Alexander W DromerickShow email address
Department of Rehabilitation Medicine, Georgetown University Medical Center, Washington, DC. | MedStar National Rehabilitation Network, Washington, DC. | MedStar National ...
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Alexander W Dromerick:Expert Impact
Concepts for whichAlexander W Dromerickhas direct influence:Upper extremity,Stroke rehabilitation,Sensorimotor impairments,Life satisfaction,Motor recovery,Machine learning,Executive function,Reaching performance.
Alexander W Dromerick:KOL impact
Concepts related to the work of other authors for whichfor which Alexander W Dromerick has influence:Stroke patients,Upper limb,Motor function,Outcome measures,Shoulder pain,Brain injury,Virtual reality.
KOL Resume for Alexander W Dromerick
Department of Rehabilitation Medicine, Georgetown University Medical Center, Washington, DC.
MedStar National Rehabilitation Hospital, Washington, DC, United States
Center for Brain Plasticity and Recovery, Department of Rehabilitation Medicine, Georgetown University Medical Center, Washington, DC, USA
Georgetown University School of Medicine, Washington, DC, USA
MedStar National Rehabilitation Network, Washington, District of Columbia, United States of America
Department of RehabilitationMedicine, Georgetown University, Washington, DC, 20057, USA
Department of Rehabilitation Medicine and Neurology, Georgetown University
VA Medical Center, Washington, DC, USA
MedStar National Rehabilitation Hospital, Washington, DC
Department of Neurology, Georgetown University, Washington, District of Columbia
MedStar National Rehabilitation Hospital & Georgetown University, Center for Brain Plasticity and Recovery, 4000 Reservoir Road, N.W., Washington D.C. 20057, United States of America,
Washington DC VA Medical Center, Washington, DC, USA
Professor of Neurology and Rehabilitation Medicine, Vice Chair and Chief of Service, Department of Rehabilitation Medicine, Georgetown University Medical Center, USA
Department of Neurology, Georgetown University, Washington, DC
Washington DC Veterans Affairs Medical Center, Washington, DC, USA
National Rehabilitation Hospital and Georgetown University, Washington, DC, USA
Physical Therapy, Washington University School of Medicine, St. Louis, MO
From the National Institute of Neurological Disorders and Stroke (S.W., S.J., J.O.), National Institutes of Health, Bethesda, MD; the University of Washington School of Medicine (K.B.), Seattle, WA; the University of British Columbia (O.B.), Vancouver, British Columbia; the University of Cincinnati (J.B.), Cincinnati, OH; Georgetown University School of Medicine (A.D.), Washington, DC; Duke University (P.D.), Durham, NC; Columbia University (M.S.V.E.), New York, NY; the University of Virginia (K.J.), Charlottesville, VA; Georgetown University (C.S.K.), Washington, DC; Mayo Clinic College of Medicine (J.F.M.), Jacksonville, FL; and Harvard Medical School (L.S.), Boston, MA.
Department of Rehabilitation Medicine and Neurology, Georgetown University School of Medicine, Washington, DC
National Rehabilitation Hospital, Georgetown University School of Medicine, District of Columbia VAMC, Washington, DC
National Rehabilitation Hospital, Georgetown University School of Medicine, 102 Irving Street Northwest, 20010, Washington, DC, USA
Department of Neurology, Washington University School of Medicine, St. Louis, Missouri, USA;
Department of Rehabilitation Medicine and Neurology, Georgetown University School of Medicine, 20010, Washington, DC, USA
Alexander W. Dromerick, MD, is Associate Professor, Georgetown University School of Medicine and National Rehabilitation Hospital, Washington, DC
Physical Therapy, Washington University School of Medicine, St. Louis, MO.
AW Dromerick, MD, is Associate Professor, Department of Neurology, Program in Occupational Therapy, and Program in Physical Therapy, Washington University School of Medicine
Program in Physical Therapy, Program in Occupational Therapy, Department of Neurology, Washington University, St. Louis MO, National Rehabilitation Hospital, Washington, DC
Departments of Rehabilitation Medicine and Neurology, Georgetown University School of Medicine, USA
Department of Neurology, Washington University, St. Louis, Missouri
Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO, Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO, Department of Neurology, Washington University School of Medicine, St. Louis, MO.
Department of Neurology, Washington University, St Louis, Mo., USA
Washington University School of Medicine, Department of Neurology/Rehabilitation, Barnes-Jewish Hospital, St. Louis, Missouri, USA.
From the Department of Neurology (D.A.G.), Southern Illinois University, Springfield, Ill; Departments of Neurology (D.C.G.) and Physical Medicine and Rehabilitation (M.R.), Wake Forest University, Winston-Salem, NC; Department of Neurology (A.D.), Washington University, St Louis, Mo; and Tampa Neurologic Associates (S.S.), Tampa, Fla.
