Faculty Biosketch
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Milton S. Hershey
Medical Center
Penn State College of Medicine
P.O. Box 850,
500 University Drive
Hershey, PA 17033-2390 |
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David C. Good, M.D.
Department of Neurology
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Office Information
Phone: 717-531-1803
Mail Code: H037
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Education |
B.S.,
University of Wisconsin, Madison, 1970
M.D., University of Wisconsin, Madison, 1974
Residency, University of Minnesota, Neurology, 1978
Stroke Fellowship, University of Minnesota, 1978-79 |
| Primary
Area of Interest |
| Neurorehabilitation, Neural
Recovery, Clinical Trials to Enhance Function |
| Research
Focus |
| My major interest is in
recovery following stroke and brain injury. I have recently
participated in several trials to enhance motor recovery
from stroke, including pharmacological agents and training
paradigms. As part of the NIH funded EXCITE trial (the first
large multicenter randomized trial of a specific training
program for stroke), we studied the effects of
constraint-induced movement therapy (CIMT). Our companion
study used functional MRI and transcranial magnetic
stimulation to evaluate changes in cortical excitability and
cortical motor networks following CIMT. Another multicenter
study (still underway) is evaluating d-amphetamine coupled
with intensive training to enhance motor recovery following
stroke. I currently chair the Steering Committee of the NIH
Traumatic Brain Injury Clinical Trials Network, which will
be launching a large multicenter trial of cdp-choline to
enhance cognitive outcomes in acute TBI. |
| References |
Recent Abstracts
- Goldstein LB, Jones M, Chilukuri V, Matcher DB, Good
DC, Feussner JR, Horner R. Computerized Algorithm for
Stroke Subgroup Classification Using the TOAST Criteria.
Neurology 1999; 52(Suppl 2):A243.
- Bastings EP, Yen Y-F, Hammond GL, Burdette JH, Gage
HD, Greenberg JP, Moody DM, Hernandez L, Good DC,
McDermott SS, Pons TP. Serial co-registration study of
functional magnetic stimulation mapping during motor
recovery after stroke. Stroke 2000; 31:290.
- Bastings EP, Hammond GL, Good DC, Greenberg JP,
McDermott SS, Pons TP. Decrease of intracortical
inhibition in the unaffected hemisphere after unilateral
stroke: Evidence from a paired-pulse magnetic
stimulation study. Stroke 2000; 31:300.
- Goldstein LB, Dromerick AW, Good DC, Lennihan L,
McDowell F, Reding MJ, Samsa GP. Multicenter study of
post-stroke neurorehabilitation: Implications for trial
design. Stroke 2000; 31:303.
- Gelber DA, Good DC, Dromerick A, Richardson M. An
open-label dose titration safety and efficacy study of
Zanaflex® (tizanidine HCl) in the treatment of chronic
spasticity associated with stroke. Stroke 2000; 31:314.
- Scales C, Greenberg JP, Wittenberg G, Bastings E,
Good DC, Pons TP. Correlation of TMS motor threshold
with clinical outcome measures in stroke patients.
Neurorehab Neural Repair 2001; 15:89.
- Yen Y-F, Bastings E, Burdette J, Scales C, Williams
C, Greenberg J, Wittenberg G, Good D, Pons T.
Longitudinal evaluation of activation of primary motor
cortex with fMRI on subcortical stroke patients during
recovery. NeuroImage 2001; 13(6): S1281.
- Wittenberg GF, Bastings EP, Scales C, Good DC.
Evolution of transcranial magnetic stimulation motor
maps during recovery after stroke. NeuroImage 2001; 13
(6): S5853.
- Lennihan L, Dromerick AW, Goldstein LB, Good DC,
McDowell F, Reding MJ, Samsa GP. Predictors of recovery
of arm function during stroke rehabilitation. Neurorehab
Neural Repair. 2001; 15:357.
- Good DC. Physician Training in Neurorehabilitation.
Neurorehab Neural Repair. 2001; 15:364.
- Greenberg JP, Williams CB, Wittenberg GF, Bastings
EP, Yen Y-F, Pons TP, Good DC. Serial functional
magnetic resonance imaging of upper extremity motor
function after stroke. Neurology. 2002; 58 (Suppl
3):A30.
- Wittenberg GF, Williams CB, Scales C, Good DC. 3D
Projection onto cortex of transcranial magnetic
stimulation motor maps during recovery from stroke.
Neurology. 2002; 58 (Suppl 3):A4-A5.
- Goldstein LB, Dromerick AW, Good DC, Lennihan L,
McDowell F, Reding M, Samsa GP. Possible time window for
the detrimental effects of drugs on post stroke
recovery. Neurology. 2002; 58 (suppl 3):A5-A6
- Greenberg JP, Yen Y-F, Scales C, Williams C,
Bastings EP, Wittenberg GF, Pons TP, Good DC. Serial
magnetic resonance imaging of motor function after
stroke. Stroke. 2002; 33:417.
