This session is part of two comprehensive series:
Birth to Three Annual Conference PROGRAM B – ON-DEMAND
and
Birth to Three Annual Conference – ON-DEMAND
COURSE DESCRIPTON:
Learn to utilize important strategies when providing intervention to infants and children with torticollis through multidisciplinary management and education. This course will provide an overview of the contributing factors associated with torticollis as well as focus on intervention strategies for the physical, occupational, and speech therapists involved in the care of the infant with torticollis.
LEARNING OBJECTIVES:
- Apply intervention strategies and treatment techniques to address functional impairments associated with torticollis using interactive case studies
- Choose an appropriate and evidence-based tool to use when working with infants, toddlers, and children with torticollis
- Determine a child’s response to intervention and make appropriate modifications to treatment plan accordingly.
AUDIENCE:
Birth to three therapists including OTs, PTs, SLPs, and Special Educators.
COURSE OUTLINE:
- Torticollis (CMT)
- Three types of CMT (postural, muscular, SCM nodule)
- Etiology & Pathophysiology: (primary myopathy SCM, fetal malpositioning, intrauterine crowding, prematurity, first born, male, breech)
- Postnatal factors: positional preference (presence of deformational plagiocephaly)
- Early identification: The NICU (prematurity) and at birth
- Developmental milestones and skill development
- RED Flags
- Late onset torticollis developing AFTER 6-12 months of age
- Neurological signs and considerations
- The Assessment of Postural Alignment
- Postural issues and limitations (difficulty breastfeeding, bottle feeding challenges, preferred head positioning preference, decreased postural stability, poor behavioral organization)
- Gross motor RED Flags
- Abnormal or asymmetrical tone
- Retention of primitive reflexes
- Resistance to movement
- BPI
- Impacts on development
- Compensatory postures
- Visual conditions
- Impacts on feeding
- Facial Asymmetry
- Tongue control and coordination
- Swallowing
- Gastrointestinal RED Flags
- Reflux
- Sandifer syndrome
- Constipation
- Key interventions/strategies to improve postural control
- Demo: treatment strategies:
- strengthening activities using elevated surfaces/wedges
- therapy ball
- rocker boards
- Stretching
- Tummy time
- Massage
- Treatment for GERD
- Positioning
- Prone and left lateral positioning decrease any of gastric contents with LES under supervision
- Reflux precautions
- Hold upright 30 min after feeds
- Pulling it all together
- Gross motor
- Postural stability
- Nutritional support to achieve gross motor milestones
- Developmental
- Sensory and behavioral organization
- Nutritional support to engage in appropriate developmental and play tasks
- Feeding
- Breastfeeding strategies and support
- Bottle feeding intervention and appropriate transitions
- Weaning from intervention strategies
- Complementary solids
- Considerations
- Introduction of based on gross motor skills
- Teaching families therapeutic touch and movement to support feeding
- Lab: Infant massage techniques (Hearts of Love; abdominal massage “I Love You” massage for gas relief and stool evacuation; foot reflexology
- Demo and Lab: multi-disciplinary treatment strategies
- Positioning strategies (struggle with tummy time, tension/head turn preference)
- Therapeutic handling
- Feeding interventions
- Clinical scenarios and problem-solving case studies
Dr. Trisha Thorne is a licensed physical therapist and Board Certified Clinical Specialist in Pediatric Physical Therapy (PCS). She has over 15 years of expertise in pediatric settings including Neonatal Intensive Care unit (NICU), multidisciplinary NICU follow up clinic, hospital outpatient settings, home health, and private practice. She is a Certified Neonatal Therapist, Certified Neonatal Touch and Massage Therapist, and Certified Neurodevelopmental Therapist. She specializes in myofascial/manual therapy interventions, treating medically fragile infants; as well as, infants with torticollis and developmental delays. As a wife and mother of two boys, she intimately understands the family centered care model to provide exceptional care and treatment of your little one.
Anais Villaluna is an SLP, Board Certified Specialist in Swallowing and Swallowing Disorders, and Certified Lactation Counselor. Anais earned her Bachelor of Science in Communication Sciences and Disorders in 2006 and her Master of Science in Speech-Language Pathology in 2008 from Texas Woman’s University. Anais is a doctoral candidate in Speech-Language Pathology (SLPD) at Northwestern University. Anais has specialized training in a variety of feeding and swallowing interventions methods as well as the instrumental assessment of swallowing via VFSS and FEES. She practices in a variety of pediatric hospital settings at including pediatric hospital inpatient, pediatric hospital outpatient, and multidisciplinary specialty clinics with gastroenterology and otolaryngology. Anais expanded her reach from hospital-based dysphagia services to also include concierge dysphagia services as she has a passion for improving access to highly qualified dysphagia services in a variety of settings. Co-lead of the Pediatric Committee for the IDDSI USIRG, she has an interest in the standardization of thickened liquids in the pediatric population. Anais has presented locally at TSHA Conventions, nationally at ASHA Conventions, and virtually on many platforms. Anais is a published author on the subject of pediatric feeding and swallowing. Anais also volunteers her time with Feeding Matters by serving on the PFD Alliance to help improve access to resources for families and professionals through her contribution as the chair for the Digital Outreach Committee. As a mother of three children, one being a NICU graduate, Anais strives to provide the highest level of care and compassion when partnering with families impacted by pediatric feeding and swallowing disorders.
