Understanding Injuries on the court

A NEW NBA AND GENERAL ELECTRIC GRANT TO SPAULDING LOOKS AT BONE STRESS INJURIES

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Focus on Medicine Focus on Education Focus on Faculty Integrative Medicine Gender Inequality in Dr. Trumbower in India Medical Education Joins Spaulding

Dr. Ariana Vora was hosted by the Resident Julia Reilly, MD is helping Prolific researcher Randy Trumbower, Indian Ministry of Health to formalize to shine a light on gender challenges PhD comes to Boston with a unique a collaboration for a new academic in medicine in order to bring attention knowledge of biomedical engineering medical center in India. and change. and a background in physical therapy.

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A publication of the Harvard Medical School Department of Physical Medicine and Rehabilitation From the Chair’s Desk Focus on Education Focus on Faculty

A message from Shining a light on gender Dr. Randy Trumbower Dr. Ross Zafonte inequality in medical education joins Spaulding

Dear Colleagues, Julia Reilly, MD is a PGY-3 Chief Resident in the Spaulding/ Randy Trumbower, PhD As 2018 begins, it is a good moment to take stock of the progress we have Harvard Medical School residency program who has become a joined the Harvard made and the challenges still before us. Our Department was thrilled to national leader in the gender equity dialogue. With her interest Medical School join so many of our colleagues this past Fall at both the AAPM&R Annual in medical education (she completed the Medical Education Department of PM&R Assembly and ACRM conference. Many of our faculty presented fascinating new Research Scholars Track at her alma mater, Georgetown) and at Spaulding as the approaches as well as were honored for their exemplary work and advocacy. a strong social conscious, Dr. Reilly joined her mentor, Dr. Julie Director of Spinal Cord Silver, and a team of researchers to publish a study on the Injury Research. Dr. In the past several months, we have seen a dramatic examination across all fields underrepresentation of women physicians receiving awards Trumbower previously in our society regarding gender equality and fairness. Through leaders such as Dr. from the Association of Academic Physiatrists . Following this publication, was at Emory University Julie Silver, our Department has pushed to illuminate needed changes in medicine as she wrote an article titled “I Wish Someone Had Told Me About the in Atlanta as well as an Assistant Professor well as productively advance the dialogue. We share with you two important efforts Challenges of Being a Woman in Medicine” that was published in STAT News at Georgia Tech in Biomedical Engineering. aimed at energizing the next generation of physician leaders to better achieve a level in August and widely discussed online by physicians and many others. playing field for all. Dr. Silver’s tremendous work across many media is spotlighted, Dr. Trumbower combines a unique as well as the work of one of our talented residents, Dr. Julia Reilly, who brought an The STAT News article led to an outpouring of responses from knowledge of biomedical engineering important voice to the discussion around gender barriers in medical education. colleagues and strangers. Dr. Reilly received supportive emails and a background in physical therapy. He from across the gender spectrum and support came from established the INSPIRE Lab at Spaulding’s Advancing the science of recovery is always at the forefront of our efforts, and physicians practicing locally in Boston to as far as Nigeria. Cambridge location. The INSPIRE Lab we are pleased to share the work of Dr. Irene Davis and her team as they begin team at Spaulding is committed to a major study with the NBA and General Electric to examine “bone stress Quickly establishing herself as an early career physician thought leader on the study of integrative rehabilitation injuries.” By combining technology with a novel approach, we can hopefully gender equity in the medical workforce, Dr. Reilly is becoming a sought engineering technologies that promote enable athletes at all levels to recover faster and reach their full potential. after speaker. In October 2017, she was an invited panelist for “Women functional independence in persons with and the Global Health Workforce”, hosted by Harvard Global Health Advocacy is another major tenet of what we do. This past September, we catastrophic injury to their nervous system. Institute and Harvard Chan’s Women and Health Initiative. Following this, were honored to bring world-wide attention to rehab medicine by hosting Doximity approached Dr. Reilly about writing for their Op-(m)ed column “Dr. Trumbower is one of the most the U.S. Premiere of the film Stronger. The powerful film and participating as a thought leader at the 2018 Doximity Leadership respected and prolific researchers in our highlights the difficult obstacles faced by the patients and their families Summit taking place in March of 2018 in San Francisco, California. field and brings with him a significant we serve as well as demonstrates the power that an indomitable spirit portfolio of publications, lectureships, can have on redefining recovery. The screening was a truly meaningful 2017 was a year of tremendous career growth and opportunities for Dr. grants and presentations. His combination experience for all of us as many of the people portrayed in the film— Reilly, and she is looking forward to new challenges in 2018. Dr. Reilly of expertise in engineering and clinical patients, caregivers and beyond—were able to attend the screening. says, “I am excited to continue with my research with Dr. Silver and our applications will greatly enhance our colleagues at Spaulding on gender disparities and am fortunate to train As we turn the page to 2018, no doubt many challenges await us but so does research into spinal cord injury,” said in a residency program that has been paving the way in this area. I am the limitless opportunity we are afforded to make a positive impact through Ross Zafonte, DO Senior Vice President of encouraged by recent initiatives, such as the creation of Diversity Task the work we do. By continuing to push our understanding of the biology of Research, Education and Medical Affairs, Forces amongst various Harvard-affiliated institutions as well as Harvard recovery through innovative science, excellence in care and passionate advocacy, Spaulding Rehabilitation Network. Medical School Dean George Daley’s commitment to display inclusive and we can advance our field to be even better for those who depend on us. representative art on the walls at Harvard Medical School. Though there Dr. Trumbower has an extensive Ross Zafonte, DO is still much work to be done in improving gender equity and attaining publication and research portfolio Earle P. and Ida S. Charlton Professor and Chairman of Physical Medicine and full inclusion for all, I remain optimistic that we will make progress.” with papers published in several high Rehabilitation at Harvard Medical School; Senior Vice President of Medical Affairs, Research impact journals including the Journal and Education at Spaulding Rehabilitation Network; Chief of Physical Medicine and of Neuro Engineering, Journal of Neuro Rehabilitation, General Hospital and Brigham and Women’s Hospital Physiotherapy, Journal of Neurotrauma, and Neurology, as well as served as an Academic Editor for PLOS One. He was also recognized in 2015 with the Eugene Michels New Investigator Award from the American Physical Therapy Association.

