judy carmick - Academia.edu (original) (raw)

Papers by judy carmick

Pediatric Physical Therapy, 1991

Developmental Medicine & Child Neurology, Nov 1, 1995

SUMMARYA comparison of hinged versus solid ankle orthoses in a child with moderate spastic dipleg... more SUMMARYA comparison of hinged versus solid ankle orthoses in a child with moderate spastic diplegia demonstrated that solid ankle braces blocked needed foot and ankle mobility. The loss of movement forced the child to use extraneous movement patterns in order to move the upper body over the foot. These iatrogenically induced deviations were considered reasons for surgery. When ankle and foot mobility were increased by the use of hinged ankle braces, the gait improved and with physical therapy the reasons for surgery were removed. This case study shows that significant biomechanical changes can be achieved by simply switching from solid to articulated or hinged ankle‐foot orthoses.RÉSUMÉTraitement de l'equin: méŕites des orthèses chcvitle‐pied articuléesUne comparaison entre orthèses articulées et fixes chez un enfant présentant une forme modérée de diplégie a montré que les orthèses a chcville bloquée empêchait une mobilité souhaitable du pied et de la cheville. La perte dc mouvement forçait l'enfant à une compensation par des mouvements de la partie supéricure du corps. Ces déviations iatrogènes sont souvent la cause d'un recours à la chirurgie. Quand la mobilité du pied et de la cheville est accrue par des orthèses articulées, la démarche s'améliore et grâce a la kinésithérapie, il n'y a plus besoin de chirurgie. Cette étude de cas montre que des modifications bio‐mécaniques significatives pcuvent être obtenues en remplaçant les orthèses chcville‐pied fixes par des orthèses articulées.ZUSAMMENFASSUNGKluinpfußbehandlung: Vorteile der beweglichen Knöchel‐Fuß‐OrthesenEin Vergleich von beweglichen gegenüber festen Knöchel‐Orthesen bei einem Kind mit mittelschwerer spastischer Diplegie zeigte, daß feste Knöchelschienen di notwendige Fuß‐ und Knöchelmobilität blockierten. Der Bewegungsverlust zwang das Kind zu andcren Bewegungsmustern, um den Oberkörper über den Fuß zu bewegen. Diese iatrogen hervorgerufenen Abweichungen wurden als Operationsindikation angesehen. Wurde aber die Knöchel‐ und Fußmobilität durch bewegliche Knöchelschienen verstärkt, besserte sich der Gang und mit physikalischer Therapie konnte eine Operation umgangen werden. Diese Fallstudie zcigt. Daß allein durch den Wechsel von festen zu beweglichen Knöchel‐Fuß‐Orthesen signifikante biomechanische Veränderungen erreicht werden können.RESUMENManejo del equinismo: Méritos de la ortesis tobillo‐pie can charnelaLa comparación de una ortesis de tobillo fija con otra con charneia en un niño con una diplegia espàstica moderada demostró que el bloqueo del tobillo precisaba la movilidad de pie ye el tobillo. La falta de movimiento obligaba al niño a usar unos esquemas de movilidad extraños, con el objeto de mover la parte alta del cuerpo sobre el pie. Estas desviaeiones iatrogénicas se consideraban motivo suficiente para la cirugia. Al aumentar la movilidad del tobillo ye el pie, I usando una ortesis con charnela a nivel del tobillo, la marcha mejoraba y con fisiotcrapia se eliminaba la necesidad de la cirugia. Este estudio muestra que cambios biomecánieos significativos pueden conseguirse con el simple cambio de una ortesis sólida a una con charnela a nivel de tobillo‐pie.

