A5048960286- Prosthetics and Rehabilitation Robotics
- Muscle activation and electromyography studies
- Stroke Rehabilitation and Recovery
- Diabetic Foot Ulcer Assessment and Management
- Balance, Gait, and Falls Prevention
- Sports injuries and prevention
- Total Knee Arthroplasty Outcomes
- Spinal Cord Injury Research
- Musculoskeletal pain and rehabilitation
- Injury Epidemiology and Prevention
- Trauma and Emergency Care Studies
- Lower Extremity Biomechanics and Pathologies
- Knee injuries and reconstruction techniques
- Musculoskeletal Disorders and Rehabilitation
- Cerebral Palsy and Movement Disorders
- Peripheral Artery Disease Management
- Sports Performance and Training
- Gait Recognition and Analysis
- Mechanical Circulatory Support Devices
- Traumatic Brain Injury Research
- Innovations in Medical Education
- Occupational Health and Performance
- Orthopaedic implants and arthroplasty
- Telemedicine and Telehealth Implementation
- Robotic Locomotion and Control
University of Miami
2016-2025
Bruce W. Carter VA Medical Center
2023
Miami VA Healthcare System
2009-2020
University of St. Augustine for Health Sciences
2020
Uniformed Services University of the Health Sciences
2017
American Physical Therapy Association
2007-2013
Union Hospital
2013
Veterans Health Administration
2011
American Orchid Society
2010
Marymount University
2009
Performance-based outcomes such as the T-Test, Edgren Side Step Test (ESST), and Illinois Agility (IAT) have been used to assess agility in athletes nonathletes; however, reliability validity of these tests not established. The purpose this study was establish convergent construct ESST, IAT young, nondisabled, physically active male servicemembers (SMs). Ninety-seven Active Duty U.S. Army SMs completed study. Statistically significant differences were found between ESST (p = 0.10), T-Test...
The purpose of this investigation was two-fold: 1) to compare the metabolic cost (VO2), heart rate (HR), and self-selected speed ambulation trans-tibial amputees (TTAs) with those non-amputee subjects; 2) determine whether a correlation exists between either stump length or prosthesis mass energy at pace TTAs. Subjects were thirty-nine healthy male non-vascular TTAs ages 22 75 years (mean ± sd = 47 16). All had regularly used their for longer than six months independent assistive devices....
Rehabilitation goals following major combat-associated limb loss in World War II and the Vietnam war focused on treatment of injury a return to civilian life. The goal for Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) servicemembers is restore function greatest possible degree and, if they desire, them Active Duty, by providing with extensive rehabilitation services variety prosthetic devices. Our study determines usefulness these diverse types devices restoring functional...
The purpose of this study was to determine whether measures impairment (i.e., muscle strength, balance), personal factors comorbidities, demographic information) and amputation specific variables time since amputation, cause level amputation) were able predict performance on the six-minute walk test, a measure activity limitation, in individuals with lower limb amputation. A total 72 ranging age from 21-83 tested for balance, strength function. Medical comorbidities recorded limitation...
Abstract Background Despite the prevalence of lower limb amputation (LLA), only a small percentage people with LLA actually receive physical therapy post and are rehabilitated to their full potential level function. There is need for development rehabilitation program that targets impairments limitations specific LLA. Objective The objective this study was determine whether Evidence-Based Amputee Rehabilitation would improve functional mobility unilateral transtibial (TTA) who have already...
We examined the application of outcome measures to determine changes in function caused by standardized functional prosthetic gait training and use four different feet people with unilateral transtibial limb loss. Two self-report (Prosthetic Evaluation Questionnaire-Mobility Scale [PEQ-13] Locomotor Capabilities Index [LCI]), three performance-based (Amputee Mobility Predictor a prosthesis [AMPPRO], 6-minute walk test [6MWT] step activity monitor [SAM]) were used. Ten loss, five peripheral...
Achieving mobility with a prosthesis is common post-amputation rehabilitation goal and primary outcome in prosthetic research studies. Patient-reported measures (PROMs) available to measure have practical psychometric limitations that inhibit their use clinical care research.
