Lisa Tabor Connor

Publications (40) View all

• Article: Clinician adherence to a standardized assessment battery across settings and disciplines in a post-stroke rehabilitation population.

  Marghuretta D Bland, Audra Sturmoski, Michelle Whitson, Hilary Harris, Lisa Tabor Connor, Robert Fucetola, Jeff Edmiaston, Thy Huskey, Alexandre Carter, Marian Kramper, Maurizio Corbetta, Catherine E Lang
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  ABSTRACT: OBJECTIVE: 1) To examine clinician adherence to a standardized assessment battery across settings (acute hospital, IRF, outpatient facility), professional disciplines (PT, OT, SLP), and time of assessment (admission, discharge/monthly), and 2) evaluate how specific implementation events affected adherence. DESIGN: Retrospective cohort study SETTING: Acute hospital, IRF, outpatient facility with approximately 118 clinicians (PT, OT, SLP). PARTICIPANTS: 2194 participants with stroke who were admitted to at least one of the above settings. All persons with stroke undergo standardized clinical assessments. INTERVENTIONS: N/A MAIN OUTCOME MEASURE: Adherence to Brain Recovery Core assessment battery across settings, professional disciplines and time. Visual inspections of 17 months of time-series data were conducted to see if the events (e.g. staff meetings) increased adherence ≥ 5% and if so, how long the increase lasted. RESULTS: Median adherence ranged from 0.52 to 0.88 across all settings and professional disciplines. Both the acute hospital and IRF had higher adherence than the outpatient setting (p ≤ .001) with PT having the highest adherence across all three disciplines (p < .004). Of the 25 events conducted across the 17 month period to improve adherence, 10 (40%) resulted in a ≥ 5% increase in adherence the following month, with 6 services (60%) maintaining their increased level of adherence for at least one additional month. CONCLUSION: Actual adherence to a standardized assessment battery in clinical practice varied across settings, disciplines and time. Specific events increased adherence 40% of the time with gains maintained for greater than a month in 60%.
  Archives of physical medicine and rehabilitation 02/2013; · 2.18 Impact Factor
• Article: Prediction of discharge walking ability from initial assessment in a stroke inpatient rehabilitation facility population.

  Marghuretta D Bland, Audra Sturmoski, Michelle Whitson, Lisa Tabor Connor, Robert Fucetola, Thy Huskey, Maurizio Corbetta, Catherine E Lang
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  ABSTRACT: To (1) determine which clinical assessments at admission to an inpatient rehabilitation facility (IRF) most simply predict discharge walking ability, and (2) identify a clinical decision rule to differentiate household versus community ambulators at discharge from an IRF. Retrospective cohort study. IRF. Two samples of participants (n=110 and 159) admitted with stroke. A multiple regression determined which variables obtained at admission (age, time from stroke to assessment, Motricity Index, somatosensation, Modified Ashworth Scale, FIM, Berg Balance Scale, 10-m walk speed) could most simply predict discharge walking ability (10-m walk speed). A logistic regression determined the likelihood of a participant achieving household (<0.4m/s) versus community (≥0.4-0.8m/s; >0.8m/s) ambulation at the time of discharge. Validity of the results was evaluated on a second sample of participants. Discharge 10-m walk speed. Admission Berg Balance Scale and FIM walk item scores explained most of the variance in discharge walk speed. The odds ratio of achieving only household ambulation at discharge was 20 (95% confidence interval [CI], 6-63) for sample 1 and 32 (95% CI, 10-96) for sample 2 when the combination of having a Berg Balance Scale score of ≤20 and a FIM walk item score of 1 or 2 was present. A Berg Balance Scale score of ≤20 and a FIM walk item score of 1 or 2 at admission indicates that a person with stroke is highly likely to only achieve household ambulation speeds at discharge from an IRF.
  Archives of physical medicine and rehabilitation 03/2012; 93(8):1441-7. · 2.18 Impact Factor
• Source

  Available from: Lisa Tabor Connor

  Article: Activity Participation Differences Between Younger and Older Individuals with Stroke

  Timothy J Wolf, Joseph K Brey, Carolyn Baum, Lisa Tabor Connor
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  ABSTRACT: The purpose of this study was to describe differences in activity participation be-tween younger and older individuals with stroke to inform transition after stroke. This was a cross-sectional study with individuals six-months poststroke (n = 177). All individuals completed an outcomes assessment battery that included the Stroke Impact Scale, the Reintegration to Normal Living Index and the Activity Card Sort. The sample was divided into two groups: (1) Young — those under the age of 65 (n = 89); and (2) Old — those 65 or older (n = 88). Analysis was completed to examine differences between the groups on the primary outcome measures of the study and to look at differences between the groups on individual questions/items on the specific measures. The results of this study demonstrate: (1) significant differences in both the quantity and nature of activity participation prior to and after stroke between younger and older stroke survivors and (2) total scores and measures of central tendency do not necessarily provide therapists with the in-formation they need to guide treatment. Rehabilitation professionals should focus on providing clients with the tools they will need to be successful in transitioning back to home and community environments once rehabilitation has ended.
  Brain Impairment 01/2012; 13:16-23.
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  Available from: Lisa Tabor Connor

  Article: The brain recovery core: building a system of organized stroke rehabilitation and outcomes assessment across the continuum of care.

  Catherine E Lang, Marghuretta D Bland, Lisa Tabor Connor, Robert Fucetola, Michelle Whitson, Jeff Edmiaston, Clayton Karr, Audra Sturmoski, Jack Baty, Maurizio Corbetta
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  ABSTRACT: This Special Interest article describes a multidisciplinary, interinstitutional effort to build an organized system of stroke rehabilitation and outcomes measurement across the continuum of care. This system is focused on a cohort of patients who are admitted with the diagnosis of stroke to our acute facility, are discharged to inpatient and/or outpatient rehabilitation at our free-standing facility, and are then discharged to the community. This article first briefly explains the justification, goals, and purpose of the Brain Recovery Core system. The next sections describe its development and implementation, with details on the aspects related to physical therapy. The article concludes with an assessment of how the Brain Recovery Core system has changed and improved delivery of rehabilitation services. It is hoped that the contents of this article will be useful in initiating discussions and potentially facilitating similar efforts among other centers.
  Journal of neurologic physical therapy: JNPT 12/2011; 35(4):194-201.
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  Available from: Lisa Tabor Connor

  Article: Putting Executive Performance in a Theoretical Context

  Lisa Tabor Connor, Adina Maeir
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  ABSTRACT: key words: executive function, occupational performance, cognition ABSTRACT This article provides a theoretical context to understand the role of executive functions in occu-pational performance. The authors provide definitions of the components of executive functions and their occupational significance. Assessment and intervention strategies for individuals with executive function deficits are discussed.
  OTJR Occupation Participation Health 01/2011; 31:S3-S7. · 0.80 Impact Factor