spaulding nowFocus on Research

New Approaches to PTSDA new study finds that ADHD medicine may offer better treatments for patients suffering from PTSD.

Continues on page 6

Focus on Faculty

Dr. Adam TenfordeAn elite runner himself, Dr. Adam Tenforde comes to Boston to expand his research, care and publications amongst a premiere running culture.

Continues on page 3

Focus on Education

Finding the Spotlight A highly-rated CME course directed by Dr. Julie Silver empowers physicians to expand their visibility and influence in healthcare through traditional and new media.

Continues on page 8

A publication of the Harvard Medical School Department of Physical Medicine and Rehabilitation

Winter 2016

Continues on page 4

Adaptive Sports

MedicineA New Model of Care

2 Spaulding Now | Winter 2016 3 Spaulding Now | Winter 2016

Dear Colleagues,

It was a pleasure to welcome so many of you to Boston for the 2015 AAPM&R Annual Assembly this past Fall. Our entire Department was energized to share the exciting work we are doing and show so many of you our incredible new facility we are fortunate to call home.

In this issue, we look back at some of the events our Department was involved in at the Annual Assembly. From our collective pride in Dr. David Crandell being selected for a Distinguished Public Service Award in recognition of his outstanding work supporting patients after the Boston Marathon Bombing, to the thrill of innovation from completing the first ever rehab medicine hack: the Spaulding Hackathon, to the efforts of our faculty, fellows and residents who presented over fifty presentations and courses, the meetings shone a spotlight on the novel work we do.

As we look ahead to 2016, one of the major events will be the Olympic and Paralympic Games in Rio. While all of us enjoy the highest level of competition and spirit of unity the games present, they also offer an opportunity for rehabilitative medicine to advance science and care. This issue features Dr. Cheri Blauwet, a decorated Paralympian and important voice in the international Olympic movement, who is developing a new approach in the care of elite level athletes with disabilities, while also supporting the growth of adaptive sports.

Fostering a new generation of physicians is paramount to our Department’s education mission. This past September, we were honored to be recognized as the top program in research output and as a top three residency program overall by the Doximity Residency Navigator. This recognition is a testament to the dedication of our faculty and residents to excellence and innovation each day.

While these events and recognitions are worthy of celebration, making a profound positive impact on people who need our services is our ultimate goal. The example set by Dr. Andree LeRoy, who has devoted herself to improve the rehabilitative care of the impoverished and woefully underserved people of Haiti, is to be admired. As a result of her work and the work of many others, a modest but critical 10 bed rehabilitation unit opened in Haiti this past October. We are so proud to share this triumph with you as it serves as a powerful reminder that nothing can be a greater force for change than an unwavering commitment to do what is right.

I wish you the best as we embark on 2016 and look forward to sharing more of our news and events in the upcoming year. n

Ross Zafonte, DO Earle P. and Ida S. Charlton Professor and Chairman of Physical Medicine and Rehabilitation, Harvard Medical School, Senior Vice-President, Medical Affairs, Research and Education, Spaulding Rehabilitation Network, Chief of Physical Medicine and Rehabilitation at Massachusetts General Hospital and Brigham and Women’s Hospital

Focus on Innovation

Hacking ConventionThe First Annual Spaulding Hackathon

THE EXCITEMENT OF DISCOVERY permeated the Cambridge Innovation Center as clinicians, engineers, entrepreneurs and students all gathered to make history at the first ever rehab medicine focused hack, the Spaulding Hackathon. Over two days, groups formed from the one hundred participants to tackle issues ranging from accessibility in cities, to patient gateway solutions to device prototypes for new methods of rehabilitative therapies.

Led by Dr. David Binder, Director of Innovation for Harvard Medical School Department of PM&R at Spaulding, the goal was to foster an event with an intense focus on creating dynamic and novel ideas. “It was so energizing to see people from many walks of life and industry approach our field with fresh perspectives and offer ideas that may very well grow into profound solutions for the communities we serve,” said Dr. Binder.

Hosted in collaboration with MIT Hacking Medicine, the American Academy of Physical Medicine of Rehabilitation, the Spaulding Hackathon was focused on the development of creative and innovative solutions specifically for rehabilitation medicine challenges. In addition to the participants, mentors and judges from government, healthcare and business attended.

Among the ideas that received awards and funds for further development was a parking app for finding disability spots that already has drawn interest from the City of Boston Disability Commissioner and a functional electrical stimulation glove to assist with home therapies in a stroke population.

