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Linking Muscle and Bone Structure and Function in People with Cerebral Palsy: Implications for Exerc
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Linking Muscle and Bone Structure and Function in People with Cerebral Palsy: Implications for Exerc

Cosponsors: CPTA Pediatric Special Interest Group (SIG) and County of Los Angeles California Children’s Services

When: Monday, June 20
8:00 AM
Where: Azusa Pacific University
Upper Turner Campus Center
901 E. Alosta Avenue
Azusa, CA  91702 - 7000
United States
Contact: Gail Monti

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Course Description

This course will familiarize the attendees with changes in muscle and bone structure across the lifespan in people with CP. An emphasis will be placed on muscle and bone architecture and its implications for function. Structural changes in the muscle and bone will be linked with fracture risk and activity and participation; including gait, health, wellness, and happiness across the lifespan in people with CP. This course will also explore the state of the science in dosing as it relates to children with CP for muscle and bone architecture. The speakers will place an emphasis on treatment strategies with established criteria for dosing—including frequency, volume, duration, intensity, and movement speed—with a focus on structural and functional changes of muscle and bone. Plasticity and recovery outcomes will guide the clinical discussion on how to use targeted interventions by applying the best available evidence. Minimal and optimal dosing parameters will be discussed.


Learning Objectives

At the conclusion of this course, participants will be able to:

  1. Identify muscle and bone architectural changes in people with CP and the relationship to function
  2. Apply information about muscle and bone structure to fracture risk, activity, participation, and health outcomes across the lifespan
  3. Describe the musculoskeletal implications for health, wellness, and aging with CP
  4. Evaluate current interventions and their potential to influence structural changes in muscle and bone in children with CP
  5. Analyze what we currently know regarding dosing parameters and protocols for improvements in muscle and bone structure and function
  6. Integrate the knowledge of dosing parameters from evidence-based research with clinical expertise

Course Schedule

Part 1: Linking Structure and Function for Muscle and Bone Architecture

8:00 - 9:00 Registration (Healthy breakfast provided)
9:00 -  10:00 Changes in muscle structure and function across the lifespan in CP
10:00 - 10:45 Changes in bone structure and function across the lifespan in CP
10:45 - 11:15 Musculoskeletal implications for health/wellness and with aging; importance of prevention
11:15 - 11:30 Questions and answers
11:30 - 12:30 Lunch (On your own)

Part 2: Implications and Exercise Prescription

12:30 - 1:30 Dosing parameters for therapies to improve muscle outcomes-a lifespan approach
1:30 - 2:15 Case studies
2:15 - 3:15 Dosing parameters for therapies to improve bone outcomes-a lifespan approach
3:15 - 3:35 Case study
3:35 - 4:00 Dosing summary
4:00 - 4:30 Questions and answers


6.50 contact hours/0.65 CEUs (pending approval by the California Physical Therapy Association)



Mary Gannotti, PT, PhD is a Professor of physical therapy at the University of Hartford. She received her doctoral training at the University of Connecticut, where she studied the interrelationships among the various personal, environmental, and health characteristics associated with level of activity and participation in society. As a post doctoral fellow at Yale University, Dr. Gannotti carried out ethnographic and survey research to examine the impact of social and personal factors on activity level of children with disability. Dr. Gannotti has a broad background in pediatric rehabilitation, with specific training in medical anthropology and public health.

Noelle Moreau, PT, PhD is an Associate Professor of physical therapy at Louisiana State University Health Sciences Center in New Orleans. Her research focuses on the investigation of the mechanisms underlying abnormal muscle function and movement impairments in children with CP. Dr. Moreau received her doctoral training in biomechanics at Louisiana State University and completed a postdoctoral fellowship at Washington University in St. Louis, where she investigated the critical relationships between muscle architecture and muscle function in children with CP using ultrasound imaging. The overarching goal of Dr. Moreau’s research is the development of effective rehabilitation strategies to address these impairments and improve activity, participation, and quality of life.

Registration Fees

Received prior to 4/25/2016 /After 4/25/2016
CCS and CPTA       $129              $139
Pediatric SIG
APTA/AOTA             $149              $159
(provide membership #)
Non-members         $169               $179
Unable to accept credit card payment for course registration or on-site registration at door.

Please make check payable to:
California Physical Therapy Association
Do not abbreviate.
Returned checks will result in an additional $15 fee. Cancellations must be requested before June 6, 2016 and will be subject to a 15% administrative fee.
Mail registration form to:
CPTA Pediatric SIG
c/o Eunice Shen
319 East Mooney Drive
Monterey Park, CA 9175

RSVP date: June 6, 2016

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