Tag Archives: research

Scottish Rite Hospital’s Movement Science Team Travels to Annual Gait Meeting to Present Their Most Recent Research

Scottish Rite Hospital’s team in the Movement Science Lab is in Salt Lake City, Utah participating in the Gait and Clinical Movement Analysis Society (GCMAS) Annual Meeting. The conference brings together professionals from diverse medical backgrounds to improve the quality of life for individuals with any movement disorder through research and collaboration.

Team members from our Movement Science Lab are among other medical professionals from around the country that have the opportunity to present their most recent research. With four podium and two poster presentations accepted, the hospital is presenting on various topics within pediatric orthopedics. Director of the Movement Science Lab and an executive officer for GCMAS, Kirsten Tulchin-Francis, Ph.D., is proud of the representation the hospital has at this year’s meeting. “For our team, this is a great opportunity to showcase our expertise in how we study the movement and function of our patient population,” says Tulchin-Francis. “Our orthopedic staff supports the work we conduct and believe that the research can truly help determine better treatment plans for our patients.”

The team is presenting on the following topics:

  • The Periacetabular Osteotomy Improves Radiographic And Gait Functional Outcomes Of Adolescents With Cerebral Palsy
  • Plantar Pressures Following Surgical Intervention For Clubfoot: Intermediate Follow Up At 5 Years Of Age
  • Outcomes Following Treatment For Idiopathic Clubfoot At Age 10yrs: Gross Motor Function, Strength & PODCI
  • The Development And Treatment Of Adolescent Hip Pain In A Patient With Legg-Calve-Perthes Disease
  • Differences In Squatting Biomechanics In Individuals With Unilateral And Bilateral Adolescent Hip Dysplasia
  • Rectus Sparing Approach To Periacetabular Osteotomy In Adolescents Preserves Hip Flexion Strength At Short Term Follow-Up

Our state-of-the-art Movement Science Lab brings a unique view into how our patients function to better understand their condition and to determine the best treatment plan. This annual meeting allows our staff to further their knowledge and share their expertise with fellow medical professionals. It is a privilege to be a part of a specialized meeting in order to bring more discussion and groundbreaking innovation back to the hospital to ultimately give patients back their childhood.

Scottish Rite Hospital Staff Return from Spain with Two Major Awards

Last week, our medical staff and researchers attended the 2017 EPOSNA conference in Barcelona, Spain. This inaugural meeting combined two established pediatric orthopedic societies, POSNA (Pediatric Orthopaedic Society of North America) and EPOS (European Pediatric Orthopaedic Society) to foster education and research on a global scale.

Scottish Rite Hospital had a tremendous showing with presentations throughout the four-day meeting. The hospital returned from Spain with two of the three major awards given at the meeting – Best Quality, Safety, Value Initiative (QSVI) presentation and Best Basic Science Research podium presentation. Staff Orthopedist, Amy McIntosh, M.D., and Director of Performance Improvement, Kerry Wilder, received the QSVI award on their work in quality improvement regarding reductions in surgical site infections (SSI) in patients undergoing spine surgery. This is a great accomplishment as this is the first quality improvement award the hospital has won at an international meeting.

Staff orthopedist, Lawson Copley, M.D., received the award for Best Basic Science Paper for his research work on acute hematogeonous osteomyelitis (AHO), which is a bone infection that is most commonly caused by bacteria called, Staphylococcus aureus. Copley and his team conducted a thorough analysis of bacterial virulence genes (genes responsible for causing infection) isolated from children with osteomyelitis to determine which ones were associated with a severe illness.

The 2017 EPOSNA combined meeting provided a great opportunity for our staff to learn and present their work to fellow medical professionals from around the world. Research and education continues to be at the forefront to help answer the challenging questions we face and is critical in carrying out the hospital’s mission to ultimately provide the very best care to our patients and children everywhere.

Medical Staff and Researchers Attend Inaugural 2017 EPOSNA Conference

Our medical staff and researchers are attending the 2017 EPOSNA meeting this week in Barcelona, Spain, which combines experts in pediatric orthopedics from North America and Europe. This is the first year the Pediatric Orthopaedic Society of North America (POSNA) and the European Pediatric Orthopaedic Society (EPOS) will join in collaboration to highlight pediatric orthopedic education and research. The meeting will begin with the educational pre-course titled “Cutting-Edge Pediatric Orthopedics 2017: A Global Perspective.” Chief of Staff, Dan Sucato, M.D., M.S., states “The combined meeting is very exciting as it brings pediatric orthopedic surgeons from all over the world together to share ideas, experiences and research that will improve the care of our patients. Scottish Rite Hospital is at the heart of all of the activities at this combined meeting.”

POSNA is comprised of over 1,200 members including orthopedic surgeons, physicians, and other medical professionals. EPOS is a European society with over 300 members. Both groups have a purpose of bringing better care to children and adolescents with orthopedic conditions through education and research, a mission which has been supported by Scottish Rite Hospital’s Assistant Chief of Staff, Lori Karol, M.D., who has been part of the leadership of POSNA for the last several years.

EPOSNA 2017 is the largest pediatric orthopedic scientific meeting with over 1,300 abstracts submitted. Only 200 podium and 200 posters were accepted for presentation at the three-day meeting. Scottish Rite Hospital has a strong presence with sixteen selected podiums and eleven poster presentations, which highlights the work of our current medical staff, researchers as well as our fellow and resident trainees. Director of Research, Harry Kim, M.D., says, “We are very excited to see so many of our research projects come to fruition and be on the program for presentation at this important meeting. We are truly blessed to have a great medical and research staff who value research and who are working hard to improve our understanding and treatment of various pediatric musculoskeletal disorders.” Podium and poster projects in the followings areas will be presented:

  • Spine
  • Hip
  • Trauma
  • Clubfoot
  • Limb Deformity
  • Sports Medicine
  • Basic Science
  • Biomechanics

The conference includes a session dedicated to nominees for best clinical and best scientific paper. Scottish Rite Hospital has a total of five nominations in the two categories. Harry Kim, M.D., has two presentations nominated for best scientific paper. Staff orthopedist, Lawson Copley, M.D., is also nominated for best scientific paper. Both Kim and Copley make up half of the nominations for this category. Dan Sucato, M.D., M.S., and Medical Director of Ambulatory Care, Brandon Ramo, M.D., are nominated for best clinical paper with their respective research in Perthes disease and halo gravity traction for the treatment of scoliosis.

Director of Clinical Orthopedic Research, Adriana De La Rocha, Ph.D., states “We are very proud of all the projects we will present. It’s another example of how our work with our medical staff and researchers at Scottish Rite Hospital continues to drive the innovation for the care and treatment of our patients, which are always at the forefront of our mission.”

This is a unique opportunity for our medical staff and researchers to showcase their work on a global scale. With the meeting being expanded to include the European society, it allows our staff to collaborate with professionals from across the world to ultimately bring better care back to our patients.

For more information on the innovative research and integration with education and patient care at Scottish Rite Hospital, please visit our website.

 

 

 

 

 

 

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.