msu pmr

  • top poster 2020

  • MSU Health Care Physical Medicine & Rehabilitation

    Providers at MSU Health Care Physical Medicine and Rehabilitation offer innovative non-operative treatments through regenerative medicine including platelet-rich plasma and stem cell therapies. If you’ve tried other options and found limited relief, contact MSU Health Care Physical Medicine and Rehabilitation to learn more about improving your pain through regenerative medicine treatments.

The mission of theDepartment of Physical Medicine and Rehabilitation is to provide excellent clinical care, education, and research in the field of Physical Medicine and Rehabilitation, leading to optimum quality of life for individuals with physical disabilities.

Physical Medicine & Rehabilitation focuses on restoration of the body and mind after trauma or disease has occurred. In some cases the restoration is ongoing and the goal is to teach the patient how to live and cope with the effects of pain, or lack of function, and lead a full and productive life to the greatest extent possible.

Clinically, restoration and rehabilitation can be accomplished in different ways. Our philosophy is to assess a patient's bio/psycho/social needs and determine which diagnostic and treatment methods will provide the patient with the highest level of functional outcome. The approach is often inter-disciplinary.

Academically, we teach medical students basic treatment and assessment techniques and methods used in rehabilitation, along with advanced knowledge of anatomy. We train residents in the practice of physiatry and the diagnostic art of electromyography (EMG). We also offer a fellowship program to physicians desiring a refined knowledge of EMG and pain management.

Explore this website and meet our department members; learn about our residency/fellowship training programs and its sponsors, Sparrow and McLaren Hospitals; investigate our research projects completed and underway, and observe our COM clinical practices.

This is Mary Free Bed at Sparrow


Sparrow Hospital and Mary Free Bed Rehabilitation Hospital have joined together to create Mary Free Bed at Sparrow, a joint venture providing advanced inpatient rehabilitation care for mid-Michigan patients. The rehabilitation unit at Sparrow includes 40 private patient rooms and two therapy gymnasiums. Enjoy this Grand Opening video, and hear directly from the first patients to benefit from our collaboration.

Mary Free Bed at Sparrow is #1 in Nation in Overall Quality of Care

For three years running (2019, 2020, and 2021), Mary Free Bed at Sparrow has been recognized by the Professional Research Consultants, INC (PRC) as the top performer in the nation in Overall Quality of Care. Our department is thrilled to be partners with Mary Free Bed at Sparrow and look forward to many more years of excellent collaboration, providing top-notch care for the Mid-Michigan community.

Find us on Instagram - @msupmr

Our Residency Officially Submits Application for Osteopathic Recognition

Michigan State PM&R was one of the few, long-standing AOA-affiliated PM&R residencies in the country. In light of the ACGME residency merger, we will continue to pursue “Osteopathic Recognition” to build upon our program’s reputation of furthering the field of osteopathic medicine in the world of physiatry.

Ky Viet Quach appointed as AAPM&R Resident Delegate to AMA

Congrats to Dr. Quach, one of our PGY-3 residents, on this appointment! He will be serving a 2-year term (2021-2022). For more about the AMA House of Delegates, you can visit: https://www.aapmr.org/advocacy/academy-in-action/collaborations/ama-house-of-delegate-state-chapters

Dr. Prokop Honored With Patenge Medal of Public Service Award

prokopDr. Lawrence Prokop was one of four distinguished leaders to have been selected to receive the MSU College of Osteopathic Medicine’s highest honor, The Walter F. Patenge Medal of Public Service Award. A 1980 graduate from the College of Osteopathic Medicine, his 40 years of practice in osteopathic medicine have been split between patient care, medical education, and research. Thank you for your service Dr. Prokop!

Congrats to our residents and attendings whose abstracts were accepted to AANEM, AAP, and AAPMR’s 2020 Conferences!