Department of Neurology and Program in Occupational Therapy, Washington University School of Medicine, St Louis, MO, USA.
From the Department of Neurology (M.N.D., D.F.E., P.T.A., C.W.S., A.W.D.) and Program in Occupational Therapy (M.N.D., D.F.E., A.W.D.), Washington University School of Medicine, St Louis, Mo.
|nonfunctional movement stroke||#1|
|counts ratio accuracy||#1|
|simulated pinch task||#1|
|physiology promising interventions||#1|
|acromioclavicular shear test||#1|
|theorybased biomimetic approach||#1|
|minimally structured activities||#1|
|3 anatomical directions||#1|
|newer activitybased therapies||#1|
|required assistance patterns||#1|
|reaching grasping objects||#1|
|accuracy functional activity||#1|
|treadmill training techniques||#1|
|stroke current state||#1|
|chlorpromazine treatment subjects||#1|
|shoulder path distance||#1|
|subset biomechanical features||#1|
|movement time perturbation||#1|
|training motor learning||#1|
|case multicenter studies||#1|
|nonfunctional movement average||#1|
|amphetamine health design||#1|
|rowe shoulder score||#1|
|pilot data recovery||#1|
|compensatory movements trunk||#1|
|functional hand tasks||#1|
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Prominent publications by Alexander W Dromerick
Effect of a Task-Oriented Rehabilitation Program on Upper Extremity Recovery Following Motor Stroke: The ICARE Randomized Clinical Trial
[ PUBLICATION ]
IMPORTANCE: Clinical trials suggest that higher doses of task-oriented training are superior to current clinical practice for patients with stroke with upper extremity motor deficits.
OBJECTIVE: To compare the efficacy of a structured, task-oriented motor training program vs usual and customary occupational therapy (UCC) during stroke rehabilitation.
DESIGN, SETTING, AND PARTICIPANTS: Phase 3, pragmatic, single-blind randomized trial among 361 participants with moderate motor impairment ...
|Known for Upper Extremity | Rehabilitation Program | Deucc Ucc | Patients Stroke | Clinical Trial|
[ PUBLICATION ]
We studied how acute hemiparesis affects the ability to perform purposeful movements of proximal versus distal upper extremity segments. Given the gradient of corticospinal input to the spinal motoneuron pools, we postulated that movement performance requiring distal segment control (grasping) should be more impaired than movement performance requiring proximal segment control (reaching) in people with hemiparesis. We tested subjects with acute hemiparesis and control subjects performing ...
|Known for Reach Grasp | Acute Hemiparesis | Movement Performance | Accuracy Efficiency | Aged Motor|
[ PUBLICATION ]
BACKGROUND AND PURPOSE: We sought to determine predictors of acute hospital costs in patients presenting with acute ischemic stroke to an academic center using a stroke management team to coordinate care.
METHODS: Demographic and clinical data were prospectively collected on 191 patients consecutively admitted with acute ischemic stroke. Patients were classified by insurance status, premorbid modified Rankin scale, stroke location, stroke severity (National Institutes of Health Stroke ...
|Known for Hospital Cost | Ischemic Stroke | United States | Atrial Fibrillation | Analysis Severity|
How do strength, sensation, spasticity and joint individuation relate to the reaching deficits of people with chronic hemiparesis?
[ PUBLICATION ]
Hemiparetic subjects present with movement deficits including weakness, spasticity and an inability to isolate movement to one or a few joints. Voluntary attempts to move a single joint often result in excessive motion at adjacent joints. We investigated whether the inability to individuate joint movements is associated with deficits in functional reaching. Controls and hemiparetic subjects performed two different reaching movements and three individuated arm movements, all in the ...
|Known for Chronic Hemiparesis | Reaching Deficits | Hemiparetic Subjects | Biomechanical Phenomena | Shoulder Flexion|
BACKGROUND AND OBJECTIVE: The authors recently found that grasping was not relatively more disrupted than reaching in people with acute hemiparesis. They now extend this work to the recovery of reach versus grasp.
METHODS: Hemiparetic subjects were tested acutely, after 90 days, and then after 1 year poststroke, and a control group was evaluated once. Using kinematic techniques, subjects were studied performing reach and reach-to-grasp movements. The authors quantified 3 characteristics ...
|Known for Reach Grasp | Movement Speed | Hemiparesis Poststroke | Hemiparetic Subjects | Aged Motor|
[ PUBLICATION ]
OBJECTIVE: To determine neural correlates of recovery from aphasia after left frontal injury.
