Final Program - American Academy for Cerebral Palsy and ...
8 Program HigHligHTs Wednesday, october 10, 2007 1:00 - 4:30 PM Specialty Day Symposia The symposia are held concurrently lasting 3 ½ hours, and allow for an in-depth discussion of the topics . These sessions are very popular and expand the educational reach of the meeting . sd1 - auTism sPeCTrum disorders: PaTHWays To beTTer undersTanding and ouTComes location: Ballroom A faculty: Gregory S. Liptak, MD, MPH, Chief, Center for Neurodevelopmental Disabilities, Syracuse, NY; Vikram Dua, MD, Co-Director of the British Columbia Autism Assessment Network and the Provincial Autism Resource Center; John F. Mantovani, MD, Medical Director Children’s Hospital, Division Chief Child Neurology and Medical Director Child Development Center at St John’s Mercy Medical Center; Stephen Wellington, MD, PhD, Co-Director British Columbia Autism Assessment Network and the Provincial Autism Resource Center level: Intermediate to Advanced Target audience: Clinicians, including physicians and nurses, who provide care for children who have an autism spectrum disorder summary: The reported prevalence of autism spectrum disorders (ASD) has increased dramatically in the past several decades, with as many as in 52 children being diagnosed on the spectrum . Getting those children to accurate diagnoses and appropriate care has been a major challenge, and requires knowledge of basic science, clinical care and health policy . This series of presentations will review the following topics: ( ) timely assessment of children with ASD, (2) regionalization to optimize diagnoses and care, (3) understanding regression and epilepsy, and (4) Psycho-pharmacologic treatment of children with autism . The emphasis will be on practical, clinically relevant information that spans the clinical range of ASD from initial assessment to complex treatment . learning objectives: .) Discuss the importance of early diagnosis in autism . 2 .) Assess the importance of a standardized community-based approach to the diagnosis and management of children with autism . 3 .) Identify the importance of regression in autism and discuss the role of epilepsy in regression . 4 .) Categorize the psycho-pharmacologic treatments used in autism and discuss their efficacy . sd2 - musCuloskeleTal surgery in CHildren WiTH Cerebral Palsy: WHaT’s THe dose? location: Ballroom B faculty: Paulo Selber MD, Orthopedic Surgeon; Adrienne Harvey, Senior Clinical Physiotherapist, Doctoral Student; H. Kerr Graham MD, Orthopedic Surgeon. faculty affiliation: Hugh Williamson Gait Laboratory; Clinical Center of Research Excellence in Gait Rehabilitation, Royal Children’s Hospital, Melbourne, Australia. level: Intermediate to Advanced Target audience: Orthopedic surgeons and interested clinicians from other backgrounds . WARNING this course will major on the details of operative surgery! summary: Cerebral palsy is characterized by progressive musculoskeletal deformities, which may affect function and quality of life . Orthopedic procedures are widely used to correct fixed deformities but are often poorly studied . At recent meetings of the Academy, Orthopedic surgeons failed to agree on such basic concepts as the difference between “single level surgery” and “multilevel surgery” or what exactly constitutes a “gastrocnemius recession” . In addition, orthopedic procedures are often viewed as “one size fits all” when in practice, it is possible to tailor procedures to deal with a wide range of fixed pathology . It is possible to vary the “dose” of surgery, just as it is in choosing the dose of Baclofen or Botox . In this Specialty day course we will describe the procedures, which are used most frequently in children with cerebral palsy and introduce a suggested nomenclature, based on anatomic dissections and operative simulations . The indications for newer procedures, which have as yet little documentation in the literature, will also be discussed . The GMFCS has become the essential tool for research and communication about children with cerebral palsy but there is limited utilization of the GMFCS as a clinical management tool . The concept of varying the “dose” of orthopedic surgery will be placed in a GMFCS/FMS context and illustrated with detailed case presentations, with long term follow up . learning objectives: .) Participants should gain an understanding of the principles of single level and multilevel orthopedic surgery for children with cerebral palsy, muscle-tendon surgery and “surgical dose” . 2 .) Participants will gain an understanding of the role of the Gross Motor Function Classification System (GMFCS) in predicting long term gross motor function and the natural history of musculoskeletal issues in cerebral palsy . They will also learn how to use the Functional Mobility Scale (FMS) to monitor changes after orthopedic surgery, in children and adolescents with cerebral palsy . sd3 - qualiTy of life in CHildren and youTH WiTH Cerebral Palsy location: Ballroom C faculty: Peter Rosenbaum, MD; Allen Colver, MD; Robert Palisano, PhD, PT level: Intermediate Target audience: Anyone concerned with developmental disability across the child and youth years summary: ‘Quality of Life’ (QoL) has become an important focus in health care . In the field of childhood disability considerable work is going on in many parts of the world to create and apply measures of ‘QoL’ to describe the well-being and functional status of children and youth . Complementary work in Newcastle, UK, and in Ontario, Canada has explored QoL in two ways, and across two large populations of children and youth with cerebral palsy . The purpose of the Specialty Day Session is to share QoL findings from a cross-sectional study of 8- 2 year olds across Europe, as well as longitudinal data from a study of adolescents with CP from Ontario . In the course of the presentation there will be ample time for discussion about issues such as what different measures of QoL actually measure; what the findings tell us about both QoL and ‘determinants’ of QoL in these populations; and the implications of the findings for service providers and the clinical programs in which services are offered .
