Manager of Rehabilitation Services, Research Physical Therapist
![[Tak Fukunaga Image]](https://i0.wp.com/nismat.org/wp-content/uploads/2019/02/fukunaga_takumi_sm2888846548.jpg?resize=214%2C300&ssl=1)
Tak Fukunaga, DPT, SCS, ATC, CSCS, is a licensed physical therapist, board-certified specialist in sports physical therapy, certified athletic trainer, and certified strength and conditioning specialist. Tak is also the Manager of Rehabilitation Services. As a physical therapist, Tak specializes in the treatment of orthopedic and sports-related injuries, as well as rehabilitation after surgery. As a researcher, Tak works within a multidisciplinary research team and conducts clinical and applied science research in physical therapy, exercise science, and orthopedic surgery. His clinical and research interests include treatment of running-related injuries, rehabilitation after arthroscopic surgery, and fall prevention in the elderly.
Tak graduated magna cum laude from Ithaca College with Bachelor of Science in Athletic Training and Exercise Science. He received his Doctor of Physical Therapy degree from New York University. Tak holds an academic appointment at the Zucker School of Medicine at Hofstra/Northwell as Assistant Professor in the Department of Physical Medicine and Rehabilitation. He is an adjunct instructor and master clinician for the Department of Physical Therapy at New York University. He is a member of the American Physical Therapy Association, orthopedic and sports physical therapy sections.
Research Publications
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Yaari, L. S., Mullaney, M. J., Fukunaga, T., Thein, R., McHugh, M. P., & Nicholas, S. J. (2020). ASSESSMENT OF HUMERAL TORSION BY PALPATION IN BASEBALL PITCHERS: A VALIDATION STUDY. International Journal of Sports Physical Therapy, 15(6), 1073–1079. https://doi.org/10.26603/ijspt20201073 Cite Download
Orishimo, K. F., Kremenic, I. J., Modica, E., Fukunaga, T., McHugh, M. P., & Bharam, S. (2023). Lower extremity kinematic and kinetic factors associated with bat speed at ball contact during the baseball swing. Sports Biomechanics, 1–12. https://doi.org/10.1080/14763141.2023.2269418 Cite Download
Orishimo, K. F., Kremenic, I. J., Mullaney, M. J., Fukunaga, T., Serio, N., & McHugh, M. P. (2023). Role of Pelvis and Trunk Biomechanics in Generating Ball Velocity in Baseball Pitching. Journal of Strength and Conditioning Research, 37(3), 623–628. https://doi.org/10.1519/JSC.0000000000004314 Cite Download
Orishimo, K. F., & Fukunaga, T. (2015). An eccentric approach to hamstring injuries | Lower Extremity Review Magazine. https://lermagazine.com/article/an-eccentric-approach-to-hamstring-injuries Cite Download
Nicholas, S. J., Lee, S. J., Mullaney, M. J., Tyler, T. F., Fukunaga, T., Johnson, C. D., & McHugh, M. P. (2016). Functional Outcomes After Double-Row Versus Single-Row Rotator Cuff Repair: A Prospective Randomized Trial. Orthopaedic Journal of Sports Medicine, 4(10), 2325967116667398. https://doi.org/10.1177/2325967116667398 Cite Download
Mullaney, M., Nicholas, S., Tyler, T., Fukunaga, T., & McHugh, M. (2021). Evidence Based Arm Care: The Throwers 10 Revisited. International Journal of Sports Physical Therapy, 16(6), 1379–1386. https://doi.org/10.26603/001c.29900 Cite Download
Jenkins, D., Rodriguez, J., Ranawat, A., Alexiades, M., Deshmukh, A., Fukunaga, T., Greiz, M., Rathod, P., & McHugh, M. (2014). A randomized, controlled, prospective study evaluating the effect of patellar eversion on functional outcomes in primary total knee arthroplasty. The Journal of Bone and Joint Surgery. American Volume, 96(10), 851–858. https://doi.org/10.2106/JBJS.L.01513 Cite Download
Fukunaga, T., Fedge, C., Tyler, T., Mullaney, M., Schmitt, B., Orishimo, K., McHugh, M., & Nicholas, S. (2023). Flexor-Pronator Mass Training Exercises Selectively Activate Forearm Musculature. International Journal of Sports Physical Therapy, 18(1), 208–214. https://doi.org/10.26603/001c.68073 Cite Download
Fukunaga, T., Fedge, C., Tyler, T., Mullaney, M., Schmitt, B., Orishimo, K., McHugh, M., & Nicholas, S. (2022). Band Pull-Apart Exercise: Effects of Movement Direction and Hand Position on Shoulder Muscle Activity. International Journal of Sports Physical Therapy, 17(3), 400–408. https://doi.org/10.26603/001c.33026 Cite Download
Fukunaga, T., Orishimo, K. F., & McHugh, M. P. (2021). Electromyographic analysis of select eccentric-focused rotator cuff exercises. Physiotherapy Theory and Practice, 1–9. https://doi.org/10.1080/09593985.2021.1949767 Cite Download
Fukunaga, T., Johnson, C. D., Nicholas, S. J., & McHugh, M. P. (2019). Muscle hypotrophy, not inhibition, is responsible for quadriceps weakness during rehabilitation after anterior cruciate ligament reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA, 27(2), 573–579. https://doi.org/10.1007/s00167-018-5166-1 Cite Download