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Y Y Y Y  Y  Y Y Y  Y Y  Y   Y   Y  eDateDelim"DateFourDigitYear DateLeadingZerosDateOrderDecimalPointFieldSeparatorFileType SpecIDSpecNameSpecTypeStartRowTextDelimTimeDelim#$jeYPrimaryKeyv1 ">YN&& Y Y Y  Y Y ,Y Y  Filter FlagsIdNamePosition SelectedObjectIDType,,&(,YIdv1a%uCustom ^Tables"w V%''' RYN**Y Y Y  Y @Y ,Y Y   FlagsGroupCategoryIDIdName"Object Type GroupObjectIDPosition , , *,,  , , *-, YYGroupCategoryIDIdv1  )yL|O" n A  6  w( w& w w/ w" w0 w 1 w  w  wCustom Group 162.*  w w w w w w w~ ) @ @+ + + + + +++++++++++++~ ) @ @++++++++ + +  + + + + ++++ YN//Y Y Y Y @ Y ,Y Y  FlagsGroupIDIconIdNameObjectIDPosition,,/1,,,/2,YYGroupIDIdv1 .yLk> ] 0  6 o( o& o" o1 o0  o .  o )  o %  o  o" o o o o o o o . @ @0000000000 0 0 0 0 000 . @ @00000000 0 0  0 0 0 0 000RYwwroN44Y \ Y Y IdNameTypedvLVAL  v 8 hb:'Using a pictorial scale of pain intensity (SPIN) to facilitate self-report in patients with communication impairments.'Dimensions of disordered attention in traumatic brain injury: further validation of the Moss Attention Rating ScaleBehavior management of neurobehavioral syndromes: increasing compliance.Medical and psychosocial predictors of caregiver functioning after traumatic brain injuryPredictive utility of acute confusion severity at one-month post traumatic brain injury upon late employment outcome: Prospective comparison with duration of posttraumatic amnesia.Initial CT and early cognitive outcome after TBI.Assessment of Memory on Multidisciplinary Teams.Rehabilitation of Traumatic Brain Injury Survivors.Commentary: Psychological Influences on the Use of Assistive Technology: A Need for ResearchDetection of feigned head injury symptoms on the MMPI-2 in head injured patients and community controlsHead injury and the ability to feign neuropsychological deficitsEarly screening with the modified mini mental status exam and neuropsychological performance in the acute and post-acute phases following stroke.Changes in emotional functioning over time in the acute phase of stroke: Effects of laterality and other clinical variables.Depression and acquired brain injury: prevalence, assessment, and psychotherapeutic issuesAssessment and correlates of self-esteem following stroke using a pictorial measureEcological Validity of the RBANS as Pertains to Health and Safety Reasoning.RBANS Performance Following Stroke: Effects of Laterality and CorticalityMemory Assessment on an inter-disciplinary rehabilitation team: a theoretically based frameworkDecreased serum glucose levels after initiation of methylphenidate in a patient status post cerebellar tumor resection: A potential interaction with glipizide.Classification of mood disturbance in an inpatient neurological sample using visual analogue measures of emotional functioningYN%#%77 Y Y  Y  Y Y  Y  Y  Y  Y  Y   Y   Y  Y  Y  Y   Y   Y  Y  Y  Y  Y  Y  Y  Y  Y  Y  Y  Y  Y  Y  Y  Y  Y   Y!!  Y" "  Y#!#  Y$"$ Ref Type Ref ID TitleAuthorsPub Date NotesKeywordsReprintStart PageEnd PagePeriodical Volume Title, secondary$Authors, secondary IssuePub PlacePublisherUser Def 1User Def 2User Def 3User Def 4User Def 5Title, seriesAuthors, seriesAbstractISBNAvailabilityDate, secondary Misc 1 Misc 2 Misc 3AddressWeb/URLLink to PDF"Link to Full-textRelated Links Images7777777 7 7 7&  ~ T o  1 LXS 1meEhjaEvYnXwS] ׽meEljߦNm]vYn8@@@@ @ @8  8@ x  $"Hd B$B")q AE " 6v f }%JOUR@5 Vickery CD@=Z@:IN FILE10751084Clin Rehabil2012PublicationPeer-reviewed` @>Neuropsychology Department, Methodist Rehabilitation Center, 1350 E. Woodrow Wilson, Jackson, MS 39216, USA. chad.vickery@hotmail.comPM:17148519file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr496 clinrehab06 Vickery Assessment and correlates of self-esteem following stroke using a pictorial measure.pdf :888jbZL@4#%ABST@5Bennett TG;Vickery C@:IN FILE141IJNS12S1PresentationPoster34th Annual Meeting of the International Neuropsychological Society, Boston, MA. @<2006Correspondence: Chad Vickery, Ph.D., Methodist Rehabilitation Center,1350 E Woodrow Wilson, Jackson, MS 39216. E-mail: chadvickery@hotmail.comfile://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr497 IJNS06 Bennett Ecological Validity of the RBANS as Pertains to Health and Safety Reasoning..pdf nnRRRRJJJ>>>>>zzzvvvrjjdVJ>#%ABST@5Bennett TG;Vickery C@:IN FILE141IJNS12S1Presentationposter34th Annual Meeting of the International Neuropsychological Society, Boston, MA. @;Correspondence: Chad Vickery, Ph.D., Methodist Rehabilitation Center,1350 E Woodrow Wilson, Jackson, MS 39216. E-mail: chadvickery@hotmail.comfile://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr498 ijns06 Bennett RBANS Performance Following Stroke-Effects of Laterality and Corticality.pdf ffJJJJJJJ>>>>>zzzvvvrjjdVJ>#%INPR@5t@9Memory;rehabilitation;IN FILEAmerican Journal of Speech-Language Pathology fffX4(#%INPR>@5`@9Methylphenidate;IN FILEClinical Drug Investigation ```R4(#%CONF@5 Vickery CDclassification;IN FILEPresentationPoster24th Annual meetinf of the national Academy of Neuropsychology, Seattle, WA2004 ;999999999111%%%%%kkkkkkkkkk]@4#LVAL", d  X   L l|>.p VlShird L;Nakase-Thompson R;Gontkovsky ST;Doughty AD;Sherer MGontkovsky ST;Sherer M;Nick T;Nakase-Thompson R;Yablon SAStouter J;Sherer M;Evans C;Nakase-Richardson R;Olivier J;Yablon SA;Manning E;Vickery C;Irby JNakase-Richardson R;Sherer M;Yablon SA;Evans CCSherer M;Struchen MA;Nakase-Thompson R;Yablon SARyan JJ;Tree HA;Morris J;Gontkovsky STStokic DS;Yablon SA;Hayes A;Vesovic-Potic V;Olivier JRyan JJ;Bartles JM;Morris J;Cluff RB;Gontkovsky STFrancisco GE;Yablon SA;Schiess MC;Wiggs L;Cavalier S;Grissom SGontkovsky ST;Russum PR;Stokic DSLeis AA;Fratkin J;Stokic DS;Harrington T;Webb RM;Slavinski SASherer M;Stouter J;Hart T;Nakase-Richardson R;Olivier J;Manning E;Yablon SAIvanhoe CB;Francisco GE;McGuire JR;Subramanian T;Grissom SPGontkovsky ST;Nevels R;Mcdonald NB;Winkelmann MHBhatt Robbins R;Gontkovsky ST;Davidson JRT;Connor KMGontkovsky ST;Busby R;Nakase-Richardson R;Dehon E;Spielberger CDDehon E;Gontkovsky ST;Nakase-Richardson R;Spielberger CDNakase-Richardson R;Swearingen AD;Evans CC;Sherer M;Yablon S.A.Evans CC;Sherer M;Hart T;Yablon S.A.;Richardson RSherer M;Evans CC;Lee J;Irby J;Nakase-Richardson R;Yablon S.A.Swearingen AD;Nakase-Richardson R;Evans CCSander AM;Davis LC;Struchen MA;Atchison T;Sherer M;Malec JF;Nakase-Richardson RVickery CD;Sherer M;Evans CC;Gontkovsky STDongchul CL;McKay WB;Stokic DS;Lee JENakase-Richardson R;Yablon SA;Sherer MHart T;Whyte J;Millis S;Bode R;Malec J;Richardson RN;Hammond FNakase-Richardson R;Spinosa F;Swearingen AD;Esposito DPDavis LC;Sander A;Struchen MA;Sherer M;Nakase-Richardson R;Malec JFNakase-Richardson R;Yablon S.A.;Sherer MSherer M;Stouter J;Nakase-Richardson R;Hart T;Olivier J;Yablon S.A.;Manning E;Vickery C;Irby JDearth CS;Berry DT;Vickery CD;Vagnini VL;Baser RE;Orey SA;Cragar DEVickery CD;Berry DT;Dearth CS;Vagnini VL;Baser RE;Cragar DE;Orey SASander A;Nakase-Richardson R;Constantinidou F;Wertheimer JGontkovsky ST;Nevels R;Mcdonald NB;Winkelmann MHDLVALv  D@TtBrain;Brain Injuries;brain injury;Caregivers;education;injuries;Physical Medicine;Questionnaires;rehabilitation;Brain;Brain Injuries;brain injury;injuries;Amnesia;Brain;Brain Injuries;brain injury;Confusion;Delirium;education;Employment;injuries;methods;Prospective Studies;rehabilitation;United States;Adolescent;Adult;Aged;Aged,80 and over;analysis;Attention;Attention Deficit Disorder with Hyperactivity;Behavior;Brain;Brain Injuries;brain injury;Cohort Studies;etiology;Factor Analysis,Statistical;Humans;injuries;Middle Aged;Neuropsychological Tests;psychology;Psychomotor Agitation;rehabilitation;Reproducibility of Results;Severity of Illness Index;Brain;Brain Injuries;brain injury;injuries;Brain;Brain Injuries;brain injury;injuries;Amnesia;Brain;Brain Injuries;brain injury;Confusion;Employment;injuries;Brain;Brain Injuries;brain injury;injuries;rehabilitation;Activities of Daily Living;Adult;Anxiety;Attention;Back;Behavior;Cognition;Depression;Fear;Hand;Hospitalization;injuries;Learning;Male;Motivation;Perception;rehabilitation;Self Concept;spinal;Spinal Cord;Spinal Cord Injuries;utilization;Adult;Brain Injuries;Comparative Study;diagnosis;Diagnosis,Differential;Female;Glasgow Coma Scale;Humans;injuries;Logistic Models;Male;Malingering;Middle Aged;Mmpi;Prospective Studies;psychology;Psychometrics;Reference Values;Reproducibility of Results;Sensitivity and Specificity;statistics & numerical data;Case-Control Studies;Craniocerebral Trauma;Deception;diagnosis;Diagnosis,Differential;Female;Humans;injuries;Life Change Events;Male;Malingering;Middle Aged;Neuropsychological Tests;psychology;analysis;Attention;Language;Memory;methods;Regression Analysis;rehabilitation;Confusion;Laterality;methods;rehabilitation;Brain;Brain Injuries;brain injury;Depression;injuries;Prevalence;Adult;Anxiety;Depression;rehabilitation;Risk;analysis;Attention;Language;Memory;methods;Regression Analysis;rehabilitation;analysis;Attention;Language;Laterality;Memory;methods;rehabilitation;LVALObjective: The present study explored the effects of laterality (right vs.left hemisphere) and corticality (cortical vs. subcortical) of stroke onRBANS performance.Participants and Methods : A sample of 106 patients with stroke (rightcortical n = 28; right subcortical n = 32; left cortical n = 18; left subcorticaln = 28) in an inpatient rehabilitation setting were administeredthe RBANS. Location of stroke was determined on the basis of neuroimagingfindings. A MANOVA analysis was performed with the fiveRBANS indices (Immediate Memory, Visuoconstruction, Language, Attention,and Delayed Memory) in a 2 X 2 design (laterality and corticalityas the main factors).Results : Results indicated a significant overall main effect of laterality,no effect of corticality, and an interaction effect of the main factors.Post hoc analyses indicated significant interaction effects on the Visuoconstructionand Delayed Memory indices, with patients with right corticalstrokes obtaining the poorest Visuoconstruction scores and patientswith left subcortical strokes obtaining the poorest scores on the DelayedMemory Index.Conclusions : These results suggest that performance patterns on theRBANS may be helpful in stroke localization beyond a simple right vs.left distinction.jLVALzObjective: Neuropsychological testing is often used to assess patients'cognitive capacity to function independently in the home setting followinga stroke. One aspect of this capacity is the ability to engage ineffective safety reasoning and to be mindful of health-related issues. Thepresent study explored the cognitive components of health and safetyreasoning using the RBANS and measures of abstract reasoning.Participants and Methods : Thirty patients in an inpatient stroke rehabilitationprogram were administered the RBANS, the Similarities andMatrix Reasoning subtests from the WAIS-III, and the Health and Safetysubtest of the Independent Living Scale.Results : Correlational analysis indicated significant relationships betweenthe Health and Safety subtest and the Immediate Memory, Language,Attention, and Delayed Memory indices of the RBANS and Similarities.These variables were entered into a stepwise regression analysiswith Health and Safety subtest performance as the dependent variable.The results indicated that RBANS Delayed Memory accounted for 33.1% of the variance, and Similarities accounted for an additional 10.2%of the variance in Health and Safety Reasoning performance.Conclusions : These results suggest that the ability to problem-solvesafety and health issues is related to intact memory and abstract verbalreasoning.4LVALt   ~ ~,lDA - 20041223IS - 1534-4320 (Print)LA - engPT - Clinical TrialPT - Controlled Clinical TrialPT - Journal ArticlePT - Validation StudiesSB - IMDA - 20021230IS - 1473-3099 (Print)LA - engPT - CommentPT - Journal ArticleSB - IMDA - 19981204LA - engPT - Case ReportsPT - Journal ArticlePT - ReviewSB - IMDA - 19970722IS - 0269-9052 (Print)LA - engPT - Journal ArticleRN - 0 (Anticoagulants)SB - IMDA - 20060227IS - 0003-9993 (Print)LA - engPT - Journal ArticleSB - AIMSB - IMDA - 20061123IS - 0885-9701 (Print)LA - engPT - Journal ArticlePT - Research Support, U.S. Gov't, Non-P.H.SSB - IMDA - 20060630IS - 0269-9052 (Print)LA - engPT - Journal ArticleSB - IMDA - 20060323IS - 0894-9115 (Print)LA - engPT - Journal ArticlePT - Research Support, Non-U.S. Gov'tPT - ReviewSB - AIMSB - IMDA - 20060911IS - 0021-9762 (Print)LA - engPT - Journal ArticleSB - IMDA - 20060419IS - 1388-2457 (Print)LA - ENGPT - JOURNAL ARTICLEDA - 20060926IS - 0020-7454 (Print)LA - engPT - Journal ArticleSB - IMDA - 20061103IS - 1074-9357 (Print)LA - engPT - Journal ArticlePT - Research Support, Non-U.S. Gov'tPT - ReviewRN - 0 (Muscle Relaxants, Central)RN - 1134-47-0 (Baclofen)SB - IMDA - 20021230IS - 1473-3099LA - engPT - CommentPT - Journal ArticleSB - IMDA - 20061018IS - 0269-9052 (Print)LA - engPT - Journal ArticleSB - IMDA - 20061106IS - 0003-9993 (Print)LA - engPT - Journal ArticlePT - Research Support, Non-U.S. Gov'tSB - AIMSB - IMDA - 20070323IS - 1053-8135 (Print)LA - engPT - Journal ArticleSB - IMDA - 20061220IS - 1468-330X (Electronic)LA - ENGPT - JOURNAL ARTICLEDA - 20060425IS - 0003-9993 (Print)LA - engPT - Journal ArticlePT - Multicenter StudyPT - Research Support, U.S. Gov't, Non-P.H.SPT - Validation StudiesSB - AIMSB - IMDA - 20041228IS - 0887-6177 (Print)LA - engPT - Comparative StudyPT - Journal ArticlePT - Research Support, Non-U.S. Gov'tSB - IMDA - 20031212IS - 0887-6177 (Print)LA - engPT - Journal ArticleSB - IMDA - 20061206IS - 0269-2155 (Print)LA - engPT - Journal ArticleSB - IMLVALOBJECTIVE: To describe the characteristics of a non-verbal measure of self-esteem in a sample of individuals in the acute phase following stroke. DESIGN: Acute-phase stroke survivors (n=156) were administered measures of self-esteem, depression, anxiety, general emotional distress and cognitive functioning during admission to an inpatient stroke rehabilitation unit. MAIN MEASURES: Visual Analogue Self-Esteem Scale (VASES), Geriatric Depression Scale, Adult Manifest Anxiety Scale, Visual Analog Mood Scales, measures of neuropsychological functioning. RESULTS: VASES performance was not related to demographic variables, cognitive functioning, visual acuity, prior stroke or severe visuoperceptual impairment/left visual neglect. The VASES was most related to emotional functioning, with lower self-esteem ratings associated with higher levels of depressive symptoms and general emotional distress. Individuals with right hemisphere stroke tended to endorse lower self-esteem ratings, while aphasic individuals may have misunderstood the intent of the task. CONCLUSIONS: The non-verbal VASES appears to be minimally impacted by potentially invalidating patient factors (e.g. visual acuity, left visual neglect), although its use with patients with severe communication deficits is cautioned. The VASES may prove useful in identifying acute stroke survivors most at risk for emotional dysfunction, and may be useful as a research tool in this population16' ^G%JOUR@ 5@9@=@:IN FILE3748Arch Clin Neuropsychol191PublicationPeer-reviewed@BDepartment of Psychology, University of Kentucky, 115 Kastle Hall, Lexington, KY 40506-0044, USAPM:14670378file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr490 arclnphys04 Vickery Head injury and the ability to feign neuropsychological deficits.pdf VRN@4(#%ABST"@5 Vickery CD@:IN FILE141IJNS12S1Presentationposter34th Annual Meeting of the International Neuropsychological Society, Boston, MA. @ACorrespondence: Chad Vickery, Ph.D., Methodist Rehabilitation Center,1350 E Woodrow Wilson, Jackson, MS 39216. E-mail: chadvickery@hotmail.comfile://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr491 ijns06 Vickery Early screening with the modified mini mental status exam and.pdf zxxx\\@@@@@@@44444ppplllh``ZL@4#%ABST@5Vickery CD;Bennett TGX@:IN FILE141IJNS12s1PresentationPoster34th Annual Meeting of the International Neuropsychological Society, Boston, MA. @@2006Correspondence: Chad Vickery, Ph.D., Methodist Rehabilitation Center,1350 E Woodrow Wilson, Jackson, MS 39216. E-mail: chadvickery@hotmail.comfile://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr492 ijns06 Vickery Changes in emotional functioning over time in the acute phase of stroke- Effects of laterality and other clinical variables..pdf    ooSSSSKKK?????