A Current Practice of Quality Management

31-01-2011 10:33
In accordance with established quality management principles, this practice was successfully certified in December 2010.

This certificate attests to a standard of quality in all areas of the practice and assures that this standard will be continuously reviewed and maintained.

To date In Germany, approximately 2000 offices have been afforded this quality recognition.

Growing Pains

06-06-2010 21:49
As yet science has been unable to provide a clear definition or cause of growing or developmental pains. Nevertheless, based on extensive medical experience, this phenomenon assuredly exists and also evidences typical symptoms.

The cramping pain generally appears in the legs at night and may be bi-polar or even alternate from side to side. Vigorous rubbing or massaging generally brings quick relief, but the discomfort often reappears.

For the most part this is a relatively minor disorder which the child or young adult soon outgrows. Nevertheless, consultation with an orthopedic specialist is recommended. In addition to a physical examination, he may order up a blood and / or an X-ray examination. Keeping a daily log of the pain (where, when, how, how long) is advisable.

The following table lists the typical symptoms associated with growing or developmental pain and other atypical disorders such as inflammation, rheumatism and tumors. The appearance of such symptoms necessitates an immediate consultation with an orthopedic specialist.

Typical Growing Pains
affect the legs
pain both day and night
intermittent periods of relief
mostly occurring on alternating sides
no limp
sports with no difficulty
ages between 3 – 12 years

Additional Disorders
affect the arms
morning pain
the pain persists
localized on one side
limping, an unusual posture assumed for relieving pain
pain resulting from sprains or stress
younger than 3, older than 12 years

Deceptive Advertisement Leads to Foot Injuries

06-10-2008 11:56
More than half the children wear shoes that are too small for them. Ill fitting shoes damage growing feet and can result in deformities of the toes.

Appropriate footwear should afford the toes 12-17 mm latitude or wiggle room. Preliminary research has already determined that the shoe sizes for children are often incorrect and that of 44,181 tested children, the interior of the shoe resulted in the following: Every other child was wearing shoes that were too short (in Germany 66.3%).

Researchers have identified two crucial factors:
First and foremost, the packaging of most shoes for children is inaccurate. World-wide there are four established size systems for shoes. Throughout Europe the “Paris†system of measurement has been adopted. One show size (EU) is equal to 2/3 cm or 6.67 mm length. One calculates the interior length of the shoe in the following manner: The size of the shoe times 2 divided by 3. For example, a shoe size of 30 would result in an interior length of 20 cm, i.e., 30 x 2 = 60, divided by 3 = 20 cm.
Oddly enough, in Europe shoe sizes have not been standardized. Consequently, although on the outside of the shoe one reads size 30, for example, only rarely does one actually find 20 cm on the interior. Ironically, the shoes are almost always shorter and not longer than labeled. Second, researchers have determined that children between the ages of 6 and 10 years are unable to judge the proper size. Most often they evaluate short shoes as being "well-fitted."

Researchers recommend when purchasing shoes that the foot as well as the interior of the shoe should be measured. A simple mechanical gauge or caliper permits an accurate measurement of the interior shoe.

Obesity leads to Osteoarthritis (Degenerative Joint Disease)

23-08-2008 01:03
Obesity in women increases the risk factor for osteoarthritis by 4 times; in overweight men by a factor of 4.8.

An analysis of 16 studies that examined obesity and degenerative bone disease, shed light on the interplay of the two abnormalities. The study supported the unequivocal conclusion that a correlation exists between obesity and the onset of osteoarthritis. Along with mechanical over-extension of the joint(s), other more systemic risk factors play a significant role. In some studies the interaction between obesity and osteoarthritis of the fingers and hand joints were confirmed. Because here the complex series of medical problems associated with being overweight play no role, one must assume additional metabolic causes for the onset of osteoarthritis.

With already advanced obesity, any substantial weight loss can delay the progression of osteoarthritis and thereby alleviate the discomfort associated with degenerative joint disease.

The Beginning of the School Year

17-06-2008 19:16
School satchels – What you should know

Since 1990 there has been a norm for satchels, DIN 58124

All satchels that meet this standard must be durable, water resistant, ergonomically correct, and adequately equipped with reflective devices.


Thus, the child’s back will be protected, and the child will be clearly visible in traffic.

Repeated overextension and excessive loads can lead to misalignment of the skeletal bones.
 
It is recommended that the weight of the satchel plus the contents does not exceed 10 – 12% of the child’s weight.

Furthermore, the satchel itself should not exceed 1.5 kg, and for those children in the first two grades not more than 1.2 kg.

Body weight in kg

Satchels plus contents in kg

         24-28

             2,5

         29-33

             3,0

         34-38

             3,5

         39-43

             4,0

         44-48

             4,5

         49-53

             5,0


 

 

 

 

 


It depends on how the satchel is carried

The satchel belongs on the back, not over the shoulder or under the arm.

It is being carried properly when it is balanced on the child’s back, level with the shoulders and close to the body.

Not only the proper selection of the satchel is important, but also a regular monitoring of its contents will serve to reduce the physical danger to the child. School satchels are often too heavy simply because there are too many unused educational materials stored there. Parents who regularly “clean out†the satchel, remove unnecessary weight from their children’s backs.


Monday - Friday : 07:30- 12:00 am
open appointments : 07:30- 08:30 am
Special appointments on request
Burgstraße 9
67659 Kaiserslautern
Tel.: +49-631-3160550
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