Southern California SCI Model System Research Co-Director Senior Research Physical Therapist, Kinesi
Rancho Los Amigos National Rehabilitation Center, Pathokinesiology Laboratory
CURRENT POSITIONS:
Southern California SCI Model Systems Research Co-Director; Senior Research Physical Therapist and Kinesiologic Electromyographer, Pathokinesiology Laboratory, Rancho Los Amigos National Rehabilitation Center, Downey, CA
PERSONAL STATEMENT: Over the past 20 years, my research has focused on identifying factors contributing to shoulder injury and pain development after spinal cord injury (SCI) and interventions to treat and prevent subacromial pain syndrome, including exercise, movement modification and assistive technology. More recently my work focuses on the evolution and management chronic pain after SCI.
PAST POSITIONS:
Research Physical Therapist and Kinesiologic Electromyographer (2021):
Pathokinesiology Laboratory, Rancho Los Amigos National Rehabilitation Center, Downey, CA
• Clinical biomechanical testing (gait and upper extremity function) including clinical evaluation and fine-wire EMG, stride characteristics, kinematics and kinetics data collection, processing and analysis and report production.
• Training of new multidisciplinary staff (physical therapists, technicians and engineers and research assistants) to perform clinical biomechanical testing.
• Research project management (Spinal Cord Injury Specialty: Assisted Ambulation, Shoulder Pain Prevention, Wheelchair Propulsion, Alternative Propulsive Technologies, Car Transfers and Wheelchair Loading, Physical Activity Promotion and Pain Management), data collection, data processing and analysis, abstract and manuscript writing for presentation at scientific conferences and publication.
• Training of new staff to conduct research activities.
• Teaching (90-120 minute overview and demonstration of fine-wire EMG & clinical biomechanics testing and clinical research for DPT students (USC, CSULB, Mount St. Mary’s)
Research Physical Therapist (Interventionist), EXCITE CLINICAL TRIAL (Investigating efficacy of Constraint-Induced Therapy in stroke) (2000 – 2001):
USC, Department of Biokinesiology and Physical Therapy (Carolee Winstein, PhD, PT), Los Angeles, CA
Physical Therapist I & II (1999 – 2001): Outpatient Service, Arthritis Joint Replacement Service
Rancho Los Amigos National Rehabilitation Center, Downey, CA
Instructor, Concepts in (McConnell) Shoulder Taping (2000):
Rancho Los Amigos National Rehabilitation Center, Downey, CA
Physical Therapist (Supervisor in owner’s absence), Outpatient Orthopedics (1997-1999):
Campus Commons Physical Therapy, Sacramento, CA
Physical Therapist (Supervisor in manager’s absence), Work Conditioning & Work Hardening (1996-1997):
Results Physical Rehabilitation, Sacramento, CA
Physical Therapist (Per Diem), Acute Orthopedics, Neurology, Medicine, ICU & Cardiac (1996-1997):
Mercy San Juan Hospital, Sacramento, CA
MENTORING AND TEACHING EXPERIENCE:
• Part-time Clinical Faculty (2018 – 2021):
California State University Long Beach, Department of Physical Therapy, Long Beach, CA
• Adjunct Clinical Faculty, Clinical Neurology (2002 – 2003):
University of Southern California, Department of Biokinesiology and Physical Therapy, Los Angeles, CA
• Clinical Instructor, Student Physical Therapists, 1999-2013.
