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  1. Article ; Online: The Relationship Between Elbow Flexion Postures and Overhead Reaching in Birth Brachial Plexus Injuries.

    Goins, T R / Fox, John / Saul, Katherine / Servello, Cindy / Sullivan, Jane E

    Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association

    2023  Volume 36, Issue 1, Page(s) 62–69

    Abstract: Purpose: The aim of this study was to investigate the effect of alterations in muscle length of the biceps in various elbow postures during shoulder elevation and muscle activation.: Methods: Participants aged 5 years and older with a birth brachial ... ...

    Abstract Purpose: The aim of this study was to investigate the effect of alterations in muscle length of the biceps in various elbow postures during shoulder elevation and muscle activation.
    Methods: Participants aged 5 years and older with a birth brachial plexus injury were asked to perform elevation shoulder (abduction and flexion) in 7 elbow conditions. Surface electromyography was applied to bilateral biceps and triceps.
    Results: Peak shoulder elevation was present in the immobilized 20° elbow posture. Muscle activity of the triceps and biceps was impacted by the elbow posture via immobilization.
    Conclusions: Elbow postures in elongated postures, via immobilization, may result in higher shoulder elevation due to increased passive forces when there is an altered muscle state of the biceps in this population. Clinicians should consider the optimal elbow joint posture (<30°) to improve overhead reaching in this population.
    MeSH term(s) Humans ; Elbow ; Brachial Plexus Neuropathies ; Brachial Plexus/injuries ; Arm ; Posture ; Range of Motion, Articular
    Language English
    Publishing date 2023-11-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1036679-9
    ISSN 1538-005X ; 0898-5669
    ISSN (online) 1538-005X
    ISSN 0898-5669
    DOI 10.1097/PEP.0000000000001059
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  2. Article ; Online: Balance Confidence and Balance Performance, But Not Fall History Are Associated With Quality of Life in Community-Dwelling Older Adults: A Cross Sectional Study.

    Roberts, Holly J / Johnson, Kristen M / Sullivan, Jane E / Hoppes, Carrie W

    Journal of geriatric physical therapy (2001)

    2022  Volume 46, Issue 1, Page(s) 82–89

    Abstract: Background and purpose: Fear of falling (FoF) is highly prevalent in community-dwelling older adults and is associated with low health-related quality of life (QoL). Low QoL is associated with increased health care utilization and is a predictor of ... ...

    Abstract Background and purpose: Fear of falling (FoF) is highly prevalent in community-dwelling older adults and is associated with low health-related quality of life (QoL). Low QoL is associated with increased health care utilization and is a predictor of future falls, but few studies have examined the relationship between high-level balance and dynamic gait performance and QoL in community-dwelling older adults. The purpose of this cross-sectional study was to determine whether there is a relationship between FoF avoidance behaviors, balance confidence, performance on measures of high-level mobility, and QoL in community-dwelling older adults. The secondary purpose was to determine whether older adults who fall have a different QoL than older adults who have not fallen in the past year.
    Methods: Eighty-nine community-dwelling older adults (76.33 ± 6.84 years, 54 female, 34 fallers) completed the World Health Organization Quality of Life-BREF (WHOQOL-BREF), Activities-specific Balance Confidence Scale (ABC), Fear of Falling Avoidance Behavior Questionnaire (FFABQ), Functional Gait Assessment (FGA), and Community Balance and Mobility Scale (CB&M). Correlation and multiple regression analyses were calculated to determine the relationship between the outcome measures and domains on the WHOQOL-BREF.
    Results and discussion: Significant correlations were observed between the WHOQOL-BREF physical health domain and the ABC, FFABQ, FGA, and CB&M (ρ= 0.524, -0.509, 0.348, and r = 0.423, respectively), the WHOQOL-BREF psychological domain and the ABC (ρ= 0.284) and FFABQ (ρ=-0.384), and the WHOQOL-BREF environment domain and the ABC (ρ= 0.343) and FFABQ (ρ=-0.406). No correlations were found between WHOQOL-BREF domain scores and a history of falls.
    Conclusions: Performance-based outcome measures that measure high-level mobility such as the CB&M and FGA, and patient-reported outcome measures for balance confidence and FoF avoidance behavior such as the ABC and FFABQ, are correlated with the physical health QoL domain on the WHOQOL-BREF. The ABC and FFABQ are correlated with psychological and environment QoL. Fall history was not correlated with QoL. Interventions to decrease FoF or improve high-level mobility may improve QoL in community-dwelling older adults.
    MeSH term(s) Female ; Humans ; Aged ; Independent Living ; Quality of Life/psychology ; Cross-Sectional Studies ; Geriatric Assessment/methods ; Fear/psychology ; Surveys and Questionnaires
    Language English
    Publishing date 2022-05-09
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2250801-6
    ISSN 2152-0895 ; 1539-8412
    ISSN (online) 2152-0895
    ISSN 1539-8412
    DOI 10.1519/JPT.0000000000000349
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    Zs.A 6473: Show issues Location:
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  3. Article ; Online: After an end-of-life decision: Parents' reflections on living with an end-of-life decision for their child.

