Daniel Rhon

Brooke Army Medical Center | SAMMC · Department of Orthopaedics & Rehabilitation

Background: Low back pain is among the leading causes of medical visits and lost duty days among members of the United States Armed Forces and represents the highest 5-year risk of permanent disability in the US Army. For certain elements of care, the timing may be just as important as the type of care. The purpose of this study is to assess the i...

Musculoskeletal injury is the most common reason that soldiers are medically not ready to deploy. Understanding intrinsic risk factors that may place an elite soldier at risk of musculoskeletal injury may be beneficial in preventing musculoskeletal injury and maintaining operational military readiness. Findings from this population may also be usef...

Background: Corticosteroid injections (CSIs) and physical therapy are used to treat patients with the shoulder impingement syndrome (SIS) but have never been directly compared. Objective: To compare the effectiveness of 2 common nonsurgical treatments for SIS. Design: Randomized, single-blind, comparative-effectiveness, parallel-group trial. (...

To the editor, We read with great interest the article by Whelan and colleagues [13] comparing two different immobilization methods for first time shoulder dislocations. We applaud the efforts of this research team, as well as others [3, 9] who have attempted to reproduce the results found by Itoi et al. [8, 10] with randomized clinical trials. Ho...

Knee osteoarthritis (OA) causes disability among the elderly and is often associated with impaired balance and proprioception. Perturbation exercises may help improve these impairments. Although manual physical therapy is generally a well-tolerated treatment for knee OA, perturbation exercises have not been evaluated when used with a manual physica...

Background and purpose: Physical therapists frequently make important point-of-care decisions for musculoskeletal injuries and conditions. In the Military Health System (MHS), these decisions may occur while therapists are deployed in support of combat troops, as well as in a more traditional hospital setting. Proficiency with the musculoskeletal...

Resident's case problem. Ankylosing spondylitis is a potentially debilitating seronegative spondyloarthropathy, with inflammatory low back pain as the most commonly reported symptom. In the absence of low back pain, identification of other diagnostic criteria or associated impairments and joint involvement, such as involvement of the hip or shoulde...

Introduction Corticosteroid injections (CSI) are a recommended and often-used first-line intervention for shoulder impingement syndrome (SIS) in primary care and orthopaedic settings. Manual physical therapy (MPT) offers a non-invasive approach with negligible risk for managing SIS. There is limited evidence to suggest significant long-term improve...

In 2005 the first physical therapists were employed in direct support of infantry brigade combat teams (BCTs) during a combat deployment. The initiative sought to bring soldiers direct access to specialized musculoskeletal care at the places they work and live. The goal was to prevent deferment of care for injuries that may become chronic and to de...

Physical therapists (PTs) serve as physician extenders performing direct access evaluations for musculoskeletal conditions. The previous war-time mission of PTs was limited to level III medical care. Recently PTs began providing care at levels I/II with brigade combat teams (BCTs). Determine the sentiment of battlefield providers at levels I/II reg...

The recent expert-consensus guidelines for the management of knee and hip osteoarthritis (OA) are very insightful and should serve as a powerful clinical tool for many providers 1 . Although minimal attention is given to the positive effects of manual physical therapy despite strong randomized control trials (RCT) in the literature 2,3 , the fact t...

One group pretest-posttest exploratory design. Primary purposes of this study were to examine the short-term effect of hip mobilizations on pain and range of motion (ROM) measurements in patients with knee osteoarthritis (OA) and to determine the prevalence of painful hip and squat test findings in both patients with knee OA and asymptomatic subjec...