Microsoft, one of the major sponsors for the event, is the site for the 2nd annual Spaulding Hackathon in October 2016. “This event lit the spark, and now throughout the year we want to nurture these ideas so we can widen our reach next year and have even more people committed to innovation join us. I truly believe these types of collaborative efforts will push us to find better ways to help the communities we serve and make a tangible difference in their lives,” said Dr. Binder to conclude the event. n

From the Chair’s Desk

Forward to 2016A Message from Dr. Ross Zafonte

Focus on Faculty

Adam Tenforde, MDFOR DR. ADAM TENFORDE the running culture of Boston made it feel like home well before he joined the Harvard Medical School Department of PM&R at Spaulding. Dr. Tenforde has run the Boston Marathon multiple times and was an All-American runner at Stanford University where he contributed to three

NCAA National Team Championships and later qualified for the Olympic Trials. Coming to Boston offered a unique chance to leverage his background as an accomplished runner and clinician in a place that is fertile ground for both.

One of the main draws for Dr. Tenforde was the opportunity to join the highly skilled sports medicine team at the Spaulding National Running Center led by Dr. Irene Davis, one of the foremost researchers in running and sports medicine who has published over 120 research articles in a wide array of scientific journals including Nature and was recently named to the list of 50 most influential people in running by Runner’s World. As an elite runner himself he brings a level of understanding of the needs, challenges and risk factors facing both amateur and elite athletes.

Dr. Tenforde’s research has focused on the evaluation of biological and biomechanical risk factors for stress fractures and other running injuries. He is also investigating how to prevent injuries in athletes. His research has been published in many medical journals including Sports Medicine, American Journal of Sports Medicine, and Medicine and Science in Sports and Exercise. He recently served as guest editor for the upcoming 2016 Running Injuries issue for Physical Medicine and Rehabilitation Clinics of North America.

Dr. Tenforde’s research portfolio includes an investigation into sex-specific risk factors for stress fractures in high school and college runners. He has reported on the influence of participating in high impact and multiple directional impacting loading sports during adolescence for promoting lifelong bone health. Dr. Tenforde developed a new paradigm for the evaluation and management of bone health in male athletes. And finally he proposed incorporating high impact loading activities including ball sports in young athletes for future stress fracture prevention.

In addition to his work with Dr. Irene Davis on biomechanical risk factors for injury in runners, he continues to collaborate with researchers in fields including adolescent medicine and cardiology on research focused on optimizing the health of athletes. n

Dr. Tenforde

SAVE THE DATESpaulding Rehabilitation Hospital Hackathon: Hacking Rehabilitation October 14–15, 2016Microsoft NERD CenterCambridge, MA

For more information, visit www.spauldingrehab.org/hackathon

5 Spaulding Now | Winter 2016

On the Cover

For elite athletes, years of commitment and training often culminate on a singular performance, where fractions of a second can serve to validate their dedication. And, for every successful athlete, there is an entourage of family, friends, coaches, and supporters behind them that have built the foundation for success. For many elite athletes with disabilities, however, access to expert sport medicine servicesare far more limited than their able bodied counterparts.

Few physicians in the world are more equipped to understand the unique needs and motivations of elite athletes with a disability than Dr. Cheri Blauwet. A decorated champion, Dr. Blauwet is a seven-time medalist at the Paralympic Games and a two time Boston Marathon Women’s Wheelchair champion. Having herself taken endless training runs before the sun rises, she keenly understands the needs of this athlete population. Moreover, as a clinician with a focus on sports medicine and the health of athletes with disabilities, she is now harnessing that background to bring forth new approaches in clinical practice, research, and innovation.

Even before completing her medical training, Dr. Blauwet transitioned from her role as an athlete to continue work with the International Paralympic Committee (IPC) as a member of their Medical Committee, which she now Chairs. “At Spaulding, the groundwork for excellence had already been laid by leaders such as Mary Patstone and our renowned Adaptive Sports program. Now, we’re building on that work to bring a greater understanding of outcomes related to adaptive sports participation and injury prevention, so that we can better support both community-based and elite level athletes,” said Dr. Blauwet.