2 Spaulding Now | Winter 2018 Spaulding Now | Winter 2018 3 Growing up in Brookline, I am well-acquainted with Focus on Advocacy “ Spaulding’s significance as one of the foremost rehabilitation institutions in the world. We were proud to bring the US US premiere of Premiere of Stronger home to Boston and present it in the exact same space where Jeff Stronger Bauman and other survivors at Spaulding Rehab worked so hard on their recovery. Eric d’Arbeloff Jake and Jeff The US Premiere of the film Stronger was held at Spaulding Co-President, Roadside Attractions Rehabilitation Hospital on September 12, 2017. Stronger stars Jake Gyllenhaal and is the inspiring true story of Jeff Bauman, an ordinary man who captured the hearts of his city and the world to become a symbol of hope following the infamous 2013 bombing. The film also stars , Academy Award® nominee Miranda Richardson and was directed by David Gordon Green. The filmmakers of Stronger approached Spaulding with a commitment to honor the courage of everyone involved in the moving events following the tragedy and to share Jeff’s story in an honest and respectful way. Allowing the filming to take place in the same places where Jeff’s long road to recovery took place presented a unique

opportunity to share his story as well as to further Jeff Bauman, Jake Gyllenhaal, Tatiana Maslany Dr. David Crandell speaking to media. Spaulding’s mission of empowerment for the patients and families served by the network. Over seventy members of the Spaulding community participated as extras in the Jeff’s story of courage and film. Many of the caregivers and patients Jeff has known determination has inspired and through his care and peer mentorship at Spaulding were “ educated the public about the directly involved in the scenes filmed at the hospital. The obstacles and challenges that people premiere served as a culmination and celebration for all with disabilities face each day. those were help nurture the community spirit known as Spaulding is proud to host the US “.” premiere of Stronger in the same location Jeff received his rehabilitation Stronger is now available on DVD/Blu-Ray and Digital care as a way of giving the event the Download as well as select theatres nationwide. deepest meaning and significance. Many of the clinicians, people and fellow patients Jeff encountered during Spaulding has been such a large part of my life for the his time at Spaulding participated past four years that having the US Premiere of Stronger in the filming. We feel this is an “ there felt so right to me. Although watching the film extraordinary opportunity to honor on that big screen is such an emotional rollercoaster, it this special time of healing in our comforts me to know that I will be surrounded by the city’s history and to raise awareness people who have been such a big part of my recovery – of the critical role of rehabilitation the doctors, nurses, friends and family. I gotta say it will medicine to help people of all abilities be a wild trip watching the film in the exact same spot find their strength. where I learned to walk again! David Storto Jeff Bauman President, Spaulding Rehabilitation Network

