- Cerebral Palsy and Movement Disorders
- Stroke Rehabilitation and Recovery
- Balance, Gait, and Falls Prevention
- Muscle activation and electromyography studies
- Neurogenetic and Muscular Disorders Research
- Hip disorders and treatments
- Orthopaedic implants and arthroplasty
- Viral Infections and Immunology Research
- Transcranial Magnetic Stimulation Studies
- Health and Conflict Studies
- Musculoskeletal synovial abnormalities and treatments
- Traumatic Brain Injury Research
- Sports and Physical Education Research
- Assistive Technology in Communication and Mobility
- Acute Ischemic Stroke Management
- Multiple Sclerosis Research Studies
- Education Practices and Challenges
- Peripheral Nerve Disorders
- Orthopedic Surgery and Rehabilitation
- Spinal Cord Injury Research
- Shoulder Injury and Treatment
- School Health and Nursing Education
The University of Texas Southwestern Medical Center
2008-2021
Southwestern Medical Center
2018-2021
Howard Hughes Medical Institute
2017
Wellcome Trust
2017
American Physical Therapy Association
2012
Baylor Institute for Rehabilitation
2007
Abstract Background Gait impairment is a common complication of multiple sclerosis (MS). limitations such as limited hip flexion, foot drop, and knee hyperextension often require external devices like crutches, canes, orthoses. The effects mobility-assistive technologies (MATs) prescribed to people with MS are not well understood, current do cater the specific needs these individuals. To address this, passive unilateral flexion-assisting orthosis (HFO) was developed that uses resistance...
In Brief Ankle-foot orthoses (AFOs) are commonly prescribed to address gait dysfunction after stroke. Despite their widespread use, little is reported about the impact of AFOs on long-term motor recovery. The purpose this report was describe muscle activation patterns and characteristics three persons stroke who wore an AFO designed facilitate typical mechanics. Participants were adults (two men, one woman) admitted inpatient rehabilitation unit first-time All participants trained with a...
Background and Purpose: An asymmetrical gait pattern is frequently observed in persons recovering from stroke. Locomotor training with partial body-weight support (BWS) has been demonstrated to be effective for restoring ambulation abilities poststroke. However, the optimal treatment parameters this intervention have not defined. The purpose of case study was report outcomes a person acute period poststroke who experienced locomotor treadmill BWS prior walking over ground. Method: subject...
In Brief Background and Purpose: This case report describes an aggressive, task-specific program for the recovery of gait in a girl with spinal cord stroke. Case description: The 11-year-old sustained stroke resulting T4 motor-incomplete lesion. Therapy was initiated 6 months after onset when she not ambulating. Intervention: focus all interventions on restoration gait. Locomotor treadmill training over ground walking were primary practice interventions. Walking facilitated by orthoses,...
The patient was a 61-year-old woman who referred to physical therapist with diagnosis of right common fibular neuropathy at the head involving both deep and superficial nerve branches. Physical intervention included fitting ankle-foot orthosis referring her physician due concern for potential compressive lesion proximal tibiofibular joint. Subsequent magnetic resonance imaging identified lobulated, fluid-filled mass likely representing ganglion cyst.
To describe gait outcomes, including assistive device use and incidence of falls, in a group adults post stroke who received early standardized treadmill training (ESTT) the acute phase rehabilitation.A case series 18 individuals with varied lesion size, location, comorbidities.Inpatient rehabilitation unit.Daily 30-minute sessions ESTT initiated before overground period.Three-dimensional analysis, 6-minute walk test (6MWT), inventory, fall history.Gait analysis revealed better temporal...
This case study describes a task-specific training program for gait walking and functional recovery in young man with severe chronic traumatic brain injury.The individual was 26-year-old 4 years post-traumatic injury motor impairments who had not walked outside of therapy since his injury. He received extensive prior to initiation services. His goal recover the ability walk.The primary focus interventions restoration walking. A variety were used, including locomotor treadmill training,...
Abstract This paper presents the novel design of a multi-degree-of-freedom joint (M-DOF) for an ankle-foot orthosis (AFO) that aims to improve upon commercially available double action (DAJ). The M-DOF is designed maintain functionality DAJ, while increasing dorsiflexion stiffness and introducing inversion/eversion. increase in range motion produce greater engagement from lower limb muscles during gait. was experimentally validated with one able-bodied stroke subject. Across walking speeds,...
Introduction: Approximately 50,000 Americans are diagnosed with Parkinson disease (PD) each year, more than half a million persons affected. This chronic progressive causes limitations across the model of disablement for this population individuals. Because pathology and concomitant impairments, postural instability is present gait typically slow high variability spatial/temporal kinematics. Objective: The purpose study was to investigate impact hinged orthosis Tamarack joint adjustable...
Abstract Background Gait impairment is a common complication of multiple sclerosis (MS). limitations such as limited hip flexion, foot drop, and knee hyperextension often require external devices like crutches, canes, orthoses. The effects mobility-assistive technologies (MATs) prescribed to people with MS are not well understood, current do cater the specific needs these individuals. To address this, passive unilateral flexion-assisting orthosis (HFO) was developed that uses resistance...
K. J. McCain, None. To investigate the effectiveness of a novel locomotor treadmill training protocol applied in acute stage recovery from stroke to produce symmetrical gait. Case series. Inpatient rehabilitation center. 18 adults with first-time cortical and/or subcortical ischemic or hemorrhagic admitted an inpatient unit. Thirty minutes partial body weight support, initiated prior formal over ground gait training, once daily each weekday during stay. 3-dimensional analysis (symmetry and...
Background: Gait recovery following stroke remains a primary goal for persons recovering from stroke. Decreasing lengths of stay in the inpatient setting are increasingly shifting responsibility to outpatient setting. Objective: To evaluate impact standardized gait training approach, Modified Standardized Task-specific Training (MSTT) applied on outcomes two individuals with subacute Methods: MSTT, progressive gait-training program using treadmill was utilized address dysfunction The...