Pamela Wilson

• University of Colorado

Objective The primary aim of this study was to determine if neighborhood disadvantage predicted internalizing symptoms and body mass index (BMI) in youth with spina bifida (SB), while accounting for several sociodemographic factors. We also explored whether resilience factors helped explain associations between neighborhood disadvantage and interna...

The primary aim of this study was to characterize Cognitive Disengagement Syndrome (CDS) symptomatology in youth with spina bifida (SB). One hundred and sixty-nine patients aged 5–19 years old were drawn from clinical cases seen through a multidisciplinary outpatient SB clinic at a children’s hospital between 2017 and 2019. Parent-reported CDS and...

Objectives: To characterize child, parent, and family adjustment for patients followed in a multidisciplinary spina bifida (SB) clinic. Methods: Participants were drawn from clinical cases seen through a multidisciplinary outpatient SB clinic at a children's hospital between 2017 and 2019. Participants included 209 youth under 19 years old who w...

Objectives: This study used a Spina Bifida (SB) Electronic Medical Record (EMR) and the National Spina Bifida Patient Registry (NSBPR) to explore the relationship between neurosurgical/orthopedic surgeries and other variables on ambulation and transfer ability over time in individuals with SB. Design: This study was an analysis of longitudinal d...

Objectives: To examine the effect of sleep disturbances on concussion symptom recovery and to examine the effect of melatonin prescription on symptom improvement among concussed adolescents with sleep problems. Design: Longitudinal test-retest. Setting: Sports medicine clinic. Participants: Patients aged 8 to 18 years, diagnosed with a concu...

Objective: The objective of the study was to evaluate the clinical outcomes among patients who did and did not report engaging in early physical activity (PA) following sport-related concussion. Methods: We evaluated pediatric patients seen within 21 days of concussion. The independent variable was early PA engagement (since the injury and befor...

Background Recently, the association between concussion and sleep has been explored. Few studies have used validated patient-reported outcome measures to examine how sleep quality differs between adolescents who have recently sustained a concussion compared to healthy adolescents. Hypothesis/Purpose Our purpose was to evaluate the effect of acute...

Our objective was to examine the effect of current neck or shoulder pain on concussion outcomes. Variables included symptom resolution and return-to-sport time, symptom severity, amount of school missed, and sleep disturbances. Three hundred twelve patients (37% female; median age = 15.0 years; evaluated median = 9 days postinjury) reported experie...

Objective: The primary aim of this study was to characterize parent-reported stress for parents of children being followed in a multidisciplinary spinal defects clinic. Method: Participants were drawn from clinical cases seen through a multidisciplinary outpatient spinal defects clinic between 2014 and 2017. Participants included 223 youth under 21...

Background Spina Bifida (SB) is one of the most common birth defects and causes of permanent disability in the United States (US), with approximately 3.5 cases per 10,000 live births. Objective: To identify complications associated with SB related to skin breakdown, pain, and urinary tract infections (UTIs), and to examine socio-demographic differe...

OBJECTIVE The goal of this study was to determine which variables assessed during an initial clinical evaluation for concussion are independently associated with time until symptom resolution among pediatric patients. METHODS Data collected from a prospective clinical registry of pediatric patients with concussion were analyzed. The primary outcom...

Background Early prognosis of expected recovery duration after a sport-related concussion is a challenging task for sports medicine clinicians, as various pre-morbid, injury characteristic, and functional factors have been identified to help predict recovery. The purpose of this investigation was to determine which variables obtained as a part of a...

Background Historically, exercise has been discouraged while patients are experiencing concussion symptoms. However, recent evidence suggests that exercise soon after concussion is not detrimental and may be beneficial to recovery. Few studies have assessed the impact of early exercise in pediatric sport-related concussion. Therefore, the purpose o...

Objective: To provide descriptive data on ambulatory ability and muscle strength in a large cohort of individuals with spina bifida enrolled in a National Spina Bifida Patient Registry and to investigate factors associated with ambulatory status. Design: Cross-sectional analysis of data from a multisite patient registry. Results: Descriptive a...

Indigenous media may be defined as forms of media expression conceptualized, produced, and circulated by indigenous peoples around the globe as vehicles for communication, including cultural preservation, cultural and artistic expression, political self-determination, and cultural sovereignty. Indigenous media overlap with, and are on a spectrum wi...

Pediatric concussion is a growing concern as children across the country become more involved in sports and are leading more active lifestyles. Mild traumatic injuries to the brain are common and can have varied clinical presentation ranging from minimal to severe symptomatology. The morbidity associated with these injuries usually resolves in a ma...

