Medical Education Commons^™

Presentations Of Cutaneous Disease In Various Skin Pigmentations: Keratosis Pilaris, Henry Lim, Reem Ayoub, Madelyn Richards, Marshall Hall, Christian Scheufele, Dustin Wilkes, Michael Carletti, Stephen E. Weis

HCA Healthcare Journal of Medicine

Keratosis pilaris (KP) is a common benign disorder involving hyperkeratosis of the skin. It is associated with other common dry skin disorders such as atopic dermatitis and ichthyosis vulgaris. Lesions are clinically characterized as symmetrically distributed, monomorphic, folliculocentric, hyperkeratotic papules with a variable degree of perifollicular erythema. The appearance can be likened to spikey bumps that are commonly located on the arms, legs, and buttocks. Awareness of KP is important as every primary care clinician will see patients with this disorder. Identification can support the diagnosis of other associated skin diseases. Education about KP and its treatment may alleviate psychological …

Expanding Waste Segregation Initiatives To Reduce Regulated Medical Waste: A Multi-Departmental Quality Improvement Project, Emily M. Su, Anuja L. Sarode, Mohammed Sami, David R. Nehring, Erica L. Laipply, Mustafa Culcuoglu

HCA Healthcare Journal of Medicine

Background

Regulated medical waste (RMW) drives up health care costs, largely due to misclassification of general waste, especially in operating rooms (ORs), intensive care units (ICUs), and obstetrics and gynecology (OBGYN) departments. This study aimed to reduce RMW volume and costs at Akron City Hospital (ACH) through department-specific interventions aligning with Occupational Safety and Health Administration (OSHA) and Ohio Environmental Protection Agency guidelines.

Methods

Periodic analyses compared hospital-wide aggregate RMW volume, pick-up frequency, and disposal costs before and after interventions. The ORs initiated interventions in October 2022, expanding to ICUs and OBGYN by February 2024. Strategies included staff education, flyers …

Intouch Week Of February 23, 2026, New York Medical College

InTouch

• Keep Your Heart Healthy This February
• TCDM and NYMC Students Volunteer at Guidance Center of Westchester
• Off Campus, On Craft: Ralph Torres Keeps Campus Operations Flying High

Expansion Of A Self-Guided Curriculum And Validation Of A Self-Assessment Tool For Ocular Examination Skills, Maria Lee, Irene Pak, Aryan Chaychian, Isabell Kassaye, Adam Alyafaie, Neeti Parikh, Madeline Yung

Journal of Academic Ophthalmology

Background: Public interest in vision health is growing, yet ophthalmology remains underemphasized in medical education due to time constraints associated with in-person instruction.

Purpose: To demonstrate effectiveness of self-guided e-learning modules for ocular examination skills and to determine whether self-assessments can reliably assess medical student proficiency in these skills.

Methods: Medical students at a single institution participated in a skills workshop. Group 1 completed self-guided modules for visual acuity, confrontational visual field testing, pupil examination, and extraocular motility evaluation. Group 2 completed a self-guided module for the slit lamp anterior segment examination. Afterward, each student completed a …

Ophthalmology Exposure For Medical Students In Institutions Without A Home Ophthalmology Department: A Review Of The Literature, Rayna Marshall, Sara A. Khan, Meghan Berkenstock

Journal of Academic Ophthalmology

Background: Matching into an ophthalmology residency program has become increasingly competitive, with a 66% overall match rate reported by the San Francisco Match in 2024. Early exposure to ophthalmology is critical for students to develop an interest in the field, build robust research experiences, and find mentors to create a competitive ophthalmology residency application. These experiences can often be difficult to acquire at institutions that lack an ophthalmology department. Such institutions face unique challenges in providing mentorship and exposure in this medical specialty, underscoring the need for innovative solutions to support interested students.

Purpose: To assess ways a …

Comparing Anatomical Imaging With Functional Imaging For Coronary Artery Disease: The Limitations Of Vessel Stenosis And The Benefits Of Non-Invasive Measurement Of Fractional Flow Reserve, Zachary Zajac, Laura Aravena, Madeline Simone, David R. Allen Lll, Pranally Desai, Chanel Harvey, Nolan Tews, Nickolas Vinokurov

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report appraising

Neglia D, Rovai D, Caselli C, Pietila M, Teresinska A, Aguadé-Bruix S, et al. Detection of Significant Coronary Artery Disease by Noninvasive Anatomical and Functional Imaging. Circ: Cardiovascular Imaging. 2015;8(3):e002179. https://doi.org/10.1161/CIRCIMAGING.114.002179

for a stable hospitalized patient admitted for acute coronary syndrome (ACS) rule out.

