Devices

AFOs for stroke: Early use does not limit long-term benefit

Stroke often impairs walking, particularly by altering foot clearance during the swing phase. Activity of the tibialis anterior (TA) plays an important role in foot clearance; clinicians often prescribe an ankle-foot orthosis (AFO) … READ MORE

After treatment, changes in motor capacity in CP children do not necessarily predict their performance in daily life

After an intensive treatment period, changes in motor capacity in children with cerebral palsy, as observed in a standardized environment, do not correlate well with actual motor performance in daily life, a new study suggests. The … READ MORE

Physiatrists offer non-surgical approach to treating muscle, joint, other conditions that impede function

Dr. Julio A. Martinez-Silvestrini is medical director of Baystate Physical Medicine and Rehabilitation that has a number of locations in the western Massachusetts area. The physiatrist, shown here at Baystate Health and Wellness … READ MORE

Autism linked to between-limb asymmetries across the gait cycle

Recent findings from the University of Nevada, Las Vegas (UNLV), add to a growing body of evidence that autism spectrum disorder (ASD) is associated with significant gait asymmetry, suggesting movement quality should be part of the … READ MORE

Altered composition, structure of muscles linked to stiffness, movement limits in CP children

Muscle composition and structure is altered in children with cerebral palsy — with greater amounts of collagen in the muscles’ network of proteins and sugars — making these patients more prone to stiffness and contractures that … READ MORE

Disability progression in multiple sclerosis linked to income, education

Neighbourhood income and education level is associated with risk of disability progression in patients with multiple sclerosis, suggests new research from the University of British Columbia. North Vancouver resident Marilyn Lenzen, … READ MORE

Many parents not following safe-sleep advice for babies

Most babies are being placed on their backs to sleep—one of the key ways to reduce the risk of sudden infant death syndrome (SIDS), the study found. Infant deaths from accidental suffocation or strangulation during sleep have inched … READ MORE

Limited evidence of botox superiority in alleviating muscle tightness in children with CP

A review found limited evidence that botox outperforms other forms of treatment in improving walking, joint motion, or muscle spasticity in children with cerebral palsy (CP). The study was published in the Cochrane Database of … READ MORE

Early orthotic intervention in pediatric patients, Part 2: Down syndrome, other neurological conditions, and toe walking

The Case For Early Intervention. Down Syndrome is associated with a long list of compensatory gait symptoms due to hypotonia, triplanar foot and ankle misalignments, sagittal and coronal compensation at the knee, proximal weakness, … READ MORE

Early orthotic intervention in pediatric patients, Part 1: Cerebral palsy

Children with cerebral palsy (CP) typically encounter a host of gait- and balance-related issues associated with spasticity, dyskinesia, and weakness. How severe these are depends on CP type and the individual case. As a result, … READ MORE

Engineers 3D print flexible mesh for ankle and knee braces

MIT engineers have designed pliable, 3-D-printed mesh materials whose flexibility and toughness they can tune to emulate and support softer tissues such as muscles and tendons. MIT engineers 3-D-print stretchy mesh, with customized … READ MORE

New insights: Improving function, independence and quality of life of individuals with cerebral palsy

Experts from across the world share new research and highlight developments in caring for individuals with cerebral palsy in the Journal of Pediatric Rehabilitation Medicine. ‘I am happy as I am’: Little Daisy becomes the … READ MORE

Custom built skateboard rig for kids with CP and other disabilities

Steven Pinto and Daniel Paniagua of Studio Neuro work to ensure that children (and adults) who have cerebral palsy and other disabilities get to enjoy the fun things in life. With this sentiment in mind, the studio has built an … READ MORE

Exercising at home improves walking ability in children with CP

A structured home-based exercise program can improve walking ability in children with cerebral palsy (CP), a new study has found. Results of the research were published in Journal of Pediatric Rehabilitation Medicine. How can … READ MORE

I’m learning to accept the benefits of my mobility aids

I recently read an article in the Virginia Journal of Education that made me think about my feelings toward my mobility aids. The author, Kelly Hickok, is a wheelchair user, and she described how mobility aids give her a sense of … READ MORE

