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Gerard Fluet, PhD

I am a practicing, licensed, Physical Therapist with over 15 years of experience evaluating and treating patients with stroke I have studied upper extremity rehabilitation interventions in persons with hemiparesis for the past 10 years. Our lab has produced several systems utilizing haptically rendered virtual environments that present intensive motor training interventions designed to normalize arm and hand function. We have designed and tested lab-based, hospital based and now home based equipment.
It has proven difficult to identify differences in effectiveness when comparing rehabilitation interventions in persons with stroke. A majority of the studies examining rehabilitation interventions utilize clinical measures of motor function. My group identified three differences in adaptations to two dose matched rehabilitation interventions using kinematic measures of upper extremity function. Two more studies run in our lab examine the relationship between changes in kinematic measures of upper extremity function and changes in real world function following motor interventions. Powerful neuro-plastic processes drive cortical re-organization in the days and weeks immediately following a stroke. These processes, their interaction with motor behavior and the impact of this interaction on functional recovery in persons with stroke are poorly understood. Our group has begun studying the impact of focused motor practice on the recovery of hand function and the normalization of the cortical control of hand function following a stroke. https://clinicaltrials.gov/ct2/show/NCT03569059
The US Health care delivery system has placed limits on the duration of rehabilitation services available to persons with strokes. This has resulted in a demand for systems that provide access to rehabilitation activities that can be performed by patients in their homes. I am the principal investigator of an NIH-funded trial of a home based rehabilitation system designed to improve the hand function of persons with hemiparesis due to stroke. https://clinicaltrials.gov/ct2/show/NCT03985761

For more information:  https://clinicaltrials.gov/ct2/show/NCT03985761

Interested in participating in one of our studies? Please contact Dr. Fluet at fluetge@shp.rutgers.edu

For more information: https://clinicaltrials.gov/ct2/show/NCT03985761
Interested in participating in one of our studies? Please contact Dr. Fluet at fluetge@shp.rutgers.edu

