PT) interventions. purposes this article are (1) to describe process used by TBI EDGE task force assess psychometrics clinical utility OMs with individuals moderate severe traumatic brain injury (TBI); (2) consensus recommendations for OM practice, research, professional (entry-level) PT education; (3) make future work. Methods: An 8-member a modified Delphi...
Recent evidence has revealed deficiencies in the ability to divide attention after concussion.To examine effects of a single vs dual task on cognition and balance healthy subjects reliability 2 dual-task paradigms while examining overall feasibility tasks.Pretest-posttest experimental design.Sports medicine research laboratory.30 healthy, recreationally active college students.Subjects performed cognitive tasks under single- conditions during test sessions 14 d apart.The procedural...
Abstract Background Despite efforts to mitigate a projected primary care physician (PCP) shortage required meet an aging, growing, and increasingly insured population, shortages remain, compounded by the COVID-19 pandemic, growing inequity, persistent underinvestment. Objective We examined workforce trends over past decade revisited clinician needs through year 2040. Design Participants Using data from AMA Masterfile Medical Expenditure Panel Survey (MEPS), we analyzed in number of...
Background: Several exercise-based falls prevention interventions produced significant long-term reductions in fall rate, but few demonstrate improvements risk factors. A strong body of evidence supports a protective effect aerobic or strength-training exercise on cognition. Individuals participating an balance improvement program may also experience this effect. This contribute to the decreased rate reported literature. Purpose: To determine if individuals evidence-based reduce would both...
Objective To evaluate the feasibility of an exercise tolerance assessment and intervention added to Progressive Return Activity Clinical Recommendations (PRA-CR) in acutely concussed service members (SMs).
The Assessment of Military Multitasking Performance (AMMP) is a battery functional dual-tasks and multitasks based on military activities that target known sensorimotor, cognitive, exertional vulnerabilities after concussion/mild traumatic brain injury (mTBI). AMMP was developed to help address limitations in post concussive return duty assessment decision making. Once validated, the intended for use combination with other metrics inform duty-readiness decisions Active Duty Service Members...
Concussions are a public health concern that affects individuals across the life span. The multifaceted effects of concussion warrant an interdisciplinary management strategy may include physical therapy. However, therapists feel underprepared for clinical decision making following concussive event. We propose new treatment-based profiling model to help manage patients This model, based on symptom type and intensity, disability status, response movement, prioritizes treatment emphasis (1)...
Abstract Context Few studies utilize randomized clinical trials (RCT) to quantify intervention safety of rehabilitation after sport-related concussion across sport levels. Objective Describe symptom exacerbation and adverse events (AEs) associated with two interventions. Design Cluster Randomized Controlled Trial (XXX) Setting Sports medicine clinic field settings. Participants The RCT enrolled 251 concussed athletes (median age=20 years; female n=48) 28 sites from New Zealand professional...