Jerry Wright

Santa Clara Valley Medical Center | scvmed · Research Administration

Background: The role of vitamin D (VitD) in the pathogenesis of venous thromboembolism (VTE) and prevalence of low VitD (LVitD) in spinal cord injury (SCI) has motivated VitD testing and supplementation. This is an exploratory study of data collected at a time before the routine clinical practice of VitD supplementation, allowing for evaluation of...

Functional outcome scales occupy an important place in rehabilitation documentation and research. Because of the ordinal nature of most assessment data, interpretation of these measures is not always straightforward. Outcome measures are discussed in terms of the four levels of measurement (nominal, ordinal, interval, and ratio). A rationale is giv...

Fatigue is one of the most commonly reported sequelae after traumatic brain injury (TBI). This study evaluated the impact of a graduated physical activity programme on fatigue after TBI. Using a prospective randomised single-blind crossover design, 123 individuals with TBI, over the age of 18, were enrolled. Interventions included a home-based walk...

Objective To determine whether racial/ethnic disparities occur in depression, anxiety, and satisfaction with life at 1 and 2 years post-discharge. Design A prospective, longitudinal, multicenter study of individuals with traumatic brain injury (TBI) participating in the National Institute on Disability and Rehabilitation Research Traumatic Brain I...

Unlabelled: Abstract Objective: To determine whether a 12-week home-based walking programme can decrease perceived stress and depressive symptoms in persons with a traumatic brain injury (TBI). Setting: Community- and home-based. Participants: Sixty-nine participants with a TBI. Design: Comparative effectiveness cross-over design with random...

Background: Sleep disturbances are common following traumatic brain injury (TBI). The Pittsburgh Sleep Quality Index (PSQI) is a widely used measure of sleep quality that has been used in numerous populations. Although this measure has been used in TBI research, there are few studies examining the psychometric properties in this population. Objec...

The SWLS consists of 5-items that require a ratingon a 7-point Likert scale. Administration is rarely morethan a minute or 2 and can be completed by interview(including phone) or paper and pencil response. The in-strumentshouldnotbecompletedbyaproxyansweringfortheperson.Itemsofthe SWLSaresummedtocreatea total score that can range from 5 to 35.The S...

TITLE: Low Vitamin D Levels in Persons with Spinal Cord Injury and Increased Incidence of Venous Thromboembolic Events During Acute Inpatient and Rehabilitation Stay. AUTHORS (FIRST NAME, LAST NAME): Molly A. Timmerman1, James Crew2, Kazuko Shem1, Min Kim2, Stephanie A. Kolakowsky‐Hayner1, Jerry A. Wright1 INSTITUTIONS (ALL): 1. Physical Medicin...

Primary objective: To better characterize, describe and highlight issues that individuals with TBI and active LPTS may face in their daily lives. Design: Prospective multi-centre mixed method qualitative and quantitative interview. Participants: Twenty-five individuals, 5-13 years post-injury, who had reported having LPTS and TBI. Measures:...

Objective: To investigate the psychometric properties of the Multidimensional Assessment of Fatigue (MAF) scale in a traumatic brain injury (TBI) sample. Design: Prospective survey study. Setting: Community. Participants: One hundred sixty-seven individuals with TBI admitted for inpatient rehabilitation, enrolled into the TBI Model Systems n...

: To compare and contrast the levels of impairment, disability, and community participation of individuals with traumatic brain injury (TBI) with or without late posttraumatic seizures (LPTS). : Prospective survey study. : Community. : Two groups of 91 individuals with TBI, with and without LPTS, were enrolled in the TBI Model Systems National Data...

Objectives: To understand the course of changes in function and need for assistance in the chronic stages of TBI; and to identify factors associated with these changes. Design: Longitudinal review of participants in the TBI Model Systems Database, who have been prospectively followed for at least 10 years. Participants: Four hundred and sevent...

