Research and Publications

Research and Publications

Sunnyview Involvement - Research Projects

  • $6,000 Mini-Grant from American Occupational Therapy Association. Project Lead - Donna Stressel, OTR, CDI, CDRS. To provide education, evaluation and training opportunities for older drivers and clinical rehabilitation staff in a rural, two county region in the Adirondack Mountain area of Upstate New York. Project ongoing.
     
  • Lite Gait Study - Sage College Student Research in fulfillment of requirements for Doctorate in Physical Therapy in cooperation with Kerri Maloney, DPT, Sunnyview. Presented 2009
     
  • Johnson Rehabilitation Institute NIDRR TBI Model Systems Grant - A Prospective Randomized Controlled Trial of the Effectiveness of Amantadine Hydrochloride in Promoting Recovery of Function Following Severe TBI. Project Lead: Paul Novak, OTR, Director Brain Injury Program, Manager, Occupational Therapy Department. 2004 - 2007
     
  • Study to begin October 2009, pending approval from University of Massachusetts: Bladder Management in Female Stroke Patients - aims to examine stroke survivors to determine if an evidenced-based interdisciplinary team approach to urinary incontinence as outlined in The Specialty Practice of Rehabilitation Nursing: A Core Curriculum (Cournan, Kautz & Conrad, 2007) improves bladder scores as measured by the Functional Measure (FIM). Michele Cournan, Clinical Nurse Specialist, Sunnyview Rehabilitation Hospital

 

Research Projects Conducted by Sunnyview Neuropsychology Department:

1. Distress, Depressive Symptoms, and Depressive Disorder Amont Caregivers of Patients with Brain Injury: Gillen, RW, Tennen, H, Affleck, G, & Steinpreis, R. (1998). The Journal of Head Trauma Rehabilitation, 13, 31-43.

This study revealed that the prevalence of major depression is high in caregivers of individuals with brain injuries. This is particularly true among caregivers with a previous history of depressive disorder. Because depression may interfere with the capacity to provide care and contribute to the rehabilitation process, the study emphasized the importance of carefully assessing both the current and pre-accident status of primary caregivers.

2. Screening for Depression In Stroke: relationship to rehabilitation efficiency. Gillen, RW, Eberhardt, BS, Tennen, H, Afflect, G, & Groszman, Y. (1999) Journal of Stroke & Cerebrovascular Diseases, 8, 300-306.

This represented a preliminary study of the relationship between depressive symptoms and progress in rehabilitation in stroke patients. As measured by the Geriatric Depression Scale, high rates of depression were identified in a sample of stroke patients referred for cognitive screening. Elevated depression scores were associated with longer hospital stays and less efficient use of rehabilitation services as measured by the Functional Independence Measure.

3. Depressive Symptoms and History of Depression Predict Rehabilitation Efficiency in Stroke Patients. Gill, RW, Tennen, H, Eberhardt-Mckee, T, Gernert-Dott, P & Affleck, G. (2001) Archives of Physical Medicine and Rehabilitation, 82, 1645-1649.

This replicated the previous study using a larger sample of consecutive stroke admissions. Patients with higher levels of depressive symptoms used rehabilitation services less efficiently (i.e. made less functional progress per day) than those withlower depressive symptom levels. Patients with a pre-stroke history of depression had longer lengths of stay and also utilized rehabilitation services less efficiently in comparison to those with no history of depression. The importance of assessing both current and past emotional status in stroke patients was stressed.

4. Unilateral spatial neglect: Relationshop with rehabilitation outcomes in right hemisphere stroke patients. Gillen, RW, TEnnen, H, Eberhardt-Mckee, T. (2005) Archives of Physical Medicine and Rehabilitation 86, 943-948.

Right hemisphere stroke patients with unilateral spatial neglect had longer lengths of stay and progressed more slowly in rehabilitation than those without neglect. This was true even when patients were matched according to admission functional status. Unilateral spatial neglect is a unique predictor of rehabilitation outcomes in patients with right hemisphere strokes.

5. The Impact of the Inpatient Rehabiltation Facility Prospective Payment System on Stroke Program Outcomes. Gillen, RW, Tennen, H, Eberhardt-Mckee, T. (2007) American Journal of Physical Medicine and Rehabilitation, 86, 356-363.

