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Schaffer O, Xie F, Cheng D, Grossman SN, Galetta SL, Balcer LJ, Balcer LJ. Trends in concussion mechanism of injury during the COVID-19 pandemic. J Neurol Sci 2023; 445:120538. [PMID: 36608628 PMCID: PMC9797225 DOI: 10.1016/j.jns.2022.120538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2022] [Revised: 12/25/2022] [Accepted: 12/26/2022] [Indexed: 12/29/2022]
Abstract
OBJECTIVE The primary objective was to determine the effect of the COVID-19 pandemic on volume, demographics, and mechanisms of injury (MOI) for patients seen at an urban multidisciplinary concussion center. During the first phase of the pandemic in the United States, stay-at-home orders led to decreased group activities and required cancellation of outpatient appointments or initiation of telemedicine visits. METHODS This study was a retrospective chart review of 3500 patient electronic medical records (EMR). Patients aged 1-99 years were eligible if they had been seen at New York University Langone Health Concussion Center during March 1-December 31, 2019 (control/pre-pandemic period) or during the same period in 2020 (pandemic period). Injury date, appointment date, age, sex, and MOI were captured; statistical analyses were performed using Stata17 (StataCorp, College Station, TX). RESULTS There were 48% fewer visits during the COVID-19 pandemic period compared to the 2019 control period. There was a decreased proportion of pediatric patients (15% control, 6% pandemic; p = 0.007, chi-square test). Fewer concussions were related to team sports (21% control, 5% pandemic; p < 0.001), and a greater proportion were caused by bicycle accidents (4% control, 8% pandemic; p = 0.037) and assault/domestic violence (3% control, 9% pandemic; p < 0.001). CONCLUSION The relative proportions of concussion MOI, age distributions, and visit volumes were significantly associated with pre-pandemic vs. pandemic periods, suggesting that COVID-19 changed concussion epidemiology during the pandemic period. This study demonstrates how epidemiologic data may inform future resource allocation during public health emergencies.
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Affiliation(s)
- Olivia Schaffer
- Department of Neurology, NYU Grossman School of Medicine, New York, NY, United States of America
| | - Frank Xie
- Department of Neurology, NYU Grossman School of Medicine, New York, NY, United States of America
| | - Debby Cheng
- Department of Neurology, NYU Grossman School of Medicine, New York, NY, United States of America
| | - Scott N Grossman
- Department of Neurology, NYU Grossman School of Medicine, New York, NY, United States of America; Department of Ophthalmology, NYU Grossman School of Medicine, New York, NY, United States of America
| | - Steven L Galetta
- Department of Neurology, NYU Grossman School of Medicine, New York, NY, United States of America; Department of Ophthalmology, NYU Grossman School of Medicine, New York, NY, United States of America
| | - Laura J Balcer
- Department of Neurology, NYU Grossman School of Medicine, New York, NY, United States of America; Department of Population Health, NYU Grossman School of Medicine, New York, NY, United States of America; Department of Ophthalmology, NYU Grossman School of Medicine, New York, NY, United States of America.
