20th Annual Conference:
Management Strategies for Functional Impairments in Children with
The University of Virginia Department of Orthopaedic Surgery
Division of Pediatric Orthopaedics
Motion Analysis & Motor Performance Laboratory
December 5-6, 2014
Darden Executive Education Center
To provide a comprehensive update on treatments available to enhance motor function and ease disability in patients with neuromusculoskeletal conditions.
Present and integrate multidisciplinary perspectives on the management of motor dysfunction in neuromuscular conditions and to aid health care professionals and families of children with disabilities in their roles as advisors, decision makes and caregivers.
Health care professionals are increasingly challenged to provide treatments that are based on a strong scientific foundation. This course will describe the basic and clinical science underlying the pathophysiology of impairments and functional deficits in children with cerebral palsy and other common neuromuscular disorders. Movement patterns, motor prognosis (effect on motor development) and associated co-morbid conditions will be described as well as techniques for assessing these impairments. Cerebral palsy (CP), spina bifida, Duchenne’s muscular dystrophy and neuromuscular scoliosis as well as other similar disorders may be discussed. Nationally recognized clinicians and research scientists will present in detail the most effective current options for management of spasticity, contractures, bony deformities, and weakness for ambulatory and non-ambulatory patients. Because a cure for these conditions is mostly lacking,, emphasis will also be placed on treatments such as bracing as well as adaptive equipment to enhance participation in the community. Orthopaedic surgeries will be described including spinal stabilization , bony osteotomies and muscle- tendon surgery. The risks and benefits of neurosurgical interventions, aimed at alleviating spasticity, such as intrathecal Baclofen pump infusion, selective dorsal rhizotomy and brain stimulation will be described as well as the role of less invasive therapies such as oral medications and botulinum toxin injections. Finally physical and occupational therapy treatment programs to enhance motor function and to complement surgical treatments will be presented and reviewed. Audience participation will be encouraged by ample time for questions and multiple case studies involving an interdisciplinary panel.
(15 hours) Continuing Education Units — No CME’s are awarded for attending this course.
- Better understnd the pathophysiology of neuromuscular conditions such as CP, spina bifida and muscular dystrophy and the impact that the pathology has on motor functional status.
- Understand range of impairments seen such as spasticity, weakness, extra-pyramidal movement disorders, mental retardation, and muscle contractures.
- Provide an update on the mechanisms and science behind prevalent treatments such as orthopaedic surgery, neurosurgery, botulinum injections, physical therapies, orthotics and mobility equipment.
- Discuss the role of 3D gait analysis, electromyography and spasticity measures in pre- and post assessments.
- Appreciate the magnitude of functional change as well as impact on community participation from different treat- ments in neuromuscular conditions to aid in goal setting and treatment decisions.
- Understand the complementary roles of surgery, medications, physical therapy, occupational therapy and orthotics in management of neuromuscular conditions.
Who Should Attend
This course is designed for medical professionals who care for persons with neuromuscular conditions including physical and occupational therapists and assistants, neurologists, neurosurgeons, developmental pediatricians, orthopaedic surgeons, physiatrists, orthotists and pediatric nurse practitioners. Families of children with disabilities are also encouraged to attend.
All faculty participating in a sponsored activity are expected to disclose to the activity audience any significant financial interest or other relationship (1) with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in an educational presentation and (2) with any commercial supporters of the activity (significant financial interest or other relationship can include such things as grants or research support, employee, consultant, major stock holder, member of speakers bureau, etc.). The intent of this disclosure is not to prevent a speaker with a significant financial or other relationship from making a presentation, but rather to provide listeners with information on which they can make their own judgments. It remains for the audience to determine whether the speaker’s interests or relationships may influence the presentation with regard to exposition or conclusion.
Disclosure of Non-FDA uses for pharmaceutical products or medical devices: The University of Virginia School of Medicine requires that all faculty presenters identify and disclose any “off label” uses for pharmaceutical and medical device products. The University of Virginia School of Medicine recommends that each physician investigate new medical therapies fully before incorporating them into the delivery of patient care.