{{{wwwskkeWK?#%CONF@5 Vickery CD@:IN FILEPresentationPoster53rd Annual Meeting of the Mississippi Psychological Association, Biloxi, MS.2002 0.........&&&~rZZZZZZZZZZL@4#LVAL&Objective: The present study explored differential patterns of emotionalself-report over time as a function of laterality in a group of individualsin an inpatient stroke rehabilitation program.Participants and Methods : A group of 57 patients with stroke (24right hemisphere, 33 left hemisphere) were administered the Visual AnalogueMood Scales (VAMS) within 72 hours of admission to an inpatientrehabilitation program. The VAMS consists of eight scales (Afraid,Confused, Sad, Angry, Energetic, Tired, Happy, Tense) that are visuallypresented, with patients indicating degree of each mood state experiencedon a 100mm line. Patients were re-administered the VAMSone week later.Results : Results indicated that there were no differences as a functionof laterality on any VAMS scale at either point in time. However, therewere significant differences on several VAMS scales between time oneand time two, suggesting reductions in self-reported negative mood states.A significant interaction of laterality and time on the Confused scalesuggested that the patients with left hemisphere stroke reported a greaterreduction in subjective mental confusion than the patients with righthemisphere stroke.Conclusions : These results suggest that there were no differences betweenpatients with right and left hemisphere stroke in self-reportedemotional functioning, and that the patients showed significant improvementin emotional status in a relatively short amount of time. Futureresearch would be helpful in identifying predictors of improvementin emotional status in the rehabilitation setting and exploring thefunctional implications of this improvement.`LVALpObjective: The present study explored the relationship between theModified Mini-Mental Status Exam (3MS) and neuropsychologicaltest performance during the acute phase of stroke and in the postacutephase.Participants and Methods : A group of 35 individuals in an inpatientstroke rehabilitation program were administered the 3MS within 72hours of admission. These patients were administered the RepeatableBattery for the Assessment of Neuropsychological Status (RBANS) andthe Similarities subtest from the WAIS-III one week later and again approximatelythree months later.Results : Regression analysis using admission 3MS scores as the dependentvariable and the five RBANS indices (Immediate Memory, Visuoconstruction,Language, Attention, Delayed Memory) and Similaritiesas the predictor variables showed that delayed memory performancewas most related to the admission 3MS scores in the acute phase (R2 =.30) and in the post-acute phase (R2 = .41).Conclusions : These results suggest that 3MS scores in the early stagesfollowing stroke are related to delayed memory consistently across time,and that the 3MS as an early screening device may be useful in predictingcognitive functioning in the later stages of stroke recovery.LVALMMPI-2 results from 39 moderately to severely head injured (HI) and 44 community volunteer (CV) participants given instructions to feign symptoms or answer honestly during an analog forensic neuropsychological examination were compared. No significant effects for HI or the interaction between the HI and instruction set (IS) factors were noted on either clinical or selected validity scales (F, Fb, Fp, Ds2, FBS). However, the main effect of IS was significant for both clinical and validity scales (median Cohen's d=1.34 and 1.39, respectively). Most validity scales were characterized by perfect specificity rates but low to modest sensitivity, whereas FBS had both moderate sensitivity and specificity. Logistic regressions showed that the F and Ds2 scales made a significant contribution independent of motivational tests to the identification of feigning during neuropsychological examinationThis study investigated the possibility that head-injured patients, by virtue of their exposure to medical and legal evaluations, are better able to feign deficits than controls. Both internal and external validity issues were addressed in a malingering simulation using 46 moderately to severely head injured and 46 matched control subjects who were administered a battery of neuropsychological and motivational tests under standard or malingering instructions. Results showed no significant interaction between malingering instructions and head injury status on commonly used motivational tests or neuropsychological tests, nor were the head injured malingerers better able to avoid detection using established cutting scores on motivational tests. These results suggest that head injured individuals are no more able to feign neuropsychological deficits successfully than non-head injured individuals@6] |Z%CONFj@5P@9@ :IN FILEPresentationPaper2007 annual meeting of the International Neuropsychological Society, Portland, OR.2007 *(((((((((   pfNNNNNNNNNN@4(#%CONFb@5@9IN FILEPresentationPaper2006 TBI Interagency Meeting, Baltimore, MD.2006 pfNNNNNNNNNN@4(#%CONF`@ 5Sander AM;Nakase-Richardson R Memory;IN FILEPresentationInvited2005 annual meeting of the American Speech and Hearing Association, San Diego, CA.2006 VTTTTTTTTTLLL@@@@@vvvvvvvvvvhSG#%CONFf@ 5Nakase-Richardson R;Cavett St@ :IN FILEPresentationInvited2004 annual meeting of the Mississippi Speech Language Pathology and Audiology Association, Biloxi, Mississippi.2007 ~~~rrrrrllllllllll^RF#%ABST@ 5Gontkovsky S;Busby R@:IN FILESCI Psychosocial ProcessPublicationpeer-reviewed.DSamuel T. Gontkovsky, PsyD, is an associate professor in the Department of Psychology, Jackson State University, and a scientist at the Center for Neuroscience and Neurological Recovery, Methodist Rehabilitation Center.Rochelle Busby, BS, is a doctoral stfile://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr487 scipsychoprocess07 Gontkovsky .doc dddVJ>#%JOUR@ 5@9@=j@:IN FILE95110Arch Clin Neuropsychol201PublicationPeer-revewiedPartial funding for this study was provided by the Graduate School of the University ofKentucky. Remaining financial support was provided by the second author.@BDepartment of Psychology, University of Kentucky, 115 Kastle Hall, Lexington, KY 40506-0044, USAPM:15620816file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr489 arclnphys05 Dearth Detection of feigned head injury symptoms on the MMPI-2 in head injured patients and community controls.pdf TRRRXRN@4(#LVALEIn its broadest sense, assistive technology (AT) refers to a range of devices, services, strategies, and practices conceived and applied to ameliorate the difficulties confronted by persons with disabilities (Cook & Hussey, 2002). More narrowly, AT may be thought of as equipment utilized for the purpose of increasing the functional capabilities of individuals with disabilities. Such equipment may augment an individual's abilities, as in the case of a brace used to assist a person with ambulation, or a replace lost capabilities, as in the case of an electric wheelchair to enable mobility. AT may help people with disabilities perform basic activities of daily living, such as eating and grooming, or may allow individuals to successfully integrate back into more complex tasks, such as driving, working, and attending school.AT is critical for many individuals who have experienced spinal cord injury or disease (SCI/D). Although some persons with SCI/D may recover to a degree that AT is not necessary during or following hospitalization, these cases are few and far between. Following SCI/D, most individuals begin using AT during the process of rehabilitation and continue its use long after discharge and oftentimes throughout the remainder of their lives.In order for AT to be effective in overcoming the functional limitations of persons with disabilities, the selection of equipment should be done on a case-by-case basis to match not only the specific needs but also the particular capabilities and characteristics of each user. Obvious factors to consider in selecting appropriate AT include the user's motor capacities, sensory and perceptual skills, and cognitive functioning. Generally, less attention is given to the various psychosocial factors that may influence the use of AT by persons with disabilities. Depoy and Kolodner (1991) discuss the manner in which issues of development, motivation, and personal identity may influence the utilization of AT. In terms of developmental considerations, age may reflect anLVALF individual's familiarity with newer technologies and eagerness to engage in learning to operate AT. Additionally, it also must be considered that the wants and needs of teenagers are likely to differ from those of older adults (see King, 1999).Motivation involves a multitude of interacting factors, originating from the internal and external environment of the individual, that function to influence behavior. Houston (1985) characterizes motivation as it relates to behavior in terms of initiation, direction, intensity, and persistence. The relationship between motivation and use of AT is a positive one, in that the lack of motivation is a primary reason that AT is not utilized (Scherer & Galvin, 1996). On the other hand, AT can function to increase an individual's motivation by providing reinforcements that might not otherwise be available without the person's use of AT, such as social interaction.Identity revolves around the question of 'Who am I?' (Cook & Hussey, 2002). Like motivation, identity is comprised of several interrelated constructs, such as self-concept, self-esteem, locus of control, and personality. The manner in which these factors interact to influence the use of AT by individuals with disabilities is complex. A straightforward example of this interaction might be that of a young, athletic male who sustains a traumatic SCI as a result of a fall while skiing. If, prior to injury, this individual's view of himself and his perception of how he is viewed by others was that of a strong and independent person and this view remains unchanged post-SCI, he may be less likely to use AT for fear of shattering this withstanding image.Development, motivation, and identity all are related in complex ways to emotional symptomatology. Indeed, it is known that the emotional experiences of children may differ from those of adults (Ammerman, Hersen, & Last, 1999; Van Hasselt & Hersen, 1992). Houston (1985) notes that it is difficult to speak of motivation without invoking the concept of emotion and withoLVAL"ut accounting for the fact that motivational states regularly lead to emotional changes, and several studies document the relationship between constructs of identity and negative emotional symptomatology among persons with disabilities (Overholser, Schubert, Foliart, & Frost, 1993; Vickery, Gontkovsky, & Caroselli, 2005).It is well known that many individuals experience psychological disturbance following SCI/D. Most often this seems to be in the forms of depression and anxiety (Richards, Kewman, & Pierce, 2000; Moverman, 2003), although varying emotional problems certainly may arise. Presumably, psychological stress could, and likely would, negatively influence use of AT by persons with SCI/D, either in a direct fashion, or as a moderating variable between development, motivation, or identity and the use of AT. Additionally, emotional symptomatology could impact the association between cognition and AT utilization. For example, Scherer (1998) suggests that individuals who are depressed at the time of selecting AT may be incapable of exercising appropriate judgment. As noted previously, AT may also function to alleviate emotional stress by providing reinforcing opportunities, for example, social and recreational events, that may not otherwise be available. Despite these obvious possibilities, sufficient empirical research examining these issues is lacking. Findings of such studies have potentially important implications with respect to both the treatment and outcome of individuals with SCI/D.This need for research further suggests that funding agencies should consider allocating monies to the systematic examination these issues. As psychologists and social workers are uniquely positioned to investigate the manner in which emotional symptomatology and other psychological factors relate to use of AT by persons with disabilities, it is time for us to step up to the plate.N6w wh%CONF'The Ambulatory Patient Yablon S.A.IN FILEPresentationInstructional Course Platformdelivered at 'Advanced Practice in ITB Therapy: Achieving Good Outcomes', Minneapolis, Minnesota, August 20, 20052005 ttttttttttfZN5#%JOUR@5Nakase-Richardson R!Hemiplegia;Pain;rehabilitation;IN FILE463International Journal of Therapy and Rehabilitation1310PublicationInvited|@Ifile://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr478 ijnphys06 A pictorial scale of pain intensity.doc ((((((((((vI=#%JOUR@5|@9N@=@ :IN FILE647655Arch Phys Med Rehabil875PublicationPeer-reviewedSupported in part by the National Institute on Disability and Rehabilitation Research(grant no. H133A70033). @HMoss Rehabilitation Research Institute and Department of Rehabilitation Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA 19141, USA. thart@einstein.eduPM:16635627file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr479 apmr06 Hart Dimensions of Disordered Attention in Traumatic Brain Injury-Further Validation of the Moss Attention Rating Scale.pdf &ZTN@4(#%CHAP!Traumatic Brain Injury Measuresn@9V@ :NOT IN FILE363380R. Herndon's Handbook of Neurological Rating Scales, 2nd editionDemos (New York).PublicationPeer reviewed caaaaaaaaaaaaUUUUUU;%}waUI=#%CONF@5Nakase-Richardson RBehavior;Syndrome;IN FILEPresentationInvited2007 joint meeting of the Mississippi Speech Language Pathology and Audiology and Physical Therapy Associations, Jackson, Mississippi.2007 wwwwwwwwwwiI=#%CONF@5@9V@ :IN FILEPresentationPaper2007 annual meeting of the International Neuropsychological Society, Portland, OR.2007 *(((((((((   pfNNNNNNNNNN@4(#LVAL*OBJECTIVES: To investigate the factor structure of disordered attention in moderate to severe, acute traumatic brain injury (TBI) and to use factor analysis and item response theory to further validate and refine an observational rating scale of attention for clinical and research purposes. DESIGN: Multicenter inception cohort. SETTING: Inpatient rehabilitation units. PARTICIPANTS: Patients with TBI (N=372) consecutively admitted to 8 Traumatic Brain Injury Model System centers within 2 weeks prior to observation, who consistently followed commands and who were on stable doses of all psychotropic medications for a 3-day rating period. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: Participants were rated independently by treating occupational and physical therapists at an average of 1 month postinjury on the Moss Attention Rating Scale (MARS), a 45-item, Likert-type scale of attention-related behavior. RESULTS: Exploratory and confirmatory factor analyses revealed 3 correlated factors of disordered attention, interpreted as restlessness/distractibility, initiation, and sustained/consistent attention. Item response (Rasch) analysis was used to eliminate redundant items and to fill gaps in item difficulty. The resulting MARS consists of 22 items that can produce 3 factor scores and a total score that covers the broad construct of disordered attention. CONCLUSIONS: The factor-scored MARS has potential utility as a quantitative observational method with which to assess and study different dimensions of disordered attention in acute TBI, and to monitor change over time and treatment response within these dimensionstLVALPatients with impaired communication often have difficulty describing symptoms such as pain, which hinders both clinical treatment and research. The objective of this study was to develop and characterize a step-by-step process for introducing a new pictorial scale of pain intensity (SPIN) to stroke patients with communication deficits undergoing rehabilitation. To exemplify the process, this article describes a single patient with profound aphasia and right-sided hemiplegia, who was thought to have severe pain in his affected shoulder, probably associated with neuropathic pain. A method of presenting the SPIN, based on a total communication approach, was established and serial pain ratings made by the patient were found to be consistent with independent clinical records. The SPIN appears to have potential as a method for quantifying pain severity in people with limited communication. Further evaluation is needed in a larger sample of patients.6  #%CONF@KYablon S.A.;Lee JE;Sherer MV@:IN FILEPresentationInvitedACRM-ASNR 2006 Joint Conference in Boston, Massachusetts, September 27 - October 1, 2006.2006 YWWWWWWWWWOOOCCCCCkkkkkkkkkk]QE#%JOUR.@KL@ 9@=(@:IN FILEJ Neurol Neurosurg PsychiatryPublicationpeer reviewedThis study supported by The TBI Model System of Mississippi Grant funded by the NationalInstitute on Disability and Rehabilitation Research. Grant #H133A020514. @LMethodist Rehabilitation Center, United StatesPM:17178822file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr472 jnnp06 Nakase-Richardson Prospective comparison of acute confusion severity with duration of posttraumatic amnesia in predicting employment outcome after TBI.pdf 8666v`NNN@4(#%CONF@K Yablon S.A.IN FILEPresentationGrand RoundsDepartment of Physical Medicine and Rehabilitation, Charlotte Institute for Rehabilitation; Charlotte, North Carolina, June 20, 2006.2006 s[[[[[[[[[[MA5#%CONF@K Yablon S.A.IN FILEPresentationInstructional Course Platformdelivered at the 'Botulinum Neurotoxin and Muscle Overactivity: Improving Patient Care in the Upper Motor Neuron Syndrome' Symposium, Houston, Texas, February 27, 2006.2006    s[[[[[[[[[[MA5#%CONF@K Yablon S.A. baclofen;IN FILEPresentationInstructional Course PlatformDepartment of Physical Medicine and Rehabilitation, Northwestern University Medical School and the Rehabilitation Institute of Chicago, Chicago, Illinois, December 2, 20052005 $"""""""""~ffffffffffXA5#%CONFITB & The H-Reflex'. Yablon S.A.IN FILEPresentationInstructional Course Platformdelivered at 'Advanced Practice in ITB Therapy: Achieving Good Outcomes', Minneapolis, Minnesota, August 21, 20052005 qqqqqqqqqqcWK2# LVALP8   P z 0<VDAdvances in the evaluation and treatment of pain in persons with spinal cord injury and disease: An overview of recent research findings.Commentary: Psychological Influences on the Use of Assistive Technology: A Need for ResearchRole of forgiveness in psychological adjustment after traumaInjury-related and demographis influences on emtional and personality functioning post-TBI.State-Trait Personality Inventory: A Validation study of depression in traumatic brain injuryInfluence of religious coping on emotional adjustment following traumatic spinal cord injuryFunctional Outcomes in Spinal Cord Injury PatientsSocial, Occupational, and Medical Aspects of Spinal Cord InjurySelf-esteem in an acute stroke rehabilitation sample: a control group comparisonSymptom differences between confused and non-confused adolescents at one month post traumatic brain injury.Prediction of impaired self-awareness at one year post traumatic brain injury.Preparing for interviews in psychology/neuropsychologyTherapeutic alliance in postacute rehabilitation after traumatic brain injury.Comparing Symptoms Among Confused and Non-Confused Adolescents at One Month Post Traumatic Brain Injury.Relationship of race/ethnicity to caregivers' coping, appraisals, and distress after traumatic brain injuryThe relationship between self-esteem and functional outcome in the acute stroke rehabilitation setting.Extraction of Distinctive components of motor control from surface EMG in healthy and spinal cord-injured patients.Venous thromboembolic disease in neurorehabilitation admissions with acquired brain injury: Impact of acute-care hospital screeningProspective comparison of acute confusion severity with duration of posttraumatic amnesia in predicting employment outcome after traumatic brain injuryTroubleshooting ITB: Introduction to Basic (and Not-So-Basic) Concepts'Concepts in the Pathophysiology of the Upper Motor Neuron Syndrome'.'Evolving Concepts in the Management of the Patient with the Intrathecal Baclofen Pump.'LVALBACKGROUND: Measurement of posttraumatic amnesia (PTA) duration is common practice, serving as an important index of traumatic brain injury (TBI) severity and predictor of functional outcome. Still, controversy exists regarding the nature of posttraumatic amnesia (PTA); some studies indicate that it is a confusional state with symptoms that extend beyond disorientation and amnesia. OBJECTIVE: Evaluate the contribution of severity of acute confusion at one-month post-TBI to prediction of employment at one-year post injury, comparing it with PTA duration. METHODS: Prospective study involving 171 participants with complete data who met study criteria from 228 consecutive TBI Model System admissions. Outcome measures included weekly administration of the Delirium Rating Scale-Revised-98 (DelRS-R98) to measure severity of acute confusion. Evaluations closest to one-month post-injury were utilized for study purposes. PTA duration was defined as the interval from injury until two consecutive Galveston Orientation and Amnesia Test (GOAT) scores of inverted exclamation markY76 were obtained within a period of 24-72 hours. Univariable and multivariable logistic regression were used to predict employment status at one-year post injury. RESULTS: Age, education, and DelRS-R98 were significant predictors accounting for 34% of outcome variance. Individuals with greater confusion severity at one-month post injury, older age, and lower levels of education were less likely to be employed at one-year post-injury. Severity of confusion was more strongly associated with employment outcome (rs = -0.39) than was PTA duration (rs = -0.34). CONCLUSIONS: In addition to demographic indices, severity of acute confusion makes a unique contribution to predicting late outcome after TBI6R,  ~ ?%CONF@ K~@9l@OIN FILEPresentationPosterPresented at the 2007 annual meeting of the International Neuropsychological Society2007 0.........&&&rfNNNNNNNNNN@4(#%CONF@ Kb@9V@OIN FILEPresentationPosterPresented at the National Academy of Neuropsychology 2006 Annual Meeting, San Antonio (October 2006).2006 RPPPPPPPPPHHH<<<<<rfNNNNNNNNNN@4(#%CONFl@ KNakase-Richardson R;Evans CCIN FILEPresentationSymposiumPresented at the 2006 annual meeting of the Mississippi Psychological Association.2006 PNNNNNNNNNFFF:::::llllllllll^RF#%ABST@ K|@9@OIN FILEE21Arch Phys Med Rehabil87PresentationPosterjoint 83rd Annual Meeting of the American Congress of Rehabilitation Medicine (ACRM) and the 13th Annual Meeting of the American Society of Neurorehabilitation (ASNR), in Boston, MA, September 27 October 1, 2006 @P2006file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr466 apmr06 Sherer Poster 47-Therapeutic Alliance in Postacute Rehabilitation After Traumatic Brain Injury.pdf ``````XXXLLLLL~TTN@4(#%CONF@KT@ 9l@OIN FILEPresentationPosterPoster presented at the 2006 annual meeting of the Mississippi Psychological Association.2006 :888888888000$$$$$rfNNNNNNNNNN@4(#%JOUR@K@ 9@=@:NOT IN FILE917NeuroRehabilitation221PublicationPeer ReviewedNIDRR TBI Model Systems GrantN @NDepartment of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX, USAPM:17379945 \XV@4(#%INPR@KT@ 9rehabilitation;NOT IN FILERehabilitation PsychologyPublicationPeer reviewed gggQ4(#%CONF@KJ@ 9 spinal;IN FILEPresentationInvited2006 ISEK conference at the Lingotto Congress Center in Torino, Italy, on June 29-30 and July 1, 2006.2006 _]]]]]]]]]UUUIIIII}oWWWWWWWWWWI4(#LVALThe objective of the current study was to determine the relationship between race/ethnicity and caregivers' coping, appraisals of the caregiving role, and distress after traumatic brain injury (TBI). Participants were 195 caregivers (75% white; 25% black/Hispanic) of persons with TBI who were admitted to comprehensive inpatient rehabilitation at one of three participating centers and were followed up at 1 year after injury. Caregivers completed interview and self-report questionnaires, including the Ways of Coping Questionnaire, Caregiver Appraisal Scale, and Brief Symptom Inventory. Compared to whites, blacks/Hispanics reported lower levels of education, lower annual household income, and were more likely to be caring for an extended family member. After adjusting for relationship to the person with injury, age, education and income, race/ethnicity significantly predicted caregivers' use of the coping strategies distancing and accepting responsibility. Blacks/Hispanics made greater use of these strategies compared to whites. Blacks/Hispanics also showed more traditional beliefs regarding the caregiving role. Race/ethnicity was not predictive of distress. However, an interaction was noted between race/ethnicity and caregiver ideology. For Blacks/Hispanics, more traditional ideology was associated with increased distress. Future research using a larger sample of non-whites and including measures of acculturation is warrantedLVAL^ . ` p ^0VAdult;Brain;education;Intelligence;Brain;Brain Injuries;brain injury;Bromocriptine;Cognition;injuries;Methylphenidate;psychology;rehabilitation;baclofen;H reflex;H-Reflex;methods;spasticity;injuries;Muscles;spinal;Spinal Cord;Spinal Cord Injuries;administration & dosage;baclofen;Brain;Brain Injuries;brain injury;Cerebrovascular Accident;complications;drug therapy;etiology;Humans;Injections,Spinal;injuries;Muscle Relaxants,Central;Muscle Spasticity;Physical Medicine;Practice Guidelines;rehabilitation;Texas;therapy;Aging;education;injuries;Mississippi;rehabilitation;spinal;Spinal Cord;Spinal Cord Injuries;diagnosis;Electrodiagnosis;Human;methods;pathology;physiopathology;Poliomyelitis;rehabilitation;Spinal Cord;Support,Non-U.S.Gov't;West Nile Fever;Amnesia;analysis;Brain;Brain Injuries;brain injury;Cohort Studies;education;injuries;Memory;methods;Mississippi;Neuropsychological Tests;pathology;rehabilitation;Research Design;analysis;Analysis of Variance;baclofen;Brain;Brain Injuries;brain injury;complications;injuries;Quality of Life;rehabilitation;Sickness Impact Profile;therapy;United States;complications;injuries;methods;Pain;Quality of Life;spinal;Spinal Cord;Spinal Cord Injuries;Activities of Daily Living;Adult;Anxiety;Attention;Back;Behavior;Cognition;Depression;Fear;Hand;Hospitalization;injuries;Learning;Male;Motivation;Perception;psychology;rehabilitation;Self Concept;spinal;Spinal Cord;Spinal Cord Injuries;utilization;Brain;Brain Injuries;brain injury;Depression;injuries;injuries;spinal;Spinal Cord;Spinal Cord Injuries;injuries;spinal;Spinal Cord;Spinal Cord Injuries;injuries;spinal;Spinal Cord;Spinal Cord Injuries;Adolescent;Brain;Brain Injuries;brain injury;injuries;Brain;Brain Injuries;brain injury;injuries;Brain;Brain Injuries;brain injury;education;Glasgow Coma Scale;injuries;Perception;Psychotherapy;rehabilitation;Adolescent;Brain;Brain Injuries;brain injury;injuries;LVALObjectives: To determine which factors determine the degree of therapeutic alliance of persons with traumatic brain injury (TBI) and their family members, with the treatment team in postacute brain injury rehabilitation (PABIR); and to determine the influence of degree of therapeutic alliance on client outcome after PABIR. Design: Inception cohort, observational study. Setting: Outpatient multidisciplinary community integration program for persons with TBI. Participants: 69 persons (43 men) with TBI with mean age SD of 29.316.2 years and mean education of 12.62.5 years. Injury severity was moderate and severe, with mean emergency department admission Glasgow Coma Scale score of 8.03.7. Interventions: Not applicable. Main Outcome Measures: Modified California Psychotherapy Alliance Scale (client, family, and clinician forms), productivity status at discharge from PABIR. Results: Client ratings of therapeutic alliance were predicted by client years of education. Clinician ratings of therapeutic alliance were predicted by family dysfunction and the discrepancy between clinician and family views of the client's functioning. Productivity (work) status at program discharge was predicted by client ratings of therapeutic alliance with a trend for clinician ratings. Conclusions: Family functioning and family perceptions of client functioning influence therapeutic alliance in PABIR programs. 