Moving from Assessment to Treatment for Pediatric Patients
Pediatric motor therapists see children of all ages with a variety of diagnoses. It can be overwhelming to decide how to evaluate and treat any given patient. In addition, each child is unique, and a "cookie cutter" approach to assessment and treatment should be avoided. One must base the treatment plan on the child's particular attributes, the family's wants and needs, and the therapeutic environment.
This course will introduce therapists to the use of the ICF model and Evidence-Based Practice (EBP) and show how these can be utilized to move from the initial evaluation until discharge, keeping the child, family, and environment as fundamental pieces of this process. This will be done in a case study format that will encourage general discussion and input from those in attendance. Diagnoses to be discussed include cerebral palsy, developmental delay, idiopathic toe walking, and Developmental Coordination Disorder.
Course Content
FOUR
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
Need to examine? Why? Related to which goal(s)?
How to test?
• interventions
- tie in with ICF Model
related to which goal
type
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 IDIOPATHIC TOE WALKING (ITW)
u Description of diagnosis
·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
motor control sequence ideas (related to which goal; intensity)
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
This educational offering may qualify toward your professional development requirement. The educational offering consists of 6.0 clock hour(s). Use this information and your board rules and regulations to calculate professional development/continuing education credit.
is an approved provider #50-466 with the Florida Department of Health Board of Occupational Therapy Practice. This course is approved for 6 contact hour(s) for Occupational Therapist and Occupational Therapy Assistants.
This educational offering qualifies for 6 continuing education hour(s) as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.
This program has been approved by the Arkansas State Board Of Physical Therapy for 6.0 contact hour(s) for Physical Therapists.
is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #:216.000309. This course qualifies for 6.0 CE Credit Hour(s).
This meets the IN-PT approval under 844 IAC 6-8-5 Approved Organizations #9, please contact IN Board or Association if you have questions.
is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider for physical therapy and physical therapist assistant continuing education. This seminar is awarded 7.2 contact hour(s).
NCBPTE approval by virtue of approval by The New York State Education Department, Office of the Professions, State Board for Physical Therapy licensure board or state APTA chapter Approval good through 8/31/2021. This course qualifies for 6.0 continuing education hours.
This course has been submitted to the Texas Board of Physical Therapy Examiners for 6 continuing competence unit(s) for PTs and PTAs.
| File type | File name | Number of pages | |
|---|---|---|---|
| Handouts (10.6 MB) | Available after Purchase | ||
| Presentation (7.7 MB) | Available after Purchase |
MICHELLE FRYT LINEHAN, MSPT, PCS, MEd, is a licensed physical therapist and APTA Pediatric Certified Specialist with over 26 years of experience working with children in both rehab and educational settings. Currently she works in an outpatient facility in Spokane, Washington, and owns her own practice, Kinetic Kids Physical Therapy, treating children in Idaho. Ms. Linehan previously worked in the field of education, both in the United States and in Africa, as a teacher and state-level administrator for a total of 13 years. She has spent the last 18 years working as a pediatric physical therapist in a variety of settings: hospital acute care, outpatient, school systems, and early intervention programs. Ms. Linehan also previously owned a pediatric physical therapy practice in Georgia, seeing children in their natural environments.
Ms. Linehan received a bachelor's degree in Elementary Education from the University of Colorado at Colorado Springs in 1980, obtained a master's degree in Early Childhood Special Education from the University of Washington in Seattle in 1987, and in 1993 she earned her MSPT from Boston University. Ms. Linehan completed the NDT/Bobath 8-week Pediatric course in 1999 and became a Pediatric Certified Specialist through the American Physical Therapy Association in 2002. She has also earned certifications in Threshold Electrical Stimulation and Infant Behavior Assessment. Ms. Linehan views "Evidence-Based Practice" as a necessary aspect of her clinical practice and continually strives to seek effective ways to provide physical therapy services to all of her patients.
Physical Therapists, Physical Therapy Assistants, Occupational Therapists, Occupational Therapy Assistants, Rehabilitation Nurses, Pediatricians, Physician Assistants, Nurse Practitioners, Special Education Teachers, Preschool and Daycare Educators, Preschool and Daycare Directors, Educators, Early Intervention Staff, Home Health Personnel
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