• Disease
  • Stroke
  • Stroke Rehabilitation
  • Pamela Woods Duncan

    Prominent publications by Pamela Woods Duncan

    KOL Index score: 18253

    OBJECTIVES: To assess multiple psychometric characteristics of a new stroke outcome measure, the Stroke Impact Scale (SIS), using Rasch analysis, and to identify and remove misfitting items from the 8 domains that comprise the SIS.

    DESIGN: Secondary analysis of 3-month outcomes for the Glycine Antagonist in Neuroprotection (GAIN) Americas randomized stroke trial.

    SETTING: A multicenter randomized trial performed in 132 centers in the United States and Canada.

    PARTICIPANTS: A total of 696 ...

    Also Ranks for: Rasch Analysis |  stroke impact |  sis domains |  items difficulty |  united states
    KOL Index score: 16578

    BACKGROUND: Older hospitalized acute decompensated heart failure (HF) patients have persistently poor outcomes and delayed recovery regardless of ejection fraction (EF). We hypothesized that impairments in physical function, frailty, cognition, mood, and quality of life (QoL) potentially contributing to poor clinical outcomes would be similarly severe in acute decompensated HF patients ≥60 years of age with preserved versus reduced EF (HFpEF and HFrEF).


    Also Ranks for: Physical Function |  ejection fraction |  decompensated heart |  life qol |  ≥60 years
    KOL Index score: 14134

    BACKGROUND: The HEART Pathway (history, ECG, age, risk factors, and initial troponin) is an accelerated diagnostic protocol designed to identify low-risk emergency department patients with chest pain for early discharge without stress testing or angiography. The objective of this study was to determine whether implementation of the HEART Pathway is safe (30-day death and myocardial infarction rate <1% in low-risk patients) and effective (reduces 30-day hospitalizations) in emergency ...

    Also Ranks for: Heart Pathway |  early discharge |  emergency department patients |  chest pain |  acute coronary syndrome
    KOL Index score: 13584

    BACKGROUND: We previously provided evidence that extending an overnight continuous femoral nerve block to 4 days after tricompartment knee arthroplasty (TKA) provides clear benefits during the perineural infusion in the immediate postoperative period. However, it remains unknown if the extended infusion improves subsequent health-related quality of life between 7 days and 12 mo.

    METHODS: Patients undergoing TKA received a femoral perineural infusion of ropivacaine 0.2% from surgery until ...

    Also Ranks for: Femoral Nerve |  knee arthroplasty |  life 7 |  healthrelated quality |  surgery womac
    KOL Index score: 13482

    BACKGROUND: Effective rehabilitative therapies are needed for patients with long-term deficits after stroke.

    METHODS: In this multicenter, randomized, controlled trial involving 127 patients with moderate-to-severe upper-limb impairment 6 months or more after a stroke, we randomly assigned 49 patients to receive intensive robot-assisted therapy, 50 to receive intensive comparison therapy, and 28 to receive usual care. Therapy consisted of 36 1-hour sessions over a period of 12 weeks. The ...

    Also Ranks for: Assisted Therapy |  12 weeks |  limb impairment |  motor function |  stroke patients
    KOL Index score: 13462

    OBJECTIVES: We investigated trends in activities of daily living (ADL) and instrumental activities of daily living (IADL) disability from 1998 to 2008 among elder adults in Shanghai, China.

    METHOD: Our data came from 4 waves of the Shanghai Longitudinal Survey of Elderly Life and Opinion (1998, 2003, 2005, and 2008). ADL and IADL disabilities were recorded dichotomously (difficulty vs. no difficulty). The major independent variable was survey year. Covariates included demographics, ...

    Also Ranks for: Iadl Disability |  daily living adl |  shanghai china |  instrumental activities |  social support
    KOL Index score: 12669

    BACKGROUND: The authors tested the hypotheses that, compared with an overnight continuous femoral nerve block (cFNB), a 4-day ambulatory cFNB increases ambulation distance and decreases the time until three specific readiness-for-discharge criteria are met after tricompartment total knee arthroplasty.

