To Intervene or Not? PT or no PT? Motor Issues in Autism

GUEST BLOGGER: Kathryn Biel

Here’s something I struggle with every year. That ambulatory, fast, strong child with autism. Gross motor delays? Absolutely. Typical movement patterns? No way.

Do I keep this child on program? Do we want to be making him stronger and faster? What should I recommend?

I remember one year going round and round with a parent who wanted her child to receive PT so he could play ball. We would spend session after session attempting to play ball. After several years, we were finally up to 4 repetitions. Was it because he had no interest? Was it because the frequency of 1 x 30 minutes per week? Was it because the motor planning and attention required was too far beyond his current skill level? Did I give up too early?

One of my biggest struggles in working with a severely autistic child is how to make my extrinsic goals intrinsic to the child. My random, extrinsic-based goals (skipping, ball play, etc) often have little value in the child’s world, and are therefore unmotivating. Without the support of a conditioned-response (ABA) type program, applying value becomes difficult.

Understanding why a child with autism has movement disorder is key in decision making, as is using evidence-based strategies. Goal-setting becomes critical in ensuring that goals are motivating to both the student and the therapist.

To continue this discussion, plan on attending Jennifer Colebourn and Julie Goff’s session, Using Evidence to Help Guide Decisions on Goals, Dosage, Frequency, Priorities, and Interventions for Motor Issues in Autism at the
Eighteenth Annual Therapies in the School Conference – November 16-17, 2017 – Framingham, MA

~Kathryn Biel, PT, DPT

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Speaker Spotlight – Holly Schifsky, OTR/L, CNT, NTMTC, CBIS

Holly Schifsky OTR/L, CNT, NTMTC, CBIS[/caption]

We are honored to welcome Holly Schifsky to our faculty and thrilled that she will be presenting her course: Baby Beats and Breaths: Therapeutic Interventions for the Premature Infant with Cardiopulmonary Compromise in 2018. 

Having first met her at the 2017 NANT conference, we know that she will be so well received by our community of therapists.

Holly is an Occupational Therapist who has worked in pediatrics for the past 20 years with the past 15 years in a level 4 NICU.  She is a Certified Neonatal Therapist, Certified Neonatal Touch and Massage Therapist, Certified Brain Injury therapist, an active member of National Association of Neonatal Therapists, and has completed 6-month mentorship in infant/child NDT.  She has worked within the NICU and NICU follow-up clinic to maximize patient and family outcomes for the most complex premature and medically-fragile term infants.  Holly received her bachelors degree in Occupational therapy from the University of North Dakota in 1997.  She has dedicated her career to clinical care and advancing developmental care practice patterns for all multidisciplinary team members.  She has presented at many regional and national conferences including NANT, Audrey Harris Vision NICU conference, and the University of Minnesota NICU conference.  

Baby Beats and Breaths: Therapeutic Interventions for the Premature Infant with Cardiopulmonary Compromise
This course will focus on the cardiopulmonary implications for the premature or medically-complex infant as related to physiological stability, evolving motor control, sensory stability, and transition to oral motor skills that support feeding. It will focus on advancing the critical reasoning skills of the neonatal therapist to support the infant’s ability to obtain foundational motor and sensory skills. These skills include the ability of the infant to cough, produce audible phonation, oral motor skills, swallow skills, trunk facilitation, gestational age appropriate positioning/handling to support the emergence of gross motor skills for postural stability. You will learn movement analysis skills (via lab time and video presentations) to assess breathing patterns, facilitation techniques to support trunk development, positioning strategies to support chest wall development, and feeding techniques to maximize postural control. 

January 19-20, 2018 – Akron, OH
March 2-3, 2018 – Washington, DC
September 29-30, 2018 – Houston, TX

PLEASE CLICK HERE TO JOIN OUR MAILING LIST
to learn about course relevant to your field coming to your region.

