John Margetis OTD, OTR/L
Associate Professor of Clinical Occupational Therapy
John Margetis specializes in neurologic and critical care rehabilitation with clinical interests in vascular/acquired brain injury, stroke, neuroimaging and neurocognitive dysfunction. In addition to providing direct patient care, Dr. Margetis mentors fellow faculty members, doctoral residents and Levels I and II fieldwork students. During his doctoral residency he authored a position paper defining the role of occupational therapy in acute care settings, and has been an invited lecturer on congenital amputations at USC and Children’s Hospital Los Angeles.
Doctorate of Occupational Therapy (OTD)
2013 | University of Southern California
Master of Arts (MA)
in Occupational Therapy
2012 | University of Southern California
Bachelor of Science (BS)
in Occupational Therapy
2011 | University of Southern California
Bachelor of Arts (BA)
2011 | University of Southern California
Wilcox, J., Peterson, K. S., Lewis, C. M., & Margetis, J. L. (2021). Occupational therapy during COVID-19–related critical illness: A case report. American Journal of Occupational Therapy, 75(Suppl. 1), 7511210010. https://doi.org/10.5014/ajot.2021.049196 Show abstract
The coronavirus disease 2019 (COVID-19) pandemic has presented unique challenges for occupational therapy practitioners working in acute and critical care settings. Using the best available evidence, this case report overviews a prototypical COVID-19 disease course and discusses key aspects of clinical reasoning for practitioners working with this novel population. Following a single patient admitted to a tertiary academic medical center, the authors review the occupational profile and medical history, common impairments, the intervention plan, and strategies to align the occupational therapy and medical goals of care.
Margetis, J. L., Wilcox, J., Thompson, C., & Mannion, N. (2021). Occupational therapy: Essential to critical care rehabilitation. American Journal of Occupational Therapy, 75, 7502170010. https://doi.org/10.5014/ajot.2021.048827 Show abstract
The coronavirus disease 2019 (COVID-19) pandemic reshaped the health care landscape, leading to the reassignment of essential health care workers to critical areas and widespread furloughs of providers deemed nonessential, including occupational therapy practitioners. Although multidisciplinary critical care teams often include occupational therapy practitioners, efforts to define, measure, and disseminate occupational therapy’s unique contributions to critical care outcomes have been overlooked. This editorial provides recommendations to improve the occupational therapy profession’s readiness to meet society’s current and future pandemic needs. We propose a three-pronged strategy to strengthen occupational therapy clinical practice, education, and advocacy to illuminate the distinct value of occupational therapy in critical care.
Liew, S., Zavaliangos‐Petropulu, A., Jahanshad, N., Lang, C. E., Hayward, K. S., Lohse, K. R., Juliano, J. M., Assogna, F., Baugh, L. A., Bhattacharya, A. K., Bigjahan, B., Borich, M. R., Boyd, L. A., Brodtmann, A., Buetefisch, C. M., Byblow, W. D., Cassidy, J. M., Conforto, A. B., Craddock, R. C., Dimyan, M. A., Dula, A. N., Ermer, E., Etherton, M. R., Fercho, K. A., Gregory, C. M., Hadidchi, S., Holguin, J. A., Hwang, D. H., Jung, S., Kautz, S. A., Khlif, M. S., Khoshab, N., Kim, B., Kim, H., Kuceyeski, A., Lotze, M., MacIntosh, B. J., Margetis, J. L., Mohamed, F. B., Piras, F., Ramos‐Murguialday, A., Richard, G., Roberts, P., Robertson, A. D., Rondina, J. M., Rost, N. S., Sanossian, N., Schweighofer, N., Seo, N. J., Shiroishi, M. S., Soekadar, S. R., Spalletta, G., Stinear, C. M., Suri, A., Tang, W. K., Thielman, G. T., Vecchio, D., Villringer, A., Ward, N. S., Werden, E., Westlye, L. T., Winstein, C., Wittenberg, G. F., Wong, K. A., Yu, C., Cramer, S. C., & Thompson, P. M. (2020). The ENIGMA Stroke Recovery Working Group: Big data neuroimaging to study brain–behavior relationships after stroke. Human Brain Mapping. Advance online publication. https://doi.org/10.1002/hbm.25015 Show abstract
The goal of the Enhancing Neuroimaging Genetics through Meta‐Analysis (ENIGMA) Stroke Recovery working group is to understand brain and behavior relationships using well‐powered meta‐ and mega‐analytic approaches. ENIGMA Stroke Recovery has data from over 2,100 stroke patients collected across 39 research studies and 10 countries around the world, comprising the largest multisite retrospective stroke data collaboration to date. This article outlines the efforts taken by the ENIGMA Stroke Recovery working group to develop neuroinformatics protocols and methods to manage multisite stroke brain magnetic resonance imaging, behavioral and demographics data. Specifically, the processes for scalable data intake and preprocessing, multisite data harmonization, and large‐scale stroke lesion analysis are described, and challenges unique to this type of big data collaboration in stroke research are discussed. Finally, future directions and limitations, as well as recommendations for improved data harmonization through prospective data collection and data management, are provided.
