It's no secret, most of us would like to stay in our own home as we age. Yet, sometimes our loved ones just need a little extra help to remain comfortable at home. That's where Always Best Care can help....we are dedicated to exceeding expectations....always.
They say that your golden years are the best years of your life. For most older Americans, that's how it should be - a time to relax, reflect, and live life in a familiar place. After all, senior citizens in the U.S. have worked tirelessly to build a better economy, serve their communities, and raise families.
However, as seniors grow older, completing daily tasks like showering and enjoying activities such as visiting the historic Hamilton Grange National Memorial gets harder without someone by their side. Unfortunately, many older Americans aren't able to rely on their adult children for help. The reality in today's world is that family members do not have the skills or time to dedicate to caring for their parents. That's where Always Best Care Senior Services comes in.
Our in-home care services are for people who prefer to stay at home as they grow older but need ongoing care that family or friends cannot provide. More and more older adults prefer to live far away from long-term, institutionalized facilities and closer to the place where they feel most comfortable - their home. Home care in Hamilton, MD is a safe, effective way to give your loved ones the care they need when they need it the most.
Home Care Services
Service AreasSince 1996, Always Best Care has provided non-medical in-home care for seniors to help them maintain a healthy lifestyle as they get older. We are proud to have helped more than 25,000 seniors maintain higher levels of dignity and respect. We focus on providing seniors with the highest level of in-home care available so that they may live happily and independently.
Unlike some senior care companies, we genuinely want to be included in our clients' lives. We believe that personalized care is always the better option over a "one size fits all" approach. To make sure our senior clients receive the best care possible, we pair them with compassionate caregivers who understand their unique needs. That way, they may provide care accordingly without compromising their wellbeing.
The Always Best Care difference lies in life's little moments - where compassionate care and trustworthy experience come together to help seniors live a fruitful, healthy life. Whether you are an aging adult that can't quite keep up with life's daily tasks or the child of a senior who needs regular in-home services, Always Best Care is here to help.
“I had a wonderful experience working with their team. And would recommend them to everyone”
“Extremely responsive, professional, and friendly. Nothing but wonderful things to say about the process and”
“Haley and Toan have been an amazing resource to my mother and I, helping us”
“Haley and her team are a pleasure to work with! As a partner in the”
“My family and I couldn’t be happier with Always Best Care (ABC). From the minute”
“Very easy to work with and great communication. They go over and above. Would highly”
“I live in MD. I have very close friends who live in PA. The husband”
“My mother ended up immobile from a fall that happened Christmas morning. The following day”
“They were able to hook my mother up with home care services as soon as”
“Always Best Care Senior Services were our Angels in our time of need after my”
“I am currently a Certified Caregiver for Always Best Care. Haley and Gina have been”
“My experiences with Haley and Gina have been nothing short of spectacular! They are very”
“I had a wonderful experience working with their team. And would recommend them to everyone in my circle of friends and family”
“Extremely responsive, professional, and friendly. Nothing but wonderful things to say about the process and people. An evaluation was performed the same day I called about needing the service. They are very sensitive to your needs and follow through to make sure they are met in to the highest degree.”
“Haley and Toan have been an amazing resource to my mother and I, helping us with sitting services for my father in a dementia facility after his return from a hospitalization but they have really gone above and beyond. She has been an amazing resource and really cares about helping people. I am a nurse myself and so impressed with how proactive and helpful she has been, far beyond just sitting services. Very appreciated and much needed. I would absolutely recommend using her and her company to help you and your loved ones.”
“Haley and her team are a pleasure to work with! As a partner in the senior care industry, Always Best Care has been known to go above and beyond when it comes to working with, and educating families on options and resources. I am always happy to work with them, knowing they will provide the best care and options for the families they serve!”
“My family and I couldn’t be happier with Always Best Care (ABC). From the minute we reached out to Haley, the owner of ABC, we have received excellent service. Haley responded to all of our concerns and has gone above and beyond to be sure our loved one has what is needed. Haley and her team at ABC were able to set up care for our loved one on very short notice. Working with Haley has made a difficult situation much easier to navigate. I would highly recommend Always Best Care. THANK YOU!”