METHODS: The authors studied the verbal performance of patients with infarcts centered in the left inferior frontal gyrus (IFG), using a battery of attention-demanding lexical tasks that normally activate the left IFG and a simpler reading task that does not normally recruit the left IFG. The authors used positron emission tomography (PET) and functional MRI (fMRI) to record neural activity in ...
|Known for Neural Correlates | Recovery Aphasia | Patients Damage | Ifg Activity | Frontal Cortex|
Measurement of Upper-Extremity Function Early After Stroke: Properties of the Action Research Arm Test
[ PUBLICATION ]
OBJECTIVE: To examine the responsiveness and validity of the Action Research Arm Test (ARAT) in a population of subjects with mild-to-moderate hemiparesis within the first few months after stroke.
DESIGN: Data were collected as part of the Very Early Constraint-Induced Therapy for Recovery from Stroke trial, an acute, single-blind randomized controlled trial of constraint-induced movement therapy. Subjects were studied at baseline (day 0), after treatment (day 14), and after 90 days (day ...
|Known for Arm Test | Arat Scores | Time Point | Stroke Upper | Outcome Measures|
The purposes of this report were to: 1) determine the amount of upper extremity use in people with hemiparesis post stroke during their inpatient rehabilitation stay, and 2) to examine the relationships between upper extremity use and impairments and activity limitations at this early time point after stroke. We studied 34 subjects with mild-to-moderate acute hemiparesis (mean time since stroke = 9.3 days) and 10 healthy control subjects. Upper extremity use was measured over 24 hours ...
|Known for Upper Extremity | Function Stroke Stroke | Force Production | 24 Hours | Rehabilitation Time|
[ PUBLICATION ]
OBJECTIVE: To estimate minimal clinically important difference (MCID) values of several upper-extremity measures early after stroke.
DESIGN: Data in this report were collected during the Very Early Constraint-induced Therapy for Recovery of Stroke trial, an acute, single-blind randomized controlled trial of constraint-induced movement therapy. Subjects were tested at the prerandomization baseline assessment (average days poststroke, 9.5d) and the first posttreatment assessment (average ...
|Known for Mcid Values | Upper Extremity | Grip Strength | Minimal Clinically | Outcome Measures|
BACKGROUND: Constraint-induced movement therapy (CIMT) is among the most developed training approaches for motor restoration of the upper extremity (UE).
METHODS: Very Early Constraint-Induced Movement during Stroke Rehabilitation (VECTORS) was a single-blind phase II trial of CIMT during acute inpatient rehabilitation comparing traditional UE therapy with dose-matched and high-intensity CIMT protocols. Participants were adaptively randomized on rehabilitation admission, and received 2 ...
|Known for Stroke Rehabilitation | Induced Movement | Early Constraint | Function Restraint | Traditional Therapy|
Sensorimotor Impairments and Reaching Performance in Subjects With Poststroke Hemiparesis During the First Few Months of Recovery
[ PUBLICATION ]
BACKGROUND AND PURPOSE: Little is known about the relationship between upper-extremity (UE) sensorimotor impairment and reaching performance during the first few months after stroke. The purpose of this study was to examine: (1) how measures of UE sensorimotor impairment are related to the speed, accuracy, and efficiency of reaching in subjects with hemiparesis during the subacute phase after stroke and (2) how impairments measured during the acute phase after stroke may predict the ...
|Known for Sensorimotor Impairments | Reaching Performance | 3 Months | Subjects Hemiparesis | Acute Subacute|
Interdisciplinary Comprehensive Arm Rehabilitation Evaluation (ICARE): a randomized controlled trial protocol
[ PUBLICATION ]
BACKGROUND: Residual disability after stroke is substantial; 65% of patients at 6 months are unable to incorporate the impaired upper extremity into daily activities. Task-oriented training programs are rapidly being adopted into clinical practice. In the absence of any consensus on the essential elements or dose of task-specific training, an urgent need exists for a well-designed trial to determine the effectiveness of a specific multidimensional task-based program governed by a ...
|Known for Controlled Trial | Rehabilitation Evaluation | Usual Therapy | Asap Deucc | Comprehensive Arm|
Mirror Movements Complicate Interpretation of Cerebral Activation Changes during Recovery from Subcortical Infarction
[ PUBLICATION ]
In recovered stroke patients, performance of motor tasks with the affected limb has been reported to activate cortical areas ipsilateral to the affected side. The better to determine the causal role these areas play in recovery of motor function, we assessed cerebral activation during motor activity longitudinally after hemiparesis due to cerebral infarction. A secondary goal was to ascertain the relation between mirror movements and activation ipsilateral to motor activity. Positron ...
|Known for Mirror Movements | Cerebral Activation | Recovery Motor Function | Motor Areas | Positron Emission Tomography|
BACKGROUND AND PURPOSE: We sought to assess the type, frequency, and clinical predictors of neuromedical complications occurring during inpatient rehabilitation after stroke.
METHODS: One hundred consecutive patient records were reviewed. All medical and neurological complications requiring a physician's order for further evaluation or treatment were recorded.
|Known for Stroke Rehabilitation | Neurological Complications | Urinary Retention | Musculoskeletal Pain | Diabetes Mellitus|