INTRODUCTION
u Consilience—definition
u How this can help us as therapists (e.g. baclofen for alcoholism)
ASSESSMENT OF CHILDREN
u Issues with evaluation of children
- Lois Bly’s Motor Skills Acquisition Check List
u What to evaluate
u Choosing an evaluation tool
u Commonly used norm-referenced tools for general motor skill assessment
- Bayley Scales of Infant Development
- Peabody Developmental Motor Scales
- Movement ABC
- Bruininks-Oseretsky Test of Motor Performance
u Re-evaluation with standardized assessments
u Commonly used criterion-reference pediatric assessment tools
- gross motor function measure (88 and 66)
- school function assessment
- goal attainment scale
u Gathering other pertinent information
- five senses
- the use of PIQ (Posture in Positions, Initiations and Inhibitions, Quality and Quantity)
u Evaluation components
- strength chart
- gait analysis
u Treatment planning
- use of left vs. right brain thinking
- PT/OT diagnoses vs. medical diagnoses
TORTICOLLIS
u Definition and incidence
u Causes
u Changes in developmental milestones with Back to Sleep
u Evaluation
- PIQ
- cranial measurements
- range of motion
- motor evaluation
u Intervention Ideas
- positioning
- range of motion
- case study
PREMATURITY
u Definition, incidence, morbidity, causes
Long term sequella
Dynamic systems theory
u Evaluation - subjective and objective information
- complications, feeding, physical aspects
- PIQ
standardized assessments
TIMP
Alberta Infant Motor Scale
INFANIB
- Infant Behavioral Assessment (IBA)
u Intervention
- parental education
- supine vs. prone
- frequency, location
- case study
HYPOTONIA (moved up)
u Definition and clinical characteristics
u Causes
- non-neurological
- central
- peripheral
- others
u Weakness vs. joint laxity vs. low tone
- measuring joint laxity
u Assessing children with low tone
- INFANIB
- movement assessment of infants
- gross motor function measure
- PIQ
- range of motion
- sensation and perception - proprioception
u Intervention strategies—moving from diagnosis to treatment
- task analysis + noted impairments → treatment
- chart with treatment ideas
- Patricia Winder’s book
- audience input
- other ideas (equipment, hip helpers)
- case study
HYPERTONIA
u Definition and incidence
- spasticity vs. hypertonia
- classification system for cerebral palsy
u Assessing children with tone disorders
- past medical history
orthopedic issues
- standardized assessments
- PIQ
- causes of in-toeing
Ryder’s test
- strength, balance, sensation/perception
u Treatment ideas
- strengthening for children with hypertonia
- whole body vibration plate
- NDT
- constraint-induced movement therapy
- taping, stretching, NMES vs. TES
u Adaptive equipment
- PBWB
- standers
- orthotics
u Case study using chart for single goal
u Conclusion
This is the most beneficial seminar I've attended. Michelle explained the material very well and the videos were great.
Brandy Pernicek, PT
Lincoln, NE