While at Spaulding she was able to connect with Dr. Howard Knuttgen, a fellow member of the Department, former President of the American College of Sports Medicine, and longtime coordinator of publications for the International Olympic Committee (IOC) Medical Commission. Dr. Knuttgen mentored Blauwet, facilitating her initial contribution of a recent chapter on athletes with disabilities to the IOC Handbook titled “The Female

Athlete.” “There is a significant opportunity to work with female elite athletes with disabilities and to investigate how the female athlete triad may impact their risk of injury and illness. The knowledge base is not yet where it should be to appropriately serve this population, and we are trying to change that,” said Dr. Blauwet.

Spaulding Adaptive Sports Centers, in addition to providing year-round programming for people of all abilities to engage in sports, has also served as an official US Paralympic Sport Club, recently earning designation as a bronze level club within the Paralympic Sport Club Excellence Program. Spaulding already sent its first Paralympian to the 2014 Winter Games in Sochi in the sport of wheelchair curling. This year, a participant introduced to adaptive sports has qualified for the US Paralympic Track and Field trials in amputee sprinting, and is on track to make the team for Rio 2016.

This past year Dr. Blauwet was named as the Director of the Kelley Adaptive Sports Research Institute at Spaulding Rehabilitation Network. The goal of the Institute merges all of her passions related to clinical care, research, and advocacy. “From investigating the impact of grassroots adaptive sports programming to optimizing perforamnce in elite Paralympic athletes, I’m energized to work with my colleagues to make a positive difference in the quality of care for all adaptive sports athletes.”

“Globally, adaptive sports and the Paralympic movement are on an incredible trajectory of growth. By developing a model of excellence in clinical care, research, and innovation, we know that we can lead the way in ensuring that all individuals with disabilities have opportunities to lead active, empowered lives through sports and physical activity. While we have much work ahead, the promise is endless” concluded Blauwet. n

Adaptive Sports

Medicine

Dr. Blauwet

A New Model of Care

ONLY A SELECT FEW ATHLETES reach the pinnacle of international sports competition in the Olympic and Paralympic games.

ProfileResearch

A DRUG USED TO TREAT attention deficit hyperactivity disorder may be a significantly better treatment alternative for post-traumatic stress disorder than current therapies, according to new research.

Scientists at Harvard Medical School, Spaulding Rehabilitation Hospital, the Indiana University School of Medicine, and the University of California, San Diego, announced the results of human tests of the ADHD drug, as well as a second drug that is approved for Alzheimer’s disease treatment, in a report published online by the journal Neuropsychopharmacology.

Although the clinical trial was small, involving just 32 participants, given the results it’s “imperative” that additional trials with larger numbers of participants be organized to determine whether the results can be replicated, the authors said.

“The study represents an exciting opportunity for our patients and warrants replication to assure the results apply to a broad group of patients,” said co-lead investigator Dr. Ross Zafonte, Senior Vice President of Medical Affairs, Research and Education at Spaulding and Chair of the Harvard Medical School Department of PM&R.

The study compared the results of treatment with methylphenidate, used to treat ADHD, and galantamine, approved to treat memory loss symptoms in Alzheimer’s disease, with a placebo in patients with clinically significant cognitive complaints, such as memory loss and poor attention who had been diagnosed with post-traumatic stress disorder, mild traumatic brain injury or both.

In the newly reported trial results, treatment with methylphenidate was associated with significant declines in post-traumatic stress disorder symptoms and post-concussion symptoms. Also noted were significant improvements in tests of attention and the ability to process information quickly, the researchers said.

The improvements in cognitive symptoms and post-traumatic stress disorder symptoms occurred early in the 12-week treatment period and were maintained throughout the treatment, effects that far exceeded those “seen for currently marketed agents used to treat PTSD,” the authors wrote.

“Emotional and cognitive complaints following PTSD and traumatic brain injury are difficult to treat, which makes these broad-ranging improvements from methylphenidate particularly interesting,” said Thomas McAllister, chair of the Department of Psychiatry at the IU School of Medicine and co-lead investigator for the study.

In patients receiving galantamine, the drug was associated with improved episodic memory—the ability to recall details of individual events—which is consistent with the drug’s approved use for treatment of Alzheimer’s patients. However, galantamine produced no significant improvement in post-traumatic stress symptoms and post-concussive symptoms.

The network is directed by Murray B. Stein, vice chair for clinical research in psychiatry at the University of California San Diego. In addition to Drs. McAllister, Zafonte and Stein, researchers contributing to the study were Sonia Jain, Rema Raman, Feng He and James B. Lohr of the University of California, San Diego, Laura A Flashman of Dartmouth University, Mark S. George of the Medical University of South Carolina, Gerald A. Grant of Stanford University, Norberto Andaluz of the University of Cincinnati, Lanier Summerall of the Ralph H. Johnson VA Medical Center, Charleston, S.C., and Martin P. Paulus of the Laureate Institute for Brain Research, Tulsa, Okla.