Please join us in congratulating our program’s contributors to this year’s AANEM, AAP, and AAPMR’s Annual Assemblies:

  • Monica Barnes, D.O.
  • Alexander Carrese, D.O., M.S.
  • Drew Parkhurst, D.O., ATC
  • Frederick Carington, D.O.
  • Stephen Sudekum, D.O.
  • John Tegtmeier, D.O.
  • Michael Andary, M.D., M.S.
  • Harnoor Tokhie, D.O.

“Top Poster”, Association of Academic Physiatrists Annual Meeting, March 2020

top poster 2020

  • Please join us in congratulating our program’s contributors to this year’s AANEM, AAP, and AAPMR’s Annual Assemblies:

    • Monica Barnes, D.O.
    • Alexander Carrese, D.O., M.S.
    • Drew Parkhurst, D.O., ATC
    • Frederick Carington, D.O.
    • Stephen Sudekum, D.O.
    • John Tegtmeier, D.O.
    • Michael Andary, M.D., M.S.
    • Harnoor Tokhie, D.O.

  • Updated as of September 2021

    COVID has forced many (mostly) unwanted changes to life and the recruitment and ranking process. We intend to follow ACGME guidelines for recruitment.

    Our medical student / visiting student rotations have resumed as normal. Please see “Program Letter” for help scheduling a rotation with us.

    As of now, we are planning on utilizing remote interviews again this year.

  • Comparison of ultrasound and fluoroscopic guidance for injection in CT arthrography and MR arthrography of the hip

    Ultrasound-Guided Hip Injections

    Trends in Utilization of Image Guidance for Hip Joint Injections

  • Spine Intervention Society Homepage

    AMSSM Ultrasound Videos

    AMSSM YouTube channel

    SIS Factfinders

  • Publications

    Hallgren RC. Biomechanical Properties and Histological Structure of Rectus Capitis Posterior Minor (RCPm) Muscles Pulled to Failure. Submitted to the Journal of Biomechanics. Manuscript number BM-D-20-01369 under review.

    Seidel GK, Jamal SA, Weidert E, Carington F, Andary MT, Millis SR, Loder BG. Predictive Outcome Modeling of Preoperative Clinical Symptoms and Electrodiagnostic Data in Tarsal Tunnel Surgery. J Brachial Plex Peripher Nerve Inj. 16: e37-45, 2021.

    Saffarian, M. Barbaria, V. McCormick, Z. Fact Finders: Motor Stimulation Testing in Lumbar Radiofrequency Neurotomy, Pain Medicine. January 2021.

    Smith CM, Saffarian, M. McCormick Z. Fact Finders: Anticoagulants and Antiplatelet Agents for Lumbar Medial Branch Radiofrequency Neurotomy. Pain Medicine. November 2020.

    Parkhurst D, Wyatt R, Andary M, Sylvain J. Validation of a brief cognitive screening examination in an adult acute inpatient rehabilitation population. Top Geriatr Rehabil. (Accepted Pending Date).

    Saffarian M, Mattie R, Smith C. Fact Finders: Minimizing Risk with Stellate Ganglion Blocks. Pain Medicine. September 2020

    Popescu, A. Saffarian, M. Schneider, B McCormick, Z. Smith, C. Fact Finders: Anticoagulants and Antiplatelets for Lumbar Medial Branch Blocks, Pain Medicine, July 2020.

    Gusfa, D, Bashir D, Saffarian M. Clinical Pearl: Diagnosis and Managing Sacroiliac Joint Pain. American Journal of PM&R. July 20, 2020.

    Hallgren RC, Rowan JJ. Implied Evidence of the Functional Role of Rectus Capitis Posterior Muscles. JAOA; 120(6):395-403. June 2020. 

