Publications by authors named "R M Livingstone"

Article Synopsis
  • The study aims to explore hip problems in individuals with developmental central hypotonia, focusing on various rare genetic disorders while excluding Down syndrome.
  • It analyzed 89 articles, ultimately including 79 that covered 544 subjects aged from infancy to 63 years, revealing that many of these syndromes are linked to hip structural or stability issues starting from birth, which worsen over time.
  • The findings suggest that children with notable hypotonia should undergo specific ultrasound screenings and regular orthopedic evaluations to monitor and address potential hip issues that might not be detected through standard neonatal assessments.
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Children functioning at Gross Motor Function Classification System (GMFCS) levels IV-V cannot maintain an aligned standing position or take steps without support. Upright positioning and mobility devices have psycho-social significance for these children and their families, enhancing use of vision, communication, functioning and emotional well-being. Standers and supported stepping devices facilitate opportunities for biomechanical loading, potentially helping to build and maintain muscle and bone integrity, and they promote physical development.

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This study aimed to evaluate assessment and referral practices for the early detection and diagnosis of children at risk for or with cerebral palsy (CP) by health care and education providers in Maryland and Delaware. A secondary aim was to identify barriers for using early detection tools and identify opportunities for change to support early diagnosis and improve care. Seventy-two participants answered ≥ 50% of the survey questions.

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Children with developmental central hypotonia have reduced muscle tone secondary to non-progressive damage to the brain or brainstem. Children may have transient delays, mild or global functional impairments, and the lack of a clear understanding of this diagnosis makes evaluating appropriate interventions challenging. This overview aimed to systematically describe the best available evidence for tools to identify and evaluate children with developmental central hypotonia aged 2 months to 6 years.

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