6Z E <%CONFx@Kh@9IN FILEPresentationPosterPoster session presented at the annual meeting of the American Psychological Association, San Francisco, CA.2007 `^^^^^^^^^VVVJJJJJrfNNNNNNNNNN@4(#%CONF@K@9IN FILEPresentationposterPoster session presented at the annual meeting of the American Psychological Association, San Francisco,CA2007 \ZZZZZZZZZRRRFFFFFrfNNNNNNNNNN@4(#%CONF@Kp@9l@OIN FILEPresentationPosterPoster session presented at the annual meeting of the Association for Psychological Science, Washington,D.C.2007 `^^^^^^^^^VVVJJJJJrfNNNNNNNNNN@4(#%CONF@KGontkovsky S;Vickery CDb@OIN FILEPresentationPosterPoster session presented at the annual meeting of the Association for Psychological Science, Washington, DC.2007 ywwwwwwwwwooocccccggggggggggYMA#%CONFd@K Grissom SPb@OIN FILEPresentationInvitedUtilization Management Amfed, Ridgeland, Mississippi2006 rZZZZZZZZZZL@4#%CONF~@K Grissom SPb@OIN FILEPresentationInvited2006 National AgrAbility Training Workshop, Jackson, Mississippi2006    rZZZZZZZZZZL@4#%INPR@ KVickery CD;Sepehri A;Evans CCrehabilitation;NOT IN FILEClinical RehabilitationPublicationPeer reviewed pSG#LVALSIn its broadest sense, assistive technology (AT) refers to a range of devices, services, strategies, and practices conceived and applied to ameliorate the difficulties confronted by persons with disabilities (Cook & Hussey, 2002). More narrowly, AT may be thought of as equipment utilized for the purpose of increasing the functional capabilities of individuals with disabilities. Such equipment may augment an individual's abilities, as in the case of a brace used to assist a person with ambulation, or a replace lost capabilities, as in the case of an electric wheelchair to enable mobility. AT may help people with disabilities perform basic activities of daily living, such as eating and grooming, or may allow individuals to successfully integrate back into more complex tasks, such as driving, working, and attending school.AT is critical for many individuals who have experienced spinal cord injury or disease (SCI/D). Although some persons with SCI/D may recover to a degree that AT is not necessary during or following hospitalization, these cases are few and far between. Following SCI/D, most individuals begin using AT during the process of rehabilitation and continue its use long after discharge and oftentimes throughout the remainder of their lives.In order for AT to be effective in overcoming the functional limitations of persons with disabilities, the selection of equipment should be done on a case-by-case basis to match not only the specific needs but also the particular capabilities and characteristics of each user. Obvious factors to consider in selecting appropriate AT include the user's motor capacities, sensory and perceptual skills, and cognitive functioning. Generally, less attention is given to the various psychosocial factors that may influence the use of AT by persons with disabilities. Depoy and Kolodner (1991) discuss the manner in which issues of development, motivation, and personal identity may influence the utilization of AT. In terms of developmental considerations, age may reflect anLVALT individual's familiarity with newer technologies and eagerness to engage in learning to operate AT. Additionally, it also must be considered that the wants and needs of teenagers are likely to differ from those of older adults (see King, 1999).Motivation involves a multitude of interacting factors, originating from the internal and external environment of the individual, that function to influence behavior. Houston (1985) characterizes motivation as it relates to behavior in terms of initiation, direction, intensity, and persistence. The relationship between motivation and use of AT is a positive one, in that the lack of motivation is a primary reason that AT is not utilized (Scherer & Galvin, 1996). On the other hand, AT can function to increase an individual's motivation by providing reinforcements that might not otherwise be available without the person's use of AT, such as social interaction.Identity revolves around the question of 'Who am I?' (Cook & Hussey, 2002). Like motivation, identity is comprised of several interrelated constructs, such as self-concept, self-esteem, locus of control, and personality. The manner in which these factors interact to influence the use of AT by individuals with disabilities is complex. A straightforward example of this interaction might be that of a young, athletic male who sustains a traumatic SCI as a result of a fall while skiing. If, prior to injury, this individual's view of himself and his perception of how he is viewed by others was that of a strong and independent person and this view remains unchanged post-SCI, he may be less likely to use AT for fear of shattering this withstanding image.Development, motivation, and identity all are related in complex ways to emotional symptomatology. Indeed, it is known that the emotional experiences of children may differ from those of adults (Ammerman, Hersen, & Last, 1999; Van Hasselt & Hersen, 1992). Houston (1985) notes that it is difficult to speak of motivation without invoking the concept of emotion and withoLVAL"ut accounting for the fact that motivational states regularly lead to emotional changes, and several studies document the relationship between constructs of identity and negative emotional symptomatology among persons with disabilities (Overholser, Schubert, Foliart, & Frost, 1993; Vickery, Gontkovsky, & Caroselli, 2005).It is well known that many individuals experience psychological disturbance following SCI/D. Most often this seems to be in the forms of depression and anxiety (Richards, Kewman, & Pierce, 2000; Moverman, 2003), although varying emotional problems certainly may arise. Presumably, psychological stress could, and likely would, negatively influence use of AT by persons with SCI/D, either in a direct fashion, or as a moderating variable between development, motivation, or identity and the use of AT. Additionally, emotional symptomatology could impact the association between cognition and AT utilization. For example, Scherer (1998) suggests that individuals who are depressed at the time of selecting AT may be incapable of exercising appropriate judgment. As noted previously, AT may also function to alleviate emotional stress by providing reinforcing opportunities, for example, social and recreational events, that may not otherwise be available. Despite these obvious possibilities, sufficient empirical research examining these issues is lacking. Findings of such studies have potentially important implications with respect to both the treatment and outcome of individuals with SCI/D.This need for research further suggests that funding agencies should consider allocating monies to the systematic examination these issues. As psychologists and social workers are uniquely positioned to investigate the manner in which emotional symptomatology and other psychological factors relate to use of AT by persons with disabilities, it is time for us to step up to the plate.36Z ,I%CONFz@W`@9blood;Methylphenidate;IN FILEPresentationPosterAnnual Modern Drug Discovery and Development Summit, Philadelphia, PA.2006 ,*********"""~ffffffffffX4(#%INPR@WGontkovsky ST standards;IN FILEPsycCRITIQUES-Contemporary PsychologyAPA Review of Books.PublicationPeer-Reviewed       iii[C7#%JOUR@KDehon E;Gontkovsky ST@ OIN FILESCI Psychosocial Process192PublicationPeer reviewedVhttp://www.unitedspinal.org/publications/process/2007/03/08/clinically-based-research-advances-in-the-evaluation-and-treatment-of-pain-in-persons-with-spinal-cord-injury-and-disease-an-overview-of-recent-research-findings/file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr454 scipsyprog07 Dehon Advances in the evaluation and treatment of pain in persons with sci and disease.doc eeeWK?#%JOUR@KGontkovsky ST;Busby R@OIN FILESCI Psychosocial Process192PublicationPeer Reviewed.RSamuel T. Gontkovsky, PsyD, is an associate professor in the Department of Psychology, Jackson State University, and a scientist at the Center for Neuroscience and Neurological Recovery, Methodist Rehabilitation Center.Rochelle Busby, BS, is a doctoral sthttp://www.unitedspinal.org/publications/process/2007/03/08/commentary-psychological-influences-on-the-use-of-assistive-technology-a-need-for-research/file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr455 scipsyprg07 Gontkovsky Paychological influences on the use of assistive technology. A need for research.doc WUUeeeWK?#LVAL Pain is a significant complication for a large percentage of individuals with spinal cord injury and disorders (SCI/D). In its acute form, pain often serves a protective function, acting as a signal to prevent further damage and consequently to expedite healing. In some instances, pain persists far beyond the period for which healing of the injury may be expected. This chronic pain serves no meaningful purpose and can actually suppress the body's immune system leading to further medical complications. Chronic pain has also been shown to be associated with negative emotional symptomatology and decreased quality of life among persons with SCI. Its accurate identification and treatment, therefore, is of critical importance.Evaluation of pain in persons with disorders of the spinal cord is in many ways challenging. Individuals with SCI/D may experience nociceptive pain, neuropathic pain, or both. Whereas nociceptive pain originates from the noxious stimulation of a pain receptor, neuropathic pain is generated as a result of damage to the sensory pathways. It can be especially difficult for healthcare professionals to determine the specific basis for a person's complaints of pain following onset of a spinal disorder. Furthermore, the identification of pain type among individuals with SCI/D has been hampered by a lack of reliable and valid assessment methods. These difficulties in the appropriate identification of pain have yielded corresponding challenges in pain treatment post-SCI/D, since the pharmacological interventions for the alleviation of nociceptive pain vs. neuropathic pain are essentially mutually exclusive.Hope remains, however, as findings of new research published during the past year suggest that meaningful advances are being made in both the evaluation and the treatment of pain among persons with SCI/D. Summaries of three excellent empirical studies are presented below.LVALh  *fWechsler Adult Intelligence Scale-III Inter-Subtest Scatter: A comparison of brain-damaged patients and normal controlsImproved cognition with methylphenidate status post cerebellar tumor resection: A case report.Dose-response relationship between the H-reflex and continuous intrathecal baclofen administration for management of spasticityWAIS-III VIQ-PIQ and VCI-POI discrepancies in lateralized WAIS-III cerebral lesions.Decreased Blood Glucose Levels following Initiation of Methylphenidate in a Patient Status Post Cerebellar Tumor Resection: Implications for the Treatment of Persons with Diabetes MellitusAttention-Deficit/Hyperactivity Disorder and its association with aggression and violencePractical methods for the clinical assessment of information processing speedConsideration for translating emerging treatments of acute and chronic spinal cord injury into clinical settings. International symposium of spinal cord motor control 'From denervated muscles to neurocontrol of locomotion'Presence of third party observers in forensic examinations: Professional and ethical implications.Cultural considerations in MMPI-2 interpretation.Consensus panel guidelines for the use of intrathecal baclofen therapy in poststroke spastic hypertoniaPerceived information needs of community-dwelling persons with chronic spinal cord injury: Findings of a survey and impact of raceComputed tomography findings and early cognitive outcome after traumatic brain injuryIntrathecal baclofen management of poststroke spastic hypertonia: implications for function and quality of lifeDecreased blood glucose levels following initiation of methylphenidate in a patient status post cerebellar tumor resection: Implications for the treatment of persons with diabetes mellitus.Legal standards for mental health professionals: What every practitioner should know [Review of the book Clinical manual of psychiatry and law]8LVALHOBJECTIVES: To evaluate the impact of intrathecal baclofen (ITB) on function and quality of life (QOL) and to obtain efficacy and safety data in poststroke spastic hypertonia. DESIGN: Prospective open-label multicenter trial with follow-up at 3 and 12 months. SETTING: Twenty-four stroke treatment centers in the United States. PARTICIPANTS: Ninety-four stroke participants (age range, 24-82 y) with spastic hypertonia. Seventy-four participants underwent ITB pump implantation. INTERVENTION: Participants were implanted with an ITB pump. MAIN OUTCOME MEASURES: FIM instrument and QOL (Sickness Impact Profile [SIP]) changes, spastic hypertonia (Ashworth Scale), and safety. RESULTS: FIM scores improved overall in repeated-measures analysis of variance (ANOVA) (P = .005) and by 3.00 +/- 7.69 (P = .001) at 3 months and by 2.86 +/- 10.13 (P = .017) at 12 months. Significant improvements in SIP scores were noted overall (repeated-measures ANOVA, P < .001) and at 3 (P = .003) and 12 months (P < .001). The combined average Ashworth Scale score of the upper and lower limbs decreased by 1.27 +/- 0.76 (P < .001) at 3 months and by 1.39 +/- 0.73 (P < .001) at 12 months from baseline, which was significant overall (repeated-measures ANOVA, P<.001). Strength in the unaffected side did not change overall (repeated-measures ANOVA, P = .321) or at either 3 (P = .553) or 12 months (P = .462). Minimal adverse events and device complications were reported. CONCLUSIONS: There was significant improvement in function, QOL, and spastic hypertonia at 3 and 12 months after implant, without adversely affecting muscle strength of the unaffected limbs. Data suggest that ITB therapy is a safe and efficacious treatment for spastic hypertonia resulting from stroke 6 `#%JOUR@WB@9 DOI: 10.1080/09638280600964364@ ONOT IN FILEDisability and RehabilitationPublicationPeer reviewedf @[ vvv`T(#%JOURWest Nile poliomyelitisz@9@=$@ OIN FILE910Lancet Infect Dis31PublicationPeer reviewedWilson Research Foundation, Jackson, MS, USA.Center for Neuroscience and Neurological Recovery, Methodist Rehabilitation Center, Jackson, MS, USA. dstokic@mmrcrehab.orgPM:12505023file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr448 laninfectdis03 Leis Lancet Infectious Diseases[jn].pdf 5)))))))migYMA5#%JOUR@W@9@=d@ OIN FILE9971005Brain Inj2010PublicationPeer reviewedNational Institute on Disability and Rehabilitation Research for the Collaborative Study on Impaired Self-awareness after Traumatic Brain Injury (NIDRR Grant #H133A980067)^ZMethodist Rehabilitation Center, Jackson, Mississippi 39216, USA. marks@mmrcrehab.orgPM:17046799file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr450 bi06 Sherer Computed tomography findings and early cognitive outcome after tbi.pdf vvvrrrn\TN@4(#%JOUR@Wv@9@=Z@ OIN FILE15091515Arch Phys Med Rehabil8711PublicationPeer reviewedSupported by Medtronic Inc. @XBrain Injury and Stroke Program, The Institute for Rehabilitation and Research, Houston, TX 77030, USA. cindy.ivanhoe@memorialhermann.orgPM:17084128file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr451 apmr06 Ivanhoe Intrathecal Baclofen Management of Poststroke Spastic Hypertonia-Implications for Function and Quality of Life.pdf *^VN@4(#LVALPRIMARY OBJECTIVE: To examine the relationship between CT abnormalities and early neuropsychological outcome following traumatic brain injury (TBI) using quantitative CT analyses, data reduction methods for neuropsychological results and specific hypotheses based on literature review. RESEARCH DESIGN: Observational, prospective cohort study using acute (emergency) CT data and neuropsychological test data from 89 participants with TBI who were hospitalized for rehabilitation. METHODS AND PROCEDURES: Principal components analysis with varimax rotation was used to reduce data from a standard battery of eight neuropsychological tests administered after clearance of post-traumatic amnesia (1 month post-TBI on average). Bivariate correlations were used to examine relationships of three factors (verbal memory, cognitive processing speed and verbal working memory) to quantitative volumetric analysis of CT scan abnormalities (size, number and location). Specific hypotheses as to CT predictors of poor performance on each factor were tested using multivariable linear regression that included injury severity and demographic variables. MAIN RESULTS: Eighty-nine per cent of participants had some pathology on initial CT. Age, education and time to follow commands (TFC), an index of overall injury severity, were significantly associated with