The study was funded by U.S. Department of Defense grant W81XWH08-2-0159. n

AT THE RECENT 2015 American Academy of Physical Medicine and Rehabilitation (AAPM&R) Assembly, Dr. David Crandell, Medical Director of the Amputee

Program at Spaulding Rehabilitation Hospital and Instructor at Harvard Medical School, was honored with the 2015 Distinguished Public Service Award in recognition of his work with Boston Marathon Bombing survivors.

Thirty-two of the most catastrophically injured survivors were treated at Spaulding Rehabilitation Hospital, including fifteen of the seventeen people who suffered limb loss. Dr. Crandell has provided ongoing care for this group from their initial inpatient care as well as many continuing on an outpatient basis in his prosthetic clinic, assisting them in their transitions back to their lives. Dr. Crandell also used his extensive experience and connections within the amputee community as the Chair of the Scientific and Medical Advisory Committee of the National Amputee Coalition to ensure these patients had the opportunities to connect and thrive with peers and organizations that could support them long-term.

“It was an honor to be in a position to be on the team that helped treat these patients when they needed us most. To have the ability to be part of the healing for these patients and our city and now to see some thrive is incredibly gratifying for all of us. I accept this award on behalf of the entire care team at Spaulding,” said Dr. David Crandell.

“For all of us in rehabilitation medicine, we must accept

the challenge to support and advocate for individuals suffering limb loss as these are lifetime injuries.”

Also receiving a 2015 Distinguished Public Service Award was ALS advocate and creator of the Ice Bucket Challenge, Pete Frates. Past recipients have included First Lady Michelle Obama, Congresswoman Tammy Duckworth, Lynn and Bob Woodruff and Senator Ted Kennedy. The award has been given at the AAPM&R Annual Conference each year since 1981.

“All of us at Spaulding and the Harvard Medical School Department of PM&R are immensely proud of Dr. Crandell. At a unique time in our hospital’s and city’s history, he was a leader of our team and an unwavering supporter of our patients. His skill, compassion and fortitude enabled these survivors to have immeasurably better outcomes and advance awareness globally for the limb loss community. We are proud to call him a colleague and a friend,” said Dr. Ross Zafonte, Senior Vice President of Medical Affairs, Research and Education at Spaulding and Chair of the Harvard Medical School Department of PM&R.

The AAPM&R has an awards program to recognize members who deserve the applause of their peers. Each year, Academy members are asked to submit award nominations to recognize lifetime achievement, distinguished membership, unique public service, and pioneering physiatrists, clinicians, and researchers who have made significant contributions to both the specialty and to people with disabilities. n

AAPM&R Announces Dr. David Crandell 2015 Distinguished Public Service Award Recipient

7 Spaulding Now | Winter 2016

Focus on Advocacy

ADHD medicine may help

patients with PTSD

6 Spaulding Now | Winter 2016

Dr. David Crandell (left) with Steve R. Geiringer, MD, AAPM&R Vice President

9 Spaulding Now | Winter 2016

Education

Upcoming Harvard Dept. of PM&R Spaulding CME Course

Writing, Publishing and Social Media for Healthcare ProfessionalsMarch 17–19, 2016

This unique 3-day course empowers physicians, healthcare executives, and other professionals to expand their visibility and influence in healthcare through traditional and new media. As an attendee, you will improve your communication skills, discover how to make the most of print, live, and online communication channels, and sharpen your ability to market yourself and your body of work.

Individual sessions focus on:

» Best practices for connecting the public with your ideas and insights » Getting your book published in 2016: new challenges and options » Lectures and workshops to improve your writing and your oral pitches » Personalized instruction from top-tier writing coaches, editors, and literary agents » Social media: introductory and advanced topics » Self-publishing books, blogs, and websites » Strategies for impacting national and international healthcare audiences » Workshops to assist in the development of memoirs and narrative nonfiction » Techniques, guidance, and practice to hone your “elevator” or book pitch » Steps to ensure the success of your published work

About the Course Director

Julie Silver, MD, Associate Professor and Associate Chair, Strategic Initiatives Department of Physical Medicine and Rehabilitation, Harvard Medical School

Dr. Silver is an award-winning author and innovator. She is the former Chief Editor of Books at Harvard Health Publications. She has written and edited many books including the Essentials of Physical Medicine and Rehabilitation, Easy EMG and Easy Injections. Dr. Silver has received numerous awards including the Boston Globe’s Top Innovator in Medicine. The Discovery Channel featured her work in the show Innovations. She has

been a guest on the Today Show, the CBS Early Show and Dr. Oz. Her work has been featured in hundreds of media outlets, including the New York Times, the Wall Street Journal, USA Today, the London Times, and NPR.

