University of Colorado Department of Physical Medicine & Rehabilitation - Annual Bulletin 2021

UNIVERSITY OF COLORADO Physical Medicine & Rehabilitation NEWS BULLETIN 2021

COLORADO

PM&R

CU PHYSICAL MEDICINE & REHABILITATION Venu Akuthota, MD Professor & Chair Department of Physical Medicine & Rehabilitation

Editor

Natalie Ianniciello, MA

Design and Production CU Printing Services

CU Physical Medicine & Rehabilitation 12631 East 17th Avenue, Suite 1201 Aurora, Colorado 80045

Letter from the Chair Like many of you, CU PM&R experienced an extraordinary and tumultuous 2020. The theme that emerged was “Anti-Fragility.”

The term anti-fragility has been around business circles for some time. It has been used to describe organizations that have a major event, a potential breaking point. Depending on your response to the stress test, you can emerge resilient (with a U or V or K shaped recoveries), fragile (sliding off the edge), or antifragile (with a check mark-shaped recovery). I am happy to say we survived 2020 anti-fragile.

I’d like to highlight one anti-fragile story: the growth of our adult inpatient rehab services. Just a couple years ago, our adult inpatient rehab beds were limited with a continual existential threat. Yet, despite having rehab units closed for nearly two months in the height of the 2020 COVID pandemic, our rehab beds within the UCHealth system have now expanded by 2.5 times. We now have better continuity of care for post-acute services, high quality rehabilitation care, new providers and call systems. Moreover, the team has proven our mission: “Grow the value of rehab.”

With our team of 229 CU PM&R faculty and staff, across multiple facilities (and homes), CU PM&R has also been able to grow to a top 5 NIH-funded rehab department. The CU Physical Therapy Program, under the leadership of Dr. Michael Harris Love, received re-accreditation and is poised to expand further in its online/ hybrid DPT curriculum and cutting-edge research across the state and region. Our faculty published over 150 publications, some of which are highlighted in this year’s bulletin. Our PM&R residency and fellowships continue to grow, with a recent expansion of complement and funding for a sports medicine fellowship.

Most of all, 2020 was a year that reminded us that the heart often rules over the mind, something that’s hard for me to realize as a clinician scientist. With an open heart, I wanted to extend my gratitude for all that have made us more human and anti-fragile in 2020 and the years ahead.

Sincerely,

Venu Akuthota, MD Professor and Chair, Department of Physical Medicine & Rehabilitation University of Colorado Anschutz Medical Campus, School of Medicine

By the Numbers 5

CORE HOSPITALS

$11.4 MILLION IN CLINICAL REVENUE

$6.2 MILLION IN SPONSORED PROJECT FUNDING

232 6

FACULTY & STAFF

5280 MAGAZINE 2020 TOP DOCS

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#5

BLUE RIDGE NIH RANKINGS

#13

U.S. NEWS AND WORLD REPORT RANKING OF THE PHYSICAL THERAPY PROGRAM

#17

DOXIMITY REPORT RANKING OF RESIDENCY PROGRAM

PHYSICAL MEDICINE & REHABILITATION

ADAPTING TO COVID In an unprecedented year of dealing with coronavirus, the Department of Physical Medicine & Rehabilitation and its faculty involved themselves in a number of publications, research efforts, and patient care initiatives. As we approach a year of this new normal, great lessons have been learned, groundbreaking work has been accomplished, and the future of care has forever been altered.

COVID Related Publications Borges, L. M., Barnes, S. M., Farnsworth, J. K., Bahraini, N. H., & Brenner, L. A. (2020). A commentary on moral injury among health care providers during the COVID-19 pandemic. Psychol Trauma, 12(S1), S138-S140. doi:10.1037/ tra0000698. PMID:32496101 Brandenburg, J. E., Holman, L. K., Apkon, S. D., Houtrow, A. J., Rinaldi, R., & Sholas, M. G. (2020). School reopening during COVID-19 pandemic: Considering students with disabilities. J Pediatr Rehabil Med, 13(3), 425-431. doi:10.3233/ PRM-200789. PMID:33136082 Cohen, S. P., Baber, Z. B., Buvanendran, A., McLean, B. C., Chen, Y., Hooten, W. M., Laker, S.R . . . Phillips, C. R. (2020).

Pain Management Best Practices from Multispecialty Organizations During the COVID-19 Pandemic and Public Health Crises. Pain Med, 21(7), 1331-1346. doi:10.1093/pm/pnaa127. PMID:32259247 Griffith, M. F., Levy, C. R., Parikh, T. J., Stevens-Lapsley, J. E., Eber, L. B., Palat, S. T., . . . Teno, J. M. (2020). Nursing Home Residents Face Severe Functional Limitation or Death After Hospitalization for Pneumonia. J Am Med Dir Assoc, 21(12), 1879-1884. doi:10.1016/j.jamda.2020.09.010. PMID:33263287 Koterba, C. H., Baum, K. T., Hamner, T., Busch, T. A., Davis, K. C., Tlustos-Carter, S., . . . Slomine, B. S. (2020). COVID-19 issues related to pediatric neuropsychology and inpatient rehabilitation - challenges to usual care and solutions during the pandemic. Clin Neuropsychol, 34(7-8), 1380-1394. doi:10.1080/13854046.2020.1811892. PMID:32847476 Postolache, T. T., Benros, M. E., & Brenner, L. A. (2020). Targetable Biological Mechanisms Implicated in Emergent Psychiatric Conditions Associated With SARS-CoV-2 Infection. JAMA Psychiatry. doi:10.1001/ jamapsychiatry.2020.2795. PMID:32735332 Stratton, A. T., Roberts Iii, R. O., Kupfer, O., Carry, T., Parsons, J., & Apkon, S. (2020). Pediatric neuromuscular disorders: Care considerations during the COVID-19 pandemic. J Pediatr Rehabil Med, 13(3), 405-414. doi:10.3233/ PRM-200768. PMID:33185615 Veerapandiyan, A., Wagner, K. R., Apkon, S., McDonald, C. M., Mathews, K. D., Parsons, J. A., . . . Ciafaloni, E. (2020). The care of patients with Duchenne, Becker, and other muscular dystrophies in the COVID-19 pandemic. Muscle Nerve, 62(1), 41-45. doi:10.1002/mus.26902. PMID:32329920

An Increase in Telehealth Visits

COVID Related Research In our publication, you’ll read about some of the groundbreaking research that our faculty are involved in. Associate Professor Meredith Mealer, PhD, is implementing an expressive writing program designed to support health care providers who are experiencing distress from the pandemic. Professor Jennifer Stevens-Lapsley, PT, PhD, FAPTA, along with Associate Professor Amy Nordon-Craft, PT, DSc and post-doctoral fellow Jacob Capin, PT, DPT, PhD, received a National Institutes of Health (NIH) grant for COVID-19 related research regarding telerehabilitation and recovery.

