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Understand uses of evidence-based practice and the ICF model in assessment and evaluation of children with motor issues

Develop ways to assess and treat children with developmental delay, idiopathic toe walking, Developmental Coordination Disorder, and cerebral palsy using the ICF as a template, and decide on appropriate frequency of therapy, including when to discharge or discontinue therapy

Critique commonly-used assessment and treatment tools such as standardized assessments, Goal Attainment Scale, Botox, partial body weight-bearing, stretching, strengthening, and electrical stimulation using recent research

Receive information on useful, though often unknown, assessment and treatment protocols and techniques such as the COMPS, COPM, M-ABC2, and TGMD-2

Identify an observational tool that can be used to gain useful information on the movement patterns of any child

FOUR CURRENT MODELS FOR DECISION-MAKING

u          International Classification of Functioning, Disability, and Health (ICF)

•      description of short lists

u          Evidence-Based Practice/Rehabilitation

•      important concepts
  • awareness
  • consultation
  • creativity
  • judgment
    • contradiction and quality of studies
      • Botox in children
      • stretching in children with CP
      • strengthening in children with CP

u          Positive Deviance

            •           description

            •           components

u          APTA Guide with Practice Patterns and OATA Therapy Practice Guidelines

 

CASE STUDY #1: CHILD WITH CEREBRAL PALSY

u          Description of child

• diagnosis/background/video
• patient’s/family’s goals (SMART format)

§LTGs and STGs

• Goal Attainment Scale (GAS)

u          Use of observation as evaluation tool

• PIQ form

u          Use of ICF template to discuss evaluation and treatment ideas

• evaluation tools for infants to older children

• GMFCS
• MACS
• GMFM
• spasticity vs. hypertonicity
• Oregon Project
• cortical visual impairment scale
• Caroline Curriculum
• UE assessments
• SCALE
  • intervention ideas

• Kinesiotape
• aerobic exercise
• adaptive equipment
• electrical stimulation
• partial body weight training
• Theratogs ^TM

Break Out Groups

            •           what to evaluate and how to evaluate

                                    -           ICF template

                                                w         Need to examine? Why? Related to which goal(s)?

                                                w         How to test?

            •           interventions 

                                    -           tie in with ICF Model

                                                w         related to which goal

                                                w         type

                                                w         intensity

u          Whole Group Discussion

            •           evaluation and intervention ideas

                                    -           spasticity

                                    -           botox

                                    -           aerobic exercise

                                    -           stretching

                                    -           adaptive equipment

                                    -           electrical stimulation

                                    -           selective dorsal rhizotomy

                                    -           partial body weight training

                                    -           Theratogs™

u          When to discharge, discontinue, decrease therapy

 

CASE STUDY #2: CHILD WITH IDIOPATHIC TOE WALKING (ITW) Developmental Delay

u          Description  of diagnosis child

·causes of—need to know true diagnosis!

·long-term sequelae

·goals:

• diagnosis
• background

• video

• family's goals

patient’s/family’s       

                                    -           LTGs; STGs

u          ICF Format

            •           methods for assessment

                                    -           evidence-based practice related to ITW assessment

            •           interventions

                                    -           evidence-based practice related to ITW treatment

                                                w         motor control sequence ideas (related to which goal;                                                                        intensity)

                                                w         casting, orthotics, surgery, (related to which goal; intensity)

u          Use of observation as an evaluation tool

• PIQ form

u          Use of ICF template to discuss evaluation and treatment ideas

• evaluation tools for infants to preschoolers

• BSIDIII
• PDMS-2
• TIMP/TIMPS
• DAYC
• HELP
• Lois Bly's checklist
  • intervention ideas
    • facilitation of normal movement patterns
    • family involvement
    • Baby Play by Gymboree
    • home exercise program ideas
    • sensory input

u          when to discharge, decrease, change in frequency

 

CASE STUDY #3: CHILD WITH IDIOPATHIC TOE WALKING (ITW)

u          Description  of diagnosis

·causes of—need to know true diagnosis!

• evidence-based practice related to ITW diagnosis and assessment
  • toe walking tool
  • visually-related issues
  • weakness related to biomechanics
  • sensory processing issues
• long-term sequelae
• goals:
  • patient’s/family’s   

§LTGs; STGs

• clinical outcomes desired

u          ICF Format for assessment and interventions

• methods for assessments

§Evidence-based practice related to ITW assessment

• body function
• structure
• activities and participation
• interventions
  • evidence-based practice related to ITW treatment
• separation by etiology
• Cincinnati Children's Hospital Algorithm
• motor control sequence ideas (related to which goal; intensity)
• lengthen and strengthen
• casting
• orthotics
• surgery
• weight on heels
• sensory approach

 

