A5031785334- Tendon Structure and Treatment
- Sports injuries and prevention
- Musculoskeletal pain and rehabilitation
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Shoulder Injury and Treatment
- Foot and Ankle Surgery
- Myofascial pain diagnosis and treatment
- Pain Mechanisms and Treatments
- Lower Extremity Biomechanics and Pathologies
- Diagnosis and Treatment of Venous Diseases
- Stroke Rehabilitation and Recovery
- Botulinum Toxin and Related Neurological Disorders
- Muscle activation and electromyography studies
- Musicians’ Health and Performance
- Pediatric Pain Management Techniques
- Psychosomatic Disorders and Their Treatments
- Occupational Health and Performance
- Surgical Sutures and Adhesives
- Orthopedic Surgery and Rehabilitation
- Bee Products Chemical Analysis
- Cardiovascular and exercise physiology
- Pain Management and Placebo Effect
- Pain Management and Treatment
- Physical Activity and Health
- Sleep and related disorders
University of Iowa
2016-2025
Seattle University
2022
University of Iowa Hospitals and Clinics
2021
Saint Ambrose University
2021
University of Rochester
2013-2016
University of Rochester Medical Center
2014
Washington University in St. Louis
2013
Ithaca College
2013
The Orthopaedic Section of the American Physical Therapy Association (APTA) has an ongoing effort to create evidence-based practice guidelines for orthopaedic physical therapy management patients with musculoskeletal impairments described in World Health Organization's International Classification Functioning, Disability, and (ICF). purpose these revised clinical is review recent peer-reviewed literature make recommendations related midportion Achilles tendinopathy. J Orthop Sports Phys Ther...
To evaluate the construct validity (structural and hypothesis testing), reliability (test-retest reliability, measurement error internal consistency) minimal important change (MIC) of 13-item TENDINopathy Severity assessment-Achilles (TENDINS-A).
Objective Fibromyalgia ( FM ) is characterized by pain and fatigue, particularly during physical activity. Transcutaneous electrical nerve stimulation TENS activates endogenous inhibitory mechanisms. This study was undertaken to investigate if using activity would improve movement‐evoked other patient‐reported outcomes in women with . Methods Participants were randomly assigned receive active (n = 103), placebo 99), or no 99) instructed use it at home 2 hours each day for 4 weeks. applied...
Classification of musculoskeletal pain based on underlying mechanisms (nociceptive, neuropathic, and nociplastic pain) is challenging. In the absence a gold standard, verification features that could aid in discrimination between these clinical practice research depends expert consensus. This Delphi consensus study aimed to: (1) identify assessment findings are unique to mechanism category or shared no more than 2 categories (2) develop ranked list candidate potentially discriminate...
Abstract A growing number of individuals report prolonged symptoms following acute Coronavirus-19 (COVID-19) infection, known as post–COVID-19 condition (post-COVID-19). While studies have emerged investigating the symptom sequelae post-COVID-19, there has been limited investigation into characterization pain, fatigue, and function in these individuals, despite initial reports a clinical phenotype similar to fibromyalgia syndrome (FMS) chronic fatigue (CFS)/myalgic encephalomyelitis (ME)....
Objective: Individuals with chronic pain conditions often report movement as exacerbating pain. An increasing number of researchers and clinicians have recognized the importance measuring distinguishing between movement-evoked (MEP) at rest an outcome. This scoping review maps literature describes MEP measurement techniques. Materials Methods: The utilized 6 databases to identify original studies that targeted or movement-related outcomes. Our search returned 7322 articles were screened by...
To develop a new patient-reported outcome measure (PROM) assessing TENDINopathy Severity of the Achilles (TENDINS-Achilles) and evaluate its content validity.
