Scholars@Duke
Helen Marie Hoenig

Helen Marie Hoenig

Professor Emeritus of Medicine
Medicine, Geriatrics and Palliative Care
Duke Box 3003, Durham, NC 27710
ORCID iDhttps://orcid.org/0000-0002-6682-2627
Rehab SVC (117), VA Med Ctr, 508 Fulton St, Durham, NC 27705

Scholarly Works

Implementation Context of Outpatient Physical Therapy Clinics Preparing to Launch a New Evidence-Based Clinical Program for Knee Osteoarthritis: Findings From a National Multisite Implementation Trial.

Journal article Arch Phys Med Rehabil · May 2026 OBJECTIVE: We evaluated implementation context to identify barriers and facilitators to delivering a new evidence-based clinical program, Group physical therapy (Group PT) for knee osteoarthritis, overall, and by rurality and facility complexity. DESIGN: B ... Full text Link to item Cite

Comparing Approaches to Support Implementation of a Hospital Walking Program: Evidence from a Cluster Randomized Trial.

Journal article J Gen Intern Med · February 26, 2026 BACKGROUND: Hospital mobility programs align with age-friendly care principles by promoting functional recovery for older adults; however, optimal strategies for implementing such programs remain unclear. OBJECTIVE: To compare two approaches for implementi ... Full text Link to item Cite

Guiding Technology Adoption in Rehabilitation: A Framework From the Rehabilitation Technology Implementation for Promising Solutions (Rehab TIPS) Workgroup.

Journal article Arch Phys Med Rehabil · January 2026 There is an unprecedented growth in health and rehabilitation technologies influencing service delivery. Although adopting emergent or existent technologies may add value to rehabilitation services and outcomes, clinicians face uncertainties on whether and ... Full text Link to item Cite

Elderly Activity Life-Space Envelopes (EASE): Development and Feasibility of a Comprehensive, Integrated Protocol for Life-Space Mobility Research in Population Health.

Journal article JMIR Res Protoc · December 19, 2025 BACKGROUND: Life-space mobility (LSM) refers to the movement of people over time and the areas through which they move to achieve life goals of health, employment, security, and participation for active aging. OBJECTIVE: The Elderly Activity Life-Space Env ... Full text Link to item Cite

Out-of-home activity participation associated with body mass index and muscle mass in community-dwelling older adults.

Journal article BMC Public Health · December 12, 2025 BACKGROUND: Extremes of body mass index (BMI) and low Muscle Mass are associated with increased morbidity and mortality in older adults. Modifiable factors may include the frequency of participation in key out-of-home activities. METHODS: Using a cross-sec ... Full text Link to item Cite

Selecting Day-to-Day Functional Task Assessments Amenable to Video Telehealth for Persons with Dementia

Conference Innovation in Aging · December 1, 2025 AbstractAssessment of day-to-day function is critical to prevent losses due to dementia, with observation of a day-to-day task such as toothbrushing being the gold standard. Patients with dementia (PWD) f ... Full text Cite

Implementation of Group Physical Therapy for Knee Osteoarthritis: A Cluster Randomized Clinical Trial.

Journal article JAMA Netw Open · October 1, 2025 IMPORTANCE: Group-based physical therapy (PT) for knee osteoarthritis is an effective, efficient strategy for delivering care, but little is known about optimal strategies for implementing new clinical programs like group PT. OBJECTIVE: To compare 2 implem ... Full text Link to item Cite

Creative Arts Therapies in Rehabilitation.

Journal article Arch Phys Med Rehabil · January 2025 Appreciation for the utility of creative arts therapy in rehabilitation is on the rise. The limitations of conventional approaches to address posttraumatic stress disorder and co-occurring traumatic brain injury is spurring the development and increased us ... Full text Link to item Cite

Interventions to Improve Long-Term Adherence to Physical Rehabilitation: A Systematic Review.

Journal article Journal of geriatric physical therapy (2001) · January 2024 ObjectiveTo evaluate the impact of physical rehabilitation interventions, supplemented with one or more adherence-enhancing components, on outcomes among adults with hip or knee osteoarthritis or chronic lower back pain.DesignPrimary lite ... Full text Cite

Group physical therapy for knee osteoarthritis: protocol for a hybrid type III effectiveness-implementation trial.

Journal article Implement Sci Commun · October 12, 2023 BACKGROUND: Knee osteoarthritis (OA) is a leading cause of chronic pain and disability and one of the most common conditions treated in outpatient physical therapy (PT). Because of the high and growing prevalence of knee OA, there is a need for efficient a ... Full text Open Access Link to item Cite

Machine learning functional impairment classification with electronic health record data.

Journal article J Am Geriatr Soc · September 2023 BACKGROUND: Poor functional status is a key marker of morbidity, yet is not routinely captured in clinical encounters. We developed and evaluated the accuracy of a machine learning algorithm that leveraged electronic health record (EHR) data to provide a s ... Full text Open Access Link to item Cite

Defining and Measuring Preclinical Mobility Limitation: An Expert Consensus Exercise Informed by a Scoping Review.

Journal article J Gerontol A Biol Sci Med Sci · August 27, 2023 BACKGROUND: Early change in function in older adults has been termed preclinical disability (PCD). PCD has been understudied compared to other stages of disability because it is unlikely to receive comparative priority in clinical settings. It has major im ... Full text Link to item Cite

Incorporating TechQuity in Virtual Care Within the Veterans Health Administration: Identifying Future Research and Operations Priorities.

Journal article J Gen Intern Med · July 2023 BACKGROUND: The Covid-19 pandemic dramatically changed healthcare delivery, driving rapid expansion of synchronous (i.e., real-time) audio-only and video telehealth, otherwise known as virtual care. Yet evidence describes significant inequities in virtual ... Full text Open Access Link to item Cite

Effects of Implementation of a Supervised Walking Program in Veterans Affairs Hospitals : A Stepped-Wedge, Cluster Randomized Trial.

Journal article Ann Intern Med · June 2023 BACKGROUND: In trials, hospital walking programs have been shown to improve functional ability after discharge, but little evidence exists about their effectiveness under routine practice conditions. OBJECTIVE: To evaluate the effect of implementation of a ... Full text Link to item Cite

Optimization of Transspinal Stimulation Applications for Motor Recovery after Spinal Cord Injury: Scoping Review.

Journal article J Clin Med · January 20, 2023 Spinal cord injury (SCI) is a debilitating condition that can significantly affect an individual's life, causing paralysis, autonomic dysreflexia, and chronic pain. Transspinal stimulation (TSS) is a non-invasive form of neuromodulation that activates the ... Full text Link to item Cite

Which factors affect the implementation of telerehabilitation? Study protocol for a mixed-methods systematic review with a framework synthesis.

Journal article Work · 2023 BACKGROUND: Telehealth approaches are promising for the delivery of rehabilitation services but may be under-used or under-implemented. OBJECTIVE: To report a review protocol to identify how much telerehabilitation (telehealth approaches to the delivery of ... Full text Link to item Cite

Is Physical Rehabilitation Need Associated With the Rehabilitation Workforce Supply? An Ecological Study Across 35 High-Income Countries.

Journal article Int J Health Policy Manag · April 1, 2022 BACKGROUND: To determine whether population-adjusted rates of physical rehabilitation need (ie, disability-related epidemiological data) are associated with the workforce supply (ie, combined rates of practicing physical therapists (PTs) and occupational t ... Full text Link to item Cite

Cost and Quality of Life Outcomes of the STepped Exercise Program for Patients With Knee OsteoArthritis Trial.

