A5007331179- Knee injuries and reconstruction techniques
- Sports injuries and prevention
- Total Knee Arthroplasty Outcomes
- Muscle activation and electromyography studies
- Lower Extremity Biomechanics and Pathologies
- Sport Psychology and Performance
- Transcranial Magnetic Stimulation Studies
- Balance, Gait, and Falls Prevention
- Tribology and Wear Analysis
- Sports Performance and Training
- Musculoskeletal pain and rehabilitation
- Orthopaedic implants and arthroplasty
- Motor Control and Adaptation
- Engineering Applied Research
- Peripheral Nerve Disorders
- Shoulder Injury and Treatment
- Mechanical Engineering and Vibrations Research
- Cerebral Palsy and Movement Disorders
- Multiple Sclerosis Research Studies
- Effects of Vibration on Health
- Hip disorders and treatments
- Tendon Structure and Treatment
- Motivation and Self-Concept in Sports
- Mechanical stress and fatigue analysis
University of Kentucky
2024-2025
University of Virginia
2020-2024
University of Kansas Medical Center
2023
Children's Mercy Hospital
2023
Center for Children
2023
Appalachian State University
2019-2021
State Farm (United States)
2019
ABSTRACT Purpose Given maladaptive neuroplasticity after musculoskeletal injury, interventions capable of restoring corticospinal excitability should be considered. We therefore aimed to determine if a 4-wk intervention anodal transcranial direct current stimulation (aTDCS) with eccentric exercise would improve neural excitability, functional performance, and patient-reported function in individuals chronic ankle instability (CAI). Methods Twenty-six CAI were recruited undergo 4 wk evertor...
Background: Patient-reported outcome (PROs) instruments of knee function quality life are routinely administered to patients after anterior cruciate ligament reconstruction (ACLR). The Patient Acceptable Symptom State (PASS), an evidence-based threshold defining perceived outcomes, may be a useful indicator strength and functional performance. Purpose: To compare performance between recovering from ACLR who did not meet PASS thresholds on associated PROs. Study Design: Cross-sectional study;...
Clinical outcomes after revision anterior cruciate ligament reconstruction (ACLR) are not well understood.Patients undergoing ACLR would demonstrate worse patient-reported and limb symmetry compared with a cohort primary ACLR.Cohort study; Level of evidence, 3.672 participants (373 ACLR, 111 188 uninjured) completed functional testing at single academic medical center. Descriptive information, operative variables, (International Knee Documentation Committee score, injury Osteoarthritis...
Context : The purpose of this study was to compare short-term clinical outcomes between meniscus procedures performed with anterior cruciate ligament reconstruction (ACLR), ACLR (ACLR-only), meniscectomy/resection (ACLR-resect), and meniscal repair (ACLR-repair) for bone patellar tendon grafts (BPTB) hamstring grafts, separately. Design This a cross-sectional conducted in controlled laboratory setting as part large point-of-care collaborative research program. Methods included 314...
Return-to-play (RTP) assessment after anterior cruciate ligament reconstruction (ACLR) rarely includes hip strength.It was hypothesized that (1) patients ACLR will have weaker abduction (AB) and adduction (AD) strength compared with the contralateral limb, larger deficits in women, (2) there be a correlation between thigh ratios patient-reported outcomes (PROs), (3) AB AD improve over time.Descriptive laboratory study.Included were 140 (74 male, 66 female; mean age, 24.16 ± 10.82 years) who...
Radiographic and cadaveric studies have suggested that anatomic anterior cruciate ligament reconstruction (ACLR) femoral tunnel drilling with the use of a flexible reaming system through an anteromedial portal (AM-FR) may result in different graft position compared using rigid reamer accessory hyperflexion (AAM-RR). No prior directly clinical outcomes between these 2 techniques for creation during ACLR.To compare revision rates at minimum years postoperatively patients who underwent ACLR...
