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Mental Preparation for Competition

game daySports involve a balance of physical fitness, sport-specific skills, commitment and mental toughness. Athletes dedicate many hours of physical training to prepare for competition, however, many do not dedicate enough time to mental readiness.

To maximize performance on “game day,” try including these key elements in your mental preparation:

  • Positive attitude: Practice saying optimistic and encouraging things to yourself to boost confidence.
  • Plan and visualize: Imagine a play or visualize a successful shot to help improve performance.
  • Consider obstacles: To avoid getting distracted, take time to plan how you will handle and overcome potential challenges such as bad weather or schedule changes.
  • Game-day routine: Develop a pre-performance routine to improve focus and help you stay on track every game day. A consistent pre-performance routine boosts confidence and lets you now you are ready to go. For example, an athlete may prep for each game day by eating breakfast at a certain time, listening to music to relax during travel, visualizing their performance while standing on sideline before the game, etc.

Erica Force, PhD, CC-AASP, has practiced as a licensed psychologist with a focus in sport psychology since 2012. She is a registered Sport Psychologist for the United States Olympic Committee Sport Psychology Registry. Upon completion of her pediatric post-doctoral fellowship at TSRHC in 2015, she joined the Psychology team. Utilizing her credentialing as a Certified Sport Psychology Consultant, she sees patients on our North Campus in Plano. Dr. Force has co-authored publications in prominent journals focused on the psychology of sport.

For information about injury prevention and pediatric sports medicine, please visit our website at

Aariya & Aashna’s Moment – Hand Disorders

04_APR_Aariya and Aashna_BLOG

Aariya and Aashna are twin sisters who were each born with an upper-limb difference. The twins are treated by the world-renowned hand specialists at Scottish Rite Hospital, where outstanding care is always served with a smile just like tea for two.

This month, we will be giving you a deeper look at our Charles E. Seay, Jr. Hand Center on our Facebook page. Join us for patient stories, flashbacks and interesting facts. For more information, visit

Learn About Our Fracture Clinic Before You Need Us

At Scottish Rite Hospital, we treat children with conditions from the common to the complex. Through our world-renowned patient care and ongoing dedication to research, we are able to treat each child with an individualized care plan to get them back to being active. Our Fracture Clinic, located in our North Campus, specializes in evaluating growing bones and how to respond to injuries. Through the expertise of our multidisciplinary team and our research in fractures, we can determine the best treatment approach for each patient.

Many patients that come to our clinic live very active lifestyles, competing in sports and daily activities. It is our priority to determine a plan that will allow each child to return to their activities safely and stronger than before. Depending on the fracture, our research allows us to look at both surgical and non-surgical options.

FractureTwin brothers arrived in our Fracture Clinic with an interesting story. Both of the boys broke their collar bone (clavicle) while snowboarding on a family vacation. Carsen and Cameron, both 13 from Midlothian, were relieved that neither of them needed surgery. Although they are taking a “break” from high impact activities for a little while, our team can ensure that once they have finished healing properly, we will have them back to being kids.

Some patients with a collar bone fracture may need to have surgery. Our team, with the help of patients like Carsen and Cameron, are participating in a large research study of children and adolescents with clavicle fractures. By following young patients through their care and recovery, we can help define the evidence-based recommendations for optimal care depending on remaining years of growing and other factors.

Bumps and bruises are sometimes a normal part of kids being kids! However, if your child breaks a bone, you may call our fracture clinic directly at 469-515-7200. To learn more about our Fracture Clinic, watch the video below or visit


Psychology Staff Present Groundbreaking Research at Annual Conference

Texas Scottish Rite Hospital for Children is world-renowned for its groundbreaking research. Our doctors and staff travel around the country to share innovation and collaborate with other medical professionals. This week, members of our psychology team are attending the Society for Pediatric Psychology Annual Conference (SPPAC) in Portland, Oregon.

Pediatric psychologists specialize in the psychological aspects of medical conditions and the promotion of health with children, adolescents, and families in a pediatric healthcare setting. SPPAC is an annual meeting to advance the science, collaboration, research, and practice of pediatric psychologists in various medical sub-specialties.

