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  • Publications

    Children with severe burns display no sex difference in exercise capacity at hospital discharge or adaptation after exercise rehabilitation training

    Study investigated the effect of a rehabilitative exercise training (RET) program on body composition, strength, and cardiorespiratory fitness in boys and girls with burn injuries. The RET regimen consisted of alternating resistance and aerobic exercise training up to 5 days per week. Twenty-five girls were matched to 26 boys for ...
  • Laiba Afzal

    Laiba Afzal is a Clinical Research Coordinator for the Department of Rehabilitation and Human Performance. She is the newest member of the research team, and is looking forward to learning more about the importance of clinical research, ...
  • Publications

    Co-administration of vancomycin and piperacillin-tazobactam is associated with increased renal dysfunction in adult and pediatric burn patients

    Study evaluated the short-term impact of the three antibiotic administration types on renal dysfunction. Vancomycin is a common antibiotic after burn injury and is administered alone (V), or in combination with imipenem-cilastin (V/IC) or piperacillin-tazobactam (V/PT). Sparse reports indicate that the combination V/PT is associated with increased renal dysfunction. All ...
  • Publications

    Cognitive behavioral treatment for acute posttrauma distress: A randomized, controlled proof-of-concept study among hospitalized adults with burns

    Study evaluated the feasibility of conducting a randomized controlled trial (RCT) of the Safety, Meaning, Activation and Resilience Training (SMART) intervention versus nondirective supportive psychotherapy (NDSP) in an acutely hospitalized adult survivor of burn injury sample. The study also assessed the preliminary effect of SMART on acute stress disorder (ASD), ...
  • Publications

    Contemporary burn survival

    Study determined a regression model of mortality in all pediatric and adult burned patients who were admitted to Shriners Hospitals for Children-Galveston (SHC) or the Blocker Burn Unit (BBU) in Galveston from 1989 to 2017. Age, percent of the total body surface area (TBSA) burned, presence of inhalation injury, length ...
  • Publications

    Contemporary methods allowing safe and convenient use of amniotic membrane as a biologic wound dressing for burns

    Article presents an overview of the use of amniotic membrane in the treatment of burns including processing methods and early clinical use. Partial-thickness burns involve damage to the upper layer of skin, which leaves nerve endings exposed, and therefore represent the most painful of several categories of thermal injuries. Historically, ...
  • Publications

    Contracture severity at hospital discharge in children: A burn model system database study

    Study investigated range of motion (ROM) outcomes in pediatric burn survivors and analyzed these outcomes in relation to burn size, injury severity, length of stay (LOS), and age. Data were obtained from the Burn Model System for patients younger than the age of 18 with at least one joint contracture ...
  • Publications

    Coordinate activities of BRD4 and CDK9 in the transcriptional elongation complex are required for TGFβ-induced Nox4 expression and myofibroblast transdifferentiation

    Transdifferentiation of quiescent dermal fibroblasts to secretory myofibroblasts has a central role in wound healing and pathological scar formation. This myofibroblast transdifferentiation process involves TGFβ-induced de novo synthesis of alpha smooth muscle cell actin (αSMA)+ fibers that enhance contractility as well as increased expression of extracellular matrix proteins, including collagen ...
  • Publications

    Correlation between Pao2/Fio2 and peripheral capillary oxygenation/Fio2 in burned children with smoke inhalation injury

    Study investigated whether the peripheral capillary oxygenation (Spo2)-to-Fio2 (S/F) ratio correlates with the Pao2/Fio2 (P/F) ratio in burned children with smoke inhalation injury (SII). The objective was to determine if the S/F ratio can serve as a surrogate for the P/F ratio for the diagnosis of acute respiratory distress syndrome ...
  • Publications

    Delayed pain decrease following M1 tDCS in spinal cord injury: A randomized controlled clinical trial

    Study assessed the direct and long-term effects of transcranial direct current stimulation (tDCS) of the primary motor cortex (M1) on pain, quality of life (QOL), and life satisfaction following spinal cord injury (SCI). A two-phase randomized sham-controlled clinical trial was performed in which patients received 5 days of tDCS followed ...
  • Publications

