Scientist profiles M-R
St. John’s Rehab
285 Cummer Avenue, Room S125
Phone: (416) 480-4475
Dr. Robinson is a physiatrist with a special focus on electromyography. His clinical activities are focused on diagnosis of focal neuropathies and radiculopathies as well as other neuromuscular conditions.
Administrative Assistant: Nancy Riley
Phone: 416-226-6780, ext. 7274
- BA, 1978, chemistry, Brandeis University, U.S.
- MD, 1982, medicine, Baylor College of Medicine, U.S.
- Physical medicine and rehabilitation residency, 1985, Northwestern University, U.S.
- Fellow, American Board of Physical Medicine and Rehabilitation (FABPMR), 1987
- Board certification in neuromuscular medicine, 2011
Appointments and Affiliations:
- Senior scientist, Evaluative Clinical Sciences, St. John’s Rehab Research Program (director), Sunnybrook Research Institute
- Program chief, rehabilitation services, Sunnybrook Health Sciences Centre
- Head, division of physical medicine and rehabilitation, Sunnybrook
- Professor and division director, physical medicine and rehabilitation, department of medicine, University of Toronto
- John and Sally Eaton Chair in Rehabilitation Science
- Prognosis of awakening after coma
- Intensive care unit-acquired weakness
- Electrodiagnosis in traumatic and focal neuropathies
Dr. Robinson’s research is focused on three areas.
His work on prognosis for awakening after hypoxic ischemic encephalopathy is directed at allowing critical care teams to recommend discontinuing life support more confidently when chances of awakening are less than 1%. He aims to improve eletrophysiologic methods for prognostication and use statistical methods to develop models that predict outcomes with more certainty.
His interest in intensive care unit (ICU)-associated weakness is toward characterizing better the types of weakness occurring in the ICU and understanding the mechanisms by which early mobilization can improve outcomes.
In the areas of focal and traumatic neuropathies Dr. Robinson’s interest has been on optimizing analysis of multiple data points and predicting outcomes better. His publications on the diagnosis of carpal tunnel syndrome have improved the reliability of testing and reduced the incidence of false positive results related to performing multiple independent tests. This method reduces multiple observations into a single summary variable (usually called the Robinson index). In traumatic neuropathy, improved ability to prognosticate outcome in patients with traumatic peripheral nerve injuries means that therapeutic interventions can be tailored to individual patients.
- Robinson LR. How electrodiagnosis predicts clinical outcomes of focal peripheral nerve lesions. Muscle Nerve. 2015;52:321–333.
- Robinson LR, Micklesen PJ, Tirschwell DL, Lew HL. Predictive value of somatosensory evoked potentials for awakening from coma. Crit Care Med. 2003;31(3):960–7.
- Robinson, LR. Traumatic injury to peripheral nerves. Muscle Nerve. 2000;Jun;23(6):863–73.
- Robinson LR, Micklesen P, Wang L. Strategies for analyzing nerve conduction data: superiority of a summary index over single tests. Muscle Nerve. 1998;21:1166–71.
- Robinson LR, Temkin NR, Fujimoto WY, Stolov WC. Impact of statistical methodology on normal limits in nerve conduction studies. Muscle Nerve. 1991;14:1084–90.