- Sports injuries and prevention
- Muscle activation and electromyography studies
- Knee injuries and reconstruction techniques
- Sports Performance and Training
- Traumatic Brain Injury Research
- Sport Psychology and Performance
- Musculoskeletal pain and rehabilitation
- Motor Control and Adaptation
- Transcranial Magnetic Stimulation Studies
- Shoulder Injury and Treatment
- Cardiovascular Effects of Exercise
- Lower Extremity Biomechanics and Pathologies
- Orthopedic Surgery and Rehabilitation
- Injury Epidemiology and Prevention
- Functional Brain Connectivity Studies
- Total Knee Arthroplasty Outcomes
- Winter Sports Injuries and Performance
- Cerebral Palsy and Movement Disorders
- Advanced MRI Techniques and Applications
- Myofascial pain diagnosis and treatment
- Tactile and Sensory Interactions
- Balance, Gait, and Falls Prevention
- Occupational Health and Performance
- Stroke Rehabilitation and Recovery
- Advanced Neuroimaging Techniques and Applications
Ohio University
2016-2025
Cincinnati Children's Hospital Medical Center
2018-2022
University of Tennessee at Chattanooga
2017
The Ohio State University
2012-2016
University of Virginia
2010-2016
George Mason University
2015-2016
Old Dominion University
2015-2016
University of Colorado Denver
2015
Study Design Controlled laboratory study. Background Anterior cruciate ligament (ACL) injury may result in neuroplastic changes due to lost mechanoreceptors of the ACL and compensations neuromuscular control. These alterations are not completely understood. Assessing brain function after anterior reconstruction (ACLR) with functional magnetic resonance imaging provides a means address this gap knowledge. Objective To compare differences activation during knee flexion/extension persons who...
BACKGROUND: On-pitch rehabilitation is key to supporting return sport in elite soccer (football). The control-chaos continuum (CCC) guides practitioners through the sport-specific components of sport. There a need update framework with recent research injury neurophysiology, performance, and coaching science. CLINICAL QUESTION: How do integrate insights from science discussed part 1 this 2-part series into an updated version CCC, enhance planning execution on-pitch for players? KEY RESULTS:...
BACKGROUND: On-pitch rehabilitation is a crucial part of returning to sport after injury in elite soccer. The control-chaos continuum ( CCC) initially offered framework for practitioners plan on-pitch rehabilitation, focusing on physical preparation and sport-specificity. However, our experiences with the CCC, combined recent research neurophysiology, point need an updated model that integrates practice design physical-cognitive interactions. CLINICAL QUESTION: What are insights from soccer...
Context: A number of comprehensive injury-prevention programs have demonstrated injury risk-reduction effects but had limited adoption across athletic settings. This may be due to program noncompliance, minimal exercise supervision, lack progression, and sport specificity. soccer-specific described as the F-MARC 11+ was developed by an expert group in association with Federation Internationale de Football Association (FIFA) Medical Assessment Research Centre (F-MARC) require equipment...
Neuroplasticity after anterior cruciate ligament (ACL) injury alters how the nervous system generates movement and maintains dynamic joint stability. The postinjury neuroplasticity can cause neural compensations that increase reliance on neurocognition. Return-to-sport testing quantifies physical function but fails to detect important compensations. To assess for in a clinical setting, we recommend evaluating athletes' neurocognitive by augmenting return-to-sport with combined motor...
Background Anterior cruciate ligament (ACL) injury has multifactorial causes encompassing mechanical, hormonal, exposure, and anatomical factors. Alterations in the central nervous system also play a role, but their influence after injury, recovery, recurrent remain unknown. Modern neuroimaging techniques can be used to elucidate underlying functional structural alterations of brain that predicate neuromuscular control adaptations associated with ACL injury. This knowledge will further our...
