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Focus & Approach

Pediatric orthopedic concerns may require intervention from invasive surgical means, to less invasive means like casting, crutches or physical or occupational therapy. Casting, like crutches, also helps prevent or decrease muscle contractions and are effective at immobilizing the area of the break. A crutch is a mobility aid designed to transfer weight from the lower body to the upper body and is used by those who cannot rely on one or both legs to support their weight.

Types of casts:

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  • Short arm cast
  • Long arm cast
  • Arm cylinder cast
  • Shoulder spica cast
  • Minerva cast
  • Short leg cast
  • Leg cylinder cast – applied from the upper thigh to the ankle for knee or lower leg fractures, knee dislocations, or after surgery on the leg or knee area
  • Unilateral hip spica cast
  • One-and-one-half hip spica cast
  • Bilateral long leg hip spica cast
  • Short leg hip spica cast
  • Abduction boot cast

A patient may need occupational therapy due to conditions that affect their ability to care for themselves or live a normal life. Occupational therapists may help an adolescent with a mental or cognitive disability by teaching skills to help your child prepare to become more independent.

There are times when children and adolescents that might require occupational therapy to help regain movement skills or prepare for a return home. Physical therapy helps to improve muscle strength and movement, and to prevent joints from stiffening. Physical therapy is the main treatment for torticollis, tightening of an infant’s neck muscles that can lead to problems with movement, balance or your child’s skeletal development.

Examples of other conditions in children and adolescents that might require physical therapy include:

  • Amputations
  • Bone tumors
  • Brain tumor
  • Congenital (present at birth) differences in limb length
  • Developmental delays
  • Muscular dystrophy
  • Orthopedic injuries
  • Problems with gait
  • Problems with visual, motor or perceptual development
  • Spina bifida
  • Spinal cord injury
  • Traumatic brain injury