When Systems Fail: The Impact Of Protocol On Physician Moral Distress, Aya Dudar

Clinical Research in Practice: The Journal of Team Hippocrates

Physicians often face the decision between following rigid hospital protocol and doing the right thing for the patient, creating moral distress and contributing to burnout. This letter describes a case in which an elderly patient with COVID-19 pneumonia and a DNI order developed worsening hypercapnia and required noninvasive ventilation. Despite clinical appropriateness, hospital policy prohibited BiPAP use in obtunded patients due to aspiration risk - even when the resident offered continuous bedside monitoring. This case highlights the ethical tension that arises when rigid hospital policies prevent physicians from making real-time exceptions in appropriate situations. Empowering physicians to make context-driven decisions …

Tadalafil Monotherapy Is A Reasonable Alternative For The Treatment Of Lower Urinary Tract Symptoms In Patients With Comorbid Benign Prostatic Hyperplasia And Erectile Dysfunction, Daniel M. Ibrahim, Anam Ahmed, Swetha Reddy, Meet S. Patel, Nabeel Sumbal, Adam Chaban, Aminah I. Fayyaz

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report appraising

Oelke M, Giuliano F, Mirone V, Xu L, Cox D, Viktrup L. Monotherapy with tadalafil or tamsulosin similarly improved lower urinary tract symptoms suggestive of benign prostatic hyperplasia in an international, randomized, parallel, placebo-controlled clinical trial. Eur Urol. 2012;61(5):917-925. https://doi.org/10.1016/j.eururo.2012.01.0131

for a vigorous 75-year-old man with benign prostatic hyperplasia (BPH) and erectile dysfunction (ED) who discontinued dutasteride due to intolerable sexual side effects.

Removing Race From Clinical Algorithms: History, Politics, And Medicine, David S. Jones Md, Ph.D.

History of Medicine Seminar

No abstract provided.

Pre- To Post-Season Changes In Body Composition Among Division Iii Football Players, Sebastian Schaefer, Cesar Navarro, Edward Merritt

International Journal of Exercise Science: Conference Proceedings

Collegiate football player body composition likely changes over the course of the season, and might differ based on player position. The extent to which this occurs in Division III football players is not known. PURPOSE: To examine differences in body composition from pre- to post-season and positional differences among Division III football players at Southwestern University. METHODS: Division III NCAA football players at Southwestern University were recruited prior to the 2025 season. Body composition was determined pre- and post-season by dual energy x-ray absorptiometry (DEXA).  Only athletes who completed the season and were not sidelined due to injury …

Footwear Matters: Speed And Barefoot Running Enhance Medial Gastrocnemius Emg, Kaleb M. Luna, Bryon C. Applequist

International Journal of Exercise Science: Conference Proceedings

Barefoot running alters foot strike mechanics and may change lower-extremity muscle demands compared to shod running, particularly at different speeds. PURPOSE: The purpose of this study was to examine the effects of footwear (barefoot vs. shod) and running speed (preferred vs. +20%) on normalized electromyographic (EMG) amplitude of the medial gastrocnemius (MG) and tibialis anterior (TA) in recreational runners. METHODS: Five healthy recreational runners completed treadmill running trials at preferred speed and +20% preferred speed in barefoot and shod conditions. Bilateral surface EMG was recorded from MG and TA (1500 Hz). Signals were bandpass filtered (20–450 Hz), rectified, …

A Comparative Analysis Of Maladaptive Perfectionism In Male And Female Competitive Bodybuilders, Maddox B. Utter, Christian O. Quintero, Samantha S. Dardaman, Stephen E. Rowden, Scott B. Martin

International Journal of Exercise Science: Conference Proceedings

Bodybuilding is a sport focused on physique optimization, where success is determined by judges’ evaluations of muscle mass, symmetry, and definition. Due to the sport’s emphasis of physical aesthetics, bodybuilders may feel the need to compare themselves with other competitors. This evaluation and comparison of physique may expose athletes to maladaptive perfectionistic tendencies, such as setting unattainably high standards, excessive worry over mistakes, and a diminished sense of competence. While current bodybuilding literature is limited, previous research suggests that perfectionism may lead to psychological impairments (e.g., body dysmorphia, anxiety, and reduced self-confidence) which may manifest differently between male and female …

