ADVANCING WHAT’S POSSIBLE WINTER 2018

INSIDE: Comedian Tracy Morgan Presents Second Nursing Excellence Award

A REVOLUTION IN STROKE RECOVERY

Stroke-HEARTTM Trials ADVANCING WHAT’S POSSIBLE 1 JFK Johnson Rehabilitation Institute JFKJohnson.org FROM OUR MEDICAL DIRECTOR

Welcome to the 2018 JFK Johnson Rehabilitation Institute magazine. I’m excited to share some remarkable stories about the exciting work of our talented staff — nurses, physicians, therapists and other professionals working every day to change lives.

This edition focuses on stroke, and you’ll read here about our groundbreaking research to revolutionize rehabilitation for our patients. Our Stroke Recovery Program Stroke-HEARTTM Trials aim to improve outcomes for our stroke patients — and stroke patients around the nation.

I am Co-Principal Investigator of the trials, along with Talya K. Fleming, MD, Medical Director of the Aftercare and Stroke Recovery Programs. The impetus to create the program was our desire to help our patients achieve the best possible recovery. Our preliminary data are striking and indicate that we can truly make a difference in the lives of people recovering from stroke.

The Stroke-HEARTTM Trials continue our tradition of providing exceptional patient care and our commitment to innovation and research. We’re also proud to report that the U.S. Department of Health and Human Services has named JFK Johnson as one of just 16 Traumatic Brain Injury Model Systems sites in the nation, a designation that includes a $2.1 million grant to conduct brain injury research over the next five years.

At JFK Johnson, we believe our research must drive improved clinical care and outcomes. In this issue, you will also see our current research in progress, peer reviewed publications, and national and international activity.

In addition, you can read about how Tracy Morgan, the actor and comedian, continues to inspire our patients and express his thanks to our staff for his remarkable recovery after his serious brain injury. Morgan presented the 2017 Tracy Morgan Award for Excellence in Rehabilitation Nursing to JFK Johnson nurse Juan G. Ramirez, CRRN. It was a poignant experience to see Morgan express his sincere gratitude. Our goal for Morgan, and for each and every one of our patients, is that they reach their maximum functional ability.

We are committed to Advancing What’s Possible to give our patients the very best outcomes. Many face life- altering injuries and illnesses. Our Continuum of Care follows our patients on every step of their recovery — from acute care to inpatient rehabilitation to outpatient rehabilitation and to their lives back in the community.

I am so proud to highlight in these pages the commitment and compassion of our staff members and the high-quality care they deliver to our patients and their families every day.

Yours in Good Health,

Sara Cuccurullo, M.D. Vice President & Medical Director JFK Johnson Rehabilitation Institute Chairman, Department of Physical Medicine & Rehabilitation Rutgers Robert Wood Johnson Medical School

2 JFK Johnson Rehabilitation Institute JFKJohnson.org TOC CONTENTS(add a place holder for now - until we figure out the layout) A Revolution in Stroke Recovery 4Add Editors on the bottom, much much 4 smaller than they currently have. They also may want phone numbers, but Patient Profiles 7again, I’d like that to be small.

10 Advancing What’s Possible: Using New Tools to Measure Recovery

12 Tracy Morgan Presents 2nd Annual Nursing Award

14 New Center for Cardiac and Pulmonary Rehab Opens 10 15 JFK Johnson Residency Program Receives Five-Star Rating 12 16 Federal Government Names JFK Johnson One of 16 Prestigious “Model Systems” Sites and Awards Grant 14 17 Together, We’re Advancing What’s Possible EDITORS

Sara Cuccurullo, MD Vice President & Medical Director Highlights of Our Scholarly Activities JFK Johnson Rehabilitation Institute 18 Professor, Chairman, Residency Program Director 17 Department of Physical Medicine and Rehabilitation JRI Department Phone Numbers Rutgers RWJ Medical School Admissions...... 732.321.7733 Pain Management...... 732.321.7070 Anthony Cuzzola Cardiopulmonary Rehabilitation. 732.321.7722 Parkinson’s Disease Clinic/ Vice President/Administrator Cognitive Rehabilitation...... 732.906.2640 Rehabilitation Medicine...... 732.321.7070 JFK Johnson Rehabilitation Institute Driver’s Training...... 732.321.7056 Pelvic Floor Rehabilitation...... 732.321.7056 Anne M. Eckert, AuD, MBA, CCC/A JFK for Life Fitness Center...... 732.632.1610 Pediatric Rehabilitation...... 732.548.7610 Administrative Director of Rehabilitation Outpatient Center at Edison ...... 908-834-8685 Prosthetic & Orthotic Lab...... 732.248.0774 Laurie Zalepka Outpatient PT/OT Rehabilitation Physicians...... 732.321.7070 Manager, Public Relations Services at JFK...... 732.321.7056 Speech Pathology & Audiology/ and Marketing Outpatient PT at Metuchen ...... 732.548.9800 Hearing Aids...... 732.321.7063 Vocational Rehabilitation...... 732.321.7069 Carol Ann Campbell Outpatient PT/OT at Monroe ..... 609.409.1170 Campbell Health Media Outpatient Center at Piscataway..... 848.230.6655

JFKJohnson.org JFK Johnson Rehabilitation Institute 3

A REVOLUTION IN STROKE RECOVERY JFK Johnson Stroke Recovery Program Stroke-HEARTTM Trials Aim to Change the Future of Stroke Rehabilitation

4 JFK Johnson Rehabilitation Institute JFKJohnson.org Dr. Sara Cucurullo and Dr. Talya Fleming

The stroke survivors — ages 26 to 79 — pedal on recumbent cross-training bikes in the sun-filled outpatient gym. Some have specially designed straps for their plegic arms and/or legs. Some move methodically, others at a quicker clip. Ask them and they will tell you they’re the lucky ones.

These stroke survivors are participating in “I just can’t say enough. I feel lucky to be in this the JFK Johnson Stroke Recovery Program study. I have built up my stamina, my strength,” Stroke-HEARTTM Trials, research that aims to do he says. “It’s tremendous. The truth is, I wonder nothing less than change the where I would be without this program.” future of stroke rehabilitation in the United States. The >> A NEW VISION stroke patients work in groups of six to ten and are closely monitored by JFK Johnson The research examines outcomes of the JFK Rehabilitation Institute medical personnel. Johnson Stroke Recovery Program, which provides 36 sessions of medically monitored One of the stroke survivors is 60-year-old interval cardiovascular training for stroke Gregory Techky, a retired Port Authority police patients — an innovative approach. The officer from Hazlet, New Jersey. Just three program also provides regular follow-up visits months earlier, he suddenly, inexplicably, with a Physical Medicine and Rehabilitation could not speak. His right side went limp as physician; psychological, nutritional and emergency physicians diagnosed his stroke. educational support; and risk factor “My brain just could not make my mouth management. This is in addition to traditional move,” he recalls. After a hospital stay, and physical, occupational and speech therapy. weeks in acute inpatient rehabilitation at JFK Johnson, he learned to walk and talk again. In contrast, the nonparticipants receive the traditional standard of care — which simply But instead of returning home with the includes physical, occupational and speech outpatient rehabilitation typical for stroke therapy — and follow up with their community patients, Techky joined the Stroke Recovery physician. Program Stroke-HEARTTM Trials. He’s now halfway through 36 sessions of medically The preliminary data, presented in November supervised cardiovascular conditioning. He’s at the American Heart Association/American watched his heart function and physical function Stroke Association Scientific Sessions in improve with each session. Anaheim, California, have been striking.

