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DVD

Evidence-Based Examination and Treatment of Congenital Muscular Torticollis: Looking Beyond the Neck for Better Results


Speaker:
Rosemary Gambatese, PT, MSPT
Duration:
5 Hours 28 Minutes
Copyright:
Jul 13, 2021
Publisher:
PESI Inc.
Product Code:
RNV064835
Media Type:
DVD - Also available: Digital Seminar


Description

Many of my peers struggled as their CMT treatment protocols focused mainly on the neck. Other asymmetries in the body remained untouched, leaving young patients with minimal progress. Small results were better than nothing, but I knew they could do more. The problem was... they had no idea how to.

Having years of experience in neurological, orthopedic and pediatric PT, I knew that there was more to the problem of torticollis than just the neck posture. The 7 body structure exam changed everything! With this evidence-based protocol, you’ll be able to:

  • Strengthen neck muscles
  • Promote better head posture
  • Improve fine and gross motor development

I’ll show you exactly how I approach each case of CMT, from in-depth evaluations to the most current clinical practice guidelines, in my brand-new online course Evidenced- Based Examination and Treatment of Congenital Muscular Torticollis: Looking Beyond the Neck for Better Results

After more than 20 years in pediatric settings, I’ve created this step-by-step course to share this transformative insight to help you assess and treat your young patients. You’ll learn alternative approaches and proven treatment interventions that gradually lengthen and strengthen the muscles to correct CMT, without making your patients feel uncomfortable.

You’ll also be able to ease parents’ fears with a family education portion that will extend your treatment beyond your patient’s sessions. Walk away feeling confident in your approach when you discover the effective interventions you’ll gain in this seminar!

Rosemary Peng, PT, MSPT

Credit

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.



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Handouts/Brochure

Speaker

Rosemary Gambatese, PT, MSPT's Profile

Rosemary Gambatese, PT, MSPT Related seminars and products


Rosemary Gambatese, PT, MSPT, is a physical therapist with 38 years’ clinical experience. She received a BS in Biology from St. Bonaventure University and MS in PT from Arcadia University. She is an advanced clinical specialist at Kessler Rehabilitation Center in Flanders, NJ with specialties in pediatrics and neurology. In addition to her work at Kessler, she has been an adjunct instructor at Rutgers University School of Health-Related Professions, Department of Physical Therapy, a consultant for early intervention and a contract therapist for agencies providing physical therapy in school settings. Practicing for over 30 years, Rose brings a wide range of experience and clinical expertise to her specialty areas of pediatrics and neurology. She has presented seminars for PESI, APTANJ and Select Medical Corporation on topics including congenital muscular torticollis, school-based PT intervention, cerebral palsy, and intervention to overcome sedentary behavior at all ages. Rose has presented a poster at APTA Combined Section Meeting on a novel stroke treatment an co-written articles on vestibular, stroke, and therapeutic exercise topics.


Speaker Disclosures:
Financial: Rosemary Gambatese has employment relationships with Rutgers University and Kessler Institute for Rehabilitation, Inc. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Rosemary Gambatese is a member of the American Physical Therapy Association and the New Jersey Chapter of the American Physical Therapy Association.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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Objectives

  1. Assess types and causes of infant torticollis and commonly associated skull deformities.
  2. Employ evidenced-based examination and intervention strategies for infants with CMT.
  3. Differentiate red flags that may warrant referral to a physician.
  4. Determine prognosis based on clinical findings.
  5. Examine intervention approaches that have not yet established efficacy.
  6. Integrate evidenced-based discharge planning, caregiver education and recommendations for follow-up care.

Outline

Torticollis and Positional Skull Deformities
– When to Treat or Refer
  • Three types: Brachycephaly, plagiocephaly, scaphocephaly
  • Craniosynostosis
  • When and how to treat it
  • When is it time for consultation with neurosurgery
How to Properly Assess a Child with CMT
  • Posture
  • Cervical range of motion: active and passive
  • Muscle function scale for Infants
  • Thoracic and lumbar spine
  • Muscle flexibility of extremities
  • Screen for developmental hip dysplasia
  • Skin, facial, and skull asymmetries
  • Visual motor skills: tracking, presence of nystagmus, midline control
  • Classification of level of severity
How to Best Treat CMT – Looking Beyond the Neck
  • Cervical PROM
  • Addressing other asymmetries below the neck
  • Positioning
  • Incorporate play into treatment
  • Strengthening
  • Addressing vision
  • Why and how we address fine and gross motor skills
  • Tummy time challenges
  • Adapting the environment
  • Caregiver education
Other Therapeutic Approaches for CMT
  • Microcurrent
  • Myokinetic stretching
  • Kinesiological taping
  • TAMO approach
  • TOT and other collars
  • Botox
  • Surgery
Emerging Interventions Without Evidence of Efficacy
  • Manual therapy/cervical manipulation
  • Craniosacral therapy
  • Soft tissue massage
  • Feldenkrais
  • Total Motion Release
When to Refer for Consultation
  • 7 Red flags that indicate the need for referral to MDs
How to Improve Your Goal Writing
  • Symmetrical movement
  • Motor development
  • Parent/caregiver understanding

Discharge Planning and Follow-up Recommendations

  • Criteria for discharge
  • Parent/caregiver understanding
  • Follow-up screening recommendations

Case Examples

Target Audience

  • Physical Therapists
  • Physical Therapy Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Chiropractors
  • Rehab Nurses
  • Other Healthcare and Rehabilitation Professionals

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