Articles related toPediatrics

Investigating the safety and feasibility of osteopathic medicine in the pediatric oncology outpatient setting

Jennifer A. Belsky, DO, MS; Joseph R. Stanek, MS; and Melissa J. Rose, DO
Pediatric patients receiving chemotherapy experience unwanted therapy-induced side effects, commonly constipation and pain that diminish quality of life. To date, few studies have investigated the safety and feasibility of osteopathic manipulative treatment (OMT) in pediatric oncology. The primary objective of this study is to investigate the safety and feasibility of OMT in pediatric oncology outpatient clinics.
Advance Article

Factors affecting utilization of CT scan following ultrasound evaluation of suspected appendicitis

Adam Zisman, DO; Brian Novi, DO; John Gaughan, PhD; and Lauren Carr, DO
When evaluating a pediatric patient in the emergency department for suspected appendicitis, a provider is often faced with the dilemma of deciding if a computed tomography (CT) scan is warranted when—as is most often the case—ultrasound results do not yield a definitive diagnosis. The potential risks of radiation must be weighed against numerous aspects of a patient’s background, physical exam, and already-obtained workup. This study aims to aid in future decision making of providers in their evaluation of patients with suspected appendicitis.
Advance Article

Pediatric unilateral knee swelling: a case report of a complicated differential diagnosis and often overlooked cause

Katherine E. Guardado, OMS II; and Shane Sergent, DO
Lyme disease is the most common vector-borne illness in the United States. However, Lyme arthritis is a diagnosis that is often missed, even in children, who are the population with the highest incidence of Lyme disease. The authors present a case of a 3-year-old female presenting to the emergency department with a history of limping for 2 weeks. The mother of the child recognized a tick bite. However, the child was not taken to seek care expeditiously, because she had not developed any rashes. Test results demonstrated that the patient was IgG positive and IgM negative for Lyme disease, with Western blot confirming the diagnosis of Lyme arthritis.
J Osteopath Med; 122(2): 105-109

Osteopathic Evaluation and Manipulative Treatment in Reducing the Morbidity of Otitis Media: A Pilot Study

Brian F. Degenhardt, DO, and Michael L. Kuchera, DO
J Osteopath Med; 106(6): 327-334

Analysis of the effects of isotretinoin on the premature epiphyseal closure in pediatric populations: a literature review

Sama Alazawi, DO; and Tami Hendriksz, DO
Oral isotretinoin, a systemic retinoid and a vitamin A derivative, has been widely utilized to treat acne in both adult and pediatric populations. It is important to raise awareness of the potential side effects of isotretinoin to enable informed treatment decisions before beginning an isotretinoin regimen. This article aims to describe that isotretinoin, given at various doses and durations, has been associated with growth plate abnormalities, which can lead to premature epiphyseal closure.
J Osteopath Med; 122(1): 45-53

Osteopathic interventions via telehealth in a pediatric population: a retrospective case series

Joanna L. Kramer, DO, MPH; and Kathleen De Asis, DO, MS
Healthcare delivery was dramatically affected during the COVID-19 pandemic. Many outpatient visits were cancelled or forgone for fear of exposure to the virus, allowing telemedicine to take on a much larger role in healthcare. The delivery of manual therapies, such as osteopathic manipulative treatment, via telehealth posed a unique challenge as these are typically provided in-person by a trained osteopathic physician. This study provides a description of one osteopathic pediatrician’s experience in delivering osteopathic interventions to pediatric patients via telehealth.
J Osteopath Med; 121(11): 857-861

Confirmatory Factor Analysis in Osteopathic Medicine: Fascial and Spinal Motion Restrictions as Correlates of Muscle Spasticity in Children With Cerebral Palsy

Melinda F. Davis, PhD; Katherine Worden, DO; Diane Clawson, DO; F. John Meaney, PhD; and Burris Duncan, MD
J Osteopath Med; 107(6): 226-232

Cause and Effect in Childhood Obesity: Solutions for a National Epidemic

J. Michael Wieting, DO, MEd
J Osteopath Med; 108(10): 545-552

Effectiveness of Osteopathy in the Cranial Field and Myofascial Release Versus Acupuncture as Complementary Treatment for Children With Spastic Cerebral Palsy: A Pilot Study

Burris Duncan, MD; Sharon McDonough-Means, MD; Katherine Worden, DO; Rosa Schnyer, LAc; Jennifer Andrews, MBA; and F. John Meaney, PhD
J Osteopath Med; 108(10): 559-570

Type 2 Diabetes Mellitus in Childhood: Obesity and Insulin Resistance

Malcolm S. Schwartz, DO, and Anila Chadha, MD
J Osteopath Med; 108(9): 518-524