“Very easy to work with and great communication. They go over and above. Would highly recommend!!!”
“I live in MD. I have very close friends who live in PA. The husband was diagnosed with cancer. It was a diagnosis that came out of left field. It left them reeling with every unknown when they were told it had developed and progressed rapidly. I called a friend, who lives in my home state, to ask if she knew of any companies that could not only provide health care services to my PA friends, but be ready to do so without delays. She referred me to Haley Davis with Always Best Care Senior Services. I called as soon as I hung up. I left a voicemail, and received a call from Haley within 10 minutes. Providing as much detail and information as I could, I was assured they would be able to provide different levels of care as they were needed. She also said that I, or any member of my friends’ family, could call her if we needed anything. Today my PA friend said she emailed Always Best Care Senior Services last night. Later today I heard that Haley responded, and services were put into place. The absolute last thing anyone should have to be concerned about when they are emotionally overwhelmed and physically depleted from a devastating disease is dealing with automated phone systems, reaching the correct departments, filing requests in triplicate, and being told they’ll be put on a waiting list. Absolute Best Care Senior Services is just what the name says. They aren’t just able to provide the services that will be needed, they provide the peace of mind that allows their clients to focus on themselves. That’s what caring and compassion are about. I don’t think I could ever express my gratitude. Thank you.”
“My mother ended up immobile from a fall that happened Christmas morning. The following day we got in touch with Haley Davis, the owner/president of Always Best. She came to our home (within hours) on her day off. Had rented a wheelchair, reserved transportation to get our mom home, set up a nurse assessment and RN in-home care within 24 hrs! Our family couldn't be more pleased and appreciative of Haley and her team... class act!”
“They were able to hook my mother up with home care services as soon as she left rehab. Very flexible with scheduling and hours. Competitive pricing. I would recommend them.”
“Always Best Care Senior Services were our Angels in our time of need after my Mom’s heart surgery. Haley, Erin and Rebecca were all fabulous, super responsive and extremely professional and knowledgeable. We don’t know what we would have done without them. We very highly recommend them!”
“I am currently a Certified Caregiver for Always Best Care. Haley and Gina have been incredible! I love the communication, the dedication and consistency to helping others. Meeting new clients/patients is exciting and gives me purpose! Knowing I can be assistance to help others that need just a bit extra is an amazing feeling! This company is like a family as well as our clients. We treat everyone with the dignity and care that everyone should be entitled to. Despite being employed with the company, I would still offer these services to friends and family! :)”
“My experiences with Haley and Gina have been nothing short of spectacular! They are very caring and compassionate. This is is the group that you should consider for any of your loved ones assistance! Highly recommend them!!!”
Home is where the heart is. While that saying can sound a tad cliche, it is especially true for many seniors living in America. When given a choice, older adults most often prefer to grow older at home. An AARP study found that three out of four adults over the age of 50 want to stay in their homes and communities as they age.
When you begin to think about why, it makes sense. Home offers a sense of security, comfort, and familiarity.
The truth is, as we age, we begin to rely on others for help. When a family is too busy or lives too far away to fulfill this role, in-home senior care is often the best solution. Home care services allow seniors to enjoy personal independence while also receiving trustworthy assistance from a trained caregiver.
At Always Best Care, we offer a comprehensive range of home care services to help seniors stay healthy while they get the help they need to remain independent. As your senior loved one gets older, giving them the gift of senior care is one of the best ways to show your love, even if you live far away.
To give our senior clients the best care possible, we offer a full spectrum of in-home care services:
If your senior loved one has specific care needs, our personal care services are a great choice to consider. Personal care includes the standard caregiving duties associated with companion care and includes help with tasks such as dressing and grooming. Personal care can also help individuals with chronic conditions like diabetes.
Common personal care services include assistance with:
Sometimes, seniors need helpful reminders to maintain a high quality of life at home. If you or your senior has trouble with everyday tasks like cooking, our home helper services will be very beneficial.
Common home helper care services include assistance with:
Using this kind of care is a fantastic way to make life easier for you or your senior loved one. At Always Best Care, our talented caregivers often fill the role of a companion for seniors. That way, older adults can enjoy their favorite local activities, such as visiting Bayfront Park with friends while also receiving the care they need daily or weekly.
