A5081593987- Sports injuries and prevention
- Cardiovascular and exercise physiology
- Sports Performance and Training
- Shoulder Injury and Treatment
- Total Knee Arthroplasty Outcomes
- Orthopedic Infections and Treatments
- Cardiovascular Effects of Exercise
- Orthopaedic implants and arthroplasty
- Muscle metabolism and nutrition
- Nutrition and Health in Aging
- Lower Extremity Biomechanics and Pathologies
- Anesthesia and Pain Management
- Knee injuries and reconstruction techniques
- Diversity and Impact of Dance
- Winter Sports Injuries and Performance
- Musculoskeletal Disorders and Rehabilitation
- Orthopedic Surgery and Rehabilitation
- Body Composition Measurement Techniques
- Exercise and Physiological Responses
- Bone fractures and treatments
- Shoulder and Clavicle Injuries
- Musculoskeletal pain and rehabilitation
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Imaging and Diagnostics
- Muscle activation and electromyography studies
Methodist Hospital
2018-2025
Houston Methodist
2017-2025
Methodist Sports Medicine
2017-2024
Basil Hetzel Institute
2024
The University of Adelaide
2024
Queen Elizabeth Hospital
2024
Royal Adelaide Hospital
2024
The University of Texas Medical Branch at Galveston
2016-2023
American Physical Therapy Association
2023
Rice University
2023
The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making handwritten mark on 10-cm line that represents continuum between "no pain" "worst pain."One hundred consecutive patients aged ≥18 years who presented with chief complaint of pain were asked to record scores via paper VAS digitally both the laptop computer mobile phone. Ninety-eight subjects, 51 men (age, 44 ± 16 years) 47 women 46 15 years), included. A mixed-model...
Background: Muscle atrophy is common after an injury to the knee and anterior cruciate ligament reconstruction (ACLR). Blood flow restriction therapy (BFR) combined with low-load resistance exercise may help mitigate muscle loss improve overall condition of lower extremity (LE). Purpose: To determine whether BFR decreases LE lean mass (LM), bone mass, mineral density (BMD) while improving function compared standard rehabilitation ACLR. Study Design: Randomized controlled clinical trial...
Fifth metatarsal base fractures of the metaphyseal-diaphyseal watershed junction (Jones fracture) are commonly treated with surgical fixation in athletes. Intramedullary screw remains most utilized construct, although plantar-lateral plating is an alternative. Purpose/Hypothesis: The purpose was to compare mechanical strength fracture between intramedullary and plating. hypothesis that plate would allow for more cycles higher peak loads before failure, as well less gapping, than cadaveric...
Limited data exist delineating the reasons women choose subspecialties within orthopaedics.(1) To perform a survey that determines female orthopaedic surgeons select and (2) to analyze motivations behind their choices.A 10-question was distributed via e-mail Ruth Jackson Orthopaedic Society (RJOS), Texas Association (TOA), private internet page for in Orthopaedics, which covered area of subspecialty practice, motivations, demographic data. Practicing surgeons, fellows, or fellowship-matched...
Background: Although blood flow restriction (BFR) is becoming increasingly popular in physical therapy and athletic training settings, little known about the effects of BFR combined with low-intensity exercise (LIX) on muscles proximal to site occlusion. Hypothesis/Purpose: Determine whether LIX applied distally shoulder brachial region arm (BFR-LIX) promotes greater increases lean mass, rotator cuff strength, endurance, acute muscle activation compared alone. We hypothesized that BFR-LIX...
The use of blood flow restriction (BFR) within rehabilitation is rapidly increasing as further research performed elucidating purported benefits such improved muscular strength and size, neuromuscular control, decreased pain, increased bone mineral density. Interestingly, these are not isolated to structures distal the occlusive stimulus. Proximal gains high interest professionals, especially those working with patients who limited due pain or postsurgical precautions. review follow will...
Background: Although explored in other medical fields, cannabidiol (CBD) use for pain management remains understudied orthopaedics. The purpose of this study was to evaluate the frequency CBD and perceptions among an orthopaedic population. We hypothesized that most patients would be aware CBD, prevalence at least comparable with general population (∼15%), overall perception relief favorable. Methods: Five hundred adult (♂249/♀247; 4 = undisclosed, 54 ± 16 years, 18-86 years) seeking...
Objectives: Patients often experience atrophy and bone loss immediately following anterior cruciate ligament (ACL) reconstruction. Rehabilitation (rehab) combined with blood flow restriction (BFR) therapy have been shown to mitigate muscle reduce timelines for earlier return function. Little is known about how BFR may impact loss. The objectives this study were determine if provides additional benefits when added standard rehab in young active patients ACL reconstruction regards preserving...
Vancomycin is a commonly used prophylactic antibiotic for total joint replacement surgery to protect against methicillin-resistant Staphylococcus aureus. Studies have suggested intraosseous (IO) infusions provide superior local tissue concentration compared with intravenous (IV) access in knee arthroplasty (TKA). We reviewed patients receiving IO vancomycin before TKA, comparing complication rates matched group IV vancomycin.Retrospective review of TKA administered (500 mg 200 mL normal...
As blood flow restriction (BFR) utilization continues to rise, it is crucial define optimal parameters for use. Currently unknown are the effects of occlusion level during BFR on muscle activity in proximal shoulder.The purpose this study was compare electromyographic amplitude (EMGa) shoulder musculature exercise using limb percentages (LOPs). The authors hypothesized that EMGa would increase concurrently with occlusion.Controlled laboratory study.α Fifteen healthy adults were recruited and...
Inactivity following injury and surgery due to pain, instability, or immobilization results in loss of muscle mass function. As a result, both risk reinjury overall recovery time are prime concern for clinicians therapists trying minimize these deleterious effects. While resistance exercise has been demonstrated be highly effective combating function, it is often not advised postoperative injured patients because elevated exacerbating existing sites. Low-intensity (<30% 1...
Our study assessed the effect of total intravenous anesthesia (TIVA) with short-acting spinal and aggressive day-of-surgery postoperative day 0 physical therapy (POD#0 PT) on hospital length stay (LOS) in patients who underwent primary joint arthroplasty.A retrospective chart review compared LOS 116 hip arthroplasty knee TIVA blockade ("Updated protocol group") that control group 228 were under standard ("Traditional group").Both Updated had markedly reduced those Traditional (1.5 ± 0.1 days...
The preparation of pure 125I-monoiodoinsulin is described. This iodohormone has lost its capacity to stimulate the glucose uptake by rat diaphragm, nevertheless it binds plasmatic receptors and competes with unlabeled insulin.
Introduction: Perioperative hypothermia (PH) is common in patients undergoing total joint arthroplasty (TJA). A previous study at our institution identified the largest drop core body temperature between preoperative holding and induction of anesthesia. This evaluates effect warming measures on PH TJA patients. Methods: retrospective review was conducted 672 April 1 October 31, 2017. Under new normothermia protocol, received warmed intravenous fluids forced-air gowns area. Time data for...
ABSTRACT Stress fractures are common among elite ballet dancers whereby musculoskeletal health may be affected by energy balance and overtraining. Purpose This study aimed to characterize bone in relation stress fracture history, body composition, eating disorder risk, blood biomarkers professional male female dancers. Methods A single cohort of 112 (male: 55, 25 ± 6 yr; female: 57, 24 yr) was recruited. All participants underwent composition measures using dual-energy x-ray absorptiometry....