    Miller, D. Patel, J. Gill, J. Mattie, R. Saffarian, M. Schneider, B. Popescu, A. Barbaria, V. McCormick, Z. Fact Finders: Corticosteroid Injections and COVID-19 Infection Risk, Pain Medicine.May 2020

    Patel J, Saffarian M, Smith C. Fact Finders: Epidural Steroid Injections and Risk of Lumbar Surgical Site Infection. Pain Medicine. April 2020

    McKivigan, J.M., Gilmour, G.J. Neuro-Anatomical Changes of Carbon Monoxide Poisoning on Advanced Imaging: A Literature Review. International Journal of Healthcare and Medical Sciences. Vol 7(2) 6-12; April 2020. 

    Patukian M, Saffarian M, et al. The Ivy League-Big Ten Epidemiology of Concussion Study: A Report on Methods and First Findings, The American Journal of Sports Medicine. Vol 47. Issue 5: 1236-1247. April 2019. 

    Saffarian M, Swampillai J, Andary M, Sylvain J, Halliday S, Bratta B. Incidence of Injury and Illness During the 2013 World Dwarf Games. Injury Epidemiology. 6:13, April 2019. PubMed PMID: 31245262.

    Kvalsund M, Mukomena P, Chidumayo T, Birbeck GL, Andary M, Horner M, Herrmann DN. Electrodiagnostic consultations in Zambia: Referral characteristics and neuromuscular disorders. J Neurol Sci; 397:150-154. Feb 2019. PMID: 30634131.

    Ranganathan R, Gebara R, Andary M, Sylvain J. Chronic stroke survivors show task-dependent modulation of motor variability during bimanual coordination. Journal of Neurophysiology, 121, 756-763. Jan 2019. PMID: 30601671.

    Parkhurst D, Gebara R, Andary M, Fajardo R.  A third entrapment site of the ulnar nerve. Muscle Nerve; 60(suppl):S1. 2019.

    Seidel M, Seidel G, Hakopian D, Hornbach E, Andary M. Electrodiagnostic Evidence of Berrettini Anastomosis. J Clin Neurophysiol. Mar 2018; 35(2):133-137. 

    Gilmour G, McKivigan J. Effectiveness of Intermittent Mechanical Traction in Cervical Radiculopathy: A Systematic Review. J Med Res Prac. Mar 2018; 7(3):39-46.

    Saffarian M, Condie N, Austin E, McCausland K, Andary M, Sylvain J, Mull I, Zemper E, Jannausch M. Comparison of Four Different Nerve Conduction Techniques of the Superficial Fibular Sensory Nerve. Muscle & Nerve. 2017 Sep;56(3):458-462.

    Hallgren R, Pierce S, Sharma D, Rowan J.  Forward Head Posture and Activation of Rectus Capitis Posterior Muscles.  J Am Osteopath Assoc. 2017;117(1):24 doi:10.7556/jaoa.2017.004

    Gilmour G, McKivigan J. Evaluating medical students’ proficiency with a handheld ophthalmoscope: a pilot study. Advances in Medical Education and Practice. 2017:8, 33-36.

    Dillingham T, Chen S, Andary M, Buschbacher R, Del Toro D, Smith B, Zimmermann K, So Y. Establishing High-Quality Reference Values for Nerve Conduction Studies: A Report from the Normative Data Task Force of the American Association of Neuromuscular & Electrodiagnostic Medicine. Muscle Nerve. 2016 Sep;54(3):366-70.  doi: 10.1002/mus.25204. PubMed PMID: 27238858.

    Chen S, Andary M, Buschbacher R, Del Toro D, Smith B, So Y, Zimmermann K, Dillingham T. Electrodiagnostic reference values for upper and lower limb nerve conduction studies in adult populations. Muscle Nerve. 2016 Sep;54(3):371-7. doi: 10.1002/mus.25203. PubMed PMID: 27238640.

    Slesinski M, Austin E, Andary M. Prevalence of Fibrillation Potentials in the Deltoid Muscle Following Influenza Vaccination. Muscle and Nerve. October 2015 S120

    Kvalsund M, Tegtmeier J, Hornbach E, Andary M. Electrical Needle Stimulation for Localization in Rare Median Mononeuropathy of the Forearm. Muscle and Nerve. October 2015 page S26

    Nicholson J, Gebara R, Dyme Z, Andary M. Acute Mercury Intoxication in an Adolescent Male: a Case Report.  Muscle and Nerve. October 2015 S101.

