A New Childhood Health Issue: Overweight but Undernourished

If a child is overweight, it is easy to assume that he is getting more than enough of his daily recommended nutrients… right?  The answer is, not always.   Even if a child appears to be well-nourished or over-nourished, this does not mean that he actually has proper nutrient status from a physiological perspective.overweight kids

What nutrients might be lacking and why?

CalciumChildhood and drinking milk are often thought to go hand-in-hand. But many kids avoid milk and instead drink juice or sweetened beverages with little nutritional value. Other food sources of calcium might not be at the top of most kids’ lists, such as dark leafy greens, beans, tofu, and quinoa.

Inadequate calcium intake can cause the following problems:

  • In combination with excess weight bearing on a child’s developing bones, a lack of calcium can put kids at risk for fractures and joint problems.
  • A lack of calcium in childhood can cause a diminished reserve of calcium in later life.  Calcium is used in the body for blood clotting, muscle contraction, and nerve signal conduction processes.  Calcium also works to buffer acid-base balance in the blood. It is stored in the bones, and pulled out from the bones for these functions. Your body stockpiles calcium from the diet into the bones much more effectively during childhood and the young adult years than after age 30. Read more

DSM-5 Changes in Autism

With publication of the latest edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) in May 2013, DSM-V Changeschanges to diagnostic labels, symptom criteria, and specifiers of Autism have been put into action.  Perhaps the most obvious change is the exclusion of Asperger’s Disorder in the latest manual.  Not to say the syndrome no longer exists, rather the nosology has been altered.  Asperger’s is now subsumed under the broad diagnosis of Autism Spectrum Disorder.  Apparently, the “spectrum” is now greater than ever, but thanks to a variety of specifiers, the child’s strengths and weaknesses can be easily communicated.

Other Changes to the DSM-5:

  • The creation of a single category for communication and social interaction symptoms.  The focus is less on the actual language impairment, per se, but more on the qualitative social aspect of impairment.
  • Diagnosis now requires at least two restricted and repetitive behaviors, with the old manual requiring only one.
  • Criteria have been clarified to reflect the variations in behaviors, interests, and sensory experiences.

What this means for rates of diagnosis of Autism Spectrum Disorder in the future remains to be seen.  Criticism has abounded, with some predicting inflation in diagnosis while others fear the many costs associated with potential under-diagnosis.  Nonetheless, it is important to realize that with the changing in terminology, treatment of Autism has remained stable and continues to be evidence-driven.

For more on Autism read When to Screen Children for Autism and Other Pervasive Developmental Disorders and Potty Training and Autism: The Complete Guide.  To learn more about the Chicago Autism Clinic, click below or call us at 877-486-4140.


The Role of the Speech Pathologist in Treating a Cleft Palate

It can be scary and heartbreaking to watch your child with a cleft palate struggle.  When treating a cleft palate, a multi-cleft palatedisciplinary team approach is the best way to provide the highest level of care to your child and your family. Allowing multiple team members to communicate often and coordinate approaches will result in a more comprehensive plan of care overall.  One indispensible member of this team is the speech pathologist.

How a Speech Pathologist Can Help Your Child with a Cleft Palate:

A speech pathologist is a critical part of your child’s cleft palate team.  Speech pathologists provide support from the early days by assisting with feeding and into childhood as your child masters speech with the continuous changes they will undergo the first few years of life.

From birth, feeding a child with a cleft palate may be a concern for parents. A speech pathologist will be able to provide strategies for adaptive techniques and useful tools to ease this difficulty. He or she will work closely with nutritionists and nursing specialists to provide the most effective care for your child and to ensure your child can maintain adequate nutrition orally.

As your child grows and develops, regular, consistent assessment of your child’s articulation skills is critical to determine if any production errors are the result of structural difficulties or compensation for your child’s weak/insufficient muscles.  The cleft palate team will determine if your child’s speech and language is appropriate for development.  A trial period of speech therapy may be suggested prior to an additional surgery. A speech pathologist will also screen for hearing impairments, which may co-occur with a cleft palate.  This can cause difficulty with understanding and/or acquiring sounds and language.

Finally, the role of advocate is also a critical piece to the team offered by the speech pathologist. The speech pathologist can assist you by providing information regarding useful websites, helpful publications and information regarding local school districts and the care that is available to you and your family.

Helping your child with a cleft palate can be a difficult journey, but with the right help, your child will overcome the challenges of this condition.

Do you have more questions about helping your child with a cleft palate?  Click here to learn about our speech pathology program or call us at 877-486-4140.

