If analogous critical periods can be identified after human stroke, then existing clinical resources can be better utilized to promote recovery. In addition, the study will assist investigators understand why certain atypical movement patterns appear in individuals with stroke. Purpose: This outpatient study that will utilize standard stroke rehabilitation outcome measures to evaluate the effect of the monoamine oxidase Type B MAO-B inhibitor, HT, on motor recovery and behavior in medically stable subjects following ischemic stroke.
Stimulation to improve movement. Purpose: This trial involves a painless, non-invasive, investigational test of brain function called transcranial magnetic stimulation TMS. Purpose: HandSOME is a lightweight wearable hand orthosis that increases range of motion and decreases effort during grasping tasks. Purpose: The goal of this study is to develop a biomimetic hand exoskeleton device that enables functional movements of the hand for stroke survivors.
Task-specific upper-extremity robotic training for stroke neurorehabilitation. Purpose: The goal of the project is to develop a robotic device capable of treating upper-extremity movement impairments resulting from stroke. The developed device will assist in the training of tasks involving reach and grasp of physical objects requiring varying grasp patterns.
Purpose: This longitudinal observational study seeks to identify molecular markers of brain repair in the blood that signal why some stroke patients have good recovery of arm function while others have poor recovery. Purpose: This study uses cognitive testing, functional MRI, and disability assessments to investigate how brain function and organization are altered by right-hemisphere stroke, and how these changes relate to long-term recovery.
Aphasia Studies. Purpose: These studies focus on understanding the varying neurological mechanisms associated with brain plasticity after stroke and its impact on speech recovery. Purpose: To show whether a new investigational device is safe and works for identifying swallowing impairment. We will then explore the use of that instrument to enhance the diagnostic approach to urinary tract infection UTI in this population.
Purpose: To develop an instrument, the Urinary Symptom Questionnaire for individuals with neurogenic bladder due to spinal cord injury SCI who utilize indwelling urethral or suprapubic catheters IUSC and then explore the use of that instrument to enhance the diagnostic approach to urinary tract infection UTI in this population.
Purpose: This study will evaluate techniques of screening individuals with suspected mild traumatic brain injury i. Even if they did, they may never even know it, due to the compartmentalization of that world. In the midst of his journeys in warring locales, Epstein realized that one profession was, indeed, quietly making a difference, one individual at a time — the physician, working diligently, passionately, saving lives. With medicine in mind, Epstein started working as a volunteer medic with the Fairfax County Fire Department when he returned from his last overseas assignment.
Epstein invariably tried to follow the progress of the patients he sped to the hospital, and would ask the doctors in charge what he could have done differently, as well as what they were going to do.
Shortly after starting classes at Georgetown University School of Medicine, Epstein set up his organization www. In January , he conducted his first medical mission in Kurdistan, an area that has taken in hundreds of thousands of refugees fleeing war.
After arranging the trip with appropriate Iraqi and Kurdish officials and ensuring that the destination was secure, Epstein invited surgeons and physicians from south Florida, who he knew growing up, as well as surgeons from Georgetown, to come along. So far, Epstein has done three medical trips, scheduling them around breaks, and has had little problem filling physician slots, which usually include several senior-level attending physicians and junior medical staff.
Because GSMSG uses existing medical infrastructure and resources in Kurdistan, what they bring to the table is intellectual capital. On all three trips, the GSMSG group, which has included board certified surgeons, neuropsychiatrists and medics, treated both the sick and wounded. They also treated the worried well who lined up for a health check offered by American doctors.
The group also trained a significant number of local physicians and doctors on location from other NGOs. That gives us the ability to have a significant effect both now and in the future.
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