Image of The Child in Front of You: A Case Study Approach for Pediatric Motor T
Digital Seminar

The Child in Front of You: A Case Study Approach for Pediatric Motor Therapists


Faculty:
Michelle Fryt Linehan
Duration:
5 Hours 44 Minutes
Format:
Audio and Video
Copyright :
May 01, 2013
Product Code:
POS020124
Media Type:
Digital Seminar


Description

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 recording 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. Diagnoses to be discussed include cerebral palsy, developmental delay, idiopathic toe walking, and Developmental Coordination Disorder.

Credits


**

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

This self-study activity consists of 5.5 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.


California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 5.5 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Florida Nurses

CE Broker

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 5.5 self-study contact hours.


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 5.7 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Florida Occupational Therapists & Occupational Therapy Assistants

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 5.7 self-study continuing education credits.


Physical Therapists & Physical Therapist Assistants

This self-study course consists of 5.5 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.


California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 5.5 continuing competency hours.


Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 5.5 CE credit hours.


New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 6.8 contact hours.


Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 5.5 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.


Other Professions

This self-study activity qualifies for 5.5 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts

Faculty

Michelle Fryt Linehan Related seminars and products: 3

MSPT, PCS, MEd,


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.

Speaker Disclosures:

Financial: Michelle Fryt Linehan maintains a private practice. She receives a speaking honorarium from PESI, Inc.

Non-financial: Michelle Fryt Linehan is a member of the American Physical Therapy Association.


Additional Info

Program Information

Access for Self-Study (Non-Interactive) Access never expires for this product.

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Rehabilitation Nurses
  • Pediatricians
  • Nurse Practitioners

Objectives

  1. Define the uses of evidence-based practice and the ICF model, in assessment and evaluation of children with motor issues
  2. Develop ways to assess and treat children with developmental delay, idiopathic toe walking, Developmental Coordination Disorder, and cerebral palsy using the ICF as a template, and decide on appropriate frequency of therapy, including when to discharge or discontinue therapy
  3. Restate commonly-used assessment and treatment tools such as standardized assessments, Goal Attainment Scale, Botox, partial body weight-bearing, stretching, strengthening, and electrical stimulation using recent research
  4. Receive information on useful, though often unknown, assessment and treatment protocols and techniques such as the COMPS, COPM, M-ABC2, and TGMD-2
  5. Identify an observational tool that can be used to gain useful information on the movement patterns of any child
  6. Create a plan of care with evidence-based interventions

Outline

CURRENT MODELS FOR DECISION-MAKING

International Classification of Functioning, Disability, and Health (ICF)

  • Description of short lists

Evidence-Based Practice/Rehabilitation

  • Important concepts
    • Awareness
    • Consultation
    • Creativity
    • Judgment

CASE STUDY #1: CHILD WITH CEREBRAL PALSY

Description of Child

  • Diagnosis/background/video
  • Family’s goals
  • Goal Attainment Scale (GAS)

Use of Observation as Evaluation Tool

  • PIQ form

Use of ICF Template to Discuss Evaluation and Treatment Ideas

  • Evaluation tools for infants to older children
  • GMFCS
  • MACS
  • GMFM
  • Spasticity vs. hypertonicity
  • Oregon Project
  • Cortical visual impairment scale
  • Caroline Curriculum
  • UE assessments
  • SCALE
    • Intervention ideas 
  • Kinesiotape
  • Aerobic exercise
  • Adaptive equipment
  • Electrical stimulation
  • Partial body weight training
  • Theratogs TM
  • When to discharge, discontinue, decrease therapy

CASE STUDY #2: CHILD WITH DEVELOPMENTAL DELAY

Description of Child Diagnosis

  • Background
  • Video
  • Family's goals

Use of Observation as an Evaluation Tool

  • PIQ form

Use of ICF Template to Discuss Evaluation and Treatment Ideas

  • Evaluation tools for infants to preschoolers
  • BSIDIII
  • PDMS-2
  • TIMP/TIMPS
  • DAYC
  • HELP
  • Lois Bly's checklist
    • Intervention ideas
    • When to discharge, decrease, change in frequency

CASE STUDY #3: CHILD WITH IDIOPATHIC TOE WALKING (ITW)

Description of Diagnosis

  • Evidence-based practice related to ITW diagnosis and assessment
    • Toe walking tool
    • Visually-related issues
    • Weakness related to biomechanics
    • Sensory processing issues
  • Long-term sequelae
  • Goals:
    • Patient’s/family’s
  • Clinical outcomes desired

ICF Format for Assessment and Interventions

  • Assessments
  • Body function
  • Structure
  • Activities and participation
  • Interventions
    • Evidence-based practice related to ITW treatment
  • Separation by etiology
  • Cincinnati Children's Hospital Algorithm
  • Motor control sequence ideas
  • Lengthen and strengthen
  • Casting
  • Orthotics
  • Surgery
  • Weight on heels
  • Sensory approach

CASE STUDY #4: CHILD WITH DEVELOPMENTAL COORDINATION DISORDER (DCD)

Deciding on this Diagnosis

  • Definition and diagnostic code
  • Research related to co-morbidities
  • Profile of child with DCD
  • DCD questionnaire for parents

Assessment

  • Tests most commonly used
    • M-ABC2
    • BOT-2
    • COPM
    • COMPS

Intervention

  • Intervention from research
    • Dynamic systems vs. deficit-oriented
  • Neuromuscular task training
  • Cognitive orientation to occupational performance
  • Deficit-oriented
    • Proprioception
    • Strength
    • Timing

Other Research Ideas

  • Use of aquatic therapy and protocol
  • Rhythmic movement training
  • Motor imagery
  • Infinity walk

Case Study

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