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.
- Upon completion, participants will be able to demonstrate understanding of the role of muscular strength in determining functional independence in youth with cerebral palsy.
- Upon completion, participants will be able to complete a clinical assessment to select the most ideal training parameters to achieve a patient's specific functional goals.
- Upon completion, participants will be able to design and assess effectiveness of a resistance and functional skill training program to address individualized goals for youth with cerebral palsy.
- Upon completion, participants will be able to develop a plan to initiate a resistance training program for youth with cerebral palsy at their institution.