2013 Survivor Celtics Gordon Hayward and Al Horford with Jeff and Jake. President David Storto with Jake and Jeff.

4 Spaulding Now | Winter 2018 Spaulding Now | Winter 2018 5 Focus on Collaboration On the Cover

The team led by Dr. Davis will be using small devices, called load exposure of elite basketball athletes. This is primarily due to The Department of PM&R Understanding wearable sensors, that can be secured to the lower leg to the difficulty in quantifying load exposure during practice and provide the ability to measure these loads while players are on game situations. However, the advent of wearable sensors that Formalizes New Collaborations the court. The relationship between load and injury is affected can accurately measure and monitor impact loads provides an by other factors such as sleep, nutrition, bony anatomy and opportunity to characterize the physical demands of the game in Integrative Medicine Injuries the current state of bone health. To prevent bone stress injury with respect to repetitive impact loading. This new study data and help athletes recover from bone stress injury, we must first has the potential to influence the understanding of lower limb On October 17, 2017, Spaulding’s Ariana Vora MD was invited and on the court have a better understanding of these mechanical and biological injury, how to alter training and periodization of training to hosted by the Government of India to deliver a keynote address factors and how they relate to bone health. The overall goal mitigate injury risk, and ways to improve return-to-play decisions. before an international delegation in New Delhi. She also participated of the study funded by the National Basketball Association Understanding the role of mechanical loading in maintaining in a series of discussions about building research, education and A NEW NBA AND GENERAL ELECTRIC and General Electric Orthopedics and Sports Medicine bone health is particularly relevant to young NBA athletes whose clinical collaborations with the Indian Ministry of Health Dr. GRANT TO SPAULDING LOOKS Collaboration, is to improve the understanding of bone stress skeletons are still undergoing a modeling process, or freshman Vora participated in a signing ceremony formalizing collaboration AT BONE STRESS INJURIES injury in elite basketball athletes by measuring and monitoring NCAA athletes who might receive a dramatic increase in impact between the Harvard Department of PM&R at Spaulding and the mechanical loads, sleep and nutrition, bone anatomy and load exposure during pre-season training that their skeleton Indian Ministry of Health’s All-India Institute, a new academic bone health in collegiate and professional basketball players. has not yet adapted to. By including both college and NBA medical center devoted to research, post-graduate education and athletes in this cohort, Dr. Davis’s research will address several The team led by Dr. Davis will focus clinical practice in the Indian system of medicine [Ayurveda]. ASKETBALL PLAYERS experience a large interesting research questions: How does on foot bone stress injuries as these number of high impact loading events lower limb load exposure due to training Indian Prime Minister Narendra Modi praised this collaboration are the most common in basketball during their career and these repetitive differ between college and NBA athletes? during his televised address to the nation as he inaugurated B players. They plan to first collect baseline loading events are thought to be related What is the impact load exposure during the All-India Institute on October 17, 2017. “Just a short time measures of foot bone anatomy and to the high incidence of lower limb injury, a game and how does this compare to ago, Shripad Naik ji[Indian Minister of State] shared with me bone health using various types of particularly “Bone Stress Injury”. Unfortunately, training? How do lower limb impact loads a new partnership with Spaulding Rehabilitation Hospital and imagining techniques. They will also the relationship between mechanical loading change during a game and throughout Harvard Medical School. I am very happy to hear this, and I gather dietary measures such as the and injury is not clear because it is difficult the season (i.e. is there a fatigue-related congratulate both sides. I hope that this collaboration will help amount of vitamin D in the blood and to measure impact loads during practice change in impact load)? And ultimately, in exploring the possibility of Ayurvedic treatment in the fields daily caloric intake. The study team will and games. A new study led by Dr. Irene does impact load exposure predict bone of sports medicine, rehabilitation medicine, and pain relief.” then monitor how hard the players are Davis, PhD, the Director of the Spaulding health and possibly, bone stress injury? landing with each step across practices The goals of this collaboration are to develop an integrative practice National Running Center plans to examine and games throughout the season and Musculoskeletal tissues, such as bone, model for the diagnosis, treatment, and outcome measurement for the role of fatigue on landing impacts and also monitor sleep over the course of muscle, tendon and cartilage, all respond common conditions such as lower back pain, osteoarthritis, and bone stress injuries in basketball players. the season. Finally, the team will image and adapt to their local mechanical stroke using traditional and modern approaches; to develop improved the foot again to determine if any injuries are developing. environment in such a manner as to maintain tissue health. integrative medicine research methodology combining traditional However, mechanical loads can also lead to injury if they exceed and modern diagnostic and treatment measures; to facilitate cross- “Ultimately, we want to understand the factors that affect the strength of the tissue. These loads might be traumatic, such paradigm communication among clinicians and scholars; and to the foot bone loading a basketball player sustains over the as a direct impact or single loading event causing failure, or enhance efficacy, safety, and quality control in integrative medicine. course of a season. This is important as this loading has repetitive, where cumulative loads result in damage (such as a been shown to be related to bone stress injuries. Bone In addition to having American Board of PM&R certification in bone stress injury). These biological processes occur, regardless stress injuries can progress to small cracks in the bone, and sports medicine and PM&R, Dr. Vora is Integrative Medicine certified of the age and ability of an athlete. Therefore, understanding ultimately complete fractures. These injuries can be season by the American Board of Integrative and Holistic Medicine and the mechanical and physiological regulation of bone health at ending and sometimes career ending. Therefore, preventing has additional certification in Ayurveda and acupuncture. Her a fundamental level will have implications across the general them from happening is the best approach. We believe this clinical care, teaching and research at Spaulding since 2005 has population. The magnitude of the impact load exposure of study will provide important information for sports medicine incorporated integrative medicine, combining modern rehabilitation an elite basketball player might be considerably greater than professionals who oversee these athletes’ care,” said Dr. Davis. and regenerative techniques with ancient health practices. Dr. a “weekend warrior”, however, the biological adaptation Vora is Co-Chair of the national Complementary and Integrative The scientific and clinical communities recognize the importance mechanisms of these two athletes remains the same. “Ultimately, Rehabilitation Medicine group at the American Congress of of mechanical loading in the context of repetitive stress injury. measuring and monitoring the mechanical loads experienced by Rehabilitation Medicine and is also currently leads an Spaulding’s However, they still have a poor understanding of the impact musculoskeletal tissue is critical to improve our understanding Integrative Medicine Task Force with Dr. Rick Leskowitz. of musculoskeletal injury and health,” concluded Dr. Davis.

“The ultimate goal of this collaboration is to improve the health of all by developing a best-practice model of care that is informed by global knowledge about health, rehabilitation, and healing,” said Dr. Vora. “It’s an honor to help guide this work, and I am grateful for the strong support of our PM&R Department at Spaulding, the Indian Ministry, and Prime Minister Modi.” Spaulding Now | Winter 2018 7 Focus on Education Focus on Advocacy