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Number of Visits 800 700 600 500 400 300 200 100 0

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

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COVID-19 FAST TRACKS Research into Practice

Healthcare providers work in a very stressful environment with a high prevalence of anxiety, depression, post-traumatic stress disorder, and burnout syndrome. Add on top of that a pandemic that results in facilities over capacity, an increased mortality rate, and fears over safety, there has been a tremendous increase in distressed providers. As the outpouring of gratitude honors health care workers’ efforts, there is also a greater need to support the health and well-being of each and every person on the front lines.

Knowing all this, Associate Professor Meredith Mealer, PhD, had been conducting research to determine if writing out trauma or stressful events was effective at reducing symptoms of stress. When COVID-19 came to the forefront, that research effort translated to real life implementation. Doctors, nurses, respiratory specialists and so many others have been navigating success and loss together. “As an institution, we were trying to think about different interventions that we could offer our frontline providers right away to improve mental health,” said Mealer.

The University of Colorado Department of Physical Medicine & Rehabilitation has been addressing this need with COVID-19 Narratives, an expressive writing program designed to support health care providers and staff who are experiencing distress from the COVID-19 pandemic response. The program is a modified Written Exposure Therapy, which is an evidence-based intervention.

Participation involves five sessions (once a week for five weeks) in which participants write about their experience during the COVID-19 pandemic response, using a series of writing prompts. Between sessions, participants receive feedback from a licensed Mental Health Professional, such as a clinical social worker or a psychologist. The program is confidential, and the identities of the participant and the mental health professional remain anonymous to one another.

Mealer was named a recipient of the 2021 American Association of Critical-Care Nurses’ (AACN) Pioneering Spirit Award.

This is one of the AACN’s highest honors. Dr. Mealer was honored for her contributions to high acuity and critical care nursing, along with her sustained, pioneering work and collaboration on the body of research related to PTSD in nurses with particular focus on critical care. Dr. Mealer’s recent focus on resilience, mindfulness and cognitive behavioral approaches to well-being were also acknowledged by the AACN as being “particularly crucial now.”

Each writing prompt is specific to the COVID-19 health care response, with topics such as acute care settings, reduced PPE, and work-life impact. Feedback is meant to encourage expression.

“Over the years of doing pilot work, many providers say that they really like the fact that someone is reading and hearing what they have to say,” said Mealer. “We’re seeing a 10-point reduction in level of stress, and I think a primary factor in that is having mental health care providers responding to them, and promoting cognitive flexibility and reframing of the experience.”

Writing about stressful experiences is a proven way to deal with traumatic events and alleviate stress. Sometimes taking time for self-care is just as important as caring for others, and this program is one way to do just that.

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PHYSICAL MEDICINE & REHABILITATION

GRANT CREATES OPPORTUNITY

for Optimization of Tele-Rehabiltitation Delivery Professor Jennifer Stevens-Lapsley, PT, PhD, FAPTA, along with Associate Professor Amy Nordon-Craft, PT, DSc and postdoctoral fellow Jacob Capin, PT, DPT, PhD, received a National Institutes of Health (NIH) grant for COVID-19 related research.

Additional investigators include Kristine Erlandson, MD and Sarah Jolley, MD. The $523,492 NIH grant, Predictors of Recovery and the App-Facilitated TeleRehabilitation (AFTER) Program for COVID Survivors, focuses on investigating the practicality and initial usefulness of a multicomponent tele-rehabilitation program during COVID-19 recovery.

The work of Stevens-Lapsley’s group will directly Jennifer Stevens-Lapsley, PT, translate to other medically complex populations PhD, FAPTA who can benefit from innovative tele-rehabilitation.

The use of telehealth and tele-rehabilitation has certainly increased over the years, but in most cases these populations are high functioning. This study uniquely helps to provide an understanding of how to apply tele-rehabilitation in medically complex, rural, and underserved populations, which will inform clinical practice for a variety of populations.

Long-term consequences of COVID-19 show ongoing physical and neuropsychological impairments and when combined with immobility, limited in-hospital interventions, and heightened

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inflammation, results in detrimental effects. All of that has been further exacerbated by more limited opportunities for posthospitalization rehabilitation with ‘stay-at-home’ restrictions.

There’s a great need to identify predictors of multisystem recovery and long-term health in COVID-19 survivors, and to deliver safe and effective rehabilitative care to medically complex patients, especially when they face post-hospitalization barriers to in-person care.

Amy Nordon-Craft, PT, DSc

The research team includes cross-disciplinary expertise in Infectious Diseases, Geriatrics, Critical Care Medicine, Physical Therapy and Rehabilitation, and Statistics, and leverages both previous collaborative experiences and innovative new collaborations to enable success. Stevens-Lapsley has more than 20 years of clinical research experience in working with medically complex patients and interdisciplinary teams in implementing rehabilitation programs, with prior experience in implementing a tele-rehabilitation platform. Additional expertise is provided by Nordon-Craft, who has overseen multicomponent rehabilitation programs in hospitalized patients receiving intensive care as well as home health. As a postdoctoral fellow and primary interventionist, Capin helped develop the treatment protocol, created the database, and is helping coordinate the logistical aspects of the research study. The team began enrolling patients in December.

Current research on tele-rehabilitation services is incredibly limited, with no published studies following a critical care hospital stay and only one other trial developing multidisciplinary telehealth strategies in addition to in-person care.

Individuals who were hospitalized with COVID within the past month and are still experiencing functional decline are currently being recruited for the study. All tele-rehabilitation services are free.

Jacob Capin, PT, DPT, PhD

The program was developed around key elements of rehabilitation that patients and providers have identified as important aspects:

1. social component

2. ability to communicate with healthcare providers

3. ability to monitor response to exercise and progress

4. individualized care that changes based on a person’s response.

Furthermore, a unique feature of tele-rehabilitation involves the Blue Marble Health Platform, which contains avatar-led standardized tests, personalized exercise programs, activity monitoring and educational modules for disease surveillance and rehabilitation.

Aiming to determine predictors of improved post-hospitalization recovery, this study will immediately contribute to what is known about the course of recovery for survivors of COVID-19, as well as predictors for prolonged impairment during recovery.

Overall, development of effective tele-rehabilitation programs as alternatives to delivering rehabilitation to medically complex populations could transform the way in which acute rehabilitation and post-hospital care for all patients is delivered. This will aid in preparing for anticipated future needs and facilitate applications to other populations.

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PHYSICAL MEDICINE & REHABILITATION

Adjusting Care to Meet Patient Needs On April 27, 2020, the University of Colorado Department of Physical Medicine and Rehabilitation, in collaboration with the University of Colorado Denver UCHealth Hospital (UCH), converted part of their inpatient rehabilitation unit into a transitional medicine floor to help manage the influx of COVID-19 patients.

Most outside facilities at the time were requiring 72 hours without a fever, improving pulmonary function, and two negative COVID tests to be accepted at a rehabilitation center. A growing number of patients were unable to clear all of those requirements, creating a stall in the ability to move patients to the next level of care and free up from for incoming COVID hospitalizations.

Following a similar approach to New York University’s Langone Medical Center, a decision was made to re-open the acute rehab unit to accept only COVID-19 patients, one of the first in the country to do so at the time.

