1.
One over-arching goal of the work conducted in my laboratory is
to examine how neural systems adapt to neurological insult. Recently,
our work has focused on determining the nature of “neural
recruitment” that has been consistently observed in the clinical
imaging literature examining memory disorders (commonly in prefrontal
cortex). What remains unclear is the role of neural recruitment
in recovery of cognitive function.
Methods:
- Integration of functional and structural imaging
to measure cognitive deficits and behavioral outcome following traumatic
brain injury (TBI).
- Plasticity is evoked
during trials that bring about new learning in the disrupted neural
system (e.g., task practice). In addition, we work with individuals
early after injury/diagnosis in order to observe the natural trajectory
of neural network change during recovery. To do so, behavioral,
imaging and electrophysiological methods are used.
2. A second goal is to examine long-term cognitive,
psychiatric, and functional outcomes in individuals sustaining traumatic
brain injury.
Methods:
- Conducting mailings and telephone interviews to reach
under-represented TBI populations, specifically individuals of low
socioeconomic status and/or individuals of ethnic minority status.
- Surveys of cognitive, psychiatric, and personality
factors that influence functional outcome.
- In addition with mailings and phone interviews,
the Hillary lab is currently in the process of creating a comprehensive
database to examine clinical and demographic factors influencing
long-term outcome following traumatic brain injury spanning over
30 years. This project is being conducted in collaboration with
the Hershey Medical Center, within the departments of Neurology
and Neurosurgery. The database will provide a long-term overview
of head injury outcome and recovery at the Hershey Medical center.
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