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Dr. Sara Cuccurullo and Dr. Talya Flemming: Investigating and Analyzing the Effect of a Comprehensive Stroke Recovery Program, Part 2

RUSK Insights on Rehabilitation Medicine

Release Date: 01/29/2025

Dr. Maria Janakos: Rehabilitation of Patients with a Concussion, Part 2 show art Dr. Maria Janakos: Rehabilitation of Patients with a Concussion, Part 2

RUSK Insights on Rehabilitation Medicine

Dr. Maria Janakos is a sports medicine physiatrist at NYU and a Clinical Assistant Professor at the NYU Grossman School of Medicine. She completed her residency at the University of Louisville and a Primary Care Sports Medicine Fellowship at Morristown Medical Center in New Jersey. Her clinical interests include concussion management, orthobiologics, musculoskeletal ultrasound, and event coverage. Dr. Janakos is actively involved in medical education at NYU, teaching medical students, residents, and fellows through lectures, hands-on training, and mentorship. At NYU,...

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Dr. Maria Janakos: Rehabilitation of Patients with a Concussion, Part 1 show art Dr. Maria Janakos: Rehabilitation of Patients with a Concussion, Part 1

RUSK Insights on Rehabilitation Medicine

Dr. Maria Janakos is a sports medicine physiatrist at NYU and a Clinical Assistant Professor at the NYU Grossman School of Medicine. She completed her residency at the University of Louisville and a Primary Care Sports Medicine Fellowship at Morristown Medical Center in New Jersey. Her clinical interests include concussion management, orthobiologics, musculoskeletal ultrasound, and event coverage. Dr. Janakos is actively involved in medical education at NYU, teaching medical students, residents, and fellows through lectures, hands-on training, and mentorship. At NYU,...

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RUSK Insights on Rehabilitation Medicine

Dr. Zhu is a clinical assistant professor in the Department of Rehabilitation Medicine at NYU Grossman School of Medicine. Her clinical interests include the management of a range of symptoms associated with cancer and its treatment, including weakness, pain, neuropathy, and limited range of motion. Throughout her career, she has been dedicated to proactive healthcare engagement, working closely with a team to provide comprehensive care. Her practice emphasizes patient education, along with helping individuals understand the causes of their symptoms and the changes their bodies...

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RUSK Insights on Rehabilitation Medicine

Dr. Patricia Tan serves as Medical Director for Rusk Pediatrics Rehabilitation. Her Certification is from the American Board of Physical Medicine & Rehabilitation. She has been selected as a Fellow by the following organizations: American Academy of Physical Medicine and Rehabilitation; American Academy of Pediatrics; American Academy of Cerebral Palsy and Developmental Medicine; and the Association of Academic Physiatrists. Her medical degree is from the University of Santo Tomas in Manila, Philippines. Dr. Megan Conklin is Associate Director of...

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Dr. Patricia Tan  & Dr. Megan Conklin: Rehabilitation Care of Pediatric Patients, Part 1 show art Dr. Patricia Tan & Dr. Megan Conklin: Rehabilitation Care of Pediatric Patients, Part 1

RUSK Insights on Rehabilitation Medicine

Dr. Patricia Tan serves as Medical Director for Rusk Pediatrics Rehabilitation. Her Certification is from the American Board of Physical Medicine & Rehabilitation. She has been selected as a Fellow by the following organizations: American Academy of Physical Medicine and Rehabilitation; American Academy of Pediatrics; American Academy of Cerebral Palsy and Developmental Medicine; and the Association of Academic Physiatrists. Her medical degree is from the University of Santo Tomas in Manila, Philippines. Dr. Megan Conklin is Associate Director of...

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Dr. Ira Rashbaum & Dr. Samuel Mann: Role of Emotions in the Onset of Physical Health Problems, Part 2 show art Dr. Ira Rashbaum & Dr. Samuel Mann: Role of Emotions in the Onset of Physical Health Problems, Part 2

RUSK Insights on Rehabilitation Medicine

Dr. Ira Rashbaum specializes in mind–body care and treatment of patients who have tension myoneural syndrome, previously known as tension myositis syndrome, a condition that causes pain and symptoms associated with tension and stress factors. His expertise is in diagnosing and treating individuals who have psychosomatic pain disorders. He has an extensive list of publications, national meeting presentations, and media appearances. As study guide committee chairperson of the American Academy of Physical Medicine and Rehabilitation, he led a project that compiled information on...

