Congenital limb differences are uncommon birth defects that may go undetected even with prenatal screening ultrasound scans and often go undetected until birth. For children with congenital limb differences, a…
Intrathecal baclofen (ITB), administered by an implanted pump, has emerged as an efficacious therapy for the treatment of hypertonicity in pediatrics. Although ITB has been used for more than 20 years…
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…
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…
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,…
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…
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…
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…
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…
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…
