A5079352625- Traumatic Brain Injury Research
- Cardiac Arrest and Resuscitation
- Resilience and Mental Health
- Traumatic Brain Injury and Neurovascular Disturbances
- Cerebral Palsy and Movement Disorders
- Injury Epidemiology and Prevention
- Cognitive and psychological constructs research
- Trauma and Emergency Care Studies
- Sports injuries and prevention
- Meta-analysis and systematic reviews
- Service and Product Innovation
- Heart Rate Variability and Autonomic Control
- Infant Development and Preterm Care
- Occupational Therapy Practice and Research
- Sports Performance and Training
- Traffic and Road Safety
- Lung Cancer Research Studies
- Human-Automation Interaction and Safety
- Social Representations and Identity
- Innovative Approaches in Technology and Social Development
- Stroke Rehabilitation and Recovery
- Neuroendocrine Tumor Research Advances
- Winter Sports Injuries and Performance
- Occupational Health and Safety Research
- Telemedicine and Telehealth Implementation
University of Toronto
2015-2024
Holland Bloorview Kids Rehabilitation Hospital
2015-2024
Toronto Rehabilitation Institute
2013-2024
University of Glasgow
2024
Stamatopoulos and Associates (Greece)
2023
Beatson West of Scotland Cancer Centre
2023
South Johnston High School
2023
Schmid (Germany)
2023
Cheltenham Festivals
2022
University of Hertfordshire
2013-2020
At least 3 million Americans sustain a mild traumatic brain injury (mTBI) each year, and 1 in 5 have symptoms that persist beyond month. Standards of mTBI care evolved rapidly, with numerous expert consensus statements clinical practice guidelines published the last years. This Special Communication synthesizes recent evidenced-based for civilians, athletes, military, pediatric populations clinicians practicing outside specialty clinics, including primary providers. The article offers...
As part of an initiative led by the Brain Injury Special Interest Group Mild Traumatic (TBI) Task Force American Congress Rehabilitation Medicine (ACRM) to update 1993 ACRM definition mild TBI, present study aimed characterize current expert opinion on diagnostic considerations.Cross-sectional web-based survey.Not applicable.An international, interdisciplinary group clinician-scientists (N=31) with expertise in TBI completed survey invitation between May and July 2019 (100% completion...
Objective Investigate whether resuming physical activity (PA) at 72 hours post concussion is safe and reduces symptoms 2 weeks, compared with resting until asymptomatic. Methods Real-life conditions, multicentre, single-blinded randomised clinical trial, conducted in three Canadian paediatric emergency departments (ED). Children/youth aged 10–<18 years acute were recruited between March 2017 December 2019, randomly assigned to a 4-week stepwise return-to-PA protocol even if symptomatic...
Context: After a concussion, guidelines emphasize that an athlete should be asymptomatic before starting return-to-play protocol. However, many concussion symptoms are nonspecific and may present in individuals without concussion. Limited evidence exists regarding the presence of “typical” or preinjury (baseline) child youth athletes. Objective: To describe frequency reported at baseline by athletes identify how age, sex, history learning factors influence symptoms. Design: Cross-sectional...
Purpose We explored the lived experience of high-school aged girls receiving social support during concussion recovery to better understand (1) how they define meaningful and barriers/facilitators it; (2) who provides that support; (3) role peers.Methods In person, semi-structured interviews were conducted with 10 (aged 14–19 years) a personal history concussion.Results Close friends, youth concussion, parents identified as key providers recovery. Participants specific examples provided by...
Importance Identifying research priorities of patients with concussion, their caregivers, and clinicians is important to ensure future concussion reflects the needs those who will benefit from research. Objective To prioritize questions perspectives patients, clinicians. Design, Setting, Participants This cross-sectional survey study used standardized James Lind Alliance priority-setting partnership methods (2 online surveys 1 virtual consensus workshop using modified Delphi nominal group...
Importance Determining the optimal volume of early moderate-to-vigorous-intensity physical activity (MVPA) after concussion and its association with subsequent symptom burden is important for postinjury management recommendations. Objectives To investigate between cumulative MVPA (cMVPA) over 2 weeks at 1 week, weeks, 4 in children examine cMVPA odds persisting symptoms (PSAC) postinjury. Design, Setting, Participants This multicenter cohort study used data from a randomized clinical trial...
