It all started with a clubfoot: Beliefs surrounding cerebral palsy throughout history.
Authors: Stang KM, King NE, Gaebler-Spira D Abstract Cerebral palsy (CP) has afflicted children and puzzled medical practitioners since antiquity. The study of the disorder required the interplay of orthopedics, obstetrics, and neurology as it became apparent that its etiology is related to perinatal events resulting in nervous system damage. William Little was first to seriously study CP and asserted that CP is related to hypoxic brain injury during delivery. William Osler coined the term "cerebral palsy" and further examined the link between neurological damage at birth and clinical manifestations. The ...
Source: Journal of Pediatric Rehabilitation Medicine - July 10, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Cerebral Palsy.
Authors: Green MM, Gaebler-Spira D PMID: 31282438 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - July 10, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Perioperative management of patients with cerebral palsy undergoing scoliosis surgery: Survey of surgeon practices.
CONCLUSION: There is significant variability in the current practices of perioperative management of patients with CP undergoing scoliosis surgery. This data can be used in future studies to create a standardized integrated care pathway. PMID: 31227661 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - June 23, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Efficacy of prefabricated carbon-composite ankle foot orthoses for children with unilateral spastic cerebral palsy exhibiting a drop foot pattern.
This study aims to evaluate the effectiveness of a prefabricated carbon-composite ankle foot orthoses (c-AFOs) on gait parameters in children with unilateral spastic cerebral palsy (USCP) exhibiting a drop foot pattern. METHODS: Sixteen ambulatory children with USCP and a drop foot pattern were included (mean age: 9 years; gross motor function classification system: I = 14, II = 2) and three-dimensional gait analysis was applied under randomly assigned conditions (barefoot; shoe; c-AFO). Kinematics, kinetics, time-distance parameters and gait indices were investigated. RESULTS: Effects on the drop foot pattern were...
Source: Journal of Pediatric Rehabilitation Medicine - June 23, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Nutritional care: The 'poor child' of clinical care in children with cerebral palsy.
Authors: Snik DAC, Jongerius PH, Roos NM, Verschuren O Abstract There is a considerable risk of malnutrition for children with CP due to insufficient nutritional intake. The most important causes of insufficient intake are feeding problems which are highly prevalent in children with CP (depending on definition, age and heterogeneity of the researched population). Considering these facts, nutritional status should have the full attention of healthcare professionals but this is not yet the case. Evidence from research in clinical practice suggests that: 1) there is no consensus regarding who should perform the measur...
Source: Journal of Pediatric Rehabilitation Medicine - June 23, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Structured home-based exercise program for improving walking ability in ambulant children with cerebral palsy.
This study used a prospective multiple assessment baseline design to assess the effect of SHEP upon multiple outcomes obtained in three different phases. Exercise intensity was quantified by OMNI-RPE assessed by caregivers and children. Outcome assessments of walking speed, GMFM-66 and physiological cost index (PCI) were measured four times at pre-intervention (Phase 1) and at 3-weekly intervals over eight weeks during intervention (Phase 2). Follow-up assessments were performed at one month and three months after intervention (Phase 3). Statistical analyses were repeated measures ANOVA and Wilcoxon signed-rank test. R...
Source: Journal of Pediatric Rehabilitation Medicine - June 23, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Passive range of motion changes in young children with spastic diplegia. A study during the initial stages of independent walking.
Authors: Dimakopoulos R, Syrogiannopoulos G, Youroukos S, Dailiana Z, Spinou A Abstract PURPOSE: To investigate how the onset of independent walking in children with Cerebral Palsy (CP) influences the Passive Range of Motion (PROM) of lower limb joints. METHOD: Sixteen children with CP, GMFCS levels I and II, and 16 Typical Development (TD) children who had just begun independent walking participated in the study. The PROM of the hip abduction and external rotation, knee extension, popliteal angle, and ankle dorsiflexion was recorded with a goniometer at the onset of independent walking and 8 months later....
Source: Journal of Pediatric Rehabilitation Medicine - June 23, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Improving postural symmetry: The effectiveness of the CATCH (combined approach to treatment for children with hemiplegia) protocol.
Authors: Holland H, Blazek K, Haynes MP, Dallman A Abstract PURPOSE: To evaluate postural symmetry in sitting and standing for children with hemiplegic cerebral palsy (hCP) following the Combined Approach to Treatment for Children with Hemiplegia (CATCH) protocol, an intervention combining Constraint Induced Movement Therapy, Bimanual Intensive Therapy and Neuro-Developmental Treatment. METHODS: The study included 10 children with a diagnosis of hCP and 10 typically developing age-matched peers. Subjects participated in a CATCH camp for six hours daily for eight consecutive days. Postural symmetry measurements ...
Source: Journal of Pediatric Rehabilitation Medicine - June 23, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Safety of combined salivary gland and multilevel intramuscular onabotulinumtoxinA injections with and without ethanol in pediatric patients with cerebral palsy: A retrospective study.
CONCLUSIONS: Combining BTX-A injections for sialorrhea with multilevel intramuscular BTX-A injections (with or without alcohol) appears to be safe and effective and allows treatment of patients for both conditions simultaneously. PMID: 31227667 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - June 23, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