    Sullivan, Jane E / Gillam, Lynn H / Monagle, Paul T

    Journal of paediatrics and child health

    2020  Volume 56, Issue 7, Page(s) 1060–1065

    Abstract: Aim: Parents' role as end-of-life decision-makers for their child has become largely accepted Western health-care practice. How parents subsequently view and live with the end-of-life decision (ELD) they made has not been extensively examined. To help ... ...

    Abstract Aim: Parents' role as end-of-life decision-makers for their child has become largely accepted Western health-care practice. How parents subsequently view and live with the end-of-life decision (ELD) they made has not been extensively examined. To help extend understanding of this phenomenon and contribute to care, as a part of a study on end-of-life decision-making, bereaved parents were asked about the aftermath of their decision-making.
    Methods: A qualitative methodology was used. Semi-structured interviews were conducted with parents who had discussed ELDs for their child who had a life-limiting condition and had died. Data were thematically analysed.
    Results: Twenty-five bereaved parents participated. Results indicate that parents hold multi-faceted views about their decision-making experiences. An ELD was viewed as weighty in nature, with decisions judged against the circumstances that the child and parents found themselves in. Despite the weightiness, parents reflected positively on their decisions, regarding themselves as making the right decision. Consequently, parents' comments demonstrated being able to live with their decision. When expressed, regret related to needing an ELD, rather than the actual decision. The few parents who did not perceive themselves as their child's decision-maker subsequently articulated negative reactions. Enduring concerns held by some parents mostly related to non-decisional matters, such as the child's suffering or not knowing the cause of death.
    Conclusion: Results suggest that parents can live well with the ELDs they made for their child. End-of-life decision-making knowledge is confirmed and extended, and clinical support for parents informed.
    MeSH term(s) Child ; Death ; Decision Making ; Emotions ; Humans ; Parents
    Language English
    Publishing date 2020-02-19
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1024476-1
    ISSN 1440-1754 ; 1034-4810
    ISSN (online) 1440-1754
    ISSN 1034-4810
    DOI 10.1111/jpc.14816
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  4. Article: Editorial: The Sensing Brain: The Role of Sensation in Rehabilitation and Training.

    Hillier, Susan / Verheyden, Geert / Sullivan, Jane E / Carey, Leeanne M

    Frontiers in neuroscience

    2021  Volume 14, Page(s) 645319

    Language English
    Publishing date 2021-01-25
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2411902-7
    ISSN 1662-453X ; 1662-4548
    ISSN (online) 1662-453X
    ISSN 1662-4548
    DOI 10.3389/fnins.2020.645319
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  5. Article ; Online: Development and Preliminary Validity Study of a Modified Version of the Upper Extremity Fugl-Meyer Assessment for Use in Telerehabilitation.

    Carmona, Carolina / Sullivan, Jane E / Arceo, Riegele / Drogos, Justin / Besser, Sofie / Gutierrez, Susana / Jeteric, Zineyra / Wyman, James / Yao, Jun

    Journal of neurologic physical therapy : JNPT

    2023  Volume 47, Issue 4, Page(s) 208–216

    Abstract: Background/purpose: The Upper Extremity Fugl-Meyer Assessment (UEFMA, maximum 66) is widely used in clinics and research studies to examine poststroke upper extremity (UE) impairment. This study aimed to develop and provide pilot data to support the ... ...