• Instructor, Concepts in (McConnell) Shoulder Taping (2000):
Rancho Los Amigos National Rehabilitation Center, Downey, CA
PROFESSIONAL LICENSES AND AFFILIATIONS:
• Physical Therapist (Physical Therapy Board of California) License # PT 22128 (1996-present)
• Kinesiological Electromyographer (Physical Therapy Board of California) # EK 44 (2005-present)
• American Physical Therapy Association, Member #130846 (1995 to present)
• California Chapter, American Physical Therapy Association, Member (1995-present)
• American Spinal Injury Association, Member (2012-present)
• American College of Rehabilitation Medicine, Member (2017-2018)
AWARDS & OTHER ACTIVITIES:
• Manuscript Reviewer: Transactions on Neural Systems & Rehabilitation Engineering (2021-present)
• Best Paper Award (1/3): Gait Clinical Movement Analysis Society Annual Meeting: 2017 May 23-26; Salt Lake City, UT: Haubert LL, Requejo PS, Mulroy SJ, Maneekobkunwong S, Rodriguez D, Gronley JK (2017). Comparison of temporal spatial characteristics and shoulder kinematics and kinetics during reverse and conventional manual wheelchair propulsion in persons with paraplegia.
• Board of Ambassadors, St. Mary’s Hospital, Long Beach, CA (2015-2020)
• Manuscript Reviewer: Frontiers in Bioengineering and Biotechnology (2015)
• Manuscript Reviewer: Biomedical Research International (2014)
• Manuscript Reviewer: Archives of Physical Medicine and Rehabilitation (2011-present)
• Manuscript Reviewer: Rehabilitation Research and Development (2011-present)
GRANTS
• National Institute of Disability, Independent Living, and Rehabilitation Research (Site-Specific Research Study Co-Director): Southern California Spinal Cord Injury Model Systems (SoCal-SCIMS) Program at Rancho Los Amigos National Rehabilitation Center (RLANRC). 2021-2026 ($2,352,750).
• U.S. Dept. of Defense: SCIRTS (Site Primary Investigator, Research Physical Therapist): Spinal Cord Injury Pain Evolution (SCIPE) Study. 2019-2023.
• Craig H. Neilsen Foundation (Project Manager, Research Physical Therapist): Development and Pilot Testing of a Community-based, Non-pharmacologic Pain Management Program. 2020-2023 ($200,000).
• National Institute of Disability, Independent Living, and Rehabilitation Research (Site-Specific Research Study Project Manager, Research Physical Therapist): Southern California Spinal Cord Injury Model Systems (SoCal-SCIMS) Program at Rancho Los Amigos National Rehabilitation Center (RLANRC). 2015-2021.
• Craig H. Neilsen Foundation: Psychosocial contributors to pain management and physical activity after SCI (Research Physical Therapist). 2015-2017 ($150,000).
• RoWheels® (Project Manager, Research Physical Therapist): Comparison of Shoulder Joint Motion, Forces, and Muscle Activity During Wheelchair Propulsion with Standard Forward Push Rims and RoWheel Backward Pulling Rims. 2014 –2016 ($18,600)
• .U.S. Dept. of Education/NIDRR (Site-Specific Study Research Physical Therapist): “Southern California Spinal Cord Injury Model System at Rancho Los Amigos National Rehabilitation Center.” —Site-Specific Study: “A Randomized Clinical Trial to Evaluate Two Prevention Programs for Maintenance of Shoulder Health and Function after Spinal Cord Injury.” 2011 – 2016.
• Craig Nielsen Foundation (Project Manager, Research Physical Therapist): Scapular Biomechanics and Shoulder Pain in Wheelchair Users with SCI. 2013–2015 ($150,000).
• U.S. Dept. of Education/NIDRR (Project Manager, Research Physical Therapist): “RERC for Successful Aging with Disability: Optimizing Participation through Technology (OPTT-RERC)”. 2008 – 2013.
• National Institute of Health (NIH) (Project Manager, Research Physical Therapist): Shoulder Pain in SCI: A Longitudinal Study. 2006 – 2011.
• Rehabilitation Engineering Research Center—Keep Moving: Technologies to Enhance Mobility and Function for Individuals with Spinal Cord Injury (Project Manager, Research Physical Therapist): Project - "Engineering Solutions for a Shoulder-Preserving Wheelchair". 2002 – 2007.
• Foundation for Physical Therapy Research Physical Therapist): Physical Therapy Clinical Research Network (PTClinResNet)
• NIH/NICHHD (Project Manager, Research Physical Therapist): SCI Shoulder Function in Assistive Device Gait. 2000-2003.