JFKJohnson.org JFK Johnson Rehabilitation Institute 5 (ongoing data analysis continues)

Therapist Amy Novak, right, leads cardiovascular training.

The study began at the end of 2015. Patients in the acute inpatient rehabilitation hospital could opt in or out of the Comprehensive Outpatient Stroke Recovery Program. Of the 240 who opted out, and received the standard of care, 46 have died. Of the 160 who participated in the Stroke Recovery Program, none have died. heart attack involves the blood vessels in the heart. The study participants know they are taking part in Under Medicare, patients with heart disease research that could lead to new ways to help people and cardiac interventions are eligible for a recovering from stroke. comprehensive program that includes 36 sessions of Stroke survivors say the monitoring by a team of outpatient cardiac rehabilitation. A landmark Mayo stroke rehabilitation medical professionals gives Clinic study in 2011 found that a comprehensive them confidence to participate in cardiovascular cardiac rehabilitation program reduces five-year interval training, even if they have limited mobility mortality by 45 percent in patients who have and communication. undergone cardiovascular procedures to open blocked arteries. The JFK Johnson Stroke Recovery Program reflects the vision of Sara J. Cuccurullo, MD, Chairman Stroke patients on Medicare, however, have been and Medical Director of JFK Johnson, and Talya affected by the Outpatient Therapy Cap since 1997. K. Fleming, MD, Medical Director of the Aftercare The cap affects the funding of a stroke patient’s and Stroke Recovery Programs at JFK Johnson. outpatient recovery. When stroke patients reach the Dr. Cuccurullo and Dr. Fleming are Co-Principal maximum allowed under the cap, their rehabilitation Investigators of the studies. providers must justify additional coverage through a time-consuming process that could potentially delay Dr. Cuccurullo says she regularly sees stroke patients or deny continued treatment. return to the hospital months, even weeks, after their discharge, sometimes with a second stroke, “We are doing this research to show that our pneumonia or heart attack. stroke patients would benefit from the same comprehensive program that cardiac patients Health insurance coverage differs for cardiac benefit from,” says Dr. Cuccurullo. “Once you have patients as compared with stroke patients, even a stroke, your risk of having a second stroke in the though many stroke and cardiac patients have first year is between 12 percent and 25 percent. almost identical cardiovascular risk factors. A stroke Yet we are sending people home without the simply involves the blood vessels in the brain while a comprehensive follow-up rehabilitation they need

6 JFK Johnson Rehabilitation Institute JFKJohnson.org to reduce their chance of a second stroke and to improve their strength, function and overall health.” Adds Dr. Fleming, “Stroke survivors can suffer complex conditions directly related to their neurologic event such as weakness, aphasia, problems swallowing, cognitive deficits, spasticity, vision changes, fatigue, pain and depression. Our comprehensive program addresses all of these issues.” In addition, Dr. Fleming says, stroke survivors often have high blood pressure, diabetes, high cholesterol, a history of smoking and/or an irregular heartbeat. “Many have a sedentary lifestyle and a poor diet. The Stroke Recovery Program provides the structure PUSHING PAST to help our stroke patients adopt behavioral and HIS FEAR lifestyle changes to lead healthier lives,” she says.

>> GET STROKE PATIENTS MOVING KENNETH PHILLIPS SR. likens the JFK Johnson Early in 2015, a six-member Steering Committee Stroke Recovery Program to a safety net. began creating two research studies to examine “If for some reason you get into trouble, the outcomes of patients who participate in the JFK professionals are right here,” he said. “That gives Johnson Stroke Recovery Program. The studies you the confidence to push yourself.” received Institutional Review Board (IRB) approval by both JFK Medical Center and Rutgers Robert Wood Like many people who have experienced a stroke, Johnson Medical School through Rutgers University. Phillips, 79, recalls the exact details. He could not The committee worked closely with cardiologists and move his right side and slurred his words. “The neurologists to design the study. only way I can describe it is that my right side of my mouth was trying to catch up with the left side of my At first, the study was met with some resistance, mouth,” he recalled. “My brain was trying to tell me particularly from those who feared stroke patients what to do, but my body was not cooperating.” with significant limitations, such as hemiplegia, aphasia or cognitive difficulties, could not Now, as he works out rigorously on the recumbent accomplish cardiovascular training. bike, he has embraced his participation in the JFK Johnson Stroke-HEARTTM Trials. He welcomes “We raised eyebrows, definitely,” says Christine counseling about meals and information about Greiss, DO, a member of the Steering Committee potassium and salt intake.“You have to be receptive and Director of Inpatient Stroke Rehabilitation to what the nurses here tell you,” he said. Services at JFK Johnson. “The most common question was, ‘How do you get a person recovering Phillips has 10 grandchildren who keep him busy, from a stroke on a bike or a treadmill?’ But as and he was relatively active, but he had never rehabilitation specialists, we know how to work with participated in rigorous cardiovascular conditioning individuals who have limitations and we know how to before. “The cardio element reinforces what I am keep them safe and get them moving. We know that doing in physical and occupational therapy,” he said. with a conditioning program, some of the damage to Phillips, who lives in North Plainfield, is a retired the vascular system is reversible.” executive in the medical field. He said he’s more aware Dr. Fleming remembers neurologists asking how than most of how well the program is executed, with a patient who was unable to walk could engage in upbeat staff members who motivate participants. cardiovascular training. “There are people of all ages working hard here. “We are rehabilitation specialists and we do this They are not quitting. I am very impressed with the type of work all the time. Our expertise is to use attitude of Amy (Novak, physical therapy assistant), modifications when needed to help improve function. and all the staff. If someone who had a stroke told This program is more than just sitting someone on an me, ‘No, I can’t do something like this,’ I would say, exercise machine. We developed a specific protocol ‘Yes, you can.’”JFK

