- Pediatric Pain Management Techniques
- Musculoskeletal pain and rehabilitation
- Obesity, Physical Activity, Diet
- Pain Mechanisms and Treatments
- Mindfulness and Compassion Interventions
- Childhood Cancer Survivors' Quality of Life
- Obesity and Health Practices
- Child and Adolescent Health
- Occupational Health and Performance
- Adipokines, Inflammation, and Metabolic Diseases
- Health and Lifestyle Studies
- Thermoregulation and physiological responses
- Exercise and Physiological Responses
- Congenital Diaphragmatic Hernia Studies
- Healthcare professionals’ stress and burnout
- Hip disorders and treatments
- Regulation of Appetite and Obesity
- International Law and Human Rights
- Eating Disorders and Behaviors
- Inflammasome and immune disorders
- High-Velocity Impact and Material Behavior
- Physical Activity and Health
- Physical Education and Training Studies
- Sports and Physical Education Research
- Infant Development and Preterm Care
Concordia University Wisconsin
2019-2023
Concordia University
2021
Marquette University
2012-2019
National Center for Advancing Translational Sciences
2019
American Physical Therapy Association
2019
Foundation for Physical Therapy Research
2019
Wake Forest University
2019
Brenner Children's Hospital
2019
American Association of University Women
2019
Children's Hospital of Wisconsin
2006-2012
The prevalence of morbid obesity in adolescents is rising at an alarming rate. Comorbidities known to predispose cardiovascular disease are increasingly being diagnosed these children. Bariatric surgery has become acceptable treatment alternative for morbidly obese adults, and criteria have been developed establish center-of-excellence designation adult bariatric programs. Evidence suggests that surgical procedures performed with increasing numbers adolescents. We examined compiled the...
Pain relief after exercise, exercise-induced hypoalgesia (EIH), is established across the lifespan. Conditioned pain modulation (CPM: inhibits pain) may be a mechanism for EIH.In 55 adolescents, pressure thresholds were measured before and exercise (deltoid, quadriceps, nail bed) during CPM at bed deltoid test stimulus sites. The relationship between EIH was explored.EIH occurred quadriceps; deltoid. correlated deltoid; adolescents with greater experienced exercise. At this site, predicted...
Pain reports are greater with increasing weight status, and exercise can reduce pain perception. It is unknown, however, whether relieve in adolescents of varying status. The purpose this study was to determine across status report relief after high-intensity aerobic (exercise-induced hypoalgesia (EIH)).Sixty-two (15.1 ± 1.8 yr, 29 males) participated the following three sessions: 1) pressure thresholds (PPT) before quiet rest, clinical (McGill Questionnaire), physical activity levels...
There is a wide continuum of conditioned pain modulation (CPM) in adults with older experiencing an attenuated CPM response compared younger adults. Less known for adolescents and the role anthropometrics.Fifty-six (15.1 ± 1.8 years; 32 normal weight 24 overweight/obese; 27 boys) completed session that included anthropometric testing. Pressure thresholds were measured at nailbed deltoid muscle (test stimuli) foot submerged cool or ice water bath (conditioning stimulus). Weight status, body...
The purpose of this study was to document the prevalence and characteristics physical pain in a sample severely obese children adolescents. In retrospective chart review, primary measures included current past pain, intensity, during 5-minute walk test. Pain assessments for 74 patients (mean age 11.7 years; 53% female; 41% African American) were conducted by therapist. Past reported 73% sample, with 47% reporting on day program enrollment. Although average intensity moderate (M = 5.5/10),...
Obese children and adolescents have unique needs for specialized medical equipment while hospitalized might require special diets physical activity options as part of their treatment. It is important that patients with a diagnosis obesity be identified on admission so appropriate resources can provided. We examined what components healthy hospital environment should include sought to determine if children's hospitals provide offers these components. In addition, we policies in place identify...
The prevalence of childhood obesity has recently peaked in the USA with ~17% children considered obese. With increase adiposity that occurs weight gain, a persistent low-grade inflammatory state is created. most commonly studied markers associated are cytokines, tumor necrosis factor α and interleukin-6, acute-phase reactant, C-reactive protein. Understanding relation between inflammation an important concept because these influence insulin sensitivity, glucose metabolism, atherosclerosis,...
Objective: Pediatric obesity and chronic pain are each associated with an increased risk for numerous poor physical mental health outcomes. Co-occurring (CPO) result in greater functional disability compared either condition alone. The aim of the present study was to use qualitative methods better understand challenges experienced by adolescents CPO, a specific focus on activity. Methods: Semistructured interviews were conducted 13 youth CPO. Participants questioned about pain, activity,...
PURPOSE: To assess the feasibility of obtaining and comparing various methods height body composition (BC) measurements in children with spina bifida (SB). METHODS: Fifteen (7M/8F) SB (4-18 years old) underwent weight, four (arm span, wall-mounted stadiomete r, segmental recumbent length) five BC measurements: (BMI; BodPod®; DEXA; Bioelectrical Impedance Analysis; skinfold). Data collectors, parents, study participants evaluated procedures. The heights as paired were compared to gold...
Physical activity is critical to functional rehabilitation for youth with chronic pain, which may be especially true those co-occurring obesity. To facilitate the development of physical interventions newly developed "Rating Perceived Exertion-Pediatric" scale was modeled after widely used pain numeric rating scale-11. This study an initial evaluation in a sample adolescents (n = 157, 13-17 years, 51% female) four subgroups: (1) healthy controls (healthy weight/no pain); (2) pain/healthy...
To determines whether adolescents who are fit with overweight/obesity similar in their metabolic profile to and normal weight.Adolescents participated 3 sessions: (1) resting vitals anthropometrics; (2) maximal aerobic treadmill test ((Equation is included full-text article.)) determine physical fitness; (3) dual-energy x-ray absorptiometry fasting laboratory draw for analysis of insulin, glucose, high-density lipoprotein, triglycerides, C-reactive protein.Of the 30 weight 16...
Purpose Although exercise is a primary tool for weight reduction, recent findings of aberrant biomechanics in obese youth have raised concern over traditional prescriptions. Given that injury and disability often act as barriers to physical activity (PA), particularly those with increased weight, safe appealing interventions are urgently needed. To end, this study examined the benefits yoga intervention adolescents.
Background: Childhood overweight is associated with multiple comorbidities and cardiovascular risk factors (CVRFs), including hypertension, insulin resistance, dyslipidemia. Nevertheless, children are not always screened for CVRFs other comorbidities. The study aim was to determine the prevalence of overweight-related in seen a pediatric weight management program. Methods: A retrospective chart review performed patients NEW Kids Program at Children's Hospital Wisconsin from June 2003...
Objective: To understand the biopsychosocial dimensions of university health sciences students' experiences during COVID-19 pandemic. Participants: Health students (n = 297) from two universities in July and August 2020. Methods: Participants completed a Web-based survey asking about depression, anxiety, physical activity, coronavirus threat, career commitment. Results: Moderate or severe depression anxiety were reported by 28.6% 31.3% respondents, respectively. Depression positively...