PMID: 6537817Jan 1, 1984Paper

Trauma to the bones of small infants from passive exercise: a factor in the etiology of child abuse

The Journal of Pediatrics
R E HelferT L Slovis

Abstract

Four infants, three premature and one term, developed serious bony injury from parent- or caretaker-administered passive exercises. In the three infants born prematurely, the exercise program was prescribed by neonatal intensive care unit staff before discharge; in the fourth infant, the babysitter initiated the program. In each case the passive exercise was begun to diminish actual or presumed muscle tightness. When these infants were presented to the physician with a serious traumatic injury between the ages of 4 and 10 months, the presumptive diagnosis of child abuse was made after radiologic assessment revealed multiple bone injuries. The several traumatic injuries to bones resulting from the home-administered physical therapy were most impressive. Passive exercise in three of the four infants was a significant factor in the cause of their injuries. Caution must be used in prescribing this form of "therapy" in small infants.

References

Oct 1, 1968·The British Journal of Psychiatry : the Journal of Mental Science·J Silverman
Nov 1, 1980·The Journal of Pediatrics·K SoneT Kuroume
Jun 18, 1955·Journal of the American Medical Association·P V WOOLLEY, W A EVANS

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Citations

Sep 1, 1994·Archives of Disease in Childhood. Fetal and Neonatal Edition·H D Dellagrammaticas, A Papageorgiou
Sep 7, 2002·Pediatric Radiology·Marvin Miller
Apr 1, 1988·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·W W KooJ J Steichen
Sep 1, 1994·Archives of Disease in Childhood. Fetal and Neonatal Edition·R J Madar, D W Milligan
Nov 26, 2009·Trauma, Violence & Abuse·Liena Gurevich
Oct 1, 1991·Journal of the American College of Nutrition·W W Koo, R C Tsang

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