CURRENT MODELS FOR DECISION-MAKINGFOUR
u International Classification of Functioning, Disability, and Health (ICF)
u Evidence-Based Practice/Rehabilitation
u Positive Deviance
• description
• components
u APTA Guide with Practice Patterns and OATA Therapy Practice Guidelines
CASE STUDY #1: CHILD WITH CEREBRAL PALSY
u Description of child
§LTGs and STGs
u Use of observation as evaluation tool
u Use of ICF template to discuss evaluation and treatment ideas
Break Out Groups
• what to evaluate and how to evaluate
- ICF template
w Need to examine? Why? Related to which goal(s)?
w How to test?
• interventions
- tie in with ICF Model
w related to which goal
w type
w intensity
u Whole Group Discussion
• evaluation and intervention ideas
- spasticity
- botox
- aerobic exercise
- stretching
- adaptive equipment
- electrical stimulation
- selective dorsal rhizotomy
- partial body weight training
- Theratogs™
u When to discharge, discontinue, decrease therapy
CASE STUDY #2: CHILD WITH Developmental DelayIDIOPATHIC TOE WALKING (ITW)
u Description of childdiagnosis
·causes of—need to know true diagnosis!
·long-term sequelae
·goals:
patient’s/family’s
- LTGs; STGs
u ICF Format
• methods for assessment
- evidence-based practice related to ITW assessment
• interventions
- evidence-based practice related to ITW treatment
w motor control sequence ideas (related to which goal; intensity)
w casting, orthotics, surgery, (related to which goal; intensity)
u Use of observation as an evaluation tool
u Use of ICF template to discuss evaluation and treatment ideas
u when to discharge, decrease, change in frequency
CASE STUDY #3: CHILD WITH IDIOPATHIC TOE WALKING (ITW)
u Description of diagnosis
·causes of—need to know true diagnosis!
§LTGs; STGs
u ICF Format for assessment and interventions
§Evidence-based practice related to ITW assessment
CASE STUDY #4: CHILD WITH DEVELOPMENTAL COORDINATION
DISORDER (DCD)
u Deciding on this diagnosis
ouse of www.canchild.ca website
- DCD questionnaire for parents
- other resources on this website
oAPTA Practice Guide for DCD
- diagnostic classification and ICD-9 code
- DQD questionnaire for parents
u Assessment
examination, evaluation from APTA practice guide
u Intervention
other research ideas
interventions from APTA practice guide
specific areas for intervention
discharge vs. discontinuation
u Other research ideas
u Case Study