Journal article Value Health · April 2022 OBJECTIVES: This study aimed to evaluate the cost-effectiveness of the randomized clinical trial STEP-KOA (STepped Exercise Program for patients with Knee OsteoArthritis). METHODS: The trial included 230 intervention and 115 control participants from 2 Vet ... Full text Link to item Cite

Associations of Environmental Factors with Older Adults' Health and Mortality in China

Book section · January 1, 2022 We analyzed data from a nationally representative sample of 15973 elderly residents of 866 counties and cities in 2002 and the follow-ups in 2005 with multilevel logistic regression models in which individuals were nested within each county or city to inve ... Full text Cite

Stroke Rehabilitation Use and Caregiver Psychosocial Health Profiles in Singapore: A Latent Profile Transition Analysis.

Journal article J Am Med Dir Assoc · November 2021 OBJECTIVES: To identify and describe caregiver profiles based on their psychosocial health characteristics over a 12-month period and transitions among these profiles, to determine if stroke rehabilitation use at 12 months post-stroke differed by caregiver ... Full text Open Access Link to item Cite

Burden of informal care in stroke survivors and its determinants: a prospective observational study in an Asian setting.

Journal article BMC Public Health · October 26, 2021 BACKGROUND: Informal caregiving is an integral part of post-stroke recovery with strenuous caregiving demands often resulting in caregiving burden, threatening sustainability of caregiving and potentially impacting stroke survivor's outcomes. Our study aim ... Full text Link to item Cite

Home-based tele-rehabilitation presents comparable positive impact on self-reported functional outcomes as usual care: The Singapore Tele-technology Aided Rehabilitation in Stroke (STARS) randomised controlled trial.

Journal article J Telemed Telecare · May 2021 INTRODUCTION: The aim of this research was to evaluate the impact of a novel tele-rehabilitation system on self-reported functional outcomes compared to usual care during the first three months after stroke. METHODS: A parallel, two-arm, evaluator-blinded, ... Full text Link to item Cite

Role of caregiver factors in outpatient medical follow-up post-stroke: observational study in Singapore.

Journal article BMC Fam Pract · April 14, 2021 BACKGROUND: Outpatient medical follow-up post-stroke is not only crucial for secondary prevention but is also associated with a reduced risk of rehospitalization. However, being voluntary and non-urgent, it is potentially determined by both healthcare need ... Full text Open Access Link to item Cite

Stepped Exercise Program for Patients With Knee Osteoarthritis : A Randomized Controlled Trial.

Journal article Ann Intern Med · March 2021 BACKGROUND: Evidence-based models are needed to deliver exercise-related services for knee osteoarthritis efficiently and according to patient needs. OBJECTIVE: To examine a stepped exercise program for patients with knee osteoarthritis (STEP-KOA). DESIGN: ... Full text Link to item Cite

Erratum: Jesus, T.S., et al. Global Need for Physical Rehabilitation: Systematic Analysis from the Global Burden of Disease Study 2017. Int. J. Environ. Res. Public Health 2019, 16, 980.

Journal article Int J Environ Res Public Health · December 4, 2020 The authors wish to add the following correction to their paper published in International Journal of Environmental Research and Public Health [...]. ... Full text Link to item Cite

What Now for Rehabilitation Specialists? Coronavirus Disease 2019 Questions and Answers.

Journal article Arch Phys Med Rehabil · December 2020 Recognizing a need for more guidance on the coronavirus disease 2019 (COVID-19) pandemic, members of the Archives of Physical Medicine and Rehabilitation Editorial Board invited several clinicians with early experience managing the disease to collaborate o ... Full text Link to item Cite

Physical Rehabilitation Needs in the BRICS Nations from 1990 to 2017: Cross-National Analyses Using Data from the Global Burden of Disease Study.

Journal article Int J Environ Res Public Health · June 10, 2020 Background: This study analyzes the current and evolving physical rehabilitation needs of BRICS nations (Brazil, Russian Federation, India, China, South Africa), a coalition of large emergent economies increasingly important for global health. Methods: Sec ... Full text Link to item Cite

Physical Rehabilitation Needs Per Condition Type: Results From the Global Burden of Disease Study 2017.

Journal article Arch Phys Med Rehabil · June 2020 OBJECTIVE: To determine how total physical rehabilitation needs have been distributed per relevant condition groups (musculoskeletal and pain, neurologic cardiothoracic, neoplasms, pediatric, human immunodeficiency virus [HIV] related), globally and across ... Full text Link to item Cite

How Should the Rehabilitation Community Prepare for 2019-nCoV?

Journal article Arch Phys Med Rehabil · June 2020 With the novel coronavirus 2019 (2019-nCoV) pandemic spreading quickly in the United States and the world, it is urgent that the rehabilitation community quickly understands the epidemiology of the virus and what we can and must do to face this microbial a ... Full text Link to item Cite

Dyadic approach to supervised community rehabilitation participation in an Asian setting post-stroke: exploring the role of caregiver and patient characteristics in a prospective cohort study.

Journal article BMJ Open · April 23, 2020 OBJECTIVE: To study the association of caregiver factors and stroke survivor factors with supervised community rehabilitation (SCR) participation over the first 3 months and subsequent 3 to 12 months post-stroke in an Asian setting. DESIGN: Prospective coh ... Full text Open Access Link to item Cite

Teleassessment of Gait and Gait Aids: Validity and Interrater Reliability.

Journal article Phys Ther · April 17, 2020 BACKGROUND: Gait and mobility aid assessments are important components of rehabilitation. Given the increasing use of telehealth to meet rehabilitation needs, it is important to examine the feasibility of such assessments within the constraints of telereha ... Full text Link to item Cite

Development of the Rehabilitation Health Policy, Systems, and Services Research field: Quantitative Analyses of Publications over Time (1990-2017) and across Country Type.

Journal article Int J Environ Res Public Health · February 4, 2020 BACKGROUND: Health policy, systems and services research (HPSSR) is increasingly needed to enable better access to, and value of, rehabilitation services worldwide. We aim to quantify the growth of Rehabilitation HPSSR publications since 1990, compared to ... Full text Link to item Cite

Implementation of a group physical therapy program for Veterans with knee osteoarthritis.

Journal article BMC Musculoskelet Disord · February 3, 2020 BACKGROUND: A previous randomized clinical trial found that a Group Physical Therapy (PT) program for knee osteoarthritis yielded similar improvements in pain and function compared with traditional individual PT. Based on these findings the Group PT progra ... Full text Open Access Link to item Cite

Dyadic approach to post-stroke hospitalizations: role of caregiver and patient characteristics.

Journal article BMC Neurol · November 4, 2019 AIM: To study the association of caregiver factors and stroke patient factors with rehospitalizations over the first 3 months and subsequent 3-12 months post-stroke in Singapore. METHODS: Patients with stroke and their caregivers were recruited in the Sing ... Full text Open Access Link to item Cite

Archives Seeks to Improve Abstract Reporting Quality.

Journal article Arch Phys Med Rehabil · October 2019 Full text Link to item Cite

STepped exercise program for patients with knee OsteoArthritis (STEP-KOA): protocol for a randomized controlled trial.