    Abstract Background/purpose: The Upper Extremity Fugl-Meyer Assessment (UEFMA, maximum 66) is widely used in clinics and research studies to examine poststroke upper extremity (UE) impairment. This study aimed to develop and provide pilot data to support the validity of a remote version of the UEFMA to examine UE impairment after stroke through telerehabilitation.
    Methods: Team members developed a remote version of the UEFMA for telerehabilitation (tUEFMA, maximum 44) using subscales II to IV and VII of the UEFMA. Twenty-two participants with moderate to severe arm impairment (UEFMA, median = 19) and chronic stroke (>1 year post) were evaluated using the UEFMA (face-to-face) and the tUEFMA (remotely). A prediction equation was used to identify the function to predict the UEFMA based on the tUEFMA. Intraclass correlation (ICC) was used to test the absolute agreement between the subscales included in the UEFMA and the tUEFMA, and between their 2 normalized total scores.
    Results: A strong and significant agreement was found between the total scores of the UEFMA and the projected value based on the tUEFMA (ICC = 0.79, P < 0.05). The ICC test also reported a good agreement in subscales II to IV and a poor agreement in subscale VII between the UEFMA and the tUEFMA using a real-time video link.
    Discussion and conclusions: The study findings suggest that the tUEFMA is a promising tool to remotely examine UE impairment in individuals with chronic stroke and moderate to severe arm impairment. Future research should evaluate additional psychometric properties and clinical utility of the tUEFMA across stroke participants with a broad range of arm impairments.Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A441 ).
    MeSH term(s) Humans ; Telerehabilitation ; Upper Extremity ; Stroke ; Stroke Rehabilitation ; Psychometrics ; Recovery of Function
    Language English
    Publishing date 2023-06-14
    Publishing country United States
    Document type Video-Audio Media ; Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2276921-3
    ISSN 1557-0584 ; 1557-0576 ; 1085-049X
    ISSN (online) 1557-0584
    ISSN 1557-0576 ; 1085-049X
    DOI 10.1097/NPT.0000000000000447
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    Zs.A 6541: Show issues Location:
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  6. Article: Use of Electrical Stimulation for People With Spinal Cord Injury: A Survey of Occupational Therapy Practitioners.

    Dionne, Timothy P / Lenker, James A / Hennessy, Patrick / Sullivan, Jane E

    The American journal of occupational therapy : official publication of the American Occupational Therapy Association

    2020  Volume 74, Issue 3, Page(s) 7403205110p1–7403205110p7

    Abstract: Importance: When working with clients who have experienced spinal cord injury (SCI), occupational therapy practitioners can face challenges in achieving desired results during functional activity when using electrical stimulation (ES) interventions. In ... ...

    Abstract Importance: When working with clients who have experienced spinal cord injury (SCI), occupational therapy practitioners can face challenges in achieving desired results during functional activity when using electrical stimulation (ES) interventions. In an effort to understand current practice, a survey study was conducted.
    Objective: For people with SCI, ES elicits positive physiological effects; however, no implementation guidelines exist for upper extremity application of ES for this population. Therefore, we surveyed occupational therapy practitioners about their use of ES with clients who have cervical-level SCI.
    Design: A 33-item, 20-min online survey was used.
    Participants and setting: We queried 57 occupational therapy practitioners with active caseloads in regional rehabilitation centers specializing in SCI, both outpatient and inpatient.
    Results: For clients with SCI, occupational therapy practitioners used ES most often for grasp-and-release, reaching, and grip or pinch activities using a broad range of parameter settings. Among respondents, 43% did not use a specific treatment protocol; 27% used research evidence to guide selection of parameters.
    Conclusions and relevance: Findings suggest that ES treatment parameters are not uniformly applied, introducing potential unknown effects on client outcomes and undermining treatment fidelity.
    What this article adds: Our survey of occupational therapy practitioners regarding their practice and use of ES interventions with this population revealed variation in application of ES treatment parameters. Understanding different treatment approaches and justification used when applying ES to clients with SCI is an important first step in unifying and promoting best practice and maximizing patient outcomes.
    MeSH term(s) Electric Stimulation Therapy ; Humans ; Occupational Therapists ; Occupational Therapy ; Spinal Cord Injuries/therapy ; Surveys and Questionnaires
    Language English
    Publishing date 2020-04-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 219403-x
    ISSN 1943-7676 ; 0272-9490 ; 0161-326X
    ISSN (online) 1943-7676
    ISSN 0272-9490 ; 0161-326X
    DOI 10.5014/ajot.2020.035584
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  7. Article ; Online: A Novel EMG-driven Functional Electrical Stimulator for Post- Stroke Individuals to Practice Activities of Daily Living.

    Yao, Jun / Sullivan, Jane E / Dewald, Jules

    Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference

    2018  Volume 2018, Page(s) 1436–1439

    Abstract: Prior research has demonstrated that hand function can be recovered in individuals with mild stroke through an intervention that is both 'intense' and 'functional'. However, in individuals with moderate to severe post stroke hand paresis, current ... ...

