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Publications (31)
Objective
Patient‐reported outcome measures (PROMs), which capture patients' perspectives on the consequences of health and disease, are widely used in neurological care and research. However, it is unclear how PROMs relate to performance‐rated impairments. Sociodemographic factors are known to affect PROMs. Direct damage to brain regions critical...
Background
Brain imaging studies investigating grey matter in functional neurological disorder (FND) have used univariate approaches to report group-level differences compared with healthy controls (HCs). However, these findings have limited translatability because they do not differentiate patients from controls at the individual-level.
Methods
1...
Objective
Patient-reported outcome measures provide valuable insights into health status after neurologic disease, but their relationships with function-based outcome measures remain incompletely understood. Here we evaluate the relationship between these two classes of measure using dimensionality-reduction techniques in patients after acute strok...
Background:
The Fugl-Meyer Assessment-Upper Extremity (FMA-UE) is a widely used outcome measure for quantifying motor impairment in stroke recovery. Meaningful change (responsiveness) in the acute to subacute phase of stroke recovery has not been determined.
Objective:
Determine responsiveness and sensitivity to change of the FMA-UE from 1-week...
We developed and validated an abbreviated version of the Coma Recovery Scale-Revised, the CRSR-FAST (CRS-R For Accelerated Standardized Testing), to detect conscious awareness in patients with severe traumatic brain injury (TBI) in the intensive care unit. In 45 consecutively enrolled patients, CRSR-FAST mean[SD] administration time was approximate...
Background and Objectives
The classic and singular pattern of distal greater than proximal upper extremity motor deficits after acute stroke does not account for the distinct structural and functional organization of circuits for proximal and distal motor control in the healthy CNS. We hypothesized that separate proximal and distal upper extremity...
Research Objectives
The aims of this study were to determine the responsiveness and sensitivity of the Fugl-Meyer Assessment-Upper Extremity (FMA-UE) in severe post-stroke individuals from the acute to subacute phase after stroke with standard clinical care.
Design
Secondary analysis of data from the Stroke Motor Rehabilitation and Recovery Study...
Introduction: Patient-reported outcome measures (PROMs) provide valuable insights into health status and function, but their relationships with performance-based outcomes remain incompletely understood. Here we compared these two classes of measures using dimensionality-reduction techniques with longitudinal data and examined their relationships wi...
Functional neurological disorder (FND) is a condition at the intersection of neurology and psychiatry, with some patients experiencing sensory hypersensitivities and other sensory processing difficulties. It has been postulated that poor integration and modulation of sensory information with cognitive, affective and behavioral processes may play a...
Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations.
Upper extremity (UE) functional recovery after stroke requires the integration of motor and sensory systems. We describe the relationship among recovery of somatosensation, motor impairment, and manual dexterity from acute to 3 months poststrok...
Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations.
In acute care, discharge planning is a primary role of OT for clients with arm impairment after stroke. Discharge planning accounts for many factors, including impairments, function, social supports, insurance, and the input of other discipline...
Objective
To test the hypothesis that cognitive demands influence motor performance during recovery from acute stroke, we tested acute stroke patients on two motor tasks with different cognitive demands and related task performance to cognitive impairment and neuroanatomic injury.
Methods
We assessed the contralesional and ipsilesional upper extre...
Background and purpose:
Recovery of arm function poststroke is highly variable with some people experiencing rapid recovery but many experiencing slower or limited functional improvement. Current stroke prediction models provide some guidance for clinicians regarding expected motor outcomes poststroke but do not address recovery rates, complicatin...
Background
People with functional neurological disorder (FND) are commonly seen by occupational therapists; however, there are limited descriptions in the literature about the type of interventions that are likely to be helpful. This document aims to address this issue by providing consensus recommendations for occupational therapy assessment and i...
Background:
Functional neurological disorder (FND) is a prevalent neuropsychiatric condition characterized by sensorimotor difficulties. Patients with FND at times report that sensory experiences trigger and/or exacerbate their symptoms. Sensory processing difficulties are also commonly reported in other psychiatric disorders frequently comorbid i...
Introduction: Injury to the corticospinal tract (CST) has been shown to have a major effect on upper extremity motor recovery after stroke. This study aimed to examine how well CST injury, measured from neuroimaging acquired during the acute stroke workup, predicts upper extremity motor recovery.
Methods: Patients (N = 48) with upper extremity weak...
As acute stroke treatments advance, more people survive the initial stroke event and live with long-term neurological impairments that impact functional outcomes and quality of life. In accordance with International Classification of Functioning (ICF), living with long-term neurological impairments can limit survivors' activity performance and rest...
Background and Purpose—
Injury to the corticospinal tract (CST) has been shown to have a major effect on upper extremity motor recovery after stroke. This study aimed to examine how well CST injury, measured from neuroimaging acquired during the acute stroke workup, predicts upper extremity motor recovery.
Methods—
Patients with upper extremity we...
Introduction: Early changes in NIH stroke scale (NIHSS) within the first days after ischemic stroke have been associated with clinical outcomes, however association with patient-centered outcomes is unknown. Predicting outcomes is important for decisions after the acute period. We sought to characterize the magnitude of early NIHSS change and ident...
Background:
The relationships between baseline neuropsychiatric factors and clinical outcome in patients with functional neurological disorder (FND)/conversion disorder remain poorly understood.
Objective:
This prospective, naturalistic pilot study investigated links between predisposing vulnerabilities (risk factors) and clinical outcome in pat...
Additional occupational therapy considerations for functional neurological disorders: a potential role for sensory processing - Jessica Ranford, David L. Perez, Julie MacLean