Journal article BMC Musculoskelet Disord · May 28, 2019 BACKGROUND: Physical therapy (PT) and other exercise-based interventions are core components of care for knee osteoarthritis (OA), but both are underutilized, and some patients have limited access to PT services. This clinical trial is examining a STepped ... Full text Open Access Link to item Cite

Global Need for Physical Rehabilitation: Systematic Analysis from the Global Burden of Disease Study 2017.

Journal article Int J Environ Res Public Health · March 19, 2019 Background: To inform global health policies and resources planning, this paper analyzes evolving trends in physical rehabilitation needs, using data on Years Lived with Disability (YLDs) from the Global Burden of Disease Study (GBD) 2017. Methods: Seconda ... Full text Link to item Cite

Health-related quality of life loss associated with first-time stroke.

Journal article PLoS One · 2019 OBJECTIVES: This study aimed to quantify health-related quality of life (HRQoL) loss associated with first episode of stroke by comparing patient-reported HRQoL before and after stroke onset. The impact of stroke in local population was also evaluated by c ... Full text Open Access Link to item Cite

Healthcare utilization and cost trajectories post-stroke: role of caregiver and stroke factors.

Journal article BMC Health Serv Res · November 22, 2018 BACKGROUND: It is essential to study post-stroke healthcare utilization trajectories from a stroke patient caregiver dyadic perspective to improve healthcare delivery, practices and eventually improve long-term outcomes for stroke patients. However, litera ... Full text Open Access Link to item Cite

Can acute clinical outcomes predict health-related quality of life after stroke: a one-year prospective study of stroke survivors.

Journal article Health Qual Life Outcomes · November 21, 2018 BACKGROUND: Health-related quality of life (HRQoL) is a key metric to understand the impact of stroke from patients' perspective. Yet HRQoL is not readily measured in clinical practice. This study aims to investigate the extent to which clinical outcomes d ... Full text Open Access Link to item Cite

Can caregivers report their care recipients' post-stroke hospitalizations and outpatient visits accurately? Findings of an Asian prospective stroke cohort.

Journal article BMC Health Serv Res · October 25, 2018 BACKGROUND: Health services research aimed at understanding service use and improving resource allocation often relies on collecting subjectively reported or proxy-reported healthcare service utilization (HSU) data. It is important to know the discrepancie ... Full text Open Access Link to item Cite

Implementation of Perioperative Music Using the Consolidated Framework for Implementation Research.

Journal article Anesth Analg · September 2018 BACKGROUND: Complementary integrative health therapies have a perioperative role in the reduction of pain, analgesic use, and anxiety, and increasing patient satisfaction. However, long implementation lags have been quantified. The Consolidated Framework f ... Full text Link to item Cite

Response From the Editors.

Journal article Arch Phys Med Rehabil · July 2018 Full text Link to item Cite

Testing fine motor coordination via telehealth: Effects of video characteristics on reliability and validity.

Journal article J Telemed Telecare · June 2018 Background There is limited research about the effects of video quality on the accuracy of assessments of physical function. Methods A repeated measures study design was used to assess reliability and validity of the finger-nose test (FNT) and the finger-t ... Full text Link to item Cite

Key Characteristics of Rehabilitation Quality Improvement Publications: Scoping Review From 2010 to 2016.

Journal article Arch Phys Med Rehabil · June 2018 OBJECTIVE: To characterize the peer-reviewed quality improvement (QI) literature in rehabilitation. DATA SOURCES: Five electronic databases were searched for English-language articles from 2010 to 2016. Keywords for QI and safety management were searched f ... Full text Link to item Cite

Hospital Readmission in Total Hip Replacement Patients in 2009 and 2014.

Journal article Arch Phys Med Rehabil · June 2018 OBJECTIVE: To document changes in 30-day hospital readmission rates and causes for returning to the hospital for care in THR patients. DESIGN: Retrospective cross-sectional descriptive design. SETTING: Community-based acute care hospitals. PARTICIPANTS: To ... Full text Link to item Cite

Supporting teams to optimize function and independence in Veterans: a multi-study program and mixed methods protocol.

Journal article Implement Sci · April 20, 2018 BACKGROUND: Successful implementation of new clinical programs depends on effectively establishing, reorganizing, or enhancing team structures and processes to coordinate the work of individuals who are interdependent in their tasks, manage relationships, ... Full text Open Access Link to item Cite

Home-based tele-rehabilitation presents comparable and positive impact on self-reported functional outcomes as center-based rehabilitation: Singapore tele-technology aided rehabilitation in stroke (STARS) trial

Journal article Annals of Physical and Rehabilitation Medicine · January 1, 2018 © 2018 Introduction/Background: Stroke is a leading cause of disability worldwide. Functional, financial and social barriers commonly prevent individuals with acute stroke and disabilities from receiving rehabilitation following their hospital discharge. H ... Full text Cite

Unexplained Variation for Hospitals' Use of Inpatient Rehabilitation and Skilled Nursing Facilities After an Acute Ischemic Stroke.

Journal article Stroke · October 2017 BACKGROUND AND PURPOSE: Rehabilitation is recommended after a stroke to enhance recovery and improve outcomes, but hospital's use of inpatient rehabilitation facilities (IRFs) or skilled nursing facility (SNF) and the factors associated with referral are u ... Full text Link to item Cite

Tele-Assessment of the Berg Balance Scale: Effects of Transmission Characteristics.

Journal article Arch Phys Med Rehabil · April 2017 OBJECTIVE: To compare Berg Balance Scale (BBS) rating using videos with differing transmission characteristics with direct in-person rating. DESIGN: Repeated-measures study for the assessment of the BBS in 8 configurations: in person, high-definition video ... Full text Link to item Cite

Dual-energy X-ray absorptiometry and fracture prediction in patients with spinal cord injuries and disorders.

Journal article Osteoporos Int · March 2017 UNLABELLED: Low T-scores at the hip predict incident fractures in persons with a SCI. INTRODUCTION: Persons with a spinal cord injury (SCI) have substantial morbidity and mortality following osteoporotic fractures. The objective of this study was to determ ... Full text Link to item Cite

A historical study of appendicular fractures in veterans with traumatic chronic spinal cord injury: 2002-2007.

Journal article J Spinal Cord Med · November 2016 OBJECTIVE: Describe the incidence and distribution of appendicular fractures in a cohort of veterans with spinal cord injury (SCI). DESIGN: Retrospective, observational study of fractures in veterans with a chronic traumatic SCI. SETTING: The Veterans Heal ... Full text Link to item Cite

Risk factors for osteoporotic fractures in persons with spinal cord injuries and disorders.

Journal article Osteoporos Int · October 2016 UNLABELLED: Clinical risk factors for fracture were explored among Veterans with a spinal cord injury. At the end of 11 years of follow-up, the absolute risk of fracture was approximately 20 %. Among the clinical and SCI-related factors explored, a prior h ... Full text Link to item Cite

Finding the "Right-Size" Physical Therapy Workforce: International Perspective Across 4 Countries.

Journal article Phys Ther · October 2016 Finding the "right-size" physical therapy workforce is an increasingly important issue, but it has had limited study, particularly across nations. This perspective article provides a comprehensive examination of physical therapy workforce issues across 4 c ... Full text Link to item Cite

Benefits and Challenges of Delivering Tele-rehabilitation Services to Rural Veterans.

Journal article Home Healthc Now · September 2016 Veterans residing in underserved rural areas face many barriers to accessing high-quality rehabilitation services. This article describes the benefits and challenges of using technology for delivery of rehabilitation services to rural Veterans using TeleHO ... Full text Link to item Cite

Tourism Experiences and Self-Rated Health Among Older Adults in China.