“We accepted patients who were presumed to still be COVID positive that still needed close management with medicine to monitor their pulmonary function,” said William Niehaus, MD, who was instrumental in establishing the unit. “This significantly improved our systems ability to rehabilitate people to a level that would allow a safe discharge to the community.”

Relying on the skill and expertise of therapy leaders, nursing leaders, environmental services and social workers among others, the unit was reLisa Brenner, PhD opened with coordinated helped from hospital leadership, infection control experts, and internal medicine directors. In under a week, they were admitting COVID rehab patients and within seven days were able to fill the unit. Along with Niehaus, Lisa Brenner, PhD, served as the COVID rehab psychologist and met with patients during their rehab stay, while inpatient medical director Katherine Katherine Payne, MD

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Payne, MD, was a key provider and brought incredible leadership and support throughout the process.

Niehaus noted, “We worked on the problem similar to how we help patients discharge from the hospital: identify barriers to the goal, assign action items, review progress. This approach allows multiple team members to tackle things that come up in a coordinated fashion.”

William Niehaus, MD

The acute rehab team is able to jump start recovery by accepting very complex patients early in their recovery, sometimes straight out of the ICU, providing high-intensity skilled therapy. Outside facilities typically accept similar patients four to seven days after an acute rehab team does, which delays their timeline to get home. Admitted patients receive around three hours of skilled therapy daily, 24/7 nurse care, and daily physician visits. On average, patients stay for around 10 days before they are able to discharge to home.

“These times have really tested our resilience and determination,” said Niehaus. “However, we are proud to say that we rehab providers have risen to the occasion and demonstrated the value of Physical Medicine and Rehabilitation and Rehabilitation Services.”

A year into COVID, the rehab outlook has evolved, with the CDC outlining a timeline to presumed negative status that has increased the ability to move patients out of gown and mask precautions. This has greatly decreased the number of requirements to have patients accepted at rehab centers and improved the ability to help people reach the next level of care.

The unit remains fully operational and caring for a wider variety of patients. COVID patients at all points in their recovery are still admitted, roughly one to three on the unit a week, along with the same traditional mix of patients as before, such as stroke, burns, cancer patients and traumatic brain injury. “I truly believe our comparatively smaller unit handles a wider variety of patients than nearly all other rehab units in the country,” added Niehaus.

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UCHEALTH CHERRY CREEK MEDICAL CENTER In September, UCHealth opened the Cherry Creek Medical Center, located in the heart of Cherry Creek. The new five-story, 97,000-squarefoot medical center offers a highly specialized team of approximately 70 providers from UCHealth and the University of Colorado School of Medicine.

A primary factor in bringing physicians from the University of Colorado School of Medicine was to provide access to clinical trials, nationally recognized specialists, and services that have often only been available at the Anschutz Medical Campus, which wasn’t the most centrally located for many patients.

the University of Colorado Cancer Center – the state’s only NCI-designated Comprehensive Cancer Center – sometimes years before they’re more broadly available, are now available for patients at UCHealth Cancer Care – Cherry Creek.

“We know our patients want easy appointment scheduling and access to the specialists they need at a convenient location,” said Elizabeth Concordia, President and CEO of UCHealth. “The Cherry Creek Medical Center offers this with an excellent experience and lower costs.”

Isser Sax added, “The patients are able to be seen and treated in a timely matter. We have developed a strong connection with our other community providers which is optimal for patient care.”

Among those providers are CU Physical Medicine & Rehabilitation faculty Venu Akuthota, MD and Mara Isser Sax, DO. “I am so happy I have the opportunity to work at the Cherry Creek Medical Center spine clinic,” Mara Isser Sax, DO said Isser Sax. “It is very fulfilling to work in a practice setting that exemplifies a personal and complete patient experience. Because it is a small community practice, we have the ability to offer more patient centered care.”

Service specialties offered at UCHealth Cherry Creek Medical Center include: Allergy & immunology Audiology Breast care Cancer Treatment Diabetes and endocrinology Ear, Nose and Throat (ENT) Gastroenterology

Gynecology Orthopedics Plastic and reconstructive surgery Pulmonology Spine Center

The outpatient surgery center offers a variety of surgical procedures ranging from oculoplastics and orthopedics to otolaryngology, urologic, vascular and more.

Cherry Creek Medical Center’s advanced technology includes a linear accelerator, a DEXA bone density screening device, X-ray units, a vascular ultrasound screening device for carotid arteries and veins, lowradiation mammography, a photo therapy booth, and CT, MRI and PET CT imaging.

Since the center is not a hospital, most patients will not be billed facility fees, resulting in lower costs and simplified billing. Cancer patients receiving infusions and radiation will still experience hospital-based billing because these services are linked to those at University of Colorado Hospital on the Anschutz Medical Campus. Clinical trials, experimental therapies and innovative treatments offered to patients at

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PHYSICAL MEDICINE & REHABILITATION

DANIEL MARCUS, MD Alumni Spotlight What’s your educational background?

I grew up in Los Angeles and received a BA in Integrative Biology at UC Berkeley. I then went to The Ohio State University for medical school and stayed in Columbus, Ohio for an internal medicine internship.

In 2001, I came to Denver for my residency and served as the CU Chief Resident in 2003-2004. After residency, I completed a Pain Medicine fellowship at UCLA.

What are you currently doing?

Following my training, I joined a large multi-specialty group in Santa Cruz, CA. Our group later joined the Palo Alto Medical Foundation which is part of the Sutter Health system.

My practice is entirely outpatient and focuses on patients with spine and musculoskeletal problems. My clinical work is a mix of seeing patients in the office and performing fluoroscopically-guided spine procedures.

I have served in leadership roles as well. Since 2007, I have been the PM&R lead in Santa Cruz and, since 2013, the Palo Alto Medical Foundation PM&R Department Chair. For 10 years, I was the medical director of the physical therapy department.

“I was impressed with the focus on function and the importance that was placed on the patient experience.

I was also excited to have an opportunity to work across the continuum of medical care and have multiple avenues of practice available to me after residency.”

Why did you decide to pursue physical medicine & rehabilitation?

The PM&R department at Ohio State had a strong presence and the residents all seemed very happy with their choice. My medical school advisor was the legendary Ernie Johnson MD, who made a very compelling case for the specialty.

I was impressed with the focus on function and the importance that was placed on the patient experience. I was also excited to have an opportunity to work across the continuum of medical care and have multiple avenues of practice available to me after residency.

What preparation did CU residency give you for your career?

I am very grateful for the three years I spent at CU. I was fortunate to have many people who were interested in my development as a physiatrist and invested in my success. I left Denver a more polished, mature, and empathetic physician and person. The rigorous didactics prepared me well for the boards. The skills and experience I accrued by the end of residency would have allowed me to work in any PM&R setting. In Denver, I had the opportunity to learn at multiple sites and in varied systems of care. This gave me a broad perspective in which to develop my own clinical perspective and practice style.

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Do you have any words of wisdom for current residents to help them fulfill their career goals?

