Gary David Paige, M.D., Ph.D.

Viewing information for Patients. See information for Researchers.

Contact

University of Rochester
School of Medicine and Dentistry
601 Elmwood Ave, Box 603
Rochester, New York 14642

Fax: 585 442-8766

Portrait

Research:

Multisensory Interaction and Adaptive Plasticity in Spatial Localization and Orientation.

The sensori-neural processes underlying our abilities to localize, track, and interact with a cluttered environment are crucial attributes of daily life, and are among the most fundamental tasks of the nervous system. The integration of multiple sensory inputs are required to guide spatial behaviors, ranging from mundane tasks such as reaching for objects to complex ones such as navigating to and from the workplace. These functions are also among the first (and often most subtle) to register problems after head trauma, neurological disease, and aging. The goal of our research is to understand how the brain integrates sensory inputs from the outside world (location and motion of visual and auditory targets) with those of the internal senses (vestibular and somatosensory depictions of orientation and motion of the body and its parts,) to achieve meaningful spatial perceptions and behaviors (eye, head and postural movements and reflexes). An equally important interest is how plastic neural mechanisms register errors and adaptively adjust performance in order to maintain proper spatial calibration across sensory modalities, or analogously, recover normal function after suffering pathologic loss. Finally, an important translational concern is how the neural degeneration of natural aging affects spatial behavior and plasticity.

Current experiments address two intriguing areas of interest. One is understanding how the brain utilizes auditory and visual information about target location and motion in order to maintain accurate and congruent spatial calibration across modalities, as assessed through different forms of orienting movements ("pointing"). These include visually-guided manual pointing by laser joystick, and more natural gaze (eye and head) pointing. Since gaze shifts activate vestibular reflexes (vestibulo-ocular and –collic reflexes: VOR and VCR) as well as somatosensory feedback from the neck, we are studying how the senses interact with each other and with volitional and reflex motor control. We are also investigating the important challenges of spatial memory when targets are transient, as occurs frequently in nature. Finally, we are interested in how spatial sensory modalities are plastically co-calibrated by cross-sensory experience--an essential feature normal spatial behavior over a lifetime.

A second focus is how vestibular inputs during both angular (from the semicircular canals) and linear (from the otoliths) head motion interact with each other, despite an intriguing limitation in the physics of the linear form (Einstein's "equivalency principle"). As biological linear accelerometers, the otolith organs cannot readily distinguish accelerations due to head tilt (relative to gravity) from those arising during translational (as opposed to angular) motion, and yet relevant behaviors and perceptions associated with these two forms of motion differ greatly. We are characterizing the compromised but fascinating solutions that have evolved to help resolve (albeit imperfectly) this sensory ambiguity.

Our research environment is unique in structure and instrumentation, as well as broad and translational in character. We benefit from a collegiate and multi-disciplinary group of faculty working on problems of common interest.

Current Appointments

Education
MD Medicine Univ Chicago Pritzker Sch Med 1981
PhD Neurophysiology University of Chicago 1980
BS Biology Univ of Cal Irvine 1974
Post-Doctoral Training & Residency
Resident University of California-san Francisco San Francisco, California 94143 1982 - 1985
Clinical Internship Dept. of Anesthesiology Michael Reese Hospital Chicago, Illinois 1981 - 1982
Awards and Honors
Vice President and Program Director | Society for the Neural Control of Movement. 2007 - Present
Honory Life Member | Neuro-Otological Society of Australia 1995 - Present
President | Association of Medical School Neuroscience Department Chairs. 2002 - 2004
Stadium Generale (keynote) Presentation | Nijmegen Institute of Neuroscience 1999
Arthur Kornberg Research Award | University of Rochester 1997
Traveling Fellowship | Royal College of Surgeons Foundation, Ossining, New York 1991
Michael J. Hogan Award | Dept. Opthalmology, University of California, San Francisco, Calif. 1984
Medical Scientist Training Program (MD, PhD) | University of Chicago 1975 - 1981
J. Franks Fund Scholarship Award | University of Chicago Pritzker School of Medicine 1974 - 1975
B.S. Cum Laude and With Honors | University of California - Irvine 1974
National Science Foundation Research Participation Award | Department of Psychobiology, University of California - Irvine 1972
Academic Honors Award | Interlochen Arts Academy 1970
Dow Foundation Scholarship | Interlochen Arts Academy 1966 - 1970