Edward M. Phillips, MD

Edward Phillips

                   

 

Assistant Professor
ephillips1@partners.org   
Staff Physician, Spaulding Rehabilitation Network 

Assistant Physiatrist, Massachusetts General Hospital;  
Consultant, Brigham and Women's Hospital;  
Consultant, McLean Hospital;  
Visiting Scientist, Jean Mayer- USDA Human Nutrition Research Center on Aging at Tufts University 

Clinical and Research Interests: Exercise physiology, sarcopenia, 
Physical medicine and rehabilitation in mental illness; Musculoskeletal medicine; Acute and chronic pain 

Education:

MD, SUNY-Buffalo School of Medicine and Biomedical Sciences, 1988 
Columbia Presbyterian Medical Center, New York, Department of Rehabilitation Medicine, 1992 

Certifications:
1989-1996    New York State Medical License
1989    Diplomate, National Board of Medical Examiners
1993    Diplomate, American Board of Physical Medicine and Rehabilitation, (Recert 2003)
1995    Massachusetts Board of Registration in Medicine

In Brief: Throughout my career I have provided supervision and clinical teaching to residents in Physical Medicine and Rehabilitation. This teaching was first pursued at Beth Israel Medical Center in New York City on a general inpatient rehabilitation unit. At McLean Hospital I established a unique elective PM&R rotation on the physical rehabilitation of psychiatric patients. This PM&R rotation became a required senior rotation focusing on assessment and treatment of gait and balance deficits in geriatric psychiatric inpatients, treatment of pain in patients with psychiatric illness, and the routine aspects of running a consultation service.    

My educational role expanded to include teaching of psychiatric residents and fellows in geriatric psychiatry. These psychiatry trainees are taught the principles of physical medicine and rehabilitation to better evaluate issues of decreased mobility and pain in their patients. In addition I have delivered a number of talks to the broader community of mental health professionals at the local and national level.   

Throughout my professional career I have maintained a strong interest in health promotion through fostering improved lifestyle choices. In an attempt to meld an understanding of exercise physiology with aspects of health psychology I write and speak about motivation for exercise to PM&R, psychiatric, and general medical audiences. This interest is now generalized to the broader field of Lifestyle Medicine.

I am course director of the Harvard Medical School, Department of Continuing Education online curriculum: Prescribing Lifestyle Medicine for Weight Management to be released in the fall of 2005.   

Clinical Overview: 

From 1992 to 1995 my initial clinical and administrative interest focused on the use and acceptance of Multidisciplinary Action Plans (MAPs) that directed the predictable aspects of care for rehabilitation inpatients. After attending to the routine practices my clinical work began to focus on the exceptional issues that delayed patients progress: pain and psychiatric issues. In 1995 I moved to Boston to co-direct a unique inpatient unit for simultaneous treatment of individuals with psychiatric and physical rehabilitation needs. I continue to consult at McLean Hospital and have conducted more than 15,000 patient visits. On the geriatric inpatient unit I assess and treat gait disorders and falls in patients admitted with dementia and affective illness. I also consult throughout the other units addressing issues of mobility, pain, and musculoskeletal dysfunction in psychiatric inpatients. In addition, since 1997 I have worked within a primary care practice at MGH Back Bay Health Care Center where I treat individuals with musculoskeletal complaints.

I am currently a Visiting Scientist at the Jean Mayer-USDA Human Nutrition Research Center on Aging at Tufts University. I work as study physician and investigator on several studies that address exercise physiology, resistance training in the elderly, body composition, and nutrition. This experience in conducting clinical research protocols in the elderly complements my clinical work with geriatric patients and my broader interest in promoting healthy aging through exercise and physical activity.

