Author: a645r259@wichita.edu

Robert C. Manske, professor in the Department of Physical Therapy, has been asked to serve on the Kansas University School of Medicine Wichita Orthopaedic Research and Publications Committee in support of WSU’s ACGME-mandated resident research program. This committee reviews research proposals and projects for orthopedic surgery residents.

Robert C. Manske, Professor in the Department of Physical Therapy, published “The 2024 international society for hip preservation physiotherapy agreement on post-operative rehabilitation following hip arthroscopy for femoroacetabular impingement syndrome” in the Journal of Hip Preservation Surgery on Oct. 27, 2025.

Abstract: The 2024 International Society for Hip Preservation physiotherapy agreement presents expert-driven rehabilitation guidelines for use following hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS). The expert-panel consisted of 11 physiotherapists and eight surgeons representing five countries specializing in hip preservation. Despite the favorable outcomes of HA for FAIS demonstrated in the current literature, there is a paucity of research supporting a specific physiotherapy protocol. These guidelines were created utilizing a modified-Delphi technique where panelists utilized the Grading of Recommendations, Assessment, Development and Evaluation scale to determine inclusion of treatment interventions within each phase. The panelists recommend six phases of rehabilitation with a time and milestone-based approach beginning in the immediate post-operative period and continuing the through the return to sport phase. These expert-driven guidelines will help reduce practice variation and standardize post-operative timelines.

Robert C. Manske, Professor in the Department of Physical Therapy, published “Diagnostic Musculoskeletal Ultrasound in the Evaluation of Adductor Longus Injuries: Implications for Rehabilitation Provider” in the International Journal of Sports Physical Therapy on Nov. 1, 2025.

Abstract: Adductor longus injuries represent a significant clinical challenge in sports medicine and rehabilitation, given their impact on athletic performance and risk for recurrence. Diagnostic musculoskeletal ultrasound (MSK-US) provides a dynamic, cost-effective, and radiation-free modality for evaluating adductor pathology, including tendinopathy, partial tears, and complete ruptures. This article reviews the role of MSK-US in the assessment of adductor longus injuries, emphasizing sonographic anatomy, diagnostic accuracy, and clinical utility. Special attention is given to the integration of ultrasound findings into rehabilitation decision-making, including early injury characterization, monitoring tissue healing, and guiding safe return-to-sport progression. For rehabilitation providers, proficiency in the use and interpretation of MSK-US enhances diagnostic precision and supports a more personalized, evidence-informed rehabilitation approach.

Clinical Implications: Competency in MSK-US evaluation of the adductor longus enables rehabilitation professionals to contribute meaningfully to early diagnosis, injury grading, and interdisciplinary care decisions.

Robert C. Manske, Professor in the Department of Physical Therapy, published “Diagnostic Musculoskeletal Ultrasound in the Evaluation of the Rectus Abdominis” in the International Journal of Sports Physical Therapy on Oct. 1, 2025.

Abstract: The rectus abdominis (RA) muscle is a key muscle in the anterior abdominal wall, contributing to motion of trunk flexion, assisting with stabilization of the pelvis, and maintaining intra-abdominal pressure. Its integrity is essential for posture, respiration, and functional movement, and it is frequently implicated in clinical conditions such as abdominal wall hernias, rectus diastasis, muscle strains, and postoperative complications. Accurate evaluation of the RA is therefore critical for both diagnostic and rehabilitative purposes.

Musculoskeletal ultrasound (MSKUS) has emerged as a valuable imaging modality for assessing the structure and function of the RA muscle. Offering real-time, dynamic visualization without ionizing radiation, MSKUS enables clinicians and researchers to examine muscle morphology, thickness, echogenicity, and contractile behavior with high precision. Compared with other imaging modalities such as computed tomography or magnetic resonance imaging, MSKUS is more accessible, cost-effective, and well-suited for repeated assessments in both clinical and research settings.

Recent advances in MSKUS have expanded its role in evaluating abdominal wall musculature, particularly in populations ranging from athletes and postoperative patients to postpartum women. By providing detailed, noninvasive insights into the RA muscle, MSKUS contributes to improved diagnosis, monitoring of rehabilitation progress, and the development of targeted interventions.

Robert C. Manske, professor in the Department of Physical Therapy, presented “Blood Flow Restriction Training for the Upper Extremities” at ASSET Annual Meeting 2025, San Diego, California on Oct. 16, 2025.