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Ultrasonography01:17

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A Novel Application of Musculoskeletal Ultrasound Imaging
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Ultrasound Applications in Adaptive Sports Medicine.

Niran Vijayaraghavan1, Donald Kasitinon1, Casey Pierce2

  • 1Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA.

Physical Medicine and Rehabilitation Clinics of North America
|November 9, 2025
PubMed
Summary

Ultrasound use in adaptive sports, especially for wheelchair athletes, needs more research. Studies show benefits for upper and lower extremity injuries, and unique applications like respiratory training.

Keywords:
Adaptive athleteAutonomic dysreflexiaEntrapment neuropathyHeterotopic ossificationTendinopathyUltrasoundWheelchair user

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Area of Science:

  • Sports Medicine
  • Rehabilitation Technology
  • Medical Imaging

Background:

  • Ultrasound applications in adaptive sports are understudied.
  • Existing literature focuses on wheelchair athletes with upper extremity overuse injuries.
  • Common injuries include shoulder and biceps tendon issues, lateral epicondylosis, ulnar neuropathy, and carpal tunnel syndrome.

Purpose of the Study:

  • To review the current use of ultrasound in adaptive sports.
  • To identify gaps in research regarding ultrasound for adaptive athletes.
  • To highlight potential future research directions.

Main Methods:

  • Literature review of studies involving ultrasound in adaptive sports.
  • Analysis of injury types and ultrasound applications in wheelchair athletes.
  • Exploration of unique ultrasound uses beyond injury assessment.

Main Results:

  • Significant literature exists for upper extremity injuries in wheelchair athletes.
  • Fewer studies address lower extremity injuries like heterotopic ossification (HO) and skin complications.
  • Unique applications include respiratory muscle training and deep tissue injury evaluation.

Conclusions:

  • Further research on ultrasound for adaptive athletes is warranted.
  • International-level adaptive athletes could benefit from expanded ultrasound studies.
  • Ultrasound shows promise for diverse applications in adaptive sports medicine.