Acute Care Rehabilitation Research

Peer Reviewed Publications 

• Myszenski A, Zhou, Y, Abbas, F, Siddiqui, A. The Predictive Validity of Functional Outcome Measures with Discharge Destination for Hospitalized Medical Patients. Archives of Rehabilitation Research and Clinical Translation. 2022 Sept; 4(3). doi.org/10.1016/j.arrct.2022.100231 
• Myszenski A, Bello R, Melican C, Pfitzenmaier N. Patient Characteristics and Acute PT and OT Utilization During the Initial Surge of COVID-19: A Retrospective Observational Study. J Acute Care Phys Ther. 2022 Jan;13(1):2-7. doi: 10.1097/JAT.0000000000000163. Epub 2021 Apr 20. PMID: 34925956; PMCID: PMC8670083. 
• Myszenski A, Michon B, Lupcke D, et al. Acute Care Physical and Occupational Therapy Early Intervention Pathway After Transcatheter Aortic Valve Replacement: A Retrospective Study. Journal of Acute Care Physical Therapy. 2021;12(2):65-71. 
• Uthup, BR.; Myszenski, A; Saigh, N; Samuel, PS. Evaluating the Benefits of Early Intensive Rehabilitation for Patients With Sepsis in the Medical Intensive Care Unit: A Retrospective Study, Journal of Acute Care Physical Therapy: October 2021 - Volume 12 - Issue 4 - p 185-193. doi: 10.1097/JAT.0000000000000160  
• Bello R, Luplow K, Kenyon J, Myszenski A, DiGiovine B. et al. Evidence that Early Mobility Decreases Time on a Ventilator, ICU and Hospital LOS. Results of a Quasi-Experimental Study. In, American Journal of Respiratory and Critical Care Medicine 2020;201:A6030  
• Myszenski, Adele; Hannum, Nanette; Hudson, Michael; Yee, Jerry Acute Physical and Occupational Therapy and Serum Potassium: When Is It Safe?, Journal of Acute Care Physical Therapy: April 2019 - Volume 10 - Issue 2 - p 46-52 doi: 10.1097/JAT.0000000000000098 

 Funded-Grant Awards 

• APTA Michigan’s Institute for Research and Education Grant (2023): “Initiating a self-directed exercise program in inpatient cancer survivors with cancer related fatigue.” Primary Investigator Jessica Gibson, DPT.  
• APTA Acute care grants (2022): "Does Physical Therapy Assessment and Intervention for Head and Neck Cancer Dissection Patients in PreSurgical and Post-Surgical Clinical Visits Improve Patient Functional Outcomes and Quality of Life" Primary Investigator: Dhanmeet Singh, DPT 
• Foundation for Physical Therapy Research’s 2020 Acute Care Research Grant (ACRG) for “Characteristics and Impact of Physical Therapy for Hospitalized Adult Patients with COVID19: An Observational Retrospective Study.” Primary Investigator: Adele Myszenski, DPT; Co-Investigators: Nan Hannum, DPT, CCS, Romina Bello, DPT 
• APTA Acute Care’s Research Committee 2020 seed month grant awarded for “The Predictive Utility of Functional Mobility and Activity Outcome Measures in Acute Care Adult Patients.” Primary Investigator: Adele Myszenski, DPT; Co-Investigator: Aamir Siddiqui, MD 

Posters and Presentations 

2024: 

• Luplow, Kara, OTR/L. Cognition dysfunction in the Critically Ill.  American Occupational Therapy Association Conference. Orlando, FL. April 2024 
• Bello Romina, PT, DPT. A-F Mobility Bundle. Michigan Respiratory Therapy Conference, April 2024   
• Myszenski, A. HFH Acute Care PT and OT Throughput Initiative Improves Timing, Frequency and Discharge Disposition. HFHS Quality Expo Competition. Detroit, MI. March 13, 2024 
• Gibson, J. Early identification of impairments after neck dissection surgery to support timely referral to outpatient physical therapy. HFHS Quality Expo Competition. Detroit, MI. March 13, 2024 
• Crick J, Johnson J, Bianco A, Myszenski A, Lavezza, A. Young D. Minick K, Hunt, B, Stilphen M. et al. Implementing Value Based Health Care in Acute Care Physical Therapy. Pre-Conference Multi-System Collaboration (OSU Wexner, Cleveland Clinic, UMPC, Henry Ford Health, Johns Hopkins, Intermountain Health).  APTA Combined Sections Meeting Pre-Conference 2024, Boston, MA.  February 14 2024. 
• Gorman, S. Thomas, E, Dale, D, Brito, K, Myszenski A, et al.  To Co-Treat or Not to Co-Treat, That Is the Question: An Oxford Debate. APTA CSM 2024, Educational Session, Boston, MA. February 15 2024. 
• Trimpe, Jenny, Stein, Krissy, Myszenski Adele, Bello, Romina , Navigating the Medical Record. APTA CSM 2024, Educational Session, Boston, MA. February 17, 2024. 
• Gibson, Jessica and Myszenski Adele. Comparison of Pre and Post Operative Measurements after Head and Neck Cancer Surgery: A Case Series. APTA CSM 2024 Poster Presentation. February 17, 2024. 

