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Pediatric movement disorders: Five new things
Joanna S Blackburn1, Jonathan W Mink, Erika F Augustine
1Division of Neurology (JSB), Department of Pediatrics, Northwestern University Feinberg School of Medicine, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL; and Division of Child Neurology (JWM, EFA), Department of Neurology, University of Rochester Medical Center, Rochester, NY.
Insights
Pediatric movement disorders require better definitions and research for improved treatment. Progress in genetics, clinical understanding, and trials aims to enhance care for affected children.
Area of Science:
- Neurology
- Pediatrics
- Genetics
Background:
- Pediatric movement disorders lack consensus definitions and evidence-based treatments.
- Current treatment approaches rely on clinical experience due to limited clinical trials.
Purpose of the Study:
- To review advancements in pediatric movement disorders.
- To highlight 5 key areas of progress for improved diagnosis and care.
Main Methods:
- Literature review focusing on recent research in pediatric movement disorders.
- Analysis of progress in defining disorders, identifying genes, understanding clinical presentations, and conducting clinical trials.
Main Results:
- Progress is being made in establishing consensus definitions.
- Identification of causative genes is advancing understanding of disease etiology.
- Clinical trials are beginning to emerge, offering hope for evidence-based treatments.
Conclusions:
- Consensus definitions, genetic insights, and clinical trials are crucial for advancing pediatric movement disorder care.
- Continued research in these 5 highlighted areas will lead to better diagnostic and therapeutic strategies for children.
Abstract:
There is increasing need for both consensus definitions and continued research into the causes, clinical spectrum, and treatment of pediatric movement disorders. Treatment has been largely based on experience rather than evidence because clinical trials are limited. With development of consensus definitions, identification of causative genes, understanding of the clinical spectrum of disease, and clinical trials, we can provide overall better care for children with movement disorders. This review highlights 5 areas where progress is being made to achieve these goals in pediatric movement disorders.
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Anatomical Movements
Here are some common anatomical movements:
Flexion and extension motions are in the sagittal (anterior–posterior) plane of motion. These movements take place at the shoulder, hip, elbow, knee, wrist, metacarpophalangeal,...
