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  • Publications

    "Going the extra mile": Disclosure, accommodation, and stigma management among working women with disabilities

    Study examined women’s experiences of disability disclosure and accommodation in the workplace. Seven focus groups were conducted with 42 women with disabilities. The findings revealed that women with disabilities face intentional and unintentional structural discrimination and must weigh the pros and cons of disclosure and navigate devaluation threats in ...
  • Publications

    A brief overview of the coma recovery scale-revised: Updates from the COMBI

    Article provides an update from the Center for Outcome Measurement in Brain Injury (COMBI). The Coma Recovery Scale (CRS) was developed to detect subtle differences in neurobehavioral function and monitor recovery in patients with disorders of consciousness, particularly coma, vegetative state (VS), and minimally conscious states (MCS). This scale ...
  • Publications

    A community living management program for people with disabilities who have moved out of nursing homes: A pilot study

    Article describes implementation and evaluation of the Stepping Stones program, a community living management program designed to assist people with disabilities to gain community living skills after moving out of nursing homes. Thirteen people with diverse disabilities participated in the 10-week Stepping Stones program. The participants attended two sessions ...
  • Publications

    A call to action: Building a translational inclusion team science in physical activity, nutrition, and obesity management for children with disabilities

    Article addresses the need for health promotion programs for children with disabilities. The growing evidence base of childhood obesity prevention and treatment programs do not adequately consider how to adapt these programs for children with disabilities. The authors propose a Call to Action for health researchers who conduct studies ...
  • Publications

    A conceptual model of irritability following traumatic brain injury: A qualitative, participatory research study

    Study examined the experience (thoughts and feelings) of irritability from the perspectives of multiple people living with or affected by traumatic brain injury (TBI), and developed a conceptual model of TBI irritability. Forty-four stakeholders (individuals with a history of TBI, family members, community professionals, healthcare providers, and researchers) were ...
  • Publications

    A dopamine pathway gene risk score for cognitive recovery following traumatic brain injury: Methodological considerations, preliminary findings, and interactions with sex

    Study investigated sexual dimorphism within the dopamine (DA) gene pathway that may influence cognitive outcomes following traumatic brain injury (TBI). Dopamine is critical for attention, memory, and planning, and DA deficiencies lead to cognitive deficits. Participants were 193 adult survivors of severe TBI recruited from a level 1 trauma ...
  • Miguel X. Escalon

    Miguel X. Escalon, MD, MPH, is an Assistant Professor of Rehabilitation Medicine at ISMMS, Director of Critical Care Rehabilitation, and Associate Director of the ISMMS Rehabilitation Medicine Residency Program. He completed his residency in PM&R at Baylor ...
  • Publications

    A home-based walking study to ameliorate perceived stress and depressive symptoms in people with a traumatic brain injury

    Study explored whether a 12-week home-based walking program can decrease perceived stress and depressive symptoms in people with traumatic brain injury (TBI). Sixty-nine participants with a TBI were randomly assigned to complete a 12-week walking intervention or a nutrition education program. The walking intervention utilized pedometers to track the ...
  • Publications

    A multidimensional Rasch analysis of the functional independence measure based on the national institute on disability, independent living, and rehabilitation research traumatic brain injury model systems national database

    Study examined the psychometric properties of the Functional Independence Measure (FIM) using data from the Traumatic Brain Injury Model Systems (TBIMS) National Database (NDB), and demonstrated that the FIM comprises three subscales representing cognitive, self-care, and mobility domains. The TBIMS NDB is a longitudinal database that captures demographic and ...
  • Publications

    A need for an augmented review when reviewing rehabilitation research

    This commentary suggests that there is a need for additional strategies for performing systematic reviews (SRs) to improve translation of findings into practice and to influence health policy. SRs critically appraise research methodology and determine level of evidence of research findings. The standard type of SR identifies randomized controlled ...
  • Publications

    A new framework and practice center for adapting, translating, and scaling evidence-based health/wellness programs for people with disabilities

