Dr. Kathleen Friel is an Assistant
Professor of Clinical Psychiatry in the Division of Brain Stimulation
and Therapeutic Modulation. Dr. Friel received her Ph.D. from the
University of Kansas Medical Center, studying neurophysiological
correlates of stroke recovery in the laboratory of Dr. Randolph
Nudo. Dr. Friel completed a postdoctoral fellowship in the
laboratory of Dr. John Martin at Columbia University. With
Dr. Martin, she investigated rehabilitation strategies-- and their
neural underpinnings-- in an animal model of hemiplegic cerebral palsy
(CP). Dr. Friel joined the faculty of the BSTM in July
2008. In the BSTM, she conducts translational research in
children with hemiplegic CP.
Current Research Projects:
Using Transcranial Magnetic
Stimulation to Study Cerebral Palsy
Recovery in Children
This study looks at what areas of the brain may be responsible
for recovery after intensive training of the affected arm in children
with hemiplegia. This study is sponsored by the National Institutes of
Neurological Disorders and Stroke. This study is conducted in
collaboration with Dr. Andrew Gordon at the Center for Cerebral Palsy
Research at Teachers College. This study tests the hypothesis
that certain brain areas are responsible for improved movement ability
after the training of the impaired hand. We are trying to
understand how the brain responds to movement training. We hope
that in the future we can develop new treatments for hemiplegia based
on what we learn about the brain in this study.
Magnetic Resonance Imaging of
the Motor and Somatosensory Systems in
Children with Cerebral Palsy and Healthy Controls
Hemiplegic cerebral palsy (CP) is a neurological disorder characterized
by poor motor control. Hemiplegic CP occurs when motor areas in
the brain become damaged on one side during perinatal
development. This damage causes aberrant formation of motor
pathways in people with hemiplegic CP. People with hemiplegic CP
often also have somatosensory deficits, particularly in sensorimotor
integration. The objective of this study is to better understand
the anatomical connectivity of the motor system in children with
hemiplegic CP and healthy age-matched controls. In this study,
children with hemiplegic CP ages 8-13 and healthy age-matched controls
will receive a magnetic resonance imaging (MRI) scan in a 3.0 T
scanner. Diffusion tensor imaging (DTI) will be used to visualize
the motor pathways (corticospinal tract) and somatosensory pathways
from both hemispheres. Understanding the anatomical connectivity
of the motor system in children with hemiplegic CP may lead to the
development of more effective therapies for hemiplegic CP.
Selected Publications:
Gordon, AM, Friel, K. 2009. Intensive training of upper
extremity
function in children with cerebral palsy. In: J. Hermsdoerfer and DA
Nowak (Eds) Sensorimotor Control of Grasping: Physiology and
Pathophysiology, pp. 438-468. Cambridge University Press.
Friel K.M., Martin J.H. 2007. Bilateral
activity-dependent
interactions in the developing corticospinal system. Journal of
Neuroscience, 27:11083-11090.
Friel K.M., Drew T., Martin J.H. 2007.
Differential
activity-dependent development of corticospinal control of movement and
final limb position during visually-guided locomotion. Journal of
Neurophysiology, 97:3396-3406.