Physical Medicine and Rehabilitation
My specialty is physical medicine and rehabilitation, or physiatry. My clinical expertise includes the rehabilitation management of patients with significant brain injury due to trauma or stroke, spinal cord injury, and major multiple trauma. In addition, my practice specializes in simple as well as complex musculoskeletal impairments including extremity injuries, arthritis, and neck and back pain. I am one of the few physicians in the Western New York area that is board certified in electro diagnostic medicine. As a result, I do electromyography (EMG) and nerve conduction velocity (NCV) studies on referral from physicians throughout Western New York. Two additional procedures I perform are Botox injections for spasticity management after brain injury and spinal cord injury and prolotherapy. My research focus has been in two main areas. The first is measuring outcomes and interventions after serious trauma or illness. The second main area is prevention of deep vein thrombosis (DVT). Prototypes have been developed and we are in the final stages of validating the design. We are hoping to submit to the FDA in late April or early May 2015. It is conceivable that we will be ready to market the device in 6-8 months. I currently teach UB medical students and students from other medical schools that have an interest in the field of physical medicine and rehabilitation. I also work with students in the D’Youville Chiropractic School. Although I am passionate about the care I provide my own patients, I am concerned about securing the future of physical medicine and rehabilitation clinical services in Western New York. I am also interested in developing multi-specialty programs for individuals with significant injuries and chronic pain. I am the medical director for rehabilitation medicine in the Catholic Health System, which is one venue for this, but we need to expand this to other provider networks.
Clinical Neurophysiology; Physical Medicine and Rehabilitation; Neurobiology
As director of UB’s Neuroengineering and Informatics for Rehabilitation Laboratory (NIRlab), I conduct interdisciplinary research in neural engineering, the application of engineering to the neurosciences. My academic and research training in neurotechnology, motor rehabilitation, clinical neurophysiology and cerebrovascular medicine provides me with the expertise for translational research focused on developing computational models and hardware technologies for neural interfaces to monitor and activate beneficial neural function. My research transcends conventional academic boundaries in my overarching goal to treat, cure and even prevent neurological disorders using ‘electroceuticals’--bioelectronics that stimulate the nervous system. Specifically, my research is directed toward an enhanced understanding of the neurophysiological mechanisms associated with the relearning of visomotor function. My special focus on neurorehabilitation uses neuroengineering and informatics to leverage human-machine interfaces. Here, the human brain and body act in concert with biofeedback and multilevel neurostimulation to promote neuroplasticity and lead to neurorestorative therapy. I am developing electroencephalography (EEG) and electromyography (EMG) and near-infrared spectroscopy-based (NIRS) portable multimodal imaging to understand skeletal, muscle and brain physiology during noninvasive electrical stimulation. If achieved, the bench-to-bedside translation of electroceuticals, developed through innovations in computational methods and instrumentation, will have a very high societal impact since neurological disorders—e.g., stroke and dementia-- will likely dramatically increase as the world population ages. I collaborate with researchers from industry and academia locally as well as from across the globe in conducting the interdisciplinary translational research of NIRlab. I welcome undergraduate, graduate engineering students and medical students to work with me. I am particularly interested in medical students who are focused on clinical neurophysiology, physical medicine and rehabilitation, e.g. students from the departments of Neurology, Neurosurgery, Orthopaedics and the Rehabilitation Sciences. Additionally, I teach courses in neural and rehabilitation engineering. My courses are open to engineering students and medical students, especially those with interest in the application of engineering methods to the clinical neurophysiology and rehabilitation sciences.
Physical Medicine and Rehabilitation
My research is dedicated to understanding and measuring the benefits of medical rehabilitation and outcomes of persons with disability. The tools are a part of a system of assessments to promote systematic coordinated care in hospitals and for outpatients. The system has practical appliation for 1,400 subscribing facilities, nationally and internationally.