Pediatric Neuromuscular-Orthopedic Considerations

– movement  analysis and evaluation offering clinical correlation for orthoses management and surgical planning to assist the child with neuromuscular disorders.

– Idiopathic Persistent Toe-Toe Walking

– Musculoskeletal Complaints _ ‘growing pains’, ‘night time muscle cramps’, poor walking endurance

– Lower Limb-Foot Malalignment [Malalignment Syndrome]

Orthoses_ Individualize Child-Specific Design to Enhance Functional Abilities    Topics in Orthotics

• Selection and design processes: pre- and post surgical

• AFO (Ankle-Foot Orthoses) – simple and complex custom fabrication only

• SMO ( Supra-Malleolar Orthoses) – medial/lateral and posterior o.m. designs

• UCBL-styled – multiple variations based on functional benefit

Surgical Considerations

•  SPML, percutaneous myofascial lengthenings     SPML Discussion
•  Botox: rationale vs functional benefit
•  Alcohol neurolyses (alcohol ‘blocks’ for spasticity relief (with or without surgery)

 Serial Below-knee Walking Casts for Muscular  Growth – an alternative approach

COMMON QUESTIONS & ANSWERS:    http://www.podopediatrics.net/common-questions-answers