Category Archives: Special Section

February 2014

Ponseti method surpasses surgery for long-term clubfoot outcomes

But both groups fall short of controls - Children treated for clubfoot with the Ponseti method have less pain and fewer gait impairments as adults than those treated with surgery, according to research from Shriners Hospital for Children in Chicago.

By Samantha Rosenblum

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February 2014

Ankle dorsiflexion patterns vary in Charcot-Marie-Tooth disease

Data support case-by-case approach – Gait patterns can vary significantly among young patients with Charcot-Marie-Tooth disease (CMT), and pathomechanics can vary even between limbs in one child, according to a recent study published in Gait & Posture.

By Larry Hand

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February 2014

Ankle weights improve walking in children with Down syndrome

Load may help engage plantar flexors – Adding an ankle load during treadmill walking significantly improves gait kinetics in children with Down syndrome (DS), possibly due to greater contributions from the ankle plantar flexors, according to a study from Georgia State University in Atlanta.

By Larry Hand

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February 2014

In youth athletes, repair after meniscal injury poses challenge

Obesity, gender affect tear complexity – Adolescents and children suffer more complex meniscus injuries that are often less repairable than previously reported, according to a study published in the December 2013 issue of the American Journal of Sports Medicine (AJSM).

By P.K. Daniel

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February 2014

New flatfoot data rekindle debate over role of obesity

Australian researchers found no correlation between body mass index and prevalence of pediatric flatfoot, but used a different methodology than previous studies that reached an opposite conclusion. The conflicting results have revitalized the ongoing debate on this topic.

By Cary Groner

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February 2014

Strength training improves function in children with CP

Research suggests strength training can improve gait and function in children with cerebral palsy. But to be successful, experts say, the training needs to be part of a multifaceted rehabilitation program that accounts for more than the physical limitations imposed by the disease.

By Shalmali Pal

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September 2013

Components

SureStep HEKO Hinge, SureStep DA Hinge, SureStop, SureStep Free Motion Hinge & SureStep Dorsiflexion Assist Band

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September 2013

Shoes/Sandals

SureStep shoes have been custom designed specifically for children who wear orthoses. Their wider, deeper heel, toe box and instep allow for adequate room and a comfortable fit. The unique tread promotes intrinsic movement and flexibility while a special “cut-line” allows for easy shoe modifications.

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September 2013

TLSO

The SureStep TLSO has redefined spinal management. The soft, flexible plastic serves well to create improved upright positioning, while still allowing for slight movement in all planes.

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September 2013

Criss Crossers & De-Rotation Straps

The first and only device developed to discourage w-sitting, Criss Crossers use a unique audio cue to remind children to change their position.

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September 2013

HEKO & HEKO PreFab

SureStep HEKO is the first and only pediatric hyper extension knee orthosis to incorporate a 4-axis knee hinge, for smooth, anatomically correct flexion and extension. This exceptional device provides localized control of the knee, preventing hyperextension, valgus and varus, while allowing full flexion and extension.  With adjustable extension stops, the HEKO offers up to 30 degrees of adjustability.

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September 2013

Pullover & Advanced

The SureStep PullOver is an amazing tool that not only facilitates improved stability of the foot and ankle complex using a  SureStep SMO, but it is also the only SMO that incorporates a true dorsiflexion assist through the use of a removable proximal strut.

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September 2013

Indy 2 Stage

A uniquely designed orthosis developed to help children reach their potential. This exceptional “orthosis within an orthosis” allows for the SureStep SMO to be utilized independent of the AFO. Children can work through a variety of transitional skills without impeding normal muscle function.

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September 2013

BigShot/BigShot Lite

A growing child means eventually outgrowing the original SureStep SMO. The BigShot and BigShot Lite are the perfect solutions for older children who still need the stability of SureStep.

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September 2013

SureStep SMO

The SureStep SMO remains the most advanced method of controlling excessive pronation and providing stability to the hypotonic population. Suitable for patients up to 80 lbs.

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September 2013

You get what you give

When my wife Pam and I started this incredible journey, we did it with passion and faith. SureStep was founded with a passion for improving the lives of children with special needs. And we have always had faith that we will get what we give.

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September 2013

An unexpected path, an invaluable perspective

For this family, one tiny extra chromosome led to a journey of self discovery
When our son was born, we prayed for a healthy baby with 10 fingers and 10 toes. Our prayers were answered. Three years later, those same prayers were said for baby number two. And, once again, our prayers were answered.

By Suzi Klimek

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September 2013

From the Editor: Bridging the Gap

For a parent, the only thing more frustrating than knowing something isn’t quite right with your young child is hearing that nothing can be done until the underlying cause of the symptoms is identified. Luckily, parents of children with hypotonia can be spared the latter frustration.

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September 2013

Understanding Hypotonia

Diagnostic challenges should not delay clinical intervention
Hypotonia, or abnormally low muscle tone, is by itself not a disorder but a symptom of an enormous array of issues—many of which can be difficult to diagnose accurately. Even in the absence of a specific underlying diagnosis, however, children with hypotonia can benefit from clinical intervention.

By Christina Hall Nettles

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September 2013

Gait: The Cornerstone of Intervention

Quantifying the effects of hypotonia starts in the clinic
Effective management of children with hypotonia requires an understanding of how the condition affects gait. Clinicians typically rely on their professional experience when discussing the effects of hypotonia on gait in pediatric patients, partly because they trust that experience, but also because so little research has actually elucidated these effects.

By Cary Groner

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September 2013

Orthotic Solutions for Children with Hypotonia

New research underscores years of positive clinical results
When it comes to orthotic management of pediatric patients with hypotonia, the medical literature is only beginning to document the effectiveness that clinicians have been reporting anecdotally for years.

By Cary Groner

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September 2013

Orthotic success stories: Four cases in a series

Each child in this case series was assessed every other week for 16 weeks to determine mastery of items 23, 26-28, 30-39, and 41 (ranging from “pull to stand” to “walk fast”) on the Peabody Developmental Motor Scale. Test instructions were modified as needed for children to understand them. Parents were included in each session and encouraged to play with the child in order to demonstrate the targeted skills. Graphs illustrate age of mastery for each item number for the hypotonic child compared to a “typical” child, with linear trend lines illustrating rate of change, and demonstrate the improved mastery of skills after prescription of supramalleolar orthoses (SMOs). The cases will be presented in September at the O&P World Congress in Orlando, FL.

By Megan Smith, CO

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CONFERENCE COVERAGE: Orthotics Technology Forum 2013

In late May lower extremity clinicians, orthotic lab owners and managers, and technology experts gathered at the Georgia Institute of Technology in Atlanta for a discussion of digital technology in orthotic application, design, and manufacture. By Emily Delzell

July 2013

High-tech path leads to the future of improved orthotic prescription

One of the most-talked-about images from the 2013 Orthotics Technology Forum (OTF) depicted 11 custom foot orthoses made by 11 experienced orthotists and podiatrists for a single patient. All 11 practitioners had been given the same information about the patient’s condition, yet all 11 orthoses were distinctly different.

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July 2013

3D printing: The shape of things to come

The Orthotics Technology Forum presentation given by Ben Boyer, CPed, was as much about what the speaker was wearing as what he was saying. Boyer, who is the lab manager at Kintec in Vancouver, Canada, wore a product he thinks may represent part of the future of orthotic design and manufacture—orthoses he’d printed with a hobbyist-level desktop 3D printer.

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