PUBLICATIONS
1. Haubert LL, Mulroy SJ, Eberly VJ, Gronley JK, Hatchett PE, Conners SG. Shoulder Pain Prevention Program for Manual Wheelchair Users With Paraplegia: A Randomized Clinical Trial. Top Spinal Cord Inj Rehabil. 2021 Fall;27(4):40-52. doi: 10.46292/sci20-00013. Epub 2021 Jun 30. PMID: 34866887; PMCID: PMC8604502.
2. Haubert, LL, Mulroy SJ, Requejo PS, et al. Effect of reverse manual wheelchair propulsion on shoulder muscular activity, kinematics, kinetics and in persons with paraplegia. J. Spinal Cord Med; 2019 15:1-13 (doi: 10.1080/10790268.2019.1570436).
3. Mulroy SJ, Eberly VJ, Haubert LL, Conners S. Impact of Pain, Pain-Related Beliefs, and Pain Coping Strategies on Satisfaction With Life After SCI. Arch Phys Med Rehabil. 2018; 99(10):e6
4. Mulroy SJ, Hatchett PE, Eberly VJ, Haubert LL, Gronley JK, Conners S, Garshick E, Requejo PS. Objective and self-reported physical activity measures and their association with depression & satisfaction with life in persons with SCI. Arch Phys Med Rehabil. 2016 Oct;97(10):1714-20.
5. Haubert LL, Mulroy SJ, Hatchett PE, Eberly VJ, Maneekobkunwong S, Gronley JK, Requejo PS. Car transfer and wheelchair loading techniques in independent drivers with paraplegia. Frontiers Bioeng Biotech. Sep 2015 17;3:139. doi: 10.3389/fbioe.2015.00139. eCollection 2015.
6. Mulroy SJ, Hatchett P, Eberly VJ, Lighthall Haubert L, Conners S, Requejo PS. Shoulder strength and physical activity predictors of shoulder pain in people with paraplegia from spinal injury: prospective cohort study. Phys Ther. 2015; Jul; 95:1027-1038.
7. Requejo PS, Mulroy SJ, Ruparel P, Hatchett PE, Haubert LL, Eberly VJ, Gronley JK. Relationship Between Hand Contact Angle and Shoulder Loading During Manual Wheelchair Propulsion by Individuals with Paraplegia. Top Spinal Cord Inj Rehabil. 2015 Fall;21(4):313-24.
8. Mulroy SJ, Thompson L, Kemp B, Hatchett PP, Newsam CJ, Lupold DG, Haubert LL, Eberly V, Ge TT, Azen SP, Winstein CJ, Gordon J. Strengthening and optimal movements for painful shoulders (STOMPS) in chronic spinal cord injury: a randomized controlled trial. Phys Ther. 2011 Mar;91(3):305-24. doi: 10.2522/ptj.20100182. Epub 2011 Feb 3.
9. Haubert LL, Requejo PS, Mulroy SJ, Newsam CJ, Bontrager EL, Gronley JK, Perry J: Comparison of shoulder muscle activity during standard manual wheelchair and push-rim activated power assisted wheelchair propulsion in persons with complete tetraplegia. Arch Phys Med Rehabil, 2009, 90:1904-1915.
10. Requejo PS, Mulroy SJ, Haubert LL, Newsam CJ, Gronley JK, Perry J. Evidence-based strategies to preserve shoulder function in manual wheelchair users with spinal cord injury. Top Spinal Cord Inj Rehabil. 2008;13(4):86-119.
11. Requejo PS, Lee SE, BS; Mulroy SJ, Haubert LL, Bontrager EL, Gronley JK, Perry J: Shoulder Muscular Demand During Lever-Activated vs. Pushrim Wheelchair Propulsion in Persons With Spinal Cord Injury. J Spinal Cord Med. 2008, 31:568–577
12. Haubert LL, Requejo PS, Newsam CJ, and Mulroy SJ: Comparison of energy expenditure and propulsion characteristics in standard and three pushrim-activated power-assisted wheelchairs. Top Spinal Cord Inj Rehabil, 2006.
