ProgrAm - American Academy for Cerebral Palsy and ...

Friday, October 18, 20134:00 pm – 6:00 pm Instructional Courses 14-25IC 14 - AN INTERDISCIPLINARY APPROACH TO FEEDING PROBLEMS IN CHILDREN WITH CEREBRAL PALSY AND OTHERNEURODEVELOPMENTAL DISABILITIESLocation: 202 D&EAuthors: Eric B. Levey, MD; Peter Girolami, PhD; Donna Reigstad, OTR/LLevel: IntermediatePurpose: To share our approach and experience in evaluating and treating children with neurodevelopmental disabilities (NDD) andfeeding problems with special emphasis on children with dysphagia.Target Audience: Occupational therapists, speech-language pathologists, psychologists, dieticians, pediatriciansCourse Summary: Feeding problems in children with NDD are due to a variety of medical, developmental, behavioral, and psychosocialfactors, often necessitating an interdisciplinary approach to treatment. Our interdisciplinary feeding program at Kennedy Krieger Instituteincludes Pediatrics, GI, Nutrition, OT, SLP, Behavioral Psychology and Social Work. We have evaluated and treated children with a range ofNDD including CP, autism spectrum disorders, and Down Syndrome. While most children with NDD, benefit from a gradual, longitudinalapproach to treatment, some children benefit from a burst of intensive feeding therapy provided over a number weeks. We will highlightsome successes (and failures) in treating children with refractory feeding problems in our Day Treatment and Inpatient Programs. Casestudies will have a special focus on the interdisciplinary management of dysphagia, including the use of oral-motor tools, strategies toadvance textures, and combined oral-motor and behavioral protocols used to promote safety and increase efficiency.Learning Objectives:1) To review signs/symptoms of GI dysmotility and discuss management strategies.2) To review oral-motor and sensory issues that contribute to feeding problems and discuss approaches to therapy.3) To review commonly used evidence-based behavioral techniques that can be applied to feeding problems in this population.4) To describe a combined oral-motor and behavioral approach to treatment of feeding problems.IC 15 - PART II: OUTCOMES OF SELECTIVE DORSAL RHIZOTOMY AND PATIENT SELECTION PROCESS IN GMFCS LEVELS I,II, AND III: CASE BASED FOCUS SUPPORTED BY OUTCOME DATALocation: 202 CAuthors: Michael H. Schwartz, PhD; Linda E. Krach, MD; Rocio Riveros Charry, PT; Michael Healy, MD; Marcie Ward, MDLevel: AdvancedPurpose: This course will highlight Selective Dorsal Rhizotomy (SDR) focusing on outcome data and how to apply that data for safe patientselection. Challenging individual cases will be covered with emphasis on audience participation and collaborative discussion.Target Audience: Developmental pediatricians, pediatric neurologists, neurosurgeons, orthopedists, physiatrists and physical therapistswho want to discuss more in depth patient selection questions regarding SDR, and who consider SDR as a potential treatment option fortheir patients.Course Summary: This course is Part II of a two part course. It is designed to discuss the outcome data associated with predictable tonereduction and improved ambulation after selective dorsal rhizotomy. Case examples will be reviewed in detail showing preoperative andpostoperative data. Applicable history and physical exam findings, gait analysis principles and patient/family goals will be highlighted.Participant interaction will be accomplished through audience response system software.Learning Objectives:1) Evaluate the available research related to selective dorsal rhizotomy outcomes.2) Recognize patterns in patients which are consistent with appropriateness for selective dorsal rhizotomy.3) Identify the aspects of a patient’s gait that may be improved by selective dorsal rhizotomy in GMFCS levels I - III.4) Collaborate with colleagues to discuss the merits of SDR and avoid pitfalls in patient selection.FRIday, October 18AACPDM 67 th Annual Meeting • Research & Practice 43