the neuropsychological factors. However, none of the specific hypotheses about CT scan variables and cognitive outcome were strongly supported by the data. There was a trend for any CT abnormality to predict slower speed of processing and for higher number of brain lesions to predict worse memory performance. CONCLUSIONS: Despite the precision added by quantitative CT analysis, CT findings did not improve on demographic factors and TFC in predicting early cognitive outcome of TBI. Imaging methods that are more sensitive to white matter integrity may be needed to develop pathophysiologic predictors of TBI outcomeLVALObjective. To examine the perceived information needs of community-dwelling individuals with chronic spinal cord injury (SCI) and to determine factors that influence these needs. Design and participants. Cross-sectional survey mailed to 620 persons with chronic SCI who completed acute inpatient rehabilitation. Results. Of 103 (17%) returned surveys, 82 contained complete information and were useable for this study. Individuals with chronic SCI (M time since injury = 7 6 years) endorsed a multitude of information needs across a broad range of domains. Participant endorsements were most commonly observed in the areas of aging (73%), research (72%), financial aid (66%), and education (63%). Independent variables expected to influence information needs, including Internet use, whether the rehabilitation specialist also served as the primary care physician, and time since injury, showed no significant effect. Race/ethnicity was found to predict perceived information needs, with nonwhite participants endorsing a significantly greater degree of needs than white participants in 11 of 23 (48%) domains. Conclusions. Perceived information needs of community-dwelling persons with SCI are not fully met years after discharge from acute inpatient rehabilitation, which may have implications with respect to psychological adjustment. Race/ethnicity appears to exert a significant influence on the endorsement of perceived information needs, but this finding must be investigated further considering other possible mediating/moderating variables. Results must be considered in light of the relatively low response rate of eligible participants. Keywords: Information; race; rehabilitation; spinal cord injuriesLVAL. The rate at which individuals are capable of processing information is considered a sensitive indicator of brain dysfunction, particularly among clinical populations whose neurocognitive impairments generally are considered relatively mild in nature. Assessment of information processing speed often is confounded, however, by comorbid impairments in other constructs of neurocognition, including attentional capacity, visuospatial perception, language, immediate memory, and motor speed/coordination. This investigation examined the effect of controlling for various potential confounders on the strength of associations among several potential measures of information processing speed. Participants were 64 patients diagnosed with clinically definite multiple sclerosis. Analysis indicated consistent significant and positive associations among measures of processing speed, which generally persisted despite simultaneous statistical control of potential confounding factors. Results imply that examined confounding variables are similarly related to the measures of processing speed. Therefore, any of the measures of information processing speed considered in this study may be used as a proxy for the more direct measure of this construct derived from the Sternberg Memory Scanning TestIntrathecal baclofen (ITB) therapy has been increasingly employed for the management of poststroke spastic hypertonia, a complication that can lead to deformity, discomfort, and exacerbation of motor impairments. Because its use in stroke is not as established as other indications, ITB therapy has not been subjected to rigorous investigation. There is limited evidence to guide clinicians regarding application of this therapy in this patient population. This article aims to review the available scientific literature and the opinion of several experts on the topic. It will also describe the recommendations of these experts with regard to addressing common clinical situations that may influence treatment decisions in the stroke population6 r } %JOUR@ WKastner J;Gontkovsky STAggression;Violence;NOT IN FILE46Forensic Therapist52PublicationPeer reviewed oMA#%JOUR@ WGontkovsky ST;Beatty WW@ =@^NOT IN FILE13171325Int J Neurosci11611PublicationPeer-reviewed @\Center for Neuroscience and Neurological Recovery, Methodist Rehabilitation Center Jackson, Mississippi, Jackson 39216, USA. sgontkovsky@hotmail.comPM:17000532 ! woYMA#%CONF@WStokic DS; GSPr@OIN FILE7981PresentationPlatformInternational symposium of spinal cord motor control (Ljubljana, Slovenia, September 7-9, 2006) Proceedings, pages 79-81'From denervated muscles to neurocontrol of locomotion'2006 ~~~~ffffffffb^PD8#%CONF@WObrien CG;Gontkovsky STIN FILEPresentationPlatformannual meeting of the Mississippi Psychological Association, Jackson, MS.September, 20062006 USSSSSSSSSKKK?????ggggggggggYMA#%CONFb@WHolmes S;Gontkovsky STIN FILEPresentationPlatformannual meeting of the Mississippi Psychological Association, Jackson, MS. September, 20062006 VTTTTTTTTTLLL@@@@@~ffffffffffXL@#%JOUR@W|@9b@ = @OIN FILE7485Top Stroke Rehabil134PublicationPeer-reviewedFunding for the consensus panel meeting held on April 30 to May 1, 2005, was provided byMedtronic, Inc.@\Physical Medicine and Rehabilitation, Brain Injury and Stroke Program, University of Texas Health Science Center-Houston, The Institute for Rehabilitation and Research, Houston, Texas, USAPM:17082172file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr444 topstrehab06 Francisco Consensus panel guidelines for the use of intrathecal baclofen therapy in poststroke spastic hypertonia.pdf ~~~~~~~zVRN@4(#pLVAL, l  6TrX@Brain;Brain Injuries;brain injury;injuries;methods;Practice Guidelines;Prospective Studies;rehabilitation;Rehabilitation Centers;Vena Cava Filters;Venous Thrombosis;Brain;Brain Injuries;brain injury;diagnosis;Incidence;injuries;rehabilitation;Sensitivity and Specificity;Brain;Brain Injuries;brain injury;Epilepsy;injuries;Seizures;Brain;Brain Injuries;brain injury;injuries;spasticity;Brain;Brain Injuries;brain injury;injuries;Brain;Brain Injuries;brain injury;injuries;Brain;Brain Injuries;brain injury;injuries;Adult;Brain;Brain Injuries;brain injury;injuries;Adult;Brain;Brain Injuries;brain injury;injuries;Brain;Brain Injuries;brain injury;injuries;Psychotherapy;Self Concept;Brain;Brain Injuries;brain injury;injuries;Attention;Brain;Brain Injuries;brain injury;Dementia;Depression;etiology;injuries;Language;Memory;rehabilitation;Affect;Brain;Brain Injuries;brain injury;complications;Employment;injuries;rehabilitation;Brain;Brain Injuries;brain injury;Burns;education;Evidence-Based Medicine;Humans;injuries;Mass Screening;methods;Prognosis;rehabilitation;Research Design;spinal;Spinal Cord;Spinal Cord Injuries;standards;therapy;analysis;Attention;Brain;Brain Injuries;brain injury;education;injuries;Male;Memory;methods;psychology;rehabilitation;trends;Brain;Brain Injuries;brain injury;Confusion;Delirium;diagnosis;education;Glasgow Coma Scale;injuries;methods;Prospective Studies;rehabilitation;Brain;Brain Injuries;brain injury;Confusion;injuries;Brain;Brain Injuries;brain injury;injuries;Brain;Brain Injuries;brain injury;injuries;Brain;Brain Injuries;brain injury;Confusion;injuries;analysis;Brain;Cognition;Cognition Disorders;complications;diagnosis;Diagnosis,Differential;Female;Humans;Language;Male;Memory;methods;Mississippi;Multiple Sclerosis;Neuropsychological Tests;Perception;physiology;physiopathology;Predictive Value of Tests;Prospective Studies;psychology;Psychomotor Performance;Reaction Time;rehabilitation;standards;Time Factors;$6=l w3<%JOUR@WL@9@ =F@OIN FILE13191326J Clin Psychol6210PublicationPeer reviewed @aCentral Missouri State UniversityPM:16897733file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr431 jclpsych06 Ryan Wechsler Adult Intelligence Scale-III Inter-Subtest Scatter-A comparison of brain-damaged patients and normal controls.pdf ~~~z^VN@4(#%JOUR@WGontkovsky ST;Winkelmann MH@OIN FILE58Journal of Cognitive Rehabilitation24PublicationPeer-Reviewed@`Samuel T. Gontkovsky, Psy.D., Department of Psychology, Jackson State University, 1400 J.R. Lynch Street, Jackson, MS 39217 and Michael H. Winkelmann, M.D., Methodist Rehabilitation Center, Jackson, MS.file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr432 jcogrehab06 Gontkovsky Improved cognition with methylphenidate status post cerebellar tumor resection-A case report.pdf omk]QE#%JOUR@ Wj@9~@ =\@OIN FILE12831289Clin Neurophysiol117PublicationPeer reviewedSystem of Mississippi, funded by the NIDRR Supported in part by the Traumatic Brain Injury Modelisability and Rehabilitation Research (NIDRR)Washington, DC, and the Wilson Research Foundation, Jackson, MS, USA. @`Center for Neuroscience and Neurological Recovery, Jackson, MS, USAPM:16621691file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr435 Stokic CNphys06 Dose-response relationship between the H-reflex and continuous intrathecal baclofen administration for management of spasticity.pdf fffffffZZZZ^VN@4(#%CONF@ Wd@9IN FILEInternational Journal of NeurosciencePresentationPosterannual meeting of the American Psychological Association, New Orleans August 10-13, 20062006 xxxlllllNNN@4(#%CONFx@ WWinkleman M;Gontkovsky Sblood;Methylphenidate;IN FILEPresentationPoster2nd Modern Drug Discovery and Development Summit (M3D) December 4-6, 2006 in Philadelphia,PA.2006 trrrrrrrrrjjj^^^^^rNB#nLVALFMultiple neurotransmitters have been implicated in the variable and complex detrimental sequelae of acquired brain injury.Although the processes by which these substances are affected following injury remain poorly understood, empirical investigations continue to explore the normal restoration of neurotransmitter functioning through use of various pharmacological agents. For example, multiple dopaminergic agonists, including levodopa, bromocriptine, amantadine, and methylphenidate have been utilized to facilitate emergence from low response states, such as coma (Patrick, Buck, Conaway, & Blackman, 2003).OBJECTIVE: To determine the relationship between the H-reflex (H/M ratio) and continuous intrathecal baclofen (CITB) dose after pump implantation for control of spastic hypertonia. METHODS: Soleus H-reflexes were serially recorded in 34 subjects (19 men, mean age 32 years, mean follow-up 1.7 years) during simple continuous mode of CITB delivery. Different fitting methods were explored to determine which function best described changes in H/M ratio with increasing CITB dose. We then calculated effective CITB doses yielding H/M ratios equal to 75, 50, and 25% (ED(75), ED(50), ED(25)) of the baseline recorded before the implant in 22 subjects. RESULTS: We found a significant dose-response relationship between the soleus H/M ratio and CITB dose. A two-decay exponential function was the best fit on each side for pooled data, but a general linear model when controlling for subject. The mean ED(75), ED(50), ED(25) were 30, 70, and 110mcg/day. Logistical regression predicted with high probability that the H/M ratio should be less than 30% at CITB doses above 150mcg/day. CONCLUSIONS: H/M ratio is strongly dependent on CITB dose. It sharply decreases up to 150mcg/day of CITB followed by a plateau. SIGNIFICANCE: Establishing the relationship between the H/M ratio and CITB dose may be useful for dose titration and early identification of an ITB system malfunctionHLVALXThis study assessed the validity of Wechsler Adult Intelligence Scale-Third Edition (WAIS-III) inter-subtest scatter (as measured by the scaled score range) as an indication of cognitive impairment due to brain dysfunction. Participants were 174 individuals with documented brain damage. Means for age, education, and WAIS-III full-scale IQ were 49.19 years (SD = 15.33), 12.57 years, (SD = 2.78), and 88.45 (SD = 17.78). The scatter ranges for brain-damaged participants were compared with those of the WAIS-III standardization sample. Results indicated that the full-scale IQ is significantly correlated with amount of scatter, r(172) = .42, p < .0001, so that a definitive answer to the question requires control of full-scale IQ. In the present analyses, inter-subtest scatter among the individuals for the sample as a whole was no greater than that for persons in the standardization sample, but subtest scatter was significantly greater for participants with IQs >/= 90. This finding suggests that there may be small differences in scatter between brain-damaged persons and normal controls, but that scatter is relatively insensitive to the presence of brain damage or dysfunction. Therefore, interpretation of marked inter-subtest variability as a sign of brain damage appears unwarranted. (c) 2006 Wiley Periodicals, Inc. J Clin Psychol 62: 1319-1326, 20062LVALL t  f lXVvEmerging Insights into the Management of Venous Thromboembolic Disease among Patients with Acquired Brain InjuryBotulinum Toxin: Management of Spastic Hypertonia among Patients with Acquired Brain InjuryManagement of Venous Thromboembolic Disease among Patients with Acquired Brain Injury: Controversies and ConsensusManagement of Spastic Hypertonia among Adults with Acquired Brain InjuryManagement of Spastic Hypertonia among Adults with Acquired Brain InjuryTechnical tips: Normal ulnar sensory responses with conduction block at the elbow.Importance of montage variation for the assessment of the cervical spinal cord. Response letter to editorSilent periods and long latency reflexesNeuromuscular Manifestations of Human West Nile Virus InfectionAtlas of Nerve Conduction Studies and ElectromyographyGroup psychotherapy focusing on self-concept change following acquired brain injury: A pilot investigation.Analysis of the RBANS Picture Naming subtestWAIS-III VIQ-PIQ discrepancies in lateralized cerebral damageComparison of the DKEFS Verbal Fluency subtest, Trail Making Test B, and WCST-64 in persons with acute traumatic brain injuryThe effect of depressive symptomatology on RBANS performance.Current standards for the diagnosis and treatment of bipolar disorders: Medical and psychological perspectivesRecognizing and managing bipolar disorderEffect of urbanicity of residence on TBI outcome at one year post-injury.Applying evidence standards to rehabilitation researchRelationship of initial CT scan data to early neuropsychological assessment in TBI patientsInitial neuroimaging is predictive of confusion at one-month post traumatic brain injury.Behavioral effects of frontal lobe injuryConfusion following traumatic brain injuryImpaired self-awareness after traumatic brain injuryComparison of indices of severity of traumatic brain injuryConfusion following traumatic brain injuryNeurophysiological monitoring for intrathecal baclofen pump management and troubleshooting6W  n +%ABST@b^@9 @^IN FILE21Journal of the International Neuropsychological Society12suppliment 1PresentationPosterPresented at the 2006 annual meeting of the International Neuropsychological Society, Boston, Massachusetts.Poster 34@d2006file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr421 ijns06 Nakasa- Richardson Objective-Evaluate the contribution of early neuroimaging in the prediction.pdf