GerardE.FranciscoMD

Neurorehabilitation

Wulfe Family Chair in PM&R, Chairman and Professor, Physical Medicine & Rehabilitation, University of Texas at Houston McGovern Medical School; Chief Medical Officer, TIRR Memorial Hermann; Director, NeuroRecovery Research Center, TIRR Memorial Hermann

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Office
TIRR Memorial Hermann
1333 Moursund St
Houston, TX 77030
Phone+1 713-797-5246

Fax+1 713-799-6997
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Education & Training

Baylor College of MedicineFellowship, Brain Injury Medicine (Physical Medicine And Rehabilitation), 1994 - 1995
Rutgers New Jersey Medical SchoolResidency, Physical Medicine and Rehabilitation, 1991 - 1994
Michael Reese Hospital and Medical CenterInternship, Internal Medicine, 1990 - 1991
University of the Philippines College of MedicineClass of 1989

Certifications & Licensure

TX State Medical License 1997 - 2026
American Board of Physical Medicine and Rehabilitation Physical Medicine & Rehabilitation
American Board of Physical Medicine and Rehabilitation Brain Injury Medicine

Awards, Honors, & Recognition

Distinguished Academician Association of Academic Physiatrists, 2020
National Teaching Award New Jersey Medical School/Kessler Institute for Rehabilitation, 2019
Flexner Discovery Lecturer Vanderbilt University, 2019
Elected Regular Member National Academy of Medicine (formerly Institute of Medicine), 2017
Sidney Licht Award International Society of Physical and Rehabilitation Medicine, 2016
Distinguished Member American Academy of Physical Medicine and Rehabilitation (AAPMR), 2015
Alumnus of the Year PM&R Alliance of the Baylor College of Medicine and UTHealth, 2015
Distinguished Teaching Professor Univeristy of Texas Academy of Health Science Educators, 2013
Member UT Academy of Medical Science Educators, 2013
Alumnus of the Year UMDNJ-Kessler Instititue for Rehabilitation PM&R, 2011
Zeiter Lecturer American Academy of PM&R, 2011
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Clinical Trials

Comparative Efficacy of Three Preparations of Botox-A in Treating Spasticity Start of enrollment: 2002 Jan 01
Completed
Phase 4
Efficacy of the WalkAide and AFOs for CVA Start of enrollment: 2005 Sep 01
Completed
Not Applicable
SISTERS: Spasticity In Stroke Study - Randomized Study Start of enrollment: 2009 Nov 01
Completed
Phase 4
Safety Study of 3 mg/mL Baclofen Injection (Intrathecal) Using A Programmable Pump Start of enrollment: 2012 Dec 01
Completed
Phase 3
Brain Machine Interface Control of an Robotic Exoskeleton in Training Upper Extremity Functions in Stroke Start of enrollment: 2013 Sep 24
Completed
Not Applicable
Niche Trial: Navigated Inhibitory rTMS to Contralesional Hemisphere Trial Start of enrollment: 2014 Apr 01
Completed
Not Applicable
Human-Machine System for the H2 Lower Limb Exoskeleton Start of enrollment: 2015 Nov 20
Recruiting
Not Applicable
VNS During Rehabilitation for Improved Upper Limb Motor Function After Stroke Start of enrollment: 2014 Oct 01
Completed
Not Applicable
Dextroamphetamine and tDCS to Improve the Fluency Start of enrollment: 2015 Mar 01
Completed
Phase 2
Clinical Algorithm for Post-Stroke Gait Training With C-Brace Start of enrollment: 2017 Feb 13
Completed
Not Applicable
Transcranial Direct Current Stimulation for Post-stroke Motor Recovery Start of enrollment: 2019 Sep 01
Recruiting
Phase 2
Paired Vagus Nerve Stimulation (VNS) With Rehabilitation for Upper Limb Function Improvement After Stroke Start of enrollment: 2013 Feb 01
Completed
Not Applicable
Pivotal Study of VNS During Rehab After Stroke (VNS-REHAB) Start of enrollment: 2017 Jul 01
Completed
Not Applicable
Efficacy and Safety of DaxibotulinumtoxinA for Injection for the Treatment of Adult Upper Limb Spasticity Start of enrollment: 2018 Dec 12
Completed
Phase 2
Study to Compare the Efficacy and Safety of NT 201 (Botulinum Toxin) With Placebo for the Treatment of Lower Limb Spasticity Caused by Stroke or Traumatic Brain Injury Start of enrollment: 2019 Sep 16
Recruiting
Phase 3
EEG Brain-Machine Interface Control of an Upper-Limb Robotic Exoskeleton for Robot-Assisted Rehabilitation After Stroke Start of enrollment: 2022 Apr 25
Recruiting
Not Applicable
Roles: Principal Investigator, Contact
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Publications & Presentations

