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1. Describe the assessment tools available for pediatric motor evaluations
2. Identify assessment tools that are appropriate for use with specific pediatric patients
3. Organize information gathered during an evaluation session into a comprehensive report
4. Define and describe four common types of pediatric patients seen by motor therapists and school personnel
5. Develop a treatment for each of the four types of pediatric patients: children with low tone, high tone, torticollis, and premature infants
6. Implement the PIQ-ture assessment tool to complement and complete an evaluation of any pediatric patient

ASSESSMENT OF CHILDREN

• Issues with evaluation of children
• Lois Bly’s Motor Skills Acquisition Check List
• What to evaluate
• Choosing an evaluation tool
• Commonly used norm-referenced tools for general motor skill assessment
  • Bayley Scales of Infant Development
  • Peabody Developmental Motor Scales
  • Movement ABC
  • Bruininks-Oseretsky Test of Motor Performance
• Re-evaluation with standardized assessments
• Commonly used criterion-reference pediatric assessment tools
  • gross motor function measure (88 and 66)
  • school function assessment
  • goal attainment scale
• Gathering other pertinent information
  • five senses
  • the use of PIQ (Posture in Positions, Initiations and Inhibitions, Quality and Quantity)
• Evaluation components
  • strength chart
  • gait analysis
• Treatment planning
  • use of left vs. right brain thinking
  • PT/OT diagnoses vs. medical diagnoses

TORTICOLLIS

• Definition and incidence
• Causes
• Changes in developmental milestones with Back to Sleep
• Evaluation
  • PIQ
  • cranial measurements
  • range of motion
  • motor evaluation
• Intervention Ideas
  • positioning
  • range of motion
  • case study

PREMATURITY

• Definition, incidence, morbidity, causes
• Long term sequella
• Dynamic systems theory
• Evaluation -  subjective and objective information
  • complications, feeding, physical aspects
  • PIQ
  • standardized assessments
• Intervention
  • parental education
  • supine vs. prone
  • frequency, location
  • case study

HYPOTONIA

• Definition and clinical characteristics
• Causes
  • non-neurological
  • central
  • peripheral
• Weakness vs. joint laxity vs. low tone
• Assessing children with low tone
  • INFANIB
  • movement assessment of infants
  • gross motor function measure
  • PIQ
  • range of motion
  • sensation and perception - proprioception
• Intervention strategies—moving from diagnosis to treatment
  • task analysis + noted impairments → treatment
  • chart with treatment ideas
  • Patricia Winder’s book
  • case study

HYPERTONIA

• Definition and incidence
  • spasticity vs. hypertonia
  • classification system for cerebral palsy
• Assessing children with tone disorders
  • past medical history
  • orthopedic issues
  • standardized assessments
  • PIQ
  • causes of in-toeing
  • Ryder’s test
  • strength, balance, sensation/perception
• Treatment ideas
  • strengthening for children with hypertonia
  • whole body vibration plate
  • NDT
  • constraint-induced movement therapy
  • taping, stretching, NMES vs. TES
• Adaptive equipment
  • PBWB
  • standers
  • orthotics
• Case study using chart for single goal

Michelle Fryt Linehan, MSPT, PCS, MEd, is a licensed physical therapist and APTA Pediatric Certified Specialist with over 26 years of experience working with children in both rehab and educational settings. Currently she works in an outpatient facility in Spokane, Washington, and owns her own practice, Kinetic Kids Physical Therapy, treating children in Idaho. Ms. Linehan previously worked in the field of education, both in the United States and in Africa, as a teacher and state-level administrator for a total of 13 years. She has spent the last 18 years working as a pediatric physical therapist in a variety of settings: hospital acute care, outpatient, school systems, and early intervention programs. Ms. Linehan also previously owned a pediatric physical therapy practice in Georgia, seeing children in their natural environments.

Ms. Linehan received a bachelor’s degree in Elementary Education from the University of Colorado at Colorado Springs in 1980, obtained a master’s degree in Early Childhood Special Education from the University of Washington in Seattle in 1987, and in 1993, she earned her MSPT from Boston University. Ms. Linehan completed the NDT/Bobath 8-week Pediatric course in 1999 and became a Pediatric Certified Specialist through the American Physical Therapy Association in 2002. She has also earned certifications in Threshold Electrical Stimulation and Infant Behavior Assessment. Ms. Linehan views “Evidence-Based Practice” as a necessary aspect of her clinical practice and continually strives to seek effective ways to provide physical therapy services to all of her patients.

Speaker Disclosures:

Financial: Michelle Fryt Linehan maintains a private practice. She receives a speaking honorarium from PESI, Inc.

Non-financial: Michelle Fryt Linehan is a member 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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Educators/Teachers
This course consists of 5.5 self-study clock hours. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

Illinois Educators:
5.5 ISBE Professional Development (PD) Clock Hours will be made available through Quincy University. Those requesting ISBE PD Clock Hours will need to complete an Evaluation for Workshop, Conference, Seminar, in order to receive the ISBE “Evidence of Completion for Professional Development” form. Instructions and form will be made available under the “Materials” tab. Expires: 06/30/2019.

Indiana Educators: 5.0 Professional Growth Points are available for full attendance of this self-study package per the Indiana Department of Education standards.

Montana Educators: This self-study package is offered for 5.0 Renewal Units. PESI, Inc. is an Approved Renewal Unit Provider with the Montana Office of Public Instruction.

New York Educators: PESI, Inc. is an approved sponsor of CTLE with the New York State Education Department's (NYSED) Office of Teaching Initiatives. Provider #23567. This self-study activity will qualify for 5.5 Approved Continuing Teacher and Leader Education (CTLE) Hour(s), in the area of Pedagogy. Hours are based on full attendance. Board required certificates will be sent after the program.

Texas Educators: PESI, Inc., has been approved as a CPE Provider #500-981 for Texas Educators by the Texas State Board for Educator Certification (SBED). This self-study package qualifies for 5.5 CPE clock hours.

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Nurses, Nurse Practitioners, and Clinical Nurse Specialists
This self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 5.5 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 5.5 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 5.6 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
No CE available for this board.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 5.6 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 5.5 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 5.5 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 5.5 CE credit hours.

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 6.8 contact hours.

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 5.5 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 5.5 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
• Special Education Teachers
• Educators
• Rehabilitation Nurses
• Pediatricians
• Physician Assistants
• Nurse Practitioners