Carol Giuliani, PT, PhD
Professor
| Division of Physical Therapy Email address: cgiuliani@med.unc.edu |
Research Background and Interests
- Upper limb control in people with stroke
- Applying virtual reality and robotic technology to stroke rehabilitation
- Preventing falls in older adults
Current Research
- Exercise to reduce rick factor of falling in older adults
- Community-based program to reduce falls
- Effects of exercise training on arm control in people with stroke
Education
1982-85 PhD University of California, Los Angeles
Kinesiology (Neural Control of Movement)
1980-82 MS University of California, Los Angeles
Kinesiology (Neural Control of Movement)
1973-75 BS California State University, Long Beach
Physical Therapy
Teaching
PhD Program in Human Movement Science
HMSC 701 Scientific Basis of Human Motion, Neuro/Motor Control (3 credits, Fall)
HMSC 881 Neural Basis of Motor Control (3 credits)
HMSC 710 Electromyography for movement analysis (3 credits)
HMSC 911 Effects of Aging on Balance and Movement (3 credits)
DPT Program in Physical Therapy
PHYT 751 Evidence Based Medicine I
PHYT 727 Motor Learning and Motor Control
Selected Publications
Referred Papers/Articles
Original research
Petersen MJ, Morey MC, Giuliani C, Pieper CF, Evenson KR, Mercer V, Cohen HJ, Visser M, Brach JS, Kritchevsky SB, Goodpaster BH, Rubin S, Satterfield S, MD, Newman AB, Simonsick E. Habitual Walking for Physical Activity in Old Age and Development of Metabolic Syndrome: the Health, Aging and Body Composition Study. Med Sci Sports Exer (in review) 2008
Kubiak-Rizzone K, Mielenz T, Giuliani C, Calahan L. The Association of Self-Efficacy and Outcome Expectations with Physical Activity in Adults with Arthritis. Journal of Physical Activity & Health. (in review) 2008
Schrodt L, Giuliani C, Mercer V, Freburger J, Hartman M, Busby-Whitehead J. Direct and Indirect Effects of Attention and Processing Speed on Disability in Older Adults. The Journal of Gerontology: Medical Sciences (in review) 2008
Petersen MJ, Giuliani C, Morey MC, Pieper CF, Evenson KR, Mercer V, Cohen HJ, Visser M, Brach JS, Kritchevsky SB, Goodpaster BH, Rubin S, Satterfield S, MD, Newman AB, Simonsick EM. Physical activity as a preventative factor for frailty: The Health ABC Study" Journal of Gerontology: Medical Sciences (in press) 2009
McCulloch KL, Mercer VS, Giuliani CA, Marshall S. Development of a clinical measure of dual-task performance in walking: reliability and preliminary validity of the walking and remembering test. J Geriatric PT (in press)
Thigpen CA, Padua DA, Michener LA, Guskiewicz K, Giuliani C, Keener JD, Stergiou N. Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks. Medicine & Science in Sports & Exercise (in press)
Giuliani CA, Gruber-Baldini AL, Park NS, Schrodt LA, Zabolitzki F, Sloane PD, Zimmerman S. Physical performance tests identify assisted living residents who are at risk for adverse health outcomes Gerontologist 2008; 48(2):203-12
Farrell JF, Hoffman HB, Snyder JL, Giuliani CA, Bohannon RW. Orthotic aided training of the paretic upper limb in chronic stroke: results of a phase 1 trial. NeuroRehabilitation. 2007;22(2):99-103.
Chappell J, Creighton RA, Giuliani C, Yu B, Garrett W. Kinematics and electromyography of landing preparation in vertical stop jump : risks for noncontact anterior cruciate ligament injury. Am J Sports Med. 2007; 35: 235 – 241.
Foxworth J, Bethea D, Cunningham Giuliani C. The Journal of Best Practices in Health Professions Diversity: Education, Research & Policy, 2007
Wolf SL, Winstein C, Miller JP, Taub E, Uswatte G, Morris D, Giuliani C, Light K, Nichols-Larsen, D. Effect of Constraint Induced Movement Therapy on Upper Extremity Function among Patients 3-9 Months Following Stroke: The EXCITE Randomized Clinical Trial. JAMA 2006;296(17):2095-104
Cavanaugh JT, Guskiewicz K, Giuliani C, Marshall S, Mercer VS, Stergiou N. Recovery of postural control after cerebral concussion: New insights using Approximate Entropy. J Athl Train 2006; 41(3):305-313.
