University of Southern California
University of Southern California
USC Chan Division of Occupational Science and Occupational Therapy
USC Chan Division of Occupational Science and Occupational Therapy

Musculoskeletal Sonography and Occupational Performance Laboratory

Completed Research

Using Sonography in Hand Therapy

Sonographic imaging has numerous potential applications for enhancing rehabilitative care as part of an occupation-centered intervention plan within hand therapy.  Our work resulted in multiple findings supporting the use of sonography within hand therapy.

  1. Evidence places point-of-care sonographic imaging of musculoskeletal structures at the intersection of subjective reports, objective findings, and functional performance. This convergence has important implications for improving intervention efficacy through enhanced clinical reasoning and for advancing evidence that substantiates clinical interventions.
  2. Sonography has exceptional potential to augment the biospsychosocial principles central to occupational therapy interventions. A growing body of evidence supports the use of integrative, mind–body interventions to reduce clients’ length of stay in a clinical setting and speed recovery. Hand therapy practitioners can use sonographic imaging for patient education and dynamic visual biofeedback during functional activity performance to actively engage patients and establish a mind–body connection.


Using sonography to connect the mind-body using biofeedback with visualization of sliding of the flexor digitorum superficialis (FDS) and profudus (FDP) during tweezer use

Using sonography to connect the mind-body using biofeedback with visualization of sliding of the flexor digitorum superficialis (FDS) and profudus (FDP) during tweezer use

Further examination of implementation strategies and development of occupation-centered imaging interventions, training models, and definitions of clinical competency are necessary to ensure that hand therapy practitioners are adequately informed and prepared to use this technology to ensure therapists continue to provide efficient, effective care required by the medical system.

Funding

Rehabilitation Research Career Development Program
NICHD/NINDS
K12-HD055929 (PI: Ottenbacher, Scholar: Roll)
Funding Period: 9/1/11 – 8/31/16

Publications

Gray, J. M., Frank, G., & Roll, S. C. (2017). Integrating musculoskeletal sonography into rehabilitation: Therapists' experiences with training and implementation. OTJR: Occupation, Participation and Health, 37(1), 40-49. https://doi.org/10.1177/1539449216681275 Show abstract

Roll, S. C., Asai, C., & Tsai, J. (2016). Clinical utilization of musculoskeletal sonography involving non-physician rehabilitation providers: A scoping review. European Journal of Physical and Rehabilitation Medicine, 52(2), 253-262. Full text Show abstract

Roll, S. C., Gray, J. M., Frank, G., & Wolkoff, M. (2015). Exploring occupational therapists' perceptions of the usefulness of musculoskeletal sonography in upper-extremity rehabilitation [Brief report]. American Journal of Occupational Therapy, 69(4), 6904350020p1-6904350020p6. https://doi.org/10.5014/ajot.2015.016436 Show abstract

Roll, S. C. (2015). Role of sonographic imaging in occupational therapy practice [In brief]. American Journal of Occupational Therapy, 69(3), 6903360010p1-6903360010p8. https://doi.org/10.5014/ajot.2015.015941 Show abstract

Presentations

Roll, S. C., & Aguillon, A. (2017). Diagnostic ultrasonography: A clinical tool for occupational therapists. Tech Day presentation at 95th Annual Conference of the American Occupational Therapy Association, Philadelphia, PA.

Roll, S. C., McLaughlin-Gray, J., & Frank, G. (2016). Training and competency development for the clinical implementation of musculoskeletal sonography by hand therapists. Paper presentation at 39th Annual Meeting of the American Society of Hand Therapists, Washington, DC.

Roll, S. C., McLaughlin-Gray, J., & Hardison, M. E. (2016). Musculoskeletal sonography of the upper extremity: Training and implementation in the rehabilitation clinic. Poster presentation at 96th Annual Conference of the American Occupational Therapy Association, Chicago, IL.

Roll, S. C., McLaughlin-Gray, J., Frank, G., & Wolkoff, M. (2015). Therapist perceptions of the utility of sonographic imaging in the rehabilitation of musculoskeletal disorders. Paper presentation at 4th Annual Occupational Therapy Summit of Scholars, Los Angeles, CA.

Roll, S. C., McLaughlin-Gray, J., & Frank, G. (2015). Competency development and complexities of clinical integration of musculoskeletal sonography by non-physician rehabilitation providers. Research paper presented at the 15th World Congress of Ultrasound in Medicine and Biology, Orlando, FL.

Roll, S. C., McLaughlin-Gray, J., & Frank, G. (2015). Therapist perceptions of the utility of sonographic imaging in the rehabilitation of musculoskeletal disorders. Poster presentation at 95th Annual Conference of the American Occupational Therapy Association, Nashville, TN.

Roll, S. C. (2014). Introducing musculoskeletal sonography, part I: Structures and pathologies of the hand. Instructional course presented at American Society of Hand Therapists Annual Meeting, Boston, MA.

Roll, S. C. (2014). Introducing musculoskeletal sonography, part II: Clinical applications for hand therapy. Instructional course presented at American Society of Hand Therapists Annual Meeting, Boston, MA.

Roll, S. C., Rocker, J. D., & Aguillon, A. (2014). Enhancing treatment for patients with pain and limitations in functional hand use with sonography. Short course presentation at 94th Annual Conference of of the American Occupational Therapy Association, Baltimore, MD.

Roll, S. C., Rocker, J. D., & Aguillon, A. (2014). Dynamic, real-time visualization of musculoskeletal tissues using sonography. Tech Day presentation at 94th Annual Conference of of the American Occupational Therapy Association, Baltimore, MD.

Roll, S. C., Rocker, J. D., & Aguillon, A. (2013). Hands-on sonographic imaging for hand therapists. Continuing education workshop for Hand Therapy Society of Greater Los Angeles, November 2013.

Wolkoff, M., McLaughlin-Gray, J., Frank, G., & Roll, S. C. (2013). Therapist perceptions of implementation of musculoskeletal sonography in hand therapy. Poster presented at American Society of Hand Therapists Annual Meeting, Chicago, IL.

Tsai, J., & Roll, S. C. (2013). Applications for musculoskeletal sonography in orthopedic rehabilitation: A scoping review. Poster presented at American Society of Hand Therapists Annual Meeting, Chicago, IL.

Roll, S. C., Rocker, J. D., Aguillon, A., & Wolkoff, M. (2013). If only I could see inside! Cutting edge use of sonography to enhance upper extremity orthopedic rehabilitation. Workshop presented at 93rd Annual Conference of the American Occupational Therapy Association, San Diego, CA.

Roll, S. C. (2013). Diagnostic ultrasonography: A clinical tool for occupational therapists. Tech Day presentation at 92nd Annual Conference of the American Occupational Therapy Association, Indianapolis, IN.