- Traumatic Brain Injury Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiac Arrest and Resuscitation
- Injury Epidemiology and Prevention
- Sports injuries and prevention
- Traumatic Ocular and Foreign Body Injuries
- Shoulder Injury and Treatment
- Knee injuries and reconstruction techniques
- Psychosomatic Disorders and Their Treatments
- Total Knee Arthroplasty Outcomes
- Orthopedic Surgery and Rehabilitation
- Cardiovascular Effects of Exercise
- Heart Rate Variability and Autonomic Control
- Child Abuse and Related Trauma
- Shoulder and Clavicle Injuries
- Musculoskeletal pain and rehabilitation
- Intimate Partner and Family Violence
- Medical Imaging and Analysis
- Telemedicine and Telehealth Implementation
- Streptococcal Infections and Treatments
- Cardiovascular Syncope and Autonomic Disorders
- Cerebral Palsy and Movement Disorders
- Elder Abuse and Neglect
- Trauma and Emergency Care Studies
- Orthopedic Infections and Treatments
University at Buffalo, State University of New York
2017-2025
Mississippi State University
2025
Sports Concussion Institute
2024
Jacobs (United States)
2017-2024
Lenox Hill Hospital
2024
New York University
2024
Amer Sports (United States)
2024
Orthopedic One
2023
Buffalo BioLabs
2022
Jacobs Institute
2017-2021
<h3>Importance</h3> Sport-related concussion (SRC) is a significant public health problem without an effective treatment. <h3>Objective</h3> To assess the effectiveness of subsymptom threshold aerobic exercise vs placebo-like stretching program prescribed to adolescents in acute phase recovery from SRC. <h3>Design, Setting, and Participants</h3> This multicenter prospective randomized clinical trial was conducted at university centers. Male female adolescent athletes (age 13-18 years)...
To study the effect of early prescribed aerobic exercise versus relative rest on rate recovery in male adolescents acutely after sport-related concussion (SRC).Quasi-experimental design.University sports medicine centers.Exercise group (EG, n = 24, 15.13 ± 1.4 years, 4.75 2.5 days from injury) and (RG, 30, 15.33 4.50 2.1 injury).Exercise performed a progressive program at least 20 minutes daily subthreshold exercise. Rest was (no structured exercise). Both groups completed online symptom...
The Buffalo Concussion Treadmill Test (BCTT) identifies the heart rate threshold (HRt) of exercise tolerance in concussed patients. A previous study found that an absolute HRt 30 days) from sport-related concussion (SRC). In this study, we assessed relationship ΔHR (difference between resting HR and HRt) recovery SRC. Using a retrospective cohort design, compared acutely ( RG (p=0.01) PG (p=0.04). ≤ 50 bpm on BCTT is 73% sensitive 78% specific for predicting prolonged adolescents who were...
The Buffalo Concussion Treadmill Test (BCTT) is a graded exertion test for assessing exercise tolerance after concussion, but its utility limited certain populations.We developed the Bike (BCBT) and tested comparability with BCTT. We hypothesize that heart rate (HR) at symptom exacerbation on BCBT will be equivalent to BCTT.Case-control study.Level 3.Adolescents acute concussion (AC) (n = 20; mean age, 15.9 ± 1.1 years; 60% male) presenting clinic within 10 days of injury age- sex-matched...
Abstract Background Early, accurate diagnosis of mild traumatic brain injury (mTBI) can improve clinical outcomes for patients, but mTBI remains difficult to diagnose because reliance on subjective symptom reports. An objective biomarker could increase diagnostic accuracy and outcomes. The aim this study was assess the ability salivary noncoding RNA (ncRNA) serve as a adjunct current tools. We hypothesized that saliva ncRNA levels would demonstrate comparable identifying measures burden,...
There is growing evidence that subsymptom threshold aerobic exercise speeds recovery from sport-related concussion (SRC). It not known whether there a direct relationship between adherence to personalized prescription and or if initial symptom burden affects the prescription.This study was planned secondary analysis of one arm randomized controlled trial. Male female adolescent athletes (age 13-18 yr) presenting within 10 d SRC were given prescriptions based on their heart rate at point...
This article presents a brief, focused physical examination [PE, the Buffalo Concussion Physical Examination (BCPE)] for sport-related concussion (SRC) to be considered use in outpatient setting by sports medicine physicians, pediatricians, and primary-care physicians. companion paper describes how perform PE, which was derived separate study presented this journal. It is envisioned at initial follow-up visits both acute concussions patients with prolonged symptoms. A pertinent combined...
To compare retired professional contact sport athletes with age-matched noncontact on measures of executive function and mental health.The University Concussion Management Clinic.Twenty-one National Football League (NFL) Hockey (NHL) players (mean age 56 years) 21 athlete controls.Case control.The self- informant-reported Behavior Rating Inventory Executive Function-Adult form (BRIEF-A); Wisconsin Card Sorting Test; Delis-Kaplan Function System; Trail Making Part A B; Wechsler Adult...
Introduction Cannabis consumption is known to immediately affect ocular and oculomotor function, however, cannabis also it for a prolonged period of time. The purpose this study identify an eye tracking or pupillometry metric which affected after recent but not confounded by history demographic variables. Methods Quasi-experimental design. Participants who would consume inhalable ( n = 159, mean age 31.0 years, 54% male) performed baseline neurobehavioral testing eye-function assessments...
The goals of this study were to assess the ability salivary non-coding RNA (ncRNA) levels predict post-concussion symptoms lasting ≥ 21 days, and examine ncRNAs identify recovery compared cognition balance.RNA sequencing was performed on 505 saliva samples obtained longitudinally from 112 individuals (8-24-years-old) with mild traumatic brain injury (mTBI). Initial ≤ 14 days post-injury, follow-up post-injury. Computerized balance cognitive test performance assessed at initial time-points....
Examine how demographic and injury factors impact identification management of concussion in students.Prospective observational cohort. Pre-K - 12th grade students within a large, urban school district reported to with during 2015-2019. Participants were grouped into Elementary/Middle School (E/MS) High (HS) compared by sex, history, setting mechanism, time medical evaluation clearance, absences, recommended accommodations.154 E/MS 230 HS physician-diagnosed concussion. experienced fewer...
Graded exertion testing has diagnostic utility in the management of athletes with sport-related and recreation-related concussions, results which are used to prescribe individualized aerobic exercise treatment that facilitates recovery from concussion reduces incidence symptoms persisting beyond 1 month. Current protocols, such as Buffalo Concussion Treadmill Test, however, recommended for patients aged 13 years older not appropriate younger children concussion. This practical article...
Objective: Identify the effect size of mild and moderate levels exertion on common sideline concussion assessment tool scores in healthy adolescent athletes. Design: Three arm randomized controlled trial. Setting: High school training rooms. Participants: Forty-seven adolescents who participate sports have not had a within past month. Interventions: Participants performed Sport Concussion Assessment Tool 5 (SCAT5) Vestibular Ocular Motor Screen (VOMS) at rest. were to perform No Exertion (n...
Objective: To assess sex differences in behavior and motivation of adolescent athletes with sport-related concussion (SRC) versus controls during a 2-week individualized aerobic exercise intervention. Setting: Academic center research laboratory. Participants: Participants were enrolled within 10 days SRC (n = 32; 15.6 ± 1.4 years, 33% female, 6.18 2.21 from injury). Twenty-eight control participants (16.0 1.6 female) recruited. Design: Randomized trial 1:1 block randomization scheme...