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  • Publications

    Evaluating outcome after spinal cord injury: what determines success? 1996 Donald Munro Lecture

    Lecture on the definition and measurement of success after spinal cord injury (SCI), delivered at a 1996 meeting of the American Paraplegia Society. Discusses definitions in terms of the World Health Organization (WHO) Model of Disablement and in terms of subjective well-being. Discusses measurements of impairment, disability, handicap, subjective ...
  • Publications

    Elaborating the model of disablement

    Describes the World Health Organization (WHO) model for describing the consequences of disability, the International Classification of Impairments, Disabilities, and Handicaps (ICIDH). Examines how the ICIDH can be used as a basis for medical rehabilitation outcomes research.
  • Publications

    Role of survey research in assessing rehabilitation outcomes

    Article on survey research as a technique for studying rehabilitation outcomes. The value of survey research is defended, methods are discussed, and examples are given of successful survey research efforts related to rehabilitation outcomes.
  • Publications

    Quantifying environmental factors: A measure of physical, attitudinal, service, productivity, and policy barriers

    Article describes the development and testing of questionnaire designed to assess environmental barriers encountered by people with and without disabilities. Disability experts developed items for the Craig Hospital Inventory of Environmental Factors (CHIEF) to measure the frequency and magnitude of environmental barriers reported by individuals. Factor analysis yielded 5 ...
  • Publications

    Using the absorbed power method to evaluate effectiveness of vibration absorption of selected seat cushion during manual wheelchair propulsion

    Study examined the effects of 4 of the most commonly prescribed seat cushions on the transmission of whole-body vibrations during manual wheelchair propulsion. Participants were asked to propel their wheelchair over a simulated activities-of-daily-living obstacle course while acceleration and force data were recorded. The course included small, medium, and ...
  • Publications

    Student with low-incidence disabilities

    Chapter provides teachers with explicit instructions and examples for working with students with low-incidence disabilities, including mental retardation, autism spectrum disorders, sensory impairment, and significant orthopedic and other health impairments. The text describes the basic characteristics associated with each type of disability, presents instructional techniques and other strategies to ...
  • Publications

    Geriatric rehabilitation. 1. Social and economic implications of aging

    Article focuses on the epidemiology of aging, the economics of aging, informal and formal social support systems, ageism and societal issues, and care and treatment settings. This article is part of the study guide on geriatric rehabilitation in the Self-Directed Physiatric Education program for practitioners and trainees in physical ...
  • Publications

    Pressure ulcers: a review

    Review of the literature on pressure ulcer development and clinical management. The following topics are discussed: 1) etiologic factors; 2) persons at risk for pressure ulcer development; 3) systems for the description/classification of pressure ulcers; 4) pathologic tissue changes; 5) complications; 6) medical management; 7) treatment of the ulcer; ...
  • Publications

    Return to work after spinal cord injury: A review of recent research

    Article reviews research regarding demographics, occupational characteristics, workplace accommodations, quality of life, physical functioning, and other variables that affect return to work for individuals with spinal cord injury (SCI). Demographic variables that affect return to work include age at injury onset, chronological age, gender, education, ethnicity, marital status, and ...
  • Publications

    Sudden onset of cervical spondylotic myelopathy during sleep: A case report

    Article describes the case of a 56-year-old man with acute onset motor-complete tetraplegia caused by cervical spondylotic myelopathy. The subject developed tetraplegia during a 1-hour nap, with no volitional control of his upper or lower limbs, impaired sensation below the clavicles, and increased muscle tone. Magnetic resonance imaging of ...
  • Publications

    Assessment of a holistic wellness program for persons with spinal cord injury

    Study examined the effectiveness of a comprehensive and integrated wellness program for adults with spinal cord injury (SCI). Forty-three adults with SCI were randomly assigned to either intervention or control groups. The intervention consisted of six 4-hour workshops over a 3-month period, focusing on physical activity, nutrition, lifestyle management, ...
  • Publications

    Empowerment theory for rehabilitation research: Conceptual and methodological issues

    Article describing a conceptual framework for assessing individual psychological empowerment in rehabilitation outcome research. The article reviews recent examples of empirical studies of empowerment in the rehabilitation literature, and discusses empowerment theory before presenting its general framework for the construct of psychological empowerment. The authors argue that psychological empowerment ...
  • Publications

    Alcohol, central nervous system injury, and time to death in fatal motor vehicle crashes

    Retrospective study examines data from 401 motor vehicle crashes (MVC) in Michigan (1985-1991) to determine whether alcohol-intoxicated MVC fatalities with central nervous system injuries (CNSI) were more likely to die in the immediate postinjury period than victims with CNSI who were sober. Medical examiner records were reviewed for age, ...
  • Publications

    Alcohol use and trauma

    Article highlights the role of alcohol use in trauma. Clinical studies that explore the effects of acute and chronic alcohol use on the response to injury are discussed. Potential mechanisms, both physiologic and cellular, by which alcohol may enhance injury are reviewed. Advances in the identification of alcohol abuse ...
  • Publications

    Improving the efficiency of screening for major depression in people with spinal cord injury

    BACKGROUND/OBJECTIVE: To investigate the metric properties, relative efficiency, sensitivity and specificity, and positive predictive value of a short form of the Patient Health Questionnaire-9 (PHQ-9) that may be used as a screening test for depression. METHODS: Data from the National Spinal Cord Injury Statistical Center Database containing 3,652 records ...
  • Publications

    Detection of pediatric cervical spine injury

    OBJECTIVE: In evaluating the pediatric cervical spine for injury, the use of adult protocols without sufficient sensitivity to pediatric injury patterns may lead to excessive radiation doses. Data on injury location and means of detection can inform pediatric specific guideline development.METHODS: We retrospectively identified pediatric patients with codes from the ...
  • Publications

    Outcomes of posterior spinal fusion and instrumentation in patients with continuous intrathecal baclofen infusion pumps

  • Publications

    Depression in men with spinal cord injury: Rethinking the "Strong Silent Type."

    Abstract not available
  • Publications

    Kinematics and muscle activity of individuals with incomplete spinal cord injury during treadmill stepping with and without manual assistance

    BACKGROUND: Treadmill training with bodyweight support and manual assistance improves walking ability of patients with neurological injury. The purpose of this study was to determine how manual assistance changes muscle activation and kinematic patterns during treadmill training in individuals with incomplete spinal cord injury. METHODS: We tested six volunteers ...
  • Publications

    Ways of coping and perceived stress in women with spinal cord injury

    Using a cross-sectional design, this research aimed to assess whether a three-factor model of Positive Reappraisal, Escape-Avoidance, and Seeking Social Support based on the Ways of Coping Questionnaire (WOCQ) appropriately depicts coping within a sample of women with spinal cord injury (SCI). Forty-four community-dwelling women with spinal cord injury ...

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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.