Deborah A. Nawoczenski

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Abnormal scapular kinematics and associated muscle function presumably contribute to shoulder pain and pathology. An understanding of scapular kinematic and electromyographic profiles in asymptomatic individuals can provide a basis for evaluation of pathology. The purpose of this study was to describe normal three-dimensional scapular orientation and(More)
BACKGROUND In a previous investigation, eighty-two patients with chronic proximal plantar fasciitis for a duration of more than ten months completed a randomized, prospective clinical trial. The patients received instructions for either a plantar fascia-stretching protocol or an Achilles tendon-stretching protocol and were evaluated after eight weeks.(More)
Foot orthotics have been used successfully in the treatment of musculoskeletal symptoms associated with structural variations of the foot. Their effectiveness has been primarily addressed through two-dimensional, frontal plane motion studies of the subtalar joint in individuals considered "clinical pronators." Recent evidence suggests that assessment of(More)
OBJECTIVE To study the effects of foot orthotics on the mean electromyographic amplitude of proximal and distal lower extremity muscle groups during the first 50% of the stance phase during treadmill running. DESIGN Repeated measures. SETTING Subjects were recruited from the general community. PARTICIPANTS Twelve recreational runners who were(More)
Fifteen patients who had sustained a rupture of the Achilles tendon were managed non-operatively with use of a functional bracing protocol, and clinical and functional performance measures were assessed after a mean duration of follow-up of thirty-one months (range, twenty-four to forty-five months). An age and gender-matched group of fifteen subjects was(More)
Although clinical evidence suggests a causal relationship between arch structure and musculoskeletal injury patterns, biological variations in soft-tissue structures effect the accuracy of arch-height measurements. Medial longitudinal arch (MLA) structure was assessed clinically and radiographically in 100 consecutive patients with foot problems. Intraclass(More)
BACKGROUND Approximately 10% of patients with plantar fasciitis have development of persistent and often disabling symptoms. A poor response to treatment may be due, in part, to inappropriate and nonspecific stretching techniques. We hypothesized that patients with chronic plantar fasciitis who are managed with the structure-specific plantar(More)
BACKGROUND The use of clinical outcomes instruments is essential for the effective interpretation of individual patient progress as well as the comparison of treatment groups. An outcomes instrument must be reliable and valid to obtain any meaningful data. The purpose of the present study was to examine the reliability and validity of the American(More)