    Abstract Prior research has demonstrated that hand function can be recovered in individuals with mild stroke through an intervention that is both 'intense' and 'functional'. However, in individuals with moderate to severe post stroke hand paresis, current evidence for an effective intervention to regain hand function is almost absent. A possible contributor to such poor recovery in these individuals may be the inability to intensively practice with the paretic hand during activities of daily living (ADLs). Many ADLs require use of the paretic arm and hand. Due to post-stroke abnormal muscle synergies, functional arm movements, such as lifting or reaching, often result in unwanted activity in the wrist/finger flexors. This makes voluntary hand opening more difficult. A possible solution to enable these individuals to practice with their paretic hand in a functional context is using devices to assist hand opening. Unfortunately, most of currently available hand rehabilitation devices do not sufficiently address hand opening with the appearance of abnormal muscle synergies. We, therefore, developed a synergy resistant, electromyographic (EMG)-driven electrical stimulation device that allows for $\mathbf {Re}$liable and $\mathbf {In}$tuitive control of the hand (ReIn-Hand) opening while using the paretic arm during lifting and reaching.
    MeSH term(s) Activities of Daily Living ; Electromyography ; Hand ; Humans ; Paresis ; Stroke ; Stroke Rehabilitation
    Language English
    Publishing date 2018-09-17
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ISSN 2694-0604
    ISSN (online) 2694-0604
    DOI 10.1109/EMBC.2018.8512543
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  8. Article: Sensory Amplitude Electrical Stimulation via Sock Combined With Standing and Mobility Activities Improves Walking Speed in Individuals With Chronic Stroke: A Pilot Study.

    Lopez-Rosado, Roberto / Kimalat, Andrea / Bednarczyk, Matthew / Sullivan, Jane E

    Frontiers in neuroscience

    2019  Volume 13, Page(s) 337

    Abstract: Objective: ...

    Abstract Objective:
    Language English
    Publishing date 2019-04-16
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2411902-7
    ISSN 1662-453X ; 1662-4548
    ISSN (online) 1662-453X
    ISSN 1662-4548
    DOI 10.3389/fnins.2019.00337
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  9. Article ; Online: The post-stroke upper limb improvement effort survey (IMPETUS): a survey of individuals with chronic stroke.

    Sullivan, Jane E / Drogos, Justin / Carmona, Carolina / Yao, Jun

    Topics in stroke rehabilitation

    2019  Volume 26, Issue 8, Page(s) 608–620

    Abstract: Background: There is a considerable literature on arm/hand dysfunction post stroke, but little information on the participants' opinions about perceived and desired arm/hand strength, recovery, and function.: Objective: The objective of this study ... ...

    Abstract Background: There is a considerable literature on arm/hand dysfunction post stroke, but little information on the participants' opinions about perceived and desired arm/hand strength, recovery, and function.
    Objective: The objective of this study was to examine the perceptions of individuals with stroke about arm/hand function and training devices.
    Methods: A 69-item survey was developed addressing: activity before and after stroke, involved arm/hand function, willingness to use a training device, and important device characteristics. The survey included items from the Hand Function and Strength Subscales of the Stroke Impact Scale (SIS). Face validity was established by physical therapists and individuals with stroke. The survey was administered via phone and online.
    Results: 852 registry participants were recruited. Ninety-seven responded; 83 completed the survey. Subjects were 51 males, 31 females; mean age: 65 (25-95); meantime since stroke: 13 years (1-34; SD 6.678). There was a statistically significant difference between
    Limitations: Participants had greater arm impairment and were more chronic than other studies.
    Conclusions: Participants
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Chronic Disease ; Exercise Therapy ; Female ; Hand Strength ; Humans ; Male ; Middle Aged ; Muscle Spasticity/etiology ; Muscle Spasticity/rehabilitation ; Muscle Weakness/etiology ; Muscle Weakness/rehabilitation ; Patient Compliance ; Recovery of Function ; Socioeconomic Factors ; Stroke/physiopathology ; Stroke Rehabilitation/methods ; Surveys and Questionnaires ; Treatment Outcome ; Upper Extremity/physiopathology
    Language English
    Publishing date 2019-08-06
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1213112-x
    ISSN 1945-5119 ; 1074-9357
    ISSN (online) 1945-5119
    ISSN 1074-9357
    DOI 10.1080/10749357.2019.1647649
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  10. Article: Corrigendum: Improving Hand Function of Severely Impaired Chronic Hemiparetic Stroke Individuals Using Task-Specific Training With the ReIn-Hand System: A Case Series.

    Carmona, Carolina / Wilkins, Kevin B / Drogos, Justin / Sullivan, Jane E / Dewald, Julius P A / Yao, Jun

    Frontiers in neurology

    2019  Volume 10, Page(s) 1104

    Abstract: This corrects the article DOI: 10.3389/fneur.2018.00923.]. ...

    Abstract [This corrects the article DOI: 10.3389/fneur.2018.00923.].
    Language English
    Publishing date 2019-10-17
    Publishing country Switzerland
    Document type Published Erratum
    ZDB-ID 2564214-5
    ISSN 1664-2295
    ISSN 1664-2295
    DOI 10.3389/fneur.2019.01104
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