Learning to Walk, Walking to Learn presents the Systematic Review and Clinical Practice Guidelines for Gait Trainer Use, using ICF and Oxford Center for Evidence Based Medicine (CEBM).The ability to move and explore independently plays pivotal roles in the development and maintenance of psychological function and social interaction. Children who are immobile become less verbal, interactive, and social and in addition, their cognition is also negatively impacted. Gait trainers are frequently used in hospitals, clinics, schools, and homes for infants, toddlers, children and adolescents who cannot walk independently. This course will review the evidence and illustrate clinical practice guidelines using case stories to provide clinicians with information they need to design and implement mobility programs.
Get On Your Feet is a systematic review and presentation of clinical practice guidelines for supported standing programs. Designing and implementing a supported standing program requires an in depth knowledge of the evidence based outcomes, best practices, effective dosing, and types of standers and options available. This program will begin with a review of the evidence for hip biomechanics, range of motion and bone mineral density. Case stories and photos of children placed in standers will help participants design and implement best evidence based programs with measureable goals and outcomes. Participants will leave understanding how standers can prevent as well as improve contractures, hip subluxation and pathological fractures.
Less than 50% of the contents of this lecture course deals with evaluation and therefore this course is open for registration to physical therapist assistants and physical therapists.
At the conclusion of this course, participants will be able to:
- Describe the evidence supporting gait trainer use
- Determine a child’s GMFCS level
- Write measurable achievable functional goals for a specific child in a gait trainer
- Describe 3 research articles and their evidence for standing
- Describe how man degrees of abduction is optimal
- Write 3 measurable achievable functional goals for a specific child in a stander
Ginny Paleg, PT is a pediatric PT from Silver Spring, Maryland. She has worked at National Institute of Health, HSC Pediatric Center and has presented over 400 trainings in the US, Canada, Ireland, England, Sweden, Israel, and Bermuda on walking, standing, seating, spasticity management, alternative therapies, and many other topics. For the past 11 years, she has worked for her local school system in their early intervention program. Ginny earned her Master’s Degree in Physical Therapy at Emory University and her DScPT at the University of Maryland Baltimore. She is on the editorial board of Rehab Management Magazine. In 2013 she was appointed by her governor to the Maryland Insurance Commission Habilitation work group. Ginny served as an APTA state representative and reimbursement specialist. Recently, she published four articles in peer reviewed journals on standing and power mobility. Her systematic review of dosing guidelines for adult standing programs was recently accepted for publication. Ginny presented a long program on Standing at the APTA CSM 2014 and will present a symposia at the World PT Conference in Singapore (May 2015) on early mobility with Cole Galloway and Elisabet Rodby-Bousquet. She recently became certified for General Movement Assessment, a tool which has a 98% success rate at identifying which 3-5 month old infants will have cerebral palsy. Ginny specializes in assessment and interventions for children at the GMFCS Levels 4 and 5.
8:00 Sign In/Registration
8:30 Course Overview, Group Discussion
9:00 Evidence for Gait Trainers
10:45 GMFM and GMFCS
1:00 Evidence for Standing Programs
2:30 Choosing a Stander
3:30 Group Discussion and Question/Answer Session
This course is pending approval for 0.6 CEUs by the California Physical Therapy Association.
Registration fee: $150 for CPTA Pediatric SIG members, $180 for APTA members, $210 for non-members.
Checks are accepted. The CPTA Pediatric SIG is currently unable to accept credit card payment for course registration.
Please make check payable to:
California Physical Therapy Association
Do not abbreviate. Write Pediatric SIG in the memo line on the lower left corner of the check. Returned checks will result in an additional $15 fee. Cancellations must be requested before May 22, 2015 and will be subject to a 15% administrative fee.
Registration deadline: May 29, 2015.