Seminar Detail

Treating Torticollis: Looking Beyond the Neck for Better Results
Treating Torticollis: Looking Beyond the Neck for Better Results

Where:   CHARLOTTE, NC

When:  Saturday, October 19, 2019 at 8:00 AM - 4:00 PM

This event is not currently available for purchase.

For more information: Call (800) 844-8260
Course Description:

My name is Rosemary Peng, PT, MST. As a clinician who has worked for more than 20 years in pediatric settings, I’ve seen and treated patients with congenital muscular torticollis (CMT). In the past, I focused too much of my attention on treating the neck only and not checking for other asymmetries that can occur. This resulted in seeing minimal gains. What was I missing? There had to be a better way to treat this population. Finally, I discovered that by including 7 body structures in my examination I could effectively treat my patients by strengthening neck muscles, promoting better head posture, and improving fine and gross motor development of the child

In this lab-intensive training, learn and practice evidence-based tools found in the updated 2018 Clinical Practice Guidelines which I use to accurately assess and treat infants. You’ll enhance your skills by learning proven treatment techniques as well as alternative approaches that don’t make your patient feel discomfort and results in better outcomes. Ease the fear of parents or caregivers with clear goals and education. Walk away feeling confident and comfortable using these proven strategies that immediately carry over into your clinical setting
Objectives:

  1. Evaluate types and causes of infant torticollis and positional skull deformities.
  2. Demonstrate evidence-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 evidence-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
Exam Lab
  • Hands-On 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
  • Hands-On Lab
  • Case Study
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 Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Rehab Nurses

ROSEMARY PENG, PT, MSPT

Rosemary Peng, PT, MSPT, has been practicing for more than 30 years, with a specialized focus on pediatrics and neurology. She is a clinical specialist at Kessler Institute for Rehabilitation’s Chester outpatient campus and is a consultant for early intervention in New Jersey and school-based settings. In addition, Rose is an adjunct instructor at Rutgers University School of Health-Related Professions – in the Department of Physical Therapy (Newark campus). Over the years, she has worked in the school system as a school physical therapist and worked in the inpatient department of Children’s Specialized Hospital in New Brunswick, NJ. Rose brings a wealth of knowledge, experience, and enthusiasm to her workshops that leaves attendees feeling confident, energized, and prepared to tackle CMT in their patients.



Speaker Disclosures:

Financial: Rosemary Peng has an employment relationship with Kessler Institute for Rehabilitation, Inc. She receives a speaking honorarium from PESI, Inc.

Non-financial: Rosemary Peng is a member of the American Physical Therapy Association; and the Academy of Pediatric Physical Therapists.
Nurses, Nurse Practitioners, and Clinical Nurse Specialists
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PESI, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses in full attendance will earn 6.3 contact hours. Partial contact hours will be awarded for partial attendance.


Occupational Therapists & Occupational Therapy Assistants
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PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. Full attendance at this course qualifies for 6.0 contact hours or .6 CEUs in the Category of Domain of OT and Occupational Therapy Process. Partial credit will be issued for partial attendance. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate.


Physical Therapists & Physical Therapist Assistants
This activity consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary per state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

North Carolina Physical Therapists & Physical Therapist Assistants: PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216-000071. 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. PLEASE BRING YOUR LICENSE NUMBER WITH YOU TO THE PROGRAM.

South Carolina Physical Therapists & Physical Therapist Assistants: The South Carolina Chapter of the American Physical Therapy Association has reviewed and approved this course as appropriate continuing education for physical therapy training for 0.625 CEUs.


Other Professions
This activity qualifies for 380 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific requirements.

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