Category Archives: Issues

August 2014

Gait: The Cornerstone of Intervention

Quantifying the effects of hypotonia starts in the clinic – Effective management of children with hypotonia requires an understanding of how the condition affects gait. Clinicians typically rely on their professional experience when discussing the effects of hypotonia on gait in pediatric patients, partly because they trust that experience…

By Cary Groner

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August 2014

The Importance of Gross Motor Skills

Early intervention can help provide a solid foundation – Many kids with Down syndrome, autism, and other neurological conditions may experience biomechanical limitations in the form of delayed development of gross motor skills. One of the drivers of that delay can be hypotonia.

By Shalmali Pal

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August 2014

Orthotic Solutions for Children with Hypotonia

New research underscores years of positive clinical results – When it comes to orthotic management of pediatric patients with hypotonia, the medical literature is only beginning to document the effectiveness that clinicians have been reporting anecdotally for years.

By Cary Groner

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August 2014

Orthotic success stories: Four cases in a series

Each child in this case series was assessed every other week for 16 weeks (12 weeks for one patient who moved out of state) to determine mastery of items 23, 26-28, 30-39, 41, 42, and 45 (ranging from “pull to stand” to “run”) on the Peabody Developmental Motor Scale. Test instructions were modified as needed for children to understand them …

By Megan Smith, CO

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August 2014

Prevention of ACL injuries targets youngest athletes

Some evidence suggests that neuromuscular training before puberty can help further reduce anterior cruciate ligament (ACL) injury rates. But young children respond differently to instruction than their older counterparts, which means early intervention requires some creativity.

By P.K. Daniel

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August 2014

Outcome studies continue to support Ponseti method

Clubfoot researchers have begun to report long-term data that continue to solidify the superiority of the conservative method over surgical intervention in most cases. But variations to the traditional Ponseti method are arising, particularly in developing countries, and may alter outcomes.

By Larry Hand

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May 2014

Plaster outranks other pediatric casting materials for moldability

Sometimes, even when new treatment materials are available, it may be better to rely on traditional options. Such may be the case when it comes to choosing a molding material to form casts for children with clubfoot or fractures.

By Larry Hand

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May 2014

Risks of overuse, burnout extend to youth athletes

Despite the slim odds of securing an athletic scholarship and the even slimmer prospect of playing professional sports, there’s an overemphasis today on success in competitive youth sports, including specialization and…

By P.K. Daniel

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May 2014

Early outcomes support internal technique for limb lengthening

Preliminary evidence supports the use of a new internal technique for limb lengthening, according to data from the International Center for Limb Lengthening (ICLL) at the Rubin Institute for Advanced Orthopedics of Sinai Hospital in Baltimore.

By Samantha Rosenblum

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May 2014

Kids, clothes, and AFOs: Finding just the right fit

When a child is required to wear ankle foot orthoses (AFOs), his or her clothes have to be more than just cute. Trying to match the logistical requirements of AFOs with fashion concerns and psychosocial development can be a challenge for patients and parents alike.

By Shalmali Pal

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