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Kids, clothes, and AFOs: Finding just the right fit
Photo courtesy of Allard USA. 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...
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Early outcomes support internal technique for limb lengthening
X-rays show femur with nail inserted before length- ening (left), after lengthening (center), and after the lengthened bone has healed (right). (Images courtesy of John Herzenberg, MD, FRSCS.)...
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Risks of overuse, burnout extend to youth athletes
Position statement cites warning signs By P.K. Daniel Despite the slim odds of securing an athletic scholarship and the even slimmer prospect of playing professional sports, there’s an overemphasis...
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Plaster outranks other pediatric casting materials for moldability
Second study assesses ‘creep’ risk By Larry Hand 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...
View ArticleDocumenting CAD-CAM’s clinical relevance
By Jordana Bieze Foster Foot orthoses made with advanced design and manufacturing technologies aren’t just technically impressive—they’re also clinically relevant, according to the results of two...
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Pluses and minuses of additive and subtractive approaches
Options in subtractive milling materials still outnumber those for additive machines. (Image courtesy of Delcam Healthcare Solutions.) By Emily Delzell Practitioners and orthotic laboratory owners at...
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Outcome studies continue to support Ponseti method
Photo courtesy of MD Orthopaedics. Clubfoot researchers have begun to report long-term data that continue to solidify the superiority of the conservative method over surgical intervention in most...
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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...
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BMI does not drop after surgical realignment for Blount disease
An adolescent male patient with left-sided Blount dis- ease who continued to gain weight despite realign- ment of his leg. (Photo courtesy of Sanjeev Sabharwal, MD, MPH.) Weight loss requires other...
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Early focus on gross motor skills may benefit children with autism
This child, aged nearly 4 years, was diagnosed with microcephaly, autism spectrum disorder, and hypotonia. She uses sensomotoric orthoses in Piedro boots and receives regular physiotherapy for gait,...
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Robotic ankle training for CP transitions from lab to clinic
Robotic training device setup. (Reprinted with permission from Sukal-Moulton T, Clancy, T, Zhang LQ, Gaebler-Spira D. Clinical application of a robotic ankle training program for cerebral palsy...
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Orthotic success stories: Four cases in a series
By Megan Smith, CO Case Study One: Addison Addie was prescribed SMOs (supramalleolar orthoses) when she was aged 18 months and presented with developmental delay, hypotonia, and pronation. Prior to...
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An unexpected path, an invaluable perspective
For this family, one tiny extra chromosome led to a journey of self discovery By Suzi Klimek When our son was born, we prayed for a healthy baby with 10 fingers and 10 toes. Our prayers were answered....
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Orthotic Solutions for Children with Hypotonia
New research underscores years of positive clinical results By Cary Groner When it comes to orthotic management of pediatric patients with hypotonia, the medical literature is only beginning to...
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The Importance of Gross Motor Skills
Early intervention can help provide a solid foundation By Shalmali Pal Many kids with Down syndrome, autism, and other neurological conditions may experience biomechanical limitations in the form of...
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Gait: The Cornerstone of Intervention
Quantifying the effects of hypotonia starts in the clinic By Cary Groner Effective management of children with hypotonia requires an understanding of how the condition affects gait. Clinicians...
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Understanding Hypotonia
Diagnostic challenges should not delay clinical intervention By Christina Hall Nettles Hypotonia, or abnormally low muscle tone, is by itself not a disorder but a symptom of an enormous array of...
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Defining Culture
“Enriching and transforming lives through compassionate care and innovation” is our company mission statement. As our focus is on the pediatric special needs population, it’s pretty easy to stay...
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Components
SureStep HEKO Hinge Originally designed and developed for use in the SureStep HEKO, this unique hinge is the only 4-axis pediatric hinge available. Perfect for use in KAFOs, knee orthoses and elbow...
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Shoes/Sandals
SureStep Children’s Footwear SureStep shoes have been custom designed specifically for children who wear orthoses. Their wider, deeper heel, toe box and instep allow for adequate room and a...
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