Earn up to 26.25 AMA PRA Category 1 Credits. Register at Leadership.HMSCME.com. For more information, please contact Mary Alice Hanford at mhanford@partners.org or 617-724-2031.

Deptartment of PM&R at Spaulding Faculty, Resident and Fellows Presentations and Posters American Academy of

Physical Medicine and Rehabilitation

2015 Annual Assembly

September 30, 2015 – October 4, 2015

Boston, MA

Black-Schaffer, Randie

» Selecting Rehabilitation Level of Care: Can We Achieve Consensus

» Exploring New Physiatric Practice Paradigms

Blauwet, Cheri

» Adaptive Sports Medicine: A Case-Based Discussion of Injury Management And Prevention

Blauwet, Cheri; Slocum, Chloe; Crandell, David

Injury Prevention in Adaptive Sports: Optimizing The Athlete-Equipment Interface

Bonato, Paolo

» Exoskeletal Robots: The Future is Now

Borg-Stein, Joanne

» Regenerative Medicine: Current Concepts and Brave New Paradigms in the Treatment of Musculoskeletal Conditions

» The Hip in Musculoskeletal Medicine (Ultrasound Intensives)

Borg-Stein, Joanne; Nutini, Dennis; Blauwet, Cheri; Elson, Lauren; McInnis, Kelly

» Musculoskeletal Ultrasound Imaging of Lower Extremity Nerves: Identification and Injection Techniques

Borg-Stein, Joanne; Eng, Christine

» Stem Cell Treatments in Osteoartristis: Office-Based Application

Borg-Stein, Joanne; Nutini, Dennis; Blauwet, Cheri; Elson, Lauren

» Musculoskeletal Ultrasound Imaging of Upper Extremity Nerves: Identification and Injection Techniques

Crandell, David

» Seeds of the Revolution: Innovation in the Care of the Amputee Patient

Davis, Irene

» Trends in the Prevention of Running Injuries and Illnesses: Part 2

Davis, Irene; McInnis, Kelly

» Female Athlete Hip Injuries: Exploring the CORE of Patterns and Prevention

Earle Miller, Jennifer; Frankel, Jason; Nimec, Donna

» Transitions: Helping the Individual with Cerebral Palsy and Their Families Graduate from Pediatric to Adult Physiatric Care

Elson, Lauren

» Fundamentals of Ultrasound

» Training is Over, Now What? Practical Management Pearls for the Trainee in Musculoskeletal And Sports Medicine

» Enhancing Physician Assessment of the Dancer

» Frontiers in Sports Injury Prevention: The Utility of Screening Tools

Elson, Lauren; Tenforde, Adam

» Assessment of Footwear and the Painful Foot in Runners, Dancers, and Everyday Pedestrians

Eng, Christine

» Gymnastics Medicine: How to Score a Perfect 10 in Caring for Gymnasts

Frates, Elizabeth

» The “Rudiments” of Behavioral Change: Using the Coach Approach to Mount Lasting Change

Fregni, Felipe

» The Agony and The Ecstasy: Pain Management After Spinal Cord Injury

Giacino, Joseph

» Collaboration in Pediatric TBI Research and Development of Future Networks

Iaccarino, Alexis; Zafonte, Ross

» Imaging in Subconcussive Brain Injury: What Have We Learned?

Iaccarino, Alexis; Zafonte, Ross; Nutini, Dennis; Iverson, Grant

» Assessment and Management of Sport-Related Concussion

Kotler, Dana

» Hard Core: Pilates for Physiatrists

Kotler, Dana; Bhatnagar, Saurabha

» Biomechanics of Cycling and Bike Fit Principles

Kurz, Jennifer

» Managing and Counseling the Chronic Pain Patient: What is the Role of the Pain Doctor?