Objectives Following youth concussion, objective physiological indicators are needed to corroborate changes in subjective clinical measures. The objectives of the current study were to: (1) explore effect concussion on heart rate variability (HRV) across days postinjury athletes aged 13–18 years old, compared with healthy age-matched and sex-matched controls (2) examine relationship between postconcussion symptom domains (physical, cognitive, fatigue emotional) HRV. Methods Prospective,...
Postural stability plays a key role in sport performance, especially after concussion. Specific to healthy child and youth athletes, little is known about the influence development sex may have on postural while considering other subjective clinical measures used baseline/preinjury concussion assessment. This study aims describe age- sex-based trends uninjured athletes at baseline accounting for concussion-related factors.(1) performance will improve with age, (2) females display better...
Knowledge gaps exist regarding how to best educate audiences about concussion. translation (KT) plays a critical role in information is shared. In the field of concussion, infographics are becoming popular KT strategy for synthesising and sharing information. Study objectives were explore enhance concussion knowledge, infographic use preferences across various stakeholders, determine their utility as strategy. Six created provide user-friendly accessible format. A prospective design using...
BackgroundThe prognosis for patients with poorly-differentiated extra-pulmonary neuroendocrine carcinoma (PD-EP-NEC) is poor. A recognised first-line (1L) treatment advanced disease etoposide/platinum-based chemotherapy no standard second-line (2L) treatment.MethodsPatients histologically-confirmed PD-EP-NEC (Ki-67 > 20%; Grade 3) received IV liposomal irinotecan (nal-IRI) (70 mg/m2 free base)/5-FU (2400 mg/m2)/folinic acid, Q14 days (ARM A), or docetaxel (75 mg/m2), Q21 B), as 2L therapy....
Concussion is a considerable public health problem in youth. However, identifying, understanding and implementing best evidence informed recovery guidelines may be challenging for families given the vast amount of information available domains (e.g. Internet). The objective this study was to develop, implement evaluate feasibility an evidence-informed self-management education program concussion youth.Synthesis evidence, principles knowledge translation exchange, expert opinion were...
Introduction Rest until symptom-free, followed by a progressive stepwise return to activities, is often prescribed in the management of paediatric concussions. Recent evidence suggests prolonged rest may hinder recovery, and early resumption physical activity be associated with more rapid recovery postconcussion. The primary objective determine whether reintroduction non-contact beginning 72 hours postinjury reduces postconcussive symptoms at 2 weeks children following an acute concussion as...
ABSTRACT Background Return to school supports are recommended facilitate adolescents' re‐entry following a concussion. However, little is known as what stakeholders prefer for return‐to‐school process. This study sought describe the preferences of high students, parents, and educators Return‐to‐School Framework adolescents Methods We conducted qualitative semi‐structured, 1‐on‐1 or group interviews with students (n = 6), parents 5), 15) from Calgary, Canada. Interviews aimed participants'...
Background Concussion in children and adolescents is a significant public health concern, with 30% to 35% of patients at risk for prolonged emotional, cognitive, sleep, or physical symptoms. These symptoms negatively impact child’s quality life while interfering their participation important neurodevelopmental activities such as schoolwork, socializing, sports. Early psychological intervention following concussion may improve the ability regulate emotions adapt postinjury symptoms, resulting...
Background: Concussion is the most common athletic injury in youth who are simultaneously undergoing rapid developmental changes brain, specifically development of executive functions (EF). The developing brain more vulnerable to concussive with a protracted and different trajectory recovery than that adults. Thus, there critical need enhance understanding how concussion affects EF youth.Objective: To investigate effects age, gender history (i.e. incidence, recency, severity) on hockey...
Abstract OBJECTIVE. We explored the potential impact of mindfulness-based yoga (MBY) for youth with persistent concussion by examining occupation-based and neurophysiological outcomes. METHOD. In this case series design study, 6 youths ages 13–17 yr symptoms &gt;4 wk participated in an 8-wk MBY intervention, 1×/wk 45 min. Participation, self-efficacy, heart rate variability (24 hr) were collected before, after, 3 mo after intervention. Heart was also measured during each session....