If you work to fully understand your patients’ problems, the solutions will be much easier to figure out and implement.

For many patients, a good understanding of their problems will provide the therapeutic reassurance they need to improve. Your greatest assets will be your knowledge, experience, and opinion.

Do you have any specialties within PMR? In addition to PM&R, I am board certified in Pain, Sports, and Neuromuscular Medicine.

I completed a comprehensive pain medicine fellowship, but my current work is more in line with a typical PM&R spine practice with an emphasis on diagnosis, conservative care, exercise and lifestyle counseling, and interventional procedures.

What’s the most rewarding part of your job?

Be respectful and kind to your patients, staff, and colleagues.

This will be the most effective strategy to having a successful practice, good reputation, and professional satisfaction.

Lastly, take care of your physical and mental health. Eat a lot of whole, plant-based foods, exercise regularly, and spend time doing things you enjoy with people you love.

As the world has navigated through COVID over the past year, how has it impacted your personal practice/philosophy?

How does your current position correspond to where you envisioned yourself as you finished residency?

Last spring, I volunteered to work as a triage provider in a drive-in respiratory care clinic. My job was to examine patients with respiratory and infectious complaints, suspected of having COVID-19. Instead of doing a musculoskeletal/functional evaluation in my clinic, I was now examining sick patients in their cars. I was surprised at how well my clinical skills translated to this work. I felt very comfortable taking histories, examining patients, making presumptive medical diagnoses, and triaging appropriately.

It made me proud of my PM&R training.

I did not realize how much demand there would be for my services. This has allowed me to focus my practice on clinic evaluations and conservative care along with a judicious use of epidural steroid injections, facet interventions, and joint/ bursa/trigger point injections. Entering my fellowship, I thought I was most interested in pursuing “cutting edge” procedures and comprehensive pain management. As time has passed, I have become more interested in the more conservative side of medicine: diagnosis, reassurance, exercise and lifestyle counseling, and performing the “bread and butter” procedures with high quality.

Due to a “shelter-in-place” order, we were forced to make changes to meet our patients’ needs. These included development of remote visits and changes in workflow.

Demand for our services did not decline and, despite all attempts to work remotely, PM&R is a very hands-on discipline that, at least for me, required the nuance of the in-person history and physical exam. We worked closely with our operational leaders to ensure that our clinic space was available to our patients and that we had access at our procedural venues.

It is gratifying to be able to empower patients with a rational understanding of their problem and shared-decision making.

Educating patients and promoting independence, which is foundational to PM&R, is the most rewarding part of my job.

What career accomplishments are you most proud of?

I am most proud of the relationships I have developed with my patients, colleagues, and staff.

I am also proud that I have continued to learn and improve.

I have become better at identifying psychosocial barriers to patient improvement, shared-decision making, and providing patient-centered care.

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What do you enjoy doing in your personal time?

Most of my time is spent with my wife and three children, enjoying family life and beautiful central California. Over the last 10 years, I developed a long-distance running habit and have finished a number of races including two halfmarathons, three marathons, and two 50 km races.

PHYSICAL MEDICINE & REHABILITATION

GET TO KNOW ANN LANTAGNE, PHD

Children’s Hospital Rehab Psychologist

Dr. Ann Lantagne received her BA from the University of Virginia and her Doctorate at the University of Denver (DU). During her time at DU, she was a research assistant and extern at Children’s Hospital before time as an intern at Boston Children’s Hospital. Lantagne also completed a postdoctoral fellowship in pediatric psychology at Stanford University.

What drew you to pediatric rehabilitation?

The patients and their families. Each patient we care for has experienced an event that substantially changed the course of their lives. As a pediatric rehabilitation psychologist, it is a privilege to join each patient in navigating this life altering event, adapting, and improving quality of life through evidence-based care. I was also drawn to the multi-disciplinary team approach at CU/Children’s Colorado that allows us to improve patient outcomes through well-coordinated and collaborative care.

How have your experiences across different regions of the country influenced you as a provider?

Whether I was working in inner city Boston, a suburb of the Bay Area, or more remote Virginia, each location held its own challenges for the children and families I worked with – and impressed on me the fact that barriers to care are universal across our country. As a provider, I think this has helped me become more flexible in adapting evidence-based therapy to better meet patient’s needs and able to more fully appreciate the array of external stressors that many of our families are experiencing.

I have also been incredibly fortunate to work at medical centers that treat patients from across the country and internationally. During a single shift at Boston or Stanford, it was not unusual to treat underserved local youth as well as children whose families relocated from abroad for their child’s care. Working with such a diverse range of patients with rare and complex medical conditions has been incredibly rewarding and helped me learn to recognize the multitude of dynamics that can influence patient outcomes.

What brought you to CU/Children’s?

When I interviewed at the University of Denver’s child clinical psychology doctoral program, I knew Colorado was where I wanted to be. During my fourth year in DU’s program, I joined CU/Children’s as an extern and hoped I would one day be able to return after completing my training. While I’ve worked at hospitals across the country, there is truly no other place like CU/ Children’s. Here, I am able to pursue dynamic clinical work, collaborate with amazing medical teams, and take part in cutting-edge research - all at the premier academic medical center in the Rocky Mountains.

To me, it really is an amazing and special place.

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How would you describe your day-to-day?

One of the things I love most about my job is that no two hours in the day are ever the same! As an outpatient pediatric rehabilitation psychologist, I provide therapy to a diverse range of families with a wide variety of medical diagnoses and mental health concerns. A given day may include an intake for a three-year-old with an acquired brain injury and behavior problems, providing trauma focused therapy for a young adult with a gunshot wound, and providing consultations for patients in the Bridge day treatment program and Acquired Brain Injury (ABI) clinics. I also like to stay actively involved in research, so many days I try to carve out time to work on a paper or plan my next research project.

What adjustments have you had to make in your care throughout COVID? Like almost all providers, COVID made it necessary for clinical psychologists to adjust many aspects of how we provide care. For young patients whose attention can be more limited, the move to telehealth provided an opportunity to think of innovative ways to make therapy more engaging and dynamic. For in-person sessions, I began taking extra care to ensure patients felt comfortable despite all the social distancing, masks, and face-shields. For one young patient who was scared of seeing masked providers, taking a minute to decorate our masks helped them feel more at ease and engaged. While COVID has been an undeniable challenge, I think we will come out of it with new skills and be even better able to care for our patients.

As a result of COVID, do you see aspects of healthcare delivery changing for the better?

To me, the silver lining of the pandemic is that telehealth has opened doors to providing evidence-based treatments to children and families who would never be seen otherwise. In that way, the technological advances brought on by COVID opened a very important door. Even so, a significant population of children and families still cannot access services for lack of internet access or a computer. I think it will be so important to remember these lessons going forward and take even more steps to ensure quality psychological care is accessible to all children and families who would benefit from it.

What career accomplishments are you most proud of?

