Background: Feedback and evaluation are important in the professional development of academic physiatrists. Yet, physical medicine and rehabilitation (PM&R) learners giving academic presentations receive limited narrative feedback through generic evaluation forms.
Objective: To assess whether customizable evaluation forms that integrate a presenter's specific questions would be associated with an increase in quantity and quality of narrative feedback received from the audience.
: The objective of this study was to gain greater insight into individuals' quality of life (QOL) definitions, appraisals, and adaptations following spinal cord injury (SCI). : A mixed-methods design, applying the Schwartz and Sprangers response shift (RS) model. RS is a cognitive process wherein, in response to a change in health status, individuals change internal standards, values, or conceptualization of QOL : Community-dwelling participants who receive medical treatment at a major Midwestern medical system and nearby Veterans' Affairs hospital.
View Article and Find Full Text PDFPurpose/objective: Despite increased interest in the topic of resilience in rehabilitation, there has been no psychometric investigation of the Flourishing Scale (FS) in a sample of adults with spinal cord injury (SCI). The present study examined the reliability, convergent validity, and factor structure of the FS. Research Method/Design: Data for this project were extracted from a larger study on happiness and quality of life after SCI.
View Article and Find Full Text PDFBackground: Medical students have difficulty performing and interpreting musculoskeletal physical examinations and interpreting the findings. Research has focused on students' knowledge deficits, but there are few direct assessments of students' ability to perform a hypothesis-driven physical examination (HDPE). We developed a novel musculoskeletal Objective Structured Clinical Exam (OSCE) focusing on HDPE skills for disorders of the shoulder, back and knee, and used it to explore medical student diagnostic reasoning.
View Article and Find Full Text PDFTop Spinal Cord Inj Rehabil
January 2016
We conducted a pilot study to examine the feasibility of administering an individual, in-person version of , an innovative self-management program designed to teach individuals with spinal cord injury (SCI) to maintain physical health and prevent secondary conditions. After baseline assessments, 27 participants were randomized using a 2:1 block design to either the experimental intervention or a usual care group. Thirteen of the 19 participants in the intervention group completed the program.
View Article and Find Full Text PDFTop Spinal Cord Inj Rehabil
January 2016
The purpose of this study was to identify factors associated with resilience among individuals with spinal cord injury (SCI). Qualitative analyses were conducted of the written comments that were completed as part of a cross-sectional survey of individuals with SCI living in the community. More than 1,800 mail surveys were distributed to individuals identified as having a traumatic SCI through the records and/or membership lists of 4 organizations.
View Article and Find Full Text PDFThe management of neurogenic bowel and bladder by individuals with spinal cord injury (SCI) often requires a complicated set of behaviors to optimize functioning and reduce complications. However, limited research is available to support the many recommendations that are made. To describe the occurrence of behaviors associated with the management of neurogenic bowel and bladder among individuals with chronic SCI and to explore whether relationships exist between the performance of those behaviors and outcomes related to health and quality of life.
View Article and Find Full Text PDFObjective: To assess the risks associated with surgical and nonsurgical care of femur fractures in people with spinal cord injury (SCI).
Design: Retrospective cohort study; an analysis of Veterans Affairs (VA) data from the National Patient Care Database.
Setting: Administrative data from database.
Objective: To investigate the longitudinal performance of a surgically implanted neuroprosthesis for lower-extremity exercise, standing, and transfers after spinal cord injury.
Design: Case series.
Setting: Research or outpatient physical therapy departments of 4 academic hospitals.
Curr Rev Musculoskelet Med
September 2011
Despite the prevalence of musculoskeletal disorders in the United States, physicians have received inadequate training during medical school on how to examine, diagnose, and manage these conditions. This article provides an overview of the existing literature on undergraduate medical musculoskeletal education, including learning objectives, researched methodology, and currently utilized assessment tools. A discussion of challenges to and suggested approaches for the implementation of medical school musculoskeletal curricula is presented.
View Article and Find Full Text PDFPurpose: We conducted a systematic review of the literature to summarize the available data on reconstructive surgeries involving pinch reconstruction and elbow extension restoration in people with tetraplegia.
Methods: English-language and French-language articles and abstracts published between 1966 and February 2007, identified through MEDLINE and EMBASE searches, bibliography review, and expert consultation, were reviewed for original reports of outcomes with pinch reconstruction and elbow extension restoration in tetraplegic patients after a spinal cord injury. Two reviewers independently extracted data on patient characteristics, surgical methods, and patient outcomes.
Objective: The goal was to examine whether backpacks with an abdominal support device improve posture and decrease exertion while walking among adolescents.
Design: Double-blinded trial, with 20 subjects, performed at a University Spine Center. On day 1, adolescents walked on a treadmill for 5 mins with photographic measurement of posture and responded to the Borg scale of perceived exertion before and after ambulation.