Pediatric Gait: Science-Based Examination and Intervention

Credit

Speaker

Paula J Cox, PT, DSc, PCS Related seminars and products

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Paula Cox, PT, DSc, PCS, is a board-certified pediatric PT with over 35 years of experience in pediatric rehabilitation. She is a member of the APTA, the APPT, and the IL PT Association. Dr. Cox served on the APPT’s NICU to EI transition work group. She is committee chair for the APPT course Advanced Clinical Practice in Pediatric Therapy, an ongoing APPT course that investigates current theories and EBP across pediatric settings. Dr Cox presents the EI segment for this course. She operates a private pediatric practice in the Chicago area and provided ongoing mentoring to PT’s in 2013 from the University of Oklahoma. Her doctoral research examined the use of a robotic scooter to provide early autonomous locomotion for infants with Down Syndrome.

 

Speaker Disclosures:
Financial: Paula Cox maintains a private practice and has an employment relationship with Midwestern University. She receives compensation as a consultant. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Paula Cox has no relevant non-financial relationships.

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Objectives

1. Identify valid and reliable measurement tools to use to evaluate gait disorders in pediatric practice
2. Differentiate between evidence-based and non-evidence-based interventions
3. Implement the ICF to assist in developing measurable and functional outcomes
4. Develop plans to move practice into a scientific direction in consideration of neuroplasticity and motor learning
5. Contrast atypical gait from pathological gait
6. Review the International Classification of Function, Disability, and Health (ICF) and its use as a framework and guide in your practice

Outline

KINEMATICS & KINETICS OF TYPICAL, ATYPICAL, & PATHOLOGICAL GAIT

• Components of gait
• Alignment of joints during gait
• Force production and gait efficiency

INTERNATIONAL CLASSIFICATION OF FUNCTION, DISABILITY, & HEALTH (ICF)

• Review components of ICF
• ICF as a framework for pediatric practice
• Moving toward scientific practices

MEASUREMENT TOOLS

• Psychometrically sound measurement tools
• Valid and reliable measurement tools to assess gai

OUTCOME DEVELOPMENT

• Using ICF to inform outcome development
• Developing functional and measurable outcome

INTERVENTION

• What is evidence-based practice
• Review presently used interventions for neuromuscular and musculoskeletal gait disorders
• Neuroplasticity and motor learning, and their importance in intervention
• Research that supports or refutes effectiveness of interventions for common pediatric gait disorders
• Interventions for musculoskeletal and neuromuscular gait disorders with clear supportive evidence

OUTCOME MEASUREMENT

• Review need for psychometrically sound measurement tools
• Review valid and reliable outcome measurement tools

CASE STUDY

• Assessment
• Intervention
• Outcome 

Target Audience

• Physical Therapists
• Physical Therapist Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Educators
• Rehabilitation Nurses
• Pediatric Nurse Practitioners
• Home Health Personnel