Scottish Rite Hospital psychologist, Heather Richard, Psy.D., will be presenting recent research titled, “Integrated Team Approach to Adolescents Treated with Hip Preservation Surgery.” This collaborative study is the first to analyze an integrated team approach with adolescents undergoing hip preservation surgery. It evaluated the impact of required, pre-operative, psychological interventions as part of the team and the potential positive impacts to patient care. The team learned that patients treated with the integrated care model reported significantly reduced pain and stayed in the hospital fewer days after surgery. “This is an untapped area in pediatric psychology,” says Dr. Richard. “We are pioneering psychology as part of an integrated team in pediatric orthopedics. This is important work, as it is our mission to treat the whole child.”

It is the hospital’s dedication to ongoing research that continues to guide and help define the treatment plans for our patients now and in the future. Scottish Rite Hospital is honored to have the opportunity to present their work and collaborate with fellow medical professionals to provide the best care to every patient.

National Doctor’s Day is Thursday, March 30

Anniston-Nix-afge-6-of-Hughes-Springs_04We celebrate our wonderful and caring physicians in honor of National Doctor’s Day and everyday. Below are a few facts about our incredible team:

Did You Know?

  • We have 20 orthopedic surgeons and 45 total full-time staff physicians
  • All physicians hold faculty appointments at UT Southwestern and are renowned for outstanding research and teaching of medical students, residents and fellows
  • More than 269,000 patients have been treated since the hospital’s inception
  • 2,610 surgeries were performed in fiscal year 2016
  • Our physicians wrote the book on the treatment of orthopedic conditions affecting children. Now in its fifth edition, the Tachdjian’s Pediatric Orthopaedics edited by Texas Scottish Rite Hospital for Children is the standard reference guide for orthopedic surgeons around the world.

Babies and Clubfoot: Learning the Basics of the Condition

What is a clubfoot? A clubfoot is a congenital foot abnormality. It is one of the most common pediatric orthopedic conditions. The heel tilts in and down, and the forefoot is also turned in. Without treatment, a patient with a clubfoot will walk on the outside of the foot which may produce pain and/or disability. A clubfoot is usually smaller than an unaffected (normal) foot. The calf is also usually smaller on the side of the clubfoot. One or both feet may be affected.

Why does it happen? The exact cause of the clubfoot is unknown. It cannot be prevented, but it is treatable. A child with a clubfoot should still grow and develop normally and be able to walk, run and play sports.

How is it treated? Treatment may involve casting, stretching, bracing or even surgery. The goal of treatment of the clubfoot is to have a functional, pain-free foot with good mobility and strength.

Two non surgical techniques are used in newborns and young infants. The first consists of daily stretching, taping and splinting by a physical therapist and parent. The second consists of weekly cast changes by an orthopedist followed by bracing.

Every child is different. Depending on the patient, the doctor will explain each option to determine the best possible treatment plan.

For more information about clubfoot and becoming a patient at Scottish Rite Hospital, visit

Q&A: Perthes Disease

What causes Perthes disease? The cause is unknown and the disease is not inherited in most patients. A very small number of patients have another family member with Perthes.

Should I expect a lot of complaints of pain? Pain generally suggests that there is hip joint inflammation, which can be caused by too much activity. The amount of pain experienced by a child with Perthes disease varies from patient to patient. Some patients complain of activity-related pain or night pain only. Your child may complain of groin, thigh or knee pain. They may have restricted movement and a mild limp. You and your child’s doctor will discuss how to manage pain.

What is the time frame of Perthes? Perthes disease has four stages. In general, it may take three to five years for a patient to go from the initial stage to the healed stage of the disease. The length of each stage can vary.

What activities can my child do? Your child’s doctor will help you determine the activities that are safe. The answer will depend on the stage of the disease, symptoms and hip joint stiffness.

What are long-term effects of Perthes disease? Most children have occasional periods of increased pain and stiffness for six months to two years. Most children will return to typical activities and sports once healed. However, some children may be at risk for developing arthritis as adults. Children’s hips that grow back irregularly will have more symptoms, such as pain and hip stiffness, and a greater risk of arthritis later in life.

