Surface Electromyography of Calf Muscle in Children with Growing Pains / 中国康复理论与实践

@#Objective To compare the differences of electrical activity in calf muscle of children with growing pains from normal children when standing and heel raising. Methods 32 children with growing pains and foot pronation were as growing pains group, and 32 normal children as control group. All the children were measure with surface electromyography (sEMG) of tibialis anterior, peroneus longus, medial gastrocnemius and tibialis posterior when standing and heel raising. Results The root mean square (RMS) of peroneus longus increased significantly in growing pains group when standing (P<0.01). The RMS decreased significantly in medial gastrocnemius (P<0.05) and increased significantly in tibialis posterior (P<0.01) when heel raising. Conclusion The characteristics of electrical activity in calf muscle is difference from the normal in the growing pains children with foot pronation during standing and heel raising.

Surface Electromyography of Calf Muscle in Children with Growing Pains / 中国康复理论与实践

Objective To compare the differences of electrical activity in calf muscle of children with growing pains from normal chil-dren when standing and heel raising. Methods 32 children with growing pains and foot pronation were as growing pains group, and 32 nor-mal children as control group. All the children were measure with surface electromyography (sEMG) of tibialis anterior, peroneus longus, medial gastrocnemius and tibialis posterior when standing and heel raising. Results The root mean square (RMS) of peroneus longus in-creased significantly in growing pains group when standing (P<0.01). The RMS decreased significantly in medial gastrocnemius (P<0.05) and increased significantly in tibialis posterior (P<0.01) when heel raising. Conclusion The characteristics of electrical activity in calf mus-cle is difference from the normal in the growing pains children with foot pronation during standing and heel raising.

Growing Pains: Practitioners’ Dilemma.

Need and Purpose of Review: Though cases of ‘growing pains’ are quite common in pediatric practice, very little attention has been given to it, even in the standard text books. The resultant confusion among practitioners regarding diagnosis and management of this condition needs to be addressed. Methods used for locating, selecting, extracting and synthesizing data: PubMed search was performed using “growing pains “[All Fields] AND ((“child”[MeSH Terms] OR “child”[All Fields] OR “children”[All Fields]) AND (“pediatrics”[MeSH Terms] OR “pediatrics”[All Fields] OR “pediatric”[All Fields])). Types of articles included are Review articles, Systemic Reviews, Randomized Controlled Trials, Practice guidelines and Observational studies. Google Scholar was also searched using the term “Growing pains in children”. Relevant articles not included in the PubMed results were selected. Reference lists of selected studies were also screened to identify additional studies. Main conclusions: A fairly accurate diagnosis of ‘growing pains’ can be made clinically, if the widely accepted diagnostic criteria are followed . A systematic approach, with due consideration of both inclusion as well as exclusion criteria, can avoid unnecessary (sometimes potentially harmful) investigations and medications. Reassurance remains the main stay in the management of ‘growing pains’.

Dolores de Crecimiento / Growing Pains

Los dolores de crecimiento son una entidad clínica que aún no tiene una causa bien fundamentada, existen muchas teorías que intentan explicar la etiopatogenia como la teoría de la fatiga, la teoría anatómica, la teoría emocional, la teoría del crecimiento entre otras. Se presenta en un grupo etario bien establecido de 3 a los 12 años, con una prevalencia de 2,6 y 49,4%. El diagnóstico es enteramente clínico, el pilar terapéutico son los ejercicios de estiramiento, asociados a Antiinflmatorios No Esteroideos (AINES) o analgésicos.

Growing pains are a clinical entity that even does nothave a based reason because there are many theories that try to explain the ethiopathogeny as the theory of the fatigue theory, the anatomical theory, emotional theory, growth theory among others. It comes in a well-established age group of 3 to 12 years, with a prevalence of 2.6 and 49.4%. The diagnosis is entirely clinical, the therapeutic pillar are stretching exercises which are associated with Non- Steroidal Anti- Inflammatory (NSAIDs) or analgesics.

A case of restless legs syndrome in a child presenting with growing pains / 소아과

Restless legs syndrome (RLS) is a common neurological sleep disorder in adults characterized by the following diagnostic criteria: an urge to move that is usually associated with unpleasant sensations and symptoms that are worse at rest, relieved by movement, and most severe at night. The definite diagnosis of RLS in children is stricter and consists of self-description of leg discomfort or the presence of 2 of 3 supportive criteria combined with 4 essential criteria for diagnosis in adults. RLS in childhood has often been misdiagnosed as growing pains or a part of normal development. As a result, physicians have often missed the chance for proper management. We diagnosed a case of RLS in a 5-year-old boy presenting with growing pains, whose mother was found to have had RLS since childhood. We confirmed RLS by using a polysomnograph, in which the indices of periodic limb movement syndrome (PLMS) and periodic limb movement during wakefulness (PLMW) were recorded to be compatible with RLS criteria. The patient's ferritin level was low normal, and his symptoms improved after taking iron supplements.