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Longevity After Injury Project

What's New

Grand Rounds
On Tuesday, April 21th , Dr. Jonathan Wolpaw, Director of the National Center for Adaptive Neurotechnologies Wadsworth Center, New York State Department of Health, presented on “Activity-Dependent Plasticity in the Spinal Cord: Theory and Therapy." --Slides--

On Thursday, April 24th , Dr. James Krause, Director of the Center for Rehabilitation Research in Neurological Conditions, Medical University of South Carolina, presented on “Successful Employment and Quality Work Life After MS: A Qualitative Study."
  For further details please visit our other website - Beyond 90 Days

We have lost two good friends and colleagues.

It is with great sadness that we report the loss of Sarah Lottes, who was the original research assistant on our SCI team dating back to 1993, and Dr. David Gray, one of the great leaders in the field of disability and a contributor to our Beyond 90 Days program. --More about Sara Lottes--  &  --More about David Gray-- On May 5, 2013 at Chicago, Illinois, David Gray spoke at the 39th Annual Pre-Course Meeting titled "The State of the Science of Prevention and Management of Secondary Health Conditions in Person after SCI". To hear his presentation, please click --Video--

Our Name has Changed!

Our research program has been expanded beyond longevity after injury to include a wider array of outcomes and types of disabling conditions. Therefore, the Longevity after Injury Project is now one of two arms of a larger program of research, entitled Health, Employment, and Longevity Project for people with disabling conditions. Whereas the longevity after injury project focuses on health and longevity, the second arm of our research program focuses on employment and is entitled Beyond 90 Days: Successful Employment after Disability. The overall project, as well as each of the two arms, consider disability throughout the entire lifecycle. You may find information on the Health, Employment, and Longevity Project on our website (, as well as each of the two components ( and


Check out our accomplishments.


Student Achievements
Dr. Nicole Dipiro, a graduate assistant since 2012, was successful in defending her dissertation project entitled "Effects of Aerobic Exercise Training on Walking and Health-Related Outcomes in Individuals with Chronic Incomplete Spinal Cord Injury". 

Upcoming Presentations

On May 2015, Drs. James Krause and Lee Saunders will present five topics at the 4th ISCoS and ASIA Joint Scientific Meeting in Montreal, Canada. 

Dr. Krause has been invited to present at the annual conference of the Academy of Spinal Cord Injury Professionals in New Orleans on September 2015.  This is a great honor since the Essie Morgan Lecture is an invited lectureship awareded to persons who have made significant contributions to the advancement of social services for persons with spinal cord injury.

Fact Sheet

Our Health Outcome Research for Underserved People with SCI Project has created a factsheet with information pertaining to African Americans with SCI.  The factsheet illustrates the relationship between preventative behaviors and secondary health conditions.  It also mentions risk behaviors and chronic diseases common among African Americans with SCI.  Please visit the Health Outcome Research for Underserved People with SCI webpage underneath "Funded Projects" on the left side of this page.

Research Bytes

April is Alcohol Awareness Month. Below are a few research bytes from our findings.

  • A cross-sectional study of 1549 participants was designed to assess risk factors, including personality and socioeconomic indicators, with alcohol use among persons with spinal cord injury (SCI). In this study population, 19.3% were heavy drinkers, 29.4% moderate and 51.7% abstinent. Annual household income and education were both associated with heavy alcohol use, with persons with higher income or education more likely to be heavy drinkers. Impulsive sensation seeking, neuroticism-anxiety and aggression-hostility were associated with increased odds of heavy drinking. (Saunders & Krause; 2011)
  • A retrospective cross-sectional study was created to investigate patterns of alcohol consumption and abuse and substance use among persons with spinal cord injury (SCI), relating these patterns to demographic and injury related characteristics, as well as to key medical and psychosocial outcomes. Fourteen percent of the subjects were classified as likely to have an alcohol abuse issue, based on the CAGE, and 11% reported using illegal drugs or prescription medications for nonmedical reasons. Demographic and injury characteristics were associated with alcohol consumption patterns, abuse, and substance use. At-risk drinkers and substance users tended to be younger, single, male, and less educated. Those who were CAGE positive and substance users reported more pain and lower satisfaction with life. Persons who drank without indication of problem drinking had superior occupation outcomes. Pressure ulcers were associated with substance use. (Tate, Forchheimer, Krause, Meade, & Bombardier; 2004)

April is also National Minority Health Month. Below is a research byte from our findings.

  • In a cross-sectional study 6 outcomes were measured including 3 general outcomes (self-ratings, days impacted by poor health, days impacted by poor mental health) and 3 that reflect utilization of services (hospitalizations, days hospitalized, and non-routine physician visits in the past 2 years). Results of multivariate analysis of variance (MANOVA) indicated significant main effects lor both race and gender. Follow-up tests identified racial disparities on 3 of the 6 outcomes, whereas gender disparities were observed for a single outcome. Years of education and household income mediated interrelationships between race and health (but not gender) as racial disparities disappeared after consideration of these factors. (Krause, Broderick, Saladin, & Broyles; 2006)


The information posted on the MUSC: Longevity after Injury Project website is intended for educational purposes and should not be construed as medical advice. --Further Details--


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