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  • Flora Hammond

    Flora McConnell Hammond, M.D., is board certified in PM&R and Brain Injury Medicine. She is Professor and Chair of PM&R at IUSM and Chief of Medical Affairs at RHI. She has extensive research experience, including serving as ...
  • Living with Traumatic Brain Injury (TBI)

    The MSKTC works closely with researchers in the 16 Traumatic Brain Injury (TBI) Model Systems to develop resources for people living with traumatic brain injuries and their supporters. These evidence-based materials are available in a variety of formats such as printable PDF documents, videos, and slideshows.   ...
  • Publications

    Evidence-based strategies for preserving mobility for elderly and aging manual wheelchair users

    Article addresses important issues for preserving function and mobility for elderly and aging individuals who use a manual wheelchair by reviewing the current available evidence and presenting recommendations. Elderly and aging manual wheelchair users have increased risk for accelerated loss of function and mobility that greatly limits independence and ...
  • Publications

    Examining health-care utilization in the first year following spinal cord injury

    Study identified factors associated with health-care utilization during the first year after inpatient rehabilitation (IR) in individuals with traumatic spinal cord injury (SCI). One hundred sixty-eight patients were followed over 1 year after discharge from an SCI Model System IR program. Telephone follow-up occurred at 3, 6, 9, and ...
  • Publications

    Examining implicit bias of physicians who care for individuals with spinal cord injury: A pilot study and future directions

    Study examined the implicit racial bias among physicians caring for individuals with spinal cord injury (SCI) and its association with functioning and wellbeing for individuals with SCI. Data were collected from 162 individuals with SCI and 14 of their SCI physicians from 4 national SCI Model Systems sites. SCI ...
  • Publications

    Factors associated with pressure ulcer risk in spinal cord injury rehabilitation

    Study identified patient and clinical factors associated with the development of a stage 2 or higher pressure ulcer (PU) during spinal cord injury (SCI) rehabilitation. The 159 study patients, including 60 with new spinal injuries and 90 with earlier spinal injuries had identical rates at which they acquired a ...
  • Publications

    Factors influencing the use of intermittent bladder catheterization by individuals with spina bifida in Brazil and Germany

    Study identified and analyzed the factors that influence the use of intermittent catheterization (IC) by individuals with spina bifida and neurogenic bladder in Brazil and Germany. Data were collected using printed (Brazil) and online (Germany) questionnaires, and analyzed using multivariate logistical regression and analysis of variance. The study included ...
  • Publications

    Factors that influence changes in wheelchair cushion performance over time

    Study monitored wheelchair cushion performance over time in order to identify the most important factors that predict cushion degradation. Cushions were obtained from a convenience sample of adult wheelchair users seen by the seating clinic at a rehabilitation hospital. The wheelchair users and their cushions were evaluated multiple times. ...
  • Publications

    Fall-induced spinal cord injury: External causes and implications for prevention

    Study determined the demographic and clinical profile of people who sustained spinal cord injury (SCI) as a result of accidental falls and documented the usual circumstances surrounding the fall-induced SCI. Participants were 6,408 individuals with traumatic SCI enrolled in 21 SCI Model Systems centers throughout the United States between ...
  • Publications

    Hand shape representations in the human posterior parietal cortex

    Humans shape their hands to grasp, manipulate objects, and to communicate. Nonhuman primate studies have shown that visual and motor properties for grasps can be derived from cells in the posterior parietal cortex (PPC). This study showed for the first time how single neurons in the PPC of humans ...
  • Publications

    Health care self-advocacy strategies for negotiating health care environments: Analysis of recommendations by satisfied consumers with SCI and SCI practitioners

    Study identified strategies for self-advocacy and navigating the health care system as perceived by individuals with spinal cord injury (SCI) who report high satisfaction with their primary care, compared to the perceptions of SCI practitioners. Data were obtained through interviews conducted with 7 satisfied consumers with SCI and 4 ...
  • Publications

    How many spinal cord injury patients can catheterize their own bladder? The epidemiology of upper extremity function as it affects bladder management

    Study examined the upper-extremity (UE) motor function in patient with spinal cord injury (SCI) to provide insight into why clean intermittent catheterization (CIC) 'dropout' occurs and determine a more appropriate target percentage for CIC in this patient population. Discharge data were extracted from the National Spinal Cord Injury Database ...
  • Jacob Kean

    Dr. Kean is an Assistant Professor in the IUSM Department of PM&R and the Associate Research Director at RHI. Dr. Kean is a certified speech-language pathologist with clinical and research experience in the assessment and treatment of ...
  • Publications

    Hybrid functional electrical stimulation exercise training alters the relationship between spinal cord injury level and aerobic capacity

    Study assessed aerobic capacity during hybrid functional electrical stimulation (FES) row training in 14 volunteers with complete spinal cord injury (SCI) and assessed the relationships among lesion level, aerobic capacity, and peak ventilation before and after 6 months of FES row training. Peak aerobic capacity and peak exercise ventilation ...
  • Publications

    Immediate biomechanical implications of transfer component skills training on independent wheelchair transfers

    Study evaluated the immediate effects of transfer training based on the Transfer Assessment Instrument (TAI) on upper-limb biomechanics during transfers. The TAI consist of 2 parts. Part 1 of the TAI divides a transfer into 15 items, each representing a component transfer skill. Part 2 evaluates the consistency of ...
  • Publications

    Impact of a wheelchair education protocol based on practice guidelines for preservation of upper-limb function: A randomized trial

    Study examined the effect of the Paralyzed Veterans of America’s Clinical Practice Guidelines for Preservation of Upper Limb Function on wheelchair setup, selection, propulsion biomechanics, pain, satisfaction with life, and participation in individuals with new spinal cord injuries (SCIs). A single-blind, randomized controlled trial was completed by 37 manual ...
  • Publications

    Improvements in long-term survival after spinal cord injury?

    Study investigated whether there have been improvements in long-term survival after spinal cord injury (SCI) in recent decades. Specifically, this study examined mortality in people with SCI since 1973, focusing on the most recent period 2005 to 2012, to determine whether long-term survival, survival relative to the general population, ...
  • Publications

    Increased lower limb spasticity but not strength or function following a single-dose serotonin reuptake inhibitor in chronic stroke

    Study investigated the effects of single doses of a selective serotonin reuptake inhibitor (SSRI) on lower-limb voluntary and reflex function in individuals with chronic stroke. Ten individuals with post-stroke hemiplegia for more than 1 year were assessed before and 5 hours after they were randomly assigned to receive a ...
  • Publications

    Inflammatory mediators associated with pressure ulcer development in individuals with pneumonia after traumatic spinal cord injury: A pilot study

    Study identified the changes in the plasma and urine levels of inflammatory mediators after the diagnosis of pneumonia that are associated with the onset of a first pressure ulcer (PU). Eighty-six individuals with traumatic spinal cord injury (SCI) were included in the initial analyses. Fifteen of the 86 developed ...
  • Publications

    Influence of age alone, and age combined with pinprick, on recovery of walking function in motor complete, sensory incomplete spinal cord injury

    Study investigated whether age, pinprick scores in the lower extremities, and neurologic severity of injury influence recovery of ambulation in people with motor complete, sensory incomplete spinal cord injury (SCI) 1 year after initial injury. This retrospective analysis examined 249 subjects with American Spinal Injury Association Impairment Scale (AIS) ...

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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.