Program HigHligHTs, continued sd3 ConTinued... It is hoped that this Session will appeal to a wide range of service providers and researchers interested in this growing field of enquiry . learning objectives: .) What are the needs and priorities of children and adolescents with cerebral palsy? 2 .) What supports and services are important for school-aged children, adolescents in transition to adulthood, and the families of children and youth with CP . 3 .) What are the implications of these findings for preschool children – for what we do currently in our programs and services, and what we might want to stop doing, change, add, etc? 4 .) The same issues are important for school-aged children, adolescents in transition to adulthood, and the families of children and youth with CP . 4:30 - 5:30 PM Meet and Greet Networking Event These informal gatherings are intended to provide an opportunity for attendees with similar interests to meet each other . The objectives are to encourage networking, collaborations, and generation of new ideas that can be incorporated in future meetings . Participating groups include: Membership, International Affairs, Mac Keith Press, Nursing and Pediatric Medicine & Rehabilitation . 6:00 - 8:00 PM President’s Welcoming Reception Hosted by AACPDM President, William L . Oppenheim, MD Join exhibitors, friends, new members, and guests at a welcoming reception . Light hors d’oeuvres will be served – experience the “Taste of Vancouver” Thursday, october 11, 2007 6:15 - 7:15 AM Kick Start the Meeting with a Jog to Stanley Park What a better way to see Vancouver this October than to take a scenic jog with your colleagues to Stanley Park, at the “crack of dawn”! Stanley Park is recognized around the globe as one of the great parks of the world! Vancouver’s first park and one of the city’s main tourist attractions, Stanley Park is an evergreen oasis of 400 hectares ( ,000 acres) close to the downtown core . Its natural west coast atmosphere offering a back drop of majestic cedar, hemlock and fir trees embraces visitors and transports them to an environment rich in tranquility . The park abounds in wildlife and its features appeal to the naturalist, the plant lover or one who would do nothing more than relax in beautiful surroundings . 8:00 - 10:00 AM Opening Session This general session will begin with the Gavel Exchange and the Presidential Address, followed by a Presidential Guest Lectureship by Michael Johnston, MD, titled “Clinical Disorders of Brain Plasticity”, the Mac Keith Basic Science Lectureship presented by Jeffrey Kleim, MD, titled “Neural Plasticity and Recovery From CNS Disorders” . 10:30 - 12:00 PM Free Paper Sessions A, B & C free PaPers a: THeraPy Location: Ballroom A Moderator: Gay Girolami, PT 10:30-10:38 A1-Therapy Goals and Intervention Strategies for Children with Cerebral Palsy - Johanna M. Darrah, PhD; Lesley E. Wiart, MScPT; Joyce Magill-Evans, PhD; Lynne Ray, PhD; John Andersen, MD; John Church, PhD 10:39-10:47 A2-The Impact of a Resistive Exercise Program on Muscle Strength and Energy Efficiency in Individuals with Spastic Diplegia - Cathleen E. Buckon, MS; Susan Sienko Thomas, MA; Michael D. Aiona, MD; Barry S. Russman, MD; Michael D. Sussman, MD 10:48-10:55 A3-Changes in EMG Activation Patterns Following a Strength Training Programme for Adolescents with Cerebral Palsy - Siobhan Reid; Peter Hamer; Jacqueline Alderson; David Lloyd 10:56-11:03 A4-Somatosensory Deficits in Cerebral Palsy - Jason R. Wingert, PT; Harold Burton, PhD; Robert J. Sinclair, PhD; Janice E. Brunstrom, MD; Diane L. Damiano, PhD, PT Discussion: 11:04-11:20 11:21-11:28 A5-Functional Fitness Training in Children and Adolescents with Cerebral Palsy: A Randomized Controlled Trial - Olaf Verschuren, BSc, PT; Marjolijn Ketelaar, PhD; Paul J.M. Helders, MSc, PhD, PCS; Tim Takken, MSc, PhD; Jan Willem Gorter, MD, PhD 9
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