  1. Field E.C., Fluet G.G., Schafer S.D., Schneider E, Downey P.A., Ruhl C.D., Smith R. The Spinal Cord Functional Ambulation Inventory. Journal of Rehabilitation Medicine, 2001; 33:177-81
  2. Merians A.S., Tunik E., Fluet G.G., Qiu Q., Adamovich S.V. Innovative Approaches to Rehabilitation of Upper Extremity Hemiparesis Using Virtual Environments. European Journal of Physical and Rehabilitation Medicine, 2009, 45(1):123-33.
  3. Adamovich S.V., Fluet G.G., Mathai A., Qiu Q., Lewis J., Merians A.S. Design of a complex virtual reality simulation to train finger motion for persons with hemiparesis: A feasibility study. Journal of Neuroengineering and Rehabilitation, 6:28, 2009.
  4. Adamovich S, Fluet G, Merians AS, Mathai A, Qiu Q. Incorporating Haptic Effects into Virtual Environments to Train the Hemiplegic Upper Extremity. IEEE Transactions on Neural Systems and Rehabilitation Engineering, 2009
  5. Adamovich S.V., Fluet G.G., Tunik E. and Merians A.S. Sensorimotor Training in Virtual Reality, Neurorehabilitation, Special issue “Neurorehabilitation technologies – present and future possibilities”, , 25:29-44, 2009
  6. Qiu, Q., Ramirez, D.A., Saleh S., Fluet G.G., Parikh H.D., Kelly D., Adamovich S. The New Jersey Institute of Technology Robot-Assisted Virtual Rehabilitation (NJIT-RAVR) system for children with cerebral palsy: A feasibility study. Journal of Neuroengineering and Rehabilitation, 6:40, 2009
  7. Fluet G.G., Qiu, Q., Ramirez, D.A., Saleh S., Parikh H.D., Kelly D., Adamovich S. Interfacing a haptic robotic system with complex virtual environments to treat impaired upper extremity motor function in children with cerebral palsy. Developmental NeuroRehabilitation, 13:335-345,2010
  8. Merians A.S., Fluet G.G., Qiu Q., Saleh S., Lafond I.,  Adamovich S.V.; Robotically Facilitated Virtual Rehabilitation of Arm Transport Integrated With Finger Movement in Persons with Hemiparesis, Journal of Neuroengineering and Rehabilitation, 8:27, 2011
  9. Merians A.S., Fluet G.G., Qiu Q., Saleh S., Lafond I.,  Adamovich S.V. Learning in a Virtual Environment Using Haptic Systems for Movement Re-Education: Can This Medium Be Used for Remodeling Other Behaviors and Actions?  Journal of Diabetes Science and Technology 5:301-308, 2011
  10. Fluet G.G., Qiu, Q., Merians A.S., Saleh S., Lafond I.,  Ruano V, Delmonico A.R., Adamovich  S.V.; Customized motor training for a person with upper extremity hemiparesis, using robots integrated with virtual reality simulations; a case report. Journal of Neurologic Physical Therapy 2012, 8(4): 48-57
  11. Fluet G.G. & Deutsch J.E. Virtual Reality for Sensorimotor Rehabilitation Post-Stroke: The Promise and Current State of the Field, Current Physical Medicine and Rehabilitation Reports 2013, 1,(1):9-20
  12. Fluet G.G., Merians A.S., Qiu Q., Davidow A. & Adamovich S.V. Comparing integrated training of the hand and arm with isolated training of the same effectors in persons with stroke using haptically rendered virtual environments, a randomized clinical trial. Journal of Neuroengineering and Rehabilitation. 2014, 11:126
  13. Fluet G.G., Merians A.S., Qiu Q., Rohafaza M., Van Wingerden A., & Adamovich S.V. Does training with traditionally presented and virtually-simulated tasks elicit differing changes in object interaction kinematics in persons with upper extremity hemiparesis? Topics in Stroke Rehabilitation 2015,22(3):176-184
  14. Patel J, , Merians A, Qiu Q, Yarossi M, Adamovich S, Tunik E, Massood S, Fluet G. Virtual reality-augmented rehabilitation in the acute phase post-stroke for individuals with flaccid upper extremities: A feasibility study. Disability and Rehabilitation. 2017; 39(15):1515-1523
  15. Fluet G, Patel J, Merians A, Qiu Q, Yarossi M, Adamovich S, Tunik E, Massood S. Motor skill changes and neurophysiologic adaptation  to recovery-oriented virtual rehabilitation of hand function in a person with subacute stroke: a case study. Disability and Rehabilitation. 2017; 39 (15):1524-1531.
  16. Fluet GG, Kizony R. Virtual rehabilitation in 2016 – a maturing field with a broadening horizon. Disabil Rehabil. 2017; 39(15):1502.
  17. Saleh S, Fluet GG, Qiu Q, Merians A, Adamovich SV, Tunik E. Neural Patterns of Reorganization after Intensive Robot-Assisted Virtual Reality Therapy and Repetitive Task Practice in Patients with Chronic Stroke. Frontiers in Neurology 2017; 8:452.
  18. Isaacson S, O Brein A, Lazaro J, Ray A, Fluet GG. The Impact of LSVT BIG on Dual Task Walking and Mobility in Persons with Parkinson’s  Disease. Journal of Physical Therapy Science. 2018; 30(4): 636–641.
  19. Yarossi M, Patel J, Merians A, Qiu Q, Massood S, Fluet G, Adamovich S, Tunik E. The association between Reorganization of bilateral M1 topography and function in response to early intensive hand focused upper limb rehabilitation following stroke is dependent on ipsilesional corticospinal tract integrity. Frontiers in Neurology 2019; 10:258.
  20. Alokaily A, Yarossi M, Fluet GG, Tunik E, Adamovich SV . The direction of PAS-Induced Modulation of Corticospinal Excitability Depends on Timing between Stimulation and Movement Onset. Brain Stimulation (in review)
  21. Patel J, Fluet G, Merians A, Qiu Q, Yarossi M, Tunik E, Massood S, Adamovich S. Intensive virtual reality and robotic based upper limb training compared to usual care, and associated cortical reorganization in the acute and early sub-acute periods post-stroke: A feasibility study. Journal of Neuroengineering and Rehabilitation 2019, 16:92
  22. Merians A, Fluet G, Qiu Q, Yarossi M, Patel J, Saleh S, Barrett A, Tunik E, Adamovich S. Hand Focused Upper Extremity Rehabilitation in the Subacute Phase Post-Stroke Using Interactive Virtual Environments. Frontiers in Neurology (in review)
  23. Fluet G, Merians A, Qiu Q, Patel J, Adamovich S. Autonomous use of the Home Virtual Rehabilitation System (HoVRS): a feasibility and pilot study. Games for Health (Accepted – in publication)

Excellence in Research Award

School of Health Professions, Rutgers The State University of NJ

2017

Excellence in Teaching Award

School of Health Related Professions, Rutgers The State University of NJ

2014

Humanism in Healthcare Award

The Healthcare Foundation of New Jersey

2007

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