Hospital-based: Outpatient

Incorporating Resistance Training and Other Intensive Models into Episodic Care to Improve Function and Participation in Youth with Cerebral Palsy

Thursday, November 8
8:30 AM - 5:30 PM
Location: Ross - Chattanoogan Hotel

Functional independence in youth with cerebral palsy (CP) is expected to plateau after the age of 7-8 years. This expectation is based on standard dosing of weekly therapy. Strength impairments in youth with CP have been shown to be a significant factor impacting function. The conventional rehabilitation approach does not provide appropriate stimulus to remediate strength impairments to alter function and participation. Recent evidence, however, has shown that power-based strengthening results in improved strength, function and participation.

Children’s Hospital Colorado has successfully implemented new service delivery models targeting individualized patient goals and incorporating appropriately dosed resistance training and functional skill practice into intensive episodes of care. Evidence about the importance of strength for functional independence in youth with CP, the use of resistance training and other interventions delivered in an intensive format, dosing guided by current training guidelines and use of outcome measures across all domains of the ICF for patient and program surveillance will be reviewed. The process of program implementation across a large, pediatric hospital system will be discussed. Additionally, aggregated patient outcomes will be presented demonstrating improvements in impairment, function and participation. Case studies and family testimonials will also be presented.


 

Learning Objectives:

James B. Hedgecock, PT, DPT, PCS

Physical Therapy Program Coordinator for Neurodevelopmental and Muscle Disorders
Children's Hospital Colorado

Dr. Jim Hedgecock, PT, DPT, PCS is a Pediatric Certified Specialist and the Physical Therapy Program Coordinator for Neurodevelopmental and Muscle Disorders at Children’s Hospital Colorado. He completed his Doctor of Physical Therapy, Pediatric Residency, and LEND Fellowship at the University of Colorado Physical Therapy Program. Dr. Hedgecock has clinical research interests in evidence based intervention dosing for people with neurodevelopmental disabilities and the importance of gross motor evaluation and intervention for children with autism spectrum disorders. He has published and presented at several local, national and international conferences about these topics.

Presentation(s):

Send Email for James Hedgecock

Nicole Harris, PT, PCS, BOCO

Program Coordinator for Foot Management
Children's Hospital Colorado

Nicole Harris, PT, PCS, BOCO has been a pediatric physical therapist for 20 years and is the Foot Management Program Coordinator at Children’s Hospital Colorado (CHCO). She specializes in treating children with cerebral palsy and idiopathic toe walking as well as orthotics, splinting and casting for pediatric patients. Ms. Harris is a BOCO orthotist and a Pediatric Clinical Specialist. She initiated the successful episodic care and resistance training models currently used at CHCO. Ms. Harris has done multiple presentations regarding intensive service delivery models, dynamic bracing, and idiopathic toe walking for organizations in Colorado as well national and international conferences.

Presentation(s):

Send Email for Nicole Harris


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