Physical therapy, Aug 1, 1993

Pediatric Physical Therapy, 2012

Physical therapy, Aug 1, 1993

Pediatric Physical Therapy, 2012

Pediatric Physical Therapy, 2013

Pediatric Physical Therapy, 1997

Physical therapy, Jun 1, 1997

Gait & Posture, Aug 1, 2008

Physical therapy, Feb 1, 1998

Physical therapy, Aug 1, 1993

Developmental Medicine & Child Neurology, Feb 13, 2007

Developmental Medicine & Child Neurology, Nov 1, 1995

A new therapeutic proposal for the management of equinus in children with cerebral palsy is to st... more A new therapeutic proposal for the management of equinus in children with cerebral palsy is to strengthen the calf muscles instead of weakening them surgically. Prior research indicates that in children with cerebral palsy the triceps surae muscle is weak and needs strengthening. Neuromuscular electrical stimulation (NMES) was used as an adjunct to physical therapy. A portable NMES unit with a hand-held remote switch stimulated an active muscle gait cycle. Results are discussed for four children, who showed improved gait, balance, posture, active and passive ankle range of motion, and foot alignment. The toe walkers became plantigrade and the equinovalgus posture of the foot decreased. Spasticity did not increase.

Pediatric Physical Therapy, 2012

Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association, 2009

Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association, 2013

Typical gait requires flexibility in the ankle and foot. During gait, it is critical that the ank... more Typical gait requires flexibility in the ankle and foot. During gait, it is critical that the ankle dorsiflex and the toes extend. The purpose of this report is to demonstrate that when foot orthoses block critical movement undesirable compensations that may interfere with gait can appear. Three children with spastic cerebral palsy demonstrate the effect on gait when the blocks attributable to the orthoses were removed. All children received electrical stimulation and used foot orthoses. Internal hip rotation and toe walking occurred when orthoses blocked digit extension. A block may be small and unnoticed but can still influence gait and force the child to compensate for the loss of mobility.

Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association, 2012

ABSTRACT

Developmental Medicine & Child Neurology, 2008

A comparison of hinged versus solid ankle orthoses in a child with moderate spastic diplegia demo... more A comparison of hinged versus solid ankle orthoses in a child with moderate spastic diplegia demonstrated that solid ankle braces blocked needed foot and ankle mobility. The loss of movement forced the child to use extraneous movement patterns in order to move the upper body over the foot. These iatrogenically induced deviations were considered reasons for surgery. When ankle and foot mobility were increased by the use of hinged ankle braces, the gait improved and with physical therapy the reasons for surgery were removed. This case study shows that significant biomechanical changes can be achieved by simply switching from solid to articulated or hinged ankle-foot orthoses.

Pediatric Physical Therapy, 1991

Developmental Medicine & Child Neurology, Nov 1, 1995

SUMMARYA comparison of hinged versus solid ankle orthoses in a child with moderate spastic dipleg... more SUMMARYA comparison of hinged versus solid ankle orthoses in a child with moderate spastic diplegia demonstrated that solid ankle braces blocked needed foot and ankle mobility. The loss of movement forced the child to use extraneous movement patterns in order to move the upper body over the foot. These iatrogenically induced deviations were considered reasons for surgery. When ankle and foot mobility were increased by the use of hinged ankle braces, the gait improved and with physical therapy the reasons for surgery were removed. This case study shows that significant biomechanical changes can be achieved by simply switching from solid to articulated or hinged ankle‐foot orthoses.RÉSUMÉTraitement de l'equin: méŕites des orthèses chcvitle‐pied articuléesUne comparaison entre orthèses articulées et fixes chez un enfant présentant une forme modérée de diplégie a montré que les orthèses a chcville bloquée empêchait une mobilité souhaitable du pied et de la cheville. La perte dc mouvement forçait l'enfant à une compensation par des mouvements de la partie supéricure du corps. Ces déviations iatrogènes sont souvent la cause d'un recours à la chirurgie. Quand la mobilité du pied et de la cheville est accrue par des orthèses articulées, la démarche s'améliore et grâce a la kinésithérapie, il n'y a plus besoin de chirurgie. Cette étude de cas montre que des modifications bio‐mécaniques significatives pcuvent être obtenues en remplaçant les orthèses chcville‐pied fixes par des orthèses articulées.ZUSAMMENFASSUNGKluinpfußbehandlung: Vorteile der beweglichen Knöchel‐Fuß‐OrthesenEin Vergleich von beweglichen gegenüber festen Knöchel‐Orthesen bei einem Kind mit mittelschwerer spastischer Diplegie zeigte, daß feste Knöchelschienen di notwendige Fuß‐ und Knöchelmobilität blockierten. Der Bewegungsverlust zwang das Kind zu andcren Bewegungsmustern, um den Oberkörper über den Fuß zu bewegen. Diese iatrogen hervorgerufenen Abweichungen wurden als Operationsindikation angesehen. Wurde aber die Knöchel‐ und Fußmobilität durch bewegliche Knöchelschienen verstärkt, besserte sich der Gang und mit physikalischer Therapie konnte eine Operation umgangen werden. Diese Fallstudie zcigt. Daß allein durch den Wechsel von festen zu beweglichen Knöchel‐Fuß‐Orthesen signifikante biomechanische Veränderungen erreicht werden können.RESUMENManejo del equinismo: Méritos de la ortesis tobillo‐pie can charnelaLa comparación de una ortesis de tobillo fija con otra con charneia en un niño con una diplegia espàstica moderada demostró que el bloqueo del tobillo precisaba la movilidad de pie ye el tobillo. La falta de movimiento obligaba al niño a usar unos esquemas de movilidad extraños, con el objeto de mover la parte alta del cuerpo sobre el pie. Estas desviaeiones iatrogénicas se consideraban motivo suficiente para la cirugia. Al aumentar la movilidad del tobillo ye el pie, I usando una ortesis con charnela a nivel del tobillo, la marcha mejoraba y con fisiotcrapia se eliminaba la necesidad de la cirugia. Este estudio muestra que cambios biomecánieos significativos pueden conseguirse con el simple cambio de una ortesis sólida a una con charnela a nivel de tobillo‐pie.