The opportunity for wounded servicemembers (SMs) to return high-level activity and duty has improved with advances in surgery, rehabilitation, prosthetic technology. As a result, there is now need mobility outcome measure assess progress toward during after rehabilitation. purpose of this study was develop determine the reliability new called Comprehensive High-Level Activity Mobility Predictor (CHAMP). CHAMP consists Single Limb Stance, Edgren Side Step Test, T-Test, Illinois Agility Test....
This study examined the convergent construct validity of a new performance-based assessment instrument called Comprehensive High-Level Activity Mobility Predictor (CHAMP) as measure high-level mobility in servicemembers (SMs) with traumatic lower-limb loss (LLL). The was completed by 118 SMs. Convergent CHAMP established using 6-minute walk test (6MWT) overall and physical function Amputee (AMP) basic prosthetic mobility. known group methods disparities capability among SMs different levels...
Contrary to stance-phase dorsiflexion of conventional prosthetic feet, the microprocessor-controlled Proprio foot permits swing-phase on stairs. The purpose this study was compare Symmetry in External Work (SEW) between a and feet two groups with unilateral transtibial amputation (Medicare Functional Classification Levels K-Level-2 K-Level-3) during stair ascent descent. Ten subjects were evaluated while wearing three feet- solid ankle cushion heel (SACH), stationary attachment flexible...
Outcome measures can be used in prosthetic practices to evaluate interventions, inform decision making, monitor progress, document outcomes, and justify services. Strategies enhance prosthetists' ability use outcome are needed facilitate their adoption routine practice.To assess of the effects training on confidence administering performance-based measures.Cross-sectional single-group pretest-posttest survey.Seventy-nine certified prosthetists (mean 16.0 years clinical experience) were...
Using a custom mobile application to evaluate the reliability and validity of Component Timed-Up-and-Go test assess prosthetic mobility in people with lower limb amputation.Cross-sectional design.National conference for loss.A total 118 non-vascular cause amputation participated. Subjects had mean age 48 (±13.7) years were an average 10 post amputation. Of them, 54% ( n = 64) subjects male.None.The was administered using iPad application, generating time complete five component times...
The effect of prosthesis mass on the metabolic cost steady-state walking was studied in ten male non-vascular trans-tibial amputees (TTAs) and non-amputee controls. subjects underwent four trials treadmill ambulation, with each trial performed for nine minutes at level grade 76 m/min. Twenty seated rest followed trial. During numbers one two, TTAs ambulated without added to their prosthesis. third fourth trials, either 454 or 907 grammes (1 2lbs respectively) were randomly assigned eithier...
INTRODUCTION John Ware1 wrote, "Life has two dimensions: quantity and quality." The distinction between the entities is well illustrated in common greeting "may you have a long healthy life" (p. 473). Length of life expressed terms average expectancy, mortality rates, death due to specific causes, numerous other indicators. When defining second dimension, quality encompasses standard living, housing neighborhood which one lives, job satisfaction, many factors.1 With regard amputee, it been...
Unilateral transtibial amputees (TTAs) show subtle gait variations while using different prosthetic feet. These have not been detected consistently with previous experimental measures. We introduce a novel measure called Symmetry in External Work (SEW) for quantifying kinetic differences between work is the result of changes and potential energy body center mass (CoM). SEW computed by integrating vertical ground reaction forces obtained F-scan in-sole sensors. Since various feet designs, we...
Background: Postural asymmetries are thought to lead impairment of body structure and function such as muscle imbalance, gait asymmetry possible chronic conditions, which result in limitation mobility restriction daily activity for transfemoral amputees (TFAs). Despite the potential clinical impact, postural have not been confirmed or quantified TFAs. Objectives: To identify presence TFAs utilizing evaluation measures. Study design: An observational cross-sectional study participants were...
Abstract This study characterises weight distribution symmetry between the intact and amputated limbs of unilateral transtibial amputees during a sit-to-stand movement. A total 12 age-matched, non-amputees performed activity for two conditions – rising with without chair arm-rest assistance. The movement was divided into five events: Pre-Ascent; Ascent Initiation; Seat-Off; Deceleration; Standing. Symmetry in ground reaction forces calculated at each event together rise time. Results...