Lee, Yong-Tae

» Acupuncture for Physical Medicine & Rehabilitation: An Introductory Workshop

McInnis, Kelly

» Comprehensive Evidence-Based MSK Physical Exam Skills For Assessment of The Injured Athlete

Bonato, Paolo; Nimec, Donna

» Applications of Robotics and Computer Games in Pediatric Rehabilitation to Improve Motor Function: Byte Me!

Morse, Leslie; Crandell, David; Zubcevik, Nevena

» Boston Strong: Role of Physiatrists as Key Responders to Acts of Terrorism

Morse, Leslie; Schneider, Jeff

» State of the Science: Improving Understanding of the Mechanism, Diagnosis and Treatment for Heterotopic Ossification

Morse, Leslie; Zafonte, Ross

» State of the Science: Emerging Therapies to Promote Neuro-Recovery

Nimec, Donna

» Let’s Talk About Sex: Addressing the Sexual Health Needs of Young Women with Cerebral Palsy

Paganoni, Sabrina

» Myalgia, Neuralgia, And Arthralgia: Neuromuscular Disorders And Pain

» You Never Know What May Walk Through Your Door: Clinical Neuromuscular Images and Vignettes

Phillips, Edward

» Practical Exercise Prescription for Outpatients: Now You’ve Learned Its Good, Learn How to Prescribe It

Ramey, Lindsay; Knowlton, Sasha

» For Residents By Residents: How to Prepare For Fellowship Applications

Rosenberg, Darren

» Current Rehabilitation Update on Prevention of Post Polio Symptoms

» Kinesiology Taping Techniques for the Lower Extremity Athlete

Sabharwal, Sunil

» Use an Engineer to Repair Your Rehabilitation Practice

» Best Neurological Rehabilitation Research Podium Presentations

Tenforde, Adam

» Practical Use of Musculoskeletal Ultrasound for Greater Trochanteric Pain Syndrome

» Developing a Comprehensive Multidisciplinary Running Evaluation and Injury Prevention Program

Zafonte, Ross; Giacino, Joseph

» Deep Brain Stimulation: Options for Motor Control, Learning and Arousal

AAPM&R

8 Spaulding Now | Winter 2016

Dr. Silver

10 Spaulding Now | Winter 2016 11 Spaulding Now | Winter 2016

Publications Winter 2016

Schepker CA, Leveille SG, Pedersen MM, Ward RE, Kurlinski LA, Grande L, Kiely DK, Bean JF. The Association of Pain and Mild Cognitive Impairment with Mobility. JAGS (in press, Nov 2015).

Pedersen MM, Petersen J, Bean JF, Damkjær L, Juhl-Larsen HG, Andersen O, Beyer N, Bandholm T. Feasibility of progressive sit-to-stand training among older hospitalized patients. Peer J. Accepted for publication Nov 2015.

Blauwet C, Greenfield BH, Ham EL, Spill G, Mukherjee D. The team physician: ethical and legal issues. PM R. 2015 Oct;7(10):1089-94.

Slocum C, Gerrard P, Black-Schaffer R, Goldstein R, Singhal A, DiVita MA, Ryan CM, Mix J, Purohit M, Niewczyk P, Kazis L, Zafonte R, Schneider JC. Functional Status Predicts Acute Care Readmissions from Inpatient Rehabilitation in the Stroke Population. PLoS One. 2015 Nov 23;10(11):

Bodien Y, Carlowicz C, Chatelle C, Giacino J. Research Poster: Utility of the Coma Recovery Scale-Revised Total Score in Detecting Conscious Awareness. Oct 2015. Arch PMR; 96(10):e15.

Wu PI, Meleger A, Witkower A, Mondale T, Borg-Stein J. Nonpharmacologic Options for Treating Acute and Chronic Pain. PM R. 2015 Nov;7(11 Suppl):S278-94.

Martino J, Pegg J, Frates E. The Connection Prescription: Using the Power of Social Interactions and the Deep Desire for Connectedness to Empower Health and Wellness. Am J Lifestyle Med. October 2015.

Paiva WS, Neville IS, Fregni F, Teixeirais MJ. Transcranial magnetic stimulation useful in posttraumatic disorders? Neural Regeneration Research 10/2015; 10(9):1528-9.

Chen CF, Lin YT, Chen WS, Fregni F. Contribution of Corticospinal Modulation and Total Electrical Energy for Peripheral-Nerve-Stimulation-Induced Neuroplasticity as Indexed by Additional Muscular Force. Brain Stimul. 2015 Oct 23. pii: S1935-861X(15)01133-X.