Journal article J Aging Health · June 2016 OBJECTIVE: To investigate factors associated with tourism experiences, and the association between tourism experiences and subsequent self-rated health. METHOD: Multilevel logistic regression models and four waves of panel data from a large nationally repr ... Full text Link to item Cite

Group Versus Individual Physical Therapy for Veterans With Knee Osteoarthritis: Randomized Clinical Trial.

Journal article Phys Ther · May 2016 BACKGROUND: Efficient approaches are needed for delivering nonpharmacological interventions for management of knee osteoarthritis (OA). OBJECTIVE: This trial compared group-based versus individual physical therapy interventions for management of knee OA. D ... Full text Open Access Link to item Cite

Self-Care and Mobility Following Postacute Rehabilitation for Older Adults With Hip Fracture: A Multilevel Analysis.

Journal article Arch Phys Med Rehabil · May 2016 OBJECTIVE: To examine contextual (facility and community) and individual factors associated with self-care and mobility outcomes among Medicare hip fracture patients receiving inpatient rehabilitation. DESIGN: Retrospective cohort study of 3 linked data fi ... Full text Link to item Cite

Singapore Tele-technology Aided Rehabilitation in Stroke (STARS) trial: protocol of a randomized clinical trial on tele-rehabilitation for stroke patients.

Journal article BMC Neurol · September 5, 2015 BACKGROUND: Most acute stroke patients with disabilities do not receive recommended rehabilitation following discharge to the community. Functional and social barriers are common reasons for non-adherence to post-discharge rehabilitation. Home rehabilitati ... Full text Link to item Cite

Postacute rehabilitation quality of care: toward a shared conceptual framework.

Journal article Arch Phys Med Rehabil · May 2015 There is substantial interest in mechanisms for measuring, reporting, and improving the quality of health care, including postacute care (PAC) and rehabilitation. Unfortunately, current activities generally are either too narrow or too poorly specified to ... Full text Link to item Cite

A randomized controlled trial on Stroke telerehabilitation: The effects on falls self-efficacy and satisfaction with care.

Journal article J Telemed Telecare · April 2015 We determined the effect of a multifaceted stroke telerehabilitation (STeleR) intervention on falls-related self-efficacy and satisfaction with care. We conducted a prospective, randomized, multisite, single-blinded trial in 52 veterans from three Veterans ... Full text Link to item Cite

One size does not fit all-mobility device type affects speed, collisions, fatigue, and pain.

Journal article Arch Phys Med Rehabil · March 2015 OBJECTIVE: To determine whether differences could be detected in mobility outcomes during community mobility and home mobility tasks according to type of mobility assistive device. DESIGN: Randomized, repeated measures. SETTING: Community mobility task: tr ... Full text Link to item Cite

A retrospective review of lower extremity fracture care in patients with spinal cord injury.

Journal article J Spinal Cord Med · January 2015 CONTEXT/OBJECTIVE: To identify circumstances surrounding incident lower extremity fractures (ILEFs) in patients with spinal cord injury (SCI) and to describe the impact of these fractures on service needs and provision of pharmacological therapies for oste ... Full text Link to item Cite

Rehabilitation of Combat-Related Injuries in the Veterans Administration: A Web of Support.

Journal article N C Med J · 2015 The Department of Veterans Affairs provides acute, subacute, and continuing rehabilitation for veterans using a hub-and-spoke system of hospitals and outpatient facilities. Using traumatic brain injury as an example, this commentary illustrates how this sy ... Full text Link to item Cite

Assisted early mobility for hospitalized older veterans: preliminary data from the STRIDE program.

Journal article J Am Geriatr Soc · November 2014 An important contributor to hospital-associated disability is immobility during hospitalization. Preliminary results from STRIDE, a clinical demonstration program of supervised walking for older adults admitted to the hospital with medical illness, are rep ... Full text Link to item Cite

Adipose depots, not disease-related factors, account for skeletal muscle insulin sensitivity in established and treated rheumatoid arthritis.

Journal article J Rheumatol · October 2014 OBJECTIVE: In prior reports, individuals with rheumatoid arthritis (RA) exhibited increased insulin resistance. However, those studies were limited by either suboptimal assessment methods for insulin sensitivity or a failure to account for important determ ... Full text Link to item Cite

Thiazide use is associated with reduced risk for incident lower extremity fractures in men with spinal cord injury.

Journal article Arch Phys Med Rehabil · June 2014 OBJECTIVE: To determine the association between thiazide use and lower extremity fractures in patients who are men with a spinal cord injury (SCI). DESIGN: Cohort study from fiscal years 2002 to 2007. SETTING: Medical centers. PARTICIPANTS: Men (N=6969) wi ... Full text Link to item Cite

Mortality after lower extremity fractures in men with spinal cord injury.

Journal article J Bone Miner Res · February 2014 In the United States, there are over 200,000 men with spinal cord injuries (SCIs) who are at risk for lower limb fractures. The risk of mortality after fractures in SCI is unknown. This was a population-based, cohort study of all male veterans (mean age 54 ... Full text Link to item Cite

What would Darwin say? A historical perspective on the next steps in developing a rehabilitation classification system.

Journal article Arch Phys Med Rehabil · January 2014 This article uses a historical framework to review the rehabilitation treatment taxonomy (RTT). The needs and challenges in creating a comprehensive classification system for rehabilitation treatments are identified based on review of (1) the development o ... Full text Link to item Cite

A home-based telerehabilitation randomized trial for stroke care: Effects on falls self-efficacy and satisfaction with care

Journal article 2014 International Conference on Collaboration Technologies and Systems Cts 2014 · January 1, 2014 We determined the effect of a multifaceted stroke telerehabilitation (STeleR) intervention on falls-related self-efficacy and satisfaction with care in stroke patients. We conducted a prospective, randomized, multisite, single-blinded trial in 52 veterans ... Full text Cite

Extraction of spatial information for low-bandwidth telerehabilitation applications.

Journal article J Rehabil Res Dev · 2014 Telemedicine applications, based on two-dimensional (2D) video conferencing technology, have been around for the past 15 to 20 yr. They have been demonstrated to be acceptable for face-to-face consultations and useful for visual examination of wounds and a ... Full text Link to item Cite

Development of telerehabilitation application with designated consultation categories.

Journal article J Rehabil Res Dev · 2014 Telerehabilitation (TR) is getting ever more popular because it is effective in bringing rehabilitation services to rural populations by means of audiovisual systems and its initial implementation studies presented encouraging results. TR is proven to be h ... Full text Link to item Cite

The association of anticonvulsant use with fractures in spinal cord injury.

Journal article Am J Phys Med Rehabil · December 2013 OBJECTIVE: The aim of this study was to determine whether anticonvulsants, including the benzodiazepine subclass, are associated with an increased risk for lower extremity fractures in male patients with spinal cord injury. DESIGN: All male patients with a ... Full text Link to item Cite

Functional decline in older adults.

Journal article Am Fam Physician · September 15, 2013 Functional disability is common in older adults. It is often episodic and is associated with a high risk of subsequent health decline. The severity of disability is determined by physical impairments caused by underlying medical conditions, and by external ... Link to item Cite

Morbidity following lower extremity fractures in men with spinal cord injury.

