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Special Considerations in Pediatric Assessment.

Heakyung Kim1, Mi Ran Shin2

  • 1Department of Rehabilitation and Regenerative Medicine, Pediatric Physical Medicine and Rehabilitation, Columbia University Irving Medical Center, Weill Cornell Medical College, NewYork-Presbyterian Hospital, 180 Fort Washington Avenue, Harkness Pavilion Suite 165, New York, NY 10032, USA; Department of Physiatry, Blythedale Children's Hospital, Valhalla, NY 10595, USA.

Physical Medicine and Rehabilitation Clinics of North America
|January 11, 2019
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Summary
This summary is machine-generated.

Effective pediatric spasticity management involves early intervention and continuous care. This approach is crucial for improving function and preventing complications in growing children with upper motor neuron disease.

Keywords:
Cerebral palsyPediatricPhysical examinationPreventionSecondary complicationSpasticity

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Area of Science:

  • Pediatric Neurology
  • Movement Disorders
  • Rehabilitation Medicine

Background:

  • Pediatric spasticity presents unique challenges due to continuous growth and associated medical complications from upper motor neuron disease.
  • Effective management is essential to prevent musculoskeletal issues, functional decline, and pain.
  • Requires specialized knowledge of spasticity in children.

Purpose of the Study:

  • To review the importance of early intervention and a continuum of care for pediatric spasticity.
  • To outline basic physical examination techniques for assessing spasticity.
  • To discuss therapeutic options and aggravating factors in spasticity management.

Main Methods:

  • Review of current literature on pediatric spasticity management.
  • Emphasis on comprehensive patient evaluation, including medical history and physical examination.
  • Discussion of various therapeutic strategies and factors influencing spasticity.

Main Results:

  • Early and consistent management of pediatric spasticity is critical for optimal outcomes.
  • A thorough understanding of the patient's condition and a systematic approach to examination are key.
  • Multiple therapeutic options exist, and identifying aggravating factors is vital.

Conclusions:

  • A proactive and integrated approach to pediatric spasticity management is necessary.
  • Continuous care and timely interventions significantly improve functional abilities and quality of life.
  • Healthcare providers must possess specialized knowledge to effectively manage this complex condition.