Financial Disclosure: Anais Villalluna receives a salary from Texas Children’s Hospital and Feeding and Swallowing Specialists of The Woodlands. She receives a speaking honorarium from Education Resources, Inc.
Non-Financial Disclosure: Anais Villaluna has a non-financial relationship with IDDSI (International Dysphagia Diet Standardization Initiative) as a US IRG Pediatric Co-Chair, Communication Committee Member. She has a non-financial relationship with Feeding Matters as a volunteer for Digital Outreach Committee.
Dana Kizer is an occupational therapist, Board Certified in Pediatrics, and has a special interest in feeding as well as sensory processing. She has worked in a variety of pediatric settings including a pediatric hospital, specialty clinic, private practice, and home health. Dana has presented on feeding therapy and interventions nationally and across virtual platforms. Dana is a published author on the subject of pediatric feeding disorders. She currently volunteers her time with Feeding Matters by serving on the Pre-Conference Committee and the Family Advisory Council to help families navigate the complex world of pediatric feeding disorders. In addition to her professional experience with feeding disorders, Dana brings a family perspective to her treatments and teaching experiences as her initial experience with feeding therapy occurred when she would accompany her younger brother to his feeding therapy appointments. She has seen first-hand the difference therapy can make in the lives of patients and their families.
Financial Disclosure: Dana Kizer receives a salary from Texas Children’s Hospital and Feeding and Swallowing Specialists of The Woodlands. She receives a speaking honorarium from Education Resources, Inc.
Non-Financial Disclosure: Dana Kizer has a non-financial relationship with Feeding Matters as a volunteer for the Family Advisory Council and the Pre-Conference Committee.
Once you purchase an online course you will have access to the course materials. If you have purchased this course, please ensure you have logged in to your account in order to take the exam.
Once you purchase an online course, you will have the opportunity to take an exam to test your retention of the material. If you have purchased this course, please ensure you have logged in to your account in order to take the exam. The exam must be completed with a pass rate of 80% or more in order to receive your certificate of attendance.
This course meets the criteria for 2.5 contact hours (0.25 CEUs) Intermediate Level. License #_________.
Education Resources Inc. is an AOTA Approved Provider of professional development. Course approval ID#09073. This Distance Learning-Independent course is offered at 2.5 contact hours 0.25 CEUs. (Intermediate level, OT Service Delivery & Foundational Knowledge). AOTA does not endorse specific course content, products, or clinical procedures. This course can be used toward your NBCOT renewal requirements for 2.5 units. Approved Provider for the FL Occupational Therapy Association CE Broker for 3 CE Hours - CE Broker #20-1214890. This course meets the approval of the TX Board of OT Examiners. ASHA CE Provider (Intermediate level)This session applies 0.25 ASHA CEUs toward approval but must be combined with all Part B Sessions to receive ASHA CEUS. ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products, or clinical procedures. ASHA credits are accepted by the TX Department of License and Renewal. This course has been approved by the MD State Board of Physical Therapy Examiners for __ Continuing Education Hours. Approval #_____ by the NJ State Board of Physical Therapy Examiners for _____ CEC's. Approved sponsor by the State of IL Department of Financial and Professional Regulation for Physical Therapy for 3 contact hours. Application has been made to IL EI Training Program. Approved provider by the NY State Board of Physical Therapy for 3 contact hours (0.3 CEUs). Education Resources Inc. is an Approved Agency by the Physical Therapy Board of CA, PTs will receive 2.5 CEUs. This session applies 2.5 contact hours (0.25 CEUs) toward approval but this must combined with another session of this series to receive CEUs and approval number by KY Physical Therapy Association. Approved Provider for OK State Board of Medical Licensure & Supervision #BAP202310003.This activity provided by the Texas Board of PT Examiners accredited provider Approval #2210017TX for 2.5 CCU's and meets continuing competence requirements for PT's and PTA's licensure renewal in Texas. The following state boards of physical therapy accept other states’ approval: AK, AR, AZ, DC, DE, GA, HI, ID, IN, KS, MA, MI, MO, MS, NC, OR, PA, RI, SC, UT, VA, VT, WI, WY. The following state boards of physical therapy either do not require course pre-approval or do not require CEUs for re-licensure: AL, CO, CT, IA, ME, MT, NE, ND, NH, SD, WA. 2.5 hours of this course qualify towards the discipline-specific hours for the 20-hour requirement for NDTA re-certification. They do NOT qualify towards the 8-hour NDTA Instructor requirement for re-certification.
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