Journal article Osteoporos Int · August 2013 UNLABELLED: The Veterans Affairs Spinal Cord Dysfunction Registry from 2002 to 2007 was reviewed to determine whether men with spinal cord injury (SCI) and lower extremity fractures had an increased risk of complications compared to those without fractures ... Full text Link to item Cite

A quality assurance study on the accuracy of measuring physical function under current conditions for use of clinical video telehealth.

Journal article Arch Phys Med Rehabil · May 2013 OBJECTIVE: To determine whether conditions for use of clinical video telehealth technology might affect the accuracy of measures of physical function. DESIGN: Repeated measures. SETTING: Veterans Administration Medical Center. PARTICIPANTS: Three healthy a ... Full text Link to item Cite

STRIDE: Assisted Early Mobility for Hospitalized Older Veterans

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 2013 Link to item Cite

Group physical therapy for veterans with knee osteoarthritis: study design and methodology.

Journal article Contemp Clin Trials · March 2013 Physical therapy (PT) is a key component of treatment for knee osteoarthritis (OA) and can decrease pain and improve function. Given the expected rise in prevalence of knee OA and the associated demand for treatment, there is a need for models of care that ... Full text Open Access Link to item Cite

The association of opioid use with incident lower extremity fractures in spinal cord injury.

Journal article J Spinal Cord Med · March 2013 OBJECTIVE: To determine the association between opioid use and lower extremity fracture risk in men with spinal cord injury (SCI). DESIGN: Retrospective cohort study. SETTING: Veterans Affairs Healthcare System. PARTICIPANTS: In total, 7447 male Veterans w ... Full text Link to item Cite

MANAGEMENT OF LOWER EXTREMITY FRACTURES IN MEN WITH SPINAL CORD INJURIES

Conference JOURNAL OF INVESTIGATIVE MEDICINE · February 2013 Link to item Cite

Effects of telerehabilitation on physical function and disability for stroke patients: a randomized, controlled trial.

Journal article Stroke · August 2012 BACKGROUND AND PURPOSE: To determine the effect of a multifaceted stroke telerehabilitation (STeleR) intervention on physical function, and secondarily on disability, in veterans poststroke. METHODS: We conducted a prospective, randomized, multisite, singl ... Full text Link to item Cite

A new classification of function and disability in China: subtypes based on performance-based and self-reported measures.

Journal article J Aging Health · August 2012 OBJECTIVES: To develop a new classification method to describe incidence and prevalence of function and disability and their predictors in Chinese older adults. METHODS: Data were obtained from 16,020 older adults in the 2002 wave of Chinese Longitudinal H ... Full text Link to item Cite

Effects of in-home tele-rehabilitation on task self-efficacy in mobility impaired adults

Journal article Lecture Notes in Computer Science Including Subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics · June 18, 2012 A randomized controlled pre-post intervention study was undertaken to assess changes in task self-efficacy after a four-week intervention protocol. The intervention groups received once-weekly, one-hour therapy sessions targeting 3 mobility and 3 transfer ... Full text Cite

The accuracy of new wheelchair users' predictions about their future wheelchair use.

Journal article Am J Phys Med Rehabil · June 2012 OBJECTIVE: This study examined the accuracy of new wheelchair user predictions about their future wheelchair use. DESIGN: This was a prospective cohort study of 84 community-dwelling veterans provided a new manual wheelchair. RESULTS: The association betwe ... Full text Link to item Cite

Cognitive and physical rehabilitation of intensive care unit survivors: results of the RETURN randomized controlled pilot investigation.

Journal article Crit Care Med · April 2012 Featured Publication BACKGROUND: Millions of patients who survive medical and surgical general intensive care unit care every year experience newly acquired long-term cognitive impairment and profound physical and functional disabilities. To overcome the current reality in whi ... Full text Link to item Cite

A preliminary predictive model for wheelchair use 4~months after receipt

Journal article Technology and Disability · February 10, 2012 Objectives: To explore whether use of wheeled mobility devices 4 months after receipt can be predicted based on the type of information available at the time of initial wheelchair prescription/provision across diverse settings and providers. Design: Longit ... Full text Cite

Care transitions from the hospital to home for patients with mobility impairments: patient and family caregiver experiences.

Journal article Rehabil Nurs · 2012 PURPOSE: Our study described patient and caregiver experiences with care transitions following hospital discharge to home for patients with mobility impairments receiving physical and occupational therapy. METHODS: The study was a qualitative longitudinal ... Full text Link to item Cite

Lower extremity physical performance, self-reported mobility difficulty, and use of compensatory strategies for mobility by elderly women.

Journal article Arch Phys Med Rehabil · February 2011 Featured Publication OBJECTIVE: To describe the relationship between lower extremity physical performance, self-reported mobility difficulty, and self-reported use of compensatory strategies (CSs) for mobility inside the home. DESIGN: Cross-sectional exploratory study. SETTING ... Full text Link to item Cite

Disaster preparedness and response practices among providers from the Veterans Health Administration and Veterans with spinal cord injuries and/or disorders.

Journal article J Spinal Cord Med · 2011 OBJECTIVES: Few empirical studies have examined the disaster preparedness and response practices of individuals with spinal cord injuries and/or disorders (SCI/D) and the healthcare providers who serve them. This study was conducted to understand the exper ... Full text Link to item Cite

Medical utilization and cost outcomes for poststroke veterans who receive assistive technology devices from the Veterans Health Administration.

Journal article J Rehabil Res Dev · 2011 Featured Publication The study objectives were to (1) advance understanding of the relationship between provision of assistive technology devices (ATDs) and healthcare consumption and outcomes in a system that does not limit provision of ATDs to in-home use and (2) determine h ... Full text Link to item Cite

Age differences in leisure physical activity by adult wheelchair users

Journal article Physical and Occupational Therapy in Geriatrics · December 9, 2010 Background: Despite the need for engagement in occupations to enhance physical health and well-being, individuals with mobility limitations are less likely to participate in leisure-time physical activity. Purpose: This secondary analysis evaluated the cor ... Full text Cite

Effect of new disability subtype on 3-year mortality in Chinese older adults.

Journal article J Am Geriatr Soc · October 2010 Featured Publication OBJECTIVES: To examine a new method of classifying disability subtypes by combining self-reported and performance-based tools to predict mortality in older Chinese adults. DESIGN: Prospective cohort study. SETTING: Community-dwelling older adults. PARTICIP ... Full text Link to item Cite

Motorized scooters: boon or bane?

Journal article Am J Cardiol · August 15, 2010 Full text Link to item Cite

In situ monitoring of health in older adults: technologies and issues.

Journal article J Am Geriatr Soc · August 2010 With the upcoming reform of the healthcare system and the greater emphasis on care in the home and other living environments, geriatric providers will need alternate ways of monitoring disease, activity, response to therapy, and patient safety. Current und ... Full text Link to item Cite

Study protocol: home-based telehealth stroke care: a randomized trial for veterans.

Journal article Trials · June 30, 2010 BACKGROUND: Stroke is one of the most disabling and costly impairments of adulthood in the United States. Stroke patients clearly benefit from intensive inpatient care, but due to the high cost, there is considerable interest in implementing interventions ... Full text Open Access Link to item Cite

Cost, utilization, and policy of provision of assistive technology devices to veterans poststroke by Medicare and VA.

Journal article Med Care · June 2010 Featured Publication BACKGROUND: The increase in provision of assistive technology devices (ATDs) has spurred controversy over Medicare policy aimed at reducing cost-policy that forces social isolation and conflicts with legislation, facilitating participation for individuals ... Full text Link to item Cite

The RETURN Trial: a pilot study of in-home rehabilitation for ICU survivors

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 1, 2010 Link to item Cite

Demographic and clinical variation in Veterans Health Administration provision of assistive technology devices to veterans poststroke.

