David Hubbard

David Hubbard
Alliant International University · Neuroscience

MD

About

45
Publications
12,332
Reads
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2,320
Citations
Introduction
fMRI neuropsychological testing battery, FANTAB fMRI of meditation chronic pain cerebral venous drainage
Additional affiliations
January 2008 - June 2017
Independent Researcher
Position
  • Professor
September 2007 - October 2014
Independent Researcher
Position
  • Neurology Director
September 1983 - June 2007
Education
July 1978 - July 1981
September 1973 - June 1977
UConn Health Center
Field of study
  • medicine
June 1970 - June 1973
Stanford University
Field of study
  • Psychology

Publications

Publications (45)
Preprint
Full-text available
Article
It has been suggested that the Rorschach human movement (M) response could be associated with an embodied simulation mechanism mediated by the mirror neuron system (MNS). To date, evidence for this hypothesis comes from two electroencephalogram studies and one repetitive transcranial magnetic stimulation study. To provide additional data on this to...
Poster
Full-text available
“Pause for a moment and listen for the next word or two that you hear in your mind. Wait a moment, there may be no words immediately…Listen for actual recognizable words. What is the first word(s) you heard?”
Article
Full-text available
Under the auspices of the International Society for Neurovascular Disease (ISNVD), four expert panel committees were created from the ISNVD membership between 2011 and 2012 to determine and standardize noninvasive and invasive imaging protocols for detection of extracranial venous abnormalities indicative of chronic cerebrospinal venous insufficien...
Article
We studied cerebrospinal fluid (CSF) flow dynamics at the cervical level in association with internal jugular veins (IJV) flow for 92 patients with multiple sclerosis (MS). Phase contrast magnetic resonance imaging was used to quantify flow of the CSF and major vessels (including the IJV and the carotid arteries) at the C2-C3 level in the neck. Con...
Conference Paper
Full-text available
NFL alumni have a heightened risk of developing frontal lobe dysfunction; fMRI testing may provide a sensitive marker of cognitive impairment.
Article
Full-text available
This document by an expert panel of the International Society for Neurovascular Disease is aimed at presenting current technique and interpretation of catheter venography of the internal jugular veins, azygous vein and other veins draining the central nervous system. Although interventionalists agree on general rules, significant differences exist...
Article
This study proposed to prospectively evaluate safety and clinical changes in outpatient endovascular treatment in patients with multiple sclerosis (MS) and chronic cerebrospinal venous insufficiency (CCSVI). Two hundred fifty-nine patients with MS were followed with the Multiple Sclerosis Impact Scale (MSIS-29) before and for 1and 6 months after tr...
Article
The goal of this work is to present a broad magnetic resonance imaging (MRI) protocol for use in the study of chronic cerebrospinal venous insufficiency (CCSVI). The CCSVI MRI protocol includes the following sequences: time-resolved contrast-enhanced 3D MR angiography, 2D time-of-flight MR venography, and 3D volumetric interpolated breath-hold exam...
Article
Full-text available
To study the blood flow through the internal jugular veins (IJVs) of the MS population. Two hundred MS patients and 14 normal volunteers were evaluated with magnetic resonance imaging (MRI) at 3T. Contrast-enhanced time-resolved 3D MR angiography and 2D time-of-flight imaging were performed to assess abnormalities in the extracranial vascular anato...
Article
To evaluate extracranial venous structural and flow characteristics in patients with multiple sclerosis (MS). Two hundred subjects with MS from two sites (n = 100 each) were evaluated with magnetic resonance (MR) imaging at 3 T. Contrast-enhanced time-resolved MR angiography and time-of-flight MR venography were used to assess vascular anatomy. Two...
Article
The committee came to the general consensus that the mechanisms for evaluating patients with MS for jugular and azygous venous compromise and the value of treating these lesions with angioplasty warrant careful, well designed additional study. The committee believed the specific parameters needed for a large-scale, pivotal multicenter trial were no...
Article
Full-text available
Objectives: Previous studies in our laboratory have suggested that myofascial trigger points [MTrPs] are electrically active and are sensitive to psychological stressors even when surrounding muscle tissue is silent. This study investigated the effects of Autogenic Relaxation Training [AT] on the needle electromygraphic [EMG] response of active MTr...
Article
Full-text available
Objective: To review pharmacologic studies using needle electromyographically [EMG]-guided injection of trigger points [TrPs] in patients with myofascial pain syndromes. Results: The alpha-adrenergic antagonists phentolamine and phenoxybenzamine eliminate EMG spike activity recorded by neele EMG in the nidus of TrPs and significantly reduce subject...
Article
This study evaluated a theoretically and empirically based model of the progression of acute neck and back pain to chronic pain and disability, developed from the literature in chronic pain, cognition, and stress and trauma. Clinical information and standardized psychosocial measures of cumulative traumatic events exposure (TLEQ), depressed mood (C...
Article
Randomized control trial conducted between June 2000 and September 2002. To determine whether a short psycho-educational video shown in the Emergency Department shortly after the injury would produce follow-up pain reductions and reduced medical utilization. Chronic pain following a whiplash injury is one example of the massive medical/legal proble...
Article
