- Traumatic Brain Injury Research
- Cardiac Arrest and Resuscitation
- Traumatic Brain Injury and Neurovascular Disturbances
- Injury Epidemiology and Prevention
- Cardiovascular Effects of Exercise
- Winter Sports Injuries and Performance
- Sports injuries and prevention
- Resilience and Mental Health
- Musculoskeletal pain and rehabilitation
- Suicide and Self-Harm Studies
- Genetics and Physical Performance
- Migraine and Headache Studies
- Attention Deficit Hyperactivity Disorder
- Spinal Fractures and Fixation Techniques
- Vestibular and auditory disorders
- Meta-analysis and systematic reviews
- Trauma and Emergency Care Studies
- Psychosomatic Disorders and Their Treatments
- Automotive and Human Injury Biomechanics
- Down syndrome and intellectual disability research
- Extracellular vesicles in disease
- Amyotrophic Lateral Sclerosis Research
- Neurosurgical Procedures and Complications
- Spinal Cord Injury Research
- Mental Health via Writing
Temple University
2014-2024
Vanderbilt University Medical Center
2024
Temple College
2020-2024
University of Georgia
2024
East Stroudsburg University
2016-2017
Philadelphia University
2014
Soccer players head the ball repetitively throughout their careers; this is also a potential mechanism for concussion. Although not all soccer headers result in concussion, these subconcussive impacts may impart acceleration, deceleration, and rotational forces on brain, leaving structural functional deficits. Stronger neck musculature reduce head-neck segment kinematics.The relationship between anthropometrics heading kinematics will differ sexes. The speeds.Pilot, cross-sectional...
Objective: To evaluate the association between apolipoprotein E (APOE) polymorphisms (E2, C/T Arg158Cys; E4, T/C Cys112Arg; and promoter, g-219t) history of concussion in college athletes. We hypothesized that carrying 1 or more APOE rare (or minor) allele assessed this study would be associated with having a concussions. Design: Multicenter cross-sectional study. Setting: University athletic facilities. Participants: One hundred ninety-six male football (n = 163) female soccer 33) athletes...
The search for reliable and valid signs symptoms of mild traumatic brain injury (mTBI), commonly synonymous with concussion, has lead to a growing body evidence that individuals long-lasting, unremitting impairments often experience visual vestibular symptoms, such as dizziness, postural gait disturbances.Investigate the role visual-vestibular processing deficits following concussion.A number clinically accepted vestibular, oculomotor, balance assessments well novel virtual reality...
In this study, we collected and analyzed preliminary data for the internal consistency of a new condensed model to assess vestibular oculomotor impairments following concussion. We also examined model's ability discriminate concussed athletes from healthy controls. Each participant was tested in concussion assessment protocol that consisted Neurocom's Sensory Organization Test (SOT), Balance Error Scoring System exam, series 8 assessments. Of these 10 assessments, only SOT, near point...
To examine the effect of soccer heading ball speed on S-100B serum concentration, concussion sideline assessments and linear head impact acceleration.Sixteen division I players participated in this pre-test post-test design study. Athletes performed five standing headers over a 10 minute period at 30 (n = 5), 40 5) or 50 6) miles per hour (mph) (randomized). concentration (ng mL-1) were measured prior to post-heading. Peak resultant acceleration (gravitational units; g) was during heading.No...
Purpose: Balance impairment is a common sensorimotor symptom in mild traumatic brain injury (mTBI). We designed an affordable, portable virtual reality (VR)-based balance screening device (Virtual Environment TBI Screen [VETS]), which will be validated relative to the Neurocom Sensory Organization Test (SOT) determine if it can replace commonly used postural assessments.Methods: This preliminary study examines healthy adults (n = 56) and with mTBI 11). Participants performed six upright...
Objective: To determine genetic variability within the N-methyl-D-aspartate receptor 2A sub-unit (GRIN2A) gene promoter and its association with concussion recovery time. The hypothesis tested was that there would be a difference in allele and/or genotype distribution between two groups of athletes normal prolonged recovery.Methods: DNA extracted from saliva collected total 87 physician-diagnosed concussion. (GT) variable number tandem repeats (VNTR) region GRIN2A genotyped. long (L) an ≥25...
