- Foot and Ankle Surgery
- Orthopedic Surgery and Rehabilitation
- Shoulder Injury and Treatment
- Sports injuries and prevention
- Tendon Structure and Treatment
- Musculoskeletal pain and rehabilitation
- Shoulder and Clavicle Injuries
- Myofascial pain diagnosis and treatment
- Lower Extremity Biomechanics and Pathologies
- Spine and Intervertebral Disc Pathology
- Effects of Vibration on Health
- Ultrasound Imaging and Elastography
- Traumatic Ocular and Foreign Body Injuries
- Ultrasound and Hyperthermia Applications
- Nerve Injury and Rehabilitation
- Photoacoustic and Ultrasonic Imaging
- Medical research and treatments
- Occupational Health and Performance
- Scoliosis diagnosis and treatment
- Hemodynamic Monitoring and Therapy
- Cardiovascular Syncope and Autonomic Disorders
United States Army Medical Command
2023
Baylor University
2011-2019
Brooke Army Medical Center
2019
United States Army
2011-2018
United States Department of the Army
2014
Cross-sectional.To use stress ultrasonography to measure the change in anterior talofibular ligament length during simulated drawer and ankle inversion tests.In approximately 30% of individuals, sprains may eventually develop into chronic instability (CAI) with recurrent symptoms. Individuals CAI those who have a history sprain (greater than 1 year prior) without (copers) or not mechanical laxity.Sixty subjects (n=60 ankles) were divided 3 groups: 1) Control injury (n=20; mean ± SD age; 24.8...
Prospective, blinded, diagnostic-accuracy study.To investigate the diagnostic accuracy of ankle anterior drawer test (ADT) to detect talocrural joint laxity in adults with a history lateral sprain.The ADT is used manually following sprain injury; however, this has not been established.Sixty-six subjects were examined ADT. Anterior was measured digitally from ultrasound images talofibular interval during performance In addition, 20 control establish reference standard. results defined as...
Study Design Descriptive laboratory study. Objective To determine if a proposed clinical test (pressure biofeedback) could detect changes in transversus abdominis (TrA) muscle thickness during an abdominal drawing-in maneuver. Background Pressure biofeedback may be used to assess function and TrA activation maneuver but has not been validated. Methods Forty-nine individuals (18 men, 31 women) with low back pain who met stabilization classification criteria underwent ultrasound imaging...
Context: Individuals with low back pain (LBP) are thought to benefit from interventions that improve motor control of the lumbopelvic region. It is unknown if therapeutic exercise can acutely facilitate activation lateral abdominal musculature. Objective: To investigate ability 2 types bridging-exercise progressions muscles during an drawing-in maneuver (ADIM) in individuals LBP. Design: Randomized trial. Setting: University research laboratory. Participants: 51 adults (mean ± SD age 23.1...
Quantifying talocrural joint laxity after ankle sprain is problematic. Stress ultrasonography (US) can image the lateral and allow measurement of talofibular interval, which may suggest injury to anterior ligament (ATFL). The acute interval changes are unknown.Twenty-five participants (9 male, 16 female; age 21.8 ± 3.2 y, height 167.8 34.1 cm, mass 72.7 13.8 kg) with 27 acute, injuries underwent bilateral stress US imaging at baseline (<7 d) on affected 3 wk 6 from in conditions: neutral,...
Case series.Ankle fractures commonly result in persistent pain, stiffness, and functional impairments. There is insufficient evidence to favor any particular rehabilitation approach after ankle fracture. The purpose of this case series was describe an impairment-based manual physical therapy treating patients with conservatively managed fractures.Patients stable postimmobilization were treated exercise targeted at associated impairments the lower limb. primary outcome measure Lower Extremity...
Lateral ankle sprain the most common injury in physically active populations. Individuals who sustain an acute lateral may not receive timely formal rehabilitation and are at increased risk to have subsequent sprains which can lead chronic pain instability. Attention essential factors for ligament protection healing while preserving movement, result a more stable yet mobile offering improved outcomes. The purpose of this case series was describe methods observe outcomes associated with...
Alterations in talocrural joint arthrokinematics related to repositioning of the talus or fibula following ankle sprain have been reported radiological and clinical studies. It is unclear if these changes can result from normal active motion. The study objective was determine movement created sagittal plane talofibular interval ankles with a history lateral instability.Three subject groups [control (n = 17), copers 20), chronic instability 20)] underwent ultrasound imaging anterolateral...
Ankle braces can protect the ankle joint from ligament sprains and fractures during high-risk military activities such as physical training parachuting. Although are recommended for injury prevention purposes, impact of on performance is unknown. This study evaluated lace-up braces, worn inside boots, across three conditions: no brace, unilateral bilateral brace dependent variables dynamic lower extremity reach obstacle course performance. Thirty-seven cadets were tested over 3 days. bracing...
Study Design Resident's case problem. Background Acromioclavicular joint pathology is reported to be present in up 30% of all patients complaining shoulder dysfunction. The operative approach treating acromioclavicular disease often includes a distal clavicle excision and, circumstances instability, reconstruction the coracoclavicular and/or ligament. Surgical complications for these procedures are rare, but potentially include suprascapular neuropathy secondary course nerve posterior prior...
The patient was a 26-year-old man with history of nonhealing, complicated right clavicle fracture. He also complained medial knee pain that thought to be insidious in onset and made worse during magnetic resonance imaging, which done evaluate the status Subsequent reporting his orthopaedic surgeon, imaging ordered. Anterior-to-posterior lateral radiographs were then ordered by physical therapist, identified radioopaque foreign body along within subcutaneous tissues.