Upcoming CME Courses “Walls Do Talk Challenge” to Combat Gender Stereotypes Writing, Publishing and Social Media Neurorehabilitation Musculoskeletal Ultrasound at the Clinicians Health Coaching for Healthcare Professionals June 14-16, 2018 Point-of-Care: Diagnostic and Starts September 9, 2018 in Medical Schools April 26-28, 2018 Procedural Applications Patients with stroke, TBI, SCI, and The Clinicians Culinary Health Education September 16-17, 2018 Medical students invited to create their own This unique 3-day course empowers degenerative neurological diseases face so Fundamentals (CHEF) Coaching “Honor Walls” to reflect the new face of medical education physicians, healthcare executives, and much disruption of so many facets of their Musculoskeletal ultrasound is a highly courses are designed for health care other professionals to expand their lives, and clinicians are left with so many valuable skill that has been shown to professionals and health and wellness visibility and influence in healthcare treatment dimensions to consider, that expedite the diagnosis and management coaches to deliver patient education LTHOUGH 48 PERCENT of current medical school students through traditional and new media. rehabilitation is never simple. In this new of a variety of musculoskeletal conditions, emphasizing skills such as shopping, are women, the images they see in their classrooms, labs As an attendee, you will learn how to program, the country’s most experienced improve procedural accuracy and safety, food storage, and meal preparation. The Aand halls reinforce a stereotype of medicine as a male make the most of print, live, and online and committed neurorehabilitation improve patient outcomes, and is of goal is to empower patients and clients profession. Very often those images are on the so-called “honor communication channels, and sharpen experts present cutting-edge strategies, significantly less cost than other advanced to make more home-cooked food in walls” in which primarily male doctors are honored. your ability to market yourself and improved approaches, the latest imaging modalities. This course, co- less time and enjoy healthy changes in your body of work. Learn about best findings, practical education, and sponsored with Massachusetts General their lives. The course is offered in two To help change that Julie practices for connecting the public with hands-on methods to further your Hospital, is geared towards physicians ways; as a remote 10-week program K. Silver, MD, an Associate your ideas and insights, getting your expertise in guiding your patients to and allied health professionals looking consisting of five tele-classes and five Professor at Harvard Medical book published, improving your writing their maximum level of function. to gain expertise in musculoskeletal remote small group practice sessions School, has launched the and your oral pitches, introductory ultrasound as part of their practice. or a full day of onsite lectures and five “Walls Do Talk Challenge” Course Directors and advanced topics in social media, remote small group practice sessions. in coordination with the Mel Glenn, MD Course Directors blogs and websites- and more! organizers of the 2017 Career Ross Zafonte, DO Minna J. Kohler, MD, RhMSUS, Course Directors Advancement and Leadership Course Director Joanne Borg-Stein, MD, RMSK Rani Polak, MD, Chef, MBA Skills for Women in Healthcare Assistant Directors Julie K. Silver, MD Director of the Culinary Healthcare Conference that took place Yelena Guffer Bodien, PhD Visit sportsmedicine.hmscme.com for Education Fundamentals in Boston, MA this past Fall. Visit wps.hmscme.com for more Chloe Slocum, MD more information and to register (CHEF) Coaching program information and to register “Honor or portrait walls are commonplace in many higher learning Visit neurorehab.hmscme.com for This course is run in collaboration with the institutions,” says Dr. Silver. “Unfortunately, they often do not more information and to register Career Advancement and Leadership Institute of Lifestyle Medicine at Harvard support an anti-bias learning environment. This, at a time when Sports Medicine Skills for Women in Healthcare Medical School. For more information there is a tremendous need to dispel gender stereotypes and women May 9-11, 2018 Women Leadership Course about training contact chefcoaching@ make up a significant proportion of doctors in America.” Lifestyle Medicine: Tools for Promoting November 15-17, 2018 instituteoflifestylemedicine.org. This program provides a special and Healthy Change The “Walls Do Talk Challenge” invited medical students to take timely opportunity to hear directly from June 22-23, 2018, Boston, MA This program delivers evidence-based a “blank canvas and share their vision for the ideal learning world-renowned physician specialists strategies, skills development and environment” by designing an alternative wall. Eligible designs This immersive two-day course offers (physiatrists, orthopedists, radiologists), education that help women at various were not limited to any format—drawing, painting, using computer- state-of-the-art strategies to guide athletic trainers for the New England stages of their healthcare careers generated images or photographs were all accepted for formal review patients to healthier lives. Education Patriots and the , and step into and succeed in leadership as part of the challenge at www.SheLeadsHealthcare.com. includes evidence-based tools and physical therapists on the cutting positions. It also helps women—and techniques for effecting healthy Nine finalists were selected—each with a different style and message, edge of rehabilitation about state-of- men—effectively cultivate female changes in diet, physical activity, sleep, and together they demonstrate that there are many wonderful ways the-art approaches to diagnose, treat, managerial talent in healthcare settings weight loss, and stress management. to create an anti-bias learning environment. Progress on the “Walls rehabilitate and prevent sports injuries. by developing leadership competencies. Do Talk Challenge” will be updated on social media, including Course Director Course Directors Course Directors Twitter using the #WALLSDOTALK hashtag. Two winners were Edward M. Phillips, MD, FACSM Joanne Borg-Stein, MD Julie K. Silver, MD selected, Navya Talluri of Michigan State University College of Osteopathic Medicine by panel vote at the conference and Laura Flores Kelly McInnis, DO Assistant Director Assistant Directors of University of Nebraska Medical Center won the public vote. Adam Tenforde, MD Rani Polak, MD, Chef, MBA Saurabha Bhatnagar, MD Visit sportsmedicine.hmscme.com for Visit lifestylemedicine.hmscme.com for Visit womensleadership.hmscme.com more information and to register more information and to register for more information and to register