The eating and drinking ability classification system for cerebral palsy: A study of reliability and stability over time.
This study evaluated the inter-observer reliability and stability over time of the Eating and Drinking Ability Classification System (EDACS) for children and young people with cerebral palsy (CP). METHOD: Case records for 97 children with CP were examined to collect retrospective data about eating and drinking abilities at four time-points with a minimum of 2 years between each time-point. Sex, Gross Motor Function Classification System (GMFCS) level, presence of feeding tube and orthopaedic issues were recorded from case records. One speech and language therapist (SaLT1) classified eating and drinking ability usi...
Source: Journal of Pediatric Rehabilitation Medicine - June 23, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Self-reported physical function is associated with walking speed in adults with cerebral palsy.
Authors: Baer HR, Thomas SP, Pan Z, Tagawa A, Carollo J, Heyn PC Abstract PURPOSE: To understand the relationship of walking speed to self-reported pain, fatigue, and physical function in adults with CP. METHODS: Design: Cross-sectional study. SETTING: Accredited clinical motion analysis laboratory in a regional children's hospital. PARTICIPANTS: 72 ambulatory patients ⩾ 18 years of age, diagnosed with CP, who previously had ⩾ 1 prior instrumented gait analysis at our facility. MAIN OUTCOME MEASURES: PROMIS-57 pain interference/intensity, physical function, and fatigue measures and walking ...
Source: Journal of Pediatric Rehabilitation Medicine - June 23, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Prevalence and goal attainment with spinal orthoses for children with cerebral palsy.
CONCLUSION: Although the goal of using spinal orthosis to prevent curvature progression remains important, we found that its functional benefits (stability, head control, arm/hand function) were of greater importance. PMID: 31227670 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - June 23, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Prevalence and etiology of elbow flexion contractures in brachial plexus birth injury: A scoping review.
CONCLUSION: The etiology of elbow flexion contractures is multifaceted. The contribution of growth impairment in the affected muscles offers greater understanding as to why maintaining passive range of motion in these contractures can be difficult. PMID: 31006697 [PubMed - in process] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - April 23, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Status dystonicus: Diagnosis and management of a rare and challenging entity.
We report the case of a six-year-old girl with Moyamoya disease who presented with bilateral internal carotid artery malignant infarct following encephaloduroarteriosynangiosis (EDAS). During her neurorehabilitation, she developed gradually worsening dystonic spasms with opisthotonic posturing, tachycardia, tachypnea and desaturation. This rare life threatening movement disorder was diagnosed as status dystonicus based on the history and clinical presentation. Status Dystonicus occurs commonly in children and the etiology is often diverse. It occurs in patients with preexisting dystonia or following an acute central nervou...
Source: Journal of Pediatric Rehabilitation Medicine - March 20, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Risk factors for falls among boys under 18 years with muscular dystrophy.
CONCLUSION: Wheelchair use and heart conditions associated with reduced risk of falls likely reflects decreased mobility. Clinicians should help families identify factors associated with falls among those who remain ambulatory. PMID: 30883368 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - March 20, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