    Hakopian D, Saffarian M, Andary M, Hornbach E. Acute Compressive Ulnar Neuropathy at Guyon’s Canal Following Carpal Tunnel Release. Muscle & Nerve. October 2015.

    Gooch CL, Doherty T, Ming Chan K, Bromberg M, Lewis R, Stashuk D, Berger M, Andary M, Daube J. Reply to reflection on MUNE. Muscle Nerve. 2015 Apr;51(4):624. doi: 10.1002/mus.24585. PubMed PMID: 25620429.

    Hallgren R, Rowan J. Assessment of Potential Strain Injury to Rectus Capitis Posterior Minor Muscles During Whiplash-Type Distortions of the Cervical Spine. JOM. 2021;121(6):278-302. https://doi.org/10.1515/jom-2021-0094. 

    Hallgren R, Rowan J. Implied Evidence of the Functional Role of the Rectus Capitis Posterior Muscles. JAOA. 2020; 120(6):395-403. https://doi.org/10.7556/jaoa.2020.061. 

    Hallgren R, Rowan J. MR Imaging Parameters Selected for Optimal Visualization of Structures of the Occipito-Atlantal (OA) Interspace. JAOA. 2019;119(3):173-182. https://doi.org/10.7556/jaoa.2019.028. 

    Hallgren R, Pierce S, Sharma D, Rowan J. Forward Head Posture Results in Increased Activation of Rectus Capitis Posterior Muscles.JAOA. 2017;117(1):24-31. https://doi.org/10.7556/jaoa.2017.004. 

    Hallgren R. Injury Threshold of Rectus Capitis Muscles at the Atlanto-Occipital Joint. JMPT. 2017;40(2):71-76. https://doi.org/10.1016/j.jmpt.2016.11.001. 

    Hallgren R, Rowan J, Pierce S, Bai P, Shafer-Crane G, Prokop L. Activation of Rectus Capitis Posterior Major Muscles During Voluntary Retraction of the Head in Asymptomatic Subjects. JMPT. 2014;37(6):433-440. https://doi.org/10.1016/j.jmpt.2014.07.002. 

    Hallgren R, 2014. Modeling Length-Tension Properties of RCPm Muscles During Voluntary Retraction of the Head. Manual Therapy. 2014;19(4):319-323. https://doi.org/10.1016/j.math.2014.03.007. 

    Hallgren R, Pierce S, Prokop L, Rowan J, Angela L. Electromyographic Activity of Rectus Capitis Posterior Minor Muscles Associated with Voluntary Retraction of the Head. The Spine Journal. 2014;14(1):104-112. https://doi.org/10.1016/j.spinee.2013.06.011. 

    Hallgren R, Cattrysse E, Zrull J. In Vitro Characterization of the Anterior to Posterior Curvature of the Superior Facets of the Atlas as a Function of Age. The Spine Journal. 2011;11(3):241-244. https://doi.org/10.1016/j.spinee.2011.01.022. 

    Hallgren R, Andary M, Wyman A, Rowen J. A Standardized Protocol for Needle Placement in Suboccipital Muscles.Clinical Anatomy. 2008;21(6):501-508. https://doi.org/10.1002/ca.20660. 

    Hallgren R, Andary M. Under-Shooting of a Neutral Reference Position Following Cervical Motion in the Sagittal Plane. JMPT. 2008;31(7):547-552. https://doi.org/10.1016/j.jmpt.2008.08.011. 

    Hack G, Hallgren R. Chronic Headache Relief After Section of Suboccipital Muscle Dural Connections: A Case Report. Headache. 2004;44(1):84-89. https://doi.org/10.1111/j.1526-4610.2004.04015.x. 