Tran DA, Pajaro M, Daneault JF, Gallegos JG, Iaccarino MA, Fregni F, Zafonte R. Systematic/meta-analytic review poster: A Multifaceted Approach to the Enhancement of Motor Recovery after Stroke. Oct 2015. Arch PMR; 96(10):e119.

Mazwi N, Adeletti K, Hirschberg RE. Traumatic Spinal Cord Injury: Recovery, Rehabilitation, and Prognosis. Current Trauma Reports. Springer; Oct 2015.

Mark L, Hirschberg R. Long-Term Outcomes of ICU Patients. In: Critical Care Handbook of the Massachusetts General Hospital. 6th ed. Philadelphia, PA. 2015 Dec.

Cartwright S, Delaney K, Hirschberg R. Early Neurotrauma Rehabilitation. In: Penetrating Trauma. 2nd ed. NYC, NY: Springer; 2015.

Wasan AD, Michna E, Edwards RR, Katz JN, Nedeljkovic SS, Dolman AJ, Janfaza D, Isaac Z, Jamison RN. Psychiatric Comorbidity Is Associated Prospectively with Diminished Opioid Analgesia and Increased Opioid Misuse in Patients with Chronic Low Back Pain. Anesthesiology. 2015 Oct;123(4):861-7.

Guo F, He H, Fu ZC, Huang S, Chen T, Papasian CJ, Morse LR, Xu Y, Battaglino RA, Yang XF, Jiang Z, Xin HB, Fu M. Adipocyte-derived PAMM suppresses macrophage inflammation by inhibiting MAPK signalling. Biochem J. 2015 Dec 15;472(3):309-18.

Xu Y, Morse LR, da Silva RA, Wang D, Battaglino RA. A short report: PAMM, a novel antioxidant protein, induced by oxidative stress. Redox Biol. 2015 Dec; 6:446-53. doi: 10.1016/j. redox.2015.09.008.

Marcondes BF, Sreepathi S, Markowski J, Nguyen D, Stock SR, Carvalho S, Tate D, Zafonte R, Morse L, Fregni F. Pain severity and mobility one year after spinal cord injury: a multicenter, cross-sectional study. Eur J Phys Rehabil Med. 2015 Nov 27.

Paganoni S, Schoenfeld D, Shui A, Cudkowicz M, Miller TM. Reply: Pre-morbid Type 2 Diabetes Mellitus as a prognostic factor in ALS. Muscle Nerve. 2015 Oct;52(4):691.

Polak R, Phillips EM, Campbell A. Legumes: Health Benefits and Culinary Approaches to Increase Intake. Clin Diabetes. 2015 Oct;33(4):198-205.

Shih SL, Gerrard P, Goldstein R, Mix J, Niewczyk P, Zafonte R, Schneider JC. Oral Presentation: Readmission is Better Predicted by Functional Status than Comorbidities and Demographics in Inpatient Rehabilitation Hospitals. Oct 2015. Arch PMR; 96(10):e8.

Levi B, Jayakumar P, Giladi A, Jupiter JB, Ring DC, Kowalske K, Gibran NS, Herndon D, Schneider JC, Ryan CM. Risk factors for the development of heterotopic ossification in seriously burned adults: A National Institute on Disability, Independent Living and Rehabilitation Research burn model system database analysis. J Trauma Acute Care Surg. 2015 Nov;79(5):870-6.

Silva PP, Bhatnagar S, Herman SD, Zafonte R, Klibanski A, Miller KK, Tritos NA. Predictors of Hypopituitarism in Patients with Traumatic Brain Injury. J Neurotrauma. 2015 Nov 15;32(22):1789-95.

Presentations Winter 2016

Brown L, Bean JF. Presentation: Preventing Falls, Injuries and Mobility Decline Among Older Adults Translating Research Into Practice. ACRM. Dallas, TX.

Bean JF, Beauchamp M, Ward RE. Presentation: New Discoveries Informing Care for Mobility Limited Older Adults: The Boston RISE Cohort Study. ACRM. Dallas, TX.

Tran DA, Pajaro M, Daneault JF, Gallegos JG, Iaccarino MA, Fregni F, Zafonte R. Poster: A Multifaceted Approach to the Enhancement of Motor Recovery after Stroke. ACRM. Dallas, TX.

Bodien Y, Carlowicz C, Chatelle C, Giacino J. Poster: Utility of the Coma Recovery Scale-Revised Total Score in Detecting Conscious Awareness. ACRM. Dallas, TX.

