Tag Archives: research

Scottish Rite Hospital’s Movement Science Lab: Experts in Analyzing How Children Move

The Movement Science Laboratory at Scottish Rite Hospital is an integrated part to the treatment of our patients. The team uses leading-edge technology to evaluate and identify movement to help our doctors make decisions about the best treatment options for the child.

The Movement Science Lab (MSL), also known as the gait lab, has two main focuses: clinical evaluations and research. Clinically, our MSL team works directly with our orthopedic doctors to help provide options to determine the best course of treatment for each child. Doctors are provided with a detailed analysis of their patient’s walking ability including how the joints move, when the muscles are firing, and the power generated through their legs.

Scottish Rite Hospital is one of the few institutions in the area to have a premier movement science lab. During a Movement Science appointment, small reflective markers are placed on the child’s body and special high speed motion capture cameras record the child’s movement in three dimensions while performing certain tasks (walking, running, squatting, etc.). This equipment is the same technology used to make animations, video games, and movie special effects. MSL staff processes and summaries the data so doctors can analyze and help create their treatment plan.

Other tools utilized in the lab include a special plate that is in the floor, which allows the team to measure and evaluate the patient’s footprint as they walk. It shows exactly where and how high the pressure is under different areas of the foot. This device helps with the assessment of children with specific foot problems. Other equipment in the lab measures muscle strength or how efficiently the body uses oxygen with every breath.

The other focus of the Movement Science Lab is research. As an integrated part of the hospital’s mission, the research conducted allows the team to better understand and measure how well the treatment plans our doctors provide to our patients improve their function. The lab will see patients before and after treatment in order to measure the effectiveness of the care. The purpose of the research is to compare patient outcomes following different surgical procedures, assess a specific treatment across varying types of patients, define the improvements of the child’s conditions following physical and occupational therapy, and evaluate the effectiveness of various orthoses and prosthetic limb components. The research continues to educate our staff and allows the team to provide the best possible care to each patient.

Overall, our Movement Science Lab gives our doctors a more in-depth analysis of how a patient’s body moves. Whether it is the child’s hips, knees or ankles, the equipment our lab uses guides our doctors in providing the best treatment plan. It is through the clinical evaluations and dedication to research that our movement science lab is world-renowned.

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.

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.

L. Ray Lawson, M.D., International Spine Fellowship: Educating Medical Professionals from Around the World

At Texas Scottish Rite Hospital for Children, we are dedicated to education. The hospital offers several fellowship programs to provide a well-rounded experience for medical professionals interested in pediatric orthopedics. As an institution, it is a privilege for our doctors to have the opportunity to train individuals from all over the world.

One of the renowned programs at Scottish Rite Hospital is the L. Ray Lawson, M.D., International Spine Fellowship. This fellowship is in honor of L. Ray Lawson, M.D., for his many years of commitment and dedication to the treatment of pediatric spine disorders. This program is available to postgraduate surgeons who have completed an orthopedic residency. It provides the recipient the opportunity to rotate and observe our orthopedic surgeons and work on a spine-related research project.

Recently, a recipient of the L. Ray Lawson, M.D., International Spine Fellowship has completed his time at Scottish Rite Hospital. Ali Parsa, M.D., traveled to Dallas, Texas from Mashhad, Iran to spend six months learning from the best in pediatric orthopedics. He worked closely with Chief of Staff, Dan Sucato, M.D. and Stephen Sparagana, M.D, and the spine research team on a neuromonitoring study for Adolescent Idiopathic Scoliosis (AIS). “This program allows the fellow to receive comprehensive training in spinal disorders”, says Assistant Chief of Staff Karl Rathjen, M.D. “It is an honor to have medical professionals traveling from around the world to train at Scottish Rite Hospital – the exchange of ideas enriches all of us and extends the reach of the cutting edge knowledge developed here in Dallas.”

Although Scottish Rite Hospital was a short stop for Dr. Parsa in his medical career, he will be able to take what he has learned back to Iran to continue his research and develop innovative techniques to treating spine disorders. It is an honor to educate physicians like Dr. Parsa, and all of the past and future recipients of this fellowship, to bring better care to children all over the world.