    Andary M, Hallgren R, Greenman P, Rechtein J.Neurogenic Atrophy of Suboccipital Muscles After a Cervical Injury: A Case Study. Am J Phys Med Rehabil. 1998;77(6):545-549. https://doi.org/10.1097/00002060-199811000-00019. 

    Hack G, Koritzer R, Robinson W, Hallgren R, Greenman P. Anatomical Relation Between the Rectus Capitis Posterior Minor Muscle and the Dura Mater. Spine. 1995; 20(23):2484-2486. https://doi.org/10.1097/00007632-199512000-00003. 

    Posters / Presentations / Abstracts (* = Award)

    Carrese A, Tokhie HS. Bilateral Morel-Lavalee Lesions after Motor Vehicle Collision: A Case Report. AAPMR 2020 Annual Meeting.

    Carrese A, Tokhie HS.Artery of Percheron Stroke in the Inpatient Rehabilitation Setting: A Case Report.  AAPMR 2020 Annual Meeting.

    *Barnes M, Carington F, Andary MT. Facial Droop After Carotid Endarterectomy: A Complicated Picture of Stroke and Multiple Cranial Nerve Injuries.  AANEM 2020 Annual Meeting. Awarded the 2020 AANEM Residency and Fellowship Abstract Award.

    *Carrese A, Sudekum S, Tegtmeier J, Andary M. Isolated B6 Deficiency and Elevated Cadmium Levels leading to a Sensory Axonal Polyneuropathy and possible Ganglionopathy. AANEM 2020 Annual Meeting. Awarded the 2020 AANEM Residency and Fellowship Abstract Award.

    *Parkhurst D, Andary M,Powell J.An additional electrodiagnostic tool for ulnar neuropathy: Mixed across the elbow.  Association of Academic Physiatrists Annual Meeting, March 2020. Awarded “Top Poster”.

    Barnes M, Parkhurst D, Andary M. A common nerve conduction study pitfall: Pseudo-conduction block of the ulnar nerve. Association of Academic Physiatrists Annual Meeting, March 2020.

    Cheng F, Schratz M, Tokhie H.Rehabilitation of a Patient with Recurrent Strokes Due to Rare Primary CNS Light Chain Deposition Disease: A Case Presentation. AAPM&R Annual Assembly, Nov 2019.  

    *Bell A, Carrese A, Tokhie H, Tegtmeier J, Andary M. Nonalcoholic/Anorexic Thiamine Deficiency Leading to Severe Acute Motor Axonal Neuropathy. AANEM Annual Meeting Oct 2019. Mid-Michigan Research Day Apr 2019. Awarded the 2019 AANEM Residency and Fellowship Abstract Award. Awarded 2nd Place in “Overall Best Case Report.

    *Parkhurst D, Gebara R, Andary M, Fajardo R.  A third entrapment site of the ulnar nerve. ANNEM Annual Meeting, Oct 2019. Awarded the 2019 AANEM Residency and Fellowship Abstract Award.

    Schratz M, Condie N.Exercise-Induced Bilateral Radial Neuropathy in a Police Cadet: A Case Report. AAPM&R Annual Assembly, Nov 2019.

    Huprikar T, Saffarian M. Cryogenically Induced Ischemic Monomelic Mononeuropathy. Mid-Michigan Lansing Research Day. April 2018. American Association of Neuromuscular & Electrodiagnostic Medicine Annual Assembly. October 2019 

    Cheng F, Andary M, Keating R. Spinal Accessory Neuropathy due to Sequela of Epstein-Barr Virus Mononucleosis: A Case Report. AANEM Annual Meeting, Oct 2019. Mid-Michigan Research Day Apr 2019.

    Femminineo DA, Nicholson JT, Andary MT. Detection of Martin-Gruber Anastomosis by Mixed Nerve Conduction Study: A Case Report. AANEM Annual Meeting, Oct 2019. Lansing Research Day, Apr 2019.