Tips to Integrate Children with Autism into Day Camp

Camp should be a fun summer experience that all kids can enjoy.  Sending your child to summer camp with new peopleautism and a new routine can be a scary thought for most kids.  The difficulty of this transition is much more pronounced for kids with autism.  There are ways to make this transition easier on kids with autism, so they don’t miss out on this fun, childhood experience.

Tips to transition to a camp setting for kids with autism:

  • Meet the counselors, staff and new teachers before the program begins.
  • Let the counselors, staff and new teachers know to what your child best responds, for example, first/then sentences, praise, or certain words.
  • Explain any “triggers” that may cause your child with autism to have a tantrum.
  • Take a tour of the facilities with your child before you send him for his first day.
  • Show your child a schedule of what his day will look like at camp so he is not surprised.
  • Read your child a social story about camp, following directions, and making friends. Read more

Nutrition Implications of Pediatric Congenital Heart Defects

Congenital heart defects in the pediatric population are a serious condition. Many defectscongenital heart defects require surgical intervention to correct or improve the problem. Often, there are nutrition-related implications associated with heart defects. Here is more information about how nutrition may be affected to help you understand this aspect of your child’s health.

The Link between Nutrition and Congenital Heart Defects:

  • Digestion and absorption of nutrients. The major job of the human heart is to pump blood throughout the body. The blood carries nutrients and oxygen to be used for energy and to support all body functions. With a heart defect, blood circulation may be suboptimal, since the heart may not be pumping strongly or efficiently. This can result in poor blood flow to the gut, which means that the gut is not getting the nutrients and energy it needs to perform digestive functions effectively. Nutrients may not be absorbed well, which can lead to poor weight gain and general intolerance of feeds (diarrhea, reflux, delayed gastric emptying). Read more

Questions About Medication For Children

For many children, therapy or accommodations are not sufficient to support their needs.  It is often that these children will need child medicationpharmacological intervention to help improve their attentional regulation, impulse control, emotional regulation and/or behavioral self control. Parents should be honest with their pediatrician about medication as well as ask several questions about ensuring the best care.

Questions Parents Should Ask When Determining If Medication Is The Right Choice For Your Child:

  1. What are the side effects of the medication? All medications have side effects and it is important to be aware of what to possibly look out for.
  2. How long should the child be on medication?  It is important to ascertain if the medication is likely a temporarily solution or long-term.
  3. What therapies would be beneficial for the child to participate in while taking medication?  It is often that medication alone is not sufficient. Children will often benefit from specific therapies and interventions to help teach emotional and behavioral regulation.
  4. Who should I tell? My advice about medication is to always inform the academic staff as to when a child starts medication. Many times, the teacher would be able to have a greater watch over the child and monitor whether or not there are experiencing any negative side effects.

Medication is often warranted in a child’s treatment regime. It is always important for parents to ask good questions and work with a treatment team in order to ensure the best success of their child’s social and emotional development.

Eating Disorders in Children and Teens

Eating disorders are a scary topic for parents. It is critical to be aware of signs that your child may be at risk for developing an eating eating disorderdisorder. The earlier you can get professional intervention, the better outcomes your child will have. You may be able to prevent the eating disorder from taking over your child’s life and causing serious health affects. The longer a child struggles with an eating disorder, the more difficult it can be for him or her to overcome it. The eating disorder becomes a coping mechanism they rely on to feel in control, and is something to focus on to avoid other issues. Eating disorders are mental health diagnoses, and involve disordered thinking, beliefs, and behaviors around food and body image. They should be treated and managed by a team including at minimum, a physician, a mental health counselor, and a registered dietitian.

Warning signs your child may have or be developing an eating disorder:

  • Rapid weight loss
  • Eating the same things every day, often in very controlled amounts
  • Self- imposed rules around eating Read more

Physical Activities to Get your Child Moving | Pediatric Therapy Tv

In today’s Webisode, a pediatric physical therapist will explain creative ways to help your child get up and get active!

In this video you will learn:

  • What indoor games are best for encouraging physical activity with your child
  • What outdoor activities increase muscular activity
  • What gaming system is best for enhancing your child’s activity

Video Transcription:

Announcer: From Chicago’s leading experts in pediatrics to a worldwide
audience, this is Pediatric Therapy TV, where we provide experience and
innovation to maximize your child’s potential. Now you’re host, here’s
Robyn.

Robyn: Hello, and welcome to Pediatric Therapy TV. I’m your host Robyn
Ackerman, and today I’m standing here with Leida Van Oss, a
pediatric physical therapist. Leida, can you tell us some
physical activities that we can use to get our children
moving?