NLLLRRN@4(#%CONFR@b Sherer MFrontal Lobe;injuries;IN FILEPresentationPlatformAdvanced Management of Executive Dysfunction conference, California Pacific Medical Center, San Francisco, September 16, 2005.2005 ppppppppppb>2#%CONFT@b Sherer Mj@^IN FILEPresentationInvitedMayo Clinic College of Medicine Twelfth Annual Brain Injury Conference, Rochester, MN, June 24, 2005.2005 ^\\\\\\\\\TTTHHHHH~pXXXXXXXXXXJ>2#%CONFh@b Sherer MV@^IN FILEPresentationKeynoteMayo Clinic College of Medicine Twelfth Annual Brain Injury Conference, Rochester, MN, June 24, 2005.2005 ^\\\\\\\\\TTTHHHHH~pXXXXXXXXXXJ>2#%CONFv@b`@9V@^IN FILEPresentationPapermeeting of the International Neuropsychological Society, St. Louis, MO, February 3, 2005.2005 8666666666..."""""pfNNNNNNNNNN@4(#%CONFT@bYablon SA;Sherer Mj@^IN FILEPresentationInvitedNeuroscience Lecture Series, Methodist Rehabilitation Center, Jackson, Mississippi, August 24, 2005.2005 fddddddddd\\\PPPPPzbbbbbbbbbbTH<#%CONF@b Stokic DS baclofen;IN FILEPresentationKeynote2nd World Congress of Physical and Rehabilitation Medicine, Prague, Czeck Republic, May, 20032003 ZXXXXXXXXXPPPDDDDD|ddddddddddV?3#hLVALxObjective: Evaluate the contribution of early neuroimaging in the prediction of acute confusion status at one-month post traumatic brain injury (TBI).Participants and Methods : Prospective study in a consecutive sample of TBI admissions to an inpatient brain injury rehabilitation program. Eighty participants from a sample of 144 TBI Model System admissions. Assessments included weekly determination of acute confusion status with a variety of delirium measures. Ratings by experienced clinical neuropsychologists were utilized to determine if subjects metDSM-IVDiagnostic Criteria. Evaluations closest to one-month post injury were utilized for study purposes.Results : Binary logistic regression was used to predict DSM-IV diagnosis of acute confusion/delirium at one-month post injury. Age, education, emergency department Glasgow Coma Scale (GCS), and number of lesions (intraparenchymal contusions and extra-axial collections) on initial CT scan accounted for 33% of outcome variance with age, GCS, and number of lesions on CT scan being significant predictors. The values of the coefficients reveal individuals at the 75th percentile of age (43) were 2.4 times more likely to be confused than individualsat the 25th percentile (21). Individuals with 4 lesions on CT (75th percentile) were 2.64 times more likely to be confused than individuals with 1 lesion (25th percentile). Individuals with a GCS of 5 were 2.94 times more likely to be confused than individuals with a GCS of 12.Conclusions : In addition to demographic and traditional injury severity indices, initial CT scan findings provide unique contributions in predicting neurobehavioral status at one-month post injury.Correspondence: Risa Thompson-Richardson, Ph.D., Neuropsychology, Methodist Rehabilitation Center, 1350 East Woodrow Wilson Drive, Jackson, MS 39216. E-mail: nakase@aol.com(LVAL8Objective: This study examined the relationship between initial computedtomography (CT) scan findings and early cognitive status in traumaticbrain injury (TBI) patients. The study objective was to determinewhether CT scan findings provide information that makes acontribution to prediction of early cognitive status beyond that made bydemographic and injury severity variables.Participants and Methods : Participants were 89 patients admittedfor inpatient rehabilitation after TBI. Subjects were predominantly male(72%) with mean age and education of 31 and 12 years, respectively.Injury severities as determined by Glascow Coma Scale criteria weremild (N=23), moderate (N=19), and severe (N=47). CT scan data wereobtained within 24 hours of injury. The average time from injury to neuropsychologicalevaluation was 30 days. Factor analysis of neuropsychologicaltest scores revealed Memory, Cognitive Processing Speed, andLanguage/Attention factors. Associations among demographic, injuryseverity (time to follow commands), CT scan variables and the threefactor scores were examined using bivariable correlations and multivariablelinear regression.Results : The Memory factor was predicted by education and injuryseverity with a trend for number of lesions on initial CT. The CognitiveProcessing Speed factor was predicted by age, education, and total contusionvolume on initial CT with trends for injury severity and abnormalCT (yes/no). The Attention/Language was predicted by age and injuryseverity.Conclusions : The associations between initial CT scan findings andearly cognitive status were modest at best. Demographic variables (ageand education) and injury severity (time to follow commands) were moreuseful in predicting early cognitive status. The hypothesis that initialCT scan findings would make an additional contribution to predictionof early cognitive status was not supported.6= P%JOUR@ br@ 9@=@^IN FILE701709Brain Inj207PublicationPeer-reviewedThis investigation was supported by funding from the National Institute on Disability andRehabilitation Research for the TBI Model System of Mississippi (NIDRR Grant #H133A980035)."h'Correspondence: Mark Sherer, PhD, Methodist Rehabilitation Center, 1350 E. Woodrow Wilson, Jackson, MS 39216, USA. Tel: 601 364 3448.Fax: 601 364 3558. E-mail: marks@mmrcrehab.orgISSN 0269 9052 print/ISSN 1362 301X online 2006 Taylor & FrancisDOI: 10.108PM:16809202file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr418 bi06 Gontkovsky Effect of urbanicity of residence on TBI outcome at one year post-injury.pdf `^^^*    rrrppplZTN@4(#%JOURl@bJohnston MV;Sherer M;Whyte J@ =@^IN FILE292309Am J Phys Med Rehabil854PublicationPeer reviewedSupported, in part, by the Henry H.Kessler Foundation, West Orange, New Jersey.T @gOutcomes Research, Kessler Medical Rehabilitation Research and Education Corporation, West Orange, New Jersey 07079, USAPM:16554683file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr419 ajpmr06 Johnston Applying Evidence Standards to Rehabilitation Research..pdf rvvvvxrl^RF#%ABST@b@9@^141Journal of the International Neuropsychological Society12S1PresentationPosterPresented at the 2006 annual meeting of the International Neuropsychological Society, Boston, Massachusetts.@e2006Correspondence: Josephine H. Stouter, Ph.D., Neuropsychology,Methodist Rehabilitation Center, 1350 E. Woodrow Wilson, Jackson, MS39216. E-mail: jstouter@mmrcrehab.orgfile://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr420 ijns06 strouter Relationship of initial CT scan data to early neuropsychological assessment in TBI patients.pdf trrrFF@@4(#LVALOBJECTIVE: To describe evidence grading methods employed in the systematic reviews in this special series of articles. To provide an overview of results of these reviews to critique the quality of rehabilitation research. To identify issues in the application of evidence grading methods to rehabilitation. DESIGN: Conceptual review of evidence-based practice and evidence grading methods. English-language research studies on rehabilitation of persons with spinal cord injury, traumatic brain injury, and burn for the 5-yr period of 1999-2004 were reviewed using methods of the American Academy of Neurology supplemented by Cochrane criteria and summarized. RESULTS: Rehabilitation has a shortage of high-level studies. The number of level 1 treatment studies was quite limited (five in spinal cord injury, 15 in traumatic brain injury, 12 in burn rehabilitation), as was the number of level 2 studies (26, 4, and 2, respectively). Despite the large number of correlational studies published, the number of high-level (1 or 2) diagnostic and prognostic studies was surprisingly limited (34, 11, and 5, respectively). The rate of production of high-level studies is rapidly increasing. Problems were encountered in applying standard evidence criteria to complex issues encountered in some studies, suggesting limitations and issues in evidence grading methodology. CONCLUSIONS: Rehabilitation needs more high-level studies. Some improvements in research methodology are relatively affordable (e.g., improved blinding), whereas others are expensive (e.g., large randomized controlled trials). Lower-level investigations reporting promising results need to be followed by more definitive, higher-level trialsLVAL'iAbstractObjective: To determine the impact of urbanicity of residence and occurrence of medical complications on outcome after traumatic brain injury (TBI).Study design: A consecutive series of persons admitted for inpatient TBI rehabilitation followed for 1 year post-injury.Setting: Inpatient brain injury rehabilitation programme in the southeastern US.Participants: One hundred and eleven persons with severe (67%), moderate (18%) or mild (15%) TBI.Outcome measure: Functional status at 2 year post-injury as measured by the Disability Rating Scale (DRS).Results: Functional status at follow-up was predicted by age, DRS at admission for rehabilitation, injury severity,alcohol use, continued need for medications and medical complications (validated R20.57; p<0.0001). Urbanicity of residence was not predictive of functional status.Conclusions: As expected, participants who experienced more medical complications and required continued use of medications had poorer functional outcomes. Contrary to expectation, more rural residents did not have poorer outcomes than persons residing in more urban areas.Keywords: Disability rating scale, medical complications, outcome, traumatic brain injury, urbanicityIntroduction Traumatic brain injury (TBI) represents a significant public health concern and poses a substantial economic drain upon the financial resources of the larger society as well as those of the individual survivor and his/her family. Technological advances over the past two decades, allowing for more efficient and effective forms of evaluation and intervention during the acute stages of injury, have resulted in decreased mortality rates and increased life expectancies post-injury for persons sustaining TBI. A large percentage of individuals with TBI,in particular those with severe TBI, suffer permanent impairments resulting in chronic disability [1]. Indeed, Dawson and Chipman [2], in a largecensus-based investigation of individuals with TBI, identified long-term deficits in performingdaily household ta LVAL sks, difficulties with resumption of employment and deficiencies with regard toparticipation in leisure/recreational and social activities. Decreased rates of mortality and increasedlife expectancies in conjunction with post-injury limitations for individuals with TBI necessitate theidentification of variables that affect outcome in order to facilitate the development of successfulrehabilitation interventions.6p %BOOKl@bLeis AA;Schenk M;Trapani VElectromyography;NOT IN FILEOxford University PressPublicationPeer-reviewed oPD#%JOUR@b`@l@ ^3035Rehabilitation Psychology511PublicationPeer-reviewedfile://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr411 rehabpsych06 Vickery Group Psychotherapy Focusing on Self-Concept Change Following Acquired Brain Injury-A Pilot Investigation.pdf ><<<~~~zHD@@4(#%CONFX@bGontkovsky ST analysis;NOT IN FILEPresentationPosterannual meeting of the American Psychological Association, Washington, DC. 4222222222222&&&&&ppppppppppZC7#%CONFz@b`@lNOT IN FILEInternational Journal of NeurosciencePresentationPosterannual meeting of the American Psychological Association, Washington, DC. August 18-21,20052005 zzzzzVVV@4(#%ABST@ bv@!9V@ ^NOT IN FILE7Journal of the International Neuropsychological Society11S1PresentationPosterannual meeting of the International Neuropsychological Society, St. Louis, MO XXV@4(#%ABSTz@ bVickery C;Gontkovsky ST@ ^IN FILE926Archives of Clinical Neuropsychology197PresentationPosterthe annual meeting of the National Academy of Neuropsychology, Seattle, WA.f @k2004file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr415 arclnphys04 Vickery The effect of depressive symptomatology on RBANS performance..pdf uuuuummgYMA#%CONF@ bGontkovsky STdiagnosis;standards;IN FILEPresentationSymposiumannual meeting of the Mississippi Psychological Association, Vicksburg, MS. A????????????33333sssssssssseC7#%CONFR@ bGontkovsky STIN FILEPresentationSymposiumMississippi Osteopathic Medical Association Annual Coast Conference, Sandestin, FL2005 A?????????777+++++u]]]]]]]]]]OC7#LVALObjective: Considerable research has explored the impact of depression on neurocognitivefunctioning, particularly in reference to the effects of depression on various neuropsychologicaltasks. The present study investigated the impact of self-report of depressive symptomson the index scores of the Repeatable Battery for the Assessment of Neuropsychological Status(RBANS). Method: Eighty patients with various neurological disorders (primarily stroke;traumatic brain injury patients and patients with dementias of varying etiologies were alsoincluded) were assessed with the RBANS in an acute inpatient rehabilitation setting. RBANSperformance of patients who endorsed items above the cutoff score (>10) on the Geriatric DepressionScale (GDS) was compared with that of patients who fell below the GDS cutoff. Results:There were no significant differences between the two groups on the five RBANS indices(Immediate Memory, Visuospatial/Constructional, Language, Attention, Delayed Memory) orthe Total Scale score. In addition, no significant correlations were found between scores onthe GDS and the RBANS indices. Conclusions: Although it is possible that the RBANS is notcomposed of subtests that would be particularly sensitive to the effects of depressive symptomatology, the present results are consistent with the findings of Rohling, Green, Allen, andIverson (2002), which suggest that depression does not negatively impact neuropsychologicalfunctioning.LVAL'@^ z  &  R,V`|:@|Ryan JJ;Carruthers CA;Miller LJ;Souheaver GT;Gontkovsky ST;Zehr MDBeatty WW;Ryder KA;Gontkovsky ST;Scott JG;McSwan KL;Bharucha KJMcSwan KL;Gontkovsky ST;Splinter MYGontkovsky ST;Vickery CD;Beatty WWGontkovsky ST;Vickery CD;Parker R;Doughty AGontkovsky ST;Mcdonald NB;Ruwe WD;Spielberger CDGontkovsky ST;Russum PR;Stokic DSGontkovsky ST;Mcdonald NB;Ruwe WD;Spielberger CDRyan JJ;Carruthers CA;Miller LJ;Souheaver GT;Gontkovsky ST;Zehr MDGontkovsky ST;Vickery CD;Beatty WWMcdonald NB;Gontkovsky ST;Ruwe WDCarruthers CA;Ryan JJ;Souheaver GT;Gontkovsky ST;Zehr MDGontkovsky S;Mcdonald N;Hantla M;Ruwe WNakase-Thompson R;Manning E;Sherer M;Yablon S;Gontkovsky S;Vickery CMiller LJ;Ryan JJ;Burton B;Souheaver GT;Gontkovsky STStokic DS;McKay WB;Scott L;Sherwood AM;Dimitrijevic MRAnderson S;Gontkovsky S;Sherer M;Nakase-Thompson R;Yablon S;Sander A;High WSherer M;Hart T;Whyte J;Nick TG;Yablon SAEvans C;Sherer M;Nick T;Nakase-Richardson R;Yablon SGontkovsky ST;Mcdonald NB;Clark PG;Ruwe WDAupperle RL;Beatty WW;Shelton FN;Gontkovsky STRyder KA;Gontkovsky ST;McSwan KL;Scott JG;Bharucha KJ;Beatty WWGontkovsky ST;Nakase-Richardson RVickery CD;Gontkovsky ST;Caroselli JSLim HK;Lee DC;McKay WB;Protas EJ;Holmes SA;Priebe MM;Sherwood ALee DC;Horn TS;Ramshur J;Stokic DSHahn PJ;Lee DC;Russo GS;Vitek JL;McIntyre CCMcIntyre CC;Lee DC;Lee KH;Hitti FL;Roberts DW;Leiter JCHitti FL;McIntyre CC;Lee DC;Shalinsky MH;Roberts DW;Leiter JC;Lee KHLeis AA;Fratkin J;Stokic DS;Harrington T;Webb RM;Slavinski SAEvans CC;McCauley S;Levin H;Boake C;Contant C;Song IShird L;Nakase-Thompson R;Gontkovsky ST;Swearingen AD;Sherer MHigh WM;Roebuck-Spencer T;Sander AM;Struchen MA;Sherer MCarlile MC;Yablon SA;Mysiw WJ;Frol AB;Lo D;Diaz-Arrastia RYablon SA;Daggett S;Lai F;Brin MFYablon SA;Winkelmann M;Culver SJ;Goodson KNakase-Richardson R;Sherer M;Yablon SAVickery CD;Gontkovsky ST;Wallace JJ;Caroselli JSRyan JJ;Morris J;Gontkovsky ST;Cluff RB;Brown KI-6 2  uM%CONF@b Yablon SAV@^IN FILEPresentationCourseAnnual Conference of the Beijing Rehabilitation Medicine Association, Beijing, Peoples Republic of China, August 27, 1997. }}}}}}}}}}}}qqqqq}qYYYYYYYYYYK?3#%CONF@b Yablon SAV@^IN FILEPresentationCourse1997 Annual Conference of the Southern Society of Physical Medicine and Rehabilitation, Orange Beach, Alabama, May 30, 1997 sssss}qYYYYYYYYYYK?3#%CONF@b Yablon SAb@ ^IN FILEPresentationCourseCentro Estudios Medicos/Instituto de Educacion, Buenos Aires, Argentina, March 19, 1997. ;999999999999-----}qYYYYYYYYYYK?3#%CONF"Management of Spastic Hypertonia Yablon SAIN FILEPresenttionCourseChildhood Neurological Foundation, Buenos Aires, Argentina, March 18, 1997. A????????????33333{{{{{{{{{{maU>#%CONF@b Yablon SAb@ ^IN FILEPresentationCourseSa Paulo/Brasil Physical Medicine and Rehabilitation Society, Sa Paulo, Brazil, March 17, 1997. MKKKKKKKKKKKK?????