Category Archives: Issues

August 2017

Dyslexia affects ability to adjust to impaired sensory feedback

Kids struggle to maintain balance – Children with dyslexia are unable to compensate with other available inputs when sensory feedback to the soles of their feet, their vision, or both is less informative, resulting in poor postural stability, according to research from Paris, France, which may have implications in training to help these children improve their use of sensory inputs.

By Katie Bell

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August 2017

Parents say comfort, easy use are clubfoot compliance keys

All devices present challenges – A recently developed pediatric orthosis for Ponseti night bracing received positive ratings from parents in a small Swedish study of children with idiopathic clubfoot who had compliance problems or relapse with one of two earlier bracing devices, a foot abduction brace (FAB) or a dynamic knee ankle foot orthosis (KAFO).

By Hank Black

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August 2017

Weak hip extensors contribute to ankle sprains in soccer players      

Findings support use of strengthening – Hip strengthening may be as important for preventing lateral ankle sprains in youth soccer players as it is in adults, according to a recent Belgian study.

By Jill R. Dorson

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August 2017

ITW update: Etiological clues, collaborative care

Researchers still haven’t unraveled the ‘I’ in ITW, or idiopathic toe walking, but studies continue to point to neurodevelopmental  and genetic links. Here, we review recent literature and experts explain how they assess patients’ history and biomechanics for information to guide treatment.

By Larry Hand

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August 2017

Growth plates and injury in skeletally immature athletes

In this follow-up to “Growth-plate injuries: A diagnostic challenge,” (May, page 15) we continue our look at physeal trauma, exploring growth-plate issues in anterior cruciate ligament reconstruction, and further examining these injuries’ impact on the knees, ankles, and feet of youth athletes.

By Shalmali Pal

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May 2017

Genetic mutations in CMT help predict phenotypic differences      

Ankle strength commonly affected – Researchers are inching closer to being able to predict specific symptoms of Charcot-Marie-Tooth disease (CMT) based on a child’s genotype, but the variability found in a recent Australian study suggests that, for now, patients should still be assessed and managed individually.

By Greg Gargiulo

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May 2017

Gait metrics highlight gender differences after concussion

Girls show more postinjury changes – A recent study’s findings related to dual-task gait analysis in adolescents add to the body of evidence suggesting that concussion effects differ between male and female patients.

By Hank Black

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May 2017

Age-based patterns of patellar maltracking require tailored care      

PFP etiology differs in adults, kids – Patellar maltracking persists in adolescent girls with patellofemoral pain (PFP) even as symptoms improve, according to a study from Maryland, which suggests the etiology of PFP differs between adolescents and adults and should be managed accordingly.

By Katie Bell

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May 2017

Fine-tuning orthotic device prescription, fitting in CP

The heterogeneity of cerebral palsy means individual responses to orthotic devices vary widely. Moving beyond standardized  care to match orthotic prescriptions to each child’s unique gait issues, as well as to their individual footwear needs, however, will likely improve outcomes for all.

By P.K. Daniel

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May 2017

Growth-plate injuries: a diagnostic challenge

Physeal trauma can be hard to spot, and mismanagement can disturb normal development and lead to lower extremity issues,  such as limb-length discrepancy and  abnormal biomechanics. A thorough clinical exam, including details of the moment of injury, is often key to accurate diagnosis.

By Shalmali Pal

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