JFKJohnson.org JFK Johnson Rehabilitation Institute 7 to help participants progress safely and improve their cardiac functioning,” Dr. Fleming says. Dr. Cuccurullo says referring physicians, both cardiologists and neurologists, strongly support the JFK Johnson Stroke Recovery Program. “Physicians say this makes sense. They are frustrated seeing patients experience a stroke while no one addresses preventing future strokes. These physicians say that the Stroke Recovery Program is an exciting, proactive approach to improve stroke survivors’ quality of life, while also focusing on reducing future neurologic events and improving overall REGAINING STRENGTH cardiovascular health.” AND CONFIDENCE >> LIVES CHANGED In the rehabilitation outpatient gym, the medical staff regularly check the blood pressure and heart CLAUDETTE EXANTUS of Sayreville, 26, was a rates of the stroke patients on cross-training student at Seton Hall University when she abruptly recumbent bikes, some of which were donated to fell to the ground and could not speak. She felt JFK Johnson by NuStepTM. The riders push and pull extreme weakness on the right side of her body. She hand bars for a low-impact, full-body workout. Some remembers being terrified and feeling helpless, but people who have come in wheelchairs leave with she was still able to use her fingerprint to open her significant functional gains after the 36 sessions. cell phone and call her sister. “It’s possible for people to do cardiovascular Exantus, who has Lupus, experienced a stroke in conditioning even if they have arm and leg weakness the spring semester of her junior year. Lupus can or they can’t walk on their own,” says Arlen Razon increase risk of stroke. After the stroke, Exantus spent Ray, PT, Director of Outpatient Physical and two weeks of inpatient recovery at JFK Johnson Occupational Therapy at JFK Johnson and member Rehabilitation Institute and now participates in the of the Steering Committee. “Some people were not TM JFK Johnson Stroke-HEART Trials. “I was so weak used to exercising even before their stroke. We help after the stroke,” she said. She went through speech, people get motivated. We can see an improvement occupational, and physical therapy as part of her in their cardiac function as they progress through the stroke recovery. program.” She believes the addition of the cardio training has As the data began to roll in, Dr. Cuccurullo and Dr. helped her build back the strength in her legs as well Fleming expected positive results. But even they were as her confidence. stunned by the preliminary numbers: zero deaths in the “Every time I come here, I feel better,” she said. participant group and 46 deaths in the nonparticipant “Everyone is so supportive. They push you to go group for the first 20 months of the study. farther than you think you can go. But they also make When reverse matching was utilized to ensure you feel comfortable in this wonderful and friendly that patients similar in age, type of stroke and co- place.” The counselors are helping her chart a new morbidities were compared, the results continued way forward with a plan that includes stress reduction to be clinically significant — showing close to 20 and yoga. deaths in the nonparticipant group and zero in the She’s back to work as a bank teller and planning participant group. The data were so striking that the to return to college. She’s so impressed with JFK Medical Center IRB, which oversees the ethics JFK Johnson that she’s considering a career in of all research studies done within JFK Health, called rehabilitation. to ask what was happening with the nonparticipant group. But Dr. Cuccurullo and Dr. Fleming “I will definitely keep up the cardiovascular work,” informed the IRB that the number of deaths in the Exantus said. “I am working on my balance, strength nonparticipant group is typical under the standard of and core. They really put you on track to keep going care for stroke patients around the nation. even when you’re done here.”JFK

8 JFK Johnson Rehabilitation Institute JFKJohnson.org The data stood out for the lack of deaths among participants in the JFK Johnson Stroke Recovery Program. The research is ongoing and data will continue to be analyzed in this Multi-Center IRB-approved study looking at multiple outcome measures. The Stroke Recovery Program Stroke-HEARTTM Trials are also analyzing readmissions, recurrence of new strokes, overall function and cardiovascular function.

>> NEXT STEPS The program has been presented at multiple national meetings, including the American Heart Association/ MOTIVATED TO American Stroke Association in Anaheim, California, where cardiologists, emergency medical physicians MOVE FORWARD and internists were deeply interested. In addition, Drs. Cuccurullo and Fleming also have presented the preliminary Stroke-HEARTTM Trials data at the annual conference of the AAPM&R (American Academy MARY LOGAN remembers suddenly veering to the of Physical Medicine and Rehabilitation) and at the right as she walked. Yet she continued on, even annual conference of the Northeast Cerebrovascular going to work at her job as a waitress. After the Consortium (NECC), which is attended by stroke 59-year-old Middlesex woman returned home, she neurologists and other professionals. Outcomes also remembers, her “hand went dead, then the entire have been submitted for peer-reviewed publication. arm.” In retrospect, she recognizes that even earlier she had felt symptoms that she ignored. The initial outcomes of the Stroke-HEARTTM Trials have also been submitted for peer-reviewed As her symptoms continued to worsen, she went to publication. the hospital, where a stroke was confirmed. Logan completed inpatient rehabilitation at JFK Johnson Rehabilitation Institute, but instead of returning home “At NECC, there was a hush in the room with just a few sessions of occupational or physical when the numbers were announced ... it is therapy she joined the Stroke-HEARTTM Trials. such a rewarding experience to see patients go “The traditional therapy, the occupational therapy through the program and get such amazing and the physical therapy was helpful,” she said. “But results.” - Rosann Scarpati, RN, this program and the cardio is really helping me as Director of Admissions/Client Services well. I think when you have a stroke you feel tired and you’re not moving. You want to get better but you don’t know what to do to get better. Here, they give As the study is shared, rehabilitation centers have you motivation. They give you a plan.” expressed interest in offering the program. But centers are reluctant to take on the challenge without Most of all, she said, the JFK Johnson Stroke a source of funding. Study leaders say Medicare Recovery Program gives her confidence, even as she and other insurers would change their policies and struggles with residual symptoms from her stroke, funding only when evidence-based data show the such as walking with a slight limp. Now Logan is value of change. back at work, has lost weight, and is committed to watching her blood pressure. After her time on the “That’s why this research is so important,” says Anne cross-training recumbent bike, she’s ready to get on Eckert, AuD, MBA, CCC/A, Administrative Director her own traditional bike at home. “I haven’t ridden of Rehabilitation and a member of the Steering my bike in years, but now I’m motivated to start Committee. “From the beginning, our aim was to riding again.” make a difference for our patients as well as for stroke patients beyond our own institute.” She believes the program should be available for every person who has experienced a stroke. “I am For information about the Stroke Recovery Program, thankful that I am able to be part of this,” she said. JFK visit JFKJohnson.org. JFK

JFKJohnson.org JFK Johnson Rehabilitation Institute 9 Maria Belen Montealegre, OTL, CSRS, with Montgomery J. Weaver

ADVANCING WHAT’S POSSIBLE JFK Johnson Using New Assessment Tool to Measure Journey to Recovery

Montgomery J. Weaver places his right hand on a activity and applied cognitive performance. The cane while he reaches for a box of corn flakes on tool is administered when the patient is admitted to the top cabinet shelf. He pulls the box down to the inpatient rehabilitation, upon discharge and then, counter. It’s a small task, but nonetheless a victory for patients who engage in outpatient therapies, in for Weaver. regular intervals during outpatient treatment and “I’m getting stronger every day,” said the 68-year- beyond — for a full year. old Union Beach man. “I can move my hand to The Activity Measure for Post Acute Care (AM- touch my face now. And in the kitchen here I’m PACTM) assesses patients in the acute hospital, putting stuff away. I am realizing what I can do and the inpatient rehabilitation hospital, subacute what I can’t do.” rehabilitation, a nursing home, outpatient Just two weeks after he suffered a stroke, Weaver is rehabilitation or at home. Caregivers as well as relearning real-world skills in a simulated town with patients can answer the questions, which include: sidewalks, an apartment and a grocery store at JFK How much difficulty do you have walking around Johnson Rehabilitation Institute. With therapists at inside a building? Climbing a flight of stairs? Tying his side, Weaver pours coffee, steps over curbs and your shoes? Remembering a list of four or five fills a shopping cart. errands? Moving from bed to chair? To gauge his journey toward recovery, JFK Johnson The AM-PACTM, a Medicare-approved tool created Rehabilitation Institute uses an assessment tool by Boston University, provides a unique perspective that measures three areas: basic mobility, daily on the recovery journey.