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NEW Course – Vision, Ocular-Motor and Movement Strategies for Integrated Learning

NEW Course Spotlight:

Vision, Ocular-Motor and Movement Strategies for Integrated Learning
from respected ERI faculty member June Smith

This course will focus on clinical decision-making for the use of vision, occulomotor and movement strategies to enhance outcomes. Emphasis will be on frameworks used with special populations and analysis of assessment data. Movement-based therapeutic strategies and ocular-motor assessment will be incorporated through case study review for effective and evidence-based treatment planning. Video case analysis will allow attendees to sharpen observational and assessment skills and integrate course material for more complex clinical data-based decision making in order to L.E.A.R.N.

  • Learn through integration
  • Engagement
  • Adjust expectations
  • Repeat predictable patterns
  • Notice shifts in system

Don’t miss this course, coming to these locations (check back for TBA venues):

October 13-14, 2017 – Cedar Knolls, NJ
November 10-11, 2017 – Portsmouth, NH
March 23-24, 2018 – TBA
April 27-28, 2018 – Aurora, IL
October 20-21, 2018 – Hartford, CT
November 9-10, 2018 – TBA

Click here for more course details, to download a brochure, for CEU information or to register.

 

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Looking for Approved PT CEUs for New Jersey Renewal? Deadline is Fast Approaching

Education Resources provides education that reminds therapists why they love what they do. Improve outcomes by improving patient care.
Don’t miss approved CEUs for the PT licensed in New Jersey and New York

Please click on a link for a full course description, faculty bio, course brochure including a schedule and registration information
Further courses may be added as venues become confirmed.

Courses below (in NJ and neighboring states) have been approved by the New Jersey Board of Physical Therapy Examiners or have applications being processed.

Treatment of the Hypotonic Child 
Linda Kliebhan
October 6-7, 2017 – New Brunswick, NJ

Assessment and Treatment of Children with Oral Motor, Feeding/Swallowing and Respiratory Function Challenges: Children with Neuromuscular Involvement 
Rona Alexander
October 6-8, 2017 – Valhalla, NY

Early Intervention for Infants and Young Children (0-5): Sensory, Feeding, Behavior
Randy Fedoruk
October 13-14, 2017 – Hamden, CT

Children’s Brains, Neuroplasticity, and Pediatric Intervention: What’s the Evidence?
Patricia Montgomery
October 13-14, 2017

NEW Vision, Ocular-Motor and Movement Strategies for Integrated Learning 
June Smith
October 13-14, 2017 – Cedar Knolls, NJ

Pharmacology Fundamentals for Therapists
Mark Nash
October 21, 2017 – Edison, NJ

Evidence Based Cancer Rehabilitation Resources and Its Role in Cancer Survivorship
Mary Calys
October 28-29, 2017 – Philadelphia, PA

Get Ready to Learn: Therapeutic Yoga Therapy in the Classroom 
Anne Buckley-Reen
November 2-3, 2017 – Edison, NJ

Practical Intervention Strategies for Children with Autism Spectrum Disorders: An Evidence Based Approach 
Stacey Szklut
November 4-5, 2017 – Middletown, NY

Functional Strengthening in Children
Maria Fragala and Maggie O’Neil
November 10-11, 2017 – Washington, DC

Intervention in the NICU: A Neurodevelopmental Approach
Roberta Gatlin
November 10-11, 2017 – Bayside, NY

Taping to Improve Alignment, Strength and Function in Children 
Jackie Grimentstein
November 10-11, 2017 – Pennington, NJ

Tools to Enhance Motor Control, Motor Learning and Strength for Function
Paula Cox
November 10-11, 2017 – Mountainside, NJ

Vestibular Rehabilitation: Evaluation and Treatment of Dizziness and Balance 
Jeffrey Walter
November 10-11, 2017 – Wilkes-Barre Township, PA

Vestibular Rehabilitation: Advanced
Richard Clendaniel
November 11-12, 2017 – West Haverstraw, NY

