Browsing by Subject "military"

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Open Access
CLINICAL EXPERIENCE AND REHABILITATION OF AMPUTEE MILITARY SERVICE MEMBERS AT THE CENTER FOR THE INTREPID AT BROOKE ARMY MEDICAL CENTER (BAMC): PART 1 – OCCUPATIONAL THERAPY REHABILITATION SERVICES
(2008) Ebner, Christopher; Farnsworth, Troy; Lipe, Del; Fergason, John; Menetrez, Jennifer
This lecture will discuss the clinical experiences and provision of rehabilitation services for amputee military service members at the Center For the Intrepid located at Brooke Army Medical Center (BAMC) Fort Sam Houston, Texas. This is part one of a series illustrating the prosthetic services, rehabilitation and research currently underway at BAMC. Case presentations will be utilized to illustrate the team approach to provide clinically appropriate amputee rehabilitation. This cohesive effort includes surgical considerations, early prosthetic fittings, long-term prosthetic care, rehabilitation services, case management, physiological and social support services. Protocols for advanced prosthetic training will be presented with emphasis on various prosthetic componentry. Advancements in the rehabilitation of the military amputee at the Center For the Intrepid will be discussed in detail to include functional capacity evaluations, drivers training, and firearms training simulator. A case study that involves an individual who sustained a dominant upper extremity transhumeral amputation with total loss of vision will also be discussed. In addition, current and future clinical research studies that involve individuals who have sustained upper extremity loss and who are undergoing rehabilitation at the Center For the Intrepid will be highlighted.
Open Access
Complementary Approaches for Military Women with Chronic Pelvic Pain: A Randomized Trial.
(Journal of integrative and complementary medicine, 2022-10) Crisp, Carol D; Baldi, Robert; Fuller, Matthew; Abreu, Eduardo; Nackley, Andrea G
Introduction: Active duty (AD) women suffer with chronic pelvic pain (CPP) while providers tackle diagnoses and treatments to keep them functional without contributing to the opioid epidemic. The purpose of this randomized trial was to determine the effectiveness of noninvasive, self-explanatory mindfulness-based stress reduction (MBSR) or self-paced healthy lifestyle (HL) interventions on CPP in AD women. Methods: A 6-week, interventional prospective study with AD women aged 21-55 years at Mountain Home (MTHM), Idaho, was conducted. Women were randomly assigned to MBSR (N = 21) or HL (N = 20) interventions. The primary outcome was pain perception. The secondary outcomes were depression and circulating cytokine levels. Results: Women in the MBSR group exhibited reduced pain interference (p < 0.01) and depression (p < 0.05) alongside decreased interleukin (IL)-4 (p < 0.05), IL-6 (p < 0.05), eotaxin (p < 0.05), monocyte chemoattractant protein-1 (p = 0.06), and interleukin-1 receptor antagonist (IL-1ra) (p < 0.01) and increased vascular endothelial growth factor (p < 0.05). Women in the HL group did not have changes in pain; however, they did exhibit reduced depression (p < 0.05) alongside decreased granulocyte-macrophage colony-stimulating factor (p < 0.05) and increased tumor necrosis factor alpha (p < 0.05), stromal cell-derived factor-1 (p < 0.01), and IL-1ra (p < 0.01). Conclusions: AD women receiving MBSR or HL had reduced depression scores and altered circulating cytokine levels; however, only those receiving MBSR had reduced pain perception. Findings support MBSR as an effective and viable behavioral treatment for AD women suffering from CPP and provide premise for larger randomized controlled studies. Clinical Trial Registration: MOCHI-An RCT of mindfulness as a treatment for CPP in AD Women NCT04104542 (September 26, 2019).
Open Access
Examining the factor structure of the Connor-Davidson Resilience Scale (CD-RISC) in a post-9/11 U.S. military veteran sample.
(Assessment, 2014-08) Green, Kimberly T; Hayward, Laura C; Williams, Ann M; Dennis, Paul A; Bryan, Brandon C; Taber, Katherine H; Mid-Atlantic Mental Illness Research, Education and Clinical Center Workgroup; Davidson, Jonathan RT; Beckham, Jean C; Calhoun, Patrick S
The present study examined the structural validity of the 25-item Connor-Davidson Resilience Scale (CD-RISC) in a large sample of U.S. veterans with military service since September 11, 2001. Participants (N = 1,981) completed the 25-item CD-RISC, a structured clinical interview and a self-report questionnaire assessing psychiatric symptoms. The study sample was randomly divided into two subsamples: an initial sample (Sample 1: n = 990) and a replication sample (Sample 2: n = 991). Findings derived from exploratory factor analysis (EFA) did not support the five-factor analytic structure as initially suggested in Connor and Davidson's instrument validation study. Although parallel analyses indicated a two-factor structural model, we tested one to six factor solutions for best model fit using confirmatory factor analysis. Results supported a two-factor model of resilience, composed of adaptability- (8 items) and self-efficacy-themed (6 items) items; however, only the adaptability-themed factor was found to be consistent with our view of resilience-a factor of protection against the development of psychopathology following trauma exposure. The adaptability-themed factor may be a useful measure of resilience for post-9/11 U.S. military veterans.