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Jeffrey B. Palmer, M.D.

Photo of Dr. Jeffrey B. Palmer, M.D.

Director, Swallowing and Oral Function Laboratory

Professor of Physical Medicine and Rehabilitation

Expertise: Amputee Rehabilitation, Back Disorders, Cerebrovascular Diseases, Cervical Degenerative Disc Disease, Dysphagia Evaluation - Adults, Geriatric Rehabilitation, Lumbar Degenerative Disease, Neurologic Rehabilitation, Orthopaedic Rehabilitation, Physical Medicine and Rehabilitation, Rehabilitation, Spinal Cord Dysfunction, Spinal Cord Injury, Spinal Disorders, Spinal Stenosis, Spondylolisthesis, Swallowing Center (See also Radiology Dept.), Swallowing Disorders ...read more

Research Interests: Swallowing; Mastication; Swallowing Disorders; Neurorehabilitation; Stroke; Head and Neck Cancer; Neuromuscular disease; Biomechanics

Locations

The Johns Hopkins Hospital
Appointment Phone: 410-614-4030

600 N. Wolfe Street
Sheikh Zayed Tower
Baltimore, MD 21287 map
Phone: 410-502-2427
Fax: 410-769-1243

Johns Hopkins Bayview Medical Center
Appointment Phone: 410-550-7800

4940 Eastern Avenue
Baltimore, MD 21224 map

Background

Dr. Jeffrey Palmer is a professor of physical medicine and rehabilitation (PM&R), otolaryngology-head and neck surgery, and functional anatomy and evolution at the Johns Hopkins University. He also directs the Swallowing and Oral Function Laboratory.

After initial piano studies at the Juilliard School, Dr. Palmer obtained his undergraduate and medical degrees from New York University, and completed a residency in PM&R at the University of Washington in Seattle.  A member of the Johns Hopkins faculty since 1983, Dr. Palmer reached the rank of professor in 2002.  From 2004-14, he served as the Lawrence Cardinal Shehan Professor and Chair of the Department of PM&R and Physiatrist-in-Chief of the Johns Hopkins Hospital. He is also a Visiting Professor at the Medical College of Wisconsin and at Fujita Health University in Japan.

Dr. Palmer is internationally known for his research on swallowing and its disorders, which was supported by the National Institutes of Health for more than 20 years. His research currently focuses on neural control of mastication and swallowing and dynamic imaging of swallowing with videofluoroscopy and high-resolution computed tomography.

The first editor-in-chief of Current Physical Medicine and Rehabilitation Reports, Dr. Palmer also serves on the editorial advisory boards of Dysphagia and the Japanese Journal of Comprehensive Rehabilitation Sciences. He is a Past-President of the Dysphagia Research Society and held leadership roles in the Association of Academic Physiatrists. He has received numerous honors in the United States and abroad.

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Titles

  • Director, Swallowing and Oral Function Laboratory
  • Distinguished Professor, Fujita Health University, Nagoya, Japan
  • Editor-in-Chief, Current Physical Medicine and Rehabilitation Reports
  • Professor of Physical Medicine and Rehabilitation
  • Professor of Functional Anatomy and Evolution
  • Professor of Otolaryngology - Head and Neck Surgery

Education

Additional Training

  • Licensed Physician, State of Maryland (1983)
  • Certified in Physical Medicine and Rehabilitation, American Board of Physical Medicine and Rehabilitation (1984)

Research & Publications

Research Summary

Dr. Palmer’s laboratory focuses on understanding the kinesiology and biomechanics of swallowing, with special attention to the integration of mastication and swallowing and to the motor control of the tongue and jaw. Studies use videofluoroscopy (x-ray video), dynamic CT scanning, and measurements of muscle activity (EMG) and respiration to analyze control of eating, swallowing, and breathing in both healthy volunteers and individuals with stroke, head and neck cancer, neurological disease, and inflammatory muscle disease.

Technology Expertise Keywords

Videofluoroscopy; Electromyography; Dynamic 4D computed tomography; Biomechanics; Motor control

Selected Publications

Matsuo K, Palmer JB. Kinematic linkage of the tongue, jaw, and hyoid during eating and speech. Arch Oral Biol 55:325 331, 2010; DOI:10.1016/j.archoralbio.2010.02.008.

Needham DM, Korupolu R, Zanni JM, Pradhan P, Conlantuoni E, Palmer JB, Brower RG, Fan E: Early physical medicine and rehabilitation for patients with acute respiratory failure: a quality improvement project. Arch Phys Med Rehabil 91(4):536-42, 2010; DOI:10.1016/j.apmr.2010.01.002.

Zanni JM, Korupolu R, Fan E, Pradhan PB, Janjua K, Palmer JB, Brower RG, Needham DM: Rehabilitation therapy and outcomes in acute respiratory failure: An observational pilot project. Journal of Critical Care 25:254-262, 2010; DOI:10.1016/j.jcrc.2009.10.010.

Matsuo K, Metani H, Mays K, Palmer JB: Effects of respiration on soft palate movement in feeding. J Dent Res 89(12):1401-1406, 2010; DOI: 10.1177/0022034510377336

Fujii N, Inamoto Y, Saitoh E, Baba M, Okada S, Yoshioka S, Nakai T, Ida Y, Katada K, Palmer JB: Evaluation of swallowing using 320-detector row multislice CT. Part I: Single- and multiphase volume scanning for three-dimensional morphological and kinematic analysis. Dysphagia, in press. DOI: 10.1007/s00455-009-9268-2.

Inamoto Y, Fujii N, Saitoh E, Baba M, Okada S, Katada K, Ozeki Y, Kanamori D, Palmer JB: Evaluation of swallowing using 320-detector row multislice CT. Part II: Kinematic analysis of laryngeal closure during normal swallowing. Dysphagia, in press. DOI: 10.1007/s00455-010-9276-2.

