Jonathan H. Whiteson, M.D.

Cardiovascular disorders
Mola, Ana; Whiteson, Jonathan H; Rey, Mariano J
Medical aspects of disability : a handbook for the rehabilitation professional New York : Springer, c2011,
— id: 5784, year: 2011, vol: , page: ?, stat: Chapter,

Outcome measurement for COPD: reliability and validity of the Dyspnea Management Questionnaire
Norweg, Anna; Jette, Alan M; Ni, Pengsheng; Whiteson, Jonathan; Kim, Minjin
2011 Mar;105(3):442-453, Respiratory medicine
BACKGROUND: The Dyspnea Management Questionnaire (DMQ) is a measure of the psychosocial and behavioral responses to dyspnea for adults with COPD. The research objectives were to evaluate the reliability and validity of an expanded DMQ item pool, as a preliminary step for developing a computer adaptive test. METHODS: The original 66 items of the DMQ were used for the analyses. The sample included 63 women and 44 men with COPD (n = 107) recruited from two urban medical centers. We used confirmatory factor analysis to test the factor structure of the DMQ and its underlying cognitive-behavioral theoretical base. The internal consistency and test-retest reliability, and breadth of coverage of the expanded DMQ item bank were also evaluated. RESULTS: Five distinct dyspnea domains were confirmed using 56 original items of the DMQ: dyspnea intensity, dyspnea anxiety, activity avoidance, activity self-efficacy, and strategy satisfaction. Overall, the breadth of items was excellent with a good match between sample scores and item difficulty. The DMQ-56 showed good internal consistency reliability (alpha = 0.85-to 0.96) and good preliminary test-retest reliability over a 3-week interval (ICC = 0.69-0.92). CONCLUSIONS: The DMQ demonstrated acceptable levels of reliability and validity for measuring multidimensional dyspnea outcomes after medical, psychological, and behavioral interventions for adults with COPD
— id: 133315, year: 2011, vol: 105, page: 442, stat: Journal Article,

Cardiopulmonary rehabilitation and cancer rehabilitation. 2. Pulmonary rehabilitation review
Alba, Augusta S; Kim, Heakyung; Whiteson, Jonathan H; Bartels, Matthew N
2006 Mar;87(3 Suppl 1):S57-S64, Archives of physical medicine & rehabilitation
Pulmonary rehabilitation includes the rehabilitation of not only patients with respiratory failure in need of ventilatory support but also patients with primary pulmonary disease. New advances in medical management now offer treatment to patients with end-stage emphysema, pulmonary hypertension, and interstitial disease, and the principles of rehabilitation can add both function and quality to the lives of these patients. New surgical approaches and better transplantation outcomes that restore pulmonary function have also been introduced. Rehabilitation professionals need to be aware of these advances and be able to incorporate this knowledge into the practice of rehabilitation medicine. Overall Article Objectives: (a) To identify major categories of pulmonary disease seen in pulmonary rehabilitation, (b) to know appropriate interventions and support for patients with respiratory failure, (c) to describe the new interventions available for end-stage lung disease, and (d) to describe the appropriate pulmonary rehabilitation for people with pulmonary disease
— id: 63571, year: 2006, vol: 87, page: S57, stat: Journal Article,

Pulmonary rehabilitation in patients undergoing lung-volume reduction surgery
Bartels, Matthew N; Kim, Heakyung; Whiteson, Jonathan H; Alba, Augusta S
2006 Mar;87(3 Suppl 1):S84-S88, Archives of physical medicine & rehabilitation
Chronic obstructive pulmonary disease (COPD) is the most common form of primary pulmonary disability. Few effective treatment options exist for it, but recently, lung-volume reduction surgery (LVRS) has been shown to be effective in selected patients with emphysema. Pulmonary rehabilitation is an integral part of the preparation for and recovery from the procedure and has significant benefit in helping to improve the quality of life and conditioning of patients with COPD who undergo LVRS. Overall Article Objectives: (a) To describe the role of pulmonary rehabilitation in LVRS, (b) to understand the components of a comprehensive pulmonary rehabilitation program, and (c) to describe the effects of a pulmonary rehabilitation program
— id: 63569, year: 2006, vol: 87, page: S84, stat: Journal Article,

Cardiopulmonary rehabilitation and cancer rehabilitation. 1. Cardiac rehabilitation review
Bartels, Matthew N; Whiteson, Jonathan H; Alba, Augusta S; Kim, Heakyung
2006 Mar;87(3 Suppl 1):S46-S56, Archives of physical medicine & rehabilitation
Cardiac rehabilitation includes not only the rehabilitation of people with ischemic heart disease but also those with congestive heart failure, heart transplantation, congenital heart disease, and other conditions. New advances in medical treatment have arisen, and there are new approaches in treatment, including alternative medicine and complementary care. New surgical approaches that help restore cardiac function have also been introduced, and rehabilitation professionals must be aware of these advances and be able to incorporate this knowledge into the practice of rehabilitation medicine. Overall Article Objectives: (a) To identify major categories of cardiac disease, (b) to elucidate appropriate interventions and support for patients with coronary artery disease, (c) to describe the new interventions available for the treatment of cardiac disease, and (d) to describe the appropriate role of cardiac rehabilitation for people with various forms of cardiac disease
— id: 63572, year: 2006, vol: 87, page: S46, stat: Journal Article,