Common companionship services include:
According to AARP, more than 53 million adults living in the U.S. provide care to someone over 50 years old. Unfortunately, these caregivers experience stress, exhaustion, and even depression. Our respite care services help family caregivers address urgent obligations, spend time with their children, and enjoy nearby activities. Perhaps more importantly, respite care gives family members time to recharge and regroup. Taking personal time to de-stress reduces the risk of caregiver burnout. So, if you've always wanted to eat at the local Rat's Restaurant or visit Hamilton Heights Historic District, don't feel bad. Doing so is great for both you and your loved one.
At the end of the day, our goal is to become a valuable part of your senior's daily routine. That way, we may help give them the highest quality of life possible. We know that staying at home is important for your loved one, and we are here to help make sure that is possible.
If you have been on the fence about non-medical home care, there has never been a better time than now to give your senior the care, assistance, and companionship they deserve.
Always Best Care in-home services are for older adults who prefer to stay at home but need ongoing care that friends and family cannot provide. In-home care is a safe, effective way for seniors to age gracefully in a familiar place and live independent, non-institutionalized lives. The benefits of non-medical home care are numerous. Here are just a few reasons to consider senior care services from Always Best Care:
According to AARP, 9 out of 10 seniors prefer to age in place within the comfort of their own home. With in-home care, seniors have a way to stay at home, receive the care they need, and maintain a sense of independence, improving overall wellness.
If you or a member of your family have assumed the role of caregiver for your senior loved one, you know how stressful the job can be. Between caregiver burnout and constant worry, being a family caregiver is hard. In-home care relieves your burden and gives you peace of mind knowing that your older family member is in expert hands.
Unlike nursing homes, where the staff and residents rotate frequently, seniors can foster new friendships and build bonds with their caregiver. Seniors who socialize on a regular basis are often happier, which fosters positivity and leads to increased wellbeing.
No two seniors need the same kind of in-home care assistance. That is why each of our Care Plans is tailored to meet our client's individual needs. We offer plans that cover everything from light housekeeping to more involved duties like transportation to doctor's appointments. Our Care Coordinators will work closely with you to develop a personalized plan to ensure your senior's needs are exceeded.
Always Best Care offers a full array of care options for patients at all levels of health. With our trusted elderly care services, your loved one will receive the level of care necessary for them to enjoy the highest possible quality of life.
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While it's true that some seniors have complicated medical needs that prevent them from staying at home, aging in place is often the best arrangement for seniors and their families. With a trusted caregiver, seniors have the opportunity to live with a sense of dignity and do so as they see fit - something that is unavailable to many older people today.
In-home care makes it possible for millions of seniors to age in place every year. Rather than moving to a strange nursing home, seniors have the chance to stay at home where they feel the happiest and most comfortable.
How much does a senior's home truly mean to them?
A study published by the American Society on Aging found that more than half of seniors say their home's emotional value means more than how much their home is worth in monetary value. It stands to reason, then, that a senior's home is where they want to grow old.
With the help of elderly care in Hamilton, MD, seniors don't have to age in a sterilized care facility. Instead, they can age gracefully in the place they want to be most: their home. In contrast, seniors who move to a long-term care facility must adapt to new environments, new people, and new systems that the facility implements. At this stage in life, this kind of drastic change can be more harmful than helpful.
Institutional care facilities like nursing homes often put large groups of people together to live in one location. On any given day, dozens of staff members and caregivers run in and out of these facilities. Being around so many new people in a relatively small living environment can be dangerous for a seniors' health and wellbeing. When you consider that thousands of seniors passed away in nursing homes during the COVID-19 pandemic, opting for in-home care is often a safer, healthier choice for seniors.
Aging in place has been shown to improve seniors' quality of life, which helps boost physical health and also helps insulate them from viral and bacterial risks found in elderly living facilities.
For many seniors, the ability to live independently with assistance from a caregiver is a priceless option. With in-home care, seniors experience a higher level of independence and freedom - much more so than in other settings like a nursing home. When a senior has the chance to age in place, they get to live life on their own terms, inside the house that they helped make into a home. More independence means more control over their personal lives, too, which leads to increased levels of fulfillment, happiness, and personal gratification. Over time, these positive feelings can manifest into a healthier, longer life.