To describe the sociodemographic and injury characteristics and psychosocial outcomes at 1 and 10 years post-injury in a group of Spanish-speaking individuals with traumatic brain injury. Descriptive cross-sectional and longitudinal analyses of prospectively collected data. Assessments were completed on 57 non-English speaking Latinos with TBI, inj...

To (1) develop a standardized interview for telephone administration, (2) assess the psychometric properties of this interview format (Disability Rating Scale-Postacute Interview [DRS-PI]), and (3) identify additional items to reduce skew. Prospective cohort assessment study. Not applicable. Participants (N=406; 287 individuals with traumatic brain...

To determine which demographic, injury, rehabilitation, and follow-up characteristics are associated with satisfaction with life in a population of Hispanic individuals 1 year post-traumatic brain injury (TBI). Retrospective study. Longitudinal dataset of the TBI Model Systems National Database. 291 Hispanic adults with TBIs occurring between 1999...

Information is presented on a community-based mentoring program, developed to work with existing community agencies and provide structure to the frequently confusing network of services for young adults, ages 16 to 26 years, with a recently acquired disability including TBI, SCI, and other neurological disorders. The over-arching goal of the Mentor...

Spinal cord injury (SCI) is a potentially disabling neurologic injury that can occur in horseback riding. To date, no published study has examined the epidemiology of SCI from horseback riding in the United States, and few international studies exist on this topic. Several studies have described traumatic brain injuries, spine fractures, and extrem...

This is a prospective study. Young individuals with spinal cord injury (SCI) need support to actively participate in the community after their injuries. The 'Back on Track' mentoring program was developed to match mentees with SCI with mentors to assist with post-injury adjustment. The objectives of this study were to improve the percentage of yout...

With an amplified need for ongoing accreditation and evidence-based medicine and rehabilitation after disability, an increased call for rigor in research, and mounting costs of clinical trial research, affordable, reliable and valid measurement of outcomes is paramount. Many clinicians and researchers have developed home-grown tools to meet an imme...

Purpose: To examine neurological outcomes in individuals with spinal cord injury (SCI) in relation to mean arterial blood pressure (MAP) during the first 7 days post injury. Method: The charts of individuals with complete tetraplegia (N = 17) admitted directly to Santa Clara Valley Medical Center from 2000 to 2006 were reviewed for MAP values and c...

The objective of this study was to examine the mortality rates in individuals with traumatic brain injury (TBI) who were classified as having experienced late post-traumatic seizures (LPTS) in the first 2 years post-TBI compared to those who were seizure-free (non-LPTS). Participants were a pooled sample (n = 508) from two studies which enrolled in...

Fatigue is a well-recognized issue for individuals with traumatic brain injury (TBI). This prospective study examined the rate and types of fatigue that are experienced by a cohort of individuals with TBI within the first 2 years, using a multidimensional fatigue scale. The impact of factors such as demographics, injury severity indices, and concom...

This study used a prospective longitudinal design to quantify fatigue and associated factors during the first 2 years after traumatic brain injury (TBI). Fifty-one individuals were assessed at 3 time points: within the first 6, 12, and 18-24 months after TBI. Self-reported fatigue improved during the first year, as did pain, sleep quality, cognitiv...

Background: Personal assistant services (PAS) are essential for many individuals with spinal cord injury (SCI) to fully participate and interact in society. Method: This study describes the PAS received by individuals who have been living with SCI for 15-25 years and examines factors that may influence personal care attendant (PCA) turnover and the...

Peer support is founded on key principles of respect, shared responsibility, and mutual understanding. At Santa Clara Valley Medical Center, the coordinator of the peer support program and a rehabilitation psychologist implement a training program. Peer support is an integral part of rehabilitation; it is even more important for the person with hig...

To examine the relation among strength, balance, and swallowing deficits, as measured on rehabilitation admission, and functional outcome at discharge and 1 year after traumatic brain injury (TBI). Multicenter analysis of consecutive admissions to designated Traumatic Brain Injury Model Systems (TBIMS) facilities. Seventeen TBIMS centers. Adults an...

