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  • Publications

    Variation in the BDNF gene interacts with age to predict mortality in a prospective, longitudinal cohort with severe TBI

    Study examined brain-derived neurotrophic factor (BDNF) functional single nucleotide polymorphisms rs6265 and rs7124442 in relation to mortality in 315 individuals, aged 16 to 74 years, receiving care for severe traumatic brain injury (TBI). It was hypothesized the addition of BDNF genetic variation would improve mortality prediction models and that ...
  • Publications

    Variations in inpatient rehabilitation functional outcomes across centers in the traumatic brain injury model systems study and the influence of demographics and injury severity on patient outcomes

    Study compared patient functional outcomes across Traumatic Brain Injury Model Systems (TBIMS) rehabilitation centers and identified sociodemographic, clinical, and injury characteristics that influenced patient those outcomes. Data were analyzed for 5,505 patients with traumatic brain injury (TBI) admitted to 19 TBIMS rehabilitation centers over a 10-year period (2003-2012). Functional ...
  • Publications

    Video game accessibility: A legal approach

    Article presents an argument for legally requiring that video games are accessible to everyone, including people with disabilities. Video game accessibility may not seem of significance to some, and it may sound trivial to anyone who does not play video games. This assumption is false. With the digitalization of culture, ...
  • Publications

    Virtual reality and brain computer interface in neurorehabilitation

    Article presents two original studies to demonstrate how advanced technology may be integrated into subacute rehabilitation after central nervous system injuries. The first study addresses the feasibility of brain-computer interface with patients on an inpatient spinal cord injury unit. The second study explores the validity of two virtual environments ...
  • Publications

    Virtual reality and cognitive rehabilitation: A review of current outcome research

    Article reviews recent outcome studies examining virtual reality applications for cognitive rehabilitation. The purpose of this review is to facilitate comparisons of therapeutic efficacy of different virtual reality interventions. A systematic approach for the review addressed the nature of each sample, treatment apparatus, experimental treatment protocol, control treatment protocol, ...
  • Publications

    Virtual reality-based therapy for the treatment of balance deficits in patients receiving inpatient rehabilitation for traumatic brain injury

    Study evaluated the feasibility and safety of utilizing a commercially available virtual reality gaming system as a treatment intervention for balance training in patients undergoing inpatient rehabilitation for traumatic brain injury (TBI). Twenty patients were randomly assigned to one of two treatment conditions: (1) balance-based physical therapy using a ...
  • Publications

    Vocational interests by gender and race 10 years after spinal cord injury

    Study examined vocational interests among individuals with spinal cord injury (SCI) as a function of gender and race approximately 10 years after SCI onset. A total of 247 participants completed the Strong Interest Inventory, a 291-item measure of vocational interests. Results showed that male participants more often indicated a ...
  • Publications

    Vocational rehabilitation outcomes for students participating in a model transition program

    Study compared vocational rehabilitation (VR) services and outcome differences between youth with disabilities who did and did not participate in a model transition intervention. The Maryland Seamless Transition Collaborative (MSTC), a transition service delivery model, featured research-supported components integrated into a single service model and was implemented across 11 ...
  • Publications

    Vocational rehabilitation services and outcomes for transition-age youth with traumatic brain injuries

    Study evaluated the influence of demographic variables and vocational rehabilitation (VR) services on the employment outcomes of 1,546 transition-age youth (16-25 years of age) with traumatic brain injuries (TBI). Purposeful selection of multivariate logistic regression was employed to analyze the data. Results indicated that receipt of more VR services ...
  • Susan Harkema

    Dr. Harkema is a leading researcher in the field of neurological rehabilitation, and holds the positions of Professor in the Department of Neurological Surgery at the UofL, Rehabilitation Research Director at the Kentucky Spinal Cord Injury Research ...
  • Publications

    What makes an exhibition inclusive? A 20-year conversation about universal design

    The authors reflect on more than 20 years of experience in designing accessible museums and exhibitions. They urge exhibition designers to think not only of minimum accessibility standards but of more inclusive design that works better for museum audiences made up of diverse family groups, different age groups, and ...
  • Publications

    What works in inpatient traumatic brain injury rehabilitation? Results from the TBI-PBE study

    Articles in this journal issue analyzed the results of the Traumatic Brain Injury-Practice Based Evidence (TBI-PBE) project, a comparative effectiveness study conducted at 9 rehabilitation centers across the United States and 1 in Canada over a 2.5-year time period. Three of the 10 study sites were part of the ...
  • Publications

    Wheelchair skills capacity and performance of manual wheelchair users with spinal cord injury

    Study examined the wheelchair skills capacity and performance of experienced manual wheelchair users with spinal cord injury (SCI) and assessed measurement properties of the Wheelchair Skills Test (WST) and Wheelchair Skills Test Questionnaire (WST-Q). One hundred seventeen manual wheelchair users with SCI from 4 Spinal Cord Injury Model Systems ...
  • Publications

    Work and traumatic brain injury

    Article briefly provides an overview of Project Career, an interprofessional demonstration designed to support the academic and career success of college students who have sustained traumatic brain injuries (TBI). Project Career merges the use of cognitive support technology (CST) and vocational rehabilitation practices to improve academic outcomes of civilian ...
  • Publications

    Working memory capacity links cognitive reserve with long-term memory in moderate to severe TBI: A translational approach

    This translational study tested a theoretical model linking cognitive reserve (CR), working memory (WM) and long-term memory (LTM) and used mediation modeling to better understand the relationship between the three constructs in traumatic brain injury (TBI). There is variability among memory impairment resulting from TBI; some individuals exhibit long-term ...
  • Publications

    Working with schools: What employment providers need to know for successful collaboration

    Article describes a collaborative transition model and the preliminary results and lessons learned from a 5-year study evaluating the effects on embedded employment resources in schools, the impact of agency connections, and employment outcomes. The goal of the collaborative was to provide employment opportunities for transition-age youth by embedding ...
  • Publications

    User authentication in smartphones for telehealth

    Article presents several types of authentication methods available to smartphone users to help ensure security of sensitive data from attackers and describes the applications of these authentication methods in telehealth. Specific to telehealth, use of mobile health (mHealth) apps for telehealth services has expanded in recent years. A plethora ...
  • Publications

    Race/Ethnicity and Retention in Traumatic Brain Injury Outcomes Research: A Traumatic Brain Injury Model Systems National Database Study

  • Publications

    Neuropsychological Characteristics of the Confusional State Following Traumatic Brain Injury

    Individuals with moderate-severe traumatic brain injury (TBI) experience a transitory state of impaired consciousness and confusion often called posttraumatic confusional state (PTCS). This study examined the neuropsychological profile of PTCS.
  • Publications

    Prevention of Urinary Tract Infection for Patients with Neurogenic Bladder

    Article summarizes the most recent data on the prevention of urinary tract infection (UTI) in patients with neurogenic bladder, with a focus on patients with incomplete bladder emptying requiring catheterization who are specifically at risk. UTI is a common problem among patients with neurogenic bladder dysfunction that can be ...

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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.