More independence, a healthier life, and increased comfort are only a few benefits of aging in place. You have to take into consideration the role of cost and convenience. Simply put, it's usually easier and more affordable to help seniors age in place than it is to move them into an institutional care facility. According to the US Department of Housing and Urban Development, seniors who age in the comfort of their homes can save thousands of dollars per month.
In-home care services from Always Best Care, for instance, are often less expensive than long-term solutions, which can cost upwards of six figures per year. To make matters worse, many residential care facilities are reluctant to accept long-term care insurance and other types of payment assistance.
With Always Best Care's home care services, seniors and their families have a greater level of control over their care plans. In-home care gives seniors the chance to form a bond with a trusted caregiver and also receive unmatched care that is catered to their needs. In long-term care facilities, seniors and their loved ones have much less control over their care plan and have less of a say in who provides their care.
In-home care is a valuable resource that empowers seniors to age in place on their own terms. However, a big concern for many families and their loved ones is how much in-home care costs. If you're worried that in-home care is too expensive, you may be pleasantly surprised to learn that it is one of the most affordable senior care arrangements available.
Typically, hiring an Always Best Care in-home caregiver for a few hours a week is more affordable than sending your loved one to a long-term care facility. This is true even for seniors with more complex care needs.
At Always Best Care, we will work closely with you and your family to develop a Care Plan that not only meets your care needs, but your budget requirements, too. Once we discover the level of care that you or your senior need, we develop an in-home care plan that you can afford.
In addition to our flexible care options, families should also consider the following resources to help offset potential home care costs:
When you or your senior loved one needs assistance managing daily tasks at home, finding a qualified caregiver can be challenging. It takes a special kind of person to provide reliable care for your senior loved one. However, a caregiver's role involves more than meal preparation and medication reminders. Many seniors rely on their caregivers for companionship, too.
Our companion care services give seniors the chance to socialize in a safe environment and engage in activities at home. These important efforts boost morale and provide much-needed relief from repetitive daily routines. A one-on-one, engaging conversation can sharpen seniors' minds and give them something in which to be excited.
At Always Best Care, we only hire care providers that we would trust to care for our own loved ones. Our senior caregivers in Hamilton, MD understand how important it is to listen and communicate with their seniors. A seemingly small interaction, like a short hug goodbye, can make a major difference in a senior's day. Instead of battling against feelings of isolation, seniors begin to look forward to seeing their caregiver each week.
Understanding the nuances of senior care is just one of the reasons why our care providers are so great at their job.
Unlike some senior care companies, our caregivers must undergo extensive training before they work for Always Best Care. In addition, our caregivers receive ongoing training throughout the year. This training ensures that their standard of care matches up to the high standards we've come to expect. During this training, they will brush up on their communication skills, safety awareness, and symptom spotting. That way, your loved one receives the highest level of non-medical home care from day one.
While it's true that many seniors prefer to age at home, sometimes in-home care isn't the best fit. For those seniors and their families, choosing an assisted living facility makes more sense. Unfortunately, finding the optimal care facility is easier said than done in today's day and age. That's when Always Best Care's assisted living referral services begin to make a lot of sense.
Assisted living is a form of housing intended for seniors who require varying degrees of medical and personal attention. Accommodations may include single rooms, apartments, or shared living arrangements. Assisted living communities are typically designed to resemble a home-like environment and are physically constructed to encourage the independence of residents.
At assisted living communities, seniors receive help with daily activities such as bathing, dressing, and eating. They may also benefit from coordination of services with outside healthcare providers, and monitoring of resident activities to ensure their health, safety, and well-being. Caregivers who work at assisted living communities can also provide medication administration and personal care services for older adults.
Other services offered within assisted living communities can include some or all of the following:
At Always Best Care, our representatives can match your senior's emotional, physical, and financial needs with viable assisted living communities nearby. Results are based on comparative data, so you can select the best choice for you or your loved one.
