Category Archives: Pediatric Feature

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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February 2016

Mobility-enhancing care in CP helps strengthen bones

Cerebral palsy (CP) can decrease mobility, which is key to quality living. Children with CP and compromised mobility are at risk for low bone mineral density and fragility fractures, but physical therapy programs and orthoses can help kids be more active to build stronger bones.

By Hank Black

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February 2016

Keeping kids in braces can prevent clubfoot relapse

More than a third of Ponseti-corrected clubfeet relapse and require additional treatment. Making a complete initial correction, ensuring optimal brace comfort, and  encouraging parental buy-in to bracing  over the long term reduces brace nonadherence, a major cause of recurrence.

By Barbara Boughton

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November 2015

Barefoot running: Debate moves to developing feet

The most public battles about barefoot running and minimalist footwear have been fought over their use by adult athletes and the clinicians who treat them. There is, however, a separate discussion underway regarding barefoot and minimally shod running in children.

By Cary Groner

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November 2015

Biomechanical care for juvenile idiopathic arthritis

Juvenile idiopathic arthritis (JIA) affects nearly a quarter of a million US kids younger than 16 years. The hallmarks of the autoimmune disorder include joint inflammation, stiffening, and damage, as well as changes in joint growth, all of which can prove painful.

By Shalmali Pal

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