{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,7]],"date-time":"2022-04-07T21:48:19Z","timestamp":1649368099266},"reference-count":11,"publisher":"Walter de Gruyter GmbH","issue":"6","license":[{"start":{"date-parts":[[2017,6,1]],"date-time":"2017-06-01T00:00:00Z","timestamp":1496275200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Pediatric limp is a relatively common condition in primary care and can be challenging to diagnose and manage. Common causes of painful pediatric limp include transient synovitis, septic arthritis, osteomyelitis, and trauma. The authors present the case of an 11-year-old girl with a painful limp and anterior ankle pain of unclear origin. Osteopathic structural examination revealed a somatic dysfunction known as <jats:italic>continuum distortion<\/jats:italic>, 1 of 6 fascial alterations identified in the fascial distortion model. Myofascial release was applied, providing rapid, complete resolution of symptoms. This case demonstrates that osteopathic physicians may consider the fascial distortion model framework when identifying causes of pain in patients.<\/jats:p>","DOI":"10.7556\/jaoa.2017.079","type":"journal-article","created":{"date-parts":[[2017,5,30]],"date-time":"2017-05-30T13:40:57Z","timestamp":1496151657000},"page":"399-402","source":"Crossref","is-referenced-by-count":2,"title":["Use of the Fascial Distortion Model to Evaluate a Limp in a Child"],"prefix":"10.1515","volume":"117","author":[{"given":"Sarah J.","family":"James","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasmine","family":"Hudnall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2017,6,1]]},"reference":[{"key":"2022022617420450057_j_jaoa.2017.079_ref_001","doi-asserted-by":"publisher","first-page":"c4250","DOI":"10.1136\/bmj.c4250","article-title":"Evaluating the child who presents with an acute limp","volume":"341","author":"Perry","year":"2010","journal-title":"BMJ."},{"issue":"1","key":"2022022617420450057_j_jaoa.2017.079_ref_002","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1097\/00006565-198503000-00003","article-title":"The cause of gait disturbance in 425 pediatric patients.","volume":"1","author":"Singer","year":"1985","journal-title":"Pediatr Emerg Care"},{"issue":"10","key":"2022022617420450057_j_jaoa.2017.079_ref_003","first-page":"908","article-title":"A systematic approach to the evaluation of a limping child","volume":"92","author":"Naranje","year":"2015","journal-title":"Am Fam Physician"},{"issue":"9","key":"2022022617420450057_j_jaoa.2017.079_ref_004","first-page":"13","article-title":"Clinical and Theoretical Application of the Fascial Distortion Model Within the Practice of Medicine and Surgery","volume":"4","author":"Typaldos","year":"2002","edition":"4th ed"},{"key":"2022022617420450057_j_jaoa.2017.079_ref_005","first-page":"710","volume-title":"Foundations of Osteopathic Medicine","author":"Chila","year":"2011","edition":"3rd ed"},{"issue":"2","key":"2022022617420450057_j_jaoa.2017.079_ref_006","first-page":"15","article-title":"Continuum technique","volume":"5","author":"Typaldos","year":"1995","journal-title":"Am Acad Osteopath J"},{"issue":"9","key":"2022022617420450057_j_jaoa.2017.079_ref_007","first-page":"417","article-title":"Osteopathic manipulative treatment in the emergency department for patients with acute ankle injuries","volume":"103","author":"Eisenhart","year":"2003","journal-title":"J Am Osteopath Assoc"},{"issue":"4","key":"2022022617420450057_j_jaoa.2017.079_ref_008","first-page":"193","article-title":"Limp in children: differentiating benign from dire causes","volume":"60","author":"Hill","year":"2011","journal-title":"J Fam Pract"},{"key":"2022022617420450057_j_jaoa.2017.079_ref_009","first-page":"747","volume-title":"Nelson Essentials of Pediatrics","author":"Behrman","year":"1998","edition":"3rd ed"},{"issue":"2","key":"2022022617420450057_j_jaoa.2017.079_ref_010","first-page":"14","article-title":"Introducing the fascial distortion model","volume":"4","author":"Typaldos","year":"1994","journal-title":"Am Acad Osteopath J"},{"key":"2022022617420450057_j_jaoa.2017.079_ref_011","doi-asserted-by":"publisher","first-page":"790626","DOI":"10.1155\/2014\/790626","article-title":"Treatment of medial tibial stress syndrome according to fascial distortion model: a prospective case control study","volume":"2014","author":"Schulze","year":"2014","journal-title":"Sci World J"}],"container-title":["Journal of Osteopathic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.7556\/jaoa.2017.079\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.7556\/jaoa.2017.079\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,26]],"date-time":"2022-02-26T17:44:32Z","timestamp":1645897472000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.7556\/jaoa.2017.079\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6,1]]},"references-count":11,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2017,6,1]]},"published-print":{"date-parts":[[2017,6,1]]}},"alternative-id":["10.7556\/jaoa.2017.079"],"URL":"https:\/\/doi.org\/10.7556\/jaoa.2017.079","relation":{},"ISSN":["2702-3648"],"issn-type":[{"value":"2702-3648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,6,1]]}}}