The use of video games combined with conventional physical therapy in children with upper limb fractures: An exploratory study.
Authors: Arrebola LS, Yi LC, de Oliveira VGC Abstract PURPOSE: To determine the effect of rehabilitation using video games combined with conventional therapy in children with loss of range of motion (ROM) after conservative or surgical treatment of upper limb fractures. METHODS: This retrospective observational study included 12 children (9 boys, 3 girls; mean age: 6.75 ± 2.83 y) treated with combined video game and conventional physical therapy following upper limb fracture. Children completed 60 minutes of combined therapy (20 minutes of game therapy and 40 minutes of physical therapy) two times per we...
Source: Journal of Pediatric Rehabilitation Medicine - March 20, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Effectiveness of individualized, goal directed institutional based rehabilitation programme in children with developmental delay disorders, in a region with limited rehabilitation accessibility.
Authors: Mishra K, Siddharth V, Elhence A, Jalan D, Khera D, Yasir M Abstract PURPOSE: To evaluate effectiveness of individualized, goal directed rehabilitation protocol in improving functional outcomes in children with developmental delay disorders in a region with limited rehabilitation accessibility and to explore if goal setting influences changes observed in functional levels. METHODS: Children (6 months to 17 years) with developmental delay, who visited as out-patients to the Department of Physical Medicine and Rehabilitation and whose care givers were willing to participate in the study, were enrolled fo...
Source: Journal of Pediatric Rehabilitation Medicine - March 20, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Seeking equilibrium: The experiences of parents of infants and toddlers who are deaf/hard-of-hearing.
Authors: Vukkadala N, Giridhar SBP, Okumura MJ, Chan D Abstract PURPOSE: To identify key determinants of the quality of life of caregivers of infants and toddlers (
Source: Journal of Pediatric Rehabilitation Medicine - March 20, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Prevalence and etiology of elbow flexion contractures in brachial plexus birth injury: A scoping review.
CONCLUSION: The etiology of elbow flexion contractures is multifaceted. The contribution of growth impairment in the affected muscles offers greater understanding as to why maintaining passive range of motion in these contractures can be difficult. PMID: 30883372 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - March 20, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Translation and cross-cultural adaptation of the PEDI-CAT: Dutch version.
CONCLUSION: The role of end-users in the process of translation and cross-cultural adaptation was crucial. This collaborative process resulted in a Dutch version of the PEDI-CAT that has been optimally adapted to the Dutch language and culture. PMID: 30883373 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - March 20, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Bridging gaps in care for children with acquired brain injury: Perceptions of medical and educational service providers.
CONCLUSIONS: These discrepancies have important implications for improved collaboration needed for assuring an appropriate continuum of service for this population. Recommendations include: 1) providing education and training regarding brain injury in the most cost-effective ways utilizing technology that crosses the barriers identified and reaches people in multiple settings; 2) direct and active communication between medical and educational professionals; and 3) developing an interdisciplinary Community of Practice to help bridge medical rehabilitation and school systems. PMID: 30883374 [PubMed - as supplied by publi...
Source: Journal of Pediatric Rehabilitation Medicine - March 20, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Effectiveness of non-surgical and surgical interventions for elbow flexion contractures in brachial plexus birth injury: A systematic review.
CONCLUSION: The quality of evidence on the effectiveness of interventions for an elbow flexion contracture secondary to BPBI is weak. In the context of insufficient evidence on the risks of pursuing such interventions, it is prudent to attempt non-surgical interventions prior to surgery. LEVEL OF EVIDENCE: III - systematic review of level IV studies. PMID: 30883375 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - March 20, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Putting the person in person-centered care: Stakeholder experiences in pediatric traumatic brain injury.
CONCLUSIONS: The perspectives provided by key stakeholders in this pilot study identify common themes that should be central to driving innovation in rehabilitation research and clinical care. PMID: 30883376 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - March 20, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Announcement: Social Media Editor.
Authors: PMID: 30883379 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - March 20, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Editorial.
Authors: PMID: 30883380 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - March 20, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Impact of neurological level and spinal curvature on pulmonary function in adults with spina bifida.
CONCLUSIONS: High prevalence of restrictive pulmonary physiology is present in people with SB, with more rostral neurological levels and greater degree of scoliosis associated with a higher degree of pulmonary function impairment. PMID: 30741703 [PubMed - in process] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - February 12, 2019 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Bowel management in children with spina bifida.
We present a review of a stepwise approach to bowel management in children with spina bifida and the challenges related to the proposed treatment options. PMID: 30562909 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - December 20, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Award Announcements.
Authors: PMID: 30530978 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - December 13, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Social Determinants of Health and Spina Bifida Care: Immigrant and Minority Health in an Era of Quality of Life and Multicenter Comparative Analysis.
Authors: Castillo J PMID: 30530979 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - December 13, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