10 JFK Johnson Rehabilitation Institute JFKJohnson.org “We follow our patients through the continuum of care — from acute care to inpatient rehabilitation and then after they return home. We work to give each of our patients the best recovery possible.” — Dr. Christine Greiss

Christine Greiss, DO, Director of Inpatient Stroke Rehabilitation Services

different clinicians. The Montealegre worked with Weaver measure is valuable to research in JFK Johnson’s simulated town, being done at JFK Johnson called Independence Square. The through the federally funded focus is on improving function Traumatic Brain Injury Model and confidence so patients can Systems (TBIMS) research, as return home. well as the institute’s Stroke- “Research over the years has HEARTTM Trials, which study shown us that therapy with a comprehensive program functional meaning to the that includes cardiovascular patient works best,” said Gina conditioning. Dubuisson, PT, CSRS. “If you Janice Dibling, MS, CCC/SLP with JFK Johnson places a unique want the patient to learn how Linton Marks of Scotch Plains focus on the cardiovascular to get out of bed and to get up health of stroke patients. the stairs, then it helps to have a “The AM-PACTM allows us to setting that re-creates what they assess our patients throughout “We feel it’s in the best interest of will be doing when they return the continuum of care — from your care to have a cardiologist home.” inpatient to outpatient and to evaluate you after a stroke,” said our patients’ lives back in the Christa Reineke, PT, MA, Director At JFK Johnson, certified and community,” said Janice Dibling, of Rehabilitation Services. “That highly experienced speech, MS, CCC/SLP, Manager of gives you the best chance for a occupational and physical Acute & Rehabilitation Inpatient good recovery if we can treat any therapists help patients achieve Speech-Language Pathology. underlying cardiovascular issues.” the best outcomes possible. To Weaver, the outcome that matters Dibling, who is certified in Many AM-PACTM questions focus most is regaining function to clinical competence for speech- on activities of daily living. To return home. language pathology, works to help patients, JFK Johnson has help stroke patients improve long followed evidence-based “The therapists here are really their speech and cognition. She research that shows the value helping me,” said Weaver, a also provides therapy to help of therapy that mimics the real husband, father and grandfather. those who can’t swallow properly world. “Stroke, it’s hard. The hardest as a result of stroke or other part is losing your independence. “We’re building more neural neurologic injury. I used to do things around the pathways than exercise alone and TM house. Get up on the ladder AM-PAC is not the only getting better results,” said Maria outside. There was a sense of assessment tool used at JFK Belen Montealegre, OTL, CSRS accomplishment. The people Johnson, but the measure (Certified Stroke Rehabilitation here are great and are helping provides valuable benchmarking Specialist). “Working in these me get back to where I was.” across different practice sites real-world settings is something JFK and networks and among that makes sense to the brain.”

JFKJohnson.org JFK Johnson Rehabilitation Institute 11 TRACY MORGAN PRESENTS 2ND ANNUAL NURSING AWARD Comedian Continues to Highlight Vital Role of Rehabilitation Nurses

Actor and comedian Tracy Morgan, in an emotional levels of skill and compassion in rehabilitation gathering, presented the 2017 “Tracy Morgan nursing. Award for Excellence in Rehabilitation Nursing” to Morgan, at times verging on tears and hugging the JFK Johnson Rehabilitation Institute nurse Juan G. nurses and rehabilitation specialists, talked about Ramirez, CRRN. how the 2014 accident on the New Jersey Turnpike Ramirez, of Union, is the second recipient of and his recovery at JFK Johnson Center for Brain the award, which is presented annually to a Injuries changed him. JFK Johnson nurse who exhibits the highest “Today, I am a better man,” he said. “I’m doing it right this time.” Morgan’s recovery and his return to comedy and “I love you all. You gave me my life acting has inspired patients around the country — back. The hardest part of my recovery and those traveling with the comedian on tour said was the rehabilitation. But you were all people recovering from brain injuries often come to his shows. Morgan often meets with them. with me. You all took care of me. You Morgan was asked about being an inspiration to never gave up on me.” others. “If I’m an inspiration to someone else, I’m fine with that. I’m cool with that. But I’m just a brick

12 JFK Johnson Rehabilitation Institute JFKJohnson.org in the wall. Together, with you all, we build the wall. We need to do it together,” he said. Many of the nurses, including some involved with Morgan’s recovery, said watching the comedian reclaim his talent during his hilarious, no-holds- barred comedy highlights the value of their work to help all patients with traumatic brain injury. In his show, Morgan’s hilarious performance included riffs on his coma that also touched on everything from his grandmother singing spirituals to shopping at Walmart to the Tracy Morgan, Dr. Brian Greenwald, Kardashians. Dr. Sara Cuccurullo, Juan G. Ramirez Ramirez said he was honored Institute, called Ramirez a opposite Tina Fey and Alec to have Morgan hand him the dedicated professional. “Juan Baldwin as “Tracy Jordan,” the award. demonstrates the best of what unpredictable star of a hit variety “When you help patients recover a rehabilitation nurse should show. He also was a cast member from brain injury, you truly are be. He’s highly skilled and for seven seasons on “Saturday helping them get their lives knows that helping patients Night Live.” back,” Ramirez said. “When they also means supporting their Rehabilitation nurses possess come back to visit three months, families. We are so thankful to the specialized knowledge and six months later, and you see Tracy Morgan for once again clinical skills to help patients with them walking and talking and presenting this award to one of a range of injuries and conditions doing well there’s no better our nurses and shining a light on reach their maximum level of feeling. It’s so rewarding.” the work of rehabilitation nurses function. Rehabilitation nurses everywhere,” Dr. Cuccurullo said. Ramirez, of Union, graduated design and implement strategies from JFK Muhlenberg Harold B. After Morgan’s recovery, the that are based on scientific and Dorothy A. Snyder School comedian generously and nursing theory to promote of Nursing in Plainfield. After publicly thanked JFK Johnson physical, psychological, social, working at the JFK Johnson nurses, physical therapists and and spiritual health. Center for Brain Injuries for more other members of his team For more than 40 years, the non- than five years, he said he has as well as his physician, Brian profit JFK Johnson has provided learned that a rehabilitation Greenwald, M.D., who is medical specialized rehabilitation services nurse needs two qualities: director of the JFK Johnson to children and adults. The patience and empathy. Center for Brain Injuries. institute has 94 inpatient beds Morgan said he has forgiven the “Tracy’s amazing recovery gives and provides a range of highly driver of the truck that hit him. hope to many of my other specialized services, such as “I don’t want to meet him. But patients,” Dr. Greenwald said. stroke, cardiac, orthopedic and if I did not forgive him, I would “And to see him clearly in brain injury rehabilitation. Many not be able to be on this stage command of his talent is just of the institute’s physicians and doing comedy. I would be a great.” researchers are widely published bitter old man,” he said. and involved in creating new Morgan starred for seven techniques and interventions to Sara Cuccurullo, MD, vice seasons on NBC’s Emmy and advance the field of rehabilitative president and medical director Golden Globe Award-winning medicine. JFK of JFK Johnson Rehabilitation “30 Rock.” Morgan appeared

JFKJohnson.org JFK Johnson Rehabilitation Institute 13 NEW CENTER FOR CARDIAC AND PULMONARY REHABILITATION OPENS