O'Leary, L., Margetis, J., Mills, E., & Velasco, P. (2018, June 22). Mind the gap: Navigating the transition from pediatric to adult health care [Radio segment]. Marketplace Weekend. Los Angeles, CA: American Public Media. Full text
Kuo, G., Cen, S., Zheng, L., Vazquez, A., Margetis, J., Holguin, J., Trummer, K., Emanuel, B., Kim-Tenser, M., & Bulic, S. (2018). Is the slope of optic nerve sheath diameter change in malignant middle cerebral artery stroke associated with mortality outcomes? Neurology, 90(15 Supplement), S40.006. Full text Show abstract
Objective. To investigate the association between optic nerve sheath diameter (ONSD) in malignant middle cerebral artery (MCA) strokes, progression to decompressive craniectomy and mortality outcomes.
Background. Malignant middle cerebral artery (MCA) stroke is a life-threatening condition with reported mortality of 80%, due to space-occupying cerebral edema and increased compartmental intracranial pressure (ICP). In current practice, decompressive craniectomy is known to improve mortality and functional outcomes. However, patient selection for surgical intervention can be difficult at times. Use of non-invasive surrogates for ICP could be valuable in managing malignant MCA syndromes. One possibility is through ONSD measurements, which has been shown to correlate to elevated intracranial pressures (ICPs) in studies across adult and pediatric patients. Currently, its utility in MCA syndromes has yet to be defined.
Design/Methods. 136 CT scans (1–6 per subject) from charts of 62 patients in a tertiary academic center were reviewed using previously published methodology. The outcomes of malignant MCA strokes were examined by utilizing mixed effects models to evaluate daily rate of change in optic parameters between deceased and non-deceased groups, craniotomy and non-craniotomy groups.
Results. Daily rate of change in optic parameters were significantly greater in deceased patients than non-deceased patients (0.16 vs −0.001μm/day, p=0.056 for ipsilateral optic nerve sheath (ONS); 0.32 vs −0.001 μm/day, p<0.0001 for contralateral ONS; 0.24 vs −0.0001 μm/day, p=0.0007 for averaged ONS, respectively). Daily rate of change in optic parameters did not differ significantly between craniectomy and non-craniectomy groups (0.036 vs 0.045μm/day, p=0.88 for ipsilateral ONS; 0.02 vs 0.07 μm/day, p=0.34 for contralateral ONS; 0.03 vs 0.06 μm/day, p=0.60 for average ONS, respectively).
Conclusions. A greater rate of change in ONSD is associated with greater mortality. Curiously, the rate of change of ONSD was not significantly affected by surgical intervention, possibly indicating that ONSD is indicative of cerebral edema and not necessarily ICP.
Liew, S.-L., Sheng, T., Margetis, J. L., & Aziz-Zadeh, L. S. (2013). Both novelty and expertise increase action observation network activity. Frontiers in Human Neuroscience, 7, 541. https://doi.org/10.3389/fnhum.2013.00541 Show abstract
Our experiences with others affect how we perceive their actions. In particular, activity in bilateral premotor and parietal cortices during action observation, collectively known as the action observation network (AON), is modulated by one's expertise with the observed actions or individuals. However, conflicting reports suggest that AON activity is greatest both for familiar and unfamiliar actions. The current study examines the effects of different types and amounts of experience (e.g., visual, interpersonal, personal) on AON activation. fMRI was used to scan 16 healthy participants without prior experience with individuals with amputations (novices), 11 experienced occupational therapists (OTs) who had varying amounts of experience with individuals with amputations, and one individual born with below-elbow residual limbs (participant CJ), as they viewed video clips of goal-matched actions performed by an individual with residual limbs and by an individual with hands. Participants were given increased visual exposure to actions performed by both effectors midway through the scanning procedure. Novices demonstrated a large AON response to the initial viewing of an individual with residual limbs compared to one with hands, but this signal was attenuated after they received visual exposure to both effectors. In contrast, OTs, who had moderate familiarity with residual limbs, demonstrated a lower AON response upon initial viewing-similar to novices after they received visual exposure. At the other extreme, CJ, who has extreme familiarity with residual limbs both visually and motorically, shows a largely increased left-lateralized AON response, exceeding that of novices and experienced OTs, when viewing the residual limb compared to hand actions. These results suggest that a nuanced model of AON engagement is needed to explain how cases of both extreme experience (CJ) and extreme novelty (novices) can result in the greatest AON activity.