Spaulding Now | Winter 2018 9 Research

England Rehabilitation Conference, Babu, A. Clinical Correlates: How Kotler, D. Tenforde AS. Triathletes Leskowitz, E., Quezada-Morales, JL., Jacob ME, Ni P, Leritz EC, Driver J, Accomplishments Warwick, RI. September 27, 2017 the US Changes your Clinical Have a Trilogy of Troubles: Evaluation Chin, B., Vora, A. Integrative Medicine Leveille S, Jette A, Bean JF. Multi- July 2017–December 2017 Care. Pre-Conference Course and Treatment of Triathletes. and Rehabilitation: A Natural Partnership. Morbidity Patterns and Disablement Glenn MB. Rehabilitation After Spaulding Rehabilitation Network Severity Among Mobility Limited Older Traumatic Brain Injury. Tufts Physician’s Babu, A.; Eng, C.; Kotler, D.; Makovitch, Nimec, D. The Challenge of Dystonia Silver, J. Update in Cancer Prehabilitation Physical Medicine & Adults. International Association of Assistant Training Program at Tufts S.; McInnis, K.; Tenforde, AS. in the Motion Analysis Laboratory. and Rehabilitation: New Research, Rehabilitation Department Gerontology and Geriatrics. July 23-27, New England Medical Center, Musculoskeletal Ultrasound Imaging of Guidelines, and Practice Recommendations. 2017. San Francisco, CA. (presentation) Boston, MA. November 30, 2017. Lower Extremity Nerves: Identification and Sabharwal, S. Best Article in Injection Techniques. Clinical Workshop Knowledge Now 2017. Vora, A. From Silos to Synchrony: Ward RE, Leritz EC, Leveille SG, Pederson Presentations Kotler, DH. Interview, Doctor Promoting Interdisciplinary Collaboration M, Travison T, Bean JF. The Role of Radio, Sports Medicine Program. Binder, D. Innovate for Access: An Sabharwal, S. Cardiometabolic Disease in Integrative Cancer Rehabilitation. Ahmed M. Ultrasound Applications of the Peripheral Impairments in the Relationship Sirius XM 110. June 29, 2017 Interactive Tutorial on New Technologies in SCI: Clinical Practice Guidelines. Knee. Course Faculty. Harvard Sports between Mild Cognitive Impairment and that can Improve Community Integration Mobility. International Association of Medicine Course. Harvard Medical Solinsky R, Understanding the Slocum, C. A PM&R Educator’s and Quality of Life for Your Patients. Abstracts, Poster Presentations Gerontology and Geriatrics. July 23- School. Boston MA. April 22, 2017 International Standards Exam: Toolbox: Hi-Tech and Low-Tech and Exhibits Presented at 27, 2017. San Francisco, CA. (poster) Historical Insights for Contemporary Binder, D.; Zubcevik, N. The Strategies to Cultivate Learner Bean JF. Walking Speed: The Unrecognized Mastery. Academy of Spinal Cord Rehabilitation Hackathon!: Solving Engagement, Educator Growth, and Professional Meetings Vital Sign for Aging Society. Alumni Injury Professionals. Denver, Today’s Healthcare Problems Through a Collaborative Learning Communities. Jor’dan AJ, Jacob ME, Leritz E, Bean JF. Weekend TED Talk, Harvard School of Schmidt CT, Keeney T, Ward RE, CO. September 3–6, 2017 Novel Interactive, Multidisciplinary, and Mobility and Neuromuscular Attributes Public Health, Boston, MA October 2017 Silver, J. The Physiatrist’s Role in Sri P, Kiely, D, Bean JF. Symptomatic Solution Oriented Problem Solving Event. Among Older Adults with Obesity, Solinsky R. Autonomic Dysreflexia Cancer Recovery: Helping Patients Lumbar Spinal Stenosis: Measuring Bean JF. Re-Conceptualizing Outpatient Diabetes, and Hypertension. International Elaborated: New emerging details Crandell D. Crossing the Finish Line: How with Cancer-Distinct Impairments. Health, Impairment, Mobility and Geriatric Rehabilitation: Delivering Association of Gerontology and from statistical analysis. Academy Rehabilitation Responders Made Boston Pre-Conference Course Disability. J Orthop Sports Phys Therapy Preventative Care Through Connected Geriatrics (IAGG) World Congress, San of Spinal Cord Injury Professionals. Strong. Zeiter Plenary Presentation. 2017;47(1): A58-A161. doi:10.2519/ Health. ACRM 94th Annual Conference, Silver, J. The Value of Cancer Francisco, CA. July 26, 2017. (poster) Denver, CO September 3–6, 2017 jospt.2017.47.1. A58 (abstract) Atlanta, GA. October 2017 Prehabilitation: From Bench to Bedside. Crandell, D. Positioning Physiatry Ward RE, Quach L, Leritz E, Bean JF. James EG, Hausdorff JM., Leveille SG, Wang QM. Stroke Rehabilitation, Current in the Care Continuum, Part 2. Neuromuscular, Cognitive, and Behavioral Blauwet C. Injury and Illness Prevention Tenforde AS. Advances in Management Bean, JF. Ankle Control Differentiation Treatment and Opportunity of Paradigm Factors Contributing to Falls. 2017 in Paralympic Sport. Invited Lecture. Frankel J. Positioning Physiatry of Musculoskeletal Health in as a Mechanism for Mobility Shift Lecture. Fourth Affiliated Hospital of International Society of Posture and Gait American College of Sports Medicine. in the Care Continuum. Athletes. Session Director. Limitations. American Congress of Zhengzhou University. July/August 2017 Research World Congress. Ft. June 27, New England Chapter Annual Rehabilitation Medicine. October Tenforde AS. Update on 2017. Lauderdale, FL. (presentation) Meeting, Providence RI. 2017 Wang QM. Henan Rehabilitation Frankel J. Transitioning Adolescents 2017. Atlanta, GA. (presentation) with Cerebral Palsy to Adult Care. Tendinopathy Management. Conference, Current Stroke Hayano T, Jamison S, Tenforde A, Blauwet C. More Than Just a Game: Quach L, Ward RE, Pedersen M, Rehabilitation Management Lecture. West, A. Leading in Research: MSK Davis I. Correlation Between Tibial The Public Health Impact of Sport and Frankel, J.; Lowry, J.; Nimec, D.; Leveille SG, Bean JF. The Association Henan, China. July/August 2017 & Sports Medicine Podium Session: Acceleration and Loadrate in Runners. Physical Activity for People with Disabilities. West, A. Transitioning Adolescents and Between Social Engagement, Cognitive Diagnostic Accuracy of CT and MRI in New England American College Plenary Keynote. VISTA International Young Adults with Childhood Onset Impairment, and Falls Among Older Conditions Into the Adult Milieu of Young Athletes with Spondylolysis. of Sports Medicine. 2017 Annual Paralympic Committee Sports Science Faculty Presentations at Primary Care Patients. American Congress Conference, Toronto, Canada. 2017 Health Care and the World Beyond. Meeting Poster. Providence, RI AAPM&R Annual Assembly, of Rehabilitation Medicine. October 23-28, 2017. Atlanta, GA. (poster) Blauwet C. Injury and Illness Denver, CO. October 2017 Homer, S. Diagnostic Ultrasound Faculty Presentations at Hayano T, Flavin M, Kohler M. Patellar Fracture Diagnosed via Prevention in Paralympic Sport. Invited of the Wrist and Hand: Review of American Congress of Shea C, Ward R., Bean JF, et al. Point-of-Care Ultrasound in a Lecture. International Olympic Ahmed, M. The Functional Common Injuries and Overview of Inability to Perform the Repeated Chair Rehabilitation Medicine 69-Year-Old Female. Association of Committee Advanced Team Physician Medicine Matrix and Practical Commonly Performed Ultrasound- Stand Task Predicts Fall-Related Injury Annual Meeting, Atlanta, Academic Physiatrists. 2017 Annual Course, Antalya, Turkey. 2017 Applications in Your Practice. Guided Procedures About the Region. in Older Primary Care Patients. ACRM Meeting Poster. Las Vegas, NV Georgia, October 2017 Annual Conference. October 23- Blauwet C. Everyday Acts of Bias and Ahmed, M. Controversies in Imaging: Iaccarino, A; Iverson, G; Shih, S; Zafonte, 28, 2017. Atlanta, GA. (poster) Bravery. Invited Panel Discussant. Joint Regenerative Medicine, Musculoskeletal, R. Exercise vs. Rest after Traumatic Brain Giacino, J. An Evidence-Based Clinical Hayano T, Flavin M, Siddiqui I, Kohler M. Seronegative Spondyloarthropathy Committee on the Status of Women, Neuro- and Cancer Rehabilitation. Injury: Evidence and Application. Outcome Assessment Platform (EB-COP) for Ni M, Bean, JF. Clinically Meaningful Presenting as Lumbar Radiculopathy Harvard Medical School. 2017 Pre-Conference Course the Validation of TBI Assessment Measures. Cutpoints of Leg Power in Predicting Iaccarino, A; Zafonte, R. Understanding in a 34-Year-Old Male. Association of Disability, Falls, and Hospitalizations Glenn MB. Psychopharmacology After Babu, A. Step One: Ultrasound Chronic Traumatic Encephalopathy Iaccarino, MA, Tan, CO Ross Zafonte, Academic Physiatrists. 2017 Annual in Older Adults. ACRM Annual Brain Injury at 2017 Southern New Clinical Applications of the Extremities. (CTE): Pathology, Clinical Controversy, R. Exercise for Individuals With Traumatic Meeting Poster. Las Vegas, NV Conference. October 23-28, Pre-Conference Course and Future Directions. Brain Injury: Evidence and Clinical Practice. 2017. Atlanta, GA. (abstract)

