Surgeon and PT Partnerships in the Care of Youth With Cerebral Palsy
Section: Academy of Pediatric PT
Session Code: PD-2A-0753
Date: Friday, January 25, 2019
Time: 8:00 AM - 10:00 AM
Location: Marriott Marquis
Room: Independence Salon D

Speaker(s):   Christopher Church, PT, MPT
  Nancy Lennon, PT, MS
  Freeman Miller, MD
  Michael Shrader, MD

Session Type: Educational Sessions
Session Level: Intermediate

Physical therapists and Orthopaedics Sectionpedic surgeons who manage musculoskeletal conditions associated with cerebral palsy (CP) share objectives of optimizing motor function, preventing deformity, and promoting participation; however, too often their care is provided in isolation, rather than jointly planned and mutually supported. This session will inform pediatric physical therapists about evidence-based surgical practices in multispecialty centers of excellence for CP. Orthopaedics Sectionpedic surgery can be life-altering for children and youth with CP when carried out by a specialized and knowledgeable team. Thoughtful consideration of timing, indications, and biomechanical principles, combined with evidence-based protocols, intensive rehabilitation, and long term follow-up, is necessary for success. When Orthopaedics Sectionpedic surgery is performed without the coordinated care of a specialty surgical, medical, and rehabilitation team and the necessary infrastructure, it can lead to loss of function.An active partnership between physical therapy and Orthopaedics Section to monitor the growing child is critical to optimal musculoskeletal care. The speakers will discuss the natural history of musculoskeletal changes and motor development in youth with CP within the context of surgical timing and indications, specific surgical goals in ambulatory and nonambulatory youth with CP, and specific procedures addressing the lower extremities. Attendees will learn about assessment tools and outcome measures used in surgical care plans, perioperative management, potential surgical complications, and factors affecting long-term surgical outcomes.

Learning Objectives: Upon completion of this course, you will be able to:

1. Describe the natural progression of musculoskeletal deformities in youth with spastic cerebral palsy (CP).

2. Identify indications and surgical methods to address hip subluxation in youth with CP.

3. Engage in treatment planning for gait dysfunction alongside pediatric Orthopaedics Sectionpedic surgeons.

4. Adopt clinical practices to support positive musculoskeletal outcomes for youth with CP.

CEU: 0.2

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