Uswatte G, Giuliani CA, Winstein C, Wolf S. Validity of accelerometry for monitoring real-world arm activity in individuals with subacute stroke. Arch Phys Med Rehabil, 2006;87:1340-5
Shubert TE, Schrodt LA, Mercer VS, Busby-Whitehead J, Giuliani CA. Are scores on balance screening tests associated with mobility in older adults? J Geriatr Phys Ther. 2006;29(1):35-9.
Onate JA, Guskiewicz KM, Marshall S, Giuliani CA, Yu B, Garrett W. Instruction of jump-landing technique using videotape feedback: altering lower extremity motion patterns. Am J Sports Med. 2005;33(6):831-42.
Chang SH, Mercer VS, Giuliani CA, Sloane PD. Relationship between hip abductor rate of force development and mediolateral stability in older adults. Arch Phys Med Rehabil. 2005;86(9):1843-50.
Cavanaugh JT, Guskiewicz K, Giuliani C, Marshall S, Mercer VS, Stergiou N. Detecting altered postural control after cerebral concussion in athletes without postural instability. Br J Sports Med 2005;39(11)805-811.
Wolf S. Thompson P, Morris D, Rose D, Winstein C, Taub E, Giuliani C, Pearson S. The EXCITE* Trial: Baseline Attributes of the Wolf Motor Function Test in Patients with Sub-acute Stroke. Neurorehabil Neural Repair 2005 19: 194-205.
Merritt CR, Grant E, Giuliani CA. Pneumatically Actuated Elbow Brace Designed for Upper Extremity Stroke Rehabilitation. IEEE (Proceedings 2004)
Schrodt LA, Mercer VS, Giuliani CA, Hartman M. Characteristics of stepping over an obstacle in community dwelling older adults under dual-task conditions. Gait Posture. 2004;19(3):279-87.
Sharkey J, Giuliani C, Haines, P, Branch L, Busby-Whitehead J, Zahoori N. A Nutrient Intake, BMI, and Lower Extremity Physical Performance Predict 1-Year Severity in Disability Among Homebound Elders J Nutrition, Health and Aging. 2004;8:131-139
Berry ET, Giuliani CA, Damiano DL. Intrasession and Intersession Reliability of Handheld Dynamometry in Children with Cerebral Palsy. Pediatric Physical Therapy 2004;16:191-198
Sharkey J, Giuliani C, Haines, P, Branch L, Busby-Whitehead J, Zahoori N. A Summary Measure of Dietary Intake of Musculoskeletal Nutrients (Calcium, Vitamin D, Magnesium, and Phosphorus) is Associated with Lower-Extremity Physical Performance in Homebound Older Men and Women. Amer J of Clin Nutri 2003; 77:847-856
Sharkey J, Branch L, Giuliani C, Zahoori N, Haines, P. Inadequate nutrient intake among homebound older persons in the community and its correlation with individual characteristics and health-related factors. American Journal of Clinical Nutrition 2002;76(6):1435-45.
Haehl V, Giuliani C, Lewis C Influence of hippotherapy on the kinematics and functional performance of two children with cerebral palsy. Pediatric Physical Therapy 1999;11:89-101.
Giuliani CA, Purser JL, Light KE, Genova PA. Impairments in arm control in subjects with left and right hemisphere stroke. Neuro Rehabilitation 1997;9:71-87.
Giuliani CA. The relationship of spasticity to movement and considerations for therapeutic intervention. NeuroReport. 1997;21:78-84.
Gresham GE, Alexander D, Bishop DS, Giuliani C, Goldberg G, Holland A, Kelly-Hayes M, Linn RT, Roth EJ, Stason WB, Trombly CA. American Heart Association Prevention Conference. IV. Prevention and Rehabilitation of Stroke. Rehabilitation. Stroke. 1997;28(7):1522-6.
Chung SH, Giuliani CA. Within and between session consistency of EMG patterns of gait in non-disabled older adults. Gait and Posture 1997;6:110-118.
Giuliani CA. Strength training for patients with neurological disorders. NeuroReport. 1995; 19:29-34.