CASE STUDY #4: CHILD WITH DEVELOPMENTAL COORDINATION

DISORDER (DCD)

u          Deciding on this diagnosis

ouse of www.canchild.ca website

                        -           DCD questionnaire for parents

                        -           other resources on this website

oAPTA Practice Guide for DCD

                        -           diagnostic classification and ICD-9 code

                        -           DQD questionnaire for parents

• Definition and diagnostic code
• Research related to co-morbidities
• Profile of child with DCD
• DCD questionnaire for parents

u          Assessment

• tests most commonly used
  • M-ABC2
  • BOT-2
  • COPM
  • COMPS
    • evidence-based research on assessment
    • tennis ball test
    • dual-task
    • sensory systems
    • response times
    • other problem areas

            examination, evaluation from APTA practice guide

 

u          Intervention

• intervention from research
  • dynamic systems vs. deficit-oriented

            other research ideas

            interventions from APTA practice guide

            specific areas for intervention

            discharge vs. discontinuation

• neuromuscular task training
• cognitive orientation to occupational performance
• deficit-oriented
  • proprioception
  • strength
  • timing

u          Other research ideas

• use of aquatic therapy and protocol
• rhythmic movement training
• motor imagery
• infinity walk

u          Case Study

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 1-800-397-0180 for more details.

Listed below are the continuing education credit(s) currently available for this 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 6.25 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 Early Intervention Professionals:

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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 6.3 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.25 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.

Arkansas Physical Therapists, Physical Therapist Assistants: This educational offering has been approved by the Arkansas State Board Of Physical Therapy for 6.0 contact hours for Physical Therapists.

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 6.25 continuing competency hours.

District of Columbia Physical Therapists, Physical Therapist Assistants: This self-study educational offering has been approved for 6.0 continuing education credits by the District of Columbia Board of Physical Therapy for Physical Therapists.

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.

Indiana Physical Therapists, Physical Therapist Assistants: This self-study meets the IN-PT approval under 842 IAC 1-7-5 Approved Organizations #9, please contact IN Board or Association if you have questions.

Kansas Physical Therapists, Physical Therapist Assistants: This self-study educational offering has been approved by the Kansas Physical Therapy Association for 6.0 hours (Approval #CEUL009250) for Physical Therapists and Physical Therapy Assistants.

Physical Therapists, Physical Therapist Assistants - Kentucky:

Louisiana Physical Therapists, Physical Therapist Assistants: This self-study educational offering has been approved by the Louisiana Physical Therapy Board for 6.0 Clinical contact hours for Physical Therapists and Physical Therapy Assistants.

Maryland Physical Therapists, Physical Therapist Assistants: This self-study course has been approved by the Maryland State Board of Physical Therapy Examiners for 0.6 CEUs.

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, category 1, (Approval #0282) for Physical Therapists.

Nevada Physical Therapists, Physical Therapist Assistants: This educational offering has been approved by the Nevada State Board of Physical Therapy Examiners for 0.6 CEUs for Physical Therapists.

New Jersey Physical Therapists, Physical Therapist Assistants: This educational offering has been approved for 6.0 continuing education credits by the New Jersey Board of Physical Therapy Examiners for Physical Therapists and Physical Therapy Assistants (Approval # 2016-772).

New Mexico Physical Therapists, Physical Therapist Assistants: This educational offering has been approved by the New Mexico Physical Therapy Board for 6.0 contact 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 7.6 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.

Ohio Physical Therapists, Physical Therapist Assistants: This educational offering has been approved for 6.25 CEUs by the Ohio Physical Therapy Association for Physical Therapists and Physical Therapy Assistants (Approval #16S2435).

Pennsylvania Physical Therapists, Physical Therapist Assistants: This educational offering has been approved by the Pennsylvania State Board of Physical Therapy for a total of 6.0 contact hours of which 0 hours have been approved for Direct Access. PA Board Approval #PTCE006889.

Tennessee Physical Therapists, Physical Therapist Assistants: This educational offering has been approved by the Tennessee Physical Therapy Association for .6.0 CEUs (6.0 Contact Hours) TPTA Approval number 2016-608 for Class I Continuing Education Competency Requirement for Physical Therapists and Physical Therapy Assistants.

West Virginia Physical Therapists, Physical Therapist Assistants: This educational offering has been approved by the West Virginia Board of Physical Therapy for 6.0 Continuing Education hours (CCE-R16-45). Approval of this course does not necessarily imply that the WV Board of Physical Therapy supports the views of the presenter or sponsor.

Oklahoma Physical Therapists, Physical Therapist Assistants: This educational offering has been approved by the Board of Medical Licensure & Supervision State of Oklahoma for 6.0 hours for Physical Therapists.

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 6.25 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.

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Other Professions
This self-study activity qualifies for 6.25 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
Rehabilitation Nurses
Pediatricians
Nurse Practitioners
Special Education Teachers
Preschool and Daycare Educators
Preschool and Daycare Directors
Educators
Early Intervention Staff