Lord RK, Mayhew CR, Korupolu R, Mantheiy EC, Friedman MA, Palmer JB, Needham DM. "ICU Early Physical Rehabilitation Programs: Financial Modeling of Cost Savings." Critical Care Medicine, 2013 Mar;41(3):717-24.

Inamoto Y, Saitoh E, Okada S, Kagaya H, Shibata S, Ohta K, Baba M, Fujii N, Katada K, Wattanapan P, Palmer JB. "The effect of bolus viscosity on laryngeal closure in swallowing. Kinematic analysis using 320-row area detector CT." Dysphagia. 2013 Mar;28(1):33-42.

Taniguchi H, Matsuo K, Okazaki H, Yoda M, Inokuchi M, Gonzalez-Fernandez M, Inoue M, Palmer JB. "Fluoroscopic evaluation of tongue and jaw movement during mastication in healthy humans." Dysphagia. 2013 Sep;28(3):419-27.

Mikushi S, Seki S, Brodsky MB, Matsuo K, Palmer JB: Stage I intraoral food transport: Effects of food consistency and initial bite size. Arch oral Biol 59: 379–385, 2014

Brodsky MB, Gellar JE, Dinglas VD, Colantuoni E, Mendez-Tellez P, Shanholtz C, Palmer JB, Needham DM. Duration of oral endotracheal intubation is associated with dysphagia symptoms in acute lung injury patients. J Crit Care 29:574-9, 2014.

Inokuchi H, Brodsky MB, González-Fernández M, Yoda M, Hiraoka T, Matsuo K, Palmer JB: Frequency of Stage II Oral Transport Cycles in Healthy Human. Dysphagia 29:685-91, 2014

Inokuchi H, González-Fernández M, Matsuo K, Brodsky MB, Yoda M, Taniguchi H, Okazaki H, Hiraoka T, Palmer JB: Electromyography of Swallowing with Fine Wire Intramuscular Electrodes in Healthy Human: Activation Sequence of Selected Hyoid Muscles. Dysphagia 29:713–721, 2014

Brodsky MB1, González-Fernández M, Mendez-Tellez PA, Shanholtz C, Palmer JB, Needham DM. Factors associated with swallowing assessment after oral endotracheal intubation and mechanical ventilation for acute lung injury. Ann Am Thorac Soc 11:1545-52, 2014. doi: 10.1513/AnnalsATS.201406-274OC

Kho ME, Truong AD, Zanni JM, Ciesla ND, Brower RG, Palmer JB, Needham DM: Neuromuscular electrical stimulation in mechanically ventilated patients: A randomized, sham-controlled pilot trial with blinded outcome assessment. J Crit Care 30:32-9, 2015. doi: 10.1016/j.jcrc.2014.09.014

Matsuo K, Yokoyama M, Gonzalez-Fernandez M, Saitoh E, Kagaya H, Baba M, Fujii W, Palmer JB: Effects of Food Consistencies and Mastication on Bolus Transport and Swallow Initiation in Individuals with Hemispheric Stroke. J Neurol Neurophysiol 6:269, 2015. doi: 10.4172/2155-9562.1000269

Matsuo K, Palmer JB: Coordination of oro-pharyngeal food transport during chewing and respiratory phase. Physiology and Behavior 142:52 – 56, 2015. DOI: 10.1016/j.physbeh.2015.01.035

Kagaya H, Yokoyama M,Saitoh E,Kanomori D,Susa C,GermanRZ, Palmer JB:Isolated pharyngeal swallow exists during normal human feeding. Tohoku J Exp Med 236:39­43, 2015.

Inamoto Y, Saitoh E, Okada S, Kagaya H, Shibata S, Baba M, Onogi K, Hashimoto S, Katada K, Wattanapan P, Palmer JB: Anatomy of the larynx and pharynx: effects of age, gender and height revealed by multidetector computed tomography. J Oral Rehabil 42: 670–677. doi: 10.1111/joor.12298.

Inokuchi H, González-Fernández M, Matsuo K, Brodsky MB, Yoda M, Taniguchi H, Okazaki H, Hiraoka T, Palmer JB: Electromyography of Swallowing with Fine Wire Intramuscular Electrodes in Healthy Human: Amplitude Difference of Selected Hyoid Muscles. Dysphagia, in press. DOI 10.1007/s00455-015-9655-9

Activities & Honors

Honors

  • Distinguished Academician Award, Association of Academic Physiatrists, 2016
  • Distinguished Professor, Fujita Health University, 2016
  • Fellow, American Congress of Rehabilitation Medicine, 2008
  • Honorary member, Japanese Society for Dysphagia Rehabilitation, 2001
  • The B. Stanley Cohen Lectureship, Sinai Hospital of Baltimore, Baltimore, MD, 2010
  • Listed in Who's Who in America, by Marquis Who's Who, 2010
  • Phi Beta Kappa, 1976

Memberships

  • Dysphagia Research Society
    Past President
  • Association of Academic Physiatrists
    Member at Large
  • American Academy of Physical Medicine and Rehabilitation
    Fellow
  • American Association of Neuromuscular and Electrodiagnostic Medicine
    Fellow
  • American Congress of Rehabilitation Medicine
    Fellow

Professional Activities

  • Editor-in-chief, Current Physical Medicine and Rehabilitation Reports, 2013
  • Board of Trustees, Foundation for Physical Medicine and Rehabilitation
  • Editorial board, Dysphagia
  • Board of Trustees, Association of Academic Physiatrists
  • Editorial board, Archives of Physical Medicine and Rehabilitation
  • Motor Function, Speech, and Rehabilitation Study Section, National Institutes of Health
  • Past president, Dysphagia Research Society
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