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Posted on September 30th 2009

The research summary in “Risk of GI Disorders Increased With Autism” (March 2009, p. 15) is valuable, but should include critical analysis Dr. Lulu W. Wang’s study has several flaws that, however unintentionally, echo the “gut-brain” connection and alternative vaccine schedules so cogently rebuked by Dr. Stephen I. Pelton in the same issue (ID Consult, “Delaying Vaccines Risks Serious Infection,” p. 4). As with many autism studies, Dr. Wang does not seem to employ the five PDD (pervasive developmental disorder) categories of DDSM-IV or to describe underlying genetic conditions. Children meeting criteria were “quite low functioning and had few language skills”—exactly the group who will have hypertonia from cerebral palsy/neurologic disorders or hypotonia from Mendelian/c…



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Improving Hand Function in Children with Cerebral Palsy: Theory, Evidence and Intervention

Posted on September 30th 2009

Children with cerebral palsy today have a much brighter outlook toward achieving maximal functional independence. In the last two decades, newer technologies to image the brain and extensive research on cortical processing have contributed greatly to the improved understanding of normal and abnormal motor and sensory functioning. More importantly, critical thinking and evidence-based practice have helped to reshape what the main focus of therapeutic intervention can and should be, to achieve the best possible outcomes. The whole concept of classification of children with cerebral palsy has been redirected to define functional levels and not necessarily impairments. There is also a much greater importance given to the context and environment in which the child lives. (Source: Journal of Han…

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The Effects of Osteopathic Treatment on Constipation in Children With Cerebral Palsy: A Pilot Study

Posted on September 30th 2009

Conclusion: Osteopathic methods were as effective as osteopathic methods in addition to medical care for both treatment groups. The results of this study suggest that osteopathic methods may be helpful as an alternative treatment in constipation. Additional advanced studies should be conducted. (Source: Journal of Manipulative and Physiological Therapeutics)



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Distal femoral extension osteotomy and patellar tendon advancement to treat persistent crouch gait in cerebral palsy. Surgical technique.

Posted on September 30th 2009

CONCLUSIONS: Inclusion of patellar tendon advancement is necessary to achieve optimal results in the surgical management of a persistent crouch gait exhibited by adolescents and young adults with cerebral palsy. When this procedure is done alone or in combination with a distal femoral extension osteotomy (for the treatment of a knee flexion contracture), knee function in gait can be restored to values within typical limits, with gains in community function.
PMID: 19805590 [PubMed - in process] (Source: The Journal of Bone and Joint Surgery. American volume)



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Poster 84: The Effects of Revised Exercise Programs for People with Disabilities Who Already Exercise

Posted on September 30th 2009

Conclusions: Program revision increased the intensity of the exercise program, and resulted in increased endurance, but not in increased strength or weight loss. The 37 months of exercise participation did decrease secondary conditions in the sample. This study demonstrates the value exercise in health promotion for a sample of individuals with a variety of disabilities. (Source: Archives of Physical Medicine and Rehabilitation)



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