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12. Contributors

Author

Abel, Mark F., primary, Owen, Elaine, additional, Acker, Daniel, additional, Alexander, Tamara A., additional, Alfano, Alan P., additional, Baxi, Omkar, additional, Berenz, Tanya, additional, Bowers, Roy, additional, Brantley, Jonathan N., additional, Bundoc, Josephine R., additional, Carter, William E., additional, Chae, John, additional, Codamon, Lynette, additional, Contoyannis, Bill, additional, Darter, Benjamin J., additional, Dec, Katherine L., additional, Drake, David, additional, Duncan, Christopher C., additional, Early, John S., additional, Edelstein, Joan, additional, Edgley, Steven R., additional, Edinger, Jason, additional, Esquenazi, Alberto, additional, Fish, Deanna, additional, Fisher, Mark, additional, Fortson, Benjamin D., additional, Fox, John R., additional, Gater, David R., additional, Goetz, Lance L., additional, Golladay, Gregory Jason, additional, Gorgey, Ashraf S., additional, Hansen, Erik, additional, Hegberg, Anne, additional, Hou, Joan, additional, Hovorka, Christopher, additional, Howell, Jared, additional, Hudson, Timothy, additional, Hilliard, Marjorie Johnson, additional, Kelly, Brian M., additional, Kelly, Shannon M., additional, Kilgore, Kevin L., additional, King, Kevin M., additional, Knutson, Jayme S., additional, Kroll, Gary J., additional, Kwasniewski, Michael, additional, Latta, Loren L., additional, Lavis, Timothy D., additional, Lazaro, Rondy Michael, additional, Lima, Dulcey, additional, Lin, Anthony, additional, Lin, Sheldon, additional, Lovegreen, William, additional, Lunsford, Christopher D., additional, Lunsford, Thomas R., additional, Makowski, Nathaniel, additional, Mawusi, Earnest P.S., additional, Meadows, Barry, additional, Mojica, Miguel N., additional, Montes, Jeffrey Bulaong, additional, Munoz, Maximilian, additional, Murphy, Douglas P., additional, Nelson, Leif M., additional, Novacheck, Tom F., additional, Oliver, Melissa, additional, Pai, Ajit B., additional, Panchang, Preeti, additional, Pound, Dawne, additional, Raiser, Sara N., additional, Rasmussen, Aaron, additional, Reber, Doug, additional, Rey-Matias, Reynaldo R., additional, Robinson, Christopher A., additional, Rolin, Olivier Y., additional, Romanoski, Natasha, additional, Sarmiento, Augusto, additional, Schultz, Shannon, additional, Shi, Weibin, additional, Sinha, Amit, additional, Smith, Marcus J., additional, Strouse, Amy, additional, Stubblefield, Seth K., additional, Sumrell, Ryan, additional, Supan, Terry J., additional, Talaty, Mukul, additional, Tosi, Laura L., additional, Tsukanov, Daniel, additional, Tubbs, Jeffrey T., additional, Webster, Joseph B., additional, Weppner, Justin L., additional, Williams, Tiffany, additional, Yamane, Ann, additional, Yeranosian, Michael, additional, and Zhao, Kristin D., additional

Published
2019
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24. Virtually Possible

Author

Huang, Laura Y., McKenty, Nathan, Alvarez, Armando, Gober, Joslyn, Irwin, Robert, Molinares, Diana, Price, Chane, Sherman, Andrew, Tiu, Timothy, and Gater, David R.

Subjects
SPECIAL SECTION on COVID-19 and PM&R, Education, Distance, Medical Education, Education, Medical, SARS-CoV-2, education, Medical Students, COVID-19, Humans, Internship and Residency, Physical and Rehabilitation Medicine, Physical and Medical Rehabilitation
Abstract

The novel coronavirus 2019 pandemic has led to new dilemmas in medical education because of an initial shortage of personal protective equipment, uncertainty regarding disease transmission and treatments, travel restrictions, and social distancing guidelines. These new problems further compound the already existing problem of limited medical student exposure to the field of physical medicine and rehabilitation, particularly for students in medical schools lacking a department of physical medicine and rehabilitation, approximately 50% of medical schools. A virtual medical student physical medicine and rehabilitation rotation was created to mitigate coronavirus 2019–related limitations and impact on medical education. Using audiovisual technology, students had the opportunity to participate in clinical inpatient and outpatient care, live-streamed procedures, and virtual didactics, develop and showcase their clinical knowledge and reasoning skills, and become familiar with the culture of the physical medicine and rehabilitation residency program. Adaptive educational approaches, including integration of the flipped classroom model, success, pitfalls, and areas for improvement will be described and discussed. Providing nontraditional methods for physical medicine and rehabilitation education and exposure to medical students is crucial to maintain and promote growth of the field in this unprecedented and increasingly virtual era.

Published
2021

45. Acute exercise improves glucose effectiveness but not insulin sensitivity in paraplegia.

Author

Farkas, Gary J., Swartz, Ann M., Gorgey, Ashraf S., Berg, Arthur S., and Gater, David R.

Subjects
PHYSICAL diagnosis, BODY composition, CARBOHYDRATE metabolism, ANALYSIS of variance, SPINAL cord injuries, OXYGEN consumption, BLOOD sugar, MANN Whitney U Test, EXERCISE, DESCRIPTIVE statistics, PARAPLEGIA
Abstract

To determine the effect of a single session of arm crank ergometry (ACE) exercise on carbohydrate metabolism immediately and 24 h after the exercise bout in paraplegia and able-bodied controls (ABC). Paraplegia (n = 11; 91% male; age 34.8 ± 11.4 years) and ABC (n = 6; 67% male; age 28.7 ± 11.9 years) underwent 45 min of ACE exercise at 75% VO2Peak. Glucose effectiveness (Sg) and insulin sensitivity (Si) were assessed. Data were analyzed with two-way mixed analysis of variance and Wilcoxon rank-sum or signed-rank post hoc test. VO2Peak was lower in paraplegia versus ABC (22.3 ± 3.99 vs. 30.8 ± 2.9 ml/kg/min, p = 0.003). Si was lower paraplegia vs. ABC immediately following exercise (3.28 ± 1.6 vs. 5.30 ± 1.2 min−1/[µU/mL−1]x10−4, p = 0.023). In paraplegia, Sg was higher immediately after exercise than baseline (B: 0.021 ± 0.01 vs. I: 0.026 ± 0.01 min−1, p = 0.037). Twenty-four hours after exercise, Sg was lower than immediately following exercise (I: 0.026 ± 0.01 vs. 24: 0.017 ± 0.01 min−1, p = 0.001), but not different than baseline in paraplegia (B: 0.021 ± 0.01 vs. 24: 0.017 ± 0.01 min−1, p = 0.216). In the ABC group, Sg was not different at all timepoints (p > 0.05). Si did not differ at all timepoints (p > 0.05). A single bout of ACE at 75% VO2Peak helped to acutely control glucose metabolism in those with paraplegia by increasing Sg by nearly 27%; however, this was not sustained past 24-hours. These data provide support for regular exercise engagement. Disorders of glucose metabolism have been reported at a greater prevalence in persons with spinal cord injury. A single bout of arm crank ergometry exercise at 75% VO2Peak helped to acutely control glucose metabolism persons with paraplegia; however, this was not sustained past 24 h. These data provide support for regular exercise engagement in persons with paraplegia [ABSTRACT FROM AUTHOR]

Published
2022
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