    Barnes M, Tokhie H, Andary M, Sylvain J. Recreational Nitrous Oxide Use as a Cause of Subacute Combined Degeneration, Case Report. Lansing Research Day April 2019.

    Gonzalez C, Saffarian M, Kovan J, Hawkins J. Diagnostic and Therapeutic Use of Ultrasound in a Wrestler with Persistent Knee Pain. American Medical Society for Sports Medicine Annual Meeting. April 2019

    Hawkins J, Saffarian M, Knake J. Atypical Plantar Foot Pain in a 15yo Basketball Player. American Medical Society for Sports Medicine Annual Meeting. April 2019.

    Schratz M, Cheng F, Tokhie H. Intracerebral Kappa Light Chain Monoclonal Immunoglobulin Disease Causing Recurrent Ischemic Strokes: A Case Report. Lansing Research Day, April 2018.

    Slesinski M, Saffarian M. Atypical Cause of Shoulder Pain in a Softball Player. American Medical Society for Sports Medicine Annual Meeting. April 2017

    Saffarian M, Swampillai J, Andary M, Sylvain J, Halliday S, Bratta B. Incidence of Injury and Illness During the 2013 World Dwarf Games. Mid-Michigan Lansing Research Day. April 2016 3rd place winner.

    Slesinski M, Austin E, Andary M. Prevalence of Fibrillation Potentials in the Deltoid Muscle Following Influenza Vaccination. Lansing Research Day April 2015. State Wide Campus System Research Day, May 20, 2015.

    Nicholson J, Gebara R, Dyme Z, Andary M. Acute Mercury Intoxication in an Adolescent Male: a Case Report. Lansing Research Day April 2015.

    Hakopian D,  Saffarian M,  Andary M, Hornbach E. Acute Compressive Ulnar Neuropathy at Guyon’s Canal Following Carpal Tunnel Release. Lansing Research Day, April 2015.

    Chapters

    Dillingham T, Andary MT, Dumitru D; Chapter 8 Electrodiagnostic Medicine. Braddom's Physical Medicine and Rehabilitation 5th Edition Elsevier 2016.Pages 131-163.e12.

    Hawkins J, Saffarian M. Physical Medicine and Rehabilitation for Lateral Epicondylitis. Medscape: Physical Medicine and Rehabilitation. December 2017.

    Grants 

    Cholewicki J, Saffarian M. The Role of Ostoepathic Manipulative Therapy in Recovery from Concussion.  AOA grant #2005803 

    Nicodemus, Tegtmeier J, et al. Prospective, Cohort Study of the Cost Effectiveness of Osteopathic Manipulative Treatment for Chronic Low Back Pain (In Collaboration with Rowan University.  AOA Grant #3011806720. 

    Rebecca Wyatt, John Wang, Sherman Gorbis, Arthur Jones III.  The Effect of OMT on Functional Outcomes and Anti-inflammatory Biomarkers in Mild- to Moderate Traumatic Brain Injury.  Proposal submitted for $149,849 AOA grant February 2017

    Rajiv Ranganathan, PhD, Subir Biswas, PhD, Rani Gebara, DO.  Combining Wearable Feedback and Non-Invasive Brain Stimulation to Address Loss of Independent Joint Control After Stroke.  Proposal submitted for $749,748.00 grant to the American Heart Association, February 2017.

    Hallgren R.  Efficacy of a Therapeutic Intervention to Decrease Chronic Headache Measures in Female Patients.  Proposal submitted for $99,691 AOA Grant, February 2017

    Awards

    research day 2019

    Mid-Michigan Research Day, April 2019 – 2nd Place in “Overall Best Case Report”
    AANEM Annual Meeting October 2019 – 2019 AANEM Residency and Fellowship Abstract Award

    annem 2019

    ANNEM Annual Meeting October 2019 - 2019 AANEM Residency and Fellowship Abstract Award

    aap

    AAP Annual Meeting March 2020 – “Top Poster”