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  • Publications

    Injury perceptions, hope for recovery, and psychological status after spinal cord injury

    Study investigated the influence of injury perceptions and hope for recovery on life satisfaction, purpose in life, and depressive symptoms measured during inpatient rehabilitation after spinal cord injury (SCI). Participants were 208 adults hospitalized for SCI inpatient rehabilitation, each of whom completed a modified version of the Illness Perception ...
  • Publications

    Innovative technologies for rehabilitation and health promotion: What is the evidence?

    Article introduces a special series that captures the essential role that innovative new technologies can play in physical therapy and rehabilitation practices globally. The articles that follow showcase research and case reports include perspectives about the role of social media in health care and health promotion, mobile health technologies, ...
  • Publications

    International standards for neurological classification of spinal cord injury: Cases with classification challenges

    The International Standards for the Neurological Classification of Spinal Cord Injury (ISNCSCI) is routinely used to determine the levels of injury and to classify the severity of a spinal cord injury (SCI). The International Standards Committee of the American Spinal Injury Association often receives questions regarding the classification. The ...
  • James F. Malec

    Dr. Malec is Professor and Research Director in the IUSM Department of PM&R and RHI, Professor Emeritus of Psychology at the Mayo Clinic, and Board Certified in Clinical Neuropsychology and Rehabilitation Psychology. Dr. Malec directed the Mayo ...
  • Publications

    Investigating the efficacy of web-based transfer training on independent wheelchair transfers through randomized controlled trials

    Study assessed the efficacy of a web-based transfer training module on the performance of independent wheelchair transfers immediately after training and after a 1- to 2-day delay and identified subject characteristics that predict improvements in transfer ability after training. Seventy-one manual and power wheelchair users who could transfer independently ...
  • Publications

    Lifetime prevalence of chronic health conditions among persons with spinal cord injury

    Study assessed lifetime prevalence of 7 chronic health conditions (CHCs) among 1,678 adults with chronic traumatic spinal cord injury (SCI) who were at least 1 year postinjury, and had residual neurologic effects impeding full recovery. CHCs were measured using questions from the Behavioral Risk Factor Surveillance System for diabetes ...
  • Publications

    Loneliness among people with spinal cord injury: Exploring the psychometric properties of the 3-item loneliness scale

    Study examined the construct of loneliness and its correlates in people with spinal cord injury (SCI), assessed the reliability and validity of the 3-item Loneliness Scale, and evaluated the unique impact of loneliness on psychological health. Data were collected from 175 people with SCI who participated in Spinal Cord ...
  • Publications

    Longitudinal prediction of quality-of-life scores and locomotion in individuals with traumatic spinal cord injury

    Study examined differences in quality-of-life (QOL) scores for locomotion groups at 1, 5, and 10 years postdischarge in people with spinal cord injury (SCI) and investigated whether demographic factors and transitions in locomotion status can predict QOL measures at these time points. Data were collected from 10,190 individuals with ...
  • Publications

    Long-lasting effect of transcranial direct current stimulation in the reversal of hyperalgesia and cytokine alterations induced by the neuropathic pain model

    Study investigated the effects of transcranial direct current stimulation (tDCS) on the nociceptive response and on interleukin-1 beta (IL-1β), interleukin-10 (IL-10), and tumor necrosis factor alpha (TNF-α) levels in central nervous system (CNS) structures of rats with neuropathic pain (NP). tDCS is a non-invasive method of cerebral stimulation and ...
  • Publications

    Measurement of bone: Diagnosis of SCI-induced osteoporosis and fracture risk prediction

    Article reviews the biological and structural changes that are known to occur in bone after spinal cord injury (SCI) in the context of promoting future research to prevent or reduce risk of fracture in this population. The authors also review the most commonly used methods for assessing bone after ...
  • Publications

    Measuring pain phenomena after spinal cord injury: Development and psychometric properties of the SCI-QOL pain interference and pain behavior assessment tools

    Article describes the development and psychometric evaluation of patient-reported outcome measures that assess pain interference and pain behavior after spinal cord injury (SCI). These measures include the Spinal Cord Injury - Quality of Life (SCI-QOL) Pain Interference item bank, SCI-QOL Pain Interference short form, and SCI-QOL Pain Behavior scale. ...
  • Publications

    Mechanisms Underlying Chronic Whiplash: Contributions from an Incomplete Spinal Cord Injury?

    Study explored the relationship between findings on advanced magnetic resonance imaging (MRI) sequences of the cervical spinal cord and muscular system, in tandem with biomechanical measures of maximum volitional plantar flexion torques, as a proxy for a mild incomplete spinal cord injury. Lower-extremity muscle fat, morphological changes in descending ...
  • Publications

    Medical management of neurogenic bladder with oral therapy

    Article reviews the most current literature on the medical management of the neurogenic bladder to treat detrusor overactivity, improve bladder compliance, and treat urinary incontinence. The use of antimuscarinics, alpha blockers, tricyclic antidepressants, desmopressin and mirabegron are discussed along with combination therapy to improve efficacy. ...
  • Publications

    Mental imagery-induced attention modulates pain perception and cortical excitability

    Study examined the effects of mental imagery-induced attention on pressure pain threshold and cortical plasticity using transcranial magnetic stimulation (TMS). Mental imagery is the process of envisioning specific physical or cognitive activities or perceptual experiences with the intention of altering the facilitation of neuronal networks. This blinded, randomized, and parallel-design ...
  • Patrick Monahan

    Dr. Monahan is an Associate Professor in the IUSM Department of Biostatistics. He received his Ph.D. in Educational Measurement and Statistics with a minor Biostatistics from the University of Iowa in 2002. His research interests are in ...
  • Publications

    Meta-analysis of placebo responses in central neuropathic pain: Impact of subject, study, and pain characteristics

    Study identified factors that contribute to variable placebo responses in clinical trials involving individuals with central neuropathic pain. Defined as a reduction in pain in the placebo arm of a clinical trial, the “placebo response” includes the placebo effect (the true psychobiological effects causing a reduction in pain) in addition ...
  • Publications

    Mobility, continence, and life expectancy in persons with ASIA impairment scale grade D spinal cord injuries

    Study examined how survival in incomplete spinal cord injury (SCI) depends on ambulatory function and the extent of bowel or bladder dysfunction, computed the life expectancies for various subgroups, and determined whether survival has improved over time. Data were obtained from the SCI Model Systems database for 8,206 adults ...
  • Publications

    Modifications in wheelchair propulsion technique with speed

    Study determined how individual manual wheelchair users with paraplegia modify propulsion mechanics to accommodate expected increases in reaction forces (RFs) generated at the pushrim with self-selected increases in wheelchair propulsion (WCP) speed. Repetitive loading of the upper-limb joints during manual WCP has been identified as a factor that contributes ...
  • Publications

    Moving towards multiple site outcomes in spinal cord injury pain clinical trials: An issue of clustered observations in trial design and analysis

    Article demonstrates how to design and power calculation of a clinical trial of spinal cord injury (SCI) pain using multiple pain sites per individual. The authors also discuss the consequences of failing to adjust for this factor and provide intraclass correlation (ICC) estimates for common pain outcome measures that may ...
  • Publications

    Muscle activation varies with contraction mode in human spinal cord injury

    Study examined muscle activation during single and repeated isometric, concentric, and eccentric knee extensor (KE) maximal voluntary contractions (MVCs) to better understand volitional force generation after chronic incomplete spinal cord injury (SCI). Torque and electromyographic (EMG) activity were recorded during single and repeated isometric and dynamic KE MVCs in ...

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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.