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

Program HigHligHTs, continued
iC14 ConTinued...
school years will be discussed . The team will highlight how participation varies from activity limitations and discuss the feasibility of current interventions being able
to enhance participation . Studies will be presented in the context of the ICF model and suggestions for future directions of research and clinical practice will be highlighted
. An interactive approach with clinical case studies and research data will be used to present recent data on participation .
iC15 - diagnosTiC evaluaTion of THe CHild WiTH Cerebral Palsy
location: Ballroom C
Eric B Levey, MD; Alexander H Hoon Jr., MD, MPH; Steven N Breiter, MD
Course level: Intermediate
Purpose: To provide clinicians with an approach to the diagnosis and classification of children with cerebral palsy (CP) .
Target audience: Neurodevelopmental disabilities professionals involved in the diagnostic evaluation of children with developmental motor disorders, including CP .
Course summary: Despite advances in obstetrical/neonatal care, the overall prevalence of cerebral palsy has remained stable, supporting the belief that pathogenesis
is due primarily to prenatal brain dysgenesis and injury . The evaluation of infants and young children with motor delay should begin with a careful history, including
details of the prenatal, perinatal and postnatal course . Maternal perception of decreased fetal movement suggests prenatal onset . Family pedigree is important to identify
those with potential genetic disorders . Review of systems should include questions about vision, hearing, seizures and developmental regression . The neurological
examination should be comprehensive, including careful observation for adventitious movements, with classification into traditional categories including spastic
diplegia, hemiplegia, quadriplegia, dyskinetic and ataxic/hypotonic phenotypes . MRI is often the initial diagnostic test of choice, the findings of which focus further
investigation into genetic and acquired causes .
iC16 - saliva overfloW, sialorrHea, drooling: baCk To basiCs
location: Meeting Room 2
Janet H. Allaire, MA; Peter A. Blasco, MDP
Course level: Basic to Intermediate
Purpose: To inform health care professionals of background information surrounding the problem of saliva overflow or drooling . This course will re-acquaint course participants
with the corpus of knowledge about drooling . Course faculty will discuss current interventions and emphasize outcome measurement .
Target audience: This course is relevant to physicians, nurses, physical and occupational therapists, speech/language pathologists and educators . Intervention discussion
will focus on evidence-based practice .
Course summary: This course will present background information on the problem of drooling and allow participants to review what is currently known on the
topic of sialorrhea . Anatomy and physiology will be reviewed and natural history will be discussed . Swallowing and its interface to drooling will be emphasized . The
demographics and various diagnostic populations affected will be discussed although cerebral palsy will be the focus of discussions . Approaches to management will
include surgical and pharmacological interventions . Dr . Blasco will highlight the most commonly used approaches and present evidence-based practice recommendations
. Mrs . Allaire will present behavioral and therapeutic approaches to the problem and use case presentations to illustrate best practice .
iC17 - THe role of THe THeraPisT in managing PaTienTs WiTH sPasTiCiTy
location: Ballroom B
Lynne A. Romeiser Logan PT, MA, PCS; Kristie Bjornson, PhD, PT, PCS; Susan Reeves PT
Course level: Intermediate
Purpose: The purpose of the course is to explore the role of the therapist in the clinical decision making process for patients with spasticity as part of an interdisciplinary
team .
Target audience: This course is designed for clinicians already familiar with pharmacological and surgical treatment options for spasticity management . The course
will be relevant to physical, occupational and speech therapists as well as nurses and physicians involved in an interdisciplinary approach to spasticity management .
Course summary: This course will explore the role of the therapist in the management of patients with spasticity for clinicians already familiar with the pharmacological
and surgical treatment options .
The course will begin with a review of relevant terms related to spasticity and the currently available pharmacological and surgical treatments . The role of the
therapist will be discussed including examination of the patient, the decision making process, referral for medical intervention, communication with the other team
members, and rehab strategies before and after any interventions . Specifics of the physical examination and evaluation of the findings will be demonstrated and discussed
. Rehabilitation strategies, such as strengthening, motor learning approaches and seating, will be discussed . Case presentations and discussion will bring all the
elements together to illustrate the role of the therapist in managing patients with spasticity .
iC18 - seCreTs To suCCess in granT WriTing, PreParaTion and submission in reHabiliTaTion researCH.
location: Meeting Room
James A. Blackman, MD; Diane L. Damiano, PhD, PT; Peter L. Rosenbaum, MD; Richard D. Stevenson, MD
Course level: Intermediate
Purpose: To improve grant seeking capabilities and success in grant funding
Target audience: Individuals at all levels of expertise who are conducting research and in need of funding for research .
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