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Dr. Ira Rashbaum & Dr. Samuel Mann: Role of Emotions in the Onset of Physical Health Problems, Part 1 show art Dr. Ira Rashbaum & Dr. Samuel Mann: Role of Emotions in the Onset of Physical Health Problems, Part 1

RUSK Insights on Rehabilitation Medicine

Dr. Ira Rashbaum specializes in mind–body care and treatment of patients who have tension myoneural syndrome, previously known as tension myositis syndrome, a condition that causes pain and symptoms associated with tension and stress factors. His expertise is in diagnosing and treating individuals who have psychosomatic pain disorders. He has an extensive list of publications, national meeting presentations, and media appearances. As study guide committee chairperson of the American Academy of Physical Medicine and Rehabilitation, he led a project that compiled information on advances...

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RUSK Insights on Rehabilitation Medicine

Dr. Ronald (James) Cotton who is an electrical engineer, neuroscientist, and physiatrist working as a physician scientist at Shirley Ryan Ability Lab, and assistant professor in the Northwestern University Department of Physical Medicine and Rehabilitation. We have this one paper where we can use diffusion models and generate a bunch of probabilistic samples of movements and they constrain them by what we see in the cameras and have shown that we can actually estimate the confidence and the uncertainty in a reliable way. He indicated that we can use something called the...

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Dr. Ronald (James) Cotton Grand Rounds: Opportunities of AI Powered Gait Analysis for Rehabilitation, Part 1 show art Dr. Ronald (James) Cotton Grand Rounds: Opportunities of AI Powered Gait Analysis for Rehabilitation, Part 1

RUSK Insights on Rehabilitation Medicine

Dr. Ronald (James) Cotton who is an electrical engineer, neuroscientist, and physiatrist working as a physician scientist at Shirley Ryan Ability Lab, and assistant professor in the Northwestern University Department of Physical Medicine and Rehabilitation. PART 1 All of us probably believe and understand that how someone moves and walks is hugely informative. People are exuding all this information about their health status, but we don't measure it and obviously a core treatment of rehabilitation is how people move. We don't actually routinely measure that and the reason is that we need...

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400th Rusk Rehabilitation Podcast Anniversary: Dr Steven Flanagan, Part 3 show art 400th Rusk Rehabilitation Podcast Anniversary: Dr Steven Flanagan, Part 3

RUSK Insights on Rehabilitation Medicine

Dr. Steven Flanagan, a nationally renowned expert in the field of traumatic brain injury (TBI), has worked at the Rusk Rehabilitation Institute at NYU Langone Health since 2008. He serves as the Howard A. Rusk Professor of Rehabilitation Medicine and Chairperson of the Department of Rehabilitation Medicine at NYU Grossman School of Medicine. A former President of the American Academy of Physical Medicine & Rehabilitation (PM&R), he is certified by the American Board of PM&R (Brain Injury Medicine). A graduate of the University of Medicine & Dentistry of New Jersey,...

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The introduction is done by Dr. Steven Flanagan, Chairperson of the Department of Rehabilitation at NYU Langone Health. 

Sara Cuccurullo MD is Professor and Chairman, Residency Program Director in the Department of Physical Medicine and Rehabilitation at Hackensack Meridian School of Medicine, Rutgers- Robert Wood Johnson Medical School; Medical Director, VP at JFK Johnson Rehabilitation Institute; and Physician in Chief of HMH Rehabilitation Care Transformation Services 

Talya Flemming MD is Medical Director: Stroke Recovery Program, Post-COVID Rehabilitation Program, Aftercare Program ABMS, Brain Injury Medicine Certified JFK Johnson Rehabilitation Institute, Department of Physical Medicine and Rehabilitation Clinical Associate Professor, Rutgers Robert Wood Johnson Medical School Core Associate Professor, Hackensack Meridian School of Medicine.

Part 2

Dr. Flemming described the functional results obtained from their intervention. They specifically chose the activity measure proposed for post-acute care, abbreviated as AM-PAC. It showed improvement over time and it allowed looking at specific subsections within rehabilitation, such as basic mobility, daily activity, and cognitive scores. An AM-PAC score is a recognized tool by Medicare used in multiple post-acute care settings. Dr. Cuccurullo indicated that according to an article published in 2011 in the journal Stroke, the all-cause mortality for stroke patients in the U.S. is 31%. In one year, the all-cause mortality in their program was 1.47%. Their results were published in the American Journal of Physical Medicine and Rehabilitation. The paper received the Excellence in Research Writing Award for the most impactful article of the year. Significantly, the manuscript attracted the attention of Medicare officials who asked them to present their findings. CMS wanted to know if it can be proved that the stroke recovery program saves money, can they validate their previous improvement in mortality with more patients, and can they replicate the results at other institutions nationally. Drs. Fleming and Cuccurullo described what they did in response to these questions.

A Question & Answer period followed.