Coronary artery disease in masters-level athletes
Whiteson, Jonathan H; Bartels, Matthew N; Kim, Heakyung; Alba, Augusta S
2006 Mar;87(3 Suppl 1):S79-S81, Archives of physical medicine & rehabilitation
Screening athletes and advising them regarding exercise are parts of the practice of physical medicine and rehabilitation. Being able to recognize athletes at risk of coronary events is an important part of preparticipation screening. Good guidelines have been developed that let physicians proceed with confidence in screening and in recommending testing for athletes at risk. This review provides the recommended guidelines for physiatrists in practice. Overall Article Objectives: (a) To recognize risk of coronary disease in athletes, (b) to identify appropriate screening for people at risk, and (c) to interpret test results in people with coronary disease
— id: 63570, year: 2006, vol: 87, page: S79, stat: Journal Article,

The effectiveness of different combinations of pulmonary rehabilitation program components - A randomized controlled trial
Norweg, AM; Whiteson, J; Malgady, R; Mola, A; Rey, M
2005 AUG ;128(2):663-672, Chest
Study objectives: To study the short-term and long-term effects of combining activity training or lectures to exercise training on quality of life, functional status, and exercise tolerance. Design: Randomized clinical trial. Setting: Outpatient pulmonary rehabilitation center. Participants: Forty-three outpatients with COPD. Interventions: Patients were randomized to one of three treatment groups: exercise training alone, exercise training plus activity training, and exercise training plus a lecture series. The mean treatment period was 10 weeks. Measurement: The Chronic Respiratory Disease Questionnaire, the modified version of the Pulmonary Functional Status and Dyspnea Questionnaire, and the COPD Self-Efficacy Scale were administered at baseline, and 6, 12, 18, and 24 weeks from the beginning of the rehabilitation program. The 6-min walk test was used to measure exercise tolerance. Results: Benefits of activity training combined with exercise included less dyspnea (p <= 0.04) and fatigue (p <= 0.01), and increased activity involvement (p <= 0.02) and total functional status (p :5 0.02) in the short term compared to comparison treatment groups for comparatively older participants. Compared to the lecture series adjunct, the activity training adjunct resulted in significantly higher gains in total quality of life (p = 0.04) maintained at 24 weeks. Significantly worse emotional function and functional status resulted from the lecture series adjunct in the oldest participants (p <= 0.03). Treatment groups did not differ significantly on exercise tolerance or self-efficacy. Conclusions: Evidence for additional benefits of activity-specific training combined with exercise was found. A behavioral method emphasizing structured controlled breathing and supervised physical activity was statistically significantly more effective than didactic instruction in facilitating additional gains and meeting participants' learning needs
— id: 57687, year: 2005, vol: 128, page: 663, stat: Journal Article,

Effects of horticultural therapy on mood and heart rate in patients participating in an inpatient cardiopulmonary rehabilitation program
Wichrowski, Matthew; Whiteson, Jonathan; Haas, Francois; Mola, Ana; Rey, Mariano J
2005 Sep-Oct;25(5):270-274, Journal of cardiopulmonary rehabilitation
PURPOSE: To assess the effects of horticultural therapy (HT) on mood state and heart rate (HR) in patients participating in an inpatient cardiac rehabilitation program. METHODS: Cardiac rehabilitation inpatients (n = 107) participated in the study. The HT group consisted of 59 subjects (34 males, 25 females). The control group, which participated in patient education classes (PECs), consisted of 48 subjects (31 males, 17 females). Both HT sessions and PEC are components of the inpatient rehabilitation program. Each group was evaluated before and after a class in their respective modality. Evaluation consisted of the completion of a Profile of Mood States (POMS) inventory, and an HR obtained by pulse oximetry. RESULTS: Changes in the POMS total mood disturbance (TMD) score and HR between preintervention and postintervention were compared between groups. There was no presession difference in either TMD score (16 +/- 3.6 and 19.0 +/- 3.2, PEC and HT, respectively) or HR (73.5 +/- 2.5 and 79 +/- 1.8, PEC and HT, respectively). Immediately following the intervention, the HT TMD was significantly reduced (post-TMD = 1.6 +/- 3.2, P < .001), while PEC TMD was not significantly changed (TMD = 17.0 +/- 28.5). After intervention, HR fell in HT by 4 +/- 9.6 bpm (P < .001) but was unchanged in PEC. CONCLUSION: These findings indicate that HT improves mood state, suggesting that it may be a useful tool in reducing stress. Therefore, to the extent that stress contributes to coronary heart disease, these findings support the role of HT as an effective component of cardiac rehabilitation
— id: 61846, year: 2005, vol: 25, page: 270, stat: Journal Article,

Tetraparesis following dental extraction: case report and discussion of preventive measures for cervical spinal hyperextension injury
Whiteson JH; Panaro N; Ahn JH; Firooznia H
1997 Oct;20(4):422-425, Journal of spinal cord medicine
This concerns a patient with compression myelopathy following passive hyperextension of the cervical spine during a dental procedure. Although he had been asymptomatic prior to the procedure, subsequent cervical spinal imaging revealed advanced spondylosis and spinal stenosis. Spinal stenosis is often asymptomatic for a long time. However, when radiculomyelopathy occurs after minor trauma to the head or neck, the patient is often found to have spinal stenosis. Specifically, hyperextension of a cervical spine with spondylotic changes can lead to compression myelopathy. Acquired spinal stenosis correlates positively with aging. As the size of the elderly population continues to increase the prevalence of cervical spondylotic radiculo-myelopathy will likely increase as well. Since appropriate precautions against potential neurologic damage can be undertaken, we suggest radiographic screening for pre-existing spinal stenosis prior to a procedure requiring hyperextension of the neck. Preventive measures for individuals with asymptomatic spondylotic changes and education of all health-care professionals to avoid abrupt or prolonged hyperextension of the cervical spine is emphasized
— id: 12232, year: 1997, vol: 20, page: 422, stat: Journal Article,