A5079666244- Musculoskeletal pain and rehabilitation
- Pain Mechanisms and Treatments
- Sports injuries and prevention
- Shoulder Injury and Treatment
- Pain Management and Placebo Effect
- Muscle activation and electromyography studies
- Myofascial pain diagnosis and treatment
- Osteoarthritis Treatment and Mechanisms
- Botulinum Toxin and Related Neurological Disorders
- Knee injuries and reconstruction techniques
- Temporomandibular Joint Disorders
- Musculoskeletal Disorders and Rehabilitation
- Dementia and Cognitive Impairment Research
- Pediatric Pain Management Techniques
- Exercise and Physiological Responses
- Tendon Structure and Treatment
- Lower Extremity Biomechanics and Pathologies
- Orthopedic Surgery and Rehabilitation
- Sports Performance and Training
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Cerebral Palsy and Movement Disorders
- Stroke Rehabilitation and Recovery
- Migraine and Headache Studies
- Acupuncture Treatment Research Studies
- Spine and Intervertebral Disc Pathology
Northwestern University
2019-2025
Science North
2023
University of Illinois Chicago
2010-2020
University of Chicago Medical Center
2011
University of Birmingham
2004
Nova Southeastern University
1998
Study Design An experimental laboratory study with a repeated-measures crossover design. Background Treatment effects of joint mobilization may occur in part by decreasing excitability central nociceptive pathways. Impaired conditioned pain modulation (CPM) has been found experimentally persons knee and hip osteoarthritis, indicating impaired inhibition We hypothesized increased effectiveness CPM following application mobilization, determined via measures deep tissue hyperalgesia. Objective...
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...
To examine the relationship between knee pain, altered somatosensation, and self-reported instability in individuals with osteoarthrosis (OA) during a step-up-and-over task.Quantitative sensory testing, including mechanical detection threshold (MDT), allodynia, vibration perception threshold, pressure pain (PPT), was assessed 16 (mean age, 52 ± 7 y) OA age-matched sex-matched controls. Pain intensity ratings subjective reports of instability/buckling were recorded at rest while performing...
Synopsis Society is mired in a serious health care crisis regarding pain and opioid abuse. Pain neuroscience education (PNE) has gained support the last 20 years as an intervention to help people manage chronic pain. In this Viewpoint, we argue that exercise movement must be primary for conditions, PNE or other adjunctive therapies should only used if they can foster increased participation. focus of management strategy students clinicians. It would advance knowledge skills, ultimately...
Abstract Currently, orthopaedic manual physical therapy (OMPT) lacks a description of practice that reflects contemporary thinking and embraces advances across the scientific, clinical, educational arms profession. The absence clear definition OMPT reduces understanding approach health care professions potentially limits from inclusion in scientific reviews clinical guidelines. For example, it is often incorrectly classified as passive or contrasted with exercise-therapy approaches. This...
In last decades, knowledge of nociceptive pain mechanisms has expanded rapidly. The use quantitative sensory testing provided evidence that peripheral and central sensitization play a relevant role in localized widespread chronic syndromes. fact, almost any patient suffering with condition will demonstrate impairments the nervous system. addition, it is accepted associated different types trigger factors including social, physiological, psychological. This rational provoked change...
In recent years, there has been an increasing knowledge in the pathogenesis and better management of chronic headaches. Current scientific evidence supports role manual therapies tension type cervicogenic headache, but results are still conflicting. These inconsistent can be related to fact that maybe not all appropriate for types headaches; or patients with headache will benefit from therapies. There preliminary data suggesting a lower degree sensitization greater extent therapies, although...
ABSTRACT Impaired descending pain inhibition has been linked to chronic and poorer patient outcomes. Vibration perception threshold (VPT) also observed radiographic stage of OA. However, it is not known how duration symptoms may influence these neurophysiological measures. Our purpose was evaluate the relationship between conditioned modulation (CPM), a measure inhibition, VPT, determine whether relationships differed in men women seeking orthopedic care. We evaluated 18 27 with moderate...
Abstract The Mexican artist Frida Kahlo (1907–1954) is one of the most celebrated artists 20th century. Although famous for her colorful self-portraits and associations with celebrities Diego Rivera Leon Trotsky, less known fact that she had lifelong chronic pain. developed poliomyelitis at age 6 years, was in a horrific trolley car accident teens, would eventually endure numerous failed spinal surgeries and, ultimately, limb amputation. She endured several physical, emotional, psychological...
The purpose of this study was to see if vastus medialis oblique/vastus lateralis (VMO:VL) ratios could be increased by widening the squat stance and VMO activity increases with deeper ranges knee flexion. Fifteen healthy subjects performed unloaded narrow wide squats through three flexion: 30°, 60°, 90°. two stances were compared using a 2 × 3 ANOVA wide-stance had any significant difference in EMG for VMO: VL narrow-stance squat. between various angles both also compared. revealed no...
ABSTRACTForce-Based Manipulation (FBM) including light touch, pressure, massage, mobilization, thrust manipulation, and needling techniques are utilized across several disciplines to provide clinical analgesia. These commonly used demonstrate the ability improve pain-related outcomes; however, mechanisms behind why analgesia occurs with these hands-on interventions has been understudied. Neurological, neuroimmune, biomechanical, neurovascular, neurotransmitter, contextual factor interactions...