Masters in Public Health, MPH
Boston, MA | United States
Shruti Sreepathi is a seasoned healthcare and business professional with a demonstrated history engaging clients across a variety of fields and disciplines. Her experiences include: working as a research scientist, business development specialist, data and policy analyst, public health practitioner, and English tutor for native, advanced, and ESL speakers. She has worked for companies such as: the United Nations, Harvard, Center for Global Health and Development, and Boston Medical Center. She has a first coauthor publication in the European Journal of Physical and Rehabilitation Medicine and maintains a strong commitment to evidence-based medicine and research with current ongoing projects. She holds a Masters in Public Health (MPH) with dual concentrations in International Health & Health Policy and Management from Boston University School of Public Health and a B.A. in English with a concentration in Pre-Medical studies and advanced science coursework from the College of the Holy Cross. Her interests include international health, development, clean water & sanitation, poverty, economics, research, supply chain management, human rights, science, and education. She hopes to create a positive and lasting impact.
Eur J Phys Rehabil Med 2016 10 27;52(5):630-636. Epub 2015 Nov 27.
Spaulding Neuromodulation Center, Spaulding Rehabilitation Hospital and Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA -
Background: Following a spinal cord injury, patients are often burdened by chronic pain. Preliminary research points to activation of the motor cortex through increased mobility as a potential means of alleviating postinjury chronic pain.
Aim: The aim of this study was to assess the relationship between pain severity and mobility among patients who have sustained a traumatic spinal cord injury while controlling for clinically-relevant covariates.
Design: A multi-center, cross-sectional study.
Setting: The SCIMS is composed of 14 centers, all located in the United States and funded by the National Institute on Disability and Rehabilitation Research (NIDRR).
Population: The study cohort included 1980 patients who completed the one-year SCIMS follow-up assessment between October 2000- December 2013.
Methods: A multi-center, cross-sectional study was performed to assess the impact of mobility on self-reported pain using information from 1980 subjects who sustained a traumatic spinal cord injury and completed a year-one follow-up interview between October 2000 and December 2013. Patient information was acquired using the Spinal Cord Injury National Database, compiled by the affiliated Spinal Cord Injury Model Systems. Analyses included a multivariable linear regression of patients' self-reported pain scores on mobility, quantified using the CHART-SF mobility total score, and other clinically relevant covariates.
Results: After controlling for potential confounders, a significant quadratic relationship between mobility and patients' self-reported pain was observed (P=0.016). Furthermore, female gender, "unemployed" occupational status, paraplegia, and the presence of depressive symptoms were associated with significantly higher pain scores (P<0.02 for all variables). Statistically significant quadratic associations between pain scores and age at injury, life satisfaction total score, and the CHART-SF occupational total subscale were also observed (P?0.03 for all variables).
Conclusions: Among patients with moderate to high levels of mobility, pain scores decreased with increasing mobility.
Clinical Rehabilitation Impact: Enhancing a patient's physical activity by increasing his or her mobility may reduce neuropathic pain if begun shortly after a spinal cord injury.
**Shruti Sreepathi & Bianca F Marcondes are both equal contributing 1st co-authors of this study.
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