Darryl L Kaelin

Learn More
OBJECTIVES To conduct a systematic review of behavioral assessment scales for disorders of consciousness (DOC); provide evidence-based recommendations for clinical use based on their content validity, reliability, diagnostic validity, and ability to predict functional outcomes; and provide research recommendations on DOC scale development and validation. (More)
OBJECTIVES To determine the efficacy of methylphenidate in improving attention and functional outcome in acutely brain-injured adults. DESIGN Prospective multiple baseline design (A-A-B-A) utilized on a consecutive sample of patients. SETTING Acute brain injury rehabilitation unit in a large academic medical center. PATIENTS Eleven acutely(More)
This self-directed learning module reviews and summarizes recent literature on osteoporosis. It is part of the chapter on rehabilitation of orthopedic and rheumatologic disorders in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. The areas covered include pathophysiology of primary and(More)
This article will discuss many of the key concepts regarding chemodenervation and neurolysis in the management of spasticity. Topics that will be discussed include techniques for localization, strengths and limitations of various agents (botulinum toxin, phenol, and alcohol), the value of combination therapies, and the role of nerve blocks (diagnostic and(More)
OBJECTIVE Zolpidem has been reported to cause temporary recovery of consciousness in vegetative and minimally conscious patients, but how often and why this occurs are unknown. The authors aimed to determine the frequency of this phenomenon and whether it can be predicted from demographic and clinical variables. DESIGN This is a placebo-controlled,(More)
OBJECTIVE To describe psychotropic medication administration patterns during inpatient rehabilitation for traumatic brain injury (TBI) and their relation to patient preinjury and injury characteristics. DESIGN Prospective observational cohort. SETTING Multiple acute inpatient rehabilitation units or hospitals. PARTICIPANTS Individuals with TBI(More)
OBJECTIVE To assess the safety and evaluate the effects of repeated treatments with botulinum toxin type A (BTX-A) on functional disability, quality of life (QOL), and muscle tone of patients with upper-limb poststroke spasticity, as well as its effect on caregivers. DESIGN Multicenter, open-label, repeated-dose study. SETTING Thirty-five clinical sites(More)
OBJECTIVE To determine the incidence of deep venous thrombosis (DVT) in brain injured individuals at time of admission to a brain injury (BI) rehabilitation program. DESIGN Prospective study, sequential case series. SETTING University tertiary care BI rehabilitation center. DATA SET Eighty-two traumatic brain injury (TBI) and 71 atraumatic brain(More)
A patient initially presented in the emergency room with fever, confusion, and a petechial rash. Rocky Mountain Spotted Fever (RMSF) was diagnosed and appropriate treatment was initiated. He subsequently became obtunded and required mechanical ventilation and temporary cardiac pacing. Four weeks later, he presented to our rehabilitation unit with ataxia,(More)
Medical specialty training has undergone dramatic changes in the last 5 yr. This article was prepared by the Undergraduate Education Committee of the Association of Academic Physiatrists in an attempt to help guide medical students who are considering a career in physical medicine and rehabilitation. This report is an update of two previous articles(More)