Background: Identifying athletes at an increased risk of injury is a promising approach to improve the effect prevention interventions; however, it requires first identifying potential athlete-specific factors. Cognitive ability was recently shown correlate with noncontact anterior cruciate ligament rates and lower extremity mechanics, marking underexplored area. A better understanding how individuals’ cognitive associated neuromuscular control during sport-specific tasks may prevention....
Abstract Visual cognitive ability has previously been associated with anterior cruciate ligament injury and risk biomechanics in healthy athletes. Neuroimaging reports have identified increased neural activity regions corresponding to visual‐spatial processing, sensory integration, visual cognition individuals after reconstruction (ACLR), indicating potential compensatory strategies for motor control. However, it remains unclear whether there is a relationship between cognition, activity,...
BACKGROUND: Anterior cruciate ligament tear is a serious knee injury with implications for central nervous system (CNS) plasticity. To perform simple movements, people history of anterior reconstruction (ACL-R) engage cross-modal brain regions, and when challenged cognitive-motor dual tasks, physical performance deteriorates. Therefore, ACL-R may increase visual-cognitive neural processes motor control. CLINICAL QUESTION: What components CNS plasticity should the rehabilitation practitioner...
Research has found that injury rates in football are higher competition than during practice. However, there is little research on the association between and type of practices how these specific compare with those competitions.This study utilized data from National Collegiate Athletic Association Injury Surveillance System (NCAA ISS) to describe men's collegiate practice injuries (academic years 2004-2005 2008-2009) 4 event types: competitions, scrimmages, regular practices,...
Visual feedback is crucial in the control of human movement. When vision obstructed, alterations landing neuromuscular may increase movements that place individuals at risk for injury. Anterior cruciate ligament (ACL) injury further alter motor-control response to visual feedback. The development stroboscopic glasses disrupt without fully obscuring it has enabled researchers assess visual-motor during simulate dynamic demands athletic activity. To investigate effect visual-feedback...
A limiting factor for reducing anterior cruciate ligament injury risk is ensuring that the movement adaptions made during prevention program transfer to sport-specific activity. Virtual reality provides a mechanism assess transferability, and neuroimaging means assay neural processes allowing such skill transfer.To determine mechanisms risk-reducing biomechanics sport after training.Cohort study.Research laboratory.Four healthy high school soccer athletes.Participants completed augmented...
Underlying neural factors contribute to poor outcomes following anterior cruciate ligament reconstruction (ACLR). Neurophysiological adaptations have been identified in corticospinal tract excitability, however limited evidence exists on neurostructural changes that may influence motor recovery ACLR patients.To 1) quantify hemispheric differences structural properties of the patients with a history ACLR, and 2) assess relationship between excitability structure.Ten participants (age: 22.6 ±...
Anterior cruciate ligament (ACL) tears are common traumatic knee injuries causing joint instability, quadriceps muscle weakness and impaired motor coordination. The neuromuscular consequences of injury not limited to the surrounding musculature, but may modulate central nervous system reorganization. Neuroimaging data suggest patients with ACL require greater levels visual-motor neurocognitive processing activity sustain lower limb control relative healthy matched counterparts. Therapy...
Recovery from anterior cruciate ligament reconstruction (ACLR) induces bilateral functional and physiological adaptations. Neurophysiologic measures of motor control have focused on the involved knee joint, limiting understanding regarding extent neural Therefore, aim this study was to investigate differences in activity during uninvolved-limb after ACLR compared healthy controls. Methods: Fifteen participants with left (8 female 7 male, 21.53 ± 2.7 years, 173.22 10.0 cm, 72.15 16.1 kg,...
Background: Brain activity during knee movements is altered throughout the sensorimotor network after anterior cruciate ligament reconstruction (ACLR). Patients at 2 to 5 years surgery appear require greater neural perform basic movement patterns, but it unclear if brain differences within regions are present early surgery. It also unknown whether uninvolved elicit similar or unique compared with involved movements. Purpose: To examine in and patients 6 weeks ACLR control participants. Study...