10 Spaulding Now | Winter 2018 Spaulding Now | Winter 2018 11 Fu JB, Tennison JM, Rutzen IM, Roos A, Avins A, Ahmed MA, Kleimeyer Reuben D, Gazarian PK, Alexander Ward RE, Quach L, Leritz E, Leveille and Mobility Among Primary Care Patients Derman W, Schwellnus M, Jordaan E, Morishita S, Silver J. Dibaj S. J, Roos T, Fredericson M, Ioannidis N, Araujo K, Baker D, Bean JF. The SG, Travison TG, Pedersen MM, Bean with Symptomatic Lumbar Spinal Stenosis: Runciman P, Blauwet CA, Webborn N, Poster 476: Bleeding Events Among J, Dragoo J, and Kim S. Two Genetic Strategies to Reduce Injuries and Develop JF. Effects of Neuromuscular Attributes a Secondary Analysis. J Geriatr Phys Lexell J. Sport, sex and age increase risk of Hematologic Inpatient Rehabilitation Loci Associated with Medial Collateral Confidence in Elders Intervention: in the Relationship of Mild Cognitive Ther. 2017 Jul/Sep;40(3):135-142. doi: illness at the Rio 2016 Summer Paralympic Patients with Severe Thrombocytopenia. Ligament Injury. International Journal Falls Risk Factor Assessment and Impairment with Mobility. 2017 July. 10.1519/JPT.0000000000000085 Games: a prospective cohort study of 2017 September. PM&R 9(9): S284. of Sports Medicine. 2017. Print. Management, Patient Engagement, doi:10.1093/geroni/igx004.3258 51 198 athlete days. British Journal doi10.1016/j.pmrj.2017.08.421 doi: 10.1055/s-0043-104853. and Nurse Co-management. Journal of Ni M, Brown LG, Lawler D, Bean JF. of Sports Medicine. 2017 October. the American Geriatrics Society. 2017 Schmidt CT, Ward RE, Suri P, Kiely DK, Reliability, Validity, and Minimal Detectable doi: 10.1136/bjspor ts-2017- 097962 Shea CA, Ward RE, Welch SA, Kiely October. doi: 10.1111/jgs.15121 Pensheng N, Anderson DE, Bean JF. Change of Four-Step Stair Climb Power Other Conference DK, Goldstein R, Bean JF. Inability Association of Neuromuscular Attributed Test in Community-Dwelling Older Derman W, Runciman P, Schwellnus Platform Presentations: to Perform the Repeated Chair Stand James E, Leveille SG, Hausdorff JM, with Performance-Based Mobility Among Adults. Phys Ther. 2017 Jul 1;97(7):767- M, Jordaan ER, Blauwet CA. High Task Predicts Fall-Related Injury in Bean JF. Coordination Impairments Community-Dwelling Older Adults with 773. doi: 10.1093/ptj/pzx039 Precompetition Injury Rate Dominates Sapienza S, Adans-Dester C, O’Brien Older Primary Care Patients. 2018 Are Associated with Falling Among Symptomatic Lumbar Spinal Stenosis. Arch the Injury Profile at the Rio 2016 A, Vergara-Diaz G, Lee SI, Black- Jan 3. Am J Phys Med Rehabil. doi: Older Adults. Experimental Aging Phys Med Rehabil. 2017 Jul;98(7):1400- Burkhart KA, Bruno AG, Bouxsein Summer Paralympic Games: A Schaffer R, Zafonte R, Bonato P. Using 10.1097/PHM.0000000000000889 Research. 2017 October. doi: 1406. doi: 10.1016/j.apmr.2017.02.028. ML, Bean JF, Anderson DE. Estimating Prospective Cohort Study of 51 198 a Minimum Set of Wearable Sensors to [Epub ahead of print] 10.1080/0361073X.2017.1369634 apparent maximum muscle stress of trunk Athlete Days. British Journal of Assess Quality of Movement in Stroke Cai Y, Leveille SG, Hausdorff J, Bean extensor muscles in older adults using Sports Medicine. 2017 October. doi: Survivors. 2017 July. doi: 10.1109/ Quach L, Ward RE, Pederson MM, Ni M, Brown LG, Lawler D, Ellis TD, JF, Manor B, You T. From Head to subject-specific musculoskeletal models. J 10.1136/bjspor ts-2017- 098039 CHASE.2017.104. Conference: 2017 Leveille S, Bean J. The Association Deangelis T, Latham NK, Perloff Toe, Frequency of Cognitive Activities is Orthop Res. 2017 June 9. doi: 10.1002/ IEEE/ACM International Conference on between Cognitive Impairment, Social J, Atlas SJ, Percac-Lima S, Bean JF. Associated with Shorter Foot Reaction Time. jor23630. [E pub ahead of print] Okafor EC, Blauwet CA. Poster 262: Connected Health: Applications, Systems Engagements, and Falls among Older The Rehabilitation Enhancing Aging 2017 July. doi:10.1093/geroni/igx004.344 Delayed Diagnosis of Bilateral Femoral Pinto Bonin C, Ghassan Saleh Velez F. and Engineering Technologies (CHASE) Primary Care Patients. Archives of Physical Through Connected Health (REACH) Neck Stress Reaction in a Young Female Medicine and Rehabilitation. 2017 Study: Study Protocol for a Quasi- Thapa S, Leveille SG, Bean JF, McLean Lopes F, V. de Toledo Piza P, Dipietro U.S. Army Recruit: A Case Report. Liu X, Rajan S, Hollander G, Ramasarma December. Volume 98, Issue 12, Page Experimental Clinical Trial. BMC R, You T. Pain Management and L, Wang QM, Mazwi N, Carmargo 2017 September. PM&R 9(9): S215. N, Bonato P, Lee, SI. Estimating e159. doi: 10.1016/j.apmr.2017.09.033 Geriatr. 