I had the opportunity to present my dissertation research in a global forum at the European Association for Research on Adolescence summer institute in Utrecht, Netherlands. My dissertation examined the relationship processes and interactions that precede adolescent and young adult dating violence and was among the first to use a dyadic approach to examine risk factors among young couples. Through this summer institute, I worked alongside leaders in the field of adolescent psychology from around the world, which is something I’m excited to continue throughout my career with pediatric rehabilitation. There are so many dedicated practitioners and researchers across the globe, and I believe we can improve the care we provide by continuing to come together and sharing our experiences.

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welcoming ANDREW SMITH The University of Colorado Physical Therapy Program welcomed Andrew C. Smith, PT, DPT, PhD to his appointment as Assistant Professor on August 17, 2020. Smith is currently completing work on his R03 grant from the NIH National Center for Medical Rehabilitation Research concerning the use of MRI images and machine learning in the management of spinal cord injury. He will continue to participate in clinical research at Craig Hospital and also assists CU PT in strengthening ties with the Rocky Mountain Regional VA Medical Center Spinal Cord Injury and Disorder Center.

Reflecting upon his recent academic appointment, Smith says, “It is an absolute honor to be a part of the CU PT family. I am impressed with the level of excellence that the CU PT program embodies on all fronts: DPT and PhD education, research and scholarship, clinical practice, and service to the local and global community.”

Smith comes to the University of Colorado from Regis University School of Physical Therapy, where he was an Assistant Professor. He was awarded the 2019 Regis University School of Physical Therapy Excellence in Teaching Award and 2020 Regis University Rueckert Hartman College of Health Professions Junior Faculty Teaching Award. Smith obtained his Doctor of Physical Therapy degree from the University of Washington, and a Doctor of Philosophy in Neuroscience from Northwestern University. He has 12 years of experience as a physical therapist.

CU PT Program Director Michael Harris-Love, PT, MPT, DSc, FGSA noted, “Dr. Smith has a great mix of skills that include conducting innovative research within the field of neurorehabilitation and establishing genuine connections with entry-level students. I look forward to his contributions to our DPT and PhD Programs, as well as our efforts to promote diversity and inclusion within the profession.”

GET TO KNOW MORE ABOUT ANDREW SMITH Where are you originally from?

As a U.S. Air Force kid, I moved around every 1 to 2 years growing up, but the State of Washington is where I spent the most time, collectively.

What are you most looking forward to in becoming a part of the CU PT family?

I am most looking forward to learning from the quality faculty, staff, and students here at CU PT. What is your specialization/interest?

I have practiced clinically and been involved with research with individuals with spinal cord injury since 2010.

What are your hobbies?

I am a self-professed Brazilian Jiu-Jitsu nerd and a novice mountain biker.

Any family/pets?

My wife, Hana, is a CU School of Medicine faculty as well, and we have two daughters and a son (7, 5, 3 years old). No pets yet, but a dog is in our future.

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PHYSICAL MEDICINE & REHABILITATION

thank you

SHARON! After 26 years with the University of Colorado Physical Therapy Program, Sharon Jordan, PT, MA, retired effective January 1, 2021.

Jordan came to the Program initially as a consultant in 1994. In 2000, she moved to an Instructor, and was promoted to Senior Instructor in 2003. She also served as Assistant Director of Clinical Education from 2000-2004.

Jordan was heavily involved in the Scholarship & Awards committee, dedicated to providing students with more affordable offerings for their education, as well as recognizing contributions and nominating worthy students and faculty for Program, University and National recognition.

Jordan is all smiles at the finish line of the Fund the Future 5K.

Jenny Rodriguez, PT, DPT, DCE, a longtime colleague of Jordan’s, noted that Jordan was most passionate about teaching students correct positioning and body mechanics to keep them safe while learning physical therapy techniques. “Sharon was always teaching our students about vacuuming and shoveling which got some giggles and eye rolls,” said Rodriguez, “but then on clinic visits, students regularly tell the Clinical Education Team that they actually taught their patients how to vacuum or shovel and it made a big difference!” Jordan is a master clinician, and passionate about teaching patients how to manage their pain through positioning and safe movement during daily activities.

University of Colorado Physical Therapy Program Director, Michael Harris-Love, PT, MPT, DSc, FGSA added, “Sharon was vital to my orientation to the campus.

In many ways, she holds the institutional memory of the program and has been instrumental in helping me to better understand our organizational history.

Additionally, she has also helped us to look to the future by working with Office of Information Technology to modernize our clinical instruction facilities. Everyone will greatly miss Sharon’s contributions to CU Physical Therapy.”

Jordan in a lab course with DPT students.

Jordan received her Bachelor’s degree in Physical Therapy from State University of New York in Buffalo in 1972. She also completed a Master’s degree in Anthropology in 1990 from University of Colorado Denver. Jordan started her career spending time in Switzerland and West Germany prior to coming back stateside.

A true outdoor enthusiast, Jordan has long enjoyed hiking with her dogs, skiing and snowshoeing and many of her colleagues have fond memories of those activities with her. We certainly hope that retirement allows more time for those recreation adventures!

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2020

5280 TOP DOCS Each year, 5280 Magazine surveys Denver physicians and asks them, specialty by specialty, which metro-area physicians they would trust to treat themselves and their families. The 2020 Top Docs list includes five of our esteemed colleagues

Dr. Susan Apkon

MEDICAL SPECIALTY: Pediatric Rehabilitation Medicine PREVIOUS HONORS: 2019, 2008, 2007, 2006 HOSPITAL AFFILIATION: Children’s

Dr. David Coons

MEDICAL SPECIALTY: Physical Medicine and Rehabilitation First Time Honoree HOSPITAL AFFILIATION: Veterans Affairs Medical Center

Dr. Susan Ladley

MEDICAL SPECIALTY: Brain Injury & Spinal Cord Injury Medicine First Time Honoree HOSPITAL AFFILIATION: Denver Health

Dr. Aaron Powell

MEDICAL SPECIALTY: Pediatric Rehabilitation Medicine First Time Honoree HOSPITAL AFFILIATION: Children’s

Dr. Alan Weintraub

MEDICAL SPECIALTY: Brain Injury Medicine PREVIOUS HONORS: Since 2013 HOSPITAL AFFILIATION: Craig

Dr. Pamela Wilson

MEDICAL SPECIALTY: Pediatric Rehabilitation Medicine PREVIOUS HONORS: 2008-2018 HOSPITAL AFFILIATION: Children’s 14

PHYSICAL MEDICINE & REHABILITATION

Change My Story

PROVIDING LIGHT WHEN THE FUTURE SEEMS DIM The University of Colorado Office of Advancement and Physical Therapy Program are pleased to announce the creation of the Kenda Fuller, PT Fund to Enhance Cultural Balance in Physical Therapy. Fuller is an alumna of the Class of 1979 and has remained deeply connected to the program, taking students for clinical rotations, teaching in the program for 30 years, and through a textbook that is used by the CU PT students and is now in its fourth edition.

Throughout her four-decade career, Fuller significantly impacted the profession, her colleagues and young professionals. Some of her greatest impacts have been on her patients she treated, as a full-time therapist and private practice owner of South Valley Physical Therapy, from where she retired last year.