Objective: To evaluate the safety and efficacy data on salivary gland injection botulinum toxin type A for the treatment of sialorrhea. Design and setting: Retrospective cohort study in a tertiary academic children's hospital. Patients: A 10-year review (January 1, 2001, through December 31, 2010) of 69 children with sialorrhea who had undergo...

Spina bifida is a common cause of pediatric disability and more prevalent in the Hispanic population. Significant health disparities exist in minority populations. Culturally adapted health interventions have been attempted in conditions such as pediatric asthma with improvement. This study aims to explore the influence of ethnicity and culture wit...

Neuropsychological test interpretation rests upon the assumption that the examinee has exerted full effort. If an individual provides inadequate effort during exam, the resulting data will be invalid and represent an underestimate of the person's true abilities. Although youth have been assumed historically to be less capable of deception than adul...

Participation in recreational and competitive sports at an early age has long been touted as a positive influence on growth and development, and for fostering lifelong healthy lifestyles. The benefits of an active lifestyle include not only fitness, but the promotion of a sense of inclusion and improved self-esteem. These benefits are well document...

Spinal cord tumors are a relatively rare diagnosis, accounting for 1% to 10% of all pediatric central nervous system tumors. Understanding the etiology and clinical outcomes of these tumors is therefore very important. This study presents detailed information regarding clinical presentation, histological findings, outcomes, functional assessment, a...

Athletic concussion is a growing focus of attention for pediatricians. Although numerous literature reviews and clinical guidelines are now available pertaining to athletic concussion, few have focused on the pediatric athlete in particular. Sport-related concussions occur relatively frequently in children and adolescents, and primary health care p...

This is a retrospective case series describing the use of botulinum toxin type A in the treatment of children with congenital muscular torticollis who fail to progress with conservative management. A total of 27 children with congenital muscular torticollis, 6-18 mos of age, received 30 botulinum toxin type A injections into their sternocleidomasto...

Unlabelled: This focused review highlights important issues in the care of persons who are aging with a disability. It is part of the study guide on geriatric rehabilitation in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This article specifically focuses on significant medi...

Although several reports characterize pain associated with adult-onset spinal cord injury (SCI), little is known about the incidence and etiology of pain associated with pediatric-onset SCI. The purpose of this study was to assess the incidence and type of chronic pain in the pediatric SCI population and to evaluate the resulting impact on activiti...

Klingbeil H, Baer HR, Wilson PE. Aging with a disability. Arch Phys Med Rehabil 2004;85(Suppl 3):S68–73.This focused review highlights important issues in the care of persons who are aging with a disability. It is part of the study guide on geriatric rehabilitation in the Self-Directed Physiatric Education Program for practitioners and trainees in...

Setting: Tertiary care pediatric hospital. Patients: A 16-year-old boy (patient 1) with an anoxic brain injury and a 12-year-old girl (patient 2) with a traumatic brain injury (TBI). Case Descriptions: Patient 1 suffered an anoxic brain injury secondary to cardiac arrest, and was later found to have prolonged QT syndrome. He was transferred to the...

Setting: Tertiary care pediatric hospital. Patients: Three boys, ages 8, 12, and 14 years, diagnosed with hypoxic-ischemic encephalopathy after out-of-hospital cardiorespiratory arrest. Case Descriptions: Within a 1-month period, all subjects were admitted to the rehabilitation unit. Etiologies included submersion in grain truck resulting in cardio...

Objective: To evaluate the role that admission coma level plays in predicting recovery from coma secondary to anoxic brain injury. Design: Retrospective cohort review of pediatric anoxic brain injuries. Setting: Inpatient neurotrauma rehabilitation care unit. Participants: 13 patients identified on admission with a diagnosis of anoxic brain injury...

This article focuses on the exercise needs of children who have disabilities, how these needs differ from able-bodied children, and what medical concerns are relevant for a given disability. The information presented also discusses some preventative options related to individual sports and a discussion of various organized recreational and competit...

Two hundred and forty-seven competitors at the 1990 Junior National Wheelchair Games (USA) were surveyed for general information, training techniques, and injury patterns. Eighty-three athletes (34%) responded to the retrospective survey. Injuries were reported by 97% of those participating in track, 22% of the field participants, and 91% of the sw...

Setting: Tertiary care pediatric hospital. Patients: A 16-year-old boy (patient 1) with an anoxic brain injury and a 12-year-old girl (patient 2) with a traumatic brain injury (TBI). Case Descriptions: Patient 1 suffered an anoxic brain injury secondary to cardiac arrest, and was later found to have prolonged QT syndrome. He was transferred to the...