OrthoNeuroscience Consulting
Research & translation
My work focuses on neuroplasticity after musculoskeletal injury, sensorimotor control, and neurocognitive contributions to movement — with a major emphasis on ACL injury and return‑to‑sport readiness.
Research pillars

Neuroplasticity of injury

How the nervous system adapts after orthopedic trauma — and how that adaptation changes movement stability and risk.

Neuromuscular control + intervention development

Designing and testing training approaches that target brain–body control, not just strength and symmetry.

Injury prevention + outcomes

Building readiness systems that hold up under the real constraints of sport and performance environments.

How we do it
We integrate neuroimaging, biomechanics, and rehabilitation technologies (VR/AR, sensory reweighting, enriched environment approaches) to identify mechanisms, build interventions, and test what changes decision quality in clinic and field.
Lower‑extremity research scan in MRI environment
Neural targets & mechanisms

A recurring theme across our ACL and orthopedic injury work is that recovery is not purely a “hardware” problem. Injury and rehabilitation are accompanied by measurable changes in neural systems that support sensorimotor control, visual-cognitive processing, and decision making under constraint.

  • Sensorimotor control: motor cortex, premotor regions, secondary sensory systems
  • Visual-cognitive integration: lingual/occipital regions, precuneus and related networks
  • Performance under load: cerebellar contributions and network coordination
Below is an illustrative clip showing neural activity after injury (red) vs control (blue), used to motivate training approaches and return‑to‑sport decision systems.
Neural activity after injury (red) vs control (blue)
Research in Action
Visual perturbation training
Neuro Augmented RTS testing
What this means in practice

Why standard testing can miss risk

Strength symmetry and basic hop performance can look restored while cognitive, visual, and situational stress still expose inefficient movement strategies.

How this changes return-to-sport decisions

Testing should challenge perception, attention, and decision-making demands—not only pre-planned movement—to better identify hidden barriers before reinjury.

Why staff education matters

Clinicians and performance staff need a common language for neuroplasticity, sensory integration, and motor control so progressions and thresholds are applied consistently.

Publications

Browse my publication record here:

Top cited papers (links)
  1. Neuroplasticity Associated With Anterior Cruciate Ligament Reconstruction (JOSPT, 2017)
  2. Neuroplasticity Following Anterior Cruciate Ligament Injury: A Framework for Visual‑Motor Training Approaches in Rehabilitation (JOSPT, 2015)
  3. Visual‑Motor Control of Drop Landing After Anterior Cruciate Ligament Reconstruction (J Athl Train, 2018)
  4. Combining Neurocognitive and Functional Tests to Improve Return‑to‑Sport Decisions Following ACL Reconstruction (JOSPT, 2023)
  5. Initial Findings From the Train the Brain Project (J Sport Rehabil, 2018)
  6. Alterations in Knee Sensorimotor Brain Functional Connectivity Contributes to ACL Injury in Male High‑School Football Players (Braz J Phys Ther, 2020)
  7. A Novel Approach to Evaluate Brain Activation for Lower Extremity Motor Control (J Neuroimaging, 2019)
  8. Preliminary Brain‑Behavioral Neural Correlates of ACL Injury‑Risk Landing Biomechanics Using a Novel Bilateral Leg Press Neuroimaging Paradigm (PLOS ONE, 2022)
  9. Preliminary Report on the Train the Brain Project, Part II: Neuroplasticity of Augmented Neuromuscular Training and Improved Injury‑Risk Biomechanics (J Athl Train, 2022)
  10. Preliminary Report on the Train the Brain Project, Part I: Sensorimotor Neural Correlates of ACL Injury Risk Biomechanics (J Athl Train, 2022)

Citation counts vary across databases and update over time; the links above point to stable article landing pages.