2017 Sep 20; 17(1):221. Rehabilitative Care. 2017 July. doi: EC, Black-Schaffer RM, Fregni Felipe. doi: 10.1016/j.pmrj.2017.08.202 Bradykinesia in Parkinson’s Disease doi: 10.1186/s12877- 017- 0618 -x 10.1093/geroni/igx004.3130 SSRI and Motor Recovery in Stroke: with a Minimum Number of Wearable Meng N, Brown L, Lawler D, Bean, Reestablishment of Inhibitory Neural Lape EC, Katz J, Losina E, Kerman HM, Jacob ME, Jor’dan AJ, Leritz E, Bean JF. Sensors. 2017 July. doi: 10.1109/ JF. The Rehabilitation Enhancing Aging Frontera WR, Bean JF, Damiano D, Network Tonus. 2017 November. Frontiers Gedman MA, Blauwet CA. Participant- Mobility and Neuromuscular Attributes CHASE.2017.94. Conference: 2017 Through Connected Health (REACH) Study: Ehrlich-Jones L, Fried-Oken M, Jette A, in Neuroscience 11. doi:10.3389/ Reported Benefits of Involvement in an Among Older Adults with Obesity, IEEE/ACM International Conference on Study Protocol for a Quasi-Experimental Jung R, Lieber RL, Malec JF, Mueller MJ, fnins.2017.00637 License: CC BY 4.0. Adaptive Sports Program: A Qualitative Diabetes, and Hypertension. 2017 July. Connected Health: Applications, Systems Clinical Trial. BMC Geriatrics 17(1). Ottenbacher KJ, Tansey KE, Thompson Study. 2017 October. PM&R. doi: doi:10.1093/geroni/igx004.4418 Derman W, Blauwet C, Webborn N, and Engineering Technologies (CHASE) 2017 December doi: 10.1186/s12877- A. Rehabilitation Research at the National 10.1016/j.pmrj.2017.10.008 017-0618-x · License: CC BY 4.0. Institutes of Health: Moving the Field Schwellnus M, van de Vliet P, Lazarovski Leveille SG, Hausdorff JM, McLean Forward (executive summary). Assist D. Mitigating the Risk of Injury in Alpine Silver J, Blauwet CA, Bhatnagar S, R, Shi L, Dong Z, Manor B, Bean JF. Publications Nawai A, Leveille SG, Shmerling RH, Technol. 2017 Summer;29(2):110-119. Skiing in the PyeongChang Winter Slocum C, Tenforde AS, Schneider Attention Mediates the Relation Between Van der Leeuw G, Bean JF. Pain Severity doi: 10.1080/10400435.2017.1306412 Paralympic Games: The Time is Now. Br J JC, Zafonte R, Goldstein R, Gallegos- Kim, SK, Roos TR, Roos AK, Kleimeyer JP, and Pharmacologic Pain Management Pain and Gait in Older Adults. 2107 Sports Med. 2018 [epub ahead of print] Kearin V, Reilly JM, Mazwi N. Women Ahmed M A, Goodlin GT, Fredericson Among Community-Living Older Adults: Brown LG, Ni M, Schmidt CT, Bean JF. July. doi:10.1093/geroni/igx004.2655. Physicians Are Underrepresented in M, Ioannidis JPA, Avins AL, and Dragoo The MOBILIZE Boston Study. Aging Clin Evaluation of an Outpatient Rehabilitative Projects. MOBILIZE Boston Study II Iezzoni LI, Wint AJ, Arauz Boudreau A, Recognition Awards from the Association JL. Genome-wide Association Screens and Exp Res. 2017 Dec;29(6):1139-1147. Program to Address Mobility Limitations Blauwet C, Kuhlthau KA. Views of teenage of Academic Physiatrists. Am J Phys James EG, Leveille SG, Hausdorff for Achilles Tendon and ACL Tears and doi: 10.1007/s40520-016-0700-9 Among Older Adults. Am J Phys Med children about the effects of a parent’s Med Rehabilitation. 2017 Jul 3. doi: JM, Travison T, Cote S, Conatser P, Tendinopathy. Plos One 12.3. 2017. Print. Rehabil. 2017 Aug; 96(8):600-606. doi: mobility disability. 2017 December. 10.1097/PHM.0000000000000792. Karabulut M, Mendes AC, Kennedy doi:10.1371/journal.pone.0170422. Beauchamp MK, Lee A, Ward RF, 10.1097/PHM.0000000000000682. Disability and Health J. doi: http:// [E pub ahead of print] Harrison SM, Goldstein RS, Brooks D, DN, Tucker KL, Al Snih S, Markides KS, dx.doi.org/10.1016/j.dhjo.2017.12.008 Kim S, Kleimeyer J, Ahmed MA, Avins A, Bean JF, Jette A. Do Exercise Interventions Sri-on J, Tirrell GP, Bean JF, Lipsitz LA, Liu Bean JF. Rhythmic Interlimb Coordination Webborn N, Blauwet CA. Heads Up Fredericson M, Dragoo J, and Ioannidis Improve Participation in Life Roles in Older SW. Revisit, Subsequent Hospitalization, Impairments are Associated with Mobility Diaz R, Stoll A, Rho M, Blauwet CA. on Concussion in Para Sport. 2017 July. J. A Genetic Marker Associated with Adults? A Systematic Review and Meta- Recurrent Fall, and Death Within 6 Limitations Among Older Adults. Exp Preserving the Shoulder Function of British Journal of Sports Medicine. Shoulder Dislocation. International Journal Analysis. Physical Therapy. 97(10):964- Months After a Fall Among Elderly Aging Res. 2017 Jul-Sep;43(4):337-345. an Elite Para Triathlete: A Case Report. doi:10.1136/bjsports-2016-097236 of Sports Medicine 2017. Print. doi: 974 2017 October. doi: 10.1093/ptj/ Emergency Department Patients. 2017 doi: 10.1080/0361073X.2017.1333819 American Journal of Physical Medicine 10.1055/s-0043-106190 pzx082 July. Annals of Emergency Medicine. doi: & Rehabilitation. 2017 November. Osoria HL, Blauwet CA. Prescribing Schmidt CT, Ward RE, Suri P, Kurlinski L, 10.1016/j.annemergmed.2017.05.023 PMID: 29194049. dOI:10.1097/ Exercise to Individuals with Disabilities: Anderson DE, Kiely DK, Bean JF. Health PHM.0000000000000870 What are the Concerns? Curr Sports Characteristics, Neuromuscular Attributes,

