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W. James Downs, Jr., P.T., D.Sc., M.M.Sc., E.C.S.

  • James DownsW. James Downs, Jr., PT, DSc, ECS

    Education (Degrees and certifications):

    Doctor of Science (D.Sc.) Clinical Electrophysiology; Rocky Mountain University of Health Professions, Provo, UT (2006)
    Board Certification in Clinical Electrophysiologic Physical Therapy by the American Board of Physical Therapy Specialties (1987; Re-certified 1997 & 2006)
    M.M.Sc. in Physical Therapy, Emory University, 1975
    Apprenticeship in clinical electromyography; U.S. Public Health Service Hospital, New Orleans, LA (1970-1972)
    Bachelor of Science (B.S.) Physical Therapy; Medical College of Virginia, Richmond, VA (1970)


    Dr. Downs attended the University of Delaware (1965-1968) before transferring to PT school at MCV. He became interested in clinical electrophysiology while in PT school and upon graduation joined the U.S. PHS where he was in an apprenticeship in EMG. He attended the graduate PT program at Emory University (Atlanta, GA) and the Anatomy graduate program at the Medical College of Wisconsin (Milwaukee, WI) before returning to the Delmarva Peninsula in 1976. After working as the Director of  PT at Memorial Hospital in Easton, MD, he founded Tidewater Electromyography in 1980 and Tidewater Physical Therapy and Rehabilitation Associates, P.A. in 1984. His organizations now serve 20 locations on the Eastern Shore of Maryland and Southern Delaware. He has served in several offices of the APTA and was a member of the Maryland State Board of Physical Therapy Examiners (1994-2002). While continuing to practice full time he attended RMUoHP, starting in 1999 and graduated in 2006.


    PHYT 626, P.T. Procedures IV – Electrophysiology (Electromyography and Nerve Conduction Testing), spring, 2nd year

    Scholarly Activities:


    Murray MP, Baldwin JM, Gardner GM, Sepic SB, Downs WJ:  Maximum Isometric Knee Flexor and Extensor Muscle Contractions:  Normal Patterns of Torque Versus Time, Phys. Ther. 57(6):637-643, 1977.

    Murray MP, Sepic SB, Gardner GM, Downs WJ:  Walking Patterns of Men With Parkinsonism.  Am. J. Phys. Med. 57(6):278-294, 1978.


    Downs, WJ. The Influence of the Tonic Neck Reflexes in the "Normal" Adult as Studied by the H-reflex.  Sixth Joint Meeting of the Professional Associations of the U.S. Public Health Service, Galveston, TX, April 7, 1971, Abstracted page 56(d) Conference Proceedings.

    Downs, WJ. The Effect of Therapeutic Ultrasound on the Conduction Velocity of Sensory Axons.  Seventh Joint Meeting of the Professional Associations of the U.S. Public Health Service, New York, NY, May 31, 1972, Abstracted page 14(d) Conference Proceedings.

    Downs, WJ. Comparison between Effectiveness of Thermotherapy and Cryotherapy in the Relief of Palpable Muscle Spasm.  Eighth Joint Meeting of the Professional Associations of the U.S. Public Health Service, Phoenix, AZ, May 12, 1973, Abstracted Page 73(a) Conference Proceedings.

    Downs, WJ. Delineation of the Generalized Effects of Peripheral Neuropathy in Diabetes form Compressive Lesions: APTA Combined Sections Meeting, February 22, 2002, Boston. MA.

    Downs, WJ. The Effect of Carpal Tunnel Syndrome on Flexor Carpi Radialis H-reflex Latency: 18th Annual ENMG Symposium: April 13, 2006; Rocky Mountain University of Health Professions; Provo, UT, Abstracted with slides pages 3-22 Conference Proceedings.

    Video Recordings:

    EMG Examination of the Paraspinal Muscles: Video Taping, June 2, 1989; Columbus, GA. 

    Upper Extremity EMG Clarifying Examination: Video Taping, June 2, 1989; Columbus, GA. 

    Lower Extremity EMG Clarifying Examination: Video Taping, June 2, 1989; Columbus, GA. 

    Areas of Interest and/or Experience:

    Peripheral Nerve Lesions; Plexopathies; Nerve Root Lesions.



     Physical Therapist: Maryland, 1977-Present; Delaware, 1981-Present 

    Professional Associations:

    American Congress of Electromyography: 2004-Present

    American Physical Therapy Association:  1968-Present (Chairman, Eastern District, Maryland Chapter 1978-1979)

    a)         Section on Research:  1974-Present

    b)         Section on Clinical Electrophysiology (Formerly Section on Electrophysiological & Electrokinesiological Measurement):  1977‑Present (EMG Practice Committee, 1989-Present; Chairman, 1995-1998; Co-chairman 1998-2000)

    c)         Section on Orthopedics:  1977-Present

    d)         Section on Private Practice:  1978-Present

    e)         Section on Neurology:  1979-Present

    f)          Section of Administration: 1992-Present

    Society for Behavioral Kinesiology:  1974-1980