Molecular Genetics Team Awarded National Institutes of Health Grants

Texas Scottish Rite Hospital for Children is world-renowned for its patient care, research and education. Over the years, our physicians and researchers have made groundbreaking discoveries that have enlightened our understanding of medical conditions to improve our patient care. In particular, the Division of Molecular Genetics has made innovative contributions to the hospital’s scoliosis research.

Genetics Lab 2017 _15Carol Wise, Ph.D., Director of Molecular Genetics and Basic Science Research, has led this division of the hospital in the discovery of several genetic factors associated with idiopathic scoliosis, the most common spinal deformity in children. Since that breakthrough, Dr. Wise and her team have continued their commitment to understand this complex disease through various research efforts.

Recently, Dr. Wise and Jonathan Rios, Ph.D., also a member of Scottish Rite Hospital’s Molecular Genetics team, were awarded three NIH (National Institutes of Health) grants, totaling over $7 million to fund research in idiopathic scoliosis. Two awards were received from the Eunice Kennedy Shriver National Institute of Child Health and Human Development.

The first grant will fund a program titled “Developmental Mechanisms of Human Idiopathic Scoliosis”. It will be shared with two other investigators at two other institutions including, Liliana Solnica-Krezel, Ph.D., at Washington University, and Nadav Ahituv, Ph.D., at the University of California, San Francisco over a span of five years. The goal of this research is to identify genetic risk factors in idiopathic scoliosis and to define the mechanisms by which these factors predispose children to spinal deformity.

The second grant awarded to Dr. Wise will fund an international meeting that will be held at Scottish Rite Hospital in March. The “Genomic Approaches to Understanding and Treating Scoliosis” conference will bring together physicians and researchers from across the world to present and synthesize latest discoveries in scoliosis research.

The third grant was awarded to Dr. Rios from the Gabriella Miller Kids First Pediatric Research Program. This grant funds the project “Genomics of Orthopaedic Disease (GOOD for Kids).” The project will use next-generation genomic technologies to discover genetic causes of adolescent idiopathic scoliosis (AIS).

These highly competitive awards provide researchers at Scottish Rite Hospital the opportunity to continue groundbreaking research that will lead to better care for the children we treat.

Carol Wise, Ph.D., and Jonathan Rios, Ph.D., are professors at the University of Texas Southwestern Medical Center (UTSW). Dr. Wise is a Professor in the McDermott Center for Human Growth and Development, Pediatrics, and Orthopedic Surgery and Dr. Rios is an Associate Professor of Pediatrics and Orthopedic Surgery.

It’s Like a Science Fair for Healthcare Professionals

Every year, kids try their hand at developing and conducting scientific research for the science fair. From growing mold to creating electrical circuits, they define their hypothesis, develop testing methods, perform the experiment and then thoughtfully consider the results.

At Scottish Rite Hospital, we follow the same steps of the scientific method and continually share our results with our peers. Sometimes, we are even eligible for awards when we present our studies at conferences, just like a local science fair. Our doctors and researchers travel both locally and internationally to present their research findings with the goal of spreading knowledge regarding specific pediatric orthopedic topics.

Recently, our pediatric sports medicine team presented a poster explaining the study and results from a review of sports-related concussion patients at the Texas Chapter of the American College of Sports Medicine (TACSM) Annual Conference in Waco, Texas. This conference is designed to allow young researchers to showcase their work, receive feedback, and learn from experienced sports medicine researchers during lectures and educational events. The poster was considered as a finalist for the event’s “Doctoral Research Poster Award.” Aaron Zynda, research coordinator on the team, says, “It was an honor to be recognized with other researchers in the field of sports medicine and have the opportunity to present.”

The team previously presented preliminary results of this study at the American Academy of Pediatrics Annual Conference in the fall, but this time they focused on results for soccer players. The findings suggest that the soccer players are consistent with the larger group. Thirty seven percent answered yes when asked if they continued to play or returned to play on the same day as their injury. An interesting trend was that in this small group, the girls were more likely to continue or return to play. This behavior puts the athlete at risk of having worse symptoms and a longer recovery.