Will my child be able to participate in physical activities? Even with a deformed femoral head, most patients can perform daily activities and sports’ activities once the hip has healed.

Is hip replacement an option? Hip replacement is not a surgery for children. Only when a patient develops painful degenerative arthritis later in adulthood is the surgery recommended.

Developmental-Behavioral Pediatrics: Topics for Primary Care was March 3, 2017

Developmental-Behavioral Pediatrics: Topics for Primary Care was held March 3, 2017 in the T. Boone Pickens Training and Conference Center at Texas Scottish Rite Hospital. The 18th annual seminar for pediatricians, family practitioners, advanced practice nurses, physician assistants and health care professionals providing direct care to children attracted 215 attendees from across the state of Texas as well as individuals from Alabama, Oklahoma, New Mexico, Minnesota, Michigan, Georgia and New York.

Conference presentation topics included behavioral health: practical psychology and psychiatry for the primary care provider, ADHD: practical tips to improve outcomes, Fragile X: diagnosis and treatment, childhood onset psychiatric disorders, neuromotor development in infants and children and the challenges of the autistic adolescent. This activity was provided jointly by UT Southwestern Medical Center and Texas Scottish Rite Hospital for Children.

For more information, visit

Scottish Rite Hospital Doctors Attend the American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting

Last week, several doctors from Scottish Rite Hospital attended the American Academy of Orthopaedic Surgeons (AAOS) annual meeting in San Diego, California. AAOS was founded in 1933 and has grown to be the world’s largest medical association, serving more than 39,000 members worldwide. This association provides practice management and education for orthopedic surgeons and allied health professionals.

The five-day conference included exhibits, presentations and instructional courses covering a full range of topics in orthopedics. Our staff made presentations on various research areas including hip dysplasia, sports medicine, musculoskeletal infection, fractures, Perthes Disease, and scoliosis. It was a great opportunity for the doctors to showcase their work and collaborate with medical professionals from around the world.

On the final day of AAOS, the meeting concluded with Specialty Day. This includes sixteen Specialty Societies that feature the latest research in their areas of expertise. Members of each society are selected to present on a topic associated with their specialty. Director of Research, Harry Kim, M.D., and staff orthopedists, Christine Ho, M.D., and Lawson Copley, M.D. each made presentations on topics regarding pediatric orthopedics. This section of the meeting allows members to be a part of a concentrated program to expand their discussions and highlight their expertise.

Scottish Rite Hospital has consistently had a strong presence at AAOS each year. It is an honor that our doctors are members of this established group and are selected to present their research on an international stage. The Academy allows our staff to learn and grow as surgeons to ultimately bring better care to our patients.

Get to Know our SRH Staff: Tabetha Rowe, Registered Nurse, Sports Medicine

Tabetha is a registered nurse who has been working with young athletes for the past five years. She’s currently working at our North Campus in Plano. Get to know more about her in our Staff Spotlight below.

What’s your favorite part of your job?

My sports medicine co-workers. We have an environment of trust, support and respect. We are always having a good time.

Tabetha RoweWhat’s your favorite thing about the hospital?

The opportunity to equally care for all kids, regardless of their financial situation.

What skills do you need for your job?

Time management, good sense of humor, patience, ability to stay calm when things get busy, multi-tasking, problem-solving

What was your first job? What path did you take to get here?

Sales at The Buckle in Memphis, Tennessee. My first nursing job was in Ventura, California in pediatrics at a community hospital.

What is your favorite…

  • Team building activity: When the North Campus staff joined a softball league last spring.
  • Hospital event: The Annual Brandon Carrell Conference 


What’s your favorite…

  • Place to travel: anywhere with sand, water and a view.
  • Type of food: dessert, preferably gelato, ice cream or frozen yogurt

If you could have a super power, what would it be?

Teleportation to eliminate my commute.

What is your favorite sport to watch? Do you have a favorite team?

College football – Michigan Wolverines, Go Blue!

What did you want to be when you grew up?

Marine biologist, I love animals.

What’s the most adventurous thing you’ve ever done?

A trip to Alaska that included ziplining, flying in small planes over glaciers, and visiting the Arctic Circle.