- Traumatic Brain Injury Research
- Sports injuries and prevention
- Cardiac Arrest and Resuscitation
- Injury Epidemiology and Prevention
- Shoulder Injury and Treatment
- Resilience and Mental Health
- Traumatic Brain Injury and Neurovascular Disturbances
- Bone fractures and treatments
- Cardiovascular Effects of Exercise
- Orthopedic Surgery and Rehabilitation
- Knee injuries and reconstruction techniques
- Diverse Approaches in Healthcare and Education Studies
- Elbow and Forearm Trauma Treatment
- Hip disorders and treatments
- Trauma and Emergency Care Studies
- Spinal Cord Injury Research
- Traumatic Ocular and Foreign Body Injuries
- Hip and Femur Fractures
- Balance, Gait, and Falls Prevention
- Delphi Technique in Research
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Total Knee Arthroplasty Outcomes
- Stroke Rehabilitation and Recovery
- Cerebral Palsy and Movement Disorders
- Child Development and Digital Technology
University of Pittsburgh Medical Center
2024-2025
Michigan State University
2020-2024
University of Pittsburgh
2024
Michigan United
2022
Texas Scottish Rite Hospital for Children
2018-2021
Scottish Rite Hospital
2019-2020
The University of Texas Southwestern Medical Center
2019
Plano Cancer Institute
2017
University of Michigan
2017
This study determined the test-retest reliability of 10 sensorimotor skills assessed by Senaptec Sensory Station in a population 100 (80 female, age = 21.6 ± 2.8 years) college-aged individuals (18–30 years). Separate intraclass correlation coefficients (ICCs) with two-way mixed-effects model, absolute agreement, and 95% confidence intervals (CIs) were calculated. Additionally, standard error measurement minimal detectable change values to examine clinical applicability. Go/no-go,...
This study determined the combined utility of pre-injury risk factors and Concussion Clinical Profile Screen (CP Screen) items to identify clinician-adjudicated concussion profiles in adolescents. was a retrospective 236 adolescents aged 12–18 who presented specialty clinic between 2019 2020 within 30 days injury. Participants completed CP at their initial evaluation, clinicians provided blindly adjudicated clinical for each participant. Stepwise logistic regressions receiver operating...
Our objective was to determine the association between sleep quality, symptom severity, and recovery following sport-related concussion in pediatric athletes. A review of data from North Texas Concussion Network Prospective Registry (ConTex) performed. Participants were diagnosed with a ≤18 years old. categorized based on their initial clinic visit Pittsburgh Sleep Quality Index composite score (0-21) into good quality (GS≤5) poor (PS>5) groups. The PS group reported higher median total...
There is limited epidemiologic data on pediatric basketball injuries and the comparison of these before after adolescence between male female athletes.To assess common sex- age-based injury patterns in players.Descriptive epidemiology study.Injury from National Electronic Injury Surveillance System (NEISS) participation Sporting Goods Association were used to complete this study. Data January 2012 December 2018 patients aged 7 11 years (childhood) 12 17 (adolescence) extracted calculate...
The objective was to examine the use of docosahexaenoic acid (DHA) for treatment sport-related concussion (SRC) in adolescent athletes. We hypothesize that participants who intake 2 g DHA daily will not experience differences recovery compared with take a placebo. This double-blind, randomized controlled pilot trial performed tertiary pediatric sports medicine clinic from 2013 2017 adolescents (14-18 years) presenting diagnosed SRC within 4 days injury. Forty were into or PLACEBO group and...
The purpose of the study was to evaluate reliability, review differences and assess patient satisfaction electronic patient-reported outcome measures (PROMs) compared with paper PROMs.Participants between 12 19 years age a knee-related primary complaint were randomized into two groups. Group 1 completed PROMs followed by electronic, while 2 received paper. included Pediatric International Knee Documentation Committee (Pedi-IKDC), Hospital for Special Surgery (HSS) Functional Activity Brief...
Despite increasing participation rates in youth gymnastics, the majority of epidemiologic literature focuses on older elite athletes or stratifies by level competition.The authors hypothesized that sex- and age-based patterns gymnastics-related injuries exist, which are otherwise overlooked an unstratified population.Descriptive epidemiology study.Publicly available injury data from National Electronic Injury Surveillance System were collected pediatric gymnastics presenting to emergency...
In young athletes, patient-reported activity level is frequently used to determine return the same of sport after treatment.To evaluate validity and score distributions Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS) compared with Tegner Level (Tegner) in pediatric athletes.Cohort study (Diagnosis); evidence, 2.A retrospective review 517 consecutive youth athletes who came a sports medicine specialty clinic knee evaluation was performed. Patients...
Researchers have indicated that individuals may experience anxiety symptoms after concussion. A potential mechanism for these presentations is shifts in throughout recovery.