Journal article Arch Phys Med Rehabil · March 2010 OBJECTIVES: To examine variation in provision of assistive technology (AT) devices and the extent to which such variation may be explained by patient characteristics or Veterans Health Administration (VHA) administrative region. DESIGN: Retrospective popul ... Full text Link to item Cite

Relationships of cardiac, pulmonary, and muscle reserves and frailty to exercise capacity in older women.

Journal article J Gerontol A Biol Sci Med Sci · March 2010 BACKGROUND: A decline in exercise capacity (EC) is a characteristic of frailty. We hypothesized that decline is the effect of decrements in several physiological systems. We assessed whether the relationship of three main physiological systems-cardiac, pul ... Full text Link to item Cite

Associations of environmental factors with elderly health and mortality in China.

Journal article Am J Public Health · February 2010 Featured Publication OBJECTIVES: We examined the effects of community socioeconomic conditions, air pollution, and the physical environment on elderly health and survival in China. METHODS: We analyzed data from a nationally representative sample of 15 973 elderly residents of ... Full text Link to item Cite

Implementing telerehabilitation research for stroke rehabilitation with community dwelling veterans: lessons learned.

Journal article Int J Telerehabil · 2010 Telerehabilitation (TR) is the use of telehealth technologies to provide distant support, rehabilitation services, and information exchange between people with disabilities and their clinical providers. This article discusses the barriers experienced when ... Full text Link to item Cite

Conceptual overview of frameworks for measuring quality in rehabilitation.

Journal article Top Stroke Rehabil · 2010 Featured Publication This article reviews theories and conceptual models that may be helpful in evaluating quality of care in rehabilitation, with a focus on the seminal Donabedian model of structure, process, and outcomes. In addition, this article reviews a variety of new th ... Full text Link to item Cite

A comparison of in-home vs. telerehabilitation

Journal article Assistive Technology Research Series · December 1, 2008 A randomized clinical trial was undertaken to examine the effect of a multi-factorial, individualized, physical/occupational therapy intervention on mobility self-efficacy delivered via teletechnology and traditional in-home visits. Sixty-five community-dw ... Cite

Impact of comorbidities on stroke rehabilitation outcomes: does the method matter?

Journal article Arch Phys Med Rehabil · October 2008 OBJECTIVES: To examine the impact of comorbidities in predicting stroke rehabilitation outcomes and to examine differences among 3 commonly used comorbidity measures--the Charlson Index, adjusted clinical groups (ACGs), and diagnosis cost groups (DCGs)--in ... Full text Link to item Cite

Incidence of fractures in a cohort of veterans with chronic multiple sclerosis or traumatic spinal cord injury.

Journal article Arch Phys Med Rehabil · February 2008 Featured Publication OBJECTIVE: To measure skeletal fractures in a cohort of veterans with spinal cord dysfunction (SCD) due to multiple sclerosis (MS) or trauma-related spinal cord injury (SCI). DESIGN: Retrospective cohort analysis. SETTING: Database search. PARTICIPANTS: St ... Full text Link to item Cite

Compensatory strategies used by older adults facing mobility disability.

Journal article Arch Phys Med Rehabil · September 2007 Preclinical disability in mobility tasks can be recognized by asking people without overt mobility disability whether they have changed the way, either the manner or the frequency, of doing a mobility task because of a health or physical condition. Like ot ... Full text Link to item Cite

Methodological challenges confronting researchers of wheeled mobility aids and other assistive technologies.

Journal article Disabil Rehabil Assist Technol · May 2007 PURPOSE: To identify gaps in assistive technology (AT) research and solutions, with a focus on wheeled mobility. METHODS: Literature review. RESULTS: AT researchers have identified a need to move beyond determining whether a device works well in the labora ... Full text Link to item Cite

Wheelchair use by veterans newly prescribed a manual wheelchair.

Journal article Arch Phys Med Rehabil · April 2007 Featured Publication OBJECTIVE: To describe the characteristics of the wheelchairs, the users, and their wheelchair use among persons newly prescribed a manual wheelchair. DESIGN: Cohort study. SETTING: Veterans Affairs teaching hospital. PARTICIPANTS: Ninety-nine consecutive, ... Full text Link to item Cite

A comparison of televideo and traditional in-home rehabilitation in mobility impaired older adults

Journal article Physical and Occupational Therapy in Geriatrics · March 6, 2007 This paper reports on a randomized controlled trial to evaluate the effectiveness of using interactive video conferencing technology to diagnose problems, prescribe interventions, and implement solutions for six mobility and transfer tasks in comparison wi ... Full text Cite

Effect of motorized scooters on physical performance and mobility: a randomized clinical trial.

Journal article Arch Phys Med Rehabil · March 2007 Featured Publication OBJECTIVE: To investigate the effects of providing a motorized scooter on physical performance and mobility. DESIGN: Randomized clinical trial comparing scooter users with usual care. SETTING: One academic and 1 Veterans Affairs medical center. PARTICIPANT ... Full text Link to item Cite

Executive function deficits in acute stroke.

Journal article Arch Phys Med Rehabil · February 2007 OBJECTIVES: To establish the frequency of executive dysfunction during acute hospitalization for stroke and to examine the relationship of that dysfunction to stroke severity and premorbid characteristics. DESIGN: Inception cohort study. SETTING: Inpatient ... Full text Link to item Cite

Rehabilitation and assistive devices

Book section · January 1, 2007 Full text Cite

The effects of in-home rehabilitation on task self-efficacy in mobility-impaired adults: A randomized clinical trial.

Journal article J Am Geriatr Soc · November 2006 Featured Publication OBJECTIVES: To examine the effect on mobility self-efficacy of a multifactorial, individualized, occupational/physical therapy (OT/PT) intervention delivered via teletechnology or in-home visits. DESIGN: Randomized, clinical trial. SETTING: One Department ... Full text Link to item Cite

Review of orthoses for the geriatrician

Journal article Clinical Geriatrics · July 1, 2006 With improvements in trauma care, more victims of catastrophic events are surviving to live with disabilities. In addition, life expectancy is increasing, so increasing numbers of older adults are facing their later years with disabling sequelae of disease ... Cite

Access to health care services for the disabled elderly.

Journal article Health Serv Res · June 2006 Featured Publication OBJECTIVE: To determine whether difficulty walking and the strategies persons use to compensate for this deficit influenced downstream Medicare expenditures. DATA SOURCE: Secondary data analysis of Medicare claims data (1999-2000) for age-eligible Medicare ... Full text Link to item Cite

Manual wheelchair use by community dwelling and institutionalized veterans

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 1, 2006 Link to item Cite

High rate of osteoporotic fractures in a cohort of older veterans with spinal cord disease.

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 1, 2006 Link to item Cite

Compensatory strategies used for mobility impairment in elderly women.

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 2006 Link to item Cite

Virtual therapy: Using tele-rehabilitation to support PT/OT services.

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 2006 Link to item Cite

Lower extremity physical performance and use of compensatory strategies for mobility.

Journal article J Am Geriatr Soc · February 2006 Featured Publication OBJECTIVES: To compare measured lower extremity physical performance in the clinic with the methods used to carry out mobility tasks at home and to identify key factors influencing day-to-day task performance. DESIGN: Cross-sectional analysis of the Women' ... Full text Link to item Cite

Development of a teletechnology protocol for in-home rehabilitation.