    Article describes a knowledge-to-practice framework that will support therapists and other rehabilitation professionals in building and maintaining a database of successful health/wellness guidelines, recommendations, and adaptations to promote community health inclusion for people with disabilities. The framework was developed in the National Center on Health, Physical Activity and Disability ...
  • Publications

    A qualitative study examining methods of accessing and identifying research relevant to clinical practice among rehabilitation clinicians

    Study examined the utilization of evidence-based practice (EBP) among rehabilitation clinicians. Specifically, it examined how various rehabilitative clinicians including physical therapists, occupational therapists, rehabilitation counselors, and physiatrists are gaining access to literature and whether they are able to implement the available research into practice. Twenty-one clinicians were interviewed by ...
  • Publications

    A randomised control trial of walking to ameliorate brain injury fatigue: A NIDRR TBI model system centre-based study

    Study evaluated the impact of a graduated physical activity program on fatigue after traumatic brain injury (TBI). Using a prospective randomized single-blind crossover design, 123 individuals with TBI, over the age of 18, were enrolled. Interventions included a home-based walking program utilizing a pedometer to track daily number of ...
  • Publications

    A randomized practical behavioural trial of curriculum-based advocacy training for individuals with traumatic brain injury and their families

    Study examined whether a curriculum-based advocacy training program improves advocacy behavior when compared to a matched group engaged in self-directed advocacy activities. Adults with moderate-to-severe TBI and their family members were recruited in Minnesota (4 years), Iowa and Wisconsin (each 3 years) and randomized into a curriculum-based or self-directed ...
  • Publications

    A review of the effectiveness of neuroimaging modalities for the detection of traumatic brain injury

    In 2011, the Department of Defense (DoD) prepared a congressional report summarizing the effectiveness of seven neuroimaging modalities for the detection of traumatic brain injury (TBI). The report included computed tomography (CT), magnetic resonance imaging (MRI), transcranial Doppler (TCD), positron emission tomography, single photon emission computed tomography, electrophysiologic techniques ...
  • Publications

    A scholarship of practice revisited: Creating community-engaged occupational therapy practitioners, educators, and scholars

    Article proposes a revised community-engaged Scholarship of Practice (SOP) model, reviews the evidence justifying the need for such a model, and presents strategies to effectively create community-engaged practitioners, educators, and career scientists within occupational therapy. Changing societal issues and trends in health disparities, health policy and practice, and research ...
  • Publications

    A scoping literature review of the provision of orthoses and prostheses in resource-limited environments 2000-2010. Part two: Research and outcomes

    This literature review analyzed the outcomes and conclusions of research studies to produce an evidence base for determining factors that may lead to successful provision of orthoses and prostheses in resource-limited environments. A total of 431 articles were included in a scoping review of all information published from 2000 ...
  • Jill Wecht

    Jill M Wecht, EdD, is a Professor of Medicine and Rehabilitation Medicine at ISMMS and has been studying the effects of de-centralized autonomic cardiovascular control on heart rate and blood pressure in persons with SCI since receiving ...
  • Videos

    Disorders of Consciousness View All Emotional Challenges after TBI View All Irritability, Anger, & Aggression after TBI View All Stress Management for TBI Caregivers View All Change in Memory After TBI View All TBI and Depression View All Relationship After TBI View All ...
  • Publications

    A state comparison of vocational rehabilitation support of youth with intellectual disabilities' participation in postsecondary education

    Study examined the role of vocational rehabilitation (VR) programs in promoting participation in postsecondary education for individuals with intellectual disabilities (ID). A secondary data analysis was conducted using the Rehabilitation Services Administration’s 911 dataset. Researchers compared the participation rate and postsecondary education outcomes of youth with ID and other ...

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Information on this site is not meant to replace the advice of a medical professional. You should consult your health care provider regarding specific medical concerns or treatment. The contents of this site were developed under grant number 90DPKT0009 from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this website do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the federal government.