Co-author Shane M. Miller, M.D. says, “The most important component of clinical research is to find out how to apply the results to the athletes that are under our care and others in the community and across the nation.” He’s on his way to Indianapolis to share the results of the larger study at the Youth Sports Safety Summit next week.

Read more about our work in research, prevention and clinical care for sports-related concussions on our website.

Spine Experts Attend International Congress for Early Onset Scoliosis

The International Congress for Early Onset Scoliosis (ICEOS) is an annual meeting in which Scottish Rite Hospital has a consistent presence. The 10th annual ICEOS meeting took place in Holland on November 17 and 18. The conference brings together orthopedic surgeons and other medical professionals from around the world to discuss the challenging and complex characteristics of Early Onset Scoliosis.

Various research abstracts from the hospital have been selected to be presented from our doctors and researchers, including work from Dr. Brandon Ramo, Chief of Staff Dr. Dan Sucato, Assistant Chief of Staff Emeritus Dr. Charles Johnston, and researchers Johnny Zhang and Dong Tran, M.S. Representing the hospital are Drs. Ramo and Johnston, as well as research coordinator Dong Tran, M.S.

image1The ICEOS meeting is unique because of its primary focus. Early Onset Scoliosis (EOS) refers to a pediatric patient who is diagnosed with scoliosis under the age of ten. Cases can vary from severe to mild; however, it is a topic that is passed over in larger conferences. Dr. Brandon Ramo, medical director of ambulatory care at Scottish Rite Hospital and a member of the 2016 ICEOS faculty, states how important this meeting is for furthering the research of EOS. “The ICEOS meeting brings together a very small community of orthopedic surgeons and other physicians from around the world who are focused on a rare group of patients with tremendously complex, challenging disease processes,” said Ramo. “Since the condition of early onset scoliosis is a rare topic, it often gets marginalized or left out in larger meetings. This venue provides the opportunity for information sharing and presentation of research findings in a more intimate setting to a like-minded group of doctors dedicated to these unique patients.”

Like many of the other conferences that our medical staff attends throughout the year, ICEOS provides another opportunity for our doctors and researchers to present their work on an international stage. At this conference, a few of the research topics submitted by Scottish Rite Hospital include: effectiveness in casting of non-idiopathic scoliosis, the growth of the spine in a patient with EOS and curve progression in girls with idiopathic scoliosis. With Early Onset Scoliosis being the core of this meeting, it brings more discussion and groundbreaking innovation back to our hospital to ultimately give our patients back their childhood.

 

Scottish Rite Hospital Announces New Patents

Our Center for Excellence in Limb Lengthening and Reconstruction has recently received two new patents. The patents are related to critical components of the TL-HEX external fixation device (pictured at Screen Shot 2016-08-18 at 12.11.22 PMright), which is used for patients undergoing limb lengthening and reconstruction treatment. The device has the capability to perform multiple corrections to the bone simultaneously, including lengthening, rotation and compression.

With these recent innovations to the device, the hospital now has more than 25 patents. That number is expected to grow with the hospital’s ongoing research initiatives. These advancements reflect how Scottish Rite Hospital’s research efforts continually improve treatment methods for children with orthopedic conditions here and around the world.

For more information on our Center for Excellence in Limb Lengthening and Reconstruction, please visit scottishritehospital.org/cellr.

Texas Scottish Rite Hospital for Children: Patient Care, Education, & Research

Texas Scottish Rite Hospital for Children opened its doors in 1921 and over the last 95 years it has become one of the top pediatric orthopedic hospitals in the country. Ortho Group Photo 2016_FinalAt the core of our mission are three main pillars: patient care, research, and education. The outstanding patient care provided at the hospital is shown each and everyday through the interactions our medical staff has with all of our patients and families. The research conducted is designed to treat the entire child and his/her specific needs. The hospital is the training ground for the next generation of world-class pediatric orthopedic physicians through the fellowship program. It is the superior patient care, the groundbreaking research, and education of physicians that makes Scottish Rite Hospital such a special place.