The Kenda Fuller Fund is designed to support efforts to engage and inspire high school students. The students Fuller hopes to help will be those from diverse backgrounds and historically underrepresented communities. Through the fund, students will learn about the profession, gain self-confidence and excel in the initial steps of pursuing an undergraduate program. Fuller is excited for the fund to ultimately provide support to better position this population of students for a successful application to the program.

“This has been an idea that has formed over the past seven, eight years,” said Fuller. “I started talking to Margaret Schenkman (Former Program Director), and she suggested I talk to Lisa Dannemiller (Associate Professor) who already has relationships with area high schools.”

With her own son going through high school during the time, and seeing his process of exploring college options, Fuller witnessed many inner-city kids not moving forward in their journeys, for a number of reasons, but mostly not knowing how or where to start with some of that groundwork.

For many, the expectation of a college degree is absent, as well as family resources. Fuller wants to engage not just with the student, but with the parents as well.

In surveying diversity and equity within the field of physical therapy, Fuller noted that the first step is access to care, from pediatric through geriatric populations across cultural and socioeconomic boundaries. “If we create another professional, then that professional is going to have healthcare and if they have healthcare, then their children will be covered,” she said.

As professionals with more diverse backgroundsare created, it enhances the connection to patients in many areas.

NEWS BULLETIN 2021

“If our only culture in PT school is that where the majority of the students are from similar privileged socioeconomic backgrounds, the class itself will lack the access to cultural understanding.”

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The fund has specific objectives, such as: • Coordinate and implement new community partnership initiatives • Deliver programming to students enrolled at East High School and other area high schools as deemed feasible • Explore and generate excitement about careers in physical therapy • Support students during their final phases of a high school curriculum • Follow students from the high school program and assist those admitted to CU Downtown campus (where an existing PT pipeline program is underway) Over the last few years, entry to physical therapy schools and the CU PT program, in particular, has become incredibly competitive. By cultivating students at a younger age, their self-esteem is boosted to give them increased opportunities. Fuller seems to be most passionate about real change taking place in culture. “I’ve had the opportunity to travel quite a bit and everywhere I’ve gone I learned from seeing the differences in medicine culture, both as a person and professional,” noted Fuller. “If our only culture in PT school is that where the majority of the students are from similar privileged socioeconomic backgrounds, the class itself will lack the access to cultural understanding.” Looking past the numbers, the importance is about the faces you see and the opportunity to embrace and understand cultural difference. “If we don’t have that atmosphere in the classroom, we’re just missing something. It isn’t changing fast enough,” she said.

The importance of buy-in and involvement from current students is critical. “They need to understand the value of being exposed to cultural differences in the classroom before they even get to the clinic,” said Fuller. “The more students in the program with a variety of cultures and colors, the better the classroom environment is going to be.”

Fuller plans to be involved in determining benchmarks of success, constantly exploring new opportunities to increase cultural balance, and working with the program’s Scholarship and Awards Committee to designate some scholarships to those students from this program who succeed in entering the PT program at CU. “The timing to bring this out is perfect,” noted Fuller, “with my recent retirement I can really focus on the work here.”

Admittedly, Fuller is connected. “I know a lot of people and my strength is in those numbers,” she said. Fuller looks forward to gathering her influence in the Denver metro area with therapists that she has worked with and has taught to increase engagement around this initiative. “When people are more engaged with the actual activity, then they pull it into their world.”

Fuller was awarded the 2019 Physical Therapy Program Alumni Achievement Award in recognition of her accomplishments in the profession, commitment to her patients and community, and ongoing relationship with the program.

Fuller was among the first to take the first APTA neurologic clinical specialty (NCS) exam when there were no mentors, no financial gains, no fame, and she took the exam based on her own commitment. She co-authored Pathology: Implications for the Physical Therapist, a text that is widely respected and the first pathology text that was designed specifically for therapists. Kenda has been a strong advocate for the profession, serving as the APTA Colorado Chapter President and recently, being a major contributor to the passing of Colorado legislation that includes physical therapists as providers who are eligible to return adolescents to sport and school after concussion. Additionally, Fuller was recently nominated to serve on the CU PT Scholarship and Endowment Board.

Fuller looks forward to changing stories, providing hope, and observing the positive change in physical therapy and beyond.

David Bruton

Current student David Bruton, Class of 2021, has had the opportunity to get to know Fuller well. He completed his prerequisite observation hours at her clinic, and the two have remained connected since that time, with Fuller tapping him for this new effort. “David had said to me, ‘It is my responsibility as a privileged professional to bring this forward because the people who are underprivileged don’t have the power’ and that’s commanding,” said Fuller.

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PHYSICAL MEDICINE & REHABILITATION

Advancing the Profession

ESTABLISHING A FACULTY DEVELOPMENT RESIDENCY The University of Colorado Physical Therapy Program has submitted an application for a non-clinical Faculty Residency Program. Headed up by Professor Mary Jane Rapport, PT, DPT, PhD, FAPTA, with support from Associate Professor Dana Judd, PT, DPT, PhD, the residency is a structured, post-professional education program for licensed physical therapists who aspire to an academic faculty position.

“This isn’t a common residency, so the initiative will meet an important educational need and distinguish us among other institutions in the Rocky Mountain region,” noted Program Director Michael Harris-Love, PT, MPT, DSc, FGSA. The mission of the Faculty Residency Program is to develop capable faculty who are prepared to engage in innovative education by providing a curriculum complete with didactic and mentored experience that supports excellence in the preparation of future healthcare providers and participation in academia.

There is a shortage of emerging available faculty for physical therapy education programs. The development of new faculty to educate and continue to move the profession forward is essential for continued growth and CU PT is committed to being a part of that charge.

“With only two other non-clinical Faculty Residency programs currently accredited in physical therapist education nationally,” said Rapport, “our exceptionally strong teaching faculty and an array of educational resources associated with medical and healthcare education on this campus, we are well situated to provide this type of residency.”

The program is designed to significantly advance preparation of the physical therapist as a highly qualified educator and productive scholar. Potential as a future leader in physical therapist education is developed through multiple teaching experiences, structured mentorship opportunities, and mentored educational scholarship throughout the program. The program also offers access to the resources of the University of Colorado Physical Therapy Program on the Anschutz Medical Campus.

“There are a lot of reasons to be excited as we navigate through this,” said Harris-Love.

“Leveraging the expertise of our faculty to help us move forward in terms of post-professional education will be a great way to demonstrate our expertise as a program.”

The Faculty Development Residency is currently in candidacy status, expecting to be fully accredited by the American Board of Physical Therapy Residency and Fellowship Education (ABPTRFE) in 2022.

The program plans to begin accepting applications for the 2022-2023 cycle in October 2021.

NEWS BULLETIN 2021

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2020

FACULTY ACHIEVEMENTS Sue Apkon, MD was awarded the Resident Research Mentor Award.

Mike Bade, PT, DPT, PhD, OCS, FAAOMPT and Jennifer Stevens-Lapsley, PT, PhD were awarded the Rose Excellence in Research Award from the APTA Orthopaedics Section for their article Home-Health-Care Physical Therapy Improves Early Functional Recovery of Medicare Beneficiaries After Total Knee Arthroplasty.