Leida: Sure. When you want to get your kid moving and active, it’s
really important that it’s something that’s fun to them. So
if they’re really interested in doing board games, there
are a couple different board games you can do, such as
Hullabaloo or I Can Do That by Cat in the Hat or Twister.
If they like to go outdoors, then do something like a
sport, like swimming or soccer, or if there’s snow on the
ground, you can build forts or go sledding. But it’s really
important to pick something that they’re going to be
interested in so that they get really active.

If they really like video games, there are a lot of good active video
games you can do, especially with the new system, the
Kinect. Things like Just Dance or Dance, Dance Revolution
are all really good games that incorporate the video game
aspect with being really active.

Robyn: All right. Well, thank you so much for those tips, and thank
you to our viewers, and remember, keep on blossoming.

Announcer: This has been Pediatric Therapy TV, where we bring peace of
mind to your family with the best in educational
programming. To subscribe to our broadcast, read our blogs,
or learn more, visit our website at LearnMore.me. That’s
LearnMore.me.

Ways to Encourage a Baby to Sit Up | Pediatric Therapy Tv

In today’s Webisode, a pediatric physical therapist will show us helpful ways to encourage a baby to sit up independently.

Read about useful tips to get your baby to roll

In this video you will learn:

  • How old your baby should be to sit up
  • Strategies to support your baby as they sit up

Video transcription:

Announcer: From Chicago’s leading experts in pediatrics to a worldwide
audience, this is Pediatric Therapy TV, where we provide
experience and innovation to maximize your child’s
potential. Now your host, here’s Robyn.

Robyn: Hello, and welcome to Pediatric Therapy TV. I’m your host Robyn
Ackerman, and I’m here today with Leida Van Oss, a
Pediatric Physical Therapist. Leida, can you tell us a
couple tips on how to get a child to start sitting up
independently?

Leida: Sure. So the first stage of sitting should be done by four
months of age, and this is called prop sitting. This is
when they support themselves on their own. So you want to
put a toy down by their feet, and then tilt them forward so
that they put their hands on the ground, and then that
should encourage them to support themselves on their hands.
She’s older than four months, so she doesn’t want to do it.

But then the next stage is this kind of sitting, where they
want to bring up their hands, and sit by themselves
independently. So if they’re not quite wanting to do that
yet, you can take their toy – there we go – and lift it up
in front of them, so that they want to look up and raise
their arms up. This will activate the core and back
muscles, which will help bring up their head and do more of
an independent sitting.

You want to make sure that you keep a hand behind their
body, so that in case they topple backwards, you can catch
them really quickly. Then, the last mature stage of sitting
are things like rotating and reaching out if they need some
support. So, again, you can use toys to have them turn to
the side or reach up, or reach far [inaudible 00:01:37].
Those are all things that are going to help encourage more
mature sitting skills.

Robyn: All right. Well, thank you so much, and thank you to our
viewers, and remember, keep on blossoming.

Announcer: This has been Pediatric Therapy TV, where we bring peace of
mind to your family with the best in educational
programming. To subscribe to our broadcast, read our blogs,
or learn more, visit our website at learnmore.me. That’s
learnmore.me.

Toe Walkers Part 2: When You Should Seek Help | Pediatric Therapy Tv

In today’s Webisode, a pediatric physical therapist discusses the intervention needed for a toe walking child.  For more on Toe walking, read this blog.

To Watch Part 1 of the Toe Walking Webisode, click here.

In this video you will learn:

  • How soon a toddler needs therapy intervention for toe walking
  • What is the maximum age  a child should stop toe walking

 Video Transcription:

Announcer: From Chicago’s leading experts in pediatrics to a worldwide audience, this is Pediatric Therapy TV, where we provide experience and innovation to maximize your child’s potential. Now, your host, here’s Robyn.

Robyn: Hello and welcome to Pediatric Therapy TV. I’m your host, Robyn Ackerman. I’m stranding here today with pediatric physical therapist, Colleen Kearns. Colleen, when it comes to toe walking, when is intervention needed?

Colleen: Well, when it comes to toe walking, the earlier the intervention, the better, because toe walking can become such a strong habit in children. The longer that they do toe walk, the harder it is to break that habit. And then, also I mentioned before, when the muscles do become shorter, the more the child’s toe walking, the shorter the muscles will become. And then the longer that it goes, the harder it’s going to be to reverse that. So, if the child is over 2 years old and walking on the toes over 50% of the time, so the majority of the time that they’re walking, then it’s time to seek intervention.

Robyn: All right. Thank you so much, Colleen. Thank you to our viewers, and remember, keep on blossoming.

Announcer: This has been Pediatric Therapy TV, where we bring peace of mind to your family with the best in educational programming. To subscribe to our broadcast, read our blogs, or learn more, visit our website at LearnMore.me. That’s LearnMore.me.