Scottish Rite Hospital is a unique institution because of its many resources when it comes to innovation and research. The success of the hospital and its top of the line patient care is closely tied to the collaborative relationship with UT Southwestern Medical Center (UTSW). Monday Night Conference_26All of our medical staff hold faculty appointments in various departments at UTSW, including Orthopedic Surgery and Pediatrics. It is a strong, working relationship in which Scottish Rite Hospital has become one of the top research institutions in pediatric orthopedics. The research at Scottish Rite Hospital is regulated by the Institutional Review Board (IRB) at UTSW, which serves as the governing body for over 100 of our clinical research studies. Additionally, Scottish Rite Hospital welcomes several UTSW orthopedic residents to complete pediatric rotations throughout the year. These residents work closely with our medical staff and research department to gain experience both hands on in clinic and surgery, as well as with various research studies.

Scottish Rite Hospital is internationally known as a premier research and teaching hospital. Since research is at the forefront of providing the best patient care, it is necessary to have an environment where learning is ongoing and teaching is an everyday practice. The hospital provides several areas for medical staff, fellows, residents and all other staff to continue their education through weekly/monthly conferences, symposiums, visiting professorships and much more. An extraordinary aspect of Scottish Rite Hospital is the Dorothy & Bryant Edwards Fellowship in Pediatric Orthopedics and Scoliosis.

 

This program provides the fellows an opportunity to work with some of the most experienced pediatric orthopedic staff in the country. The yearlong fellowship includes becoming a member of the patient care team, high-level surgical experience, and the opportunity to work closely with the research team on a topic of their choice. Even through the fellowship, research is at the core of the curriculum. The fellows are required to complete at least one scientific manuscript at Scottish Rite Hospital and will have the opportunity to present their work at the annual Brandon Carrell Visiting Professorship. This conference, hosted by the hospital, is an annual course designed for pediatric orthopedic surgeons and others with an interest in pediatric orthopedic practices to keep up-to-date on the latest in groundbreaking research. The hospital welcomes a visiting professor each year, along with other medical professionals, who will present on their current research projects. It is another opportunity for our medical staff to discuss and debate various techniques, which facilitates ongoing education for all.

Fellowship Programs:

It is through our strong relationship with UT Southwestern Medical Center, accompanied by the continuous learning environment, which has established Scottish Rite Hospital as a leading research institution for pediatric orthopedics. Research continues to be the engine that drives important clinical decision making to improve the care by finding new and better techniques to treat our patients.

Female Athlete Triad – What you need to know

The name, female athlete triad, suggests that there are three separate components to this condition. However, further research and studies have led experts at the Female Athlete Triad Coalition* to change their approach in making this diagnosis. Now, the three components are each considered on a spectrum and are thought to be interrelated.

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All of these concerning signs are a result of some imbalance in energy intake and expenditure, affecting the energy availability. This is particularly apparent in athletes competing:

  • In endurance sports.
  • At elite levels.
  • In sports where figure or weight is emphasized.
  • Under performance pressure from coaches/parents.

What Jane S. Chung, M.D. wants parents of young athletes to know is that athletes 11-17 years old are in an important phase of growth and optimizing bone health. It is during this window that bones will achieve more than 90% of their peak bone mass, and a well-balanced diet including sufficient calcium and vitamin D intake is important. Athletes with high energy expenditure are at the greatest risk of developing the signs and symptoms of the female athlete triad because they may unintentionally fail to meet their bodies’ energy needs.

To this point, research has focused mainly on female athletes and cannot be applied directly to male athletes, however, males may present similar signs and symptoms. The Female Athlete Triad Coalition has agreed upon a list of concerning signs and symptoms in female athletes. If you notice these in your young athlete or her teammates, please speak up.

  • Extreme weight loss or excessive worry about weight
  • Absent, delayed or irregular menses
  • Recurrent stress injuries such as stress reaction or stress fractures
  • Restrictive or unusual eating behaviors

For information about Dr. Jane Chung and pediatric sports medicine, please visit our website at scottishritehospital.org/sports.

*Dr. Chung is an active member of the Female Athlete Triad Coalition, an international multi-disciplinary organization aimed to promote healthy behaviors in female athletes through collaboration, education, research, and policy change. Read more about the coalition on their website femaleathletetriad.org.