A5072598293- Orthopedic Surgery and Rehabilitation
- Peripheral Nerve Disorders
- Musculoskeletal pain and rehabilitation
- Pain Management and Treatment
- Nerve Injury and Rehabilitation
- Muscle activation and electromyography studies
- Occupational Health and Performance
- Prosthetics and Rehabilitation Robotics
- Elbow and Forearm Trauma Treatment
- Anesthesia and Pain Management
- Neuroscience and Neural Engineering
- Spine and Intervertebral Disc Pathology
- EEG and Brain-Computer Interfaces
- Cardiovascular and exercise physiology
- Medical Imaging and Pathology Studies
- Delphi Technique in Research
- Military and Defense Studies
- European and Russian Geopolitical Military Strategies
- Orthopaedic implants and arthroplasty
- Stroke Rehabilitation and Recovery
- Pelvic and Acetabular Injuries
- Traumatic Ocular and Foreign Body Injuries
- Trigeminal Neuralgia and Treatments
- Ophthalmology and Eye Disorders
- Spinal Cord Injury Research
Walter Reed National Military Medical Center
2013-2024
Uniformed Services University of the Health Sciences
2014-2022
Novem (Netherlands)
2022
Bureau of Medicine and Surgery
2015
United States Department of the Navy
2015
Postamputation phantom pain is notoriously persistent with few validated treatments. Cryoneurolysis involves the application of low temperatures to reversibly ablate peripheral nerves. The authors tested hypothesis that a single cryoneurolysis treatment would decrease 4 months later.
Following left brachial plexus avulsion, a 20-year-old man had phantom limb pain and remapping of sensation from his paralyzed hand onto face. Mirror therapy (15 min daily, 5 days/week) led immediately to good movement the with decreased pain. Within 2 weeks following nerve graft surgery, face disappeared along resolution coupled grafting may relieve due avulsion reverse hand-to-face remapping, suggesting that both peripheral central mechanisms mediate development cortical...
<h3>Summary</h3> Worldwide prevalence of amputation has created an increasing demand for improved upper and lower extremity prostheses. Current prosthetics are often uncomfortable difficult to control provide limited functional restoration. Moreover, the inability normalize anthropomorphic biomechanics with a prosthesis increases one9s risk developing long-term health risks such as arthritis, skin breakdown, pain. Recent advances in bionic prosthetic development hold great promise...
Peripheral nerve injuries (PNI) sustained in combat are typically severe and frequently associated with marked soft tissue damage, anatomic distortion, retained metallic fragments. These features complicate clinical electrodiagnostic assessment may preclude MRI.We describe 4 cases of military personnel who high-velocity gunshot wounds or blasts metal fragment which high resolution peripheral ultrasound (US) proved beneficial.In these cases, the exams provided inadequate localization severity...
Low back pain (LBP) has accounted for the most medical encounters every year past decade among Active Duty Service Members (ADSMs) of U.S. Armed Forces. The objectives this retrospective, descriptive study were to classify LBP by clinical category (Axial, Radicular, and Other) duration (Acute, Subacute, Chronic) examine LBP-related health care utilization, access care, private sector costs ADSMs over a 2-year follow-up period.
The smallest meaningful improvement in pain scores (minimal clinically important difference [MCID]) after an analgesic intervention is essential information when both interpreting published data and designing a clinical trial. However, limited available for patients with chronic conditions, what derived from studies involving pharmacologic psychological interventions. We here calculate these values based on collected 144 participants of previously multicenter trial investigating the effects...
ABSTRACT Introduction Combat-related lower-limb amputations challenge prosthetic device prescription and rehabilitation practices. Moreover, wounded warriors are relatively young lived highly active lifestyles before injury, underscoring their eagerness to quickly regain independent mobility higher levels of physical function. Methods Four US military service members with combat-related unilateral amputation were fit the PowerKnee™ as initial prosthesis. Results All patients achieved...
Abstract Introduction Peripheral nerve injuries are a leading cause of disability within the Military Health System (MHS) patient population. Many peripheral (PNIs) amenable to therapeutic intervention but require timely diagnosis and prompt referral specialty center capable intervention, as functional outcomes directly related duration between injury intervention. Even when appropriately identified, PNI management in MHS is often challenged by lack an established pathway for care...
Although there is increasing awareness of brachial plexopathy secondary to rucksack use, isolated mononeuropathies have been less well described. Three cases mononeuropathy use in military personnel are presented, including injuries the long thoracic and spinal accessory nerves. We also review several different factors proper construction, components, fitting that should be considered order prevent palsy provide a concise suggestion for education.
Heterotopic ossification (HO) is the process of abnormal formation lamellar bone in nonosseous tissues. In this case presentation, we describe patients with aggressive HO, which becomes symptomatic shortly after injury for have suggested term “fulminant heterotopic ossification.” These atypical presentations fulminant HO highlight necessity continued research directed at improved understanding and may suggest a role early partial surgical excision as definitive management strategy.
OBJECTIVE: To describe and compare electrodiagnosis high resolution ultrasound (US) in evaluation of traumatic peripheral nerve injuries (PNI) combat-related extremity injuries. BACKGROUND: Up to 25% wartime trauma involves PNI, but extensive soft tissue damage distorted anatomy complicate diagnostic studies retained foreign bodies often preclude MRI. Padua et al. (2013) reported that US modifies the electrodiagnostic conclusions resulting therapeutic strategies 58% technique is not well...
Multiple variations of sensory innervation patterns in the hand exist and are well-recognized literature. These aberrant can lead to diagnostic challenges complicate treatment nerve-injured patients. Therefore, it is important understand these avoid potential clinical errors caring for To date, most descriptions upper extremity involve interneural connections between branches median ulnar nerves with a paucity involving radial nerve. This report discusses case superficial branch nerve...