Effectively Treat Behavior in Children: Traumatic Brain Injury, Autism Spectrum Disorder, Sensory Processing, Cognitive Limitations, PTSD and Other Challenges 
John Pagano
November 11-12, 2017 – Staten Island, NY

The Zones of Regulation: A Framework to Foster Self-Regulation and Emotional Control
Leah Kuypers
November 15, 2017 – Framingham, MA

Annual Therapies in the School Conference
Multi Faculty
November 16-17, 2017 – Framingham, MA

Intervention in the NICU: A Neurodevelopmental Approach 
Roberta Gatlin
November 17-18, 2017 – Bayside, NY

Post Concussion Syndrome 
Christina Finn
November 18-19, 2017 – Staten Island, NY

Management of Acutely Ill Patients: An Evidence Based Approach from a Cardiopulmonary Perspective 
Komal Deokule
December 1-2, 2017 – White Plains, NY

Mealtime Success: Solving Food Refusals with Self-Regulation Strategies and Evidence-Based Nutrition
Susan Roberts
December 1-2, 2017 – Washington, DC

Postural Control for UE and LE Function: NDT Approach, Motor Learning, Evidence Based Practice
Monica Diamond
December 2-3, 2017 – Alexandria, VA

NICU Therapy: Developmental Support from Admit to Home
Lisa Kleinz
December 2-3, 2017

The Zones of Regulation: A Framework to Foster Self-Regulation and Emotional Control
Leah Kuypers
December 7, 2017 – Iselin, NJ

NEW Myofascial Release and Its Application to Neuro-Developmental Treatment 
Gail Ritchie
December 8-9, 2017 – Mountainside, NJ

Treating Falls and Balance Problems
Jennifer Bottomley
December 9-10, 2017 – Somerville, NJ

Education Resources applies to the New Jersey Board of Physical Therapy Examiners for all relevant courses being held in New Jersey and neighboring states.
NJ PT and PTA licenses expire on January 31st, 2018 

Education Resources is an approved provider by the New York State Board of Physical Therapy.

ONLINE COURSES for the Pediatric and Adult Therapist

Join Our Mailing List  – Get notified when courses relevant to your practice come to your area

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Fetal Alcohol Syndrome – How Early Intervention Can Help

Children with Fetal Alcohol Syndrome often present with sensory or motor issues from infancy.

Education Resources  Inc offers this 3 day live, hands-on course:
“Contemporary NDT Treatment of the Baby and Young Child”
Suzanne Davis Bombria, PT, C/NDT
which will teach you to identify these sensory-motor issues, analyze function, and develop treatment strategies for the infant and toddler.

Jan Mc Elroy, PhD, PT, PCS, C/NDT similarly presents a three day, live, hands-on course which focuses on infants who are born preterm and who may present with global developmental delay. You will learn to identify and treat insufficient and atypical movement components seen in infancy that can interfere with the development of functional activities and the development of coordination. This course covers the respiratory, visual, medical and physical challenges to effectively formulate treatment techniques to meet the needs of these infants.

Infants Born Preterm: Identifying and Addressing Their Special Needs in Early Infancy to Support Development

We would like to share this article:

Therapy helps a child with fetal alcohol spectrum disorder
JILL DALY
Pittsburgh Post-Gazette – September 25. 2017

“………..therapists lately have seen more mothers using both alcohol and other substances in pregnancy. Treating drug-addicted babies has gotten a lot of attention, …..but the word about alcohol exposure isn’t getting out”.

“Early intervention can help with sleep disturbances, not gaining weight and feeding problems, and age-related typical milestones, such as crawling, walking and using the early sounds of language”.

“An occupational therapist can help the family overcome sensory-processing disorders………..They have a hypersensitivity to sound, to light, to touch, taste, smells.” 

“Although the brain is still developing up to the age of 25,………….much can be done before the age of 3”.

Please read the full article here: 
http://www.post-gazette.com/news/health/2017/09/25/Therapy-for-a-child-with-fetal-alcohol-spectrum-disorder/stories/201709260002

 

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