- Smith S, Bastings EP, Morgan T, Pons T, Good DC,
Wittenberg GF. Paired-pulse inhibition and facilitation
of motor evoked potentials after cerebral infarction: A
longitudinal study with transcranial magnetic
stimulation. Soc. For Neuroscience Ann Mtg, 2002;
Abstract 562.8.
- Sawaki L, Butler AJ, Wasserman P, Mohammad Y,
Fowkles A, Greenberg J, Nichols DS, Wolf SL, Good DC,
Wittenberg GF. Motor Map Plasticity in Constraint
Therapy for Stroke. Stroke, 2004; P164:284-285.
- Goldstein LB, Lenninhan L, Rabandi M, Good DC,
Dromerick AW, Samsa GP and the AESR Investigators.
Amphetamine-enhanced stroke recovery trial: Concurrent
validity of the Stroke Impact Scale. Stroke 2005;
36:453.
- Greenberg JP, Butler AJ, Sawaki L, Schmalbrock P,
Mao H, Nichols DS, Wolf SL, Wittenberg GF, Good DC. The
effect of constraint-induced therapy for stroke on
functional MRI motor maps. Society for Neuroscience
Abstracts 2005; 30:431.7.
- Butler AJ, Ahmadian AA, KO J, Blanton S, Inkster D,
Cavelheiro V, Sathian K, Wolf SL, Sawaki L, Wittenberg
GF, Good DC. Can constraint-induced therapy improve
upper extremity function and change TMS map parameters
in hemiparetic patients? Society for Neuroscience
Abstracts 2005; 30:431.8.
- Selected Peer Reviewed Papers:
- Reynolds PS, Gilbert L, Good DC, Knappertz VA,
Crenshaw C, Wayne SL, Pillsbury D, Tegeler CH. Pneumonia
in dysphagic stroke patients: Effect on outcomes and
identification of high risk patients. J Neuro Rehab
1998;12:15-21.
- Bastings EP, Gage HD, Greenberg JP, Hammond G,
Hernandez L, Santago P, Hamilton CA, Moody DM, Singh KD,
Ricci PE, Pons TP, Good DC. Co-registration of cortical
magnetic stimulation and functional magnetic resonance
imaging. Neuro Report 1998; 9(9):1-6.
- Good DC, Viste KM. Neurologic rehabilitation at the
end of the century in the United States. J Neuro Rehab
1998; 12:153-161.
- Maloney SR, Bell WL, Shoaf SC, Blair D, Bastings EP,
Good DC, Quinlivan L. Measurement of lingual and
palatine somatosensory evoked potentials. Clinical
Neurophysiology 2000; 111:291-296.
- Gelber DA, Good DC, Dromerick A, Sergay S,
Richardson M. Open-label-dose-filtration safety and
efficacy study of tizanidine hydrochloride in the
treatment of spasticity associated with chronic stroke.
Stroke 2001; 32:1841-1846.
- Brashear A, Gordon M, Elovic E, Kassicieh V,
Marciniak C, Do M, Lee C, Jenkins S, Turkel C, For the
Botox Post-Stroke Study Group (David Good).
Intramuscular injection of botulinum toxin for the
treatment of wrist and finger spasticity after a stroke.
N Engl J Med 2002; 347(6):395-400.
- Bastings E, Greenberg J, Good D. Hand motor recovery
after stroke: a transcranial magnetic stimulation
mapping study of motor output areas and their relation
to functional status. Neurorehabilitation & Neural
Repair 2002; 16:275-282.
- Yves V, Bastings E, Good DC, Rouiller E, Olivier E.
Plasticitè des aires motrices corticales: Progrès
rècents et perspectives thèrapeutiques. Rev Neurol March
2003; 159(3):259-275.
- Good DC, Stroke: promising neurorehabilitation
interventions and steps towards testing them. Am J Phys
Med Rehab 2003; 82(suppl):S50-S57.
- Weinrich M, Good D, Reding M, Roth EF, Cifu DX,
Silver KH, Craik RL, Magaziner J, Terrin M, Axhwarz M,
Gerber L. Timing, Intensity and Duration of
Rehabilitation for Hip Fracture and Stroke. Report of a
workshop at the National Center for Medical
Rehabilitation Research. Neurorehabilitation and Neural
Repair (in press).
- Childers MK, Brashear A, Jozefczyk P, Reding M,
Alexander D, Good D, Walcott JM, Jenkins SW, Turkel C,
Molloy P. Dose-Dependent Response to Intramuscular
Botulinum Toxin Type A for Upper-Limb Spasticity in
Patients After a Stroke. Arch Phys Med Rehabil 2004;
85(7):1063-1069.
- Foster D, Good DC, Fowlkes A, Sawaki L. Atomoxetine
enhances a short-term model of plasticity in humans.
2005 Ann. Neurol (under review). Effect of stroke
location. Stroke 2005; 36:428.
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