The objective of this study was to examine the burden of pain on employee health and productivity at a Fortune 100 company headquartered in the northeastern United States to prioritize target areas for reducing this burden. An electronic survey was conducted in late 2004, which produced a reasonably representative national sample of 1039 active emp...
Article
The definition proposed by Mark Schwartz is discussed in brief fashion and is found to be very useful and appropriate.
Article
Full-text available
A multilevel treatment approach for cervical, lumbar, and repetitive over-use injury pain is producing good results at MyoPoint Medical Group in San Diego, CA. Spearheaded by David Hubbard, MD, a board certified neu-rologist and medical director of the group, the approach integrates psy-chological and physical treatment within the same treatment pr...
Article
Full-text available
I Reprinted from THE JOURNAL OF MUSCULOSKELETAL MEDICINE May 1 998;1 5(5):1 6-26, Copyright O 1 998, Cliggott publishing Co . THEJ(X'RNALOF MUSCULOSKELETAL MEDICINE Persistent muscular pain: Muscle pain is the most comrnon work-related injury and the second most common cause of physician visits.r Most injuries involving mus-cle strain resolve with...
Article
The myofascial trigger point (MTrP) is the hallmark physical finding of the myofascial pain syndrome (MPS). The MTrP itself is characterized by distinctive physical features that include a tender point in a taut band of muscle, a local twitch response (LTR) to mechanical stimulation, a pain referral pattern characteristic of trigger points of speci...
Article
Full-text available
Research concerning the mechanisms and efficacy of psychophysiological treatments for chronic low back pain is reviewed. Despite methodological shortcomings, the literature supports the efficacy of a number of psychophysiological treatments. The mechanism of successful treatment is poorly understood. New models of pathophysiology of muscle pain are...
Article
Full-text available
Conference Paper
Full-text available
We propose that muscle tension, and chronic and recurrent muscle pain, are related to sympathetically mediated hyperactivity of muscle spindles. Muscle spindles are approximately 7mm long and 1mm wide, and are scattered throughout the muscle belly. ln the trapezius muscle for example, there are several hundred spindles. The spindle is an encapsulat...
Article
Full-text available
Article
Full-text available
The present study investigated the relationship among daily minor Stressors, daily cognitions about assertiveness, and diary data on tension-type headache. Thirty diagnosed tension-type headache patients monitored their stress (Daily Stress Inventory), cognitions about assertiveness (adaptation of the Irrational Beliefs About Assertion Scale), and...
Article
Full-text available
HealthCare in San Diego, Calif,, andAs-so ci ate Cl in i cal P rofessor of Neuro I o gt, University of California, San Diego. Dr. Hubbard also is a member ofthe AAPB Board of Directors. IreadThe Fountainheadwhen I was 13, and concluded that the mind mustbe a very powerful thing indeed and that I wanted to be a philosopher. I wasn't too clear on exa...
Conference Paper
Full-text available
Diego lntroduction An innovative 2-channel needte electromyography (EMG) method has demonstrated that the 1-2 mm nidus of myofascial trigger points, identified according to the criteria of Travell and Simons (1983), contain high-voltage -100-800 microvolt -sustained electrical spike activity while adjacent muscle fibers of the same muscle remain si...
Conference Paper
Full-text available
lntroduction An innovative 2-channel needle electromyography (EMG) method has demonstrated that the 1-2 mm nidus of myofascial trigger points, identified according to the criteria of Travell and Simons (1983), contain high-voltage -100-800 microvolt -sustained electrical spike activity while adjacent muscle fibers of the same muscle remain silent (...
Article
Fourteen subjects were evaluated by needle electromyography in a trapezius myofascial trigger point and simultaneously in adjacent nontender trapezius muscle fibers during a control condition (forward counting), a stressful condition (mental arithmetic), and resting baselines. Based on recent data implicating autonomic innervation in muscle functio...
Article
Full-text available
Needle trigger point EMG and surface frontal EMG were correlated in response to stressors in tension headache patients
Article
Monopolar needle electromyogram (EMG) was recorded simultaneously from trapezius myofascial trigger points (TrPs) and adjacent nontender fibers (non-TrPs) of the same muscle in normal subjects and in two patient groups, tension headache and fibromyalgia. Sustained spontaneous EMG activity was found in the 1-2 mm nidus of all TrPs, and was absent in...
Conference Paper
Full-text available
Pilot studies with phentolamine demonstrated immediate and significant reduction in needle EMG activity within trigger points during IM and IV infusions. We hypothesize that needle EMG activity in myofascial trigger points arises in sympathetically stimulated intrafusal muscle fibers within muscle spindles.
Article
Full-text available
jackhammer is chipping away at la. her skull. The pain is unbearable, she tells you. Migraine headaches are ruining her life. "lsn't there something you can clo to ease the pain?" she pleads, altnost in desperation. As a caring physician, you pre-scribe a small quantity of Tylenol with codeine. As a cautious physician, you irupress upon your patien...
Article
Full-text available
dexamethosone suppression followed by ACTH stimulation measures chronic adrenocortical activity

Questions

Questions (3)
Question
HRV indirectly measures vagal afferent activity, and both RRSD and HF are higher during air hunger from breath-holding.
Question
Self-organized dynamic instabilities (cortical slowing) sound like attention.

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Projects

Projects (5)
Project
Pathophysiology of muscle tension and muscle pain