A5067318728- Prosthetics and Rehabilitation Robotics
- Stroke Rehabilitation and Recovery
- Muscle activation and electromyography studies
- Pain Management and Treatment
- Lower Extremity Biomechanics and Pathologies
- Musculoskeletal pain and rehabilitation
- Total Knee Arthroplasty Outcomes
- Foot and Ankle Surgery
- Sports Performance and Training
- Osteoarthritis Treatment and Mechanisms
- Genetics and Physical Performance
- Transcranial Magnetic Stimulation Studies
- Bone fractures and treatments
- Sports injuries and prevention
- Geriatric Care and Nursing Homes
- Intensive Care Unit Cognitive Disorders
- Cardiovascular and Diving-Related Complications
- Forensic Anthropology and Bioarchaeology Studies
- Musculoskeletal Disorders and Rehabilitation
- Spinal Cord Injury Research
- Ergonomics and Musculoskeletal Disorders
- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Knee injuries and reconstruction techniques
- Primate Behavior and Ecology
Uniformed Services University of the Health Sciences
2023-2025
Walter Reed National Military Medical Center
2023-2025
Spaulding Rehabilitation Hospital
2020-2024
Harvard University
2020-2024
Duke University
2013-2024
Brigham and Women's Hospital
2023
Massachusetts General Hospital
2023
Creative Commons
2023
Virginia Tech
2016
University of Pennsylvania
2016
The evolution of the human upper limb involved a change in function from its use for both locomotion and prehension (as apes) to predominantly prehensile manipulative role. Well-preserved forelimb remains 1.98-million-year-old Australopithecus sediba Malapa, South Africa, contribute our understanding this evolutionary transition. Whereas other aspects their postcranial anatomy evince mosaic combinations primitive (australopith-like) derived ( Homo -like) features, limbs (excluding hand...
Despite the increasing incidence and prevalence of amputation across globe, individuals with acquired limb loss continue to struggle functional recovery chronic pain. A more complete understanding motor sensory remodeling peripheral central nervous system that occurs postamputation may help advance clinical interventions improve quality life for loss. The purpose this article is first provide background context on then a comprehensive review known neural adaptations from both animal models...
The popularity of total ankle replacement as a treatment for end-stage arthritis continues to grow. purpose this study was assess changes in kinetics and kinematics from preoperative time point through two years postoperatively patients who had received either fixed-bearing or mobile-bearing implant.Ninety primary (forty-nine forty-one fixed-bearing) were examined. Three-dimensional joint mechanics ground reaction forces measured during level walking preoperatively one postoperatively....
Over 2,100 active duty service members (ADSM) have experienced traumatic limb loss since 2001. Combat-injured ADSMs over 3 times the odds of developing a behavioral health condition as compared to those with noncombat injuries. Additionally, severity injury has been associated increased risk post-traumatic stress disorder and depression, which increase suicidal behavior. Despite previous research, studies not investigated incident diagnoses in 12 months following amputation highest-risk...
Background Individuals with osteoarthritis (OA) of the lower limb find normal locomotion tiring compared individuals without OA, possibly because OA any joint changes mechanics and may disrupt transfer potential kinetic energy center mass during walking, resulting in increased locomotor costs. Although recovery has been explored asymptomatic some patient populations, effect these gait parameters on movements mechanical work patients specific joints not well examined. The results can be used...
Mobilization in the intensive care unit (ICU) has potential to improve patient outcomes following acute stroke. The optimal duration and intensity of mobilization for patients with hemorrhagic or ischemic stroke ICU remain unclear.To assess effect dose on adverse discharge disposition after stroke.This is an international, prospective, observational cohort study critically ill (November 2017-September 2019). Duration was quantified daily by quantification score (MQS).Patients requiring...
Vertical jump performance is related to high-level function in athletics. The purpose of this study was determine whether a single set biomechanical variables exist that can predict vertical height during multiple jumping strategies: foot jump, drop and countermovement jump. Three-dimensional mechanics were collected the 3 different tasks 50 recreational male athletes. Three successful trials analyzed for each type. Testing order randomized minimize fatigue effects, dominant limb used...
The Ewing Amputation is a modified approach to transtibial amputation (TTA) that incorporates the construction of agonist-antagonist myoneural interfaces (AMIs) at time limb sacrifice. We here present lessons learned date in our experience performing this procedure single institution, including those relevant operative technique and perioperative management. It intent that, providing perspective, other providers are better facilitated perform safe efficient manner.
Despite advances in wearable robots across various fields, there is no consensus definition or design framework for the application of this technology rehabilitation musculoskeletal (MSK) injury prevention. This paper aims to define and explore their applications challenges military force protection MSK We conducted a modified Delphi method, including steering group 14 panelists with 10+ years expertise robots. Panelists presented current currently use development assistance workforce...
(1) Background: The standard surgical approach to amputation has failed evolve significantly over the past century. Consequently, amputations often fall short with regard improving quality of life (QoL) for patients. A modified lower extremity technique incorporating agonist–antagonist myoneural interface (AMI) constructs provides patients a novel alternative and, to-date, demonstrated overall significant improvements in their physical and mental wellbeing. (2) Methods: Five PROMs surveys,...
Background: The agonist-antagonist myoneural interface (AMI) is a modified approach to amputation, applied here in the context of trans-femoral (TFA) and trans-tibial (TTA) revision amputation procedures. AMI surgical construct which naturally opposed, neurotized muscles are biomechanically linked recreate neural feedback loops present intact human joints. We lessons learned date regarding operative technique perioperative outcomes this novel procedure. Methods: Eight patients (4F, 4M) have...
Background: The standard surgical approach to amputation has failed evolve significantly over the past century. Consequently, amputations often fall short with regards improving quality-of-life (QoL) for patients. A modified been designed at both transtibial (TTA) and transfemoral (TFA) level that incorporates agonist-antagonist myoneural interface (AMI) constructs provide patients a novel alternative amputation. Here, we present patient reported outcome measures (PROMs) amongst our lower...
The agonist-antagonist myoneural interface (AMI) is a surgical construct that, when incorporated into limb amputation, offers to potential preserve or restore proprioception, augment functionality, reduce neuropathic pain and enhance overall stability. We here present our experience date with AMI construction in the context of transfemoral amputation (TFA). Patients were recruited for TFA at Brigham & Women's Faulkner Hospital between June 2018 2023. Data collection included demographic...
BACKGROUND: The Ewing Amputation is a modified approach to below-knee amputation (BKA) that incorporates the construction of Agonist-Antagonist Myoneural Interfaces (AMI) at time limb amputation. AMI surgical construct in which naturally opposed, neurotized muscles are biomechanically linked order recreate neural feedback loops present intact human joints. We here long-term clinical outcomes amongst our lower extremity amputee cohort and demonstrate mitigation phantom residual pain,...