List of Reviewers 2017.
Authors: PMID: 30530980 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - December 13, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Calendar of Events.
Authors: PMID: 30530981 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - December 13, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Erratum.
Authors: PMID: 30530982 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - December 13, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

The development of the Adolescent/Young Adult Self-Management and Independence Scale II: Psychometric data.
CONCLUSION: Psychometric analysis supports this expanded measure of self-management for AYA with spina bifida. Evaluation of this instrument in AYA with other chronic health conditions is underway. PMID: 30507585 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - December 7, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Comparing neurodevelopmental outcomes of children at 30 months of age by presence of hydrocephalus and shunt status among children enrolled in the MOMS trial.
CONCLUSION: No neurodevelopmental differences were noted with children enrolled in MOMS across the three hydrocephalus/shunt groups, although severity of hydrocephalus was associated with poorer outcomes. PMID: 30507586 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - December 7, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

The experience of parents with children with myelomeningocele who underwent prenatal surgery.
CONCLUSIONS: A better understanding of the parental experiences and perspectives following prenatal surgery will play an important role in providing overall support for parents and family members. PMID: 30507587 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - December 7, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Pain and health status in adults with myelomeningocele living in Sweden.
CONCLUSIONS: Pain was frequent, and pain sites differed widely. Women were more likely to report that pain interfered with work, and scored lower on health, as did older persons. PMID: 30507588 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - December 7, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Age and factors associated with self-clean intermittent catheterization in patients with spina bifida.
CONCLUSIONS: The ages at self-CIC transition vary, although most patients transition by age 10. Thoracic-level spinal lesions and Medicaid insurance are associated with lower odds of self-CIC. PMID: 30507589 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - December 7, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Skin breakdown of the feet in patients with spina bifida: Analysis of risk factors.
CONCLUSION: A diagnosis of MMC is a significant, independent risk factor for skin breakdown of the foot. Compared to sacral level, thoracic and lumbar levels of function were also independently significant. Ambulatory status was not significant. PMID: 30507590 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - December 7, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Using structured data entry systems in the electronic medical record to collect clinical data for quality and research: Can we efficiently serve multiple needs for complex patients with spina bifida?
CONCLUSION: Designing and implementing a SDES based on a flowsheet that can allow data to be placed seamlessly in the clinical record and to be integrated into a searchable database for quality improvement and research purposes allows one to harness the true potential of the EHR. PMID: 30507591 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - December 7, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Bowel management in children with spina bifida.
We present a review of a stepwise approach to bowel management in children with spina bifida and the challenges related to the proposed treatment options. PMID: 30507592 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - December 7, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

