Study Design Nonexperimental, retrospective design. Objectives This study was designed to compare clinical diagnostic accuracy (CDA) between physical therapists (PTs), orthopaedic surgeons (OSs), and nonorthopaedic providers (NOPs) at Keller Army Community Hospital on patients with musculoskeletal injuries (MSI) referred for magnetic resonance imaging (MRI). Background US PTs are frequently the first credentialed privileged examine diagnose injuries. Physical assigned have also been...

Study Design Observational. Objectives To compare lower extremity negative joint work and vertical ground reaction force loading rates in rearfoot-striking (RS) Chi runners. Background Alternative running styles such as have become a popular alternative to RS running. Proponents assert that this style reduces knee rates. Methods Twenty-two 12 runners ran for 5 minutes at self-selected speed on an instrumented treadmill. A 3-D motion analysis system was used obtain kinematic data. Average...

ABSTRACT Introduction Shoulder stabilization surgery is common among military personnel, causing severe acute postoperative pain that may contribute to the development of chronic pain, thereby reducing readiness. Battlefield Acupuncture (BFA) has shown promise as a non-pharmaceutical intervention for pain. The purpose this study was determine effectiveness BFA combined with standard physical therapy on self-reported mood, improvement, and medication use in patients after shoulder surgery....

Background: Running-related overuse injuries are common among recreational runners; however, there is currently little prospective research investigating the role of running characteristics on injury development. Purpose: To investigate relationship between and lower extremity musculoskeletal (MSKI). Study Design: Cohort study; Level evidence, 2. Methods: The study included 827 incoming cadets class 2020 at United States Military Academy. Before cadet basic training, spatiotemporal...

Background: Running biomechanics have been linked to the development of running-related injuries in recreational and military runners. Purpose/Hypothesis: The purpose this study was determine if personal characteristics or running biomechanical variables are associated with injury incidence time cadets undergoing training. It hypothesized that a rearfoot strike pattern, greater rate impact, lower step would be related decreased injury. Study Design: Cohort study; Level evidence, 2. Methods:...

Context The injury incidence rate among runners is approximately 50%. Some individuals have advocated using an anterior–foot-strike pattern to reduce ground reaction forces and rates that they attribute a rear–foot-strike pattern. proportion of minimalist shoe wearers who adopt remains unclear. Objective To evaluate the accuracy self-reported foot-strike patterns, compare negative ankle- knee-joint angular work different patterns wearing traditional or shoes, describe average...

Balance function is a key indicator in the identification of and recovery from concussion. The NeuroCom Sensory Organization Test (SOT) used to objectively quantify balance using input visual, vestibular, somatosensory systems. Baseline tests are necessary for comparison post-concussion.The primary purpose this study was establish baseline SOT measures population that will be useful concussion assessment, diagnosis, return duty decisions following Secondary aims were compare females males as...

Abstract Introduction Running-related musculoskeletal injury (RRI) among U.S. military service members continues to negatively impact force readiness. There is a paucity of evidence supporting the use RRI interventions, such as gait retraining, in populations. Gait retraining has demonstrated effectiveness altering running biomechanics and reducing load. The purpose this pilot study was investigate clinical effect intervention on cadet population recovering from lower-extremity RRI....

Characterize the distribution of foot-strike (FS) patterns in U.S. Army Soldiers and determine if FS are related to self-reported running injuries performance.341 male from a Combined Arms Battalion ran at their training pace for 100 meters, FSs were recorded sagittal plane. Participants also completed survey habits, injury history, run times. Two researchers classified as heel strike (HS) or nonheel (NHS, combination midfoot forefoot patterns). clinicians musculoskeletal acute overuse. The...

Objective: Opioid pain medications are commonly prescribed postsurgically for pain. Few studies have investigated the effects of Battlefield Acupuncture (BFA) on postsurgical and pain-medication use. To date, no BFA's effectiveness reducing postoperative shoulder use post surgery. The objective this study was to determine if adding BFA a rehabilitation protocol effective medications, compared that alone after Materials Methods: Forty Department Defense beneficiaries (ages 17–55) were...

In this study, we assessed the effectiveness of a mobile feedback system on transitioning runners to non-rearfoot strike (NRFS) pattern and prospectively compared injury incidence rates at one year between rearfoot (RFS) NRFS runners. 128 RFS participated in 2-hour training session learn with 114 completing 1-year follow-up. Participants were randomized into control group (CON) no additional biofeedback (BFG) where they received equipment provide real-time augment transition pattern. Foot...

Background: Running-related overuse injuries are very common among recreational runners, with the reported annual injury rates ranging from 39% to 85%. Relatively few large prospective cohort studies have been conducted investigate risk associated different running shoe characteristics, and results of existing often contradictory. Purpose/Hypothesis: The purpose was relationship between characteristics lower extremity musculoskeletal injury. It hypothesized that would be increased in...

Background The Musculoskeletal Readiness Screening Tool (MRST) was developed in an effort to consistently predict injury among military personnel. Current prediction tools have not predicted this population. MRST is comprised of the weight bearing forward lunge, modified deep squat, closed kinetic chain upper extremity stability test (CKCUEST), step down with eyes closed, stationary tuck jump, unilateral wall sit hold, and subjective, individual perceived level risk for injury. Feagin hop...

The measurement of spatiotemporal gait parameters is commonly utilized to assess in healthy and injured individuals. OptoGait system a portable can be mounted treadmill collect data clinical, training, or research setting. purpose this method comparison study was examine the agreement calculated by compared an instrumented during running. Thirty runners ran on with 1-meter along platform. Spatiotemporal running variables step rate, length, contact time were final minute level between...

Both autografts and allografts are used to reconstruct the anterior cruciate ligament (ACL) after injury; however, it is unclear whether graft source affects lower extremity functional test performance or failure rate in an active military population.To compare rates between ACL grafts [allograft, hamstring, bone-patellar tendon-bone (BTB)].Cross-sectional.Level 2.Ninety-eight cadets entering a US Service Academy with history of unilateral reconstruction (ACLR) agreed participate. Before...

Background: Musculoskeletal injuries present a significant challenge to military readiness accounting for over 29% of ambulatory medical visits and 25 million limited duty days across the U.S. Army. Although Military Health Systems perform periodic general health deployment assessments, there is no validated tool determine when service member at increased risk sustaining musculoskeletal injury. Method: 292 Army basic training recruits completed novel injury screening test called Readiness...

Post-operative range of motion (ROM) loss and pain can limit quality life, prolong functional return to activity, may be sport/career threatening. Dry needling (DN) is intended assist in the treatment these complaints.

Several strategies have been proposed to reduce loading of the lower extremity while running including step rate manipulation. It is unclear however, whether influences incidence injuries.To examine association between and risk injury in an adult recreational runner population.Prospective Cohort.A total 381 runners were prospectively followed for average nine months. Two-dimensional video was used assess preferred during a timed two-mile run or 5K race. Injury surveillance record...

Recently, blood flow restriction (BFR) training has gained popularity as an alternative to high-load resistance for improving muscle strength and hypertrophy. Previous BFR studies have reported positive treatment effects; however, clinical benefits using following meniscal repair or chondral surgery are unknown. The purpose of this study was determine the effect exercises with versus alone on self-reported knee function, thigh circumference, flexor/extensor postmeniscal cartilage...