How Does The Stage Of Pregnancy Influence Gait And Sway In Pregnant Women From Six To Eight Months., Lilie-Rose S. Gilbert, Scott P. Mclean, Edward Merritt

International Journal of Exercise Science: Conference Proceedings

Physiological changes that affect gait, posture, and balance during the late stages of pregnancy increase the risk of falling.  These changes were examined across the stages of pregnancy using simulated pregnancy loading. PURPOSE: To compare gait and postural balance measures under three loading conditions simulating zero, 6, and 8-months of simulated pregnancy. We predicted that the added weight in late-stage pregnancy would adversely affect gait characteristics and reduce postural control. METHODS: Twenty-one healthy females (20.1±1.2 years, 1.79±0.11 m, 64.1±9.5 kg) completed a 10-m walking gait assessment.  They then completed three trials under each condition, including the Stability Evaluation Test (SET) …

Inter-Rater Reliability Of Manual Waist Circumference And Agreement With Dxa-Derived Waist In Male Collegiate Rugby Players, Hayden Johnson, Christian Rivera, Stephanie Hansford, Regan Renfro, Dalton Prye, Matthew Poole, Saheed Jaiyeola, Sage A. Newman, Adesiji Adetona, Oscar Woodside, Jmya Hughes, Preston James, Kelly Hines, Jade Simon, Drew E. Gonzalez, Christopher D. Greenleaf, Micheil Spillane

International Journal of Exercise Science: Conference Proceedings

Waist circumference (WC) is a low-cost surrogate of central adiposity, but measurement error can limit athlete monitoring. PURPOSE: Evaluate inter-rater reliability of manual WC and agreement with dual-energy X-ray absorptiometry (DXA)-derived WC in male collegiate rugby players. METHODS: Twenty-one male collegiate rugby players completed baseline testing (manual WC and DXA completed same day) following an overnight fast and euhydration. Two trained raters independently measured WC on bare skin at the superior border of the iliac crest (site not pre-marked) using a seca 201 measurement tape, with participants standing feet together and arms relaxed at their sides; the tape was verified …

Associations Between Dxa-Derived Trunk Adiposity And Resting Hemodynamics In Male Collegiate Rugby Union Athletes, Adesiji Adetona, Hayden Johnson, Christian Rivera, Stephanie Hansford, Regan Renfro, Dalton Prye, Matthew Poole, Saheed Jaiyeola, Sage A. Newman, Oscar Woodside, Jmya Hughes, Preston James, Kelly Hines, Jade Simon, Drew E. Gonzalez, Christopher D. Greenleaf, Micheil Spillane

International Journal of Exercise Science: Conference Proceedings

Trunk adiposity is a cardiometabolic risk factor that may relate to resting hemodynamics even in young athletic populations. PURPOSE: To examine associations between DXA-derived trunk percent fat and resting heart rate (HR) and blood pressure (BP) in male collegiate rugby union athletes. METHODS: Twenty-one male rugby athletes completed morning testing (06:00–09:00 h) following ≥12 h fast and post-void, with stimulants (including caffeine) restricted ≥12 h and no exercise ≥24 h. Hydration was screened using urine specific gravity (USG; CLINITEK Status+ with Multistix 10 SG) and urine color (clear yellow). Whole-body DXA (Hologic Horizon W; APEX v5.6.1.3 rev 007) provided trunk …

Effects Of An 8-Week Resistance Training Program On Segmental Lean Mass, Corie N. Smith, Kornkanok Sophonsakulrat, Payton E. Miller, Laura Roden, Avery Prickell, Karley Rayfield, Katherine Adcock, Canyon Massengale, Jessica Jones, Grant Tinsely, Jacob A. Mota

International Journal of Exercise Science: Conference Proceedings

Resistance training is a powerful stimulus that is known to induce a myriad of positive effects in humans. A popular result desired by athletes is to increase muscle mass. However, the existing literature on resistance training and muscular hypertrophy focuses on whole body lean mass changes. The body of work which elucidate the effect of training on segmental lean mass is less documented. PURPOSE: The purpose of this study is to examine the effects of a short-term resistance training intervention on segmental lean mass in previously untrained college aged women. METHODS: 22 college aged women (age: 21 ± 4) volunteered …

