University of Southern California
University of Southern California

Active Research
Applications for 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 biopsychosocial 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 is 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. The MSOP research lab is actively engaged in examining new techniques and protocols for the use of musculoskeletal songoraphy within upper extremity rehabilitation including applications such as:

  1. Biofeedback and patient education to support productive movement post-injury
  2. Examination of healing in post-surgical flexor tendon repair patients
  3. Evaluation of treatment effects in patients with systemic sclerosis (i.e., scleroderma)
  4. Exploration of the cause of non-specific pain

Funding

Novel precision medicine approach to advance rehabilitation of surgically reparied tendons of the hand
National Institute of Arthritis and Musculoskeletal and Skin Diseases / National Institutes of Health
F31-AR074894 (PI: Takata; Sponsor: Roll)
Total Funding: $90,032
Funding Period: 8/1/19 – 7/31/21

Informing a precision medicine approach to post-surgical flexor tendon rehabilitation using sonography
American Hand Therapy Foundation
(PI: Takata; Co-I: Roll)
Total Funding: $5,000
Funding Period: 4/1/19 – 12/31/20

Development of a songorahpic image acquisition ana analysis protocol for surgically repaired flexor tendons of the hand
Soceity for Diagnostic Medical Sonography Foundation
(PI: Takata; Co-I: Roll)
Total Funding: $6,350
Funding Period: 7/1/19 – 6/30/21

Quantifying songoraphic changes in upper extremity tissue integrity following application of negative pressure in patients with systemtic sclerosis
Lymphatouch, Inc.
(PI: Murphy; Consultant: Roll)
Total Funding: $9,000
Funding Period: 3/1/19 – 2/28/20

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

Research Recordings

Complete Presentation List

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.