A5058475556- Sports injuries and prevention
- Knee injuries and reconstruction techniques
- Total Knee Arthroplasty Outcomes
- Muscle activation and electromyography studies
- Peripheral Nerve Disorders
- Orthopedic Surgery and Rehabilitation
- Artificial Intelligence in Healthcare and Education
- Neurological disorders and treatments
- Delphi Technique in Research
- Sports Performance and Training
- Foot and Ankle Surgery
- Botulinum Toxin and Related Neurological Disorders
- Neurological and metabolic disorders
- Osteoarthritis Treatment and Mechanisms
- Transcranial Magnetic Stimulation Studies
- Orthopaedic implants and arthroplasty
- Health Systems, Economic Evaluations, Quality of Life
- Reconstructive Surgery and Microvascular Techniques
- Thyroid Cancer Diagnosis and Treatment
- Spinal Cord Injury Research
- Spaceflight effects on biology
- Adhesion, Friction, and Surface Interactions
- Sport Psychology and Performance
- Tribology and Wear Analysis
- Hereditary Neurological Disorders
Arthritis Foundation
2023-2024
Medical University of South Carolina
2021-2022
College of Charleston
2014-2021
University of Toledo Medical Center
2016
University of North Carolina at Charlotte
2016
University of North Carolina at Chapel Hill
2016
University of Kentucky
2016
University of Toledo
2011-2015
Background: Neuromuscular alterations are common following lower extremity joint injury and often lead to decreased function disability. These neuromuscular manifest in inhibition or abnormal facilitation of the uninjured musculature surrounding an injured joint. Unfortunately, these neural poorly understood, which may affect clinical recognition treatment injuries. Understanding how physical be important for proper management Methods: Pertinent articles focusing on consequences knee ankle...
Neuromuscular dysfunction of the leg and thigh musculature, including decreased strength postural control, is common in patients with chronic ankle instability (CAI). Understanding how CAI affects specific neural pathways may provide valuable information for targeted therapies.To investigate differences spinal reflexive corticospinal excitability fibularis longus vastus medialis between limbs unilateral participants serving as healthy controls.Case-control study.Research laboratory.A total...
Quadriceps tendon (QT) autografts are being increasingly used for anterior cruciate ligament reconstruction (ACLR). A paucity of studies exist that compare QT with alternative graft options. Additionally, concerns regarding quadriceps recovery after harvest insult to the muscle-tendon unit.The purpose this study was and functional outcomes in patients versus bone-patellar tendon-bone (BPTB) autografts. The hypothesis those would demonstrate superior outcomes.Cohort study; Level evidence,...
Altered neuromuscular function and decreased dorsiflexion range of motion (DFROM) have been observed in patients with chronic ankle instability (CAI). Joint mobilizations are indicated for restoring DFROM dynamic postural control, yet it remains unknown if a mobilization can alter excitability muscles surrounding the ankle.To determine immediate effects Maitland grade III anterior-to-posterior joint on spinal-reflex corticospinal fibularis longus (FL) soleus (SOL), DFROM,...
Context Persistent neuromuscular deficits in the surgical limb after anterior cruciate ligament reconstruction (ACLR) have been repeatedly described literature, yet little is known regarding their association with physical performance and patient-reported function. Objective To describe (1) interlimb differences functional outcomes (2) associations of measures knee-related Design Cross-sectional study. Setting Laboratory. Patients or Other Participants Thirty individuals primary, unilateral...
Spinal-reflexive and corticomotor excitability may have a critical role in altering muscle function needed to stabilize the ankle people with chronic instability (CAI).To determine association between self-reported disability both spinal-reflexive CAI.Descriptive laboratory study.Research laboratory.30 participants CAI.Soleus was measured normalized Hoffmann reflexes (H:M ratio), transcranial magnetic stimulation quantified by motor-evoked-potential (MEP) amplitudes at 120% of active motor...
Measurement properties of the short form Knee injury and Osteoarthritis Outcome Score (KOOS-JR) are not established in individuals after anterior cruciate ligament reconstruction (ACLR). The purpose this study was to determine extent which KOOS-JR measures construct knee health post-ACLR using Rasch analysis.The will fit model, but significant ceiling effects be present.Cross-sectional study.Level 3.Rasch analysis from 166 10 months conducted. Unidimensionality, a key criterion evaluated...
The Evoked Potential Operant Conditioning System (EPOCS) is a software tool that implements protocols for operantly conditioning stimulus-triggered muscle responses in people with neuromuscular disorders, which turn can improve sensorimotor function when applied appropriately. EPOCS monitors the state of specific target muscles—e.g., from surface electromyography (EMG) while standing, or gait cycle measurements walking on treadmill—and automatically triggers calibrated stimulation...
PurposeThe purpose of this study was to compare the biomechanics a drop vertical jump (DVJ) landing task and functional outcomes among patients with anterior cruciate ligament reconstruction (ACL-R) quadriceps tendon (QT) patellar (PT) autografts.MethodsPhysically-active who underwent primary ACL-R either QT or PT autograft were included in study. All within 6 months 2 years following surgery cleared for return physical activity. Subjects completed DVJs laboratory. Peak ground reaction force...
Precision rehabilitation offers the promise of an evidence-based approach for optimizing individual to improve long-term functional outcomes. Emerging techniques, including those driven by artificial intelligence, are rapidly expanding our ability quantify different domains function during rehabilitation, other encounters with healthcare, and in community. While this seems poised usher into era big data should be a powerful driver precision field lacks coherent framework utilize these...
Given the high burden and increasing prevalence of post-traumatic osteoarthritis (PTOA), identifying clinically beneficial strategies to prevent or delay its onset could improve quality life those at risk developing disease. Preventing Injured Knees from OsteoArthritis: Severity Outcomes (PIKASO) is a multicenter blinded, parallel, two-arm randomized controlled trial 512 individuals aged 18-45 years undergoing anterior cruciate ligament reconstruction (ACLR). This study designed evaluate...
Persistent quadriceps weakness is common following surgical knee meniscectomy or meniscal repair procedures. Quadriceps strength normalized to body mass (QSBM) known associate with self-reported function in patients a history of injury. limb symmetry index (QLSI) has emerged as predictor lab-based biomechanical measures and physical similar populations. However, it unclear how these surgery. This information critical for determining the best clinical indicators this population. PURPOSE:...