    Developing item response theory-based short forms to measure the social impact of burn injuries

    Article describes the development and evaluation of short forms for the Life Impact Burn Recovery Evaluation (LIBRE) Profile, a new self-reported measure of social participation for burn survivors developed for administration through computerized adaptive testing. The LIBRE Profile-Short Forms were developed using the data from the same sample of 601 ...
  • Publications

    Development of the school-aged life impact burn recovery evaluation (SA-LIBRE5–12) profile: A conceptual framework

    Study developed a conceptual framework to measure pediatric burn outcomes in survivors aged 5 to 12 years as a part of the School-Aged Life Impact Burn Recovery Evaluation Computer Adaptive Test (SA-LIBRE5–12 CAT) development. a systematic literature review was conducted, guided by the International Classification of Functioning—Child and Youth and ...
  • Suzanne Groah

    Dr. Groah is Director of the SCI/D clinical and research programs at MedStar NRH, and Professor of Rehabilitation Medicine at Georgetown University. She served on the Board of Directors of ASIA from 2010-2016 and will be an ...
  • Publications

    Digital interventions for social participation in adults with long-term physical conditions: A systematic review

    Study reviewed the literature on the use of digital interventions for social participation in adults with long-term physical conditions. MEDLINE, EMBASE, CINAHL and PsycINFO databases were searched for studies that adopted digital technology interventions to improve social participation in adults with long-term physical conditions. Data on study methodology, participant and ...
  • Publications

    Distinct behavioral response of primary motor cortex stimulation in itch and pain after burn injury

    Study assessed the effects of transcranial direct current stimulation (tDCS) on post-burn neuropathic pain and itch. A randomized controlled clinical trial was conducted comprised of two phases of active or sham primary motor cortex (M1) tDCS. Sixteen patients were assigned to the active group and 15 to the sham group. ...
  • Publications

    Edward F. Adolph distinguished lecture. It's more than skin deep: Thermoregulatory and cardiovascular consequences of severe burn injuries in humans

    Article describes the significant physiological consequences that can persist for years after severe burn injuries. The treatment of deep burns often involves skin grafts to accelerate healing and reduce the risk of infection. The grafting procedure results in a physical disruption between the injured and subsequently debrided host site and ...
  • Publications

    Effect of exercise training on the frequency of contracture-release surgeries in burned children

    Study investigated whether intensive physical exercise (IPE) decreases the frequency of burn scar contracture-releasing procedures in upper-extremity joints in children with extensive burns. The surgical records of 184 children who had undergone axilla, elbow, and/or wrist contracture-releasing procedures were reviewed. All children were 7 years or older and had sustained ...
  • Publications

    Effects of community-based exercise in adults with severe burns: A randomized controlled trial

    Study investigated the efficacy of community-based exercise programs in the rehabilitation of adult patients with burns compared with standard of care (SOC). Forty-five adult patients with at least 30 percent of total body surface area burned were randomized to participate in a community-based exercise program or SOC. The community-based exercise ...
  • Publications

    Effects of different duration exercise programs in children with severe burns

    Study investigated whether different durations of exercise, 6 or 12 weeks, produce comparable improvements in muscle strength, body composition, and cardiopulmonary fitness in children with severe burns. Forty-two patients with at least 30 percent of their total body surface area burned were randomized to receive 6 or 12 weeks of ...
  • Publications

    Evaluation of the psychometric properties of the burn specific health scale-brief: A national institute on disability, independent living, and rehabilitation research burn model system study

    Study used both classical and modern psychometric methods to evaluate psychometric properties of the Burn Specific Health Scale-Brief (BSHS-B), a commonly used burn-specific health outcome measure that includes 40 items across nine subscales. A total of 653 adults with burn injury completed the BSHS-B. Dimensionality, local dependence, item fit, and ...

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Information on this site is not meant to replace the advice of a medical professional. You should consult your health care provider regarding specific medical concerns or treatment. The contents of this site were developed under grant number 90DPKT0009 from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this website do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the federal government.