12 Spaulding Now | Winter 2018 Spaulding Now | Winter 2018 13 Med Rep. 2017. July; 16:268-273. Evaluation of Exoskeleton-Assisted Gait Bodien YG, Chatelle C, Edlow BL. in Burn Patients With Chronic Pruritus. Karr JE, Garcia-Barrera MA, Holdnack Snell DL, Iverson GL, Panenka WJ, doi:10.1249/JSR.0000000000000379. in Patients with Spinal Cord Injury. Functional Networks in Disorders 2017 August. Annals of Rehabilitation JA, Iverson GL. Advanced Clinical Silverberg ND. Preliminary Validation of PMID:28696990 2017 October. Archives of Physical of Consciousness. 2017 October. 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14 Spaulding Now | Winter 2018 Spaulding Now | Winter 2018 15 Traumatic Brain Injury: Frequency of 22;3(1):29. doi: 10.1186/s40798-017- Leskowitz E. Integrative Medicine for Donovan J, Van De Rijn M, McCabe EL, Polak R, Bhatnagar S, Elson L, Gallegos- Burn Injury: A Burn Model System National Low Scores.Rehabil Psychol. 2017 0097-9. PubMed PMID: 28831759; Military Injuries Special Issue of Medical Shih S, Paganoni S. Implementation of a Kearin V, Reilly JM, Schneider JC, Silver Database Study. 2017 August. Journal of Nov;62(4):474-484. doi: 10.1037/ PubMed Central PMCID: PMC5567587. Acupuncture: Introduction. 2017 Multifaceted Interactive Electrodiagnostic J. Nutrition Education Services Described Burn Care & Research: Official Publication rep0000145. PubMed PMID:29265868. August. Medical Acupuncture 29(4). 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Selected for Program CO. Relative Contributions of Systemic Traumatic Brain Injury and Post-Traumatic Gong, T, Hu, Y, Ding, H, Luo, X, Pan, for Academic Leadership. Academy Hemodynamic Variables to Cerebral Stress Disorder. J Neurotrauma. C, Wang, QM. Surface Modification of Academic Physiatry. Leadership Autoregulation during Orthostatic Stress. 2017 Nov 03. PMID: 29017388 with Micropatterned Heparin/Poly-L- potential. 2018- 2020 J Appl Physiol (1985). 2017 Oct 12; Lysine nanoparticles to direct platelet jap.00700.2017. PMID: 29025902. Trumbower RD, Hayes HB, Mitchell and Endothelial Cell Behavior. Journal of Wang QM. Shenzhen Sanming GS, Wolf SL, Stahl VA. Effects of Acute Biomaterials and Tissue Engineering. Project (Co-Director) 2017 Albalawi T, Hamner JW, Lapointe M, Intermittent Hypoxia on Hand Use After Journal of Biomaterials and Tissue Meehan WP, Tan CO. The Relationship Spinal Cord Trauma: A Preliminary Engineering 7(10):962-968. 2017 Wang QM. 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Selected for 2017 doi: 10.1177/0363546517730584 Properties of Nanoparticles Loaded with ASBMR Young Investigator Travel Amaryllidaceous Alkaloids. Open Life Sci. Grant. American Society for Bone Kaplan GB, Leite-Morris KA, Wang 2017. 12: 356-364. 2017 November. doi: Mineral Research. Research award to L, Rumbika KK, Heinrichs SC, https://doi.org/10.1515/biol-2017-0041 top young investigators selected for Zeng X, Wu L, Arena DT, Teng YD. presentation at annual meeting. 2017 19 Spaulding Now | Winter 2018 Spaulding Now | Winter 2018 18