Changes In Ankle Angle And Knee Angle Throughout Gait With Ankle Bracing And Ankle Taping, Genavieve T. Evans, Tristyn G. Kattawar, Scott Mclean

International Journal of Exercise Science: Conference Proceedings

Ankle taping and ankle bracing are the most common solutions to chronic ankle instability and ankle injuries, however, scientific findings suggest that changes in the individual’s gait patterns can occur with the addition of ankle restrictions. PURPOSE: to compare the effects of ankle bracing and taping with no support to lower extremity joint kinematics while walking on a treadmill. METHODS: Seventeen collegiate athletes (19.9 yrs, 1.74 m, 71.2 kg) completed walking trials on a treadmill under three ankle support conditions; no support, ankle taping, and ankle brace.  Ankle and knee angles were measured during the walking trials using electrogoniometers. Peak …

Impact Of An 8-Week Personalized Exercise Program On Health-Related Fitness Parameters, Michelle Castro, Jasmeen Fajardo-Lopez, Major Martin, Raejone Lucas, Brock Niceler Md, Yunsuk Koh

International Journal of Exercise Science: Conference Proceedings

Introduction: A routine exercise program has been recommended across all demographic groups to improve cardiovascular health, muscle function, cognitive function, and mental health. Purpose: This study examined how personalized exercise affects health-related fitness parameters. Method: A total of 17 patients (age=42.88±12.89 years, male=1, and females=16), attending the fitness program at a regional hospital, were recruited. A health-related fitness battery test, including cardiorespiratory endurance, resting heart rate and blood pressure, motor fitness, musculoskeletal fitness, flexibility, body composition, and balance, was administered at the pre- (week 0), mid- (week 4), and post-study (week 8) periods. Results: Body fat (%) significantly decreased by …

Differences In Lower Body Power, Maximum Voluntary Contraction (Mvc) Of The Arms, Grip Strength, And Reaction Time In Recreational Pickleball Players And Sedentary Women: A Pilot Study, Ayah R. Elshafie, Kamila Naranjo, Pamela Gonzalez, Hashim Elshafie, Victoria Garcia, Areli Cisneros, Jabeth Azpeitia, Ulku Karabulut, Rebekah Schlatter, Guillermo Perez

International Journal of Exercise Science: Conference Proceedings

Recreational pickleball participation has increased substantially among adult women; however, limited research exists examining neuromuscular performance in this population. PURPOSE: The purpose of this pilot study was to evaluate the feasibility of assessing lower body muscular power, maximum voluntary contraction (MVC) of the biceps and triceps brachii, grip strength, and reaction time in active pickleball-playing women compared to sedentary women to inform future research. METHODS: Ten participants (pickleball n=5, sedentary n=5) visited the laboratory to complete anthropometric measurements, lower body power assessment using a standardized sit-to-stand protocol with a Power Tendo device, and upper-extremity assessments including MVC for elbow flexion …

Comparison Of Dxa-Derived Body Volume Estimation Equations (Wilson Vs Smith-Ryan) In Collegiate Rugby Union Athletes, Jmya Hughes, Hayden Johnson, Christian Rivera, Stephanie Hansford, Regan Renfro, Dalton Prye, Matthew Poole, Saheed Jaiyeola, Sage A. Newman, Adesiji Adetona, Oscar Woodside, Preston James, Kelly Hines, Jade Simon, Drew E. Gonzalez, Christopher D. Greenleaf, Micheil Spillane

International Journal of Exercise Science: Conference Proceedings

Accurate estimation of body volume (BV) is required for multicomponent body composition models. PURPOSE: Compare two published DXA-derived BV equations (Wilson vs Smith-Ryan) using whole-body Hologic DXA tissue masses in collegiate rugby union athletes. METHODS: Twenty-one male rugby union athletes underwent whole-body DXA (Hologic Horizon W; APEX v5.6.1.3 Rev 007; Classic calibration [NHANES BCA disabled]; standard tissue analysis; daily QC within tolerance) during morning testing (06:00–09:00 h) while fasted and post-void; caffeine was avoided (≥12 h) and exercise was avoided (≥24 h). Hydration was assessed prior to scanning via urine specific gravity (Siemens CLINITEK Status+; Multistix 10 SG) and urine …

