Bio


Julie Muccini is an occupational therapist specializing in working with individuals with neurological diagnoses. She is registered and licensed in California and is a member of the American Occupational Therapy Association (AOTA) and the Occupational Therapy Association of California (OTAC). She is actively involved in research on recovery post-stroke. She works in the Human Performance Lab with an interdisciplinary team integrating biomechanics, biomedical engineering, physiology, psychology, and rehabilitation. Ms. Muccini received her bachelor's of science from the University of Massachusetts at Amherst in Industrial Engineering and Operations Research and her master's of science from Boston University in Occupational Therapy. She started working at the hospital at Stanford in 1997 and transitioned to the Outpatient Neuro Rehab Clinic at the Stanford Neurosciences Health Center in 2014. In March 2021, Julie moved over to the Stanford School of Medicine to work in the Human Performance Lab at the Arrillaga Center for Sports and Recreation, ACSR.

Institute Affiliations


Education & Certifications


  • MSc, Boston University, Sargent College, Occupational Therapy (1996)
  • BSc, University of Massachusetts, Amherst, Industrial Engineering and Operations Research (1990)

Personal Interests


While an undergraduate, Julie competed in Division I Track and Field in the 400-meter hurdles and triple jump; after graduate school, she became a competitive cyclist on the track and road and won two Masters National Championships on the Velodrome for the Points Race. In addition, she enjoys Muay Thai Fighting, Brazilian Jiu-jitsu, hiking, road cycling, and mountain biking.

Professional Affiliations and Activities


  • Member, Occupational Therapy Association of California (1997 - Present)
  • Member, American Occupational Therapy Association (1997 - Present)

All Publications


  • Home-based Virtual Reality Therapy for Hand Recovery After Stroke. PM & R : the journal of injury, function, and rehabilitation Lansberg, M. G., Legault, C. n., MacLellan, A. n., Parikh, A. n., Muccini, J. n., Mlynash, M. n., Kemp, S. n., Buckwalter, M. S., Flavin, K. n. 2021

    Abstract

    Many stroke survivors suffer from arm and hand weakness, but there are only limited efficacious options for arm therapy available.To assess the feasibility of unsupervised home-based use of a virtual reality device (Smart Glove) for hand rehabilitation post stroke.Prospective single-arm study consisting of a 2-week run-in phase with no device use followed by an 8-week intervention period.Participants were recruited at the Stanford Neuroscience Outpatient Clinic.Twenty chronic stroke patients with upper extremity impairment.Participants were instructed to use the Smart Glove 50 minutes per day, 5 days per week for 8 weeks.We measured (1) compliance, (2) patients' impression of the intervention, and (3) efficacy measures including the upper extremity Fugl-Meyer (UE-FM), the Jebsen-Taylor hand function test (JTHFT) and the Stroke Impact Scale (SIS).Of 20 subjects, 7 (35%) met target compliance of 40 days use, and 6 (30%) used the device for 20-39 days. Eighty-five percent of subjects were satisfied with the therapy, with 80% reporting improvement in hand function. During the run-in phase there were no improvements in hand function. During the intervention, patients improved by a mean of 26.6 ± 48.8 seconds on the JTHFT (P = 0.03), by 16.1 ± 15.3 points on the hand-domain of the SIS (P < 0.01) and there was a trend towards improvement on the UE-FM (2.2 ± 5.5 points, P = 0.10).Unsupervised use of the Smart Glove in the home environment may improve hand/arm function in subacute/chronic stroke patients. A randomized controlled trial is needed to confirm these results. This article is protected by copyright. All rights reserved.

    View details for DOI 10.1002/pmrj.12598

    View details for PubMedID 33773059

  • How to Design Woke Stroke Tech: The STORIES Project Eakin, M., Gian, A., Kim, F., Muccini, J., Lansberg, M., Flavin, K. LIPPINCOTT WILLIAMS & WILKINS. 2020