Duong TT, Englander J, Wright J, Cifu DX, Greenwald BD, Brown AW. Relationship between strength, balance, and swallowing deficits and outcome after traumatic brain injury: a multicenter analysis. Arch Phys Med Rehabil 2004;85:1291-7.

Objective: To determine whether rehabilitation length of stay (LOS) is associated with discharge motor function for persons with spinal cord injury (SCI). Design: Longitudinal. Setting: Spinal Cord Injury Model Systems center. Participants: 920 persons with traumatic, complete SCI enrolled in the Spinal Cord Injury National Database, with levels of...

Objective: To compare the demographics and functional outcome for Asian Americans and whites treated at a Traumatic Brain Injury Model Systems (TBIMS) center. Design: Prospective, single-center trial. Participants: 30 Asian Americans and 133 whites admitted to a TBIMS center between February 1989 and July 2000. Subjects had to meet all the criteria...

To ascertain the natural history and to stratify risks for the development of late posttraumatic seizures in individuals with moderate to severe traumatic brain injury (TBI). Prospective, observational study of individuals with TBI admitted to 4 trauma centers within 24 hours of injury. Four tertiary care trauma centers in urban areas. A total of 6...

To ascertain the association between early computed tomography (CT) scan findings and the need for assistance with ambulation, activities of daily living (ADLs), and supervision at rehabilitation discharge and at 1 year after traumatic brain injury (TBI). Prospective longitudinal design. Seventeen Traumatic Brain Injury Model Systems (TBIMS) center...

To determine which outcome measures are best and least suited for assessing long-term functional outcome of individuals with traumatic brain injury (TBI) in the community. Survey of participants in the community an average of 5 years after TBI. A battery of outcome measures was given. Community in northern California after inpatient rehabilitation....

Objective: This article describes the Center for Outcome Measurement in Brain Injury (COMBI), an Internet resource that provides information on brain injury outcome measures. Funded by the National Institute on Disability and Rehabilitation Research (NIDRR), the COMBI is a collaborative project of eight Traumatic Brain Injury (TBI) Model System ce...

The characteristics of the Functional Independence Measure (FIM) were examined for spinal cord injury (SCI) in regard to norms over time by level and completeness of injury, differential benefit of motor and cognition subscales, and "ceiling effect" after rehabilitation discharge. Descriptive study of raw FIM data collected prospectively at admissi...

To determine the life circumstances and psychosocial status of individuals with respirator-assisted and respirator-independent high tetraplegia an average of 19 years after spinal cord injury. Survey data were analyzed separately for ventilator-assisted and ventilator-independent groups. Three spinal cord injury rehabilitation centers in California...

Objective: To determine the influence of acute respirator)' complications, gastrointestinal procedures, fractures, and motor deficits on length of stay (LOS) and functional outcome following traumatic brain injury (TBI). Design: Prospective multicenter analysis of consecutive admissions to designated TBI Model Systems of Care. setting: Four Nationa...

Objective: The characteristics of the Disability Rating Scale (DRS), Functional Independence Measure (FIM), Functional Independence Measure and Functional Assessment Measure (FIM+FAM), and Community Integration Questionnaire (CIQ) are examined, especially in regard to a "celling effect" after rehabilitation discharge (ie, how well each of the instr...

A review of the literature suggests that psychosocial disability in traumatic brain-injured (TBI) individuals and distress in families continues long after the initial injury. In this study the relationship of family stress to a number of factors was studied longitudinally. Caregivers of 51 TBI inpatients were interviewed at rehabilitation admissio...

This study examined the Job Demands-Resources theory in relation to engagement using a longitudinal design. The main purpose of this longitudinal study was to investigate the nature of work engagement over time. Specifically, it examined if role stressors (a job demand) were predictive of work engagement measured one year later. Additionally, this...