    METHODS: Preoperatively, all patients received a cFNB (n = 50) and perineural ropivacaine 0.2% from surgery until the following morning, at which time they were randomly assigned to either ...

    Also Ranks for: Femoral Nerve |  surgery patients |  perineural ropivacaine |  total knee |  discharge criteria
    KOL Index score: 12622

    Older patients with acute decompensated heart failure (ADHF) have persistently poor outcomes including frequent rehospitalization despite guidelines-based therapy. We hypothesized that such patients have multiple, severe impairments in physical function, cognition, and mood that are not addressed by current care pathways. We prospectively examined frailty, physical function, cognition, mood, and quality of life in 27 consecutive older patients with ADHF at 3 medical centers and compared ...

    Also Ranks for: Physical Function |  patients adhf |  heart failure |  quality life |  ejection fraction
    KOL Index score: 12519

    BACKGROUND: Locomotor training using body weight support and a treadmill as a therapeutic modality for rehabilitation of walking post-stroke is being rapidly adopted into clinical practice. There is an urgent need for a well-designed trial to determine the effectiveness of this intervention. The objective of the Locomotor Experience Applied Post-Stroke (LEAPS) trial is to determine if there is a difference in the proportion of participants who recover walking ability at one year ...

    Also Ranks for: Locomotor Experience |  gait speed |  randomized controlled trial |  post stroke |  body weight support
    KOL Index score: 12221

    BACKGROUND AND PURPOSE: Rehabilitation care after stroke is highly variable and increasingly shorter in duration. The effect of therapeutic exercise on impairments and functional limitations after stroke is not clear. The objective of this study was to determine whether a structured, progressive, physiologically based exercise program for subacute stroke produces gains greater than those attributable to spontaneous recovery and usual care.

    METHODS: This randomized, controlled, ...

    Also Ranks for: Therapeutic Exercise |  subacute stroke |  intervention usual |  randomized clinical trial |  strength balance
    KOL Index score: 11973

    BACKGROUND: Locomotor training, including the use of body-weight support in treadmill stepping, is a physical therapy intervention used to improve recovery of the ability to walk after stroke. The effectiveness and appropriate timing of this intervention have not been established.

    METHODS: We stratified 408 participants who had had a stroke 2 months earlier according to the extent of walking impairment--moderate (able to walk 0.4 to <0.8 m per second) or severe (able to walk <0.4 m per ...

    Also Ranks for: Locomotor Training |  1 year |  bodyweight support |  stroke exercise |  physical therapist
    KOL Index score: 11733

    In administrative databases the International Classification of Diseases, Version 9, Clinical Modification (ICD-9-CM) is often used to identify patients with specific diagnoses. However, certain conditions may not be accurately reflected by the ICD-9 codes. We assessed the accuracy of ICD-9 coding for cerebrovascular disease by comparing ICD-9 codes in an administrative database with clinical findings ascertained from medical record abstractions. We selected patients with ICD-9 ...

    Also Ranks for: Cerebrovascular Disease |  international classification |  icd9 codes |  administrative database |  medical record review
    KOL Index score: 11719

    BACKGROUND: When people with stroke recover gait speed, they report improved function and reduced disability. However, the minimal amount of change in gait speed that is clinically meaningful and associated with an important difference in function for people poststroke has not been determined.

    OBJECTIVE: The purpose of this study was to determine the minimal clinically important difference (MCID) for comfortable gait speed (CGS) associated with an improvement in the modified Rankin Scale ...

    Also Ranks for: Gait Speed |  subacute stroke |  disability level |  participants study |  meaningful improvement
    KOL Index score: 10946

    Measurement of stroke recovery is complex because definition of successful recovery is highly variable across measures and cut-off points for defining successful outcomes vary. The purpose of this paper is to describe patterns of recovery in stroke patients of varying severity when different measures are used and when different cut-off points are selected. 459 individuals enrolled in a prospective cohort study were assessed within 14 days post stroke and re-evaluated at 1, 3, and 6 ...

