- Musculoskeletal pain and rehabilitation
- Spine and Intervertebral Disc Pathology
- Shoulder Injury and Treatment
- Myofascial pain diagnosis and treatment
- Musculoskeletal Disorders and Rehabilitation
- Sports injuries and prevention
- Lower Extremity Biomechanics and Pathologies
- Foot and Ankle Surgery
- Clinical practice guidelines implementation
- Spinal Fractures and Fixation Techniques
- Occupational Health and Performance
- Stuttering Research and Treatment
- Pain Management and Placebo Effect
- Tendon Structure and Treatment
- Hip disorders and treatments
- Orthopedic Surgery and Rehabilitation
- Health Systems, Economic Evaluations, Quality of Life
- Bone fractures and treatments
- Scoliosis diagnosis and treatment
- Reading and Literacy Development
- Shoulder and Clavicle Injuries
- Nerve Injury and Rehabilitation
- Cervical and Thoracic Myelopathy
- Child and Adolescent Psychosocial and Emotional Development
- Knee injuries and reconstruction techniques
National Tropical Botanical Garden
1998-2025
South College
2015-2024
Fairfax County Public Schools
2023
Google (United States)
2023
Blackberry (United States)
2019-2021
Nova Southeastern University
2020
Ochsner Health System
2019
University of South Alabama
2019
University of Arkansas for Medical Sciences
2019
University of South Carolina
2018
Background: Conflicting evidence exists about the effectiveness of spinal manipulation. Objective: To validate a manipulation clinical prediction rule. Design: Multicenter randomized, controlled trial. Setting: Physical therapy clinics. Patients: 131 consecutive patients with low back pain, 18 to 60 years age, who were referred physical therapy. Intervention: Patients randomly assigned receive plus exercise or alone by therapist for 4 weeks. Measurements: examined according rule criteria...
The Orthopaedic Section of the American Physical Therapy Association presents this second set clinical practice guidelines on neck pain, linked to International Classification Functioning, Disability, and Health (ICF). purpose these is describe evidence-based orthopaedic physical therapy provide recommendations for (1) examination diagnostic classification based body functions structures, activity limitations, participation restrictions, (2) prognosis, (3) interventions provided by...
Study Design. A prospective, cohort study of patients with nonradicular low back pain referred to physical therapy. Objective. Develop a clinical prediction rule for identifying who improve spinal manipulation. Summary Background Data. Development rules classifying are likely respond particular intervention, such as manipulation, would decision-making and research. Methods. Patients underwent standardized examination then manipulation treatment program. Success was determined using percent...
Randomized controlled trial among patients with low back pain (LBP).(1) Determine the reliability of real-time ultrasound imaging for assessing activation lateral abdominal muscles; (2) characterize extent to which drawing-in maneuver (ADIM) results in preferential transverse abdominis (TrA); and (3) determine if biofeedback improves short-term performance ADIM LBP.Ultrasound is reportedly useful measuring training preferentially activate TrA muscle. However, research support these claims...
Initial management decisions following a new episode of low back pain (LBP) are thought to have profound implications for health care utilization and costs. The purpose this study was evaluate the impact early guideline adherent physical therapy on costs within Military Health System (MHS).Patients presenting primary setting with complaint LBP from January 1, 2007 December 31, 2009 were identified MHS Management Analysis Reporting Tool. Descriptive statistics, utilization, examined basis...
A retrospective cohort.To describe physical therapy utilization following primary care consultation for low back pain (LBP) and evaluate associations between the timing content of subsequent health costs.Primary management LBP is highly variable implications costs are not well understood. The importance referring patients from to has been debated, information on how impact needed.Data were extracted a national database employer-sponsored plans. total 32,070 with new identified categorized...
In Brief Study Design. Multicenter randomized, controlled trial. Objective. To compare two physical therapy programs for patients with lumbar spinal stenosis. Summary of Background Data. Scant evidence exists regarding effectiveness nonsurgical management Methods. Fifty-eight stenosis were randomized to one 6-week programs. One program included manual therapy, body weight supported treadmill walking, and exercise (Manual Physical Therapy, Exercise, Walking Group), while the other flexion...
Abstract Background Physical therapists increasingly provide direct access services to patients with musculoskeletal conditions, and growing evidence supports the cost-effectiveness of this mode healthcare delivery. However, further is needed determine if physical have requisite knowledge necessary manage conditions. Therefore, purpose study was describe therapists' in managing Methods This utilized a cross-sectional design which 174 therapist students from randomly selected educational...