Agreement Of Seca 286 Scale Weight With Dxa Acquisition Weight, Apex Soft-Tissue Mass, And Dxa Sum-Of-Components Mass In Collegiate Rugby Athletes, Matthew Poole, Hayden Johnson, Christian Rivera, Stephanie Hansford, Regan Renfro, Dalton Prye, Saheed Jaiyeola, Sage A. Newman, Adesiji Adetona, Oscar Woodside, Jmya Hughes, Preston James, Kelly Hines, Jade Simon, Drew E. Gonzalez, Christopher D. Greenleaf, Micheil Spillane

International Journal of Exercise Science: Conference Proceedings

Accurate body mass is foundational for DXA-derived indices and longitudinal tracking. PURPOSE: Determine agreement between Seca 286 scale weight and DXA acquisition weight, quantify the difference between DXA acquisition weight and the APEX whole-body mass field (fat + lean), and evaluate a DXA sum-of-components mass (fat + lean + BMC) relative to scale weight as an internal QC check (Houtkooper et al., Am J Clin Nutr, 2000). METHODS: Twenty-one male rugby union athletes completed same-morning testing (06:00–09:00 h) while fasted and post-void; caffeine was restricted (≥12 h) and exercise abstained (≥24 h). Hydration was screened prior to DXA. Body mass …

The Effect Of Different Post-Activation Potentiation Protocols On Peak Muscle Torque During Knee Extension, Kaileb Bayliss, Steven Prince, Casi Helbig

International Journal of Exercise Science: Conference Proceedings

Post-activation potentiation is an important tool to utilize when trying to optimize exercise and sport performance. PURPOSE: The purpose of this study was to analyze different protocol lengths to determine if the post-activation potentiation effect can still manifest after just 1 specific warm up set vs. multiple specific warm up sets. METHODS: Subjects included eighteen college students from Texas Lutheran University with a mean age of 21.67 years (+/-2.70), height of 66.68 inches (+/-3.12), and weight of 176.56 pounds (+/-44.77). The subjects started the first session with a GWU that manifested as a 5 minute walk on an …

Prep Monitoring, Coaching Presence, And Competitive Anxiety In Bodybuilders, Rafael E. Cachutt, Samantha S. Dardaman, Christian O. Quintero, Stephen E. Rowden, Maddox B. Utter, Scott B. Martin

International Journal of Exercise Science: Conference Proceedings

Competitive bodybuilding involves severe dietary restriction, high training demands, and constant evaluation of physique-related outcomes. Within the sport, it is common for competitors to engage in intensive prep monitoring behaviors such as tracking caloric intake and training load to support contest preparation. As contest prep practices may tax attentional resources and disrupt emotional regulation of competitors, some athletes utilize formal coaching to assist with performance monitoring while others engage in self-coaching strategies. PURPOSE: The purpose of this study was to examine sport anxiety levels amongst competitive bodybuilders who engage in prep monitoring behaviors. Additionally, the contribution of coaching presence was …

Lat Pulldown Load Velocity Profiling In Upper-Body Dominant Athletes: A Preliminary Report, Darian B. Hastings, Benjamin P. Doyle, John D. Tebbetts, Bryan B. Crutcher, J Bryan Mann

International Journal of Exercise Science: Conference Proceedings

The lat pulldown (LPD) is a common strength exercise aimed to improve maximal strength and power of the latissimus dorsi, the primary agonist muscle for vertical pulling patterns common in sports such as swimming and sport climbing. There is limited research supporting the use of load velocity profiling of the LPD exercise for determining maximal vertical pulling power in upper-body dominant athletes and using these profiles to predict sport-specific performance capabilities. PURPOSE: The purpose of this study was to validate the use of load velocity profiling of the LPD exercise as a predictive measure of vertical pulling power in upper-body …

Aerobic Capacity And Maximal Work Performance In Firefighters: The Role Of Age And Body Composition In Occupational Health Risk, Payton E. Miller, Michael Conner, Grant M. Tinsley, Drew E. Gonzalez, Christine M. Florez, Carina M. Velasquez, Kelly Hines, Jacob A. Mota

