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APTA CSM
Boston Feb. 21-24,
2002
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The American Physical Therapy Association produced another
fantastic and informative meeting in Boston.
Hundreds of pediatric physical therapist had a wonderful
time learning about the latest techniques and research studies
in Boston.
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Dr. Rose Marie Rine spoke on the effect of intervention on
developmental motor and postural control of children with
sensorineural hearing loss. Twenty Five subjects were placed
in 2 groups (placebo and exercise group). The exercise group
received 30 (20 minute) sessions over a 13 week period. Results
concluded exercise intervention halted the progressive developmental
deficit in children with sensorineural hearing loss. Gain
in motor development was related to improved sensory organization
and the development of alternative postural synergies for
dynamic balance skills.
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Dr. Bob Palisano from Hahnemann University presented on
mobility of children with cerebral palsy at home, school,
and outdoors/community. The study concluded mobility of
children with CP varies based on environmental setting.
Children are more dependent on adult assistance in outdoors/community
settings. Children at levels II-IV (of the GMFCS) demonstrate
variable methods of mobility within a setting.
Dr. Palisano suggest that environment setting is an important
consideration for physical therapist evaluations and interventions.
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Heather Brossman (right) and Dr. Victoria
Gocha (left) of Children's Hospital of Philadelphia lectured
about the role of the Pediatric Physical Therapist with Thoracic
Organ Transplantation and Pediatric Leukemia. Objective assessment
and prevention of secondary effects of medicine were primary
points made.
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Therese Johnston, of Shriners Hospitals for Children, demonstrated
all 17 subjects gained in PROM for extension, hip abduction,
popliteal angle, knee extension, and ankle dorsiflexion following
the use of percutaneous functional electrical stimulation.
Improvements were also noted in step length, cadence, and
the standing dimension of the GMFM.
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Sandy Ross, of Barnes-Jewish and St.Louis Children's Hospitals
and Washington Univ School of Medicine, compared the effects
of selective dorsal rhizotomy with intense PT, intensive PT
alone, and standard therapy in subjects with cerebral palsy.
Spasticity post-SDR was significantly reduced in the knee and
ankle. Mixed results in the intense and standard PT groups.
Knee extensor and ankle plantarflexor strength improved for
the SDR group. The PT group made significant strength gains
in the knee extensors/flexors and ankle dorsiflexors. Also the
SDR group was the only group to make significant gait improvements.
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Marcia Levinson spoke about the impact of
development using the stepping intervention model (SIM) for
infants with motor delay. Twenty-four subjects were separated
into an experimental and control group. The experimental group
received 10 weeks of SIM intervention. Both groups received
early intervention services, however Ms. Levinson proved there
were significant differences between groups in the five developmental
domains tested. |
Other speakers information coming
soon.
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