A5007710147- Sports injuries and prevention
- Lower Extremity Biomechanics and Pathologies
- Sports Performance and Training
- Traumatic Brain Injury Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Spine and Intervertebral Disc Pathology
- Musculoskeletal pain and rehabilitation
- Muscle and Compartmental Disorders
- Thermoregulation and physiological responses
- Injury Epidemiology and Prevention
- Exercise and Physiological Responses
- S100 Proteins and Annexins
- Spinal Fractures and Fixation Techniques
- Climate Change and Health Impacts
- Cardiac Arrest and Resuscitation
- High Altitude and Hypoxia
- Shoulder Injury and Treatment
- Traumatic Ocular and Foreign Body Injuries
- Meta-analysis and systematic reviews
- Animal Nutrition and Physiology
- Medicinal Plant Research
- Cerebral Palsy and Movement Disorders
- Pharmacological Effects and Assays
- Hip disorders and treatments
- Total Knee Arthroplasty Outcomes
The Micheli Center for Sports Injury Prevention
2022-2024
Boston Children's Hospital
2022-2024
Brown University
2023-2024
Providence College
2024
Warren Alpert Foundation
2024
Island Institute
2024
Boston Children's Museum
2022-2023
Massachusetts General Hospital
2018
Harvard University
2018
Background: Previous studies have reported that spondylolysis occurs predominantly at the L5 and L4 levels, with defects higher levels occurring in <5% of cases. However, computed tomography radiography were primary imaging modalities these studies. Current evidence regarding diagnostic for pediatric lumbar suggests magnetic resonance (MRI) is as accurate detecting early stress reactions pars interarticularis or pedicles without fractures while avoiding radiation exposure. The detection...
Repetitive mild traumatic brain injury during adolescence can induce neurological dysfunction through undefined mechanisms. Interleukin-1 (IL-1) contributes to experimental adult diffuse and contusion TBI models, IL-1 antagonists have entered clinical trials for severe in adults; however, no such data exist adolescent TBI. We developed an mouse repetitive closed head (rCHI) model test the role of family members post-injury outcome. Compared one CHI, three daily injuries (3HD) produced acute...
Assess changes in lower extremity musculotendinous thickness, tissue echogenicity, and muscle pennation angles among adolescent runners enrolled a 6-month distance running program.We conducted prospective evaluations of runners' at three timepoints (baseline, 3 months, 6 months) throughout progressive marathon training program. Two experienced researchers used an established protocol to obtain short- long-axis ultrasound images the medial gastrocnemius, tibialis anterior, flexor digitorum...
Context Clinical reaction-time (RT) measures are frequently used when examining patients with concussion but do not correlate functional movement RT. We developed the Standardized Assessment of RT (StART) to emulate rapid cognitive demands and whole-body needed in sport. Objective To assess StART differences across 6 cognitive-motor combinations, examine potential demographic health history confounders, provide preliminary reference data for healthy collegiate student-athletes. Design...
To evaluate clinic visits and running-related injury (RRI) characteristics among child adolescent runners seeking care at an outpatient over a 10-year time frame.Retrospective chart review.Outpatient hospital-affiliated Injured Runners Clinic.Children (6-17 years) with RRIs.We examined electronic medical records (EMRs) patients in the hospital database from 2011 to 2021 obtain RRI key demographic factors.We assessed volume frequency of patient by characteristics. Chi square analyses were...
Outdoor races introduce environmental stressors to runners, and core temperature changes may influence runners' movement patterns. This study assessed determined relationships between sensor-derived running biomechanics among runners across an 11.27-km road race. Core temperatures would increase significantly the race, related in spatiotemporal biomechanical measures. Cross-sectional cohort study. Level 3. Twenty (9 female, 11 male; age, 48 ± 12 years; height, 169.7 9.1 cm; mass, 71.3 13.4...
