Clinical Research Directory

Assessing the Reliability of Smooth Pursuit Across Various Neck Postures Using a Custom Ocular Motor Detection System

Phase 1：System Development and Validation A custom-made eye movement detection system was developed to quantify smooth pursuit eye movements under multiplanar neck postures. The initial study established the reliability and measurement consistency of ocular motor parameters, including Gain, SPNTD, Accuracy, and Latency, in healthy individuals. The findings demonstrated acceptable-to-excellent reliability and confirmed the feasibility of assessing ocular motor performance across multiple cervical planes. Phase 2：Clinical Application in Mechanical Neck Pain Based on the validated system developed in Phase 1, the present study investigates multidimensional oculomotor and cervical sensorimotor function in individuals with upper mechanical neck pain (MNP). By comparing MNP patients with asymptomatic controls, the study aims to identify sensitive oculomotor biomarkers associated with cervical sensorimotor dysfunction and to explore whether multi-axis ocular motor assessment provides additional clinical information beyond conventional cervical proprioception and range-of-motion measures.

ATI Evidence-based Guide Investigating Clinical Services

The goal of this study is to evaluate how standard-of-care outpatient rehabilitation is delivered and how variation in care delivery mechanisms relates to clinical outcomes, service utilization, and value in patients receiving physical or occupational therapy. The study will focus on patients with musculoskeletal (MSK) conditions receiving physical or occupational therapy. The focus is to use existing standard-of-care documentation in a physical therapy (PT) electronic medical record (EMR) to evaluate patient characteristics, interventions delivered, utilization management, and clinical outcomes in routine outpatient PT care, in order to generate evidence to improve clinical effectiveness and quality of care. Researchers will compare different care delivery mechanisms to see if variations lead to significant differences in outcomes. Participants will have their standard-of-care documentation analyzed, including routine clinical measures, objective/functional measures, and patient-reported outcomes. They will not be directly involved in research interventions or randomization. This study does not involve a research intervention, randomization, or alteration of clinical care. It is a retrospective cohort study analyzing existing standard-of-care documentation from ATI's physical therapy EMR. Data are collected via the investigators proprietary electronic medical record system and are synthetic to the clinical process that is, the data are collected in real-time with patients and the scores are immediately provided to the treating therapist as well as archived for later Registry and scientific use.