Physical therapy, Aug 1, 1993

Pediatric Physical Therapy, 2012

Physical therapy, Aug 1, 1993

Pediatric Physical Therapy, 2012

Pediatric Physical Therapy, 2013

Pediatric Physical Therapy, 1997

Physical therapy, Jun 1, 1997

Gait & Posture, Aug 1, 2008

Physical therapy, Feb 1, 1998

Physical therapy, Aug 1, 1993

Developmental Medicine & Child Neurology, Feb 13, 2007

Developmental Medicine & Child Neurology, Nov 1, 1995

A new therapeutic proposal for the management of equinus in children with cerebral palsy is to st... more A new therapeutic proposal for the management of equinus in children with cerebral palsy is to strengthen the calf muscles instead of weakening them surgically. Prior research indicates that in children with cerebral palsy the triceps surae muscle is weak and needs strengthening. Neuromuscular electrical stimulation (NMES) was used as an adjunct to physical therapy. A portable NMES unit with a hand-held remote switch stimulated an active muscle gait cycle. Results are discussed for four children, who showed improved gait, balance, posture, active and passive ankle range of motion, and foot alignment. The toe walkers became plantigrade and the equinovalgus posture of the foot decreased. Spasticity did not increase.

Pediatric Physical Therapy, 2012

Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association, 2009

Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association, 2013

Typical gait requires flexibility in the ankle and foot. During gait, it is critical that the ank... more Typical gait requires flexibility in the ankle and foot. During gait, it is critical that the ankle dorsiflex and the toes extend. The purpose of this report is to demonstrate that when foot orthoses block critical movement undesirable compensations that may interfere with gait can appear. Three children with spastic cerebral palsy demonstrate the effect on gait when the blocks attributable to the orthoses were removed. All children received electrical stimulation and used foot orthoses. Internal hip rotation and toe walking occurred when orthoses blocked digit extension. A block may be small and unnoticed but can still influence gait and force the child to compensate for the loss of mobility.

Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association, 2012

ABSTRACT

Developmental Medicine & Child Neurology, 2008

A comparison of hinged versus solid ankle orthoses in a child with moderate spastic diplegia demo... more A comparison of hinged versus solid ankle orthoses in a child with moderate spastic diplegia demonstrated that solid ankle braces blocked needed foot and ankle mobility. The loss of movement forced the child to use extraneous movement patterns in order to move the upper body over the foot. These iatrogenically induced deviations were considered reasons for surgery. When ankle and foot mobility were increased by the use of hinged ankle braces, the gait improved and with physical therapy the reasons for surgery were removed. This case study shows that significant biomechanical changes can be achieved by simply switching from solid to articulated or hinged ankle-foot orthoses.