Objective: To compare clinical measures between patients with chronic exertional compartment syndrome (CECS) and healthy controls evaluate running biomechanics, physical measurements, intracompartmental (ICP) changes in adolescent athletes lower leg CECS. Design: Cross-sectional case–control study. Setting: Large tertiary care hospital affiliated injury prevention center. Participants: Forty-nine adolescents CECS (39 F, 10 M; age: 16.9 ± 0.8 years; body mass index (BMI): 23.1 2.9 kg/m 2 ;...
Objectives: We investigated the acoustic startle reflex in recently concussed adolescent athletes compared to healthy controls and those with concussion history (>1 year prior) but no current symptoms. hypothesized that individuals recent would have a suppressed response controls. Methods: conducted cross-sectional study on 49 (n = 20; age: 14.6 ± 1.6 years; 60% female), > 1 prior 16; 14.8 2.0 44% 13; 13.3 2.8 54% female). measured eyeblink of general via electromyography activity...
Background: Recent studies utilizing magnetic resonance imaging (MRI) for the evaluation of symptomatic lumbar spondylolysis in pediatric and adolescent athletes have indicated that upper level involvement has a higher incidence than previously reported. There been paucity literature evaluating sport-specific patterns spondylolysis, specifically versus lower involvement. Purpose: To assess potential risk factors stress injuries spine athletes. Study Design: Cross-sectional study; Level...
PURPOSE: To compare running gait biomechanical profiles and clinical strength measures between female athletes with femoral neck bone stress injuries (BSI) healthy controls. METHODS: We conducted a retrospective case-control study. Case group participants included symptomatic runners (age 14-30 years) diagnosed BSI magnetic resonance imaging (MRI) as part of routine care. After medical clearance to return running, patients, age-matched control underwent analyses on force plate treadmill....
PURPOSE: The relationships between hamstring and quadriceps strength on running biomechanics remains unknown. purpose of this study is to evaluate the potential gait kinetics in healthy adult athletes. METHODS: We conducted a cross sectional 554 uninjured athletes (Female: 355, mean age: 35 ± 12 yrs; Male: 199, age 41 13 yrs) who underwent structured clinical assessments at hospital-affiliated sports medicine clinic years 2013-2021. Measures interest included total isometric (newtons) using...
Single- and dual-task walking gait assessments have been used to identify persistent movement cognitive dysfunction among athletes with concussions. However, it is unclear whether previous ankle sprain injuries confound these outcomes during baseline testing. The purpose of this study was determine the effects (1) history (2) time since prior injury on single- spatiotemporal measures.Cross-sectional study.We assessed 60 college Division-I (31 history; 13 females 18 males, 19.3 [0.8] y; 29 no...
Over a 10-year time frame, this study aimed to evaluate diagnosis, treatment, and referral trends for adolescent runners seeking care running-related injuries (RRIs) at clinic that specializes in running medicine. This was retrospective chart review of 392 (2,326 encounters) who sought RRIs between the years 2011 2021. Descriptive statistics were used summarize clinical assessments, referrals, assistive devices, medications prescribed or administered overall by injury type. Chi-square...
Due to its narrow structure and sensitivity rotational forces, the brainstem is particularly vulnerable injury from head impacts. The acoustic startle reflex a brainstem-mediated, cross-species that may serve as sensitive marker for concussion-related injury. PURPOSE: To examine in adolescent athletes with concussion history compared healthy controls. METHODS: We conducted cross-sectional study on twenty (n = 13, age: 14.8 ± 2.0 years; 46% female) without 7; 13.9 3.1 43% history. Acoustic...
PURPOSE: To evaluate running biomechanics, physical measurements, and exertional intracompartmental pressure (ICP) changes in adolescent athletes with lower leg Chronic Exertional Compartment Syndrome (CECS), to compare clinical measures between CECS patients healthy controls. METHODS: Symptomatic (age 9-21 years) diagnosed using Stryker monitor ICP testing Pedowitz criteria were retrospectively studied. Patients controls had gait analysis on a force plate treadmill measures. Linear...