Always Best Care works closely with local senior living communities to gain valuable knowledge that we then use to help seniors and their loved ones make informed decisions. This information can include basic care and rent, resident availability, and services provided. Because Always Best Care is compensated by these communities, we provide senior living referral services at no extra cost to you.
Some of the most popular assisted living communities to consider in our area include the following:
For many seniors, moving into a senior living community revolves around how and when they want to make a transition to more involved care. Some seniors are more proactive about transitioning to independent living. Others choose to remain home until their care needs or other requirements are satisfied. Remember - our staff is here to help. Contact our office today to learn more about assisted living communities and how we can find a facility that exceeds your expectations.
The first step in getting quality in-home care starts with a personal consultation with an experienced Always Best Care Care Coordinator. This initial consultation is crucial for our team to learn more about you or your elderly loved one to discover the level of care required. Topics of this consultation typically include:
A discussion of your needs and how our trained caregivers can offer assistance in the most effective way
A draft of your care plan, which includes highly detailed notes and a framework for the care that you or your senior will receive
Discuss payment options and help coordinate billing with your insurance provider
Our caregivers are trained to spot changes that clients exhibit, like mental and physical decline. As your trusted senior care company, we will constantly assess and update your Care Plan to meet any new emotional, intellectual, physical, and emotional needs.
If you have never considered in-home care before, we understand that you and your family may have concerns about your Care Plan and its Care Coordinator. To help give you peace of mind, know that every team member and caregiver must undergo comprehensive training before being assigned to a Care Plan.
At the end of the day, we only hire the best of the best at Always Best Care. Whether you need home care in Hamilton, MD 24-hours a day or only need a respite for a couple of hours, we are here to serve you.
When you're ready, we encourage you to contact your local Always Best Care representative to set up a Care Consultation. Our Care Coordinators would be happy to meet with you in person to get to know you better, discuss your needs, and help put together a personalized Care Plan specific to your needs.
Get Hamilton Insurance Group alerts: Other large investors have also added to or reduced their stakes in the company. Sterling Capital Management LLC boosted its holdings in Hamilton Insurance Group by 295.1% in the 4th quarter. Sterling Capital Management LLC now owns 1,517 shares of the company’s stock valued at $29,000 after purchasing an additional 1,133 shares during the period. Spire Wealth Management bought a new position in Hamilton Insurance Group in the 4th quarter valued at $38,000. Bfsg LLC bought a new ...
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Other large investors have also added to or reduced their stakes in the company. Sterling Capital Management LLC boosted its holdings in Hamilton Insurance Group by 295.1% in the 4th quarter. Sterling Capital Management LLC now owns 1,517 shares of the company’s stock valued at $29,000 after purchasing an additional 1,133 shares during the period. Spire Wealth Management bought a new position in Hamilton Insurance Group in the 4th quarter valued at $38,000. Bfsg LLC bought a new position in Hamilton Insurance Group in the 4th quarter valued at $77,000. Morgan Dempsey Capital Management LLC bought a new position in Hamilton Insurance Group in the 4th quarter valued at $147,000. Finally, Bellecapital International Ltd. bought a new position in Hamilton Insurance Group in the 4th quarter valued at $193,000. Institutional investors own 29.17% of the company’s stock.
Shares of NYSE HG opened at $20.86 on Friday. The firm has a fifty day moving average price of $19.57 and a 200-day moving average price of $19.09. The company has a debt-to-equity ratio of 0.06, a current ratio of 0.77 and a quick ratio of 0.77. The stock has a market cap of $2.12 billion, a PE ratio of 4.67 and a beta of 0.61. Hamilton Insurance Group, Ltd. has a 1 year low of $15.19 and a 1 year high of $21.68.
Hamilton Insurance Group (NYSE:HG – Get Free Report) last announced its quarterly earnings data on Wednesday, May 7th. The company reported $0.47 earnings per share (EPS) for the quarter, topping analysts’ consensus estimates of $0.04 by $0.43. The firm had revenue of $843.31 million during the quarter, compared to analysts’ expectations of $498.00 million. Hamilton Insurance Group had a net margin of 21.88% and a return on equity of 21.92%. Equities analysts anticipate that Hamilton Insurance Group, Ltd. will post 4.1 earnings per share for the current fiscal year.
