Torticollis
& Plagiocephaly: Assessment & Treatment of Infants
& Children
“Pulling
it Together”
This dynamic
evolving course will concentrate on progressive, effective evaluation and
treatment schemes for infants and young children with a diagnosis of
torticollis with or without plagiocephaly, including challenging cases. The
course is designed
to provide therapists with current research and recommendations pertaining to
the
implications of torticollis, sleep posture and increased use of positional
devices on infant postural and motor development. Current evidence-based
clinical pathways and guidelines for management of torticollis,
movement impairments and infant head shape, including Clinical
Practice Guidelines from APTA - Academy of Pediatric Physical Therapy, will be
discussed and incorporated. Red flags for related early infancy and preschool
diagnoses will be appraised. Current functional, clinically oriented evaluation
and evidence based treatment strategies for infants and young children that can
be integrated into routines and play will be provided. Diagnostic procedures
and surgical intervention will be reviewed. Recommendations for follow-up and
secondary specialist consultations will be presented. Emphasis on home exercise
programs, effective strategies, and long term follow-up to team with parents
will be explored throughout both days.
Learning opportunities for
therapists and medical professionals involved in pediatrics will transpire
through lecture, case reports, group problem solving, video review, patient
demonstration and lab practicum. The extensive use of pictures and videos
throughout the 2 days of intensive course materials will allow participates to
problem solve and identify movement and tissue impairments related to the
diagnosis of torticollis, providing functional ways to evaluate and treat.
SUGGESTED AUDIENCE: Physical, Occupational
& Speech Therapists; Nurses, including NICU, Nurse Practitioners, Orthotists,
Physician Assistants, and Physicians
Learning Objectives:
Upon completion of this course, participants will be able to:
1. Identify
the incidence, etiology and pathophysiology of torticollis and discuss the
importance of early identification and early referral through systematic
screenings and evaluations by health care providers
2. Identify
the impact of torticollis on movement and associated body structures and
function.
3. Problem solve current
evidenced based treatment regimes for torticollis
4.
Identify the impact on
head shape that may be present with a diagnosis of torticollis
a. Discuss guidelines, available research
and problem solve solutions to manage
including helmet criteria and
treatment
5.
Discuss the relationship
of “the change in sleep posture,” effects of increased
positional devices, and environmental influences on postural development
6.
Relate current research
and recommendations pertaining to SIDS and the efficacy of back to sleep a. Review diagnoses related to the
health policy change
7.
Collaborate and cultivate parent/caregiver’s
understanding of the child’s health condition, interventions, and compliance to
home education/therapy program. and follow-up recommendations.
8.
Establish individualized
goals and incorporate family centered evidenced based treatment regimes as part
of their home education/therapy program.
Faculty Description:
Having
served the pediatric population since 1977, Cindy Miles, PT, PhD. PCS, CNDT
established her pediatric private practice in 1981. Dr. Miles is a graduate of
the University of Pittsburgh, School of Health Related Professionals and East
Stroudsburg University with a Master of Education in exercise physiology. She
also holds a PhD in Pediatric Science from the Rocky Mountain University of
Health Professions. Her doctoral research was on potential risk factors related
to the diagnosis of Torticollis. She is Board Certified by the American Board
of Physical Therapy Specialties as a Pediatric Clinical Specialist,
specializing in treating children from birth through to young adults. Cindy
completed the eight week Pediatric NeuroDevelopmental training course and the
Advanced Infant course. Dr. Miles is serving as President of the Academy of
Pediatric Physical Therapy (APPT) and is presently the Co-Chair and Meeting
Planner for the Academy’s Annual Conference (APPTAC). She held the titles of APPT Treasurer,
Treasurer Elect and pediatric sports, fitness SIG chair. Dr. Miles presents
nationally on pediatric private practice and reimbursement as well as
nationally and internationally on Torticollis, Plagiocephaly, and Fitness for
All Abilities. She has published in peer review journals and books on topics
related to pediatric physical therapy. www.cindymiles.com or www.traintotriumph.com
PLAGIOCEPHALY AND TORTICOLLIS
CINDY MILES
FEBRUARY 1-2, 2020
Registration
Form
Name:
Phone #:
Address:
Email Address:
Payment
Name:
Credit Card #: Expiry date (mm/yy):
Signature:
Internet payment is also available -please
email physio.deb@hotmail.com
REGISTRATION DEADLINE:
Cost: Early bird (before December 1, 2019) $700.00 (This
fee includes course manual, lunch and snacks)
After December1, 2019 - $750.00
Time: 8:30 - 5:30 pm daily
35 Participant Max
Location: Sandman
Signature Edmonton South Hotel, 10111 Ellerslie Rd SW, Edmonton, Alberta, (780)
430-7263
Accommodations: A block of rooms have been reserved at a discounted rate at the
Sandman Signature Edmonton South Hotel. Please contact Deb Humphries for the
required code.
Please
fax registration form to Dawson Creek Physiotherapy Clinic - Fax: 250-782-3734
Send
cheque payable to NEORC to:
Dawson Creek
PhysiotherapyClinic,
10500 10th St,
Dawson Creek, BC, V1G 3T9 Phone: 250-782-3736
Course Cancellation policy:
Cancellations prior to December 1, 2019 will be refunded the registration less
$50 administration fee. No refunds accepted December 1, 2019, or later.
Course Schedule
Day
1
8:00 - 8:30 Registration
8:30 - 10:30 Etiology,
Pathophysiology, Incidence
Lab
SIDS Research
Health Policy Shift
Sleep Position
Changing Symptomatology/Clinical
Implications
Health Policy Shift-Impact on
Development/Compensatory Postures
10:30 - 10:45 Break
10:45 - 12:30 Anatomy Review
Differential Diagnosis
Associated Pathologies/Impairments
Ocular Torticollis
GERD
Hip Dysplasia
Extension
Bias/Hypotonia
Toe
Walking
Lab
12:30 - 1:30 Lunch
1:30 - 3:15 Developmental Components
Treatment/Movement
Components
Vision Development
Assessment
Documentation
Goal Planning
HEP
3:15 - 3:30 Break
3:30 - 5:30 Treatment
Indicators
Day 2
7:30 - 8:00 Registration
8:00 - 10:00 Plagiocephaly/Craniosynostosis
Anatomy
Etiology/Incidence
Assessment
Treatment
Helmet Criteria
Outcomes
Case Reviews
Facial Asymmetry
10:00 - 10:15 Break
10:15 - 12:00 Treatment:
Clinical
Pathways/Protocols/Outcomes
Manual
Stretching/Functional Range of Motion (Lab)
Functional Strengthening
Functional Play
12:00 - 1:00 Lunch
1:00 - 3:00 Treatment:
(continued)
Manual
Techniques
Problem Solving
Participant Cases
Positioning/Including NICU
HEP
Taping (Lab)/Tot Collar
3:00 - 3:15 Break
3:15 - 5:00 Case Reviews
Clinical
Decision Making/Follow-up
Botox
Surgical Intervention
Related Infant Trends
Summary/Conclusions