The development of a lifetime care model in comprehensive spina bifida care.
CONCLUSIONS: Our institutional experience suggests that patients with SB benefit from continuity of care throughout their lifetime. This article describes early failures which led to an evolution in approach and implementation of a Lifetime-Care-Model which results in a smooth transition between all phases of life. We hope that other institutions may adapt and build upon it to create programs unique to their specific patient needs. PMID: 30507593 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - December 7, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Update on bone fragility in spina bifida.
CONCLUSION: Bone fragility in MMC potentially has a multifactorial neuro-endocrinological-metabolic-renal dimension, with smaller bones, lower bone mass, and mineralization deficits affecting bone strength. PMID: 30507594 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - December 7, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Pediatric Rehabilitation Medicine certification.
Authors: PMID: 30358566 [PubMed - in process] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - October 27, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Assessment Battery for Children with Developmental Coordination Disorder (ABCD): Preliminary report of tool development and clinical application.
CONCLUSION: This study met the objectives that it attempted to. The final tool consists of two versions- the Assessment Battery for Children with coordination Disorder-Short Version (ABCD-SV) consisting of 12 items, and the ABCD-FV consisting of 20 items. ABCD fulfills criterion A and B of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) criteria for Developmental Coordination Disorder (DCD). PMID: 30223402 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - September 20, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Factors affecting procedural pain in children during and immediately after intramuscular botulinum toxin injections for spasticity.
Authors: Fisher MT, Zigler CK, Houtrow AJ Abstract PURPOSE: To evaluate variables that modulate pain during intramuscular botulinum toxin A injections in children. METHODS: As part of a Quality Improvement project, this retrospective analysis compared reported pain during and five minutes post injections with patient and procedural variables using subgroup and regression analyses (N= 593 procedures with 249 unique patients). RESULTS: Mean procedural pain for all procedures (n= 563) was 3.8 ± 3.0. Most children reported no pain (83.8%) or mild pain (12.1%) five minutes after the procedure. Provider, p...
Source: Journal of Pediatric Rehabilitation Medicine - September 20, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Development and validation of a modified performance-oriented mobility assessment tool for assessing mobility in children with hypophosphatasia.
Authors: Phillips D, Griffin D, Przybylski T, Morrison E, Reeves AL, Vallee M, Fujita KP, Madson KL Abstract PURPOSE: To modify the Performance-Oriented Mobility Assessment-Gait (POMA-G) subtest and validate this modified POMA-G (mPOMA-G) in children with hypophosphatasia (HPP), a rare metabolic disorder that can manifest with musculoskeletal symptoms that impair mobility and ambulation. METHODS: Based on feedback from an expert panel, the POMA-G was modified by removing gait initiation/path assessments and expanding the rating scale for step length/continuity to capture aspects of observational gait analysis r...
Source: Journal of Pediatric Rehabilitation Medicine - September 20, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

The effectiveness of biofeedback therapy in managing Bladder Bowel Dysfunction in children: A systematic review.
CONCLUSION: Biofeedback is a beneficial treatment for children with dysfunctional voiding and functional fecal incontinence. More conclusive research needs to be completed to explore the effects of biofeedback therapy treatment to make more concrete conclusions. Healthcare professionals should consider biofeedback as an alternative approach in conjunction with traditional treatments. A multidisciplinary approach is best when treating dysfunctional voiding and functional fecal incontinence in the pediatric population. PMID: 30223405 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - September 20, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Decreasing pediatric pain and agitation during botulinum toxin injections for spasticity with virtual reality: Lessons learned from clinical use.
CONCLUSION: VR was helpful in reducing BoNT procedure-related discomfort in a majority of patients. Challenges with VR setup, patient tolerance, and selecting viewing experiences were identified to guide further research and use of VR in a clinical environment. PMID: 30223406 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - September 20, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

A retrospective analysis of paroxysmal sympathetic hyperactivity following severe pediatric brain injury.
The objective of the present study was to explore the characteristics and prognosis of children who have experienced severe brain injury and developed PSH. METHODOLOGY: A secondary analysis was conducted using an established clinical dataset of children who had experienced severe brain injury and were admitted to an academic children's rehabilitation center (n= 83). RESULTS: Those children with PSH had a significantly longer acute care length of stay (p= 0.024) and total length of stay (p= 0.034) compared with those without PSH. There was no significant difference in cognitive and motor function or transition to re...
Source: Journal of Pediatric Rehabilitation Medicine - September 11, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research

Editorials.
Authors: PMID: 30198879 [PubMed - as supplied by publisher] (Source: Journal of Pediatric Rehabilitation Medicine)
Source: Journal of Pediatric Rehabilitation Medicine - September 11, 2018 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research