Performance on strength and functional tests is often used to guide postoperative rehabilitation progress return activity decisions after anterior cruciate ligament reconstruction (ACLR). Clinicians may have difficulty in determining which criteria follow if there disagreement performance outcomes among the tests.The purpose of this study was compare pass rates between single-leg hop (SLHOP) men women patients with lower higher preinjury levels recovering from ACLR. We hypothesized that...
Context: The Balance Error Scoring System (BESS) is a commonly used clinical tool to evaluate postural control that traditionally performed through visual assessment and subjective evaluation of balance errors. purpose this study was an automated computer-based scoring system using instrumented pressure mat compared the traditional human-based manual assessment. Design: A descriptive cross-sectional design performance versus human BESS methodology in healthy individuals. Methods: Fifty-one...
Evidence as to how patient thigh muscle strength and limb loading (LL) during a squatting task recovers throughout rehabilitation after anterior cruciate ligament reconstruction (ACLR) is lacking.
The purpose of this investigation was to elucidate whether ankle joint stretch-shortening cycle performance, isometric and isokinetic plantarflexion strength, maximal Achilles tendon force elongation differ between dancers, endurance runners, untrained controls. To differentiate controls, the authors measured during ramp contractions with ultrasonic imaging, strength dynamometry, function countermovement hopping 30-cm drop a custom-designed sled. dancers elongated significantly (P ≤ .05)...
Patients with ACL reconstruction (ACLR) are at increased risk for second injury. This may be related to proprioception deficits from Proprioception evaluated by single leg (SL) bent knee balance tests 6 and 8-10 months postop provide evidence needed intervention. PURPOSE: To determine change in SL over time ACLR patients. METHODS: Forty patients (Sex: 27F,13M; Age: 21 ± 7 years; Height: 171 10 cm; Mass: 74 5 kg) were tested twice (Visit1:6.0 0.4mo, Visit2:8.5 0.7mo). At each visit,...
PURPOSE: The torque-velocity relationship inherent to skeletal muscle may be an important indicator of normal function. Current data indicates this is altered in those recovering from primary ACL reconstruction (ACLR) compared healthy controls, however we do not know if patients with revision ACLR have worse outcomes due repeated injury and surgery. purpose study was characterize the quadriceps hamstrings following METHODS: A total 283 participants included 205 unilateral (22.4 ± 8.7 yr, 98...
Anterior cruciate ligament rupture can negatively alter joint proprioception and balance, thus increasing individuals' reinjury risk after re-engaging in physical activity. Previous research found no differences postural stability during single leg (SL) balance with a straight knee position ACLR (ACL reconstructed) versus healthy participants. PURPOSE: To determine if SL bent measures differ between participants nearing clearance to return play (RTP). METHODS: Three hundred seventy-four...
PURPOSE: Weakness post ACL reconstruction (ACLR) of hip and thigh muscles are evaluated to track rehabilitation progress and/or inform decisions about return sports. Lower extremity muscle adaptations common mechanisms by patients coping with weakness. Relationships among strength measures after in ACLR may help identify potential targets for therapeutic intervention. METHODS: Thirty-four primary unilateral (21.09±6.70yr, 18M, 170.82±11.95cm, 76.82±21.36kg, 7.97±5.22 mo ACLR) performed...
Background: The purpose of this study was to compare the return sport outcomes at six months after ACLR between meniscus procedures, (ACLR-only), with meniscectomy (ACLR- resect), and meniscal repair (ACLR-repair) for bone patellar tendon grafts hamstring grafts, separately.Methods: This cross-sectional included 314 participants (168 female; mean+ SD age, 19.7 + 4.8) a BPTB or HT. Patients were divided into three groups depending on procedure. Multivariate analysis covariance compared...
Objectives: The administration of return to sport assessments have become common in patients following Anterior Cruciate Ligament Reconstruction (ACLR). However, they are often administered after the time clinical supervision which may leave without access personnel appropriately address functional deficits identified. It is currently unknown if patient outcomes would benefit from interim while under supervision. purpose this study compare at (RTS) progression between those with a prior...