Pediatric Tone Management
Tone management is one of the primary roles of a pediatric physiatrist. Hypertonicity frequently inhibits normal movement patterns in children with central nervous system lesions but at times can reinforce…
The Importance of Good Nutrition in Children with Cerebral Palsy
Poor nutritional status, which is common in children with cerebral palsy (CP), has generated considerable interest because of its wide-ranging impact on the children’s health and well-being. Understanding the causes…
Pathophysiology of Muscle Contractures in Cerebral Palsy
Patients with cerebral palsy present with a variety of adaptations to muscle structure and function. These pathophysiologic symptoms include functional deficits such as decreased force production and range of motion,…
Transition to Adult Care for Patients with Spina Bifida
More individuals with spina bifida are living into adulthood, and unique challenges arise as they age. These patients have multiple organ system involvement in addition to physical impairments, disabilities, cognitive…
Common Complications of Pediatric Neuromuscular Disorders
Children with pediatric neuromuscular disorders experience common complications, primarily due to immobility and weakness. Musculoskeletal complications include hip dysplasia with associated hip subluxation or dislocation, neuromuscular scoliosis, and osteoporosis and…
Effects of Caregiving on the Families of Children and Adults with Disabilities
Parents of children with disabilities encounter stresses unlike those of families with typically developing children. Medical professionals must appreciate that they are not only treating the child but also the…
Pediatric Rehabilitation
Andrew J. Skalsky, MD, Editor I am very honored to be the guest editor of this issue of Physical Medicine and Rehabilitation Clinics of North America on pediatric rehabilitation. The…
Chronic Whiplash Pain
Key points • Physiatrists are ideally suited to diagnose and treat whiplash injuries, provided they appreciate the sources of chronic pain for this patient population. • Although most medical providers…
Dedication
This issue is dedicated to Dr David Kilmer. Although his time with us was tragically cut short, the knowledge and approach to medicine I gained from his teaching, expertise, and…
Pediatric Rehabilitation
Gregory T. Carter, MD, MS, Consulting Editor In the scope of medicine overall, and even within our own specialty of Physical Medicine and Rehabilitation, children with disabilities represent a unique…