Harbourne R. Giuliani CA, MacNeela J. A Kinematic and Electromyographic Analysis of the Development of Sitting Posture in Infants. Developmental Psychobiology 26:51-64, 1993
Giuliani CA. Dorsal Rhizotomy for Children with Cerebral Palsy:Support for Concepts of Motor Control. Physical Therapy 71:248-259, 1991
Rosecrance JR, Giuliani CA. A Kinematic Analysis of Lower Limb Movement During Erogometer Pedaling in Normal and Hemiplegic Subjects. Physical Therapy 71:334-343, 1991
Gajdosik RL, Giuliani CA, Bohannon RW. Passive Compliance and Length of Hamstring Muscles of Healthy Men and Women. Clinical Biomechanics 5:23-29, 1990.
Giuliani CA. Should We Measure Spasticity, Tone and Other Ugly Terms? Neurological Physical Therapy 1989, pp.25-27
Giuliani CA. Smith JL. Stepping Behaviors in Chronic Spinal Cats with One Hindlimb Deafferented. J.Neurosci., 7:2537-2546,1987
Giuliani CA. Smith JL. Development and Characteristics of Airstepping Chronic Spinal Cats. J. of Neurosci.,5:1276-1282, 1985
Giuliani CA. Perry GA. Factors to Consider in the Rehabilitation Aspect of Burn Care. Physical Therapy 65(5): 619-623, 1985
Other peer reviewed articles
Gresham GE. Alexander D. Bishop DS. Giuliani C. Goldberg G. Holland A. Kelly-Hayes M. Linn RT. Roth EJ. Stason WB. Trombly CA. American Heart Association Prevention Conference. IV. Prevention and Rehabilitation of Stroke. Rehabilitation. Stroke. 28(7):1522-6, 1997.
Rose DK, Giuliani CA, Light KE. The Immediate Effect of Isokinetic Exercise on Temporal-Distance Characteristics of Self-Selected and Fast Hemiplegic Gait. Proceeding: Forum on Stroke Rehabilitation.1992, pp 37-42
Giuliani CA, Light KE, Rose DK. The Effects of an Isokinetic Exercise Program on the Performance of Sit-to-Stand in Patients with Hemiparesis. Proceeding:Forum on Stroke Rehabilitation. 1992, pp 49-54
Light KE, Purser JL, Giuliani CA. Motor Programming Deficits of Patients with Left Versus Right CVAs. Proceeding: Forum on Stroke Rehabilitation. Proceeding: Forum on Stroke Rehabilitation 1992, pp 2-6
Smith, J.L., N.S. Bradley, M.C. Carter, C.A. Giuliani, M.H. Hoy, G.F. Koshland and R.F. Zernicke. Rhythmical Movements of the Hindlimbs in Spinal Cat: Consideration for a Controlling Network. In Development and Plasticity of the Mammalian Spinal Cord. M.E. Goldberger, A. Gorio, M. Murray, eds. Liviana Press, Padova, pp. 347-363, 1986
Editorials or letters
Giuliani CA. Commentary on Teaching Examination and Intervention of Spasticity and Weakness. Neurology Report 2001;3:115-116
Giuliani CA, Duncan PW. Commentary on Use of an intensive task-oriented gait training program in a series of patients with acute cerebrovascular accidents Physical Therapy 1992; 72:789-792
Books/chapters
Giuliani CA. Spasticity and motor control. In Clinical Applications for Motor Control. B. Connolly and P. Montgomery, eds. Slack Inc, Memphis TN, 2002;308-332.
Giuliani, CA. Dorsal Rhizotomy as a Treatment for Improving Function in Children with Spastic Cerebral Palsy. In Movement Disorders in Children. H. Forssberg and H. Hershfeld, eds, Med Sport Sci. Basel, Karger, 1992;247-254
Giuliani, C.A. Disorders in Motor Synergies, Initiation and Termination of Movement. In Motor Control: Theoretical Framework and Practical Application to Physical Therapy. B. Connolly and P.Montgomery, eds., Chatanooga Press, 1991;111-120
Giuliani, C.A. Theories of Motor Control: New Concepts in Physical Therapy. In: Lister M, ed. II Step: Contemporary Management of Motor Control Problems, Foundation for Physical Therapy, Washington, DC, 1991
Giuliani, C.A. Adult Hemiplegic Gait. In Normal and Abnormal Human Gait. G.L. Smidt, ed. Churchill Livingstone, New York, 253-266,1990
PROFESSIONAL SOCIETIES
American Gerontological Society
American Physical Therapy Association
(Section member for: Neurology, Geriatrics, Research)
North American Society for the Psychology of Sport and Physical Activity
Society for Neuroscience
UNC School of Medicine