13. Haubert LL, Gutierrez DD, Newsam CJ, Gronley JK, Mulroy SJ and Perry J: A comparison of shoulder joint forces during ambulation with crutches and a walker in persons with incomplete spinal cord injury. Arch Phys Med Rehabil, 2006, 87:63-70.
14. Mulroy SJ, Newsam CJ, Gutierrez DD, Requejo P, Gronley JK, Haubert LL, Perry J. Effect of fore-aft seat position on shoulder demands during wheelchair propulsion: part 1. A kinetic analysis. J Spinal Cord Med. 2005;28(3):214-21.
REFEREED CONFERENCE PRESENTATIONS
1. Haubert, LL, D’Huyvetter, K, Martinez, J, Mulroy, SM, Rankin, JW (2023). Comparing Heart Rate Variability Biofeedback Training and Meditation Relaxation Techniques for Pain Management in Individuals with Paraplegia from Spinal Cord Injury: A Pilot Study.Annual Meeting of the American Spinal Injury Association (ASIA 2023): April 16-19, Atlanta, GA.
2. Haubert, LL, Martinez, JM, Hong, K, Conners, S, Lewthwaite, R, Rankin, JW, and SM Mulroy (2022). Feasibility, Acceptability and Impact of a Pilot Community-Based, Non-Pharmacologic Pain Management Program for Persons with Paraplegia. Annual Meeting of the International Spinal Cord Society (ISCoS 2022). September 15-18. Vancouver, Canada.
3. Haubert, LL, Eberly, VJ, Mulroy, SJ, Connors, S, Rodriguez, D, Requejo, PS (2019). Comparison of stroke-count accuracy of two commercially available wrist-worn activity monitors to actual strokes during continuous manual wheelchair propulsion for six minutes in persons with paraplegia. American Spinal Injury Association Annual Scientific Meeting, April 2-5, Waikiki, Hawaii.
4. Rankin, J.W., Haubert, LL, Requejo, PS, and SJ Mulroy (2019). Using Modeling and Simulation to Predict Muscle and Joint Demands during Forward and Reverse Wheelchair Propulsion. American Spinal Injury Association Annual Scientific Meeting, April 2-5, Waikiki, Hawaii.
5. Haubert LL, Requejo PS, Mulroy SJ, Maneekobkunwong S, Rodriguez D, Gronley JK (2017). Comparison of temporal spatial characteristics and shoulder muscle activity during reverse and conventional manual wheelchair propulsion in persons with paraplegia. Proceedings of the American Spinal Injury Association Annual 43rd Scientific Meeting: Top Spinal Cord Inj Rehabil; 2017 April 26-29; Albuquerque, NM; 82 p.
6. Haubert LL, Mulroy SJ, Requejo PS, Hatchett PE (2016). Evidence-based car transfer techniques to preserve shoulder joint health and participation in individuals with paraplegia. Proceedings of the American Spinal Injury Association Annual 42rd Scientific Meeting: Top Spinal Cord Inj Rehabil; 2016 April 14-16; Philadelphia, PA; 3 p.
7. Haubert LL, Requejo PS, Mulroy SJ (2015). Comparison of shoulder joint kinematics and muscle activity during car transfer into a sedan and SUV height vehicle in persons with paraplegia. Proceedings of the International Spinal Cord Society and American Spinal Injury Association Scientific Meeting: 2015, May 14-16, Montreal Canada.
8. Haubert LL, Mulroy SJ, Requejo PS (2015). Factors influencing car transfer performance in persons with paraplegia. Proceedings of the American Spinal Injury Association Annual 40th Scientific Meeting Proceedings: Top Spinal Cord Inj Rehabil; 2013 May 6-8, Chicago, IL, 6 p.