Search PubMed⌕ Search

Biomedical subjects

E E Bleck

Publications and source records attributed to E E Bleck.

At least 55 records · Page 3Linked to original sources
PubMed1980

Augmented auditory feed back in the treatment of equinus gait in children.

This study is a report on the treatment of dynamic equinus in children with cerebral palsy or idiopathic toe-walking, by means of auditory augmented feedback. The initial results (after three months) showed improvement in every case, and in four patients with longer follow-up improvement appeared to be maintained or continued, although at a reduced pace. This treatment method is recommended only for children over the age of four years who are independently ambulatory, who have a range of ankle dorsiflexion to neutral or beyond with the knee extended, and who have a supportive and co-operative family.

Cerebral Palsy↗
PubMed1980

The hip in cerebral palsy.

Orthopedic surgery can alleviate the hip flexion, adduction, and medial rotation deformities of the hip and improve the function and appearance of gait. To accomplish this, however, careful examination and prudence in the operative procedure to avoid overdoing and overcorrecting are important. Orthopedic surgery can prevent subluxation and dislocation of the hip before the age of seven years, and consequently repetitive radiographic examinations of the hip in children who have spastic paralysis of the hip musculature should be a routine procedure. Subluxation and dislocation of the hip, when established, can be successfully treated with orthopedic surgical procedures. Physicians must keep in mind that the spastic paralysis of cerebral palsy originates in the brain, and therefore the spasticity cannot be eliminated. The best that can be done is to weaken or remove some muscles as deforming forces and to achieve compromises for continued function. The goal should be optimal independence for the child and adolescent during development, and freedom from pain with deteriorating function due to degenerative arthritis in the adult.

Adolescent↗
PubMed1979

Integrating the physically handicapped child.

This paper will serve several purposes: (1) to provide information on the incidence of physically handicapped children (exclusive of the blind and deaf) who are likely to be integrated into schools for normal non-physically impaired children, (2) to describe briefly the major handicapping conditions and their educational implications, (3) to comment on why integration has come about and why it promises to enrich the lives of normal children, (4) to suggest how physicians, physical therapists, and occupational therapists might help to make schools programs successful, (5) to comment briefly on financial implications of this program and to suggest ways in which the complexity of the medical management might be simplified, (6) to provide factual knowledge about the handicapped child and his potential to teachers who are already on the firing line to "improve" the academic achievement of the alleged normal child.

Arthritis, Juvenile↗
PubMed1979

Congenital dislocation of the hip--prognostic implications of early diagnosis.

A retrospective analysis of 62 patients with 78 congenital dislocations of the hip (CDH) referred to Children's Hospital at Stanford was done to ascertain whether CDH was being diagnosed as early as had been thought possible and whether various treatments were effective. In this series there were a substantial number of cases of CDH that were not diagnosed within the first 48 hours of life. At Children's Hospital the Pavlik harness was the most effective form of treatment of congenital dislocations of the hip in the perinatal period.

Female↗
PubMed1977

Congenital clubfoot: pathomechanics, Radiographic analysis, and results of surgical treatment.

Twenty-one patients with resistant or relapsed clubfeet, ranged in age from four months to 7 years, and all had initially been treated with plaster by board certified orthopaedic surgeons. Surgery was recommended only after an Achilles tenotomy failed to bring the foot into dorsiflexion after approximately four months of age. Surgical correction was based upon the derotation and dorsiflexion of the talus in the ankle mortise. The criteria for a satisfactory result were: no recurrence of the equinus or varus; neutral position of the heel; dorsiflexion of the ankle to at least neutral; a fairly straight forefoot so that the center line of the foot bisected either the second or third toes or passed no further laterally than the third and fourth toes. Of the 33 feet surgically treated, 28 had satisfactory results following the first procedure, and five required additional procedures.

Achilles Tendon↗
PubMed1976

Light patterns as a means of assessing and recording gait. I: methods and results in normal children.

A method of analyzing and documenting gait in normal children is described. Patterns produced during walking, by means of lights situated at seven sites on the head, trunk and extremities, were recorded on color transparency film. With this technique, features of both normal and pathological gait are identifiable. The wide applicability of this method, its satisfactory reproducibility and uncomplicated design are emphasised.

Adolescent↗
PubMed1975

Locomotor prognosis in cerebral palsy.

A study of the prognosis for walking of 73 pre-school children who had cerebral palsy or delayed motor development is reported. The importance of prognostic signs, based upon the presence or absence of postural reflex activity, was confirmed. The prognosis was accurate in 94-5 per cent of the 73 children studied. The method of scoring a child's reflex responses and relating this to the prognosis seems to be a simple procedure, easy to understand and to apply. It is suggested that the assessment of treatment methods should include an analysis of the child's walking potential, based upon the methods delineated in this study, before treatment is started.

Age Factors↗