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Proffitt R, Boone A, Hunter EG, Schaffer O, Strickland M, Wood L, Wolf TJ. Interventions to Improve Social Participation, Work, and Leisure Among Adults Poststroke: A Systematic Review. Am J Occup Ther 2022; 76:23881. [PMID: 35943845 DOI: 10.5014/ajot.2022.049305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
IMPORTANCE Sustaining a stroke frequently leads to difficulties in returning to work, leisure, and social participation. These outcomes are important for occupational therapy practitioners to address. OBJECTIVE To determine the current evidence for the effectiveness of interventions within the scope of occupational therapy practice to improve social participation, work, and leisure among adults poststroke. DATA SOURCES MEDLINE, PsycINFO, CINAHL, OTseeker, and Cochrane databases. STUDY SELECTION AND DATA COLLECTION Primary inclusion criteria were peer-reviewed journal articles published between January 1, 2009, and December 31, 2019, within the scope of occupational therapy that evaluated an intervention to address work, leisure, or social participation poststroke (levels of evidence ranged from Level 1b to Level 2b). Reviewers assessed records for inclusion, quality, and validity following Cochrane Collaboration and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. FINDINGS Forty-seven articles met the inclusion criteria. Forty-four articles related to social participation were categorized as follows: occupation-based approaches, metacognitive strategy training, education and training approaches, impairment-based approaches, and enriched environment approaches. Three articles related to work and 3 articles related to leisure were not further categorized (2 articles were each included in two categories). Seventeen Level 1b and 30 Level 2b articles were included. The strength of evidence to support occupational therapy interventions for social participation, work, and leisure outcomes is predominantly low. CONCLUSIONS AND RELEVANCE Occupational therapy interventions may improve work, leisure, and social participation outcomes poststroke, with the strongest evidence existing for client education, upper extremity training, and cognitive training for improving social participation. What This Article Adds: Occupational therapy practitioners may use the available literature along with clinical reasoning to improve work, leisure, and social participation outcomes among clients poststroke. Additional research is required to build stronger evidence to support clinical decision making in stroke rehabilitation in these areas.
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Affiliation(s)
- Rachel Proffitt
- Rachel Proffitt, OTD, OTR/L, is Associate Professor, Department of Occupational Therapy, University of Missouri, Columbia;
| | - Anna Boone
- Anna Boone, PhD, MOT, is Assistant Professor, Department of Occupational Therapy, University of Missouri, Columbia
| | - Elizabeth G Hunter
- Elizabeth G. Hunter, PhD, OTR/L, is Assistant Professor, Graduate Center for Gerontology, University of Kentucky, Lexington
| | - Olivia Schaffer
- Olivia Schaffer, BHS, is Student, Department of Occupational Therapy, University of Missouri, Columbia
| | - Madison Strickland
- Madison Strickland, BHS, is Student, Department of Occupational Therapy, University of Missouri, Columbia
| | - Lea Wood
- Lea Wood, BS, is Student, Department of Occupational Therapy, University of Missouri, Columbia
| | - Timothy J Wolf
- Timothy J. Wolf, PhD, OTD, MSCI, OTR/L, FAOTA, is Professor, Department of Occupational Therapy, University of Missouri, Columbia
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Proffitt R, Boone A, Schaffer O, Strickland M, Wood L, Wolf TJ. Impairment-Based Interventions to Improve Social Participation Outcomes for Adults Poststroke (January 1, 2009-December 31, 2019). Am J Occup Ther 2022; 76:23321. [PMID: 35789360 DOI: 10.5014/ajot.2022.050090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Systematic Review Briefs provide a summary of the findings from systematic reviews developed in conjunction with the American Occupational Therapy Association's Evidence-Based Practice Program. Each Systematic Review Brief summarizes the evidence on a theme related to a systematic review topic. This Systematic Review Brief presents findings from the systematic review on stroke and impairment-based interventions to improve social participation for adults poststroke.
