Comprehensive rehabilitation of the child with osteogenesis imperfecta

Binder, Helga; Conway, Ann J.; Hason, Stephen; Gerber, Lynn H.; Marini, Joan C.; Berry, Roger B.; Weintrob, Joan

doi:10.1002/ajmg.1320450224

Cited by 47 publications

(26 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This condition had been present since birth without a known etiology. The same observations have been reported by Binder et al 8 Manual muscle strength testing is hypothesized as a valuable tool for the clinical assessment of patients with neuromuscular problems. Barr et al 19 studied the inter-and intratester reliability in Duchenne and Becker muscular dystrophy and found high reliability (intertester correlation coefficient: 0.90; intratester correlation coefficient: 0.80).…”

Section: Discussionsupporting

confidence: 77%

“…Improvement of functional abilities is mainly focused on sitting, standing, and ambulation. 8,9 Our purpose was to investigate impairment patterns in OI, such as range of joint motion and muscle strength, as well as disability or functional limitation items, such as functional skills and the amount of parental assistance, in correlation to the different disease types. We also investigated correlations between impairment and disability items.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Osteogenesis Imperfecta in Childhood: Impairment and Disability

et al. 1997

View full text Add to dashboard Cite

ABSTRACT. Objective. To determine clinical characteristics in children with osteogenesis imperfecta (OI) regarding impairment (range of joint motion and muscle strength) and disability (functional skills) in relation to the different types of the disease, and to study the correlation between characteristics of impairment and disability.Methods. In a cross-sectional study 54 children with OI (OI type I: 24; OI type III: 15; OI type IV: 15), the range of joint motion, muscle strength, and functional ability were measured in a standardized way and analyzed statistically.Results. The range of joint motion in almost all joints differed significantly with respect to the different disease types. In OI type I patients, generalized hypermobility of the joints was present, without decrease in joint motion. In OI type III the extremities were severely maligned, especially the lower limbs. In type IV the upper and lower extremities were equally maligned. Muscle strength differed significantly with respect to the different types of OI. In type I patients, muscle strength was normal except for the periarticular hip muscles. In type III, especially in the lower extremities, muscle strength was severely decreased, with a muscular imbalance around the hip joint. In type IV, muscle strength was mainly decreased in the proximal muscles of the upper and lower extremities. In children 7.5 years of age, significant differences existed among the different disease types in functional skills regarding mobility. No significant difference was observed in self-care and social function, although the most severely affected children showed a tendency to score better with social function. Older children differed significantly concerning mobility and self-care items. In children 7.5 years old, a correlation was sometimes observed between impairment and disability items, although in older children a moderate to good correlation was always present (r > .6).Conclusion. In OI, severity-related profiles exist, within the different subtypes of the disease, regarding range of joint motion, muscle strength, and functional skills. In younger children, impairment parameters do not sufficiently correlate for disability. Rehabilitation strategies in younger children should therefore focus on improvement of functional skills and not only on impairment parameters. Pediatrics 1997;99(2). URL: http://www. pediatrics.org/cgi/content/full/99/2/e3; osteogenesis imperfecta, pediatrics, muscle strength, range of joint motion, impairment, disability, functional outcome.

show abstract

Section: Discussionsupporting

confidence: 77%

mentioning

confidence: 99%

Osteogenesis Imperfecta in Childhood: Impairment and Disability

et al. 1997

View full text Add to dashboard Cite

show abstract

“…The literature surrounding therapy interventions, including physical therapy and occupational therapy, recognizes the importance each specialty has in enhancing function and independence for children with OI 25,26. The long-term goal is that children live independently and develop the life skills to enable them to direct their own care 21…”

Section: Therapeutic Strategiesmentioning

confidence: 99%

Managing the patient with osteogenesis imperfecta: a multidisciplinary approach

Marr¹,

Seasman²,

Bishop³

2017

JMDH

View full text Add to dashboard Cite

Osteogenesis imperfecta (OI) is a heterogeneous heritable connective tissue disorder characterized by low bone density. The type and severity of OI are variable. The primary manifestations are fractures, bone deformity, and bone pain, resulting in reduced mobility and function to complete everyday tasks. OI affects not only the physical but also the social and emotional well-being of children, young people, and their families. As such, medical, surgical, and allied health professionals’ assessments all play a role in the management of these children. The multidisciplinary approach to the treatment of children and young people living with OI seeks to provide well-coordinated, comprehensive assessments, and interventions that place the child and family at the very center of their care. The coordinated efforts of a multidisciplinary team can support children with OI to fulfill their potential, maximizing function, independence, and well-being.

show abstract

“…Important issues involve the development and maintenance of muscle strength in the upper and lower extremities, the prevention of joint contractures at several joints including the shoulders, hands, hips, and feet, poor joint alignment, and disturbances of gait and low endurance in those who ambulate. To approach optimal rehabilitation and maintenance of function, children were classified as to the severity of disease and potential for rehabilitation and a specific program was outlined for each group [230]. Modalities included custom-molded seats to align hips, knees, and ankles to prevent stress in the spine, therapeutic water activities, soft tissue mobilization techniques to control joint contractures, and specific exercises to strengthen muscle groups, improve posture and balance, and increase endurance.…”

Section: Rehabilitation and Physical Therapymentioning

confidence: 99%

Osteogenesis Imperfecta and Other Defects of Bone Development as Occasional Causes of Adult Osteoporosis

Shapiro

2013

Osteoporosis

View full text Add to dashboard Cite

Comprehensive rehabilitation of the child with osteogenesis imperfecta

Cited by 47 publications

References 5 publications

Osteogenesis Imperfecta in Childhood: Impairment and Disability

Osteogenesis Imperfecta in Childhood: Impairment and Disability

Managing the patient with osteogenesis imperfecta: a multidisciplinary approach

Osteogenesis Imperfecta and Other Defects of Bone Development as Occasional Causes of Adult Osteoporosis

Contact Info

Product

Resources

About