HG has been the subject of a number of research analyst reports. Wells Fargo & Company dropped their price objective on shares of Hamilton Insurance Group from $23.00 to $22.00 and set an “overweight” rating for the company in a report on Thursday, April 10th. Keefe, Bruyette & Woods lifted their price objective on shares of Hamilton Insurance Group from $23.00 to $25.00 and gave the stock an “outperform” rating in a report on Tuesday, March 11th. Barclays set a $25.00 price objective on shares of Hamilton Insurance Group and gave the stock an “overweight” rating in a report on Thursday, February 27th. Finally, JMP Securities set a $27.00 price objective on shares of Hamilton Insurance Group in a report on Friday, February 28th. One analyst has rated the stock with a hold rating and four have issued a buy rating to the company. According to data from MarketBeat.com, the stock presently has a consensus rating of “Moderate Buy” and an average price target of $23.60.
Read Our Latest Research Report on HG
In related news, CEO Adrian Joseph Daws sold 3,785 shares of Hamilton Insurance Group stock in a transaction dated Wednesday, March 19th. The shares were sold at an average price of $21.00, for a total transaction of $79,485.00. Following the completion of the sale, the chief executive officer now owns 199,923 shares in the company, valued at $4,198,383. This trade represents a 1.86% decrease in their position. The sale was disclosed in a filing with the SEC, which is available through the SEC website. Insiders sold 15,000 shares of company stock valued at $311,566 in the last three months. Corporate insiders own 17.46% of the company’s stock.
Hamilton Insurance Group, Ltd., through its subsidiaries, provides underwriting specialty insurance and reinsurance risks in Bermuda and internationally. The company operates Hamilton Global Specialty, Hamilton Select, and Hamilton Re underwriting platforms. The company offers casualty reinsurance products, such as commercial motor, general liability, healthcare, multiline, personal motor, professional liability, umbrella and excess casualty, and worker's compensation and employer's liability reinsurance; property reinsurance and insurance; and specialty reinsurance solutions, including accident and health, aviation and space, crisis management, mortgage, financial lines, marine and energy, and multiline specialty.
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WATCH TIME: 3 minutes“There's a lot of exciting work coming out with respect to how neuromodulation is being informed by other advances in technology and in our understanding of the brain, and that's leading to a couple of different emerging advances that I think are going to be really important.”A growing body of research supports the role of noninvasive brain stimulation including transcranial magnetic stimulation and transcranial direct current stimulation in pr...
WATCH TIME: 3 minutes
“There's a lot of exciting work coming out with respect to how neuromodulation is being informed by other advances in technology and in our understanding of the brain, and that's leading to a couple of different emerging advances that I think are going to be really important.”
A growing body of research supports the role of noninvasive brain stimulation including transcranial magnetic stimulation and transcranial direct current stimulation in promoting neuroplasticity and improving outcomes following acquired brain injury. A recent review of 22 studies involving 657 participants reported that the majority demonstrated either enhanced brain plasticity, improved behavioral function, or both, with noninvasive brain stimulation.2 While there was variability in the efficacy of the data, especially across individual protocols, these results reinforce the potential of neuromodulation to meaningfully reorganize neural circuits.
Roy H. Hamilton, MD, MS, FAAN, director of the Penn Brain Science, Innovation, Translation and Modulation Center, recently gave a presentation on the promise and challenges of noninvasive neuromodulation techniques in treating neurologic deficit at the 2025 American Academy of Neurology (AAN) Annual Meeting, held April 5-9, in San Diego, California. Following his presentation, Hamilton, who also serves as a professor of neurology at the University of Pennsylvania Perelman School of Medicine, sat down with NeurologyLive® to discuss emerging evidence supporting the role of noninvasive neuromodulation in enhancing brain plasticity.
In the interview, he noted that behavioral improvements often continue to develop after neuromodulation treatment, suggesting durable neural reorganization. Hamilton emphasized 2 key technological advances shaping the future of neuromodulation which includes personalization based on individual brain network connectivity and closed-loop systems that adapt stimulation in real time based on neural signals. Hamilton noted in the conversation that these innovations may enable more effective, tailored interventions for neurological conditions.