Young man with CP to attend prestigious theatre school

Although he has what he describes as “a very mild case of cerebral palsy,” he said, “I don’t look at cerebral palsy as being too much of a limitation, although I certainly did at one time.” Dylan Thomas-Bouchier, centre, … READ MORE

Use of ankle-foot orthotics linked to improved gait, balance in CMT patients

Use of orthoses such as braces or other special devices can help improve the gait and balance of patients with Charcot-Marie-Tooth disease, but patients don’t always follow recommendations for their use, a review study has found. … READ MORE

What is torticollis in babies, and how is it treated? Because it’s literally a pain in the neck

If your baby appears to have a constant head tilt, then your pediatrician may diagnose the condition as torticollis. So what is torticollis in babies, and how is it typically treated? For the most part, this condition can be cured in … READ MORE

Custom orthotics no better than cheaper insoles for people with heel pain, study suggests

New research out of Europe suggests custom foot orthotics might be a waste of money. The research, published Monday in the British Journal of Sports Medicine, has found that custom-made orthoses are no more effective than cheaper, … READ MORE

Is joint replacement surgery necessary?

Non-surgical and minimally invasive surgical options for deteriorating joints may allow some patients to delay or avoid joint replacement surgery. OssKin Evoke By Kim Waterman, Northwestern Medicine, Orthopedics May 15, 2019 Hip and … READ MORE

Children’s toe walking not a sign of bigger problems

More than half of young children who toe walk will stop doing so on their own by about age 5. And most children who are toe walkers will not have any developmental or neuropsychiatric problems, a new study finds. Idiopathic toe … READ MORE

The child who inspired Andiamo – London’s most exciting tech firm

The agony suffered by Diamo Parvez motivated parents Samiya and Naveed to alleviate the suffering of others through the use of an array of cutting-edge technology. Andiamo is using Big Data, AI and 3D printing to transform the lives … READ MORE

Heather Curilla BSc PT, Physiotherapy Consultant – Redcord Calgary

Redcord is a multi-suspension exercise system used to activate and strengthen the muscles of the body. The suspension adds a new element to the treatment of injuries and pain by eliminating compensations and isolating key muscles used … READ MORE

Babies with position-related head deformities need specialist evaluation and conservative treatment

Editor calls for ‘new directions’ in deformational plagiocephaly research. In the two decades since the start of Back to Sleep campaign, doctors and surgeons have seen a surge in the number of infants with … READ MORE

Revolutionary orthotics help London para-throwers with Tokyo training

Two para-throwers with their eyes firmly set on representing GB at the Tokyo Paralympics next year are being helped along the way by Dorset Orthopaedic’s revolutionary silicone ankle foot orthosis, SAFO. Sarah Sarsby AT Today 24 … READ MORE

Baby helmet therapy tips and advice

When I learned of our baby’s craniosynostosis diagnosis, and that I wanted to push and fight for him to have the less invasive surgery, I also knew that baby helmet therapy was part of that package deal. The surgery fixed about 20% … READ MORE

How ‘tummy time’ factors into container baby syndrome – what primary care providers need to know

Some of the most commonly used devices for infants — car seats, swings, bouncy seats, strollers, carriers or any device that inhibits a young child’s chance to roll, move, wiggle and kick — pose a risk for motor skill delay, … READ MORE

A thank you to my old AFOs

In grade school, I used to launch my ankle-foot orthoses (AFOs) from my foot and into the air by twisting my toes as I kicked as high and as hard as I could. I would watch my AFOs spin in the sky before they fell to the ground. The … READ MORE

No obstacle too big for this middle-school student with cerebral palsy

Katie Brennan was born about a month early, but other than that, her mother Annette thought everything was fine. Amanda Kell, left, and Katie Brennan, center, compete for “Fierce Five” in the Gaylord Gauntlet, a 5K obstacle race … READ MORE

Nonsynostotic deformational plagiocephaly: Understand, screen, and intervene

DP has a short window of opportunity for intervention while the skull bones are malleable; after age 24 months, the cranial sutures are generally fused. 0rthomerica Laura C. Steinmann RN, Samantha Elaine Struthers PhD OTR/L, Medscape … READ MORE

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