Will speed recovery and extend lives

JFK Johnson Rehabilitation Institute has expanded and renovated its Center for Cardiac and Pulmonary Rehabilitation to speed recovery and extend the lives of people with heart and lung disease. The center provides highly specialized, closely monitored exercise programs as well as nutritional counseling, stress management and behavioral modification. registered dietitians, rehabilitation psychologists, For post-cardiac stent patients, for instance, studies registered nurses and other experts who monitor have shown the chance of dying decreases 45 and guide each patient, including some who may percent among those who complete a cardiac have thought they were too ill to exercise at all. rehabilitation program. Some patients come to the center in wheelchairs The center includes state-of-the-art exercise and need to use oxygen. Many improve equipment, such as recumbent bicycles, and substantially and no longer need their wheelchairs upgrades that allow patients to easily remain on as they gain strength and balance and confidence oxygen while they exercise. during the 36-session program, which is covered by Medicare and most insurance plans. “Every day one of my patients comes to me and tells me how great the rehabilitation program is,“ Raymond Fredericks, President & CEO, JFK said Dr. Aaron Feingold, Chief of Cardiology at Health, mentioned his father went through the JFK Health, at the dedication of the new center in program and expressed to him how deeply the staff June. “Our patients are recovering faster and living members care for their patients. longer and feeling better. It really does save lives and is part of our cardiac continuum of care here at “This is a beautiful new space,“ he told staff JFK Health.” members at a gathering to mark the opening of the renovated center. “Every time I walk in here and talk Staff members include exercise physiologists, to a patient they tell me how grateful they are. You

14 JFK Johnson Rehabilitation Institute JFKJohnson.org are truly extending the lives and improving the quality of life for your patients,” he said. JFK JOHNSON RESIDENCY Some patients who have a cardiac procedure, such PROGRAM RECEIVES as stenting or angioplasty, may think the intervention alone will end their problems. But most people also need to improve their overall health to reduce the risk FIVE-STAR of a recurrence, explained Christa Reineke, Director of Rehabilitation Services at JFK Johnson. “You may think if you had a heart blockage a stent will fix RATING everything. But all the things that caused the blockage The JFK Johnson residency program continues in the first place may still be there if you don’t make to receive the highest marks. changes,” she explained. “What we do here is very specialized to help patients in their recovery. We’re not The rehabilitation institute has once again just talking about putting someone on a treadmill.” received Five Stars — the highest rating — for its Physical Medicine & Rehabilitation Residency The center helps people with a range of cardiac issues, Program from Doximity, the leading network for such as heart attack, coronary artery disease, a bypass American physicians. graft, heart valve replacement, heart transplant, stable angina and congestive heart failure. The pulmonary The rating comes from Doximity’s Residency program helps patients with problems such as COPD, Navigator, which provides information about bronchiectasis, sarcoidosis, pulmonary hypertension, residency programs to medical school pulmonary fibrosis, interstitial lung disease, lung graduates. cancer, lung volume reduction and pre- and post- lung More than 52,000 physicians have contributed transplant. nominations, ratings, and hand-written reviews. Saleem Husain, MD, a cardiologist, said what Residency Navigator combined their feedback happens after a patient leaves the hospital is key. with objective data on residency programs “The rehabilitation center helps people take care of across 27 specialties. Residency Navigator also themselves, and teaches them about their disease and uses “alumni outcomes” analysis from analyzing how they can make themselves feel better. It’s important the CVs and career paths of all U.S. physicians. that a few weeks after a procedure our patients are being The Physical Medicine and Rehabilitation closely watched,” Dr. Husain said. (PM&R) Residency Program is a joint program One patient, Samantha Taylor, of Plainfield, gave an with JFK Johnson Rehabilitation Institute and emotional description of how JFK Health and the Rutgers Robert Wood Johnson Medical School. rehabilitation center “saved my life.” The three-time More than 200 residents have completed the cancer survivor suffered double pneumonia and fluid program since it began more than 30 years ago. around her heart and was so sick she wrote a good- Each year more than 500 medical students apply bye letter to her nine-year-old daughter while in the for four spots in the program. ambulance on the way to the hospital. The residency has vibrant and engaged alumni, “I thought that was it for me,” she said. Today, vibrant including many who now work as medical and energetic, Taylor said the rehabilitation that followed directors and residency directors in hospitals her three-week hospital stay has renewed her physically and rehabilitation institutes across the nation. and emotionally. The residency program is fully accredited by “The days were very, very hard. But being here with all the Accreditation Council for Graduate Medical of you made me want to keep going,” she said at the Education. opening. “The new space is beautiful and all of you The Physical Medicine and Rehabilitation made it so easy for me to get better. It was so effortless!” Board Review Textbook (Demos Publishing), As her 11-year-old daughter, Sophia, with tears in her widely used by doctors taking their boards eyes, sat in the front row, Taylor continued: “You took in the specialty, was created at JFK Johnson such good care of me. I love you all from the bottom of Rehabilitation Institute, and Sara Cuccurullo, my heart and thank you for giving me more time with MD, Medical Director of JFK Johnson, is editor- in-chief. JFK my family.” JFK

JFKJohnson.org JFK Johnson Rehabilitation Institute 15 JFK JOHNSON NAMED ONE OF 16 PRESTIGIOUS “MODEL SYSTEMS” SITES

The grants are awarded to institutes that are national leaders in brain injury care and research and come from the National Institute on Disability, Independent Living, & Rehabilitation Research within HHS’s Administration For Community Living. The grants can focus on innovative projects and also support research to evaluate and develop therapies and interventions. “At JFK Johnson, we’re committed to advancing what’s possible for our patients with brain injury,” said Sara Cuccurullo, MD, Vice President and Medical Director of JFK Johnson. “We are so proud to once again be awarded this grant to help us research the most innovative and effective ways to help not just our patients but all patients with brain injuries.” Dr. Sara Cuccurullo, U.S. Rep. Pascrell, U.S. Rep. Pallone, Dr. Brian Greenwald This is the third time JFK Johnson has been designated a Model Systems site. Designations Go to Leaders in “With so many New Jersey families dealing with Brain Injury Care and Research traumatic brain injury, it is critical that we fund the The U.S. Department of Health and Human Services research to develop the best treatments possible,” has named JFK Johnson Rehabilitation Institute said U.S. Rep. Pallone. “The JFK Johnson Center for one of just 16 Traumatic Brain Injury Model Systems Brain Injuries is a leader in brain trauma evaluation (TBIMS) sites in the nation, a designation that and treatment, and I am confident that its work will includes a $2.1 million grant to conduct brain injury make a difference in the lives of so many facing this research over the next five years. challenge.” The designation prompted Congressman Frank Brian Greenwald, MD, Director of the Center for Pallone, Jr., Ranking Member of the House Energy Brain Injury at JFK Johnson, said brain injury affects and Commerce Committee, and Congressman Bill the entire body. “Your memory, your hearing, your Pascrell, Jr., Co-Chair of the Congressional Brain ability to think — even swallow. Everything can be Injury Task Force, to visit the institute recently to affected. We aim to get you better from head to toe. recognize the achievement. This grant will support research into the best ways to help our patients,” he said. Rep. Pascrell said he works to ensure funding of the program because he understands the need for Keith D. Cicerone, Ph.D., Director of continued research to help people with traumatic Neuropsychology and Rehabilitation Psychology at brain injuries. the JFK Johnson and JFK Neuroscience Institute, will serve as project director and lead researcher “I’m especially excited that JFK Johnson is the related to the grant along with Dr. Greenwald and recipient of a Model Systems grant,” Pascrell said. Yelena Goldin, Ph.D., a neuropsychologist in the JFK “I won’t stop fighting for important resources for Johnson Cognitive Rehabilitation Department. individuals with traumatic brain injury. They need supports, services, and quality health care, so you Model Systems are networks of hospitals and won’t see me letting up.” institutes across the nation that focus on improving Patients at Model Systems sites can participate in recovery of patients with one of three types of cutting-edge research projects and benefit from a injuries: burns, spinal cord injury, or traumatic brain higher level of resources. injury. The Model Systems are federally funded. JFK

