Seminar Detail

Treating Torticollis: Looking Beyond the Neck for Better Results
Friday, November 8, 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 Kim Lephart, PT, DPT, MBA, PCS. 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

  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.

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


Kim Lephart, PT, DPT, MBA, PCS, is a Board-Certified Clinical Specialist in Pediatric Physical Therapy with 20 years of experience in a variety of clinical settings: private clinics, home health, outpatient rehabilitation, aquatics, school systems, and early intervention programs. She owns and practices at STARS, an outpatient pediatric clinic in Culpeper, VA. Dr. Lephart received her initial training in physical therapy from California State University, Long Beach. In 2007, she earned her master’s in business administration with an emphasis in healthcare management. Five years later, she obtained her Doctorate in physical therapy from the University of Texas, Medical Branch in Galveston through their Specialized Training for Occupational and Physical Therapists in Early Intervention and Related Services (STAIRS) Program.

Dr. Lephart is actively involved in the Virginia Physical Therapy Association (VPTA). She serves as the president of the VPTA’s Pediatric Special Interest Group (PSIG). She is a dedicated member of Virginia’s Part C Integrated Training Collaborative (ITC), which coordinates Virginia’s Comprehensive System of Personnel Development (CSPD) for early interventionists who provide services under Part C of the Individuals with Disabilities Act (IDEA). Dr. Lephart is a working member of Virginia’s Department of Education Committee on the Revision of the Handbook for Occupational and Physical Therapist.

Speaker Disclosures:

Financial: Kim Lephart is the owner of School-based Therapy and Resources, LLC (STARs). She receives a speaking honorarium from PESI, Inc.

Non-financial: Kim Lephart is a member of the American Physical Therapy Association; and the Virginia Physical Therapy Association.
Credits listed below are for full attendance at the live event only. After attendance has been verified, pre-registered attendees will receive an email from PESI Customer Service with the subject line, “Evaluation and Certificate” within one week. This email will contain a link to complete the seminar evaluation and allow attendees to print, email or download a certificate of completion if in full attendance. For those in partial attendance (arrived late or left early), a letter of attendance is available through that link and an adjusted certificate of completion reflecting partial credit will be issued within 30 days (if your board allows). Please see “live seminar schedule” for full attendance start and end times. NOTE: Boards do not allow credit for breaks or lunch.

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, or questions on home study credit availability, please contact 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 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.

PESI, Inc. offers continuing education programs and products under the brand names PESI, PESI Healthcare, PESI Rehab and Psychotherapy Networker.

Nurses, Nurse Practitioners, and Clinical Nurse Specialists
American Nurses Credentialing Center Logo
PESI, Inc. is accredited as a provider of nursing continuing professional development 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
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.

Oklahoma Physical Therapists & Physical Therapist Assistants: This course has been approved for 6.25 contact hours (Category A - Synchronous) for the 2019 reporting period by the Oklahoma State Board of Medical Licensure and Supervision. Course # 201913822.

Texas Physical Therapists & Physical Therapist Assistants: This 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 6.25 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.

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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