Although exercise is an effective treatment for fibromyalgia, the relationships between lifestyle physical activity and multiple symptomology domains of fibromyalgia are not clear. Thus, purpose this study was to comprehensively examine with outcome in women including pain, fatigue, function, pain-related psychological constructs, quality life. Women (N = 171), aged 20 70 years, diagnosed recruited from ongoing two-site clinical trial were included prespecified subgroup analysis baseline...
Objectives: (1) Validate thresholds for minimal, low, moderate, and high fear of movement on the 11-item Tampa Scale Kinesiophobia (TSK-11), (2) Establish a patient-driven minimal clinically important difference (MCID) Achilles tendinopathy (AT) symptoms pain with heel raises tendon stiffness. Methods: Four hundred forty-two adults chronic AT responded to an online survey, including psychosocial questionnaires symptom-related questions (severity willingness complete hops). subgroups (Minimal...
Exercise is the standard of care for Achilles tendinopathy (AT), but 20% to 50% patients continue have pain following rehabilitation. The addition science education (PSE) an exercise program may enhance clinical outcomes, yet this has not been examined in with AT. Furthermore, little known about how rehabilitation AT alters fear movement and central nervous system nociceptive processing. Participants chronic (N = 66) were randomized receive either from a biopsychosocial or biomedical...
To identify which psychological and psychosocial constructs to include in a core outcome set guide future clinical trials the tendinopathy field.
Objectives: To determine if psychological factors, such as anxiety, depression, fear of movement and rupture are associated with increased tendon-related disability, quantified by the Tendinopathy Severity Assessment-Achilles (TENDINS-A). Design: Cross-sectional. Setting: Online Qualtrics survey. Participants: Sixty-eight participants (54% female) Achilles tendinopathy a mean (standard deviation) age 40.1 (12.6) years. Main Outcome Measures: The TENDINS-A (including subscales pain; symptoms...
Case-control laboratory study.To compare tendon characteristics (shape, composition) and mechanical properties (strain, stiffness) on the involved side of participants with insertional Achilles tendinopathy (IAT) to uninvolved controls, examine if severity pathology is associated symptoms during function.Despite chronicity IAT, quality theoretical evidence available guide development exercise interventions low. While midportion has been described, there are few studies specific IAT.Twenty...
Due to the novelty of percutaneous ultrasonic tenotomy, risks and benefits this minimally invasive procedure for insertional Achilles tendinopathy pain have only been examined in case studies retrospective chart reviews other diagnoses. This review over a 3.5-year period identified 34 patients with who had tenotomy (mean age ± SD, 52.2 11.6 years; mean body mass index, 32.9 7.5 kg/m2 ; 62% female). reduced rate moderate/severe from 68% at baseline 15% long-term follow-up satisfaction 70%....
Objective. The Patient-Reported Outcomes Measurement Information System (PROMIS) was developed to standardize measurement of clinically relevant patient-reported outcomes. This study evaluated the reliability and construct validity select PROMIS static short-form (SF) instruments in women with fibromyalgia. Design. Analysis baseline data from Fibromyalgia Activity Study TENS (FAST), a randomized controlled trial efficacy transcutaneous electrical nerve stimulation. Setting. Dual site,...
Cross-sectional laboratory study.To compare single-limb heel-rise performance and foot-ankle kinematics between persons with stage 2 adult-acquired flat foot deformity (AAFD) healthy controls.The inability to perform a heel rise is considered positive functional diagnostic test for AAFD. However, which motions contribute poor of this task are not known.Fifty individuals participated in study, 20 AAFD (mean ± SD age, 57.6 11.3 years), 15 older participants (age, 56.8 5.3 years) younger 22.2...
The purposes of this case-control study (N = 20) were to examine the effects insertional Achilles tendinopathy (IAT) and tendon region on strain in patients with IAT compared a control group without tendinopathy. An ultrasound transducer was positioned over insertion during dorsiflexion tasks, which included standing partial squat. A non-rigid image registration-based algorithm used estimate transverse compressive axial tensile strains from radiofrequency images, segmented into two regions...