Book Review


Title: Paediatric Orthotics: Orthotic Management of Children
Editors: Christopher Morris, PhD, Luciano Dias, MD
Publisher: Mac Keith Press; Number of pages: 171
Reviewed by: Phil Stevens, MEd, CPO, FAAOP

Information on the orthotic management of pediatric populations is typically difficult to locate, due either to being broadly distributed in individual journal articles or buried among competing topics in thick atlases and textbooks.

This recent offering from Mac Keith Press fills this gap, providing fairly succinct overviews of the most commonly encountered pediatric populations in a relatively concise, focused text.

The editors of this textbook include Christopher Morris, PhD, a clinical orthotist and research fellow at the University of Oxford, England; and Luciano Dias, MD, of Children's Memorial Hospital, Chicago, Illinois. The book begins with introductory chapters on biomechanics, general patient assessment, and material science. While these are not specific to pediatric populations, they add to the comprehensive nature of the text. The next two chapters introduce the various device types that will be covered in the remaining chapters. An abundance of illustrative device photographs are included.

Following these introductory chapters, the editors begin their treatment of specific pediatric populations. The first such chapter treats the broad category of "congenital deformities" with brief discussions on foot deformities such as metatarsus adductus and talipes equinovarus (clubfoot), as well as developmental dysplasia of the hip (DDH) and more systemic disorders such as arthrogryposis, osteogenesis imperfecta, Down syndrome, and Marfan syndrome. The treatment of these presentations focuses on the most practical considerations associated with the orthotic management of each patient type.

This is followed by a similar section of disorders that arise in childhood such as pes planovalgus, toe-walking, Blount's disease, Legg-Calve-Perthes disease, and leg-length discrepancy. Like the previous section, the treatment of each presentation is brief and focused on orthotic considerations.

Several chapters are then devoted to those patient populations seen with the greatest frequency in the pediatric setting, including individual chapters on cerebral palsy, the muscular dystrophies (including spinal muscular atrophy), and myelomeningocele. These are followed by separate chapters on idiopathic scoliosis and protective and corrective cranial orthoses.

In summary: The text will be of greatest value to the orthotics student who is unfamiliar with the patient populations cited above and their orthotic management, and the more seasoned clinician with limited pediatric experience. One of the strengths of the text is its brevity, providing concise overviews of many populations, with practical guidelines for patient management.

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