Background: Treatment decisions for patients with tibial spine fractures depend heavily on radiographic measurements. The purpose of this study was to determine whether existing classification systems and measurements are reliable among a multicenter research interest group. A secondary evaluate agreement in treatment fractures. Methods: Using deidentified imaging series identical software, we examined the interobserver intraobserver reliability Meyers McKeever classification, as well cohort...
Return to play after sport-related concussion (SRC) requires authorized clearance from a health care provider (HCP). The variability in HCPs and facilities where athletes seek may influence return time.To identify the initial examiner, who authorize play, medical that for high school student-athletes SRC compare time by facilities.Prospective cohort study.High school.Student-athletes (n = 16 001) with participating athletics sponsored Michigan High School Athletic Association.Frequencies of...
ABSTRACTObjectives The purpose of this study was to examine the association between race and concussion diagnosis as well mechanism injury (MOI) for diagnoses in adult patients (>19 years old) visiting emergency department (ED).Methods A retrospective analysis patient visits ED 2010 2018, using National Hospital Ambulatory Medical Care Survey, conducted. Outcome measures included MOI. Multivariable multinomial logistic regression analyses were conducted assess associations outcome variables....
Background: The current evidence for acute management practices of sport-related concussion (SRC) is often limited to in-clinic visits, with studies identifying professionals in early SRC care and the association prolonged recovery outcomes. Purpose: To describe (ie, personnel initial evaluations, removal from activity) test return sport (RTS) time. Study Design: Descriptive epidemiology study. Methods: We conducted a retrospective cohort study 17,081 high school SRCs accrued between...
Concussion often results in psychological symptoms, including anxiety. Post-concussion anxiety has been well documented, although much of this research focused on collegiate athletes. The purpose study was to compare (1) symptoms concussed and healthy controls over time (2) explore sex differences post-concussion within the context pubertal development. Participants (N = 126, mean age 15.1 years old), (n 86) adolescents 40), completed Pubertal Development Scale (PDS) Screen for Child Anxiety...
OBJECTIVE Continued play following concussion can lead to worse outcomes and longer recoveries compared with athletes who immediately report. This has been well documented in youth athletes, while less attention paid collegiate despite differences healthcare access, recovery trajectories, additional pressures play. Therefore, the purpose of this study was determine if continuing a influenced clinical time athletes. METHODS A prospective, repeated-measures design used compare between...
Mild traumatic brain injury (mTBI or concussion) is receiving increased attention due to the incidence in contact sports and limitations with subjective (pen paper) diagnostic approaches. If an mTBI undiagnosed athlete prematurely returns play, it can result serious short-term and/or long-term health complications. This demonstrates importance of providing more reliable tools mitigate misdiagnosis. Accordingly, there a need develop efficient objective approaches computationally robust...
Our objective was to evaluate interunit agreement and construct validity of two activity monitors (Actiwatch Score PRO-Diary) in people with without spinal cord injury.Thirty-eight participants (19 injury; 19 age- sex-matched controls; mean age = 49 yr) wore both completed tasks during one visit ranging physical intensity. To compare by group monitor, we conducted t tests. We assessed using intraclass correlations Bland-Altman plots.Both demonstrated significantly different increasing levels...
Medical guidelines and legislation in the US call for immediate removal from play prohibit continued on same day if a concussion is suspected. However, there limited literature examining whether these laws are being followed youth soccer. The purpose of this study was to identify frequency at which soccer players following sport-related factors that may be associated with behavior. A retrospective review diagnosed initial clinic visit performed. Participants were categorized into groups,...
Radial head stress fractures (RHSFs) and capitellar osteochondritis dissecans (COCD) are rare but may be seen in gymnasts. The purpose of this study was to compare the clinical radiographic characteristics outcomes RHSF COCD pediatric adolescent gymnastic athletes.Classical gymnasts competitive tumblers ≤18 years age presenting with or over a 5-year period were reviewed. Radiographic characteristics, patient-reported compared.Fifty-eight elbows (39 19 RHSF) studied; mean patient 11.6 years....
Background: Research has demonstrated that female athletes are more likely to report their sports-related concussion (SRC) symptoms compared with male athletes; however, it is unknown if these reporting behaviors correspond immediate removal from activity in sex-comparable sports. Purpose: To compare the incidence of high school student-athletes removed and not after SRC sports Michigan. Study Design: Descriptive epidemiology study. Methods: Participants included diagnosed participating...
Background: Previous reports of transphyseal drilling in anterior cruciate ligament (ACL) reconstruction have demonstrated good clinical outcomes without subjective changes further skeletal development. The purpose this study is to evaluate radiographic during continued growth following a ACL using an anteromedial femoral (AM) technique patients with >18 months remaining. Methods: A review consecutive adolescents who underwent soft tissue AM was performed. Inclusion criteria 18 remaining...