Spencer CA, Chatelle C, Chu C, O’Connor KL, Hirschberg R, Kramer MA, Greenberg SM, Wu O, Giacino JT, Edlow BL, Rosenthal ES. Fatigue in the Neurological Examination of Patients Recovering from Acute Traumatic Coma as Assessed by Electrophysiology. Neurocritical Care Society Meeting. Scottsdale, AZ.

Chatelle C, Spencer CA, Chu C, O’Connor KL, Hirschberg R, Kramer MA, Greenberg SM, Wu O, Giacino JT, Rosenthal ES, Edlow BL. Detecting Language Processing in ICU Patients Recovering from Acute Traumatic Coma: A Stimulus-Based EEG Study. Neurocritical Care Society Meeting. Scottsdale, AZ.

Giacino J, Brady Wagner L, Carlowicz C. Presentation: Sheldon Berrol Memorial Chautauqua: A Hands-On Look at Research Ethics Concerning Patients with Severe Traumatic Brain Injury and Disorders of Consciousness. ACRM. Dallas, TX.

Nakase-Richardson R, Whyte J, Giacino J, Katz DI, Greenwald BD, Sherer M, Zafonte RD, Weintraub A, Hammond F, Zasler N, Kothari S, Arciniegas DB. Presentation: Building Capacity: Formal Introduction and Implementation of Recommendations for the Management of Persons with DOC. ACRM. Dallas, TX.

Giacino JT. The TRACK-TBI Flexible Outcome Assessment Platform. Lecture presented at the 2015 Translating Research and Clinical Knowledge in TBI and TBI Endpoint Development Joint Investigators Meeting. Napa Valley, CA.

Giacino JT. “C-ing” the CDEs More Clearly: Transforming the CDEs to CDISC Standards. Lecture presented at the 2015 Translating Research and Clinical Knowledge in TBI and TBI Endpoint Development Joint Investigators Meeting. Napa Valley, CA.

Knowlton SE. Poster: Treating Radiation-Associated Shoulder Pain in Breast Cancer with Trigger Point Injections — A Case Report. ACRM. Dallas, TX.

Mazwi N. Coma and Beyond. Brain Matters Conference. American Assoc. of Neuroscience Nurses. Waltham, MA.

Izzy S, Mazwi N, Martinez S, Spencer C, Glenn M, Greenberg SM, Greer D, Wu O, Edlow BL. Poster: Gradient Echo MRI to Predict Long-term Functional Outcomes after Traumatic Brain Injury. Neurocritical Care Society Annual Meeting, Scottsdale, AZ.

Phillips E. Course Co-Director & Presenter. Active Lives: Putting Theory Into Action. Active Lives: Transforming our Patients and Ourselves. HMS CME Course. Boston, MA.

Silver JK. Co-Directed Cancer Prehabilitation Subject Matter Experts Conference. US/Canadian International Cancer Prehabilitation Consensus Panel at McGill University and Montreal General Hospital.

Sisto SA, Katz DI, Zafonte RD, Hammond D, Jones M, Clesson I, Kurowski B. Presentation: How do I start, maintain or lead rehabilitation research as a practicing physician, clinician or clinical research? ACRM. Dallas, TX.

Awards & Appointments Winter 2016

2015 Boston Magazine Annual Top Doctors Issue, from the Spaulding and the HMS Department of PM&R: Dr. Mel Glenn, Dr. Alec Meleger, Dr. Joseph Hanak, Dr. Joanne Borg-Stein and Dr. Donna Nimec.

Dr. Julie Silver invited to be the Survivorship Section Editor for the publication Value Based Cancer Care.

Research

A New Hope for Haiti Even before the devastating earthquake in Haiti in 2010, Dr. Andree LeRoy of the HMS Dept of PM&R at Spaulding had long devoted much of her energy to helping the people of Haiti, her ancestral home. While services are still scarce, members of Spaulding, Partners in Health and the Haitian community gathered to celebrate progress with the opening of a 10 bed rehabilitation unit at University Hospital of Mirebalais in Haiti. Dr. LeRoy serves as the Medical Director and Jonah Feldman, on Spaulding’s Therapy staff serves as the center’s Rehab Manager. The center will serve as a central source for care, treatment, education and disability resource support in one of the poorest and most underserved countries in the world. n

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Discover more: http://pmr.hms.harvard.edu

Spaulding Rehabilitation Network300 First AvenueCharlestown MA 02129

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