2023:  

• Porto, Laura PT, DPT, CSRS and Gundry, Katelyn, MS, OTR/L, CSRS. Neurorehabilitation in the ICU.  Detroit Stroke Conference.  Detroit, MI.  November 10, 2023.   
• Wang, Danning OT, OTR/L. OT’s role in acute care oncology. Barbara Rider Colloquium hosted by Western Michigan University, October 27, 2023 
• Patel, Mansi, MS, OTR/L. Impact of Health Disparity and Inequality in Occupational Therapy. Barbara Rider Colloquium hosted by Western Michigan University, October 27th, 2023  
• Wang, Danning OT, OTR/L. Cancer related fatigue. Ivy Rehab Oncology Symposium, Sept 24, 2023   
• Myszenski, A., Crick, James. Value Based Physical Therapy in Acute Care. APTA Health Systems Council Webinar. Virtual. September 22, 2023 
• Behrendt R. Myszenski A. Why Not Home (WNH) Program Reduces SNF Discharges. Competition Presentation. HFHS Quality Expo. Detroit, MI. March 22, 2023. 
• Myszenski, A. Acute Care PT/OT Delivery of Care Change Improves Timing, Frequency, Rate of SNF Discharge. Poster Presentation. APTA CSM 2023, San Diego, CA. February 23, 2023.  
• Gorman, S. Mathis, E, Brito, K, Myszenski A, et al. Should Simulation Hours Count Toward Acute Care Clinical Education? An Oxford Debate. APTA CSM 2023, San Diego, CA. February 23, 2023. 

2020-2022 

• Myszenski, A. Value Based Physical Therapy in Acute Care. APTA Health Systems Council Meeting.  Introduction and Facilitator. Virtual. September 21, 2022 
• Myszenski, A. Predictive Validity of Functional Outcome Measures with Discharge Destination for Hospitalized Medical Patients. Oral Poster Presentation. 2022 Annual HFH Research Symposium. Detroit, MI. May 13, 2022. 
• Myszenski, A. Predictive Utility of 6 Clicks, JH-HLM, Henry Ford Mobility Level for Hospitalized Adults Discharged Home. Platform Presentation. APTA CSM 2022, San Antonio, Tx. February 5, 2022 
• Bello, R. Myszenski, A. Buy-in, Competency, Expansion, Oh My! Standardized Implementation Protocol for Rehab in the ICU. Educational Session. APTA CSM 2022, San Antonio, Tx. February 4, 2022APTA CSM 2022 Replay: Building an Early Rehab Program - YouTube 
• Singh, D, Gibson, J. Acute Physical Therapy Involvement Post-Neck Dissection Improves Functional Outcomes and Helps Predict Discharge Needs. Acute Care Poster Presentation. APTA Combined Sections February 2021 
• Bello, Romina. “PT and COVID-19” APTA Michigan Podcast: Episode 14: PT and COVID-19. Dec 14, 2020. Episode 14: PT and COVID-19 [Romina Bello] by Waves (spotify.com) 
• Bello, R. Myszenski, A. Pilot Program to Multi-Hospital Health System Expansion: Utilizing Data and a Standardized Protocol to Expand Early Rehab Across Henry Ford Health. Johns Hopkins Critical Care Rehabilitation Conference. November 6, 2020. 
• Myszenski, A. The Role of Lab Values in clinical decision making and patient safety for the acutely ill patient. 2020 MPTA Fall Conference; Virtual. 
• Foggia, Carrie, Kane, P. Hand Therapy Protocols.  Plastic and Reconstructive Surgery Grand Rounds. July 2020. 

