Michael Munin, MD
Professor
Vice Chair for Strategic Planning and Program Development

Biography
Michael C. Munin, MD, is a professor and vice chair for Strategic Planning and Program Development in the Department of Physical Medicine and Rehabilitation at the University of Pittsburgh School of Medicine. He holds secondary appointments as professor of Rehabilitation Science and Technology at Pitt’s School of Health and Rehabilitation Sciences and the Department of Otolaryngology.

Dr. Munin is the director of EMG services for the department at UPMC Presbyterian and Shadyside hospitals. He also directs the Spasticity Evaluation and Treatment Center and prosthetic rehabilitation clinic. Dr. Munin is the senior editor for department publications: Rehab Progress Newsletter and UPMC Rehab Grand Rounds.

Dr. Munin is involved in DARPA and industry funded research. He has authored numerous articles for scientific and clinical journals. Dr. Munin is frequently invited to speak at peer seminars and lectureships related to his research and conducts national workshops related to treatments for spasticity and the use of EMG as a diagnostic tool.

CONTACT
412-648-6848
muninmc@upmc.edu

Specialized Areas of Interest
Ultrasound localization for neurolytic procedures, muscle spasticity, prosthetic rehabilitation, post stroke spasticity, vocal cord paralysis, hip fracture rehabilitation, botulinum toxins, electromyography.

Board Certifications
Physical Medicine & Rehabilitation
Electrodiagnostic Medicine

Education & Training
BS, Chemistry/Biology, West Chester University, 1984
MD, Jefferson Medical College of Thomas Jefferson University, 1988
PM&R Residency, Thomas Jefferson University Hospital, 1992
Fellowship, Research Enrichment for Physiatrists, NIDRR funded, 1993

Honors and Awards
Best Doctor, Physical Medicine & Rehabilitation, Pittsburgh Magazine, 2003-2016
Best Doctor in America, 2003-2016
Excellence in Teaching, PM&R Residents, 2011, 2009, 2003, 1995

Research Activities
Dr Munin has several areas of active clinical research. He is PI, in collaboration with the department of neurosurgery, in a stem cell trial focusing on improving the motoric deficits after traumatic brain injury. He has been active in clinical trials that evaluate botulinum toxin medications for upper and lower limb spasticity. He has collaborated with the department of otolaryngology using laryngeal EMG techniques to predict recovery and guide treatment after recurrent laryngeal neuropathies

Professional Organization Membership
American Academy of Physical Medicine & Rehabilitation
American Association of Neuromuscular and Electrodiagnostic Medicine

Selected Publications
Munin MC, Rudy TE, Glynn N, Crossett LS and Rubash HE. Early inpatient rehabilitation after elective hip and knee arthroplasty. JAMA 1998;279:847-852.

Zafonte R, Munin MC. Phenol and alcohol in the treatment of spasticity. Physical Medicine & Rehabilitation Clinics of North America 2001; 12(4):817-832

Munin MC, Rosen CA, Zullo T. Utility of laryngeal electromyograophy in determining recovery after vocal fold paralysis. Arch Phys Med Rehabil 2003; 84:1150-3.

Lenze EJ, Munin MC, Quear, T, Dew MA, Rogers JC, Begley AE, Reynolds CF. The Pittsburgh Rehabilitation Participation Scale: Reliability and Validity of a Clinician-Rated Measure of Participation in Acute Rehabilitation. Arch Phys Med Rehabil 2004;85: 380-4.

Munin MC, Seligman K, Dew MA, Quear T, Skidmore ER, Gruen G, Reynolds CF, Lenze EJ: Effect of rehabilitation site on functional recovery after hip fracture. Arch Phys Med Rehabil 2005;86:367-72.

Munin MC, Begley A, Skidmore ER, Lenze EJ: Influence of rehabilitation site on hip fracture recovery in community dwelling subjects at 6-month follow up. Arch Phys Med Rehabil 2006;87:1004-6.

Chang C, Munin MC, Skidmore ER, Huber L, Weber DJ: Effect of baseline spastic hemiparesis on recovery of upper limb function following botulinum toxin A injections and post-injection therapy. Arch Phys Med Rehabil 2009;90: 1462-8.

Weber DJ, Skidmore ER, Niyonkuru C, Chang C, Huber LM, Munin MC. Cyclic FES does not enhance gains in hand grasp function when used as an adjunct to onabotulinumtoxin-A and task practice therapy: a single-blinded, randomized controlled pilot study. Arch Phys Med Rehabil 2010; 91:679-86.

Statham MM, Rosen CA, Nandedkar SD, Munin MC. Quantitative laryngeal electromyography: Turns and amplitude analysis. Laryngoscope 2010; 120:2036-41.

Henzel MK, Munin MC, Niyonkuru C, Skidmore ER, Weber DJ, Zafonte RD. Comparison of surface and ultrasound localization to identify forearm flexor muscles for botulinum toxin injections. PMR 2010; 2:642-646.

Tian W, DeJong G, Munin MC, Smout RJ. Patterns of rehabilitation following hip arthroplasty and their association with outcomes: an episode of care view. Am J Phys Med Rehabil 2010; 89:905-22.

Smith LJ, Rosen CA, Niyonkuru C, Munin MC. Quantitative electromyography improves prediction in vocal fold paralysis. Laryngoscope 2012; 122: 854-9.

Hong JS, Sathe G, Niyonkuru C, Munin MC. Eliminating dysphagia using ultrasound guidance for botulinum toxin injections in cervical dystonia. Muscle Nerve 2012; 46:535-539.

Everaert DG, Stein RB, Abrams GM, Dromerick AW, Francisco GE, Hafner BJ, Huskey TN, Munin MC, Nolan KJ, Kufta CV. Effect of a foot-drop stimulator and ankle–foot orthosis on walking performance after stroke: A multicenter randomized controlled trial. Neurorehabilitation and Neural Repair 2013; 27:579-91.

Rosen CA, Smith LJ, Young V, Krishna P, Muldoon M, Munin MC. Prospective investigation of nimodipine for acute vocal fold paralysis. Muscle Nerve 2014; 50: 114-118.

Miller Phillips M, Miljkovic N, Ramos-Lamboy M, Moossy JJ, Buhari A, Munin MC. Clinical experience using continuous intrathecal baclofen trial prior to pump implantation. PMR 2015; 7:1052-8.

Wininger YD, Buckalew NA, Kaufmann RA, Munin MC: Ultrasound combined with electrodiagnosis improves lesion localization and outcome in posterior interosseous neuropathy. Muscle Nerve 2015; 52: 1117-1121.

Elovic EP, Munin MC, Kaňovský P, Hanschmann A, Hiersemenzel R, Marciniak C. Randomized, placebo-controlled trial of incobotulinumtoxinA for upper limb post-stroke spasticity. Muscle Nerve 2016; 53:415-21

Munin MC, Heman-Ackah YD, Rosen CA, Sulica L, Maronian N, Mandel S, Carey BT, Craig E, Gronseth G. Consensus statement: Using laryngeal electromyography for the diagnosis and treatment of vocal cord paralysis. Muscle Nerve 2016 [Epub ahead of print]

Dr. Munin’s publications on PubMed