Lara Canham, PT, DPT, OCS was appointed to the ACAPT’s National Consortium of Clinical Educators (NCCE) taskforce on Pre-Admission Observation Hours and Co-Chair of the Colorado Chapter of APTA Awards Committee.

Lisa Dannemiller, PT, DSC, PCS was promoted to Associate Professor. She was awarded the Toby Long Award for best journal articles published in the Pediatric Physical Therapy Journal. She was also appointed to the Children’s Hospital Colorado medical staff as Allied Health Staff along with Mary Jane Rapport, PT, DPT, PhD, FAPTA. Hilary Diefenbach, MA was awarded the American Speech-Language-Hearing Association (ASHA) Award for Continuing Education.

Jeri Forster, PhD was awarded the Journal of Allied Health J. Warren Perry Distinguished Author.

Michael Harris-Love, PT, MPT, DSc, FGSA was appointed Vice Chair of Learning, Development and Inclusion for CU Physical Medicine & Rehabilitation. The position will provide strategic vision and leadership concerning the recruitment, development and retention of underrepresented minority trainees and faculty members. Additionally, he was appointed as the founding Co-Chair of the Diversity, Equity, and Inclusion Committee for the APTA Colorado Chapter to promote a more equitable physical therapy profession across the state.

Meghan Hernandez, PT, DPT, PCS recently transitioned to a dual appointment with the university, with a primary appointment in PM&R and secondary appointment in the Dept of Pediatrics. Also, she was accepted into the UCDenver Doctor of Education (EdD) in Leadership for Educational Equity program with a concentration in professional learning and technology.

Patricia Heyn, PhD, FACRM, FGSA was appointed as a Board Member of the Governance Committee of The Gerontological Society of America Gerontological Society of America (GSA). She also received a Best Practice Group Liaison Nomination, Appointed by the Board of Regents of the American College of Surgeons (ACS).

Dawn Magnusson, PT, PhD was granted a 3rd year of funding as a scholar in the Comprehensive Opportunities for Rehabilitation Research Training (CORRT) program.

Mark Mañago, PT, DPT, PhD, NCS was granted his initial CORRT K12 award. He also received a grant award from the Paralyzed Veterans of America Education Foundation to host the 10th Annual International Gait MS Symposium. Finally, he was awarded a pilot grant from the Consortium of Multiple Sclerosis Centers to study blood flow restriction training in people with MS. Amy McDevitt, PT, DPT, OCS, FAAOMPT and Paul Mintken, PT, DPT, OCS, FAAOMPT were invited to be on the authorship team for the Journal of Orthopaedic & Sports Physical Therapy (JOSPT) Neck Pain Clinical Practice Guidelines revision.

Nathan Odom, MD was given the Superheroes Award by the Colorado Hospital Association.

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PHYSICAL MEDICINE & REHABILITATION

Joyce Oleszek, MD was awarded the Patient Family Experience Award by Children’s Hospital Colorado and was a Golden Stethoscope Award nominee - Best Specialty Preceptor, Foundations of Doctoring.

Mike Pascoe, PhD completed his service on the Healthcare Working Group of the Strategic Planning committee for the University of Colorado System. He also served as a co-investigator on a research project that brought practicing clinicians back into anatomy lab for further training with whole-body donors funded by the University of Colorado School of Medicine.

Amy Nordon-Craft, PT, DSc is a co-investigator on an NIA Grant investigating the feasibility and initial efficacy of a multicomponent tele-rehabilitation program during COVID-19 recovery, along with Jennifer Stevens-Lapsley, PT, PhD, FAPTA Joe Palmer, PT, DPT successfully completed and defended his first-year PhD synthesis project titled: Using the Partnership Success Theory to Explore Academic Physical Therapy Site Visits on the Academic-Clinical Partnership from the Clinical Instructor Perspective and received a “pass with distinction” rating.

Robin Peterson was awarded the Illinois Spina Bifida Asoscation (ISBA) second honorable mention for best publication on spina bifida.

Mary Jane Rapport, PT, DPT, PhD, FAPTA was invited to join the editorial board of the Journal of Physical Therapy Education (JOPTE) for a three-year term. She was the recipient of the PT Program Cerasoli Educator Award. She assumed the role of Co-Director of the Teaching Scholars Program in the School of Medicine, is a co-investigator on the Defining Excellence in Residency Education: The Next Step in Demonstrating Value study funded by the Academy of Physical Therapy Education, and is an APTA Centennial Scholars Mentor.

Deborah Saint-Phard, MD was selected Chair of the Well-being Committee for the Colorado Medical Society, Secretary on the Board of Directors for the Colorado Physicians Health Program, and Board Director of the Friends of Princeton Track.

Oscar Sanchez, MD was given the Golden Goniometer Award by the CU PM&R Department, recognizing teacher of the year.

Eric Sawyer, PT, DPT, OCS, STC was accepted into the Teaching Scholars Program. He was also elected to a three-year appointment on the Academy of Physical Therapy Education Awards Committee.

Scott Schubert, MD was given the Bravo Award for services provided during SCI COVID swabbing effort.

Tess Simpson, PhD was given the ISBA Second Honorable Mention for Professional Advisory Council’s Fifth Annual Research Award.

Jennifer Stevens-Lapsley, PT, PhD, FAPTA was recognized as a Catherine Worthingham Fellow. The FAPTA designation is the highest honor among APTA categories. She was also awarded the University of Delaware Physical Therapy Alumni Award.

Tami Struessel, PT, DPT, OCS, MTC was promoted to Associate Professor. She was also elected Delegate at Large for the APTA Colorado Chapter. She and her faculty co-authors Amy Nordon-Craft, PT, DSc and Robyn Gisbert, PT, DPT, were awarded the J. Warren Perry Award for best reviewed article of the year in the Journal of Allied Health for their article, “Knowledge and attitudes of physical therapy students across a longitudinal healthcare systems-focused patient safety curriculum.”

Andrew C. Smith, PT, DPT, PhD was granted a second year of funding for his NIH NCMRR R03 Early Career Investigator Award. He also received a Pilot Grant from the Department of Physical Medicine and Rehabilitation. Finally, he was elected to the nominating committee for the APTA Academy of Neurologic Physical Therapy Spinal Cord Injury Special Interest Group.

Pamela Wilson, MD was awarded ISBA Second Honorable Mention for article on Parental Stress in Spina Bifida population.