Click here for more coverage of AAN 2025.
REFERENCES1. Eliason M, Kalbande PP, Saleem GT. Is non-invasive neuromodulation a viable technique to improve neuroplasticity in individuals with acquired brain injury? A review. Front Hum Neurosci. 2024;18:1341707. Published 2024 Sep 4. doi:10.3389/fnhum.2024.13417072. Hamilton RH. Houston Merritt Lecture: Rewiring the Mind: Noninvasive Brain Stimulation Approaches to Translational Neurorehabilitation. Presented at: 2025 AAN Annual Meeting; April 5-9; San Diego, CA. PL3 - Presidential Plenary Session.
Editor’s Note: Hamilton has disclosed that he has received personal compensation for serving on a Scientific Advisory or Data Safety Monitoring board for Highland Instruments, serving as an officer or member of the Board of Directors for McKnight Brain Research Foundation, and serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Neurology (Journal). The institution of Hamilton has received research support from NIH, Department of Defense, and Chan Zuckerberg Initiative.
WATCH TIME: 4 minutes“I think it's very important for neurologists and for neuroscientists to work together to develop and build the scientific basis that’s going to result in the studies and evidentiary foundation that will lead to the approval of these therapies.”Studies show that stroke remains a leading cause of death and long-term disability, often resulting in cerebral hypoxia because of the sudden rupture or blockage of brain vessels. Rehabilitation co...
WATCH TIME: 4 minutes
“I think it's very important for neurologists and for neuroscientists to work together to develop and build the scientific basis that’s going to result in the studies and evidentiary foundation that will lead to the approval of these therapies.”
Studies show that stroke remains a leading cause of death and long-term disability, often resulting in cerebral hypoxia because of the sudden rupture or blockage of brain vessels. Rehabilitation could play a critical role in helping patients recover from post stroke complications such as hemiparesis, aphasia, dysphagia, cognitive impairment, depression, and unilateral neglect. Among emerging rehabilitation tools, noninvasive brain stimulation (NIBS) has gained popularity for its ability to modulate brain activity by targeting the cerebral cortex and adjusting neuronal excitability.1
Techniques like repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS) have shown promising clinical outcomes. However, their use is still constrained by the lack of standardized protocols, with current research varying widely in stimulation parameters.1 Advances in imaging and neuronavigation technologies now allow for more precise targeting of brain regions, enabling a shift from single-site stimulation to multi-site and network-level approaches, informed by a growing understanding of neural circuitry in post-stroke recovery.
At the 2025 American Academy of Neurology (AAN) Annual Meeting, held April 5-9, in San Diego, California, Roy H. Hamilton, MD, MS, FAAN, professor of neurology at the University of Pennsylvania Perelman School of Medicine, presented a lecture that highlighted the promise and challenges of noninvasive neuromodulation techniques such as rTMS and tDCS in treating neurologic deficit.2 Following the lecture, Hamilton sat down with NeurologyLive® to emphasize the need for a stronger scientific foundation to guide their use, noting the importance of understanding both the underlying cognitive systems and the stimulation parameters to optimize patient outcomes.
Click here for more coverage of AAN 2025.
REFERENCES1. Li KP, Wu JJ, Zhou ZL, et al. Noninvasive Brain Stimulation for Neurorehabilitation in Post-Stroke Patients. Brain Sci. 2023;13(3):451. Published 2023 Mar 6. doi:10.3390/brainsci130304512. Hamilton RH. Houston Merritt Lecture: Rewiring the Mind: Noninvasive Brain Stimulation Approaches to Translational Neurorehabilitation. Presented at: 2025 AAN Annual Meeting; April 5-9; San Diego, CA. PL3 - Presidential Plenary Session.
Editor’s Note: Hamilton has disclosed that he has received personal compensation for serving on a Scientific Advisory or Data Safety Monitoring board for Highland Instruments, serving as an officer or member of the Board of Directors for McKnight Brain Research Foundation, and serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Neurology (Journal). The institution of Hamilton has received research support from NIH, Department of Defense, and Chan Zuckerberg Initiative.
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