Journal article J Rehabil Res Dev · 2006 Our ability to provide in-home rehabilitation is limited by distance and available personnel. We may be able to meet some rehabilitation needs with videoconferencing technology. This article describes the feasibility of teletechnology for delivering multif ... Full text Link to item Cite

A clinical trial of a rehabilitation expert clinician versus usual care for providing manual wheelchairs.

Journal article J Am Geriatr Soc · October 2005 Featured Publication OBJECTIVES: To determine the effect of differing methods of dispensing wheelchairs. DESIGN: Quasi-experimental by day of week. SETTING: Department of Veterans Affairs Medical Center. PARTICIPANTS: Eighty-four community-dwelling, cognitively intact patients ... Full text Link to item Cite

Research agenda for geriatric rehabilitation.

Journal article Am J Phys Med Rehabil · November 2004 The Research Agenda Setting Process is a joint endeavor by the American Geriatrics Society and the Hartford Foundation to increase geriatric expertise in the surgical and related specialties. This article provides the results of the Research Agenda Setting ... Full text Link to item Cite

Assistive technology and mobility aids for the older patient with disability

Journal article Annals of Long Term Care · September 1, 2004 Use of assistive technology, particularly mobility aids, is increasingly common in the older population. Benefits from assistive technology may include decreased difficulty with tasks and decreased need for help from another person. However, problems with ... Cite

The effect of poststroke cognitive impairment on rehabilitation process and functional outcome.

Journal article Arch Phys Med Rehabil · July 2004 OBJECTIVES: To determine whether cognitive impairment affects access to, or quality of, rehabilitation services, and to examine the effects of functional outcomes in stroke patients. DESIGN: Secondary analysis of prospective cohort of stroke patients follo ... Full text Link to item Cite

Evaluating diagnosis-based risk-adjustment methods in a population with spinal cord dysfunction.

Journal article Arch Phys Med Rehabil · February 2004 OBJECTIVE: To examine performance of models in predicting health care utilization for individuals with spinal cord dysfunction. DESIGN: Regression models compared 2 diagnosis-based risk-adjustment methods, the adjusted clinical groups (ACGs) and diagnostic ... Full text Link to item Cite

The effect of equipment usage and residual task difficulty on use of personal assistance, days in bed, and nursing home placement.

Journal article J Am Geriatr Soc · January 2004 Featured Publication OBJECTIVES: To determine whether residual difficulty in functioning in spite of equipment use is linked with increased use of personal assistance. DESIGN: Longitudinal. Two waves of the Asset and Health Dynamics Among the Oldest Old (AHEAD) database were u ... Full text Link to item Cite

Activity restriction among wheelchair users.

Journal article J Am Geriatr Soc · September 2003 OBJECTIVES: To identify factors associated with activity restriction. DESIGN: Cohort study. SETTING: Patients prescribed a new wheelchair at one of two teaching hospitals (one Veterans Affairs and one private hospital). PARTICIPANTS: One hundred fifty-thre ... Full text Link to item Cite

Does assistive technology substitute for personal assistance among the disabled elderly?

Journal article Am J Public Health · February 2003 OBJECTIVES: This study examined whether use of equipment (technological assistance) to cope with disability was associated with use of fewer hours of help from another person (personal assistance). METHODS: In a cross-sectional study of 2368 community dwel ... Full text Link to item Cite

Structure, process, and outcomes in stroke rehabilitation.

Journal article Med Care · November 2002 Featured Publication BACKGROUND: The health services research framework of structure, process, and outcome is used commonly to examine quality of care, and it indicates that structure influences process, which in turn influences outcomes. However, little empirical work has bee ... Full text Link to item Cite

Barriers, facilitators, and access for wheelchair users: substantive and methodologic lessons from a pilot study of environmental effects.

Journal article Soc Sci Med · October 2002 We undertook a month-long intensive pilot study of a sample of adult wheelchair-users in Boston, Massachusetts and Durham, North Carolina, USA. The study had four objectives; to: (1) measure experiences of reaching and failing to reach specific destination ... Full text Link to item Cite

Performance of a mail-administered version of a stroke-specific outcome measure, the Stroke Impact Scale.

Journal article Clin Rehabil · August 2002 OBJECTIVE: To evaluate the feasibility and concurrent validity of a new, mail-administered, stroke-specific outcome measure, the Stroke Impact Scale (SIS). DESIGN: Observational cohort study. SETTING AND PATIENTS: Stroke patients who had lived independentl ... Full text Link to item Cite

Postacute stroke guideline compliance is associated with greater patient satisfaction.

Journal article Arch Phys Med Rehabil · June 2002 Featured Publication OBJECTIVE: To determine if the structure of care or the process of stroke care, as measured by compliance with stroke guidelines published by the Agency for Healthcare Research and Quality (AHRQ), is associated with patient satisfaction. DESIGN: Prospectiv ... Full text Link to item Cite

Wheelchair users are not necessarily wheelchair bound.

Journal article J Am Geriatr Soc · April 2002 Featured Publication OBJECTIVES: To determine the patterns of wheelchair use in terms of locations of use, whether wheelchair use in one location was related to wheelchair use in other locations, and factors associated with wheelchair use in different locations. DESIGN: Longit ... Full text Link to item Cite

The hazards of stroke case selection using administrative data.

Journal article Med Care · February 2002 BACKGROUND: Administrative data and ICD-9-CM diagnostic codes are frequently used in research efforts to evaluate risk adjusted patient outcomes, particularly mortality. Varying ICD-9-CM sampling algorithms have been used to identify stroke patients. OBJEC ... Full text Link to item Cite

Adherence to postacute rehabilitation guidelines is associated with functional recovery in stroke.

Journal article Stroke · January 2002 Featured Publication BACKGROUND AND PURPOSE: The purpose of this study was to determine if compliance with poststroke rehabilitation guidelines was associated with better functional outcomes. METHODS: An inception cohort of 288 stroke patients in 11 Department of Veteran Affai ... Full text Link to item Cite

Relationship between self-reported disability and caregiver hours.

Journal article Am J Phys Med Rehabil · September 2001 OBJECTIVE: In a large, population-based cohort of patients with spinal cord dysfunction, we assessed the relationship between self-reported physical function and hours of care received. DESIGN: Data were obtained by a cross-sectional, self-administered sur ... Full text Link to item Cite

The self-reported functional measure: Predictive validity for health care utilization in multiple sclerosis and spinal cord injury.

Journal article Arch Phys Med Rehabil · May 2001 Featured Publication OBJECTIVE: To examine the predictive validity of the Self-Reported Functional Measure (SRFM), a new measure derived from the FIMtrade mark instrument, for health care utilization in multiple sclerosis (MS) and spinal cord injury (SCI). DESIGN: Prospective ... Full text Link to item Cite

Stroke care: a method for measuring compliance with AHCPR guidelines.

Journal article Am J Phys Med Rehabil · March 2001 The purpose of this article is to describe a method for converting practice guidelines to measurement criteria. To evaluate the processes of care received by patients with stroke at 11 Veteran's Administration hospital sites, we developed a measurement sys ... Full text Link to item Cite

Differences in rehabilitation services and outcomes among stroke patients cared for in veterans hospitals.