16 JFK Johnson Rehabilitation Institute JFKJohnson.org Together We’re ADVANCING WHAT’S POSSIBLE ...

in STROKE RECOVERY ...

at JFK JOHNSON JFKJohnson.org JFK Johnson Rehabilitation Institute 17 HIGHLIGHTS OF OUR SCHOLARLY ACTIVITIES

A. CURRENT RESEARCH IN PROGRESS B. TEXTBOOKS MD, Brown, David, DO, Cuccurullo, Sara, MD, “Electrodiagnostic Monitoring of Traumatic 1. 1. , Editor-In-Chief, (2004) JFK Johnson Rehabilitation Institute Cuccurullo, Sara, MD Posterior Cord Brachial Plexopathy with Physical Medicine and Rehabilitation Board Awarded Traumatic Brain Injury Model System Reinnervation and Recovery” Association of , TBIMS Program sponsored by the Review, First Edition, Textbook 848 pages, (TBIMS) Academic Physiatrists National Meeting, Las National Institute on Disability, Independent Demos Publishing, N.Y., N.Y. Vegas NV, February 2017 Living, and Rehabilitation Research, 2. , Editor in Chief, (2010) Administration for Community Living, US Cuccurullo, Sara, MD 6. Physical Medicine and Rehabilitation Board Esterov, Dmitry, DO, Greenwald, Brian, MD, Department of Health and Human Services, , “Acute Rehabilitation Review, Second Edition, 938 pages, Demos Cuccurullo, Sara, MD supports innovative projects and research in of Spontaneous Carotid and Bilateral Vertebral Publishing, N.Y., N.Y. the delivery, demonstration, and evaluation Artery Dissections in an Adult with Williams of medical, rehabilitation, vocational, and 3. Cuccurullo, Sara, MD, Editor-In-Chief, (2014) Syndrome” Association of Academic Physiatrists other services designed to meet the needs Physical Medicine and Rehabilitation Board National Meeting, Las Vegas NV, February 2017 of individuals with traumatic brain injury. Review, Third Edition, 953 pages, Demos 7. Greenwald, Brian, MD, Lin, Matthew, September 2017 – 2022 (5 year grant) Publishing, N.Y., N.Y. MD, “Acute Rehabilitation of Posthypoxic 2. JFK Johnson Rehabilitation Institute Leukoencephalopathy” Association of Academic Awarded Traumatic Brain Injury Model System C. PEER REVIEWED PUBLICATIONS Physiatrists National Meeting, Las Vegas NV, , Approved project for the TBI Models February 2017 (TBIMS) 1. Esterov, Dmitry, DO, Greenwald, Brian, MD, System: The Traumatic Brain Injury Model Autonomic Dysfunction after Mild Traumatic Brain 8. Greenwald, Brian, MD, “Observational Study of System National Data Base. Injury, Brain Sci. 2017, August 7(8), 100; dol:10.3390/ Autonomic Dysfunction and HRV after Traumatic 3. JFK Johnson Rehabilitation Institute brainsci7080100 Brain In Neurorehabilitation” International Brain Injury Association Meeting, April 1, 2017 Awarded Traumatic Brain Injury Model 2. Cicerone, Keith, PhD, Computerized Cognitive System (TBIMS), IRB Approved Project for Rehabilitation of Attention Executive Function in 9. Wong, Joseph, MD, “West Nile Virus the TBI Model System: Accurate and Efficient Acquired Brain Injury: A Systematic Review, Journal Encephalitis in an Immunosuppressed Patient Outcomes Assessment of Activity Limitations in Head Trauma Rehabilitation, In Press, October 2015 who Presents to Rehabilitation: A Case Report”, All Persons with Traumatic Brain Injury Across American Academy of Physical Medicine and All Post-Acute Settings. 3. Cicerone, Keith, PhD, Computerized Cognitive Rehabilitation Annual Assembly, Denver CO, Rehabilitation of Attention and Executive Function October 2017 4. Greenwald, Brian, MD, Attended Primary in Acquired Brain Injury: A Systematic Review, Investigator Meeting for Avanir AVP 786 Journal Head Trauma Rehabilitation, 2015 (In Press) 10. Han, Jane, MD, Wong, Joseph, MD, Jafri, Pharmaceutical Clinical Trial Grant, Los Iqbal, MD, “Recurrent Transverse Myelitis with Angeles, CA, October 2017 4. Cicerone, Keith, PhD, Comments on Defining Underlying Neuromyelitis Optica Triggered the Targets, Mechanisms, Active Ingredients of by West Nile Virus Infection: A Case Report”, 5. Bartone, Dana, Dibling, Janice, SLP, Rehabilitation, Rehabilitation Psychology, 2015; 60: Accepted- American Academy of Physical Cuccurullo, Sara, MD, Fleming, Talya, MD, 136-137 Eckert, Anne, AuD, MBA, CCC/A, JFK Medical Medicine and Rehabilitation Annual Assembly, Center IRB Approval obtained, Ongoing 5. Rossi, Roger, DO, Multidisciplinary Intensive Denver CO, October 2017 Research Project – “Functional Outcomes Rehabilitation Treatment Improves Sleep Quality in of Speech Language Pathology Intervention Parkinson’s Disease, Journal of Clinical Movement as part of a Comprehensive Post-Stroke Disorders, April 2015; pp. 2:11 E. BOOK CHAPTERS Program”, October 2017 1. 6. Rossi, Roger, DO, Dilated Cardiomyopathy in Greenwald, Brian, MD, Parikh, Sagar, , 6. DMD: Atypical Presentation as Gastrointestinal MD, Ferris, Julie, MD, Ra, Michael, MD Cuccurullo, Sara, MD, Bagay, Leslie, Comprehensive Pain Management in the IRB Approved “Physical Medicine and Symptoms, 2015; 15(5) pp. 226-228 MD, Rehabilitation Patient, Chapter Authors, Rehabilitation Evaluation Project: Development “Cervicogenic Headache” Carayannopolous of standardized rotation specific resident D. ABSTRACTS A., editor, Springer Publishing, 2017, Pgs. evaluation forms that incorporate the PM&R 267-286 Milestones”, October 2016-2017 1. Wright, ShaEssa, DO, Perez, Nicolas, MD, Lin, Lei, MD, Cuccurullo, Sara, MD, “The Clinical 2. 7. Ongoing Research, Parikh, Sagar, MD, Delavaux, Laurent, MD, Rossi, Roger, DO, and Cost Effectiveness of Plastic vs. Metal , Comprehensive Pain Exercise and rTMS (repetitive transcranial Cuccurullo, Sara, MD Tracheostomy Tubes in the Brain Trauma Unit” Management in the Rehabilitation Patient, First magnetic stimulation) in Parkinson’s Association of Academic Physiatrists National Edition, Chapter Author, Alternative Medicine, Disease-p20 study in collaboration with New Meeting, Las Vegas NV, February 2017 Abdominal Wall Pain, Springer Publishing, York University (NYU) Langone Medical Center N.Y., N. Y. and the Parkinson’s Disease and Movement 2. Lin, Matthew, MD, Weiss, Kyle, DO, Luke, Disorders Center, January 2016 Ofure, MD, Van Dien, Craig, MD, Greiss, 3. Rossi, Roger, DO, Fleming, Talya, MD, Urs, Christine, DO, Fleming, Talya, MD, Cuccurullo, , Geriatric 8. Krishna, MD, Cuccurullo, Sara, MD Cuccurullo, Sara, MD, Fleming, Talya, MD, Sara, MD, “Effects of Cardiovascular Interval Rehabilitation from Bedside to Curbside: Greiss, Christine, MD, Eckert, Anne, AuD, Training on Functional Outcomes in Stroke Osteoporosis in the Elderly Adult, CRC Press, 2017 MBA, CCC/A, Dunn Anna, MD, Rutgers- Patients” Association of Academic Physiatrists Robert Wood Johnson Medical School and National Meeting, Las Vegas NV, February 2017 4. Greenwald, Brian, MD, Greiss, Christine, JFK Medical Center IRB Approval Obtained DO, Initial Rehabilitation Interventions in the Ongoing Research Project – “Stroke Recovery 3. Van Dien, Craig, MD, Delavaux, Laurent, MD, Acute Hospital Setting and Transitioning to Program – Outcomes Trial and Functional Cuccurullo, Sara, MD, “The Effects of Video the Next Level of Care, Zollman, FE, Editor, Outcomes Trial”, Multi-Center Collaborative Monitoring on Fall Rate Reduction in Acute Manual of Traumatic Brain Injury: Assessment Initiative, JFK Johnson Rehabilitation Institute, Inpatient Rehabilitation: Worth a Second Look?” and Management, Second Edition, New York; Rutgers-Robert Wood Johnson Medical Association of Academic Physiatrists National Demos Medical Publishing, 2016, pp. 221-227 School, January 2016-2017 Meeting, Las Vegas NV, February 2017 5. Greenwald, Brian, MD, Nori, Phalgun, MD, 9. Escaldi, Steven, DO, Research Project 4. Takyi, Selorm, MD, Greiss, Christine, DO, Disorders of Consciousness, Zollman, FS Editor, with Rutgers Bioengineering Department in Malik, Adeel, BA; Acknowledgements- Manual of Traumatic Brain Injury: Assessment conjunction with JFK Johnson Spasticity Clinic, Cuccurullo, Sara, MD & Barsky, Aaron, and Management, Second Edition, New York; January 2016 MD,“Identifying Subclavian Stenosis in Brain Demos Publishing, 2016, pp. 221-227 Tumor Patients Undergoing Acute Rehabilitation” 10. Brown, David, DO, Ongoing Phrenic Nerve Association of Academic Physiatrists National 6. Brown, David, DO, Cuccurullo, Sara, MD, EMG Study Pre and Post EMG findings after Meeting, Las Vegas NV, February 2017 Williams, Krystal, MD, 2015 Current Diagnosis Pacer Implant, January 2016-2017 and Treatment in Physical Medicine and 5. Singh, Adeepa, MD, Delavaux, Laurent, Rehabilitation, Third Edition, Chapter Authors;

