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Digital Seminar

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
Format:
Audio and Video
Copyright:
Jul 13, 2021
Product Code:
POS064835


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.



* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the 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, as well as which credit types are acceptable for continuing education hours. 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 your profession.  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 profession's standards.  

For Planning Committee disclosures, please statement above.  For speaker disclosures, please see the faculty biography.


Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 5.0 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.


Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 5.0 self-study contact hours.

CE Broker


Nurses - 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 5.4 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.


Occupational Therapists - Occupational Therapists & Occupational Therapy Assistants

 

PESI, Inc.  is an AOTA Approved Provider of professional development. Course approval ID# 02532. This Distance Learning-Independent is offered at .525  CEUs Intermediate, OT Service Delivery. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

Full attendance at this Distance Learning-Independent activity qualifies for 5.25 contact hours.

 


Occupational Therapists - Arizona Occupational Therapists & Occupational Therapy Assistants

CE credit is available. This self-study course consists of 5.0​ continuing education clock hours for Arizona OTs and OTAs. The Arizona Board of Occupational Therapy Examiners (R4-43-203) confirms acceptance of continuing education programs relevant to occupational therapy that are approved by the American Occupational Therapy Association (AOTA).


Occupational Therapists - Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 5.0 self-study continuing education credits.

CE Broker


Physical Therapists - 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 5.25 continuing competency hours.


Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 5.25 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.


Physical Therapists - 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 5.0 CE credit hours.


Physical Therapists - Kentucky Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 5.25 continuing education credit hours for Kentucky Physical Therapists. The rule under 201 KAR 22:045, Section 2, (2)(a) states that category 1 continued competency credits can be earned from providers approved by another physical therapy licensing agency. 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.

 


Physical Therapists - 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 6.5 contact hours.


Physical Therapists - North Carolina Physical Therapists & Physical Therapist Assistants

PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 5.0 continuing education hours.


Physical Therapists - Pennsylvania Physical Therapists and Assistants

The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 5.25 clock hours of instruction that is applicable for physical therapists.


Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2406032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. Instructional Level: Intermediate. This activity will provide 5.25 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.


Physical Therapists - Utah Physical Therapists And Physical Therapist Assistants

This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 5.25 clock hours of continuing education instruction.


Physical Therapists - Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 5.25 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. 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.


Physical Therapists - Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This self-study course consists of 5.25 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy. 


Other Professions

This self-study activity qualifies for 5.25 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/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.


Questions?

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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

Reviews

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