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Diaper Changing and the Osteogenesis Imperfecta Infant

Alicia Fernandez-Fernandez, PT, DPT, PhD, CNT

February 24, 2016

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Question

We need to educate parents and caregivers on the safest handling techniques for those with Osteogenesis Imperfecta. What do you recommend for diaper changing?  

Answer

Do not lift the buttocks by pulling on the ankles.  This is what we all instinctively do when changing a diaper.  In a child that has a severe form of OI, that can be enough to trigger a fracture. We are going to teach parents to shift the child's weight to one side. This will allow access to the buttocks to clean the child and replace a new diaper in semi-side-lying rather than lifting the limbs up


alicia fernandez fernandez

Alicia Fernandez-Fernandez, PT, DPT, PhD, CNT

Alicia Fernandez-Fernandez graduated from the University of Oviedo (Spain) with a diploma in physical therapy and
practiced in a variety of settings as a physical therapist in Spain before moving to the US and obtaining her M.S. in Physical Therapy, a post-professional Doctorate in Physical Therapy, and a PhD in Biomedical Engineering. She has practiced at the South Miami Hospital Neonatal Intensive Care Unit (NICU) 2003-present. In 2011 she joined Nova Southeastern University, where she is currently an Associate Professor and teaches Pediatrics, Kinesiology, Prosthetics and Orthotics, and Gender Issues. She continues to practice in the NICU on a per diem basis and she is a Certified Neonatal Therapist. Her research interests encompass pediatrics, biomechanics, use of technology in education, and nanotechnology applications in cancer.


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