18 JFK Johnson Rehabilitation Institute JFKJohnson.org Myopathy, McGraw Hill Publishing, N.Y., N.Y. 11. Joki, Jacklyn, MD, “Physical Therapy and Assembly, Denver CO, October 2017 Occupational Therapy”, St. Peter’s University 7. 27. , “Where O’ Where is Rossi, Roger, DO, Cuccurullo, Sara, MD, Hospital, New Brunswick NJ, March 28, 2017 Levine, Jaime, DO Balagatas, Dean, DO, 2015, Current Diagnosis and the Inpatient TBI Care?”, American Academy Treatment in Physical Medicine and Rehabilitation, 12. Uustal, Heikki, MD, PM&R Review Course of Physical Medicine and Rehabilitation Annual Third Edition, Chapter Authors; Neurorehabilitation, “Orthotics” NYU Medical Center, New York NY, Assembly, Denver CO, October 2017 McGraw Hill Publishing, N.Y., N.Y. Match 2017 28. Quevedo, Jonathan, MD, “Appropriate 8. Quevedo, Jonathan, MD, Cuccurullo, 13. Uustal, Heikki, MD, Annual Review Course Rehabilitation Setting for Stroke Patients”, Sara, MD, Smith, Jason, MD, 2015 Current in PM&R, “Normal Gait and Prosthetic Gait South Ocean Medical Center, Manahawkin NJ, Diagnosis and Treatment in Physical Medicine Deviations”, “Lower Limb Orthotics”, “Lower October 2017 and Rehabilitation, First Edition, Chapter Limb Prosthetics”, “Upper Limb Prosthetics”, Authors; Neurogenic Bowel and Bladder, “Pediatric Limb Deficiency and Prosthetics” Baylor INTERNATIONAL McGraw Hill Publishing, N.Y., N.Y. College of Medicine, Houston TX, March 2017 1. Cuccurullo, Sara, MD, Greenwald, Brian, MD, 9. McElroy, Kevin, DO, Cuccurullo, Sara, 14. Greenwald, Brian, MD, “Controversies and Malone, Richard, DO, Greiss, Christine, DO, MD, Innerfield, Caitlin, MD, 2015 Current Changes in Our Understanding of Disorders of Hosted Israeli Delegation of Medical Aspects Diagonsis and Treatment in Physical Medicine Consciousness” Burke Rehabilitation Hospital, of a Rehabilitation Institute; part of a National and Rehabilitation, First Edition, Chapter White Plains NY, March 2017 Rehabilitation Tour – Brain Injury Medicine and Authors; Total Joint Replacement, McGraw Hill Cardiac Rehabilitation and Stroke, JFK Johnson 15. , Grand Rounds Publishing, N.Y., N.Y. Cuccurullo, Sara, MD Rehabilitation Institute, Edison NJ, July 2017 Lecture: “Outpatient Stroke Recovery Program 10. Greenwald, Brian, MD, Park, MJ, Disorders of Utilizing Interval Cardio Vascular Training”, Burke 2. Jafri, Iqbal, MD, Rehabilitation Medical Consciousness, In: Cifu DX and Eapen BC Editors, Rehabilitation Hospital, White Plains NY, April Conference/Medical Mission – Topics Covered: Traumatic Brain Injury Rehabilitation Medicine. 12, 2017 Pain Management/Stroke/Regenerative Medicine; London: Future Medicine Ltd; 2015 P 205-220 Conducted Workshop on Joint Injection, 16. , Grand Rounds Lecture: Cuccurullo, Sara, MD Karbala and Najaf al Ashraf, Iraq-Sponsored by “Outpatient Stroke Recovery Program Utilizing Alkafeel Hospital Iraq and Montefiore Hospital/ Interval Cardio Vascular Training”, Mt. Sinai F. NATIONAL AND INTERNATIONAL Albert Einstein Medical College/Imamia Medics Medical Center, NY NY, April 25, 2017 PRESENTATIONS International in a consultative status with the UN. NATIONAL: 17. Greenwald, Brian, MD, Lecture on August 11-17, 2016 “Autonomic Dysfunction After Traumatic Brain 1. , “Comprehensive 3. , Lecture and Workshop, 2nd Cuccurullo, Sara, MD Injury”, Brain Injury Alliance of NJ Annual Jafri, Iqbal, MD Outpatient Stroke Recovery Program Utilizing National Neuro Rehabilitation Conference at Dow Seminar, May 18, 2017 Cardiovascular Conditioning” Kessler Institute for University of Health Science, Karachi, Pakistan, Rehabilitation, West Orange NJ, February 3, 2017 18. Uustal, Heikki, MD, Prosthetics and Orthotics January 9, 2016 Course for Physicians and Surgeons “Clinical 2. , Residency Fellowship 4. , Lecture and Panelist for Stroke Cuccurullo, Sara, MD Evaluation of the Adult Upper Extremity Jafri, Iqbal, MD Program Directors Council, President Overview Related Topics and Impact of Disability in Third Amputee”, NYU-Langone Medical Center, NY and Business Meeting, Association of Academic World Countries, particularly in Pakistan, Karachi, NY, May 3-4, 2017 Physiatrists National Meeting; Las Vegas NV, Pakistan, January 9, 2016 February 2017 19. , “Physiatric Approach to Uustal, Heikki, MD 5. , Visit to Institute of Patients with Lower Limb Amputation”, NYU- Jafri, Iqbal, MD 3. , Residency Fellowship Rehabilitation Medicine at Dow University of Cuccurullo, Sara, MD Langone Medical Center, NY NY, May 2017 Program Directors Workshop, Overview of Health Sciences, invited guest by Vice Chancellor Program Evaluation Committee on Clinical 20. Joki, Jaclyn, MD, “Stroke Rehabilitation and and Director of Rehabilitation at Dow University of Competency Committee Requirements for Recovery”, St. Peter’s University Hospital, New Health Sciences, Karachi, Pakistan, January, 9, 2016 Program Directors, Association of Academic Brunswick NJ, September 2017 6. Jafri, Iqbal, MD, Key Note Speaker “Stroke Physiatrists National Meeting; Las Vegas NV, 21. Cuccurullo, Sara, MD, Fleming, Talya, Related Disability and Rehab Recovery” 2nd February 2017 MD, JFK 2nd Annual NJ Collaborative Stroke National Neuro-Rehab Conference, Dow 4. Cuccurullo, Sara, MD, Women in Academic Management, “Comprehensive Stroke Recovery University, Karachi, Pakistan, January 10, 2016 Physiatry Workshop, Lecture “Negotiating Program”, Edison NJ, September 15, 2017 7. Jafri, Iqbal, MD, Lecture to Medical Students, Contracts”; Association of Academic Physiatrists 22. Cuccurullo, Sara, MD, Association of Khaipur Medical College at Khaipur Mir’s Sindh National Meeting; Las Vegas NV, February 2017 Academic Physiatrists (AAP), Washington, DC- Pakistan, at the invitation of Principal of Khaipur 5. Cuccurullo, Sara, MD, Women in Academic Board Meeting, “Women in Academic Physiatry Medical College, Pakistan, January 12, 2016 Physiatry Task Force, “Overview of Task Force” Presentation of Task Force, Report on Data Driven 8. Rossi, Roger, DO, 20th International Initiative, Association of Academic Physiatrists Results of AAP Society Support of Women”, Co- Movement Disorder Society Conference: National Meeting; Las Vegas NV, February 2017 Chair of Task Force, September 2017 Moderator of Session in Parkinsonism, Berlin, 6. Levine, Jaime, DO, “Getting Ahead of TBI 23. Cuccurullo, Sara, MD, Fleming, Talya, MD, Germany, 2016 Pain Syndromes”, Association of Academic “Comprehensive Outpatient Stroke Recovery Physiatrists National Meeting- Course Director Program Utilizing Interval Cardiovascular and Speaker, Las Vegas, NV, February 2017 Training” Session Director/Moderator, G. AWARDS American Academy of Physical Medicine and 1. Cicerone, Keith, PhD, Received the 7. , Cuccurullo, Sara, MD, Fleming, Talya, MD Rehabilitation Annual Assembly, Denver CO, “Williamsburg TBI Rehabilitation Conference National Oral Presentation “Comprehensive October 15, 2017 Rosenthal Memorial Lecturer in Recognition Outpatient Stroke Recovery Program Utilizing of Outstanding Contributions to the Field of Interval Cardiovascular Training”, Association 24. , Cuccurullo, Sara, MD, Fleming, Talya, MD Traumatic Brain Injury Rehabilitation” from the of Academic Physiatrists National Meeting, Las “Stroke Recovery Program Outcomes Trial Virginia Commonwealth University and Brain Vegas NV, February 2017 and Functional Outcomes Trial”, NorthEast Injury Services, May 4, 2017 Cerebrovascular Consortium (NECC), Newport 8. Quevedo, Jonathan, MD, “The Appropriate RI, October 26-27, 2017 2. Greenwald, Brian, MD, Greiss, Christine, Rehab Setting for Stroke Patients”, Overlook DO, Parikh, Sagar, MD- Rutgers-Robert Hospital, Summit, NJ, March 28, 2017 25. , “Agitation after Greenwald, Brian, MD Wood Johnson Volunteer Faculty Award, New TBI: Current Concepts of Pathophysiology, 9. , “Physical Medicine and Brunswick, NJ, June 26, 2017 Joki, Jaclyn, MD Assessment and Treatment”, American Rehabilitation, Consult/Evaluation”, St. Peter’s Academy of Physical Medicine and 3. Quevedo, Jonathan, MD, Received University Hospital, New Brunswick NJ, March Rehabilitation Annual Assembly, Denver CO, “Teacher of Year Award”, June 11, 2017 7, 2017 October 2017 4. Greiss, Christine, DO, Received the “Kathy 10. , “Acute vs. Subacute Joki, Jacklyn, MD 26. , “Getting Ahead of Wong Award” to the physician who exhibits Rehabilitation”, St. Peter’s University Hospital, Levine, Jaime, DO TBI Pain Syndromes”, American Academy of extreme compassion and care to patients and New Brunswick NJ, March 23, 2017 Physical Medicine and Rehabilitation Annual their families, June 11, 2017