NEWS BULLETIN 2021

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Faculty Publication Exemplars

Brandenburg, J. E., Holman, L. K., Apkon, S. D., Houtrow, A. J., Rinaldi, R., & Sholas, M. G. (2020). School reopening during COVID-19 pandemic: Considering students with disabilities. J Pediatr Rehabil Med, 13(3), 425-431. doi:10.3233/PRM-200789. PMID:33136082 Brenner, L. A., Forster, J. E., Stearns-Yoder, K. A., Stamper, C. E., Hoisington, A. J., Brostow, D. P. Mealer, M.,, . . . Lowry, C. A. (2020). Evaluation of an Immunomodulatory Probiotic Intervention for Veterans With Co-occurring Mild Traumatic Brain Injury and Posttraumatic Stress Disorder: A Pilot Study. Front Neurol, 11, 1015. doi:10.3389/fneur.2020.01015. PMID:33192959 Carollo, J., De, S., & Akuthota, V. (2020). Evidence-Based Physiatry: Clinical DecisionMaking With Instrumented Gait Analysis. Am J Phys Med Rehabil, 99(3), 265-266. doi:10.1097/ PHM.0000000000001376. PMID:31860588 Christiansen, C. L., Miller, M. J., Kline, P. W., Fields, T. T., Sullivan, W. J., Blatchford, P. J., & StevensLapsley, J. E. (2020). Biobehavioral Intervention Targeting Physical Activity Behavior Change for Older Veterans after Nontraumatic Amputation: A Randomized Controlled Trial. PM R, 12(10), 957966. doi:10.1002/pmrj.12374. PMID:32248638 Claus, D., Anderson, D., Staley, V., Forster, J., & Meron, A. (2020). Trends in the Physical Medicine and Rehabilitation Match: Analysis of NRMP Data from 2007 to 2018. PM R. doi:10.1002/pmrj.12524.

PMID:33237637 Clements, N. D., McCormick, Z. L., Vydra, D., Nagpal, A., Akuthota, V., Kennedy, D. J., & Cushman, D. M. (2020). Serious Complications Associated with Interventional Spine Procedures-Results of a Spine Intervention Society Survey. Pain Med, 21(3), 651-653. doi:10.1093/pm/pnz135. PMID:31188448 Dannemiller, L., Mueller, M., Leitner, A., Iverson, E., & Kaplan, S. L. (2020). Physical Therapy Management of Children With Developmental Coordination Disorder: An Evidence-Based Clinical Practice Guideline From the Academy of Pediatric Physical Therapy of the American Physical Therapy Association. Pediatr Phys Ther, 32(4), 278-313. doi:10.1097/PEP.0000000000000753. PMID:32991554 DeBeer, B., Baack, S., Bongiovanni, K., Borah, E., Bryan, C., Bryant, K., . . . Hoffmire, C., . . . Mohatt, N., . . . Benzer, J. (2020). The Veterans Affairs Patient Safety Center of Inquiry-Suicide Prevention Collaborative: Creating Novel Approaches to Suicide Prevention Among Veterans Receiving Community Services. Fed Pract, 37(11), 512-521. doi:10.12788/fp.0071. PMID:33328717 Friedrich, J., Itano, E. M., & Lynn, R. R. (2020). Management of Cardiac Implantable Electrical Devices in Patients Undergoing Radiofrequency Ablation for Spine Pain: Physician Survey and Review of Guidelines. Pain Physician, 23(4), E335-E342. PMID:32709179 Gustavson, A. M., Malone, D. J., Boxer, R. S., Forster, J. E., & Stevens-Lapsley, J. E. (2020). Application of High-Intensity Functional Resistance Training in a Skilled Nursing Facility: An Implementation Study. Phys Ther, 100(10), 1746-1758. doi:10.1093/ptj/pzaa126. PMID:32750132

Kirkwood, M. W., Crossland, M. M., Howell, D. R., Wilson, J. C., & Peterson, R. L. (2020). A Longitudinal Investigation of Symptom Recovery following Concussion in Youth Soccer. J Pediatr, 220, 207-213 e202. doi:10.1016/j.jpeds.2020.01.068. PMID:32147217 Kudron, C., Carlson, M. J., Meron, A., Sridhar, B., & Brakke Holman, R. (2020). Using Ultrasound Measurement of the Achilles Tendon in Asymptomatic Runners to Assist in Predicting Tendinopathy. J Ultrasound Med, 39(3), 491-496. doi:10.1002/jum.15125. PMID:31490583 Manago, M. M., Cameron, M., & Schenkman, M. (2020). Association of the Dynamic Gait Index to fall history and muscle function in people with multiple sclerosis. Disabil Rehabil, 42(25), 3707-3712. doi:10.1080/09638288.2 019.1607912. PMID:31050569 Mealer, M. (2020). Promoting Well-Being and Resilience in Critical Care Nursing. AACN Adv Crit Care, 31(2), 139140. doi:10.4037/aacnacc2020952. PMID:32525994 Niehaus, W. N., Sharma, R., Verduzco-Gutierrez, M., Knowlton, S. E., Poorman, J. A., Paganoni, S., . . . Silver, J. K. (2020). Highest-Ranking Articles by Altmetric Attention Scores in Three Rehabilitation Journals. PM R, 12(3), 324-326. doi:10.1002/pmrj.12220. PMID:31325349 Oleszek, J. L., Kanallakan, A. S., & Powell, A. J. (2020). Out of the spasticity box: Off-label uses of botulinum toxin in children. J Pediatr Rehabil Med, 13(2), 205-207. doi:10.3233/PRM-200707. PMID:32444580 Pascoe, M. A., & Betts, K. (2020). Use of a Digital, Profession-Specific Dissection Guide Is Associated with Improved Examination Performance and Student Satisfaction. Medical Science Educator, 30(3), 1025-1034. doi:10.1007/s40670-020-01000-4.

Sininger, Y. S., Hunter, L. L., Roush, P. A., Windmill, S., Hayes, D., & Uhler, K. M. (2020). Protocol for Rapid, Accurate, Electrophysiologic, Auditory Assessment of Infants and Toddlers. J Am Acad Audiol, 31(6), 455-468. doi:10.3766/jaaa.19046. PMID:31870467 Smith, A. C., Albin, S. R., Abbott, R., Crawford, R. J., Hoggarth, M. A., Wasielewski, M., & Elliott, J. M. (2020).

Confirming the geography of fatty infiltration in the deep cervical extensor muscles in whiplash recovery.

Sci Rep, 10(1), 11471. doi:10.1038/s41598-020-68452-x. PMID:32651447 Stratton, A. T., Roberts Iii, R. O., Kupfer, O., Carry, T., Parsons, J., & Apkon, S. (2020). Pediatric neuromuscular disorders: Care considerations during the COVID-19 pandemic. J Pediatr Rehabil Med, 13(3), 405-414. doi:10.3233/PRM-200768. PMID:33185615

For a full list of our PM&R publications, please use the QR code to visit our website: medschool.cuanschutz.edu/physical-medicine-and-rehabilitation

Department of Physical Medicine & Rehabilitation University of Colorado School of Medicine 12631 East 17th Avenue AO1, Mail Stop F493 Aurora, CO 80045

Contact Us PM&R Administrative Offices

University of Colorado School of Medicine Department of Physical Medicine and Rehabilitation 12631 East 17th Avenue, Suite 1201 Aurora, Colorado 80045 CU.PMR@ucdenver.edu 303.724.1264 medschool.cuanschutz.edu/physicalmedicine-and-rehabilitation

@CUPhysMed

@cupmr