- Cerebral Palsy and Movement Disorders
- Parkinson's Disease Mechanisms and Treatments
- Balance, Gait, and Falls Prevention
- Stroke Rehabilitation and Recovery
- Muscle activation and electromyography studies
- Neurological disorders and treatments
- Botulinum Toxin and Related Neurological Disorders
- Children's Physical and Motor Development
- Cardiovascular and exercise physiology
- Heart Rate Variability and Autonomic Control
- Telemedicine and Telehealth Implementation
- Multiple Sclerosis Research Studies
- Traumatic Brain Injury Research
- Obesity, Physical Activity, Diet
- Assistive Technology in Communication and Mobility
- Spinal Cord Injury Research
- Parkinson's Disease and Spinal Disorders
- Vector-borne infectious diseases
- Human-Automation Interaction and Safety
- Eating Disorders and Behaviors
- Acute Ischemic Stroke Management
- Advanced MRI Techniques and Applications
- Musculoskeletal pain and rehabilitation
- Cardiac Arrest and Resuscitation
- Rheumatoid Arthritis Research and Therapies
Cleveland Clinic
2014-2025
Cleveland Clinic Lerner College of Medicine
2021-2024
Kent State University
2009-2017
Cleveland FES Center
2011-2014
Neurological Surgery
2011
While there is emerging research outlining the physiologic cost of physically interactive Nintendo Wii, are no evaluations relative reinforcing value (RRV) Wii versus a sedentary alternative.The purpose this study to evaluate cost, RRV, and liking playing Sports Boxing (Wii) traditional video game (SVG) in 11 lean 13 overweight/obese 8- 12-year-old children.Heart rate (HR) VO(2) were assessed during rest, treadmill walking, an SVG using counterbalance design. Liking was walking play. RRV for...
Forced-rate lower-extremity exercise has recently emerged as a potential safe and low-cost therapy for Parkinson's disease (PD). The efficacy is believed to be dependent on pedaling rate, with rates above the subjects' voluntary being most beneficial. In this study, we use functional connectivity magnetic resonance imaging (MRI) further elucidate mechanism underlying effect. Twenty-seven PD patients were randomized complete 8 weeks of forced-rate (FE) or voluntary-rate (VE). Exercise was...
Parkinson's disease is a neurodegenerative that has traditionally been treated with anti-parkinsonian medication. There increasing evidence exercise beneficial to those PD, therefore, it necessary validate measure of exertion can be implemented across settings may not have the capability actively monitor heart rate. The aim this project was determine validity Borg RPE scale in individuals PD undergoing maximal progressive cycling test. Thirty-eight males and females (58.5 ± 8.1 yrs) clinical...
Background. The recovery of motor function following stroke is largely dependent on learning–related neuroplasticity. It has been hypothesized that intensive aerobic exercise (AE) training as an antecedent to task practice may prime the central nervous system optimize poststroke. Objective. objective this study was determine differential effects forced or voluntary AE combined with upper-extremity repetitive (RTP) in adults stroke. Methods. A analysis 2 preliminary randomized clinical trials...
Augmented-reality (AR) headsets, such as the Microsoft HoloLens 2 (HL2), have potential to be next generation of wearable technology they provide interactive digital stimuli in context ecologically-valid daily activities while containing inertial measurement units (IMUs) objectively quantify movements user. A necessary precursor widespread utilization HL2 fields movement science and rehabilitation is rigorous validation its capacity generate biomechanical outcomes comparable gold standard...
To derive and evaluate an alternative equation to estimate maximal HR in PwPD the absence of structured exercise testing using observed data from a cardiopulmonary test (CPET) basic demographic clinical data. Baseline randomized trial SETTING: Academic medical center PARTICIPANTS: Eighty-two persons with mild-moderate PD who completed CPET INTERVENTION: Not applicable MAIN OUTCOME MEASURES: A linear regression model was fit relaxed least absolute shrinkage selection operator (lasso) seven...
Introduction. To overcome travel restrictions during the COVID-19 pandemic, consumer-based technology was rapidly deployed to smartphones of individuals with Parkinson’s disease (PD) participating in a 12-month exercise trial. The aim project determine feasibility utilizing combined synchronous and asynchronous self-administered smartphone application characterize PD symptoms. Methods. A video virtual visit completed for administration Movement Disorder Society-Unified Disease Rating Scale...
Motor and non-motor impairments affect quality of life in individuals with Parkinson's disease. Our preliminary research indicates that forced exercise cycling, a mode which participant's voluntary rate is augmented on stationary cycle, results global improvements the cardinal symptoms The objective Cyclical Lower Extremity Exercise (CYCLE) trial for disease to determine effects cycling motor performance when compared non-exercise control group. Additionally, we plan identify any associated...
Postural instability and gait dysfunction (PIGD) is a cardinal symptom of Parkinson's disease (PD) exacerbated under dual-task conditions. Dual-task training (DTT), enhances performance, however it time cost intensive. Digitizing DTT via the Augmented Reality Treatment (DART) platform can expand availability an effective intervention to address PIGD.The aim this project was evaluate DART in treatment PIGD people with PD compared Traditional intervention. It hypothesized that both groups...
Augmented reality systems, like the HoloLens 2 (HL2), have potential to provide accurate assessments of mild traumatic brain injury (mTBI) symptoms in military personnel by simulating complex scenarios while objectively measuring user's movements with embedded motion sensors. The aim this project was determine if biomechanical measures marching and squatting, derived from HL2 sensors, were statistically equivalent, within 5%, metrics gold-standard three-dimensional capture (MoCap)...
Parkinson's disease (PD) results in a global decrease information processing, ultimately resulting dysfunction executing motor-cognitive tasks. Motor-cognitive impairments contribute to postural instability, often leading falls and decreased physical activity. The aim of this study was determine the effects multimodal training (MMT) versus single-modal (SMT) on motor symptoms, fall frequency, activity patients with PD classified as fallers.Individuals were randomized into SMT (n = 11) or MMT...
Background and Purpose: Parkinson disease is a progressive neurological disorder with no known cure or proven method of slowing progression. High-intensity, laboratory-based aerobic exercise interventions are currently being pursued as candidates for altering The aim this project was to evaluate the translation intervention community by monitoring adherence (eg, attendance) intensity heart rate [HR] cadence) in 5 established Pedaling Parkinson's classes. A secondary determine impact severity...
The aim of the project was to examine personal beliefs, motivators, and barriers in people with Parkinson's disease (PwPD) relating their participation a year-round community-based cycling program, Pedaling for (PFP).Cross-sectional survey from 12-month pragmatic study.Five PFP sites.A designed capture attitudes beliefs those participating program. Survey responses were rated on 5-point Likert scale (1-5; higher number representing more positive response) assessing subdomains Personal...
Participation in supervised, laboratory-based aerobic exercise protocols holds promise slowing the progression of Parkinson's disease (PD). Gaps remain regarding adherence and effectiveness laboratory translated to community-based programs. The aim project was monitor behaviour evaluate its effect on over a 6 month period people with PD participating Pedalling for (PFP) cycling program. A pragmatic, observational study design utilised at five community sites. Movement Disorders...
The aim of this project was to 1) evaluate the potential Two Minute Walk Test (2MWT) detect declines in gait velocity under dual task conditions, and 2) compare overground on a self-paced treadmill Parkinson's disease (PD). Twenty-three individuals with PD completed 2MWT single (serial 7s) conditions treadmill. There significant decrease from (1.32±.22 m/sec 1.10±.25 m/sec, p <.001) (1.24±.21 1.05±.25 <.001). Overground velocities were not statistically different each other; however,...