    Also Ranks for: Stroke Recovery |  life illness |  6 months |  physical function |  fuglmeyer assessment
    KOL Index score: 10866

    BACKGROUND AND PURPOSE: Stroke survivors have identified home-time as a meaningful outcome. We evaluated home-time as a patient-centered outcome in Medicare beneficiaries with ischemic stroke in comparison with modified Rankin Scale (mRS) score at 90 days and at 1 year post event.

    METHODS: Patients enrolled in Get With The Guidelines-Stroke (GWTG-Stroke) and Adherence Evaluation After Ischemic Stroke-Longitudinal (AVAIL) registries were linked to Medicare claims to ascertain home-time, ...

    Also Ranks for: Ischemic Stroke |  medicare beneficiaries |  1 year |  hometime 90 |  time patient


    Pamela Woods Duncan: Influence Statistics

    Sample of concepts for which Pamela Woods Duncan is among the top experts in the world.
    Concept World rank
    nddie2 gad2 #1
    normal stroke subjects #1
    modified rankin assessment #1
    tempa correlation coefficients #1
    caregiver characteristics resources #1
    daily brain damage #1
    rankin 3 #1
    ops scores #1
    walking recovery stroke #1
    sis physical #1
    prior quadriceps #1
    leaps falls #1
    treatment systemic racism #1
    vigorous rehabilitation #1
    predictors inferred adherence #1
    generalized anxiety gad7 #1
    1200 adherence #1
    4 levels difficulties #1
    cerebrovascular icd9cm codes #1
    6 participants speed #1
    structure systemic organization #1
    six‐month rates #1
    peak torque dorsiflexion #1
    improvement disability level #1
    assessment stroke outcomes #1
    epilepsy quality measure #1
    difficulties hand function #1
    description expected performance #1
    nihss tto #1
    workhorse interventions #1
    ops scores outcomes #1
    vha multiple sources #1
    stroke recovery definition #1
    profile stroke #1
    postacute assessment impact #1
    pac process assessment #1
    logistic values #1
    long latency responses #1
    20 60 improvement #1
    stroke rehabilitation guidelines #1
    stroke 3 10 #1
    uc ict #1
    contralateral impairment #1
    mitmanus robotic device #1
    medicare reliability #1
    stroke bundle #1
    discordance 12 months #1
    elderly life #1
    stroke emory #1

    Key People For Stroke Rehabilitation

    Top KOLs in the world
    Gert Kwakkel
    exercise therapy multiple sclerosis stroke recovery
    Peter Langhorne
    stroke unit occupational therapy early rehabilitation
    Pamela Woods Duncan
    stroke rehabilitation physical function depressive symptoms
    Robert William Teasell
    stroke rehabilitation chronic pain spinal cord injury
    Derick Treharne Wade
    multiple sclerosis head injury cardiac arrest
    Julie A Bernhardt
    physical activity stroke survivors early mobilization

    Pamela Woods Duncan:Expert Impact

    Concepts for whichPamela Woods Duncanhas direct influence:Stroke rehabilitation,  Physical function,  Stroke patients,  Depressive symptoms,  Heart pathway,  Stroke recovery,  Rehabilitation medicine,  Gait speed.

    Pamela Woods Duncan:KOL impact

    Concepts related to the work of other authors for whichfor which Pamela Woods Duncan has influence:Physical activity,  Stroke patients,  Gait speed,  Muscle strength,  Quality life,  Older people,  Upper limb.



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    Department of Neurology, Wake Forest School of Medicine, Winston‐Salem, NC | Department of Neurology, Wake Forest School of Medicine, Winston-Salem, North Carolina | Wake Forest Baptist Health, West End, NC | Department of Neurology Wake Forest Bapti