PubMed

Safety and real-world dosing of onabotulinumtoxinA for the treatment of adult spasticity: post hoc analysis of the Adult Spasticity International Registry study.
Bavikatte, G., Dimyan, M., Fanning, K., Musacchio, T., Zuzek, A., Esquenazi, A., Dashtipour, K., Feng, W., Mayadev, A., Francisco, G.> ;American Journal of Physical Medicine & Rehabilitation. 2024 Jan 3
Current practice focus trends in physical medicine and rehabilitation.
Raddatz, M., Kinney, C., Pruitt, D., Francisco, G., Sabharwal, S.> ;PM & R. 2023 Dec 19
Design and Validation of a Low-Cost Mobile EEG-Based Brain-Computer Interface.
Alexander Craik, Juan José González-España, Ayman Alamir, David Edquilang, Sarah Wong, Lianne Sánchez Rodríguez, Jeff Feng, Gerard E Francisco, Jose L Contreras-Vidal> ;Sensors. 2023 Jun 26
The INFORM (International Framework for Rehabilitation Medics) Project to Strengthen the Medical Specialty.
Manoj Sivan, Stefano Negrini, Carlotte Kiekens, Fary Khan, Gerard E Francisco, Francesca Gimigliano> ;Advances in Rehabilitation Science and Practice. 2023 May 3
3 citations
Vagus Nerve Stimulation Paired With Upper-Limb Rehabilitation After Stroke: 2- and 3-Year Follow-up From the Pilot Study.
Gerard E Francisco, Navzer D Engineer, Jesse Dawson, Teresa J Kimberley, Steven C Cramer, Cecília N Prudente, David Pierce, W Brent Tarver, Reema H Adham Hinds, Ann Va...> ;Archives of Physical Medicine and Rehabilitation. 2023 Aug 1
1 citations
Ultrasound Assessment of Spastic Muscles in Ambulatory Chronic Stroke Survivors Reveals Function-Dependent Changes.
Javier González-Buonomo, Alexander H Pham, Jaskiran Ghuman, Aila Malik, Nuray Yozbatiran, Gerard E Francisco, Walter R Frontera, Sheng Li> ;Journal of Rehabilitation Medicine. 2023 Jan 19
4 citations
Vagus Nerve Stimulation Paired With Rehabilitation for Upper Limb Motor Impairment and Function After Chronic Ischemic Stroke: Subgroup Analysis of the Randomized, Bli...
Jesse Dawson, Navzer D Engineer, Steven C Cramer, Steven L Wolf, Rushna Ali, Michael W O'Dell, David Pierce, Cecília N Prudente, Jessica Redgrave, Wuwei Feng, Charles ...> ;Neurorehabilitation and Neural Repair. 2023 Jun 1
3 citations
Evaluation of Muscle Synergy During Exoskeleton-Assisted Walking in Persons With Multiple Sclerosis.
Taimoor Afzal, Fangshi Zhu, Shih-Chiao Tseng, John A Lincoln, Gerard E Francisco, Hao Su, Shuo-Hsiu Chang> ;IEEE Transactions on Bio-Medical Engineering. 2022 Oct 1
7 citations
Aging after stroke: how to define post-stroke sarcopenia and what are its risk factors?
Sheng Li, Javier Gonzalez-Buonomo, Jaskiran Ghuman, Xinran Huang, Aila Malik, Nuray Yozbatiran, Elaine Magat, Gerard E Francisco, Hulin Wu, Walter R Frontera> ;European Journal of Physical and Rehabilitation Medicine. 2022 Oct 1
1 citations
Digital rehabilitation for hand and wrist pain: a single-arm prospective longitudinal cohort study.
Fabíola Costa, Dora Janela, Maria Molinos, Robert G Moulder, Jorge Lains, Gerard E Francisco, Virgílio Bento, Vijay Yanamadala, Steven P Cohen, Fernando Dias Correia> ;Pain Reports. 2022 Aug 19
Advancing Academic Capacity in Physical and Rehabilitation Medicine to Strengthen Rehabilitation in Health Systems Worldwide: A Joint Effort by the European Academy of...
Walter R Frontera, Gerold Stucki, Julia P Engkasan, Gerard E Francisco, Christoph Gutenbrunner, Nazirah Hasnan, Jorge Lains, Yusniza Mohd Yusof, Stefano Negrini, Zalih...> ;Journal of Rehabilitation Medicine. 2022 Jul 6
4 citations
Decoding neural activity preceding balance loss during standing with a lower-limb exoskeleton using an interpretable deep learning model.
Akshay Sujatha Ravindran, Christopher A Malaya, Isaac John, Gerard E Francisco, Charles Layne, Jose L Contreras-Vidal> ;Journal of Neural Engineering. 2022 May 26
1 citations
Research and Industry Partnerships in Physiatry.
Ross Zafonte, Joanne Borg-Stein, Timothy R. Dillingham, Alberto Esquenazi, Gerard E. Francisco, Chong Kim, David C. Morgenroth, Sabrina Paganoni, Bernadette Rensing> ;American Journal of Physical Medicine & Rehabilitation. 2021 Mar 16
18 citations
