Category Archives: Archives

February 2017

Flatfoot questions: Risk factors and assessment

The proposed association between obesity and pediatric flexible flatfoot (PFF) may depend more on the reliance on subjective, 2D footprint-based assessments than true correlation. And recent research has identified another potential risk factor, whole body and joint hypermobility.

By Hank Black

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February 2017

Early athletic specialization: Misconceptions and hazards

Most elite athletes didn’t concentrate on one sport as adolescents, and there’s a strong link between early sport specialization and physical injury and emotional burnout. Yet, many parents think this risky path is the only route to high achievement and college scholarships.

By P.K. Daniel

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February 2017

Shoes add to energy cost of gait compared with barefoot walking

Footwear should allow dynamic activity – A recent study of the metabolic costs of barefoot versus shod walking found walking in shoes required a higher energy expenditure and had a poorer economy than barefoot walking. These outcomes suggest going barefoot may be preferable for children whenever it is deemed…

By Greg Gargiulo

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February 2017

Sensor data quantify clubfoot patients’ reported, real brace use     

Parents overestimate wear times – Researchers who used temperature-sensitive devices to measure brace-use adherence in children with clubfoot found parents overestimate brace wear time when reporting to clinicians and that children are not in their braces as long as their doctors recommend.

By Peaches Yeilding

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February 2017

Martial arts students at risk for lower extremity injury, sequelae     

Traumas increase with age, skill level – Martial arts participation has numerous benefits for children and adolescents, but it also has its risks—including lower extremity injury, according to a recent clinical report and literature review published by…

By Chris Klingenberg

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November 2016

Early motor skills training in ASD improves locomotion, socialization

Intense therapy creates quick gains – Intense motor skills interventions in young children with autism spectrum disorder (ASD) can significantly improve locomotor and other lower extremity skills in addition to socialization behaviors, according to a recent pilot study.

By Peaches Scribner 

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November 2016

AFO effects on gastrocnemius underscore heterogeneity of CP

Variations call for adjustable devices – Outfitting pediatric cerebral palsy (CP) patients with two types of ankle foot orthoses (AFOs) elicited various effects, as the medial gastrocnemius operating length in some—but not all—participants was consequently stretched while walking, according to a recent study.

By Greg Gargiulo

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November 2016

Home-based ACL injury prevention program fails the compliance test

Oversight, feedback may up buy-in –  The idea of injury prevention training in the comfort of one’s own home is appealing on many levels, and researchers at the University of Wisconsin-Madison are taking steps toward making that type of training feasible and effective for young athletes.

By Chris Klingenberg

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November 2016

Therapeutic play plus O&P care is a win-win for kids

O&P practitioners are working with recreational therapists to open doors to leisure activities for kids with lower extremity issues and other disabilities. By expanding their playtime experiences and skills, kids can boost their physical activity, mobility, self-confidence, and social connections.

By Brigid Elsken Galloway

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November 2016

Path of least resistance: Sequencing orthotic care

The higher profile the device, the more it perturbs movement, and sometimes kids reject such orthoses because of discomfort or unwieldiness. Starting with the least restrictive device and responding to subtle changes in children’s orthotic needs may improve outcomes and compliance.

By Hank Black

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