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Affiliation(s)
- Rachel Proffitt
- Rachel Proffitt, OTD, OTR/L, is Assistant Professor, Department of Occupational Therapy, University of Missouri, Columbia;
| | - Anna Boone
- Anna Boone, PhD, MOT, is Assistant Professor, Department of Occupational Therapy, University of Missouri, Columbia
| | - Olivia Schaffer
- Olivia Schaffer, BHS, is Occupational Therapy Student, Department of Occupational Therapy, University of Missouri, Columbia
| | - Madison Strickland
- Madison Strickland, BHS, is Occupational Therapy Student, Department of Occupational Therapy, University of Missouri, Columbia
| | - Lea Wood
- Lea Wood, BS, is Occupational Therapy Student, Department of Occupational Therapy, University of Missouri, Columbia
| | - Timothy J Wolf
- Timothy J. Wolf, PhD, OTD, MSCI, OTR/L, FAOTA, is Associate Dean for Research and Department Chair, Department of Occupational Therapy, University of Missouri, Columbia
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Proffitt R, Boone A, Schaffer O, Strickland M, Wood L, Wolf TJ. Occupation-Based Interventions for Social Participation Outcomes for Adults Poststroke (January 1, 2009-December 31, 2019). Am J Occup Ther 2022; 76:23324. [PMID: 35849050 DOI: 10.5014/ajot.2022.050091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Systematic Review Briefs provide a summary of the findings from systematic reviews developed in conjunction with the American Occupational Therapy Association's Evidence-Based Practice Program. Each Systematic Review Brief summarizes the evidence on a theme related to a systematic review topic. This Systematic Review Brief presents findings from the systematic review on occupation-based interventions for social participation outcomes for adults poststroke.
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Affiliation(s)
- Rachel Proffitt
- Rachel Proffitt, OTD, OTR/L, is Assistant Professor, Department of Occupational Therapy, University of Missouri, Columbia;
| | - Anna Boone
- Anna Boone, PhD, MOT, is Assistant Professor, Department of Occupational Therapy, University of Missouri, Columbia
| | - Olivia Schaffer
- Olivia Schaffer, BHS, is Occupational Therapy Student, Department of Occupational Therapy, University of Missouri, Columbia
| | - Madison Strickland
- Madison Strickland, BHS, is Occupational Therapy Student, Department of Occupational Therapy, University of Missouri, Columbia
| | - Lea Wood
- Lea Wood, BS, is Occupational Therapy Student, University of Missouri, Columbia
| | - Timothy J Wolf
- Timothy J. Wolf, PhD, OTD, MSCI, OTR/L, FAOTA, is Associate Dean for Research and Department Chair, Department of Occupational Therapy, University of Missouri, Columbia
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Proffitt R, Boone A, Schaffer O, Strickland M, Wood L, Wolf TJ. Interventions to Improve Work and Leisure for Adults Poststroke (January 1, 2009-December 31, 2019). Am J Occup Ther 2022; 76:23331. [PMID: 35867031 DOI: 10.5014/ajot.2022.050092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Systematic Review Briefs provide a summary of the findings from systematic reviews developed in conjunction with the American Occupational Therapy Association's Evidence-Based Practice Program. Each Systematic Review Brief summarizes the evidence on a theme related to a systematic review topic. This Systematic Review Brief presents findings from the systematic review on interventions to improve work and leisure for adults poststroke.
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Affiliation(s)
- Rachel Proffitt
- Rachel Proffitt, OTD, OTR/L, is Assistant Professor, Department of Occupational Therapy, University of Missouri, Columbia;
| | - Anna Boone
- Anna Boone, PhD, MOT, is Assistant Professor, Department of Occupational Therapy, University of Missouri, Columbia
| | - Olivia Schaffer
- Olivia Schaffer, BHS, is Occupational Therapy Student, Department of Occupational Therapy, University of Missouri, Columbia
| | - Madison Strickland
- Madison Strickland, BHS, is Occupational Therapy Student, Department of Occupational Therapy, University of Missouri, Columbia
| | - Lea Wood
- Lea Wood, BS, is Occupational Therapy Student, Department of Occupational Therapy, University of Missouri, Columbia
| | - Timothy J Wolf
- Timothy J. Wolf, PhD, OTD, MSCI, OTR/L, FAOTA, is Associate Dean for Research and Department Chair, Department of Occupational Therapy, University of Missouri, Columbia
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Ejaz A, Chu J, Joseph M, Coraor A, Schaffer O, Squires A. Classification of DNA-FRET based single-molecule spectroscopic labels in anti-Brownian electrokinetic (ABEL) trap. Biophys J 2022. [DOI: 10.1016/j.bpj.2021.11.1331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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