Publications
1.    Juris PM, Phillips EM, Dalpe C, Edwards C, Gotlin RS, Kane DJ. A dynamic test of lower extremity function following anterior cruciate ligament reconstruction and rehabilitation. J Orthop Sports Phys Ther. 1997;26(4):184-91  Pub Med.
2.    Galynker I, Prikhojan A, Phillips E, Focseneanu M, Ieronimo C, Rosenthal R. Negative symptoms in stroke patients and length of hospital stay. J Nerv Ment Dis. 1997;185(10):616-21.
3.    Phillips E, Abrandt B, Cesta T. Case Management of Individuals with Hip Fractures, A Continuum of Care from Inpatient Rehabilitation Through Home Care. Topics in Geriatric Rehabilitation. 1999.
4.    Galynker I, Cohen L, Salvit C, Miner C, Phillips E, Focseneanu M, Rosenthal R. Psychiatric symptom severity and length of stay on an intensive rehabilitation unit. Psychosomatics. 2000;41(2):114-20.
5.    Laughton CA, Slavin M, Katdare K, Nolan L, Bean JF, Kerrigan DC, Phillips E, Lipsitz LA, Collins JJ. Aging, muscle activity, and balance control: physiologic changes associated with balance impairment. Gait Posture. 2003;18(2):101-8.
6.    Ouellette MM, LeBrasseur NK, Bean JF, Phillips E, Stein J, Frontera WR, Fielding RA. High-intensity resistance training improves muscle strength, self-reported function, and disability in long-term stroke survivors. Stroke. 2004;35(6):1404-9.
7.    Callahan D, Phillips E, Carabello R, Frontera W, Fielding R. Assessment of lower extremity muscle power in functionally-limited elders. Aging Clin Exp Res. 2007;19:194-9.
8.    Frontera WR, Reid KF, Phillips EM, Krivickas LS, Hughes VA, Roubenoff R, Fielding RA. Muscle fiber size and function in elderly humans: a longitudinal study. J Appl Physiol. 2008 Aug;105(2):637-642. Epub 2008 Jun 12. PubMed PMID: 18556434; PubMed Central PMCID: PMC2519941.
9.    Reid KF, Callahan DM, Carabello RJ, Phillips EM, Frontera WR, Fielding RA.  Lower extremity power training in elderly subjects with mobility limitations: a randomized controlled trial.  Aging Clin Exp Res 2008; 20(4):337-43. PubMed PMID: 18852547, PubMed Central PMCID: PMC2673568
10.    Reid KF, Naumova EN, Carabello RJ, Phillips EM, Fielding RA.  Lower extremity muscle mass predicts functional performance in mobility-limited elders.  J Nutr Health Aging 2008 Aug-Sep;12(7):493-8 PubMed PMID: 18615232; PubMed Central PMCID: PMC2544628.
11.    Carabello RJ, Reid KF, Clark DJ, Phillips EM, Fielding RA.  Lower extremity strength and power asymmetry assessment in healthy and mobility-limited populations: reliability and association with physical functioning. Aging Clin Exp Res. 2010 Aug; 22(4):324-9.  Epub 2009 Nov 25. PubMed PMID: 19940556,
12.    Clark DJ, Patten C, Reid KF, Carabello RJ, Phillips EM, Fielding RA. Impaired voluntary neuromuscular activation limits muscle power in mobility-limited older adults. J Gerontol A Biol Sci Med Sci. 2010 May;65(5):495-502. Epub 2010 Feb 15. PubMed PMID: 20156882; PubMed Central PMCID: PMC2854883.
13.    Phillips EM, Katula J, Miller ME, Walkup MP, Brach JS, King AC, Rejeski WJ, Church T, Fielding RA.  Interruption of physical activity because of illness in the Lifestyle Interventions and Independence for Elders Pilot trial. J Aging Phys Act. 2010 Jan;18(1):61-74. PubMed PMID: 20181994; PubMed Central PMCID: PMC3191494.
14.    Clark DJ, Patten C, Reid KF, Carabello RJ, Phillips EM, Fielding RA. Muscle performance and physical function are associated with voluntary rate of neuromuscular activation in older adults.  J Gerontol A Biol Sci Med Sci. 2011 Jan;66(1):115-21. Epub 2010 Sep 9. PubMed PMID: 20829294; PubMed Central PMCID: PMC3011959.
15.    Choi SJ, Lim JY, Nibaldi EG, Phillips EM, Frontera WR, Fielding RA, Widrick JJ.  Eccentric contraction-induced injury to type I, IIa, and IIa/IIx muscle fibers of elderly adults. Age (Dordr). 2012 Feb;34(1):215-26. Epub 2011 Mar 24. PubMed PMID: 21431924; PubMed Central PMCID: PMC3260364.
16.    Reid KF, Doros G, Clark DJ, Patten C, Carabello RJ, Cloutier GJ, Phillips EM, Krivickas LS, Frontera WR, Fielding RA. Muscle power failure in mobility-limited older adults: preserved single fiber function despite lower whole muscle size, quality and rate of neuromuscular activation. Eur J Appl Physiol. 2012 Jun;112(6):2289-301. Epub 2011 Oct 18. PubMed PMID: 22005960; PubMed Central PMCID: PMC3394542.
17.    Pojednic RM, Clark DJ, Patten C, Reid K, Phillips EM, Fielding RA. The specific contributions of force and velocity to muscle power in older adults. Exp Gerontol. 2012 Aug;47(8):608-13. Epub 2012 May 22. PubMed PMID: 22626972.
18.    Heffernan KS, Chale A, Hau C, Cloutier GJ, Phillips EM, Warner P, Nickerson H, Reid KF, Kuvin JT, Fielding RA. Systemic vascular function is associated with muscular power in older adults. J Aging Res. 2012;2012:386387. Epub 2012 Aug 26. PubMed PMID 22966457; PubMed Central PMCID: PMC3433136.
19.    Dacey M, Arnstein F, Kennedy M, Wolfe J, Phillips EM, The impact of lifestyle medicine continuing education on provider knowledge, attitudes and counseling behaviors. Medical Teacher 2012 Nov 8 [Epub ahead of print] PubMed PMID: 23137250.
20.    Rivas DA, Morris EP, Haran PH, Pasha EP, Morais Mda S, Dolnikowski GG, Phillips EM, , Fielding RA,  Increased ceramide content and NFκB signaling may contribute to the attenuation of anabolic signaling after resistance exercise in aged males. J Appl Physiol 2012 Dec;113(11):1727-36. Doi:10.1152/japplphysiol. 00412.2012, Epub 2012 Oct 4. PubMed PMID: 23042913.
21.    Lustgarten MS, Price LL, Logvinenko T, Hatzis C, Padukone N, Reo NV, Phillips EM, Kirn D, Mills J, Fielding RA. Identification of serum analytes and metabolites associated with aerobic capacity. Eur J Appl Physiol 2012 Nov 27. [Epub ahead of print] PubMed PMID: 23184236
22.    Chale A, Cloutier GJ, Hau C, Phillips EM, Dallal GE, Fielding RA, Efficacy of whey protein supplementation on resistance exercise-induced changes in lean mass, muscle strength, and physical function in mobility-limited older adults. J Gerontol A Biol Sci Med Sci.2012 Oct 31 [Epub ahead of print] PubMed PMID: 23114462.

Thank you very much for the care you have given to me. I have come a long way on a long road to recovery. Thank you.

Richard S.

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