Functional Ultrasound-Guided Stratification and Personalized Rehabilitation in Combat-Related Neuromuscular Injuries: A Five-Pattern Clinical Framework

Learning Objectives:

• Describe the principles of dynamic neuromuscular ultrasound (grayscale, M-mode, shear wave elastography, and Doppler) and their role in stratifying functional impairments in combat-related neuromuscular injuries.
• Differentiate among the five functional impairment patterns (muscle injury, peripheral nerve injury, CNS/spinal dysfunction, postural/disuse syndrome, vestibular dysfunction) and recognize their corresponding personalized rehabilitation strategies.
• Apply the five-pattern clinical framework to guide individualized rehabilitation planning, monitor treatment effectiveness, and improve functional outcomes in military, trauma, and high-performance patient populations.