}qYYYYYYYYYYK?3#%JOUR@bKuhn A;Hayes ANOT IN FILEAmerican Journal of Electroneurodiagnostic TechnologyPublicationPeer-reviewednone fffPD8#%JOUR@bHayes A;Leis AA;Stokic DSspinal;Spinal Cord;NOT IN FILEAmerican Journal of Electroneurodiagnostic Technology 2002PublicationPeer-reviewed 8666666666666******pOC#%CHAPP@b Leis AA Reflex;NOT IN FILE295306Comprehensive Clinical NeurophysiologyLevin K;Wilbourn A;New York, 2000WB SaundersPublicationPeer-reviewed VTTTTTTTTTTTTHHHHHH.tttnhR=1#%JOUR~@b Leis AAHuman;West Nile virus;NOT IN FILE47CNP NEWS10PublicationPeer-reviewedOfficial Newsletter of the American Academy of Neurology Clinical Neurophysiology Section }}}}}{ywa=1#64 3%ABST6@oYablon SA;Li Z@sIN FILE228Am J Phys Med Rehabil843PreserntationPosterAnnual Meeting of the Association of Academic Physiatrists Tucson, ArizonaFebruary 22-26, 2005Yablon SA;hr2005file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr391 ajpmr05 Yablon Adjunctive musculoskeletal sonographic imaging to facilitate localization of targeted hypertonic muscles during botulinum toxin chemodenervation procedures.pdf xvvvvvvvdd^PD8#%ABST@oCarlile MC;Mysiw WJ;Yablon SAJ@^IN FILEE17Arch Phys Med Rehabil859PresentationPoster Grand Round65th Annual Assembly of the American Academy of Physical Medicine and Rehabilitation in conjunction with the American Hospital Section for Long-Term Care and Rehabilitation and the American Medical Rehabilitation Providers Association in Phoenix, AZ, OctoCarlile MC;q2004file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr392 apmr04 Carlile a practice survey of deep vein thrombosis management in the traumatic brain injury model systems- A program survey.pdf ssm_SG#%ABST@@o!Yablon SA;Strayer JR;Cuellar LM@^IN FILE171Am J Phys Med Rehabil762PresentationPosterAssociation of Academic Physiatrists Annual Meeting, February 1997-Colorado Springs, ColoradoYablon SA;* @p1997 uuoaUI#%CHAPF@oYablon SA;Dostrow Vz@^IN FILENeurorehabilitation of Traumatic Brain Injury. 2nd EdKatz DI;Zafonte R;Zasler ND;Philadelphia, PAHanley & BelfusPublicationPeer-reviewednone2005 {{{{ssYC%cccccUI=#%CONF@o Yablon SAl@^IN FILEPresentationCourseInternational Rehabilitation Medicine Association, Kyoto, Japan, September 2, 1997. 1////////////#####}qYYYYYYYYYYK?3#%CONF@b Yablon SAV@^IN FILEPresentationCourseAnnual Conference of the Beijing Rehabilitation Medicine Association, Beijing, Peoples Republic of China, August 26, 1997 }{{{{{{{{{{{{ooooo}qYYYYYYYYYYK?3#LVALd  , P vl|Development of a teleconference program for spinal cord injury education after discharge.Development, implementation, and short-term outcomes of a telephonic post-discharge spinal cord injury education programA clinical overview of treatment decisions in the management of spasticityIncidence and sequelae of symptomatic venous thromboembolic disease among patients with traumatic brain injuryEarly versus later admission to postacute rehabilitation: impact on functional outcome after traumatic brain injuryDeep venous thrombosis management following traumatic brain injury: a practice survey of the traumatic brain injury model systemsThe development of toxin neutralizing antibodies with botulinum toxin type A (BoNTA) treatment.A potential complication of combined intrathecal drug administration: Autonomic dysreflexia as the presenting manifestation of intrathecal morphine withdrawal despite unchanged intrathecal baclofen administration for spasticity of spinal cord originDegree of acute confusion at 1 month after traumatic brain injury predicts employability at 1 year postinjuryToxin neutralizing antibody formation with botulinum toxin type A (BoNTA) treatment in neuromuscular disordersToxin neutralizing antibody formation with botulinum toxin type A (BoNTA) treatment in neuromuscular disordersThe 'bulging skull defect sign' as an indicator of posttraumatic or post-stroke hydrocephalus.Adjunctive musculoskeletal sonographic imaging to facilitate localization of targeted hypertonic muscles during botulinum toxin chemodenervation proceduresA practice survey of deep vein thrombosis management in the traumatic brain injury model systems: A program surveyUse of the D-dimer quantitative assay and impedance plethysmography in the diagnosis of venous thromboembolic disease among patients with acquired brain injury.Posttraumatic seizures and epilepsyAdvances in the Treatment of Traumatic Brain Injury: Management of SpasticityLVALVenous thromboembolism (VTE) is a potentially life-threatening complication among patients with acquired brain injury (BI) and is frequently asymptomatic. Rehabilitation hospitals use prospective admission screening to identify asymptomatic disease. Non-invasive screening techniques commonly use Doppler ultrasonography (USG) or impedance plethysmography (IPG). USG offers sensitivity and specificity but is expensive and technician-dependent, rendering this test inaccessible for some free-standing institutions. We reviewed the results of VTE screening among 65 consecutive initial rehabilitation BI admissions. The protocol combined both IPG and d-dimer quantitative assay within 24 hr of admission. Negative results on both studies or positive results on one with normal results on the other prompted no further evaluation. However, a positive result on one study with equivocal or positive results on the other prompted evaluation with USG or nuclear venography. Six patients tested abnormally to both screening techniques, and VTE was confirmed in five of them. Eleven patients tested normally to both screening techniques, and none manifested VTE. The overall incidence of VTE among these BI admissions was 7%. The combined use of d-dimer and IPG appears to be a sensitive and specific indicator of occult VTE among patients with BI, identifying suitable candidates for more expensive and definitive confirmatory studies.ZLVALjSetting: 14 rehabilitation centers within the Traumatic Brain Injury Model System (TBIMS). Program: Practice patterns of deep vein thrombosis (DVT) management in the TBIMS. Program Description: 14 of the 16 TBIMS centers responded to a survey on current practice patterns of screening, prophylaxis, and treatment of DVT in patients with traumatic brain injury (TBI) in the acute rehabilitation setting. Respondents were surveyed on the use of duplex ultrasound, pneumatic compression devices, compression stockings, inferior vena cava filters, and anticoagulation for DVT screening, prophylaxis, and treatment. Treatment of calf DVTs and the interval of bedrest after acute DVT were queried as well as the number of fatal pulmonary emboli in TBI patients witnessed in the years of practice of each reporting physician. Assessment/Results: 64% of the respondents were routinely screened for DVT on admission to rehabilitation using venous Doppler. 57% of the respondents routinely initiated anticoagulation for DVT prophylaxis in the rehabilitation setting. 59 fatal pulmonary emboli were reported in TBI patients in 158 practice years, for an occurrence rate of 0.4 fatal pulmonary emboli per practice year. Discussion: There was no current consensus concerning appropriate methods of screening, prophylaxis, or treatment of DVT in TBI patients as confirmed by the significant variability in practice patterns revealed by this survey of the TBIMS sites. Conclusions: The number of fatal pulmonary emboli in TBI patients reported among these centers emphasizes the need to develop evidence-based clinical practice guidelines for the prevention and treatment of venous thromboembolism. The substantial variability in practice patterns revealed by this survey supports the value of conducting a prospective study to determine the efficacy and cost effectiveness of DVT prevention and management methods. Key Words: Brain injuries; Rehabilitation; Venous thrombosis.doi: 10.1016/j.apmr.2004.07.092LVALBackground:Botulinum toxin neuromuscular chemodenervation (BTX) injection requires successful localization of an appropriately targeted muscle to yield optimal response when treating patients with motor disorders such as spasticity or dystonia. While several techniques are available to facilitate localization, electromyography (EMG) in conjunction with needle electrical stimulation (ES) is effective for injecting the vast majority of clinical important hypertonic muscle groups. There exist clinical situations, however, when visualization of the targeted hypertonic muscle might provide additional effectiveness or safety when localizing a muscle for chemodenervation procedures.Study Design:Case series.Objective:Illustrate the relative utility of adjunctive sonographic imaging during performance of BTX injection for dysfunctional hypertonia in patients with difficult-to-localize targeted muscle groups.Methods:Four patients underwent musculoskeletal sonographic imaging (Advanced Technology Laboratories HDI 5000, Bothwell, WA) of targeted muscles (iliopsoas, pectoralis major, latissiumus dorsi, flexor hallucis longus, flexor digitorum longus, flexor digitorum superficialis) in conjunction with needle electromyography and electrical stimulation, during performance of BTX injections for spastic hypertonia. Dose and concentration of BTX injection varied, depending upon the muscle selected.Results:Videorecording of each procedure verified that sonographic imaging facilitated visualization and localization of targeted muscles and avoidance of inadvertent perforation of adjacent structures.Conclusions:While EMG/ES localization is sufficient for the vast majority of BTX injections for spasticity, we find adjunctive sonographic imaging helpful for targeting the following hypertonic muscles/scenarios: 1) trunk muscles in the very thin/frail/obese patient; 2) iliopsoas/hip flexors; and 3) prior surgical tendon release/transfer involving targeted muscle.LVALxF  4>2vdiagnosis;Electrodiagnosis;Humans;methods;pathology;physiopathology;Poliomyelitis;rehabilitation;Research Support,Non-U.S.Gov't;Spinal Cord;West Nile Fever;Brain;Brain Injuries;brain injury;diagnosis;injuries;rehabilitation;Amnesia;Brain;Brain Injuries;brain injury;injuries;Brain;Brain Injuries;brain injury;injuries;education;injuries;spinal;Spinal Cord;Spinal Cord Injuries;education;injuries;spinal;Spinal Cord;Spinal Cord Injuries;Adult;Aged;Brain Injuries;complications;etiology;Female;Humans;injuries;Male;Muscle Spasticity;spasticity;Spinal Cord Injuries;Syndrome;therapy;Activities of Daily Living;administration & dosage;Adolescent;Adult;Anticoagulants;Arm;Brain;Brain Injuries;brain injury;classification;Cross-Sectional Studies;diagnosis;epidemiology;Female;Glasgow Coma Scale;Humans;Incidence;injuries;Inpatients;Leg;Male;Mass Screening;Phlebography;Physical Medicine;Pulmonary Embolism;rehabilitation;Risk Factors;Texas;therapy;Thrombophlebitis;Brain;Brain Injuries;brain injury;education;injuries;Physical Medicine;rehabilitation;Bed Rest;Brain;Brain Injuries;brain injury;complications;etiology;Health Care Surveys;Humans;injuries;methods;Physical Medicine;Physician's Practice Patterns;Practice Guidelines;prevention & control;rehabilitation;Rehabilitation Centers;utilization;Vena Cava Filters;Venous Thrombosis;Dystonia;Headache;methods;Mississippi;Risk;spasticity;baclofen;drug therapy;Headache;injuries;Pain;presentation;rehabilitation;spasticity;spinal;Spinal Cord;Spinal Cord Injuries;therapy;Brain;Brain Injuries;brain injury;Confusion;Delirium;education;Glasgow Coma Scale;injuries;Prospective Studies;rehabilitation;Unconsciousness;analysis;Clinical Trials;Dystonia;Headache;Movement;rehabilitation;spasticity;analysis;Clinical Trials;Dystonia;Headache;Movement;rehabilitation;spasticity;adverse effects;Brain;Brain Injuries;brain injury;Incidence;injuries;Skull;Dystonia;electrical stimulation;Electromyography;Muscles;spasticity;LVALThere is strong evidence from prospective, uncontrolled trials that surgical decompression for brain swelling (decompressive craniectomy [DC]) improves outcome after TBI and stroke, and this procedure has experienced a revival during the last decade. Few class I studies are available, however, to determine the relative efficacy or the incidence of adverse effects associated with this procedure. Hydrocephalus (HC) may occur after severe TBI or hemorrhagic stroke, with accompanying adverse outcome. We report upon a series of seven patients that underwent DC for management of severe brain swelling after acquired brain injury, and were subsequently admitted to the neurorehabilitation hospital setting. In each patient, a prominent bulge was appreciable on admission physical examination. Subsequent neuroimaging studies confirmed the presence of hydrocephalus. Management included ventriculoperitoneal shunting in five patients, with spontaneous resolution observed in two patients without surgical intervention. A bulging skull defect, as opposed to a sunken craniectomy defect, should alert the clinician caring for the neurorehabilitation patient that HC may be present. Treatment of HC in these cases may include VPS, although spontaneous resolution may occur.6 %ABST@oYablon SA;Daggett S;Brin MF@sIN FILEe15Arch Phys Med Rehabil869PresentationPoster66th Annual Assembly of the American Academy of Physical Medicine and Rehabilitation in conjunction with the American Hospital Section for Long-Term Care and Rehabilitation and the American Medical Rehabilitation Providers Association in Philadelphia, PA,Yablon SA;w2005Methodist Rehabilitation Center, Jackson, MSfile://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr388 apmr05 Yablon Toxin neutralizing antibody formation with botulinum toxin type A (BoNTA) treatment in neuromuscular disorders.pdf CCqqk]QE#%ABST@oYablon SA;Daggett S;Brin MF@sNOT IN FILENeurology64Suppl 1PresentationPoster66th Annual Assembly of the American Academy of Physical Medicine and Rehabilitation in conjunction with the American Hospital Section for Long-Term Care and Rehabilitation and the American Medical Rehabilitation Providers Association in Philadelphia, PA,Disclosure: Yablon, Consultant for Allergan, Inc.; Daggett, Stock options from Allergan, Inc., Allergan, Inc., employee; Brin, Stock options from Allergan, Inc., Allergan Inc. employeeYablon SA;v2005Methodist Rehabilitation Center, Jackson, MS QQQQIII=)))sss]QE#%ABST@oLi Z;Yablon SA;Esposito DP@sIN FILE228Am