presented by Michael Borich
This course will focus on how advanced brain imaging can inform our understanding of the behavioral manifestations of changes in brain structure and function in neurologic conditions. Using two examples: stroke and concussion, common changes in brain structure and function thought to be associated with cognitive and motor impairments will be described. Finally, how the clinician can exploit the information provided by human brain imaging to improve patient outcomes will be discussed.
Dr. Michael Borich is an assistant professor in the Division of Physical Therapy, Department of Rehabilitation Medicine in the Emory University School of Medicine. He has a secondary appointment in the Wallace H. Coulter Department of Biomedical Engineering, a joint Emory/Georgia Tech department, and also in the Parker H. Petit Institute for Bioengineering and Bioscience at Georgia Tech. Dr. Borich is keenly interested in understanding and harnessing the plastic capacity of the human nervous system in health and disease in an effort to improve rehabilitation outcomes for individuals with neurologic injury and disease. He received both his bachelor’s degree in physiology and his doctor of physical therapy from the University of Minnesota. After finishing his PhD training in rehabilitation science and neuroscience at the University of Minnesota, Dr. Borich completed a postdoctoral research training using neurostimulation and neuroimaging techniques to elucidate biomarkers of recovery after stroke and mild traumatic brain injury at the University of British Columbia. He joined the Division of Physical Therapy at Emory in 2014. His previous clinical experience centers on rehabilitation from acute neurologic insult and major multiple trauma. Dr. Borich currently directs the Neural Plasticity Research Lab at Emory, a trans-disciplinary research and training environment generously supported by multiple funding agencies. His research team utilizes multimodal neuroimaging and neurostimulation techniques to characterize and modulate the structural and functional neuroplastic correlates of learning and recovery of function following neurologic insult.
It is now known that the brain maintains the capacity to reorganize and recover after stroke. This chapter will summarize the seminal brain imaging findings that have redefined how we conceptualize the processes underlying stroke recovery.
This chapter will cover the latest neuroimaging findings that are improving our understanding of how the brain is affected by concussion. Potential imaging biomarkers that are sensitive to post-concussion recovery milestones will be identified.
This chapter will summarize and identify the rehabilitation applications of the content previously covered regarding brain imaging in heath and disease. Specific examples of current and future uses of imaging data to directly inform clinical practice will be highlighted.