Other Completed Projects
Investigating Whether Discharge Destination from a Long Term Care Hospital Can be Predicted Using Admission FIM Scores for Patients Post CVA
Admission FIM score was found to be a strong factor on discharge destination. These results support the few earlier findings that demonstrate individuals with a higher admission FIM score are more likely to be discharged to the community. As is evidenced by the numbers there was wide variability in admission FIM scores, which were taken into account in this study therefore the generalizability, is great for individuals who have suffered a CVA.
The Effects of the EKSO Exoskeleton Device on Improving Cardiovascular Endurance, Gait Speed, Fatigue and Pain in Individuals with Spinal Cord Injury and Stroke
Since most individuals with spinal cord injury have a level of compromise to their respiratory system, introducing the EKSO may help limit complications of the respiratory system in as little as eight sessions. Preliminary data is showing EKSO can affect endurance as seen in the improvements in 6MPT and further supported by the increase in mean steps taken per session of the EKSO without an increase in RPE in as little as eight sessions. The EKSO does not appear to impact pain.
Evaluation of the Ekso GT Robotic Exoskeleton
This internal quality improvement study gathered data and provided “real-life” feedback to the device manufacturers to improve user and patient experience in the device. Data was gathered regarding new features of the Ekso GT and the information was analyzed by Ekso staff and incorporated into the feedback on the product design and revision.
Can Use of the Passy Muir Valve during Nighttime Sleep be Considered Safe?
The objective of this study was to determine if patients could safely sleep with a Passy Muir Valve (PMV) in place. The partial pressure of carbon dioxide did not differ between nights and a minority of patients subjectively reported sleep disturbance. We believe that the PMV can be safely used in a select patient population during sleep and that this does not adversely affect sleep quality. Therefore, the PMV does not need to be limited to daytime use and can be used 24 hours per day for certain patients.
Insulin Resistance Intervention after Stroke Trial (IRIS)
The Insulin Resistance Intervention after Stroke Trial (IRIS) was a randomized, double-blind, placebo-controlled trial that is testing the hypothesis that reducing insulin resistance and its sequelae with thiazolidinedione therapy will prevent stroke and myocardial infarction among patients with a recent ischemic stroke or transient ischemic attack. Pioglitazone reduced the relative risk of the primarily outcome (fatal & non-fatal stroke and MI) by 24% (p=0.007) vs. placebo.
Wound Care Protocol Use Survey for Registered Nurses
Baseline determination knowledge of wound care protocols was obtained. Then, education on the protocols and ease of finding them within the electronic medical system was completed and a similar survey was completed. The education on skin care protocols was provided in both written and demonstration of where to access and how to use the protocols. The result was that the average score on the Likert scale was higher than the initial survey score showing improvement in clinical use and knowledge based on the education provided.
Survey of Prosthetic Management: Patients and Clinicians
This study was designed to test a mobile apps efficacy that could improve the comfort and quality of life of newer prosthesis users. Usability and acceptability of education materials appears high, with a significant difference between the two types of educational materials (app/paper) in time and efficacy outcomes.
Validation of the Aeolus – Precision Flow automatic FiO2 Controller for Maintaining Oxygenation in Exercising Adult Patients Receiving High Flow Nasal Cannula Therapy for Unstable Blood Oxygen Saturation
The study looked at the Vapotherm Aeolus and using it in conjunction with the Vapotherm Precision Flow to treat adult pulmonary rehabilitation patients during exercise-induced fluctuations in SpO2 with heated, humidified high flow respiratory gas delivery. It measured how well the devices maintained patients’ arterial blood oxygen saturation in a clinically meaningful target range for a longer percentage of time compared to a control condition, and thus prolongs exercise periods and decrease recovery times, while minimizing the exposure to elevated levels of oxygen in the inspired.
Walking Improvement for SCI with Exoskeletons
Gaylord Specialty Healthcare is participating in a multi-center study with Ekso Bionics called the WISE study (Walking Improvement for SCI with Exoskeletons). This study will evaluate changes in independent gait speeds of participants with spinal cord injury. It will be conducted with the Ekso GT and results will be compared to both conventional therapy and usual care control groups. Data collection is complete and analysis is underway
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