Digitally assisted versus conventional home-based rehabilitation after Arthroscopic Rotator Cuff Repair: a randomized controlled trial.
Fernando Dias Correia, Maria Molinos, Sara Luis, Diana Carvalho, Carlos Roberto Ribeiro de Carvalho, Pedro Costa, Rosmaninho Seabra, Gerard E. Francisco, Virgílio Bent...> ;American Journal of Physical Medicine & Rehabilitation. 2021 Apr 30
143 citations
Vagus nerve stimulation paired with rehabilitation for upper limb motor function after ischaemic stroke (VNS-REHAB): a randomised, blinded, pivotal, device trial.
Jesse Dawson, Charles Y. Liu, Gerard E. Francisco, Steven C. Cramer, Steven L. Wolf, Anand Dixit, Jen Alexander, Rushna Ali, Benjamin L. Brown, Wuwei Feng, Louis DeMar...> ;Lancet. 2021 Apr 24
1 citations
Guided Self-rehabilitation Contracts Combined With AbobotulinumtoxinA in Adults With Spastic Paresis.
Jean-Michel Gracies, Gerard E. Francisco, Robert Jech, Svetlana Khatkova, Carl Rios, Pascal Maisonobe> ;Journal of Neurologic Physical Therapy. 2021 Jul 1
6 citations
Current status and trends in subspecialty certification in physical medicine and rehabilitation.
Sunil Sabharwal, Carolyn L Kinney, Mikaela M Raddatz, Sherilyn W Driscoll, Gerard E Francisco, Lawrence R Robinson, Carolyn Geis, William Micheo> ;PM & R. 2023 Feb 1
11 citations
Asynchronous and Tailored Digital Rehabilitation of Chronic Shoulder Pain: A Prospective Longitudinal Cohort Study.
Dora Janela, Fabíola Costa, Maria Molinos, Robert G Moulder, Jorge Lains, Gerard E Francisco, Virgílio Bento, Steven P Cohen, Fernando Dias Correia> ;Journal of Pain Research. 2022 Jan 1
20 citations
Telerehabilitation of acute musculoskeletal multi-disorders: prospective, single-arm, interventional study.
Fabíola Costa, Dora Janela, Maria Molinos, Jorge Lains, Gerard E Francisco, Virgílio Bento, Fernando Dias Correia> ;BMC Musculoskeletal Disorders. 2022 Jan 4
1 citations
Editorial: How can wearable robotic and sensor technology advance neurorehabilitation?
Shuo-Hsiu Chang, Shih-Chiao Tseng, Hao Su, Gerard E Francisco> ;Frontiers in Neurorobotics. 2022 Jan 1
1 citations
Distinct Kinematic and Neuromuscular Activation Strategies During Quiet Stance and in Response to Postural Perturbations in Healthy Individuals Fitted With and Without...
Charles S Layne, Christopher A Malaya, Akshay S Ravindran, Isaac John, Gerard E Francisco, Jose Luis Contreras-Vidal> ;Frontiers in Human Neuroscience. 2022 Jan 1
2 citations
Evidence of treating spasticity before it develops: a systematic review of spasticity outcomes in acute spinal cord injury interventional trials.
Argyrios Stampas, Michelle Hook, Radha Korupolu, Lavina Jethani, Mahmut T Kaner, Erinn Pemberton, Sheng Li, Gerard E Francisco> ;Therapeutic Advances in Neurological Disorders. 2022 Jan 1
8 citations
Digital Rehabilitation for Acute Ankle Sprains: Prospective Longitudinal Cohort Study.
Fernando Dias Correia, Maria Molinos, Carlos Neves, Dora Janela, Diana Carvalho, Sara Luis, Gerard E. Francisco, Jorge Lains, Virgilio Bento> ;JMIR Rehabilitation and Assistive Technologies. 2021 Sep 30
6 citations
Editorial: The Clinical Neuroscience of Music: Evidence Based Approaches and Neurologic Music Therapy.
Michael H. Thaut, Gerard E. Francisco, Volker Hoemberg> ;Frontiers in Neuroscience. 2021 Jan 1
10 citations
Utilization of Robotic Exoskeleton for Overground Walking in Acute and Chronic Stroke
Karen J. Nolan, Kiran K. Karunakaran, Pamela Roberts, Candy Tefertiller, Amber M. Walter, Jun Zhang, Donald Leslie, Arun Jayaraman, Gerard E. Francisco> ;Frontiers in Neurorobotics. 2021 Sep 1
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Press Mentions

Next-Gen Stroke Rehab: Robot at HomeJune 29th, 2022
Robotic Device Created at the University of Houston Helps Stroke Patients to ReabilitateJune 29th, 2022
Robot-Assisted Therapy Can Help Treat Stroke Survivors, Study FindsAugust 27th, 2021
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Professional Memberships

Association of Academic Physiatrists
Past President
American Board of Physical Medicine and Rehabilitation
Director and Chair of Brain Injury Medicine Committee
International Society for Physical and Rehabilitation Medicine
President-elect