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1. Evaluate types and causes of infant torticollis and positional skull deformities.
2. Demonstrate evidenced-based examination and treatment strategies for infants with CMT.
3. List seven red flags that may warrant referral to a physician.
4. Develop a plan of care using five components of first-choice interventions based on the Clinical Practice Guidelines (CPG).
5. Examine emerging interventions that have not yet established efficacy.
6. Create evidenced-based discharge planning, caregiver education, and recommendations for follow-up care.

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

EXAM LAB

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

INTERVENTION LAB

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

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.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

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.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**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.

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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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 4/4/2022
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 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.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 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 6.0 self-study contact hours.

Copies of the evaluation may be sent to the IBON. 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.

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Occupational Therapists & Occupational Therapy Assistants


Arizona Occupational Therapists & Occupational Therapy Assistants: CE credit is available. This self-study course consists of 6.0 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).

Florida Occupational Therapists & Occupational Therapy Assistants: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.0 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.0 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 6.0 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 6.0 CE credit hours.

Kentucky Physical Therapists & Physical Therapist Assistants: CE credit is available. This self-study course consists of 6.0 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.

Minnesota Physical Therapists & Physical Therapist Assistants: This self-study educational offering has been approved by the Minnesota Board of Physical Therapy for 6.0 hours of continuing education hours, (Approval #3414) for 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 7.2 contact hours.

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 6.0 continuing education hours.

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 6.0 clock hours of instruction that is applicable for 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 6.0 clock hours of continuing education instruction.

Virginia Physical Therapists & Physical Therapy Assistants: CE credit is available. This course consists of 6.0 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.

Texas Physical Therapists & Physical Therapist Assistants: This self-study 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 6.0 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.

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Other Professions
This self-study activity qualifies for 6.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

• Physical Therapists
• Physical Therapist Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Rehab Nurses