Category Archives: Special Section

February 2015

Soft tissues may help determine response to Ponseti treatment

Children with idiopathic clubfoot who have relapses after treatment with the Ponseti method demonstrate different soft tissue abnormalities than children whose clubfoot is permanently corrected, according to research published in the August issue of the Journal of Bone & Joint Surgery.

By Erin Boutwell Continue reading

February 2015

Study questions utility of adult balance test in concussed kids

With head trauma becoming increasingly worrisome in sports these days, a significant concern is whether the same protocols for clearing an athlete to return to sports should be used in both adults and children. Research from Cincinnati Children’s Hospital Medical Center suggests that the…

By Chris Klingenberg Continue reading

February 2015

Shoe flexibility influences gait characteristics in early walkers

A recent study published in the winter issue of Pediatric Physical Therapy found that children just learning to walk may have altered gait characteristics when wearing flexible shoes.

By Erin Boutwell Continue reading

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 Continue reading

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 Continue reading

November 2014

Parents: How to make them your clinical allies

While the patient is always the practitionerʼs first priority, establishing a convivial relationship with a childʼs parents can mean the difference between victory and failure when it comes to diagnosing, treating, and rehabilitating lower extremity problems in pediatric patients.

By Shalmali Pal Continue reading

November 2014

Rates of chronic ankle instability in children are surprisingly high

Experts push for better sprain rehab – Primary ankle sprains often occur before adulthood, and a recent literature review from Australia suggests that some pediatric populations exhibit a high rate of ankle injury recurrence and chronic ankle instability (CAI).

By P.K. Daniel Continue reading

November 2014

Gait compensations vary in kids with limb length discrepancies

Location of shortening is key factor – Contrary to popular perceptions, children with limb length discrepancy (LLD) may each use multiple compensatory strategies when they are walking, depending on where their discrepancy is, and those gait patterns may present a dilemma for practitioners.

By Larry Hand Continue reading

November 2014

Below-knee amputation level has subtle functional effects

Syme, transtibial gaits are similar – The relative functional benefits of transtibial and Syme amputations in adults have been discussed in the medical literature, but few studies have addressed similar issues in pediatric patients.

By Hank Black Continue reading

November 2014

Toe walking researchers revisit idiopathic label

Two recent literature reviews underscore the lack of high-level evidence to support the various treatments available for idiopathic toe walking. But new research is starting to fill that void, and is also engendering new theories about factors that may contribute to the condition.

By Larry Hand Continue reading

August 2014

SureStep SMO

The SureStep SMO remains the most advanced method of controlling excessive pronation and providing stability to the hypotonic population. Suitable for patients up to 80 lbs. Continue reading

August 2014

BigShot/BigShot Lite

A growing child means eventually outgrowing the original SureStep SMO. The BigShot and BigShot Lite are the perfect solutions for older children who still need the stability of SureStep. Continue reading

August 2014

Indy 2 Stage

A uniquely designed orthosis developed to help children reach their potential. This exceptional “orthosis within an orthosis” allows for the SureStep SMO to be utilized independent of the AFO. Children can work through a variety of transitional skills without impeding normal muscle function. Continue reading

August 2014

PullOver & Advanced

The SureStep PullOver is an amazing tool that not only facilitates improved stability of the foot and ankle complex using a SureStep SMO, but it is also the only SMO that incorporates a true dorsiflexion assist through the use of a removable proximal strut. Continue reading

August 2014

HEKO & HEKO PreFab

SureStep HEKO is the first and only pediatric hyper extension knee orthosis to incorporate a 4-axis knee hinge, for smooth, anatomically correct flexion and extension. This exceptional device provides localized control of the knee, preventing hyperextension, valgus and varus, while allowing full flexion and extension. With adjustable extension stops, the HEKO offers up to 30 degrees of adjustability. Continue reading

August 2014

Criss Crossers & De-Rotation Straps

The first and only device developed to discourage w-sitting, Criss Crossers use a unique audio cue to remind children to change their position. Continue reading

August 2014

TLSO

The SureStep TLSO has redefined spinal management. The soft, flexible plastic serves well to create improved upright positioning, while still allowing for slight movement in all planes. Continue reading

August 2014

Shoes/Sandals

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 comfortable fit. The unique tread promotes intrinsic movement and flexibility while a special “cut-line” allows for easy shoe modifications. Continue reading

August 2014

Components

SureStep HEKO Hinge, SureStep DA Hinge, SureStep Rivet Press, SureStep Free Motion Hinge & SureStep Dorsiflexion Assist Band Continue reading

August 2014

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 attentive to that mission. Continue reading

August 2014

Robotic ankle training for CP transitions from lab to clinic

A robotic system developed at the Rehabilitation Institute of Chicago (RIC), previously shown to have efficacy in a research lab setting, is also effective when used in a physical therapy clinic for ankle training in children with…

By Hank Black Continue reading

August 2014

Early focus on gross motor skills may benefit children with autism

In children with autism spectrum disorder (ASD), lower fine and gross motor skills are associated with higher disease severity scores, according to new research that supports the concept of earlier motor skills intervention in this population.

By Shalmali Pal Continue reading

August 2014

BMI does not drop after surgical realignment for Blount disease

Surgical correction of the varus alignment that is characteristic of Blount disease does not lead to greater patient activity or reduction in body mass index (BMI), according to a recent study.

By Hank Black Continue reading

August 2014

Understanding Hypotonia

Diagnostic challenges should not delay clinical intervention – Hypotonia, or abnormally low muscle tone, is by itself not a disorder but a symptom of an enormous array of issues—many of which can be difficult to diagnose accurately.

By Christina Hall Nettles Continue reading

August 2014

Gait: The Cornerstone of Intervention

Quantifying the effects of hypotonia starts in the clinic – Effective management of children with hypotonia requires an understanding of how the condition affects gait. Clinicians typically rely on their professional experience when discussing the effects of hypotonia on gait in pediatric patients, partly because they trust that experience…

By Cary Groner Continue reading