Category Archives: Pediatric Feature

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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August 2015

Growing pains: Adapting O&P devices to maturing patients

Accommodating growth without compromising fit and function is a challenge for practitioners who prescribe orthotic devices for young patients. Adjustments and add-ons—as well as educating parents about expected changes—can make for smoother transitions.

By Shalmali Pal

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August 2015

Childhood obesity and OA: Can early care reduce risk?

Osteoarthritis (OA) risk factors and symptoms seen in adults have been found in obese kids, who often have musculoskeletal pain. Weight loss may help, but preventing OA may also require gait and exercise interventions, particularly those that reduce pain that leads to inactivity.

By Erin Boutwell

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May 2015

Hip disorders in children with Down syndrome

As hip arthritis becomes a growing concern in adults with Down syndrome, clinicians are also becoming more attuned to hip issues in children with DS, in hopes that early intervention in the pediatric population will help reduce the risk of disability later on.

By Shalmali Pal

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May 2015

Sever disease: Intervene early to relieve symptoms

Once pain and inflammation have been addressed, clinicians can implement interventions—including orthotic devices, stretch­ing, and strengthening—to address the biomechanical factors that are believed to contribute to heel pain and other symptoms in this population.

By Erin Boutwell

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February 2015

Treating and preventing ankle sprains in children

High rates of chronic ankle instability in children suggest a need for better prevention and treatment of ankle sprains in young patients, but researchers are just starting to explore whether clinical approaches designed for adults will also be effective in their younger counterparts.

By P.K. Daniel

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February 2015

Cerebral palsy and knee pain: management tips

Knee pain is common in children with CP, but given the many health challenges facing this patient population, knee symptoms may not be given high priority. Proper diagnosis and treatment of knee pain, however, can be key to maximizing a childʼs mobility and quality of life.

By Shalmali Pal

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