Category Archives: Pediatric Feature

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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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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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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August 2016

Improving gait without making kids feel ‘broken’

A normal gait is often the goal for children with neuromuscular disorders and mobility impairments, but research suggests this may come at the price of children’s positive self-identity. These issues are leading some practitioners toward more holistic, family-centered approaches to walking.

By Brigid Galloway

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August 2016

Patellofemoral pain in children and teens

Pediatric patellofemoral pain hasn’t historically received much research attention. Recently some experts have said it can have a long-term negative impact. New research suggests some basic solutions to the common yet often overlooked problem that can cause kids to drop out of sports.

By Lori Roniger

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May 2016

When the shoe doesn’t fit: footwear in Down syndrome

These children often have wider, more flexible, and more pronated feet than typically developing kids that don’t fit well into conven­tionally sized and shaped footwear. Ill-fitting shoes are linked to foot-specific disability and many other issues. Here, clinicians share strategies for finding the right fit.

By Lori Roniger

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May 2016

Look out below: injury risk on the trampoline

Trampoline use, both in backyards and in large recreational parks, is up. So are injuries incurred on the equipment, including fractures with potentially serious long-term sequelae. Some groups advise  a ban on home use, but other experts disagree, citing the equipment’s benefits for motor learning and active play.

By P.K. Daniel

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