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Since 1974, the JFK Johnson Rehabilitation Institute has been helping people rebuild their lives after a serious illness or injury. We do this by delivering comprehensive rehabilitation services based on cutting-edge treatment techniques, innovative research and excellent, personalized medical care. Headquartered at JFK Medical Center in Edison, JFK Johnson is a comprehensive rehabilitative service provider focused on educating the community on rehabilitative health and helping adults and children with disabilities reach optimal function and independence. The Institute offers a complete array of inpatient and outpatient programs and services in rehabilitative health, including stroke, orthopedics, prosthetics and orthotics, electrodiagnosis, fitness, cardiac, women’s health, pain management, pediatrics, speech pathology and audiology, industrial health and vocational rehab, and brain injury rehabilitation programs and services. JFK Johnson includes a 94-bed inpatient center in Edison. Outpatient centers are located in Edison, Metuchen, Monroe and Piscataway. NIDRR has named JFK Johnson as a Model System for brain injury research. The JFK Johnson Rehabilitation Institute is accredited by both the Joint Commission and the Commission on Accreditation of Rehabilitation Facilities (CARF) in the Inpatient Rehabilitation Adult Program, Inpatient Rehabilitation Adult Brain Injury Specialty Program, Stroke Specialty Program, Interdisciplinary Outpatient Medical Rehabilitation Adult Brain Injury Specialty Program, and Comprehensive Vocational Evaluation Services. Affiliated with the JFK Johnson Rehabilitation Institute is the Shore Rehabilitation Institute, a 40-bed inpatient and outpatient comprehensive rehabilitation hospital located in Brick, NJ. For more information about the JFK Johnson Rehabilitation Institute, visit us at www.JFKJohnson.org. 20 JFK Johnson Rehabilitation Institute JFKJohnson.org