Best Clinical Practice in Botulinum Toxin Treatment for Children with Cerebral Palsy.

Abstract Botulinum toxin A (BoNT-A) is considered a safe and effective therapy for children with cerebral palsy (CP), especially in the hands of experienced injectors and for the majority of children. Recently, some risks have been noted for children with Gross Motor Classification Scale (GMFCS) of IV and the risks are substantial for level V. Recommendations for treatment with BoNT-A have been published since 1993, with continuous optimisation and development of new treatment concepts. This […]

Prevention, Evaluation, And Management Of Low Bone Density – PART 1

BY PHILIP MAY MD  Prevention, Evaluation, and Management of Low Bone Mineral Density (BMD) Encountered in Adults with Developmental and Intellectual DisabilitiesClinical experience and published reports have shown that low BMD is especially common in adults with developmental disabilities, such as intellectual disability, epilepsy, autism, and cerebral palsy. Abstract For various reasons, high frequency of low bone mineral density (BMD) and increased risk for fracture are often encountered in adults with “medically complex developmental disabilities” […]

How To Organize International Group Travel For Students With Disabilities

BY ERNST VANBERGEIJK, Ph.D., M.S.W  Most non-disabled adults take for granted the ability to travel overseas for business or pleasure. However, for many teens and young adults with disabilities, the ability to travel independently without their parents is a dream. At best, they may have gone on a holiday with their families. They have never traveled to a foreign country with their friends. The benefits of traveling internationally for students with disabilities are numerous. Not […]

Alternatives To Out-Of-Home Placement For Families

BY LAUREN AGORATUS, M.A. Families and individuals need to visualize what they want as goals to see if the program is a good “fit” and if they can picture the person in that environment. The American Academy of Pediatrics (AAP) just published “Out of Home Placements for Children and Adolescents with Disabilities.” This document provides compassionate but incomplete guidance on a difficult decision for families, and presents out-of-home placement as a last resort. Some placements […]

Going Solo

BY KIMBERLEE RUTAN MCCAFFERTY To the casual onlooker it was not a remarkable scene. A middle-aged mom trudging through the rain, huge beach bag slung precariously over her shoulder while clutching the hands of a ‘tween and a younger son, heading for the relative paradise of a movie theater overhang. If anyone had cared to look they would have viewed a grim determination in her eyes, a desire to reach her destination etched into the […]

Youth Participation In Transition Planning

BY VALERIE LEITER In 2004, Congress added new transition requirements to the Individuals with Disabilities Education Act (IDEA), striving to improve youth outcomes after high school. These new requirements say that the Individual Education Program (IEP) must include “appropriate measurable postsecondary goals” and the “transition services… needed to assist the child in reaching those goals.” They also give students the right to participate in planning once their IEP meetings focus on transition from school. It […]

An Endless List Of Role Models

BY H. Barry Waldman, DDS, MPH, PhD & Steven P. Perlman, DDS, MScD, DHL (Hon) These heroes are living proof of the saying, “It is better to try and fail, than to fail to try.” Hope is the feeling that what is wanted can be had or that events will turn out for the best.1 Aspiration is a strong desire, longing or ambition.1 Hope and aspirations are the twin pillars which maintain the drive of […]

Super Undies Introduces New Hybrid Potty-Training Pants

What’s so “hybrid” about them? This new innovative pair of training pants uses either disposable inserts or cloth inserts. It can instantly switch identities from a potty trainer to a much needed diaper. And with its adjustable front, it can fit a two year old or his four year-old sibling. This dynamic two-tone piece of goodness has changeable inserts that fit in a wonderfully waterproof shell, so now you can just replace the inserts, not […]

Designing a Child-centered and Accessible Home

By Deborah Pierce, AIA, CAPS In the accessible home, disabilities become abilities because barriers cease to exist. This is the possibility of the accessible home. Photos by: Kathy Tarantola Every parent is exceptional! Our kids challenge us to expand our limits – to be more patient, more tactful, more generous, and, when circumstances call for it, fiercer advocates. We juggle our jobs, housekeeping tasks, and care-giving with all the grace and intelligence we can muster. […]