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What are the Best Over the Counter Foot Orthotics?

Although most children with feet problems should be treated with a custom orthotic prescribed by a podiatrist, over-the-counter orthotics are an option for some children, teens and young adults.  Could your teen or young adult child benefit from an over-the-counter orthotic?  Read on for several great options.

What are Over the Counter Orthotics?pediatric orthotics

In general, over the counter (OTC) orthotics look like shoe inserts and are placed inside your shoe to add extra support and to help with arch problems. They’re geared toward people suffering from foot, knee, or back pain that can arise from having flat feet, wearing uncomfortable shoes, or simply walking or running incorrectly. Unlike custom orthotics, they are available without a doctor’s prescription.

What to Look for in an Over the Counter Orthotic:

It is best to find an over the counter orthotic that has a plastic polymer or a hard plastic that is a little more rigid than just the typical shoe insole. While the average lifespan of custom orthotics is 3 years, the average life span of over-the-counter orthotics is 6 months.  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.

Exercise Hydration: What is the Right Beverage for my Child?

With so many sports beverage and enhanced water products on the market, it’s good to know when they are actually useful. Many of these products have an ingredient list quite similar to soda, which is not something you typically would give your child or athlete after a workout. However, there are circumstances where nutrient and electrolyte replacement is very important for children and teens.

Child drinking a glass of water

Carbohydrates are an important nutrient to replenish because glycogen is the fuel which gets used up from muscle and liver stores during physical activity. Electrolytes, specifically sodium, potassium, and bicarbonate are important for nerve conduction and respiration. Some amounts are expired through sweat and given off with heavy breathing that comes with intense physical activity. For these reasons, carbohydrates and electrolytes need to be “replaced” after intense, continuous workouts lasting longer than 60 minutes, and can be achieved with electrolyte replacement beverages. This would apply to long distance runners, college or elite athletes in training, and swimmers, soccer, or basketball players who are doing continuous intense cardio training for more than an hour during workouts.

However, for most people hitting the gym for an hour or so, or kids playing in team sports or outside at the playground, nutrient and electrolyte replacement can be achieved from eating a normal, well-rounded diet. Eating a balanced meal or snack within an hour after physical activity is sufficient in this case. Drinking additional sports drinks will only provide extra calories and sugar (or diet sweeteners), and often artificial food coloring.

Use this table as a guide:

Commercial (or homemade*) electrolyte replacement beverage

  • Intense continuous physical activity lasting an hour or more such as running; drink 16-32 ounces of electrolyte replacement beverage. 30 grams of carb should be consumed for every 60 minutes of intense continuous cardio, within 30 minutes of activity. Electrolyte replacement is important if intense physical activity is in extreme heat, when sweating is excessive.

Chocolate milk (carb + pro + electrolytes)

  • College or elite athletes in training for several hours per day who need a quick, small meal + electrolyte replacement during or after long workouts lasting several hours. These athletes should consult with a dietitian who specializes in sports nutrition.

Coconut water

  • Natural electrolyte replacement beverage; high in potassium and lower in sodium and sugar than commercial electrolyte replacement beverages. Appropriate for moderate-high physical activity with sweating, such as spinning class, kickboxing, “boot camps”, outdoor sports in heat with continuous cardio 30-60 minutes, etc.

Water + well-rounded diet

  • As needed during and after any level of physical activity. This is all that is necessary for low or moderate physical activity such as playing outside, playing team sports, hitting the gym for 30-60 minutes, etc. A rule of thumb is 1 oz water for every 2 lbs body wt (50 oz/day for 100 lb person) daily. Increase as needed in heat or more strenuous activity.

*Recipe for homemade electrolyte replacement beverage, from Nancy Clark’s Sports Nutrition Guidebook

1/4 cup sugar
1/4 teaspoon salt
1/4 cup hot water
1/4 cup orange juice (not concentrate) plus 2 tablespoons lemon juice
3 1/2 cups cold water

  1. In the bottom of a pitcher, dissolve the sugar and salt in the hot water.
  2. Add the juice and the remaining water; chill.

Recipe makes 1 quart.
Per 8 ounce serving, recipe provides: 50 calories, 12 grams carbohydrate, 110 mg sodium, 43 mg potassium.
Compared to original Gatorade per 8 ounce serving: 50 calories, 14 g carbohydrate, 110 mg sodium, 30 mg potassium.

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