KID STUFF 2012: Pediatric clinical news update

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In our second annual pediatric special section, LER updates you on the latest research and clinical news to help optimize management of your littlest lower extremity patients. Topics include cerebral palsy, clubfoot, juvenile idiopathic arthritis, ACL injury, footwear, obesity, and the pros and cons of foot screening.

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Energy efficiency with AFO use varies in cerebral palsy patients
Energy efficiency with AFO use varies in cerebral palsy patients
Longer strides lead to increased work Ankle foot orthoses (AFOs) are regularly prescribed to children with walking disabilities resulting from cerebral palsy, yet the effects of AFOs on energy recovery and work during gait are still unclear. By Samantha Rosenblum
Biomodel could help researchers optimize clubfoot brace design
Biomodel could help researchers optimize clubfoot brace design
Method includes complex rotations A surrogate biomodel of a child’s lower extremities, in particular the ability to model movement along multiple axes of rotation, could help improve researchers’ biomechanical understanding of bracing for clubfoot. By Emily Delzell
Juvenile idiopathic arthritis study reveals footcare information gap
Juvenile idiopathic arthritis study reveals footcare information gap
Issues involve custom foot orthoses A Scottish study suggests foot care in children with juvenile idiopathic arthritis (JIA) falls short because of poor access to care and negative perceptions about custom foot orthoses. Experts say those issues may be less prevalent in the US but emphasize the need to educate patients, parents, and referring clinicians about ...
Early ACL surgery could lower risk of associated knee damage
Early ACL surgery could lower risk of associated knee damage
Patterns mirror those seen in adults Timing of reconstruction surgery after pediatric anterior cruciate ligament (ACL) injuries seems to be related to the prevalence of meniscal and chondral injuries discovered during those surgeries, according to new research published in the September issue of The American Journal of Sports Medicine. By Cary Groner
Wearing athletic shoes affects some performance measures
Wearing athletic shoes affects some performance measures
Standing long jump distance improves Research has recently begun to clarify footwear’s effects on gait and functional performance in children, but the broader implications of the findings remain a matter of debate. By Cary Groner
Dynamic data in obese children may suggest gait compensation
Dynamic data in obese children may suggest gait compensation
Low force values surprise researchers An Austrian study exploring the role of genu valgum and flatfoot in obese and normal weight children found obesity was associated with higher peak plantar pres­sures, but lower maximum force while walking, when forces were normalized to body weight. By Christina Hall Nettles
Experts debate relative benefits of screening feet for risk factors
Experts debate relative benefits of screening feet for risk factors
Most question emphasis on flatfoot The value of screening programs for pediatric foot problems—primarily flatfoot—was recently challenged in a commentary by Australian podiatrist Angela Evans, PhD, a researcher and lecturer in the Division of Health Sciences at the University of Adelaide. By Cary Groner