J Phys Med Rehabil843PresentationPosterAnnual Meeting of the Association of Academic Physiatrists Tucson, ArizonaFebruary 22-26, 2005Li Z; @t2005file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr390 ajpmr05 Yablon The bulging skull defect sign as an indicator of posttraumatic or post-stroke hydrocephalus.pdf ppj\PD#LVALObjective: To assess the rate of neutralizing antibody formation with intramuscular injection of botulinum toxin type A (BTX-A) in botulinum toxin naive patients. Design: Open-label analysis of serum antibody samples obtained from 6 clinical trials. Setting: Movement disorder, rehabilitation, and headache treatment centers. Participants: Patients with cervical dystonia (CD), headache, or poststroke spasticity. Intervention: BTX-A. Main Outcome Measures: The presence of neutralizing antibodies to BTX-A was assessed using the mouse protection assay (MPA). Results: Serum samples were obtained at baseline, prior to each repeat injection, and at study exit. Patients treated for CD (326 patients) received 1 to 14 treatments of BTX-A (mean per treatment, 186.4U, range, 20 500U; maximum total exposure per patient, 4115U); patients treated for chronic headache (356 patients) received 3 treatments (mean, 157U; range, 75 260U; maximum exposure, 780U); and patients treated for poststroke spasticity (247 patients) received 1 to 4 treatments (mean, 241U; range, 100 360U; maximum exposure, 960U). Of the 929 patients treated, 880 had analyzable samples. MPA was negative for 872 (99.0%), inconclusive for 4 (0.5%), and positive for 4 (0.5%). Of the 4 patients with a positive result, 3 were CD patients. A patient had received a single treatment of 300U, 1 had received 6 treatments of 100 to 150U (exposure, 750U), and the third patient had received 8 treatments of 100 to 400U (exposure, 2300U). The other patient with a positive result was a spasticity patient who received 1 treatment with 200U of BTX-A. Only the spasticity patient did not demonstrate clinical improvement after treatment at the time of reporting the positive MPA. Conclusions: There is a very low rate of antibody formation in patients who received repeat BTX-A intramuscular injections with the specific BTX-A preparation used in these studies.LVALObjective: To assess the rate of neutralizing antibody formation with intramuscular injection of botulinum toxin type A (BTX-A) in botulinum toxin naive patients. Design: Open-label analysis of serum antibody samples obtained from 6 clinical trials. Setting: Movement disorder, rehabilitation, and headache treatment centers. Participants: Patients with cervical dystonia (CD), headache, or poststroke spasticity. Intervention: BTX-A. Main Outcome Measures: The presence of neutralizing antibodies to BTX-A was assessed using the mouse protection assay (MPA). Results: Serum samples were obtained at baseline, prior to each repeat injection, and at study exit. Patients treated for CD (326 patients) received 1 to 14 treatments of BTX-A (mean per treatment, 186.4U, range, 20 500U; maximum total exposure per patient, 4115U); patients treated for chronic headache (356 patients) received 3 treatments (mean, 157U; range, 75 260U; maximum exposure, 780U); and patients treated for poststroke spasticity (247 patients) received 1 to 4 treatments (mean, 241U; range, 100 360U; maximum exposure, 960U). Of the 929 patients treated, 880 had analyzable samples. MPA was negative for 872 (99.0%), inconclusive for 4 (0.5%), and positive for 4 (0.5%). Of the 4 patients with a positive result, 3 were CD patients. A patient had received a single treatment of 300U, 1 had received 6 treatments of 100 to 150U (exposure, 750U), and the third patient had received 8 treatments of 100 to 400U (exposure, 2300U). The other patient with a positive result was a spasticity patient who received 1 treatment with 200U of BTX-A. Only the spasticity patient did not demonstrate clinical improvement after treatment at the time of reporting the positive MPA. Conclusions: There is a very low rate of antibody formation in patients who received repeat BTX-A intramuscular injections with the specific BTX-A preparation used in these studies.LVALObjective: To evaluate the contribution of severity of acute confusion at 1 month after traumatic brain injury (TBI) in predicting employability at 1 year postinjury. Design: Prospective study of a consecutive sample of TBI admissions. Setting: Inpatient brain injury rehabilitation program. Participants: 181 participants from 229 consecutive Traumatic Brain Injury Model System admissions with complete data who met study criteria. Intervention: Weekly administration of the Delirium Rating Scale-Revised-98 (DRSR-98) to measure severity of acute confusion. Evaluations closest to 1 month postinjury were used for study purposes. Main Outcome Measure: Disability Rating Scale to assess employability at 1-year follow-up. Results: Binary logistic regression was used to predict employability at 1 year postinjury. Demographics (age, education), injury severity (duration of unconsciousness, emergency department Glasgow Coma Scale), and DRSR-98 accounted for 42% of outcome variance with age, duration of unconsciousness, and degree of acute confusion (DRSR-98) being significant predictors. Persons with worse confusion at 1 month postinjury, longer duration of unconsciousness, and older age were less likely to be rated employable at 1 year postinjury. Conclusions: In addition to demographic and traditional injury severity indices, acute confusion provides unique contributions in predicting late outcome.g6 X{%ABST@ oB@ll@sIN FILE176-177Neurorehabilitation and Neural Repair201PresentationPoster4th World Congress for NeuroRehabilitationThis study was supported by Allergan Inc.Yablon SA; @|20061University of Mississippi School of Medicine, USA; 2 Allergan, Inc., USAfile://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr385 nnr06 Yablon The development of toxin neutralizing antibodies with botulinum toxin type A (BoNTA) treatment..pdf 00vvv$\\N@4(#%ABST@ oT@l@sIN FILEE30Arch Phys Med Rehabil869PresentationPoster66th Annual Assembly of the American Academy of Physical Medicine and Rehabilitation in conjunction with the American Hospital Section for Long-Term Care and Rehabilitation and the American Medical Rehabilitation Providers Association in Philadelphia, PA,Disclosure: Yablon, Research grant from Medtronic Inc., Medtronic Inc. Speakers Bureau; Other authors: NoneYablon SA;pz2005Methodist Rehabilitation Center, Jackson, MSfile://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr386 apmr05 Yablon A Potential Complication of Combined Intrathecal Drug Administration- Autonomic Dysreflexia as the Presenting Manifestation of Intrathecal Morphine Withdrawal Despite.pdf |||~TTN@4(#%ABST@oL@l@sIN FILEe3Arch Phys Med Rehabil8610PresentationPaperjoint 82nd Annual Assembly of the American Congress of Rehabilitation Medicine (ACRM) and the 12th Annual Meeting of the American Society of Neurorehabilitation (ASNR), in Chicago, IL, September 28-October 2, 2005.Nakase-Richardson R; @x2005file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr387 apmr05 Nakase-Richardson Degree of acute confusion at 1 month after traumatic brain injury predicts employability at 1 year postinjury.pdf zRRRR|RRN@4(#LVAL{Setting: Free-standing rehabilitation hospital. Patient: A 36-year-old man with T4 level American Spinal Injury Association grade A spinal cord injury (SCI) of 5 years in duration. Case Description: The patient was transferred from the acute hospital setting 1 day after replacement of a Synchromed intrathecal baclofen (ITB) pump implanted 4 years earlier for treatment of spasticity. Prior to revision, a history of pain and unsatisfactory control of spasms prompted addition of intrathecal morphine (ITM) (1y) and later bupivacaine (1m) to ITB. The decision to replace both pump and catheter reflected dissatisfaction with clinical response and the approaching end of pump battery life. The new pump was filled only with ITB; ITM was to be added later by the attending physiatrist. At rehabilitation admission, the patient experienced sudden onset of pounding headache, facial flushing, diaphoresis, tachycardia (pulse >150), marked hypertension, and chest pain and shortness of breath. Those responding to the emergency were initially unaware of the prior intrathecal drug combination regimen. Electrocardiogram revealed sinus tachycardia without evidence of ectopy and ischemic S-T segment changes. Oxygen saturation was 95% with 21% Fio2. Radiographs revealed a clear chest without evidence of pump catheter breakage or dislocation. Despite absence of prior history, the presentation increasingly suggested autonomic dysreflexia (AD). Immediate treatment for AD was implemented with a search for the precipitating cause. Revelation of prior ITM history, combined with absence of response to initial treatment, prompted administration of intravenous (IV) morphine. Assessment/Results: Prompt resolution of AD followed IV morphine administration. ITM was then added for enduring relief. Discussion: Limited data exist to guide combined intrathecal drug therapy for spasticity. AD has been described as a potential presenting symptom of ITB withdrawal after SCI but not after ITM withdrawal and maintenance of ITB therapy. ConclusidLVALtons: ITM withdrawal from ITB combination therapy may precipitate AD.<LVALLBackground: There is a risk of neutralizing antibody formation with repeated treatment with botulinum toxin type A (BoNTA; BOTOX, Allergan, Inc., Irvine, CA). The current BoNTA formulation was tested using the mouse protection assay (MPA) on serum samples obtained from patients previously naive to BoNTA in cervical dystonia (CD), chronic headache, and poststroke spasticity trials. Methods: CD patients (1 study; n = 326) received 1 to 15 BoNTA treatments (median, 9 treatments; mean per treatment, 187 U; range, 20-500 U; maximumtotal per patient, 4210 U); chronic headache patients (2 studies; n = 356) received 3 BoNTA treatments (mean, 157 U; range, 75- 260 U; maximum, 780 U); and poststroke spasticity patients (3 studies; n = 247) received 1 to 4 BoNTA treatments (median, 2 treatments; mean, 241 U; range, 100-360 U; maximum, 960 U). Samples (2 mL) were obtained at baseline, before each injection, and study exit and analyzable samples were tested using the MPA. Results: Of 929 patients, 880 had analyzable samples, and 5 tested positive (0.6%), 4 of whom were CD patients, with a maximum exposure to BoNTA ranging from 1200 to 3100 U. The other patient was a spasticity patient who was MPA-positive after 1 treatment of 200 U of BoNTA. Only the spasticity patient did not demonstrate clinical responsiveness at the time of re-porting the positive MPA. Conclusion: The rate of antibody formation was 0.6% in patients who received repeated BoNTA injections with the current formulation.HLVALXOBJECTIVE: To determine national patterns of screening, prophylaxis, and treatment of deep venous thrombosis (DVT) following traumatic brain injury (TBI) within the Traumatic Brain Injury Model Systems (TBIMS). DESIGN: e-mail survey instrument. SETTING: Multicenter Regional TBIMS. RESULTS: Fifteen of the 16 rehabilitation centers within the TBIMS responded to the survey (94% response rate). Approximately half of these centers routinely screen to detect subclinical DVTs (56% venous duplex ultrasonography, 12% plasma D-dimer) on admission to inpatient rehabilitation. Fifty-six percent of respondents use anticoagulation prophylactically, while 69% use mechanical means for DVT prophylaxis. Eighty fatal pulmonary emboli were reported for TBI patients in 189 practice-years, corresponding to 0.42 fatalities per year of practice. CONCLUSIONS: No consensus exists regarding the optimal methods for screening, prevention, or treatment of DVT in TBI patients in the acute rehabilitation setting of the TBIMS. The number of fatal pulmonary emboli reported among these centers emphasizes the need to develop evidence-based clinical practice guidelines for the prevention and treatment of venous thromboembolism in this patient population|6 %}JOUR@ oLai JM;Yablon SA;Ivanhoe CB@=@ sIN FILE331334Brain Inj115PublicationPeer-reviewednone@Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas, USAPM:9146838file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr381 bi97 Lai Incidence and sequelae of symptomatic venous thromboembolic disease among patients with tbi.pdf wqk]QE#%~JOUR@ op@l@=@sIN FILE334342Arch Phys Med Rehabil873PublicationPeer-reviewedSupported by the National Institute on Disability and Rehabilitation Research, U.S.Department of Education (grant nos. H133A70015, H133B990014).BDepartment of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX; The Institute for Rehabilitation and Research, Brain Injury Research Center, Houston, TXPM:16500166file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr382 apmr06 High Early Versus Later Admission to Postacute Rehabilitation- Impact on Functional Outcome After Traumatic Brain Injury.pdf fPZTN@4(#%JOUR@ ot@l@=:@sIN FILE483490J Head Trauma Rehabil216PublicationPeer-reviewedSupported by the United States Department of Education, National Institute on Disability andRehabilitation Research, grant HI33A020526. @}Department of Physical Medicine and Rehabilitation, Baylor Institute for Rehabilitation, Dallas, TX 75246, USA. MaryCar@BaylorHealth.eduPM:17122679file://R:\USERS\Research Group\STOKIC\References\CNNR\cnnr384 jhtr06 Carlile Deep venous thrombosis management following traumatic brain injury-a practice survey of the traumatic brain injury model systems.pdf ZTN@4(#LVALHigh WM Jr, Roebuck-Spencer T, Sander AM, Struchen MA, Sherer M. Early versus later admission to postacute rehabilitation: impact on functional outcome after traumatic brain injury. OBJECTIVE: To examine the impact of participation in a postacute community reentry program on functional outcome after traumatic brain injury (TBI). DESIGN: Cohort, nonrandomized, intervention study. Pretest-posttest, follow-up design. SETTING: Nonprofit outpatient community reentry program affiliated with an inpatient rehabilitation hospital. PARTICIPANTS: Three groups of persons with moderate to severe TBI differing in length of time between injury and admission. The first group entered postacute rehabilitation within 6 months of injury (n=115); the second group, between 6 and 12 months (n=23); and the third group, greater than 12 months (n=29). INTERVENTIONS: Persons with TBI participated in a postacute community reentry program (average, 4.3mo) that emphasized (1) teaching compensatory strategies to address residual cognitive deficits; (2) arranging environmental supports to maximize functioning; (3) counseling and education to address personal and family adjustment and to improve accurate self-awareness; and (4) transition from simulated activities in the clinic to productive activities in the community. MAIN OUTCOME MEASURES: Disability Rating Scale, Supervision Rating Scale, and the Community Integration Questionnaire. RESULTS: All groups showed improvements between admission and discharge on measures of overall disability, independence, home competency, and productivity, and these gains were maintained at follow-up. For the group beginning postacute rehabilitation the earliest (<6mo postinjury) independence continued to improve after discharge. Community integration total score and home competency also continued to improve even a