Final Program - American Academy for Cerebral Palsy and ...

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Program HigHligHTs, continued
brk7 – THe role of sonograPHy in THe managemenT of a CHild WiTH Cerebral Palsy
location: Meeting Room 8
faculty: S. Berweck, MD; V. Mall, MD; I. Borggraefe, MD; F. Heinen, MD, Prof.
Course level: Intermediate
Purpose: Practical course to introduce recent advances in ultrasound imaging technique leading to a deeper understanding of muscle anatomy and pathology as
prerequisite . .) For critical decisions on target muscles before intervening with Botulinum Toxin . 2 .) To improve accuracy of injections, especially in muscles difficult
to identify clinically .
Target audience: Users of Botulinum toxin therapy in children, including neuropediatricians, neurologists, orthopedic surgeons, physiotherapists and others .
Course summary: Medical decision-making requires recognizing patterns and understanding . This course aims to familiarize with recent advances in ultrasound
imaging techniques, sono-anatomy and pathological changes within the muscle in children with spastic CP . The course will focus on clinically relevant key muscles
bridging clinical investigation and imaging technique . The course incorporates proper identification and injection of muscles and therefore includes a critical appraisal
of different injection techniques with a special focus on sonography-guided injection . Pattern recognition of sono-anatomy by means of cross-sectional illustrations
and sonograms will enable the participants a visually-guided and quick approach to identify especially small and deep-seated muscles and to improve their
knowledge on individual anatomy . Hands-on experience in small groups will be provided .
Course objectives: .) Participants will be introduced to recent advances in ultrasound technique as a tool to investigate changes within the muscle tissue in children
with CP . 2 .) Key muscles which are responsible for different patterns and would benefit from Botulinum toxin treatment will be pointed out . 3 .) Participants will be
introduced to sonography-guided injection and will be familiarized with the sono-anatomy of frequently injected muscles . 4 .) Participants will learn a safe and easy to
apply technique to inject muscles that are rather difficult to localize without imaging (e .g . iliopsoas, tibialis posterior, lower arm) .
brk8 – sHoW us your musCles! visualiZaTion of musCles and Tendons in CHildren WiTH Cerebral Palsy
location: Meeting Room 9
faculty: Nicola Fry, MSc; Martin Gough, FRCS; Adam Shortland, PhD; Anne McNee
Course level: All levels
summary: In three 20-minute lectures we will describe the important role of muscle architecture in muscle function . We will explore the relationships between
muscle volume and length and body mass and stature in typically developing children and in children with spastic cerebral palsy . Results demonstrating the effect of
surgery, stretch casting and strengthening on muscle size and architecture will be presented . We hope to convince delegates that there is a role for muscle imaging in
research, and in the clinical assessment of children with cerebral palsy .
Course objectives: .) To illustrate the importance of gross muscle morphology and architecture in muscle function . 2 .) To demonstrate the differences in gross
muscle morphology between children with SCP and typically developing children . 3 .) To demonstrate the effect of intervention (stretch casting; muscle-lengthening, and
strengthening) on muscle morphology .
brk9 – karaTe for CHildren WiTH disabiliTies
location: Meeting Room 6
faculty: Maxine M. Kuroda, PhD, MPH (shodan in the World Seido Karate Organization)
Course level: All levels
Target audience: Physicians, nurses, physical and occupational therapists, recreational therapists, researchers, and other health professionals caring for children
with disabilities
summary: Seido karate is a traditional Japanese martial art that is now worldwide and includes practitioners of all ages and physical abilities . The presenter will illustrate
how body, mind, and spirit are nurtured through karate training . She will also describe the Karate for Kids program at the Rehabilitation Institute of Chicago
that has partnered with the Thousand Waves branch of Seido karate in Chicago . Adaptations that have been made to bring karate to children with disabilities will be
emphasized .
Course objectives: .) To learn how training in karate can develop balance, core strength, coordination, endurance, and overall fitness in children with disabilities . 2 .)
To learn how the practical self-defense aspects of karate teach personal safety, empowerment, and non-violent resolution of conflict . 3 .) To learn how social skills, respect,
self-confidence, focus, and leadership are fostered in children through training in karate
brk10 – meCHanisms and resulTs of early inTervenTion: neW ideas from neWborn infanT sTudies and animal models
location: Meeting Room 5
faculty: Prof. Giovanni Cioni, MD, Andrea Guzzetta, MD
Course level: Beginner
Target audience: MDs, PTs, OTs and other professionals involved in NICUs and in follow-up programmes of high-risk infants
summary: Recent Cochrane reviews, that will be briefly reported, seem to confirm that standardized early intervention programmes, such as NIDCAP (Newborn Individualized
Developmental Care and Assessment Programme) or infant massage, can improve at least the short term outcome of high-risk newborns, mainly born preterm
. The neurobiological basis of these results are still largely unknown, and some controversial points of these programmes still need further studies and analysis .
Animal studies carried out in the last few years will be also briefly reviewed . They have well documented that selected “environmental enrichment”; able to stimulate
animal active behaviour, can enhance the early development in different species, both in normal and abnormal conditions (i .e . knocked out animals, simulating
various disabilities, or with induced brain lesions) . Moreover, the molecular basis of these experience induced changes have been reported, mainly due to neurotrophic
factors . We will also summarize the results of a study carried out in a group of preterm infants submitted to a multi-sensory stimulation programme in the NICU and