Innovation and Discovery

(From the November 2018 Issue of MedStat)

Resources for Addressing Youth’s Behavioral Health

Studies and treatments for mental illnesses, disorders of brain development, and behaviors affecting emotional, psychological and physical health of adolescents are inadequate to address the needs of the one in five teens in the United States who are impaired by a mental health disorder. Much less the behavioral health of younger children and the effects on families. As part of Nationwide Children’s “On Our Sleeves” campaign to raise awareness and begin addressing minors’ health care needs, pediatric care providers may download resources for their practices. Learn more.

Guidance for Workup and Imaging for Lower Back Pain and Possible Spondylolysis

School-age children commonly suffer lower back pain but in up to 80 percent of cases, no specific etiology is found. Thomas L. Pommering, DO, chief of Sports Medicine at Nationwide Children’s, provides guidance on employing a workup to rule in or out causes, when an inflammatory etiology is suggested and how to proceed accordingly. Dr. Pommering also offers parameters for identifying spondylolysis and the benefits and potential harms of different imaging modalities used to diagnose the causes of pain. Learn more in this PediatricsOnline article.

Measure Helps to Detect Hemiplegic Cerebral Palsy Early

Early detection of cerebral palsy (CP) allows for earlier interventions and increases chances for better outcomes, but diagnoses without specialized tools and training have proven difficult. Researchers at Nationwide Children’s, led by Nathalie Maitre, MD, PhD, director of NICU Follow-up Programs, may have found a simple solution. In a study of 74 infants with CP, the researchers discovered that an asymmetry score from the Hammersmith Infant Neurological Examination (HINE) used in combination with a total HINE score can differentiate young children with hemiplegic CP from typically-developing children. Read more in this PediatricsOnline article.