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15.1: Orthopaedic Interventions for Pediatric Patients: The Evidence for Effectiveness

ONLY AVAILABLE ON CD

Course Description
This Independent Study Course series will take a look at physical therapy interventions for several areas of pediatrics, not only from the standpoint of a clinical perspective, but also from the evidence for effectiveness of practice that appears in the literature. The topics for these monographs are quite diverse ranging from such diagnoses as scoliosis and torticollis to the special populations of HIV patients and athletes. These clinical documents include studies that have been completed and discuss the need to continue to refine practice according to the available evidence. The various authors will provide a critical review of literature related to the following topics with respect to the pediatric patient: cerebral palsy, torticollis, scoliosis, idiopathic toe walking, overuse injuries, and HIV. Objectives
Upon completion of this monograph, the course participant will be able to do the following with respect to the pediatric patient with cerebral palsy, torticollis, scoliosis, idiopathic toe walking, overuse injuries, and HIV:
  1. Implement an evidence-based approach to evaluation, assessment, and treatment of pediatric patients.
  2. Recognize the signs and symptoms associated with the diagnoses as well as those that are suggestive of non-mechanical dysfunction or disease.
  3. Analyze and understand anatomical and biomechanical considerations of specific joints and structures that may potentially influence the dysfunctions and disorders discussed with each diagnosis.
  4. Understand the indications for clinical tests as they relate to specific dysfunctions and disorders.
  5. Develop a working treatment hypothesis based on patient history and physical examination findings.
  6. Interpret the advantages and disadvantages of various intervention approaches in physical therapy management based on evidence published in the literature.
  7. Develop a decision-making process of intervention based on the most relevant published research and incorporate effective interventions into the treatment of the patient.
  8. Understand the specific medical and therapeutic concerns of the pediatric patient.
  9. Identify incidence, various etiologies, and differential diagnoses.
  10. Identify symptoms, common impairments, and musculo-skeletal implications.
  11. Determine appropriate conservative treatment strategies to effectively treat impairments.
  12. Determine when it is appropriate to consult with a specialist regarding more aggressive treatment.

Topics and Authors
  • LOWER EXTREMITY ORTHOPAEDIC INTERVENTIONS IN PATIENTS WITH CEREBRAL PALSY Carolyn Vaillancourt, PT, MS, NCS, MBA
  • TORTICOLLIS Gena Lentz-Livingston, PT, and Sandra Saluti, PT, MS
  • IDIOPATHIC TOE WALKING Nancy Dilger, PT, MA, PCS
  • OVERUSE INJURIES IN YOUNG ATHLETES Mary Ann Wilmarth, PT, DPT, MS, OCS, MTC, Cert MDT and Barbara Ann Fenton, PT, MS; Subject Matter Expert — Lori Thein Brody, PT, MS, SCS
  • PEDIATRIC PATIENTS WITH HIV Meredith H. Harris, PT, EdD
  • PHYSICAL THERAPY MANAGEMENT OF ADOLESCENT IDIOPATHIC SCOLIOSIS Kathleen Richards, PT, PCS; Michelina Cassella, PT; and Jennifer Connors, PT, MS

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