Journal article Health Serv Res · February 2001 Featured Publication OBJECTIVE: To examine the relationship of services for post-acute care (PAC) to stroke patient outcomes. DATA SOURCES/STUDY SETTING: Veterans Health Administration (VHA) hospitals from two facility-level surveys and extant data files. STUDY DESIGN: Cross-s ... Link to item Cite

Case study to evaluate a standing table for managing constipation.

Journal article SCI Nurs · 2001 Standing devices have been advocated as a potentially beneficial treatment for constipation in persons with spinal cord injury (SCI); however, definitive data are lacking. A case of a patient who requested a standing table to treat chronic constipation is ... Link to item Cite

Wheelchair users are not wheelchair bound.

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · August 2000 Link to item Cite

A taxonomy for classification of stroke rehabilitation services.

Journal article Arch Phys Med Rehabil · July 2000 Featured Publication OBJECTIVE: To develop a taxonomy for use in measuring stroke rehabilitation services. DESIGN: A cross-sectional study using facility-level survey data and extant data files. SETTING: Veterans Administration medical centers (VAMCs). VARIABLES: (1) A list of ... Full text Link to item Cite

Rapid assessment of rehabilitation options for functional disability.

Journal article Cleve Clin J Med · May 2000 Although functional disability is common in elderly patients, physicians often overlook it or focus on acute illness, perhaps in part because they are unsure how to efficiently address the problem. A simple, stepwise protocol can be used in either an offic ... Full text Link to item Cite

Primary care workup of functional disability: Case scenarios

Journal article Cleveland Clinic Journal of Medicine · May 1, 2000 Cite

The structure and structural effects of VA rehabilitation bedservice care for stroke.

Journal article J Rehabil Res Dev · 2000 The purpose of this study was to: 1) examine the variation in organizational structure within rehabilitation bed-service units (RBU) in the Veterans Health Administration (VHA), and 2) evaluate the effects of RBU and parent hospital structure on stroke reh ... Link to item Cite

Disability fingerprints: patterns of disability in spinal cord injury and multiple sclerosis differ.

Journal article J Gerontol A Biol Sci Med Sci · December 1999 BACKGROUND: Models for causation of functional disability differ as to whether different diseases lead to common expressions of disability versus producing unique "disability fingerprints." Multiple sclerosis (MS) and Spinal Cord Injury (SCI) both affect t ... Full text Link to item Cite

Wheelchair provision and use among older persons

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · September 1999 Link to item Cite

The validity in persons with spinal cord injury of a self-reported functional measure derived from the functional independence measure.

Journal article Spine (Phila Pa 1976) · March 15, 1999 Featured Publication STUDY DESIGN: A cross-sectional, mailed survey on impairment and function using 6361 respondents to the Spinal Cord Dysfunction National Veterans Survey who reported spinal cord injury as the sole cause of their spinal cord dysfunction. OBJECTIVES: To esta ... Full text Link to item Cite

New horizons in stroke rehabilitation research.

Journal article J Rehabil Res Dev · January 1999 To promote health services research in stroke rehabilitation, we gathered information about stroke rehabilitation structures, processes, and outcomes (SPO), using extant databases and the Donabedian theoretical model of health services evaluation. We found ... Link to item Cite

Patterns of disability in SCI and MS differ

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · September 1998 Link to item Cite

The reliability of a self-reported measure of disease, impairment, and function in persons with spinal cord dysfunction.

Journal article Arch Phys Med Rehabil · April 1998 OBJECTIVE: To develop a self-report instrument that would provide information about the different levels of the disablement process, and that (1) was suitable for persons with spinal cord disease (SCD), (2) could be completed quickly, (3) could be mailed, ... Full text Link to item Cite

Hip fracture rehabilitation.

Journal article Arch Intern Med · January 12, 1998 Full text Link to item Cite

Developing a national registry of veterans with spinal cord dysfunction: experiences and implications.

Journal article Spinal Cord · January 1998 Featured Publication We describe the development of a registry of veterans with spinal cord dysfunction who have been treated within the Department of Veterans Affairs health care facilities. The registry departs from the function and structure of traditional registries by a m ... Full text Link to item Cite

Geriatric rehabilitation: state of the art.

Journal article J Am Geriatr Soc · November 1997 Featured Publication OBJECTIVES: To provide a clinically useful conceptual framework for the evaluation and treatment of disability in older persons, to review the rehabilitation of common conditions affecting function in older persons, and to discuss the effects of the ongoin ... Full text Link to item Cite

What is the role of timing in the surgical and rehabilitative care of community-dwelling older persons with acute hip fracture?

Journal article Arch Intern Med · March 10, 1997 Featured Publication OBJECTIVE: To determine the relationship of surgical repair of acute hip fracture within 2 days of hospital admission, followed by more than 5 sessions per week of physical and occupational therapy (PT/OT), to outcomes after acute hip fracture. DESIGN: Com ... Link to item Cite

Measures of physical functioning

Journal article Generations · March 1, 1997 Cite

Racial differences in the utilization of inpatient rehabilitation services among elderly stroke patients.

Journal article Stroke · January 1997 BACKGROUND AND PURPOSE: We undertook this study to ascertain whether elderly black and white patients who are hospitalized for stroke utilize inpatient physical and occupational therapy (PT/OT) services differently, adjusting for characteristics associated ... Full text Link to item Cite

Charges for outpatient rehabilitation: growth and differences in provider types.

Journal article Arch Phys Med Rehabil · April 1996 OBJECTIVE: This study compares Medicare program charges through time for outpatient rehabilitation services across different types of institutional providers. DESIGN: Observational study of Medicare Part B claims. The analytic methods include a decompositi ... Full text Link to item Cite

Rehabilitation after hip fracture--equal opportunity for all?

Journal article Arch Phys Med Rehabil · January 1996 Featured Publication OBJECTIVES: To determine whether factors unrelated to clinical appropriateness affect use of physical and occupational therapy (PT/OT) in elderly Medicare patients with acute hip fracture. DESIGN: Bivariate and multivariate analysis of detailed clinical da ... Full text Link to item Cite

In reply

Journal article Journal of the American Geriatrics Society · January 1, 1995 Full text Cite

The older pedestrian.

Journal article J Am Geriatr Soc · April 1994 Full text Link to item Cite

Educating primary care physicians in geriatric rehabilitation.

Journal article Clin Geriatr Med · November 1993 This article has reviewed the current status of primary care physician education in rehabilitation and the potential effects of current educational inadequacies on use of rehabilitation. The epidemiologic data regarding disease, development of disability, ... Link to item Cite

A randomized controlled trial of home exercise on the rheumatoid hand.

Journal article J Rheumatol · May 1993 Featured Publication OBJECTIVE: To study differing home hand exercise interventions to determine effects on grip strength, and secondarily any immediate or short term effects on range of motion, pain, deformities, hand disease activity, and dexterity. METHODS: Randomized contr ... Link to item Cite

Patient-related predictors of rehabilitation use for community-dwelling older Americans.

Journal article J Am Geriatr Soc · April 1992 Featured Publication OBJECTIVE: To determine patient factors that predict use of physical or occupational therapy (PT/OT) services by elderly people. DESIGN: Time-series study of the relationship of PT/OT use to a variety of characteristics present at baseline. PARTICIPANTS: E ... Full text Link to item Cite

DETERMINANTS OF REHABILITATION SERVICE UTILIZATION BY THE ELDERLY

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · August 1991 Link to item Cite

Hospital-associated deconditioning and dysfunction.

Journal article J Am Geriatr Soc · February 1991 Full text Link to item Cite