SYNOPSIS: This position statement, stemming from the International IFOMPT (International Federation of Orthopaedic Manipulative Physical Therapists) Cervical Framework, was developed based upon best contemporary evidence and expert opinion to assist clinicians during their clinical reasoning process when considering presentations involving head neck. Developed through rigorous consensus methods, Framework guides assessment cervical spine region for potential vascular pathologies neck in...
Abstract The genus Polyscias , part of the Araliaceae family, is known for its significant ornamental and medicinal value, as well rich variety metabolites. These plants are primarily found in tropical regions, particularly Southeast Asia Pacific islands. diverse geographical environments have led to emergence many unique endangered species, although there limited genomic information available about them. In this study, we generated high‐quality reference genomes three species: two that...
Study Design Randomized clinical trial. Objectives To compare the effectiveness of 2 different conservative management approaches in treatment plantar heel pain. Background There is insufficient evidence to establish optimal physical therapy strategies for patients with pain, and little long-term effects. Methods Patients a primary report pain underwent standard evaluation completed number patient self-report questionnaires, including Lower Extremity Functional Scale (LEFS), Foot Ankle...
Patients with low back pain are frequently encountered in primary care. Although a specific diagnosis cannot be made for most patients, it is likely that sub-groups exist within the larger entity of nonspecific pain. One sub-group has been identified patients who respond rapidly to spinal manipulation. The purpose this study was examine association between two factors (duration and distribution symptoms) prognosis following manipulation intervention.Data were taken from previously published...
The Orthopaedic Section of the American Physical Therapy Association (APTA) has an ongoing effort to create evidence-based practice guidelines for orthopaedic physical therapy management patients with musculoskeletal impairments described in World Health Organization's International Classification Functioning, Disability, and (ICF). purpose these clinical is describe peer-reviewed literature make recommendations related nonarthritic hip joint pain. J Orthop Sports Phys Ther....
Backward running has long been used in sports conditioning programs and recently incorporated into rehabilitative settings as a method of increasing quadriceps strength while decreasing the joint compressive forces about knee. Although backward locomotion studied kinetically, metabolic cost walking and/or not to our knowledge previously characterized. Oxygen consumption other cardiopulmonary variables were measured under constant speed exercise during forward at 107.2 m.min-1 160.8 m.min-1....
The use of backward running is becoming more common in the rehabilitation setting. In particular, has been suggested as a treatment modality patients experiencing patellofemoral pain syndrome. To date, no study examined loads at joint during running. purpose this was to compare compressive forces forward and Ground reaction force kinematic data were collected on five male joggers free speed A floor vector model used calculate stance phase knee extension moments. distance for extensor muscle...
In patients with patellofemoral pain syndrome (PFPS), the authors determined which aspects of examination could be used to identify those most likely respond off-the-shelf foot orthoses and instruction in activity modification.Fifty participants were enrolled study, data for 5 individuals excluded from analysis. Thirty-four men 11 women completed study. Participants given instructed modification 3 weeks. A 50% reduction was considered a success. Likelihood ratios (LRs) computed determine...
Recently, there has been increasing interest in using backward running (BR) as an exercise and rehabilitation tool. To date, no study performed that combined electromyography (EMG) joint kinetics to BR. The purpose of this was compare selected EMG kinetic parameters the stance phase forward (FR) (BR). sagittal plane right knee analyzed during three trials FR BR six male subjects. Four 60-Hz video cameras collected motion data, a link segment model lower extremity established. Force plate...
Analytic observational prospective study performed in a controlled laboratory setting.To assess the ability of new screening tool, active hip abduction test, to predict low back pain development during prolonged standing previously asymptomatic individuals.Most tools used for patient with do not patient's maintain postural control frontal plane, when placed an unstable position. Postural-control differences developers, as compared non-pain have been found previously. An attempt was made...
Study Design A retrospective cohort design was conducted using data from an electronic survey and existing commercial outcomes database. Objective To compare the clinical of patients with musculoskeletal conditions treated by physical therapists who had completed residency or fellowship programs versus those not. Background There is increasing focus on specialization through postprofessional education in therapy programs. Scant evidence exists that evaluates influence actual patient...