2011 to 2019 

• Luplow, Kara, Ortman, Maria, Kenyon-Nitsch, Justine. Occupational Therapy Impacts ICU Acquired Delirium with Cognitive Based Treatments. MiOTA Conference. Frankenmuth, MI. October 19, 2019.OT_Impacting_ICU_Acquired_Delirium.pdf (miota.org).  
• Myszenski A, Bello R, Neckrock K, Frega D.  Early rehab program expands across Henry Ford Health System; improving patient outcomes through use of standardized implementation protocol. Platform and Poster Presented at: HFHS Quality Expo. February 18, 2020; Detroit, MI.  
• Luplow, K. “Impacts of occupational therapy on ICU delirium- a pilot study.”  Henry Ford Health Quality Expo 2019 
• Lupcke, D, Wyers, J. "OT In Cardiopulmonary Care."Michigan Occupational Therapy Association. Presentation. 2019 
• Myszenski A, Bello R, Luplow K, Sebastian T, Kenyon-Nitsch J, et al.  Early Rehab: PT and OT in the ICU Improves Outcomes, Healthcare Costs, Lives. Platform and Poster Presented at: HFHS Quality Expo. February 19, 2019; Detroit, MI.  
• Myszenski Adele, Sockow Chris, Desgrange Ryan, Balanon A.  PA and PT Perspective on a Orthopedics Joint Replacement Pathway. Education Session Presentation: MPTA Fall Conference/Michigan Academy of Physician Assistants Fall CME Conference; October 7, 2018; Traverse City, MI.  
• Jackson R, Myszenski A, Ross E. Leveraging your EMR: Documentation, Staffing, Triaging, Reports & Outcomes. Educational Session Presented at APTA CSM; February 22, 2018; New Orleans, LA. https://cdn.ymaws.com/www.aptahpa.org/resource/resmgr/CSM/CSM_2018/Myszenski_Adele_-_Leveraging.pdf 
• Bello R, Myszenski A, Early Rehabilitation in the MICU. Platform Presentation. APTA CSM; February 22, 2018; New Orleans, LA.  
• Stein, K, Hannum, N. Growing a Robust Clinical Education Program in Acute Care- and Keeping it Fun!” APTA Combined Sections Meeting 2/22/2018 Session Presentation 
• Myszenski A, Bello R, Neckrock K, Frega D, et al.  MICU Early Rehab Intervention Program reduces LOS, vent days & health care. Platform and Poster Presented at: HFHS Quality Expo. November 2017; Detroit, MI.  
• Myszenski A. Value Based Practices in the Acute Care Setting. Invited speaker: APTA State Policy & Payment Forum; September 17, 2017; Detroit, MI.  
• Bello, R, Kenyon-Nitsch, J, Lenoir, T. Multidisciplinary Approach to Implementing an Early Rehab Program. Michigan Respiratory Therapy Conference 2017 
• Kane, P., Fryer, M. Scully, J. Normal upper extremity function: Considerations for treating neurologically compromised Individuals. Oakland University. Feb 2017. 
• Hannum, N, Myszenski, A, Hudson, M, Yee, J. Validation of Safe Physical and Occupational Therapy Intervention with Potassium Levels 3.1-5.9 mmol/L. APTA Combined Sections Meeting February 2017 Poster Presentation 
• Myszenski A, Ross E. Maximizing the acute care EMR. Educational Session presented at APTA CSM; February 16, 2017; San Antonio, TX.  
• Kenyon-Nitsch, J, Schuldt, S, Sebastian, T. Culture Change in the ICU. Johns Hopkins Critical Care Rehabilitation Conference. November 2016 
• Bello, R, Luplow, K, Kenyon-Nitsch, J, Sebastian, T, Myszenski, A. Early Rehab Quality Improvement Project Demonstrates Cost Savings While Validating Safe and Effective Physical and Occupational Therapy in a Critical Care Unit. Poster Presentation. Johns Hopkins Critical Care Rehabilitation Conference. November 2016. 
• Myszenski A, Stein K, Trimpe J. Educating the multidisciplinary team to optimize acute PT utilization. Educational Session Presented at APTA CSM; February 20, 2016; Anaheim, CA.  and MPTA Fall Conference; October 14, 2016; Holland, MI. https://pdfs.semanticscholar.org/0a3c/9a9cc9aacff0b20b7be2cccd9a2fdf914a49.pdf  
• Bello R, Luplow K, Myszenski A. From Cognition to Competence: Management of the Critical Care patient. Early initiation of therapy services to improve functional outcomes. Educational session. Fort Lauderdale, FL. March 2017. 
•  Porto, Laura, Fossian, Megan.  Spinal Cord Injury Management in the Acute Care Setting. Education Session. Therapist SEA-E Cruise, LLC, Fort Lauderdale, FL. March 2017. 
• Myszenski A. The Role of Lab Values in clinical decision making and patient safety for the acutely ill patient. Presented initially in April 2014 for Physical Therapy.com; Occupational Therapy.com June 2014; February 2018 PT.com, May 2018 OT.com; Therapist SEA-E Cruise 2016. 
• Michon, B, Lupcke, D, Pedawi, N, Ahmed, N, Myszenski, A. Creation and Implementation of Physical and Occupational Therapy Pathways is the Structural Heart tAVR patient population. Poster presentations 1) Henry Ford Health Quality Expo 2) CV Michigan Chapter of the American College of Cardiology 27th Annual Conference Heartbeat by the Bay. Spring 2015 
• Kane, P. Enhancing Patient Safety in Ambulatory Clinics: Body Mechanics and Transfer Training. HFMG Fall Nursing Conference. November 2015. 
• Myszenski A, Stein K, Trimpe J. Creation and Development of Competencies in Acute Care. Paper presented at: APTA Combined Sections Meeting 2014; Las Vegas, NV. https://cdn.ymaws.com/www.acutept.org/resource/resmgr/imported/2014-02-19%20CSM%202014%20FINAL%20Myszenski%20Stein%20Trimpe.pdf 
• Myszenski A, Stein K, Trimpe J. Implementation of Standardized Tests in Acute Care Setting. Poster presented at APTA CSM; February 2013; San Diego, CA.  
• Myszenski A. Rehabilitation competency presentation for Malcolm Baldrige Quality Award application.  HFHS was first healthcare organization to receive the award in 2011.