International Journal of Exercise Science: Conference Proceedings

Firefighting requires repeated bouts of high-intensity physical work performed under extreme environmental conditions, placing substantial strain on the cardiovascular and musculoskeletal systems. Cardiovascular disease (CVD) remains the leading cause of on-duty firefighter fatalities, with the majority of deaths occurring among firefighters aged 40 years and older. Physiological characteristics such as age and body composition influence aerobic capacity and maximal work performance, both of which are critical and essential while performing strenuous operations. PURPOSE: The purpose of this study was to examine how age, sex, and body composition affect aerobic capacity (VO_2peak) and maximal work capacity (W_{max …}

The Role Of Attentional Focus In Ergometer Rowing Performance, Ana C. Morales Elizondo, Tatiana Zhuravleva

International Journal of Exercise Science: Conference Proceedings

The effects of internal attentional cues versus external attentional cues have produced inconclusive findings regarding which attentional cue is more beneficial (Newmann, et al. 2020). Recent research has found a holistic approach that improves performance and learning in discrete tasks like vertical jumps; however, it has not been investigated with continuous tasks like rowing. PURPOSE: The purpose of this study was to examine the effects of internal, external, and holistic attentional cues on ergometer rowing performance. METHODS: Thirty-seven participants performed a six-minute ergometer rowing task across three different sessions, with at least 48 hours between each session, in a counterbalanced …

How Self-Talk Affects Performance Among Ncaa Division Iii Female Athletes, Micah Rabey, Briannah Mejias, Giana Hilliard, Cambryn Holloway, Matt Robinson, Kristen Mcalexander

International Journal of Exercise Science: Conference Proceedings

Self-talk alters mental toughness, emotional control, and behavioral reactions, and can affect an athlete’s cognitive and psychological condition throughout training, competition, and practice. Few studies have examined the role of self-talk specifically among female athletes and no known study has measured its effects among female athletes at the NCAA Division III level. PURPOSE: Examine how NCAA Division III female student athletes describe the role of self-talk in their athletic performance and identify specific ways they perceive self-talk, its functions during training and competition, and its impact on focus, motivation, confidence, and overall performance. METHODS: In the Fall of 2025, modified …

Acute Effects Of Carbon Fiber Plate Insoles On Drop-Jump Performance And Force Characteristics In Recreationally Trained Adults, Becca Henicke, Boram Lim

International Journal of Exercise Science: Conference Proceedings

Carbon fiber plate insoles (CFPI) are designed to increase footwear stiffness and may improve elastic energy utilization during human locomotion. However, most research has focused on CFPI effects in running and sprinting, particularly endurance running, with limited evidence examining their impact on plyometric performance that relies heavily on the stretch-shortening cycle (SSC), a key mechanism underlying many sports movements.  Because SSC involves a rapid eccentric-to-concentric transition that stores and releases elastic energy, the drop jump provides a practical model to assess SSC efficiency with and without CFPI. PURPOSE: To examine the effects of CFPI on SSC efficiency and jump …

Correlations Between Lower Body Plyometrics And Sprint Speed, Andrew Burnett, Casi Helbig

International Journal of Exercise Science: Conference Proceedings

Speed and power are attributes that every athlete strives to improve. PURPOSE: The purpose of this study was to determine which of four plyometric tests correlated to sprint speed. METHODS: The subjects were 37 Texas Lutheran University baseball players. Participants performed a vertical jump, broad jump, triple broad jump, and 4-jump vertical test along with a thirty-yard sprint. Before each test, the subjects were put through the same dynamic warmup that was created by the experimenter. A vertical jump mat was used to measure both the vertical jump and the four jump vertical test. The vertical jump test …

Patellofemoral Pain Syndrome, Baili Deaver, Joseph Friederich, Chuck Ruot, Lindsay Spindler

International Journal of Exercise Science: Conference Proceedings

CLINICAL PRESENTATION & EXAM: The primary characteristic of this condition is anterior patellar pain that worsens when the knee is put in a flexed, weight-bearing position. Patients with patellofemoral pain syndrome (PFPS) typically experience pain or stiffness during prolonged periods of sitting or when the patient descends stairs. Some of the most common forms of examination include examining a patient's gait, posture, and footwear. The patient should be asked about their current activity level, previous knee surgery or injuries, and recent changes in activity. Occasionally, knee buckling may occur due to weakness or pain in the quadriceps, resulting in …