Stroke patients admitted to an inpatient rehabilitation hospital following implementation of the Medicare prospective payment system had shorter lengths of stay, but made less progress, had lower functional levels at discharge, and had higher rates of institutional discharge. Cost savings associated with the PPS must be considered in light of these untoward outcomes.

 

Publications by Sunnyview Neuropsychology Department Staff:

  • Gillen, R.W., Tennen, H., Affleck, G., & Steinpreis, R. (1998). Distress, depressive symptoms and depressive disorder among caretakers of brain injured patients. The Journal of Head Trauma Rehabilitation, 13, 31-43.
     
  • Gillen, R.W., Eberhardt, B.S., Tennen, H., Affleck, G., & Groszman Y. (1999) Screening for Depression in stroke: relationship to rehabilitation efficiency. Journal of Stroke & Cerebrovascular Diseases, 8, 300-306.
     
  • Gillen, R.W. Tennen, H., Eberhardt-Mckee, T., Gernert-Dott, P., & Affleck G. (2001) Depressive symptoms and history of depression predict rehabilitation efficiency in stroke patients. Archives of Physical Medicine and Rehabilitation, 82, 1645-1649.
     
  • Gillen, R.W. Tennen, H., Eberhardt-Mckee, T. (2005) Unilateral spatial neglect: Relationship with rehabilitation outcomes in right hemisphere stroke patients. Archives of Physical Medicine and Rehabilitation 86, 943-948.
     
  • Gillen, R.W. Tennen, H., Eberhardt-Mckee, T. (2007) The impact of the Inpatient Rehabilitation Facility Prospective Payment System on Stroke Program Outcomes. American Journal of Physical Medicine and Rehabilitation 86, 356-363.

Abstracts by Sunnyview Neuropsychology Department Staff:

  • Gillen, R. W. Screening for depression in stroke: Relationship to rehabilitation efficiency as measured by FIM. (October 1997). Presented at the North American Stoke Meeting, Montreal, Quebec. Abstract in Journal of Stroke and Cerebrovascular Diseases, 1997, 6, 459.
     
  • Gillen, R.W. Tennen, H., Gernert-Dott, P. Eberhardt, T., & Affleck, G. Screening for depression in stroke: Relationship to rehabilitation efficiency. (November 1999). Presented at the Annual Meeting of the National Academy of Neuropsychology, San Antonio, Texas. Abstract in Archives of Clinical Neuropsychology, 1999, 8, 801.
     
  • Gernert-Dott, P., Gillen, R.W., Tennen, H., Eberhardt, T., & Affleck, G. Impact of cognitive impairment on functional outcomes and rehabilitation costs following stroke. (November 1999). Presented at the Annual Meeting of the National Academy of Neuropsychology, San Antonio, Texas. Abstract in Archives of Clinical Neuropsychology, 1999, 14, 800.
     
  • Gillen, R.W. & Gernert-Dott Relationship of Independent Living Scales to a functional outcome measure and neuropsychological tests. (November, 2000) Presented at the Annual Meeting of the National Academy of Neuropsychology, Orlando, Florida. Abstract in Archives of Clinical Neuropsychology, 2000, 15, 663.
     
  • Gernert-Dott, P. & Gillen, R.W. WAIS-III clinical sensitivity and profile performance for patients with traumatic brain injury in an acute rehabilitation setting. (November, 2000) Presented at the Annual Meeting of the National Academy of Neuropsychology, Orlando, Florida. Abstract in Archives of Clinical Neuropsychology, 2000, 15, 829.
     
  • Zimmerman E.A., Adak S., Angshuman S., Tandon R., Gillen R., Barba A., Gorman W. & Schenck J.F. (July 2004) Visualization of Imaging and Clinical Features for Detection of Alzheimer's Disease. 9th International Conference on Alzheimer's Disease and Related Disorders. Philadelphia.
     
  • Gillen R.W., Tennen H., McKee T. Impact of Medicare prospective payment system on right hemisphere stroke patients with unilateral spatial neglect. (October, 2005) Presented at the Annual Meeting of the National Academy of Neuropsychology, Tampa, Florida. Abstract in Archives of Clinical Neuropsychology, 2005, 20, 940.
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