Abstract Vestibular and oculomotor testing is emerging as a valuable assessment in sport-related concussion (SRC). However, their usefulness for tracking recovery guiding return-to-play decisions remains unclear. Therefore the purpose of this study was to evaluate clinical SRC recovery. assessments were used measure symptom provocation an acute group (n=21) concussed≤10 days, prolonged symptoms (n=10) concussed ≥16 days (median=84 days), healthy (n=58) no concussions >6 months....
Context Concussion research has primarily focused on sport-related mechanisms and excluded non–sport-related mechanisms. In adult populations, concussions (non-SRCs) demonstrated worse clinical outcomes compared with (SRCs); however, investigations of non-SRCs in college-aged patients are limited. Objectives To examine collegiate athletes SRCs explore sex differences among non-SRCs. Design Prospective cohort study. Setting Clinical setting. Patients or Other Participants A total 3500 were...
Objective: To evaluate the association between having a previously documented concussion and experiencing concussive signs symptoms (S&S) following head impacts in collegiate athletes.
To determine the association of single nucleotide polymorphism (SNP) rs74174284 within SLC17A7 promoter with concussion severity or duration.A between-subjects design was utilized.Saliva samples and duration data were collected from 40 athletes diagnosed a sport-related by physician, utilizing standardized assessment protocol. DNA extracted, estimated genotyped.An found between dominant genetic model (CC vs GG + GC; p = 0.0179) recovery, where those carrying minor allele 6.33-times more...
Objective: To examine the association between a neuronal structural protein polymorphism and frequency severity of concussions in college athletes.Methods: Forty-eight athletes with previous self-reported history concussion were matched 48 controls that did not report concussion. Each group was genotyped for neurofilament heavy (NEFH) rs#165602 this retrospective case-control study.Results: There no significant (χ2 = 0.487, p 0.485) carrying NEFH rare allele one or more due to small effect...
Background: The prevalence of unreported concussions is high, and undiagnosed can lead to worse postconcussion outcomes. It not clear how those with a history concussion perform on subsequent standard baseline assessments. Purpose: To determine if previous diagnosis status was associated outcomes the assessment battery. Study Design: Cross-sectional study; Level evidence, 3. Methods: Concussion Assessment, Research, Education (CARE) Consortium participants (N = 29,934) self-reported...
This cross-sectional study evaluated de-identified data from the National Collegiate Athletic Association-Department of Defense Grand Alliance 2014 to 2020 determine prevalence migraine and medication describe differences in by sex, race, sport.
Background: Early medical attention after concussion may minimize symptom duration and burden; however, many concussions are undiagnosed or have a delay in diagnosis injury. Many symptoms (eg, headache, dizziness) not visible, meaning that early identification is often contingent on individuals reporting their injury to staff. A fundamental understanding of the types levels factors explain when reported can help identify promising directions for intervention. Purpose: To individual...
Objectives: To determine whether history of traumatic brain injury (TBI) is associated with psychopathology, and, in particular, substance use disorder (SUD) young adults a athletic participation. Design: Observational study. Setting: University the northeastern United States. Participants: A large (n = 534) and mixed sex (57% female) sample varsity club sport athletes older than 18 years. Interventions: None. Main Outcome Measure: The Ohio State Traumatic Brain Injury ID assessment...
Mild traumatic brain injury (mTBI) following a head impact or blast exposure can cause diffuse to the brain, which affect sensorimotor, cognitive, and emotional processes. Among most common sensorimotor symptoms of mTBI is balance impairment. A commonly used assessments sensory organization test (SOT). This has shown that postural deficits may be due visual-vestibular processing issues, but it less sensitive unremitting do not spontaneously resolve within week. Our current project involves...
Objectives:To examine the association between concussion duration and two calcium channel, voltage-dependent, R type, alpha 1E subunit (CACNA1E) single nucleotide polymorphisms (i.e., rs35737760 rs704326). A secondary purpose was to CACNA1E (SNPs) three acute severity scores vestibule-ocular reflex test, balance error scoring scale, Immediate Post-Concussion Assessment Cognitive Testing). Methods:Forty athletes with a diagnosed from hospital program completed standardized initial evaluation....