A block of rooms has been reserved for December 5-6 at the Darden Inn in Charlottesville, Virginia. Please call (434) 243-5000 before November 15, 2014 to make reservations. In order to receive the special rate, please inform the staff that you are attending the UVA Orthopaedics course. Discount rates of $135.00 + taxes per night are available based on space available.
- Registration fees include CEUs, lectures, continental breakfast, refreshments, lunch and, syllabus materials for the 2-day conference. Group discounts are not available.
- Registrants $395
- Refunds will be granted if the request is received in writing by November 15, 2014. A 15% processing fee will be charged for refunds.
- Conference Coordinator: Diane Sullivan | 434-243-0281 | firstname.lastname@example.org
- Registration Coordinator: Rose Herndon
Department of Orthopaedic Surgery
(434) 243-0220 | FAX (434) 243-0230 | email@example.com
The 1992 American Disabilities Act requires that all individuals, regardless of their disabilities, have equal access. We are pleased to assist participants with special needs. Requests need to be made in writing by 11/15/2014.
UVA COURSE DIRECTORS
Mark F. Abel, MD
Division Head of Pediatric Orthopaedics
Professor, Orthopaedic Surgery Department
Director, Motion Analysis & Motor Performance Lab
Mark J. Romness, MD
Associate Professor of Pediatric Orthopaedic Surgery
Associate Medical Director, Motion Analysis & Motor Performance Laboratory
James A. Blackman, MD, MPH Diane Damiano, PhD, PT
Medical Director Tenure-track Scientist
Cerebral Palsy International Research Foundation Chief, Functional & Applied Biomechancs Section
Rehabilitation Medicine Department
Andrew M. Gordon, PhD National Institutes of Health
Professor of Movement Science and
Neuroscience & Education Bettina M. Gyr, MD
Teachers College, Columbia University Assistant Professor
Orthopaedic Surgery Department
Kelly Mahaney, MD, MS Wake Forest University
Neurosurgery Fellow, Barrow Neurologic Institute
Phoenix Children’s Hospital Ginny Paleg, PT, DScPT, MPT
Silver Spring, MD
Ann E. Van Heest, MD
Professor of Orthopaedic Surgery Christopher D. Lunsford, MD
University of Minnesota Physical Medicine and Rehabilitation Gillette Children's Specialty Care University of Pittsburgh Medical Center
Shriner’s Hospital for Children-Twin Cities Children's Hospital of Pittsburgh
UNIVERSITY OF VIRGINIA FACULTY
Ruth A. Goldeen, OTR
Marc Gilgannon, PT
Paul Matherne, MD, MBA
Dammann Professor of Pediatrics
Department of Pediatrics
Sharon Hostler, MD
Vice Provost for Faculty Development
Kevin King, CPO Certified Prosthetist & Orthotist
Kenneth Norwood, MD
Associate Professor, Developmental Pediatrics
Department of Pediatrics
Patty Payne, PT Senior Physical Therapist
Richard Stevenson, MD
Professor, Developmental Pediatrics
Department of Pediatrics
Friday – December 5, 2014
7:00-8:00 am REGISTRATION & CONTINENTAL BREAKFAST
8:00-8:10 WELCOME – Paul Matherne, MD
8:10-8:40 WHAT IS CEREBRAL PALSY - Richard Stevenson, MD
8:40-9:10 NEUROMUSCULAR CONDITIONS: MANAGEMENT OBJECTIVES FOR MOTOR IMPAIRMENT - Mark Abel, MD
9:10-9:20 Questions for Drs. Stevenson & Abel
9:20-9:40 Break and Vendor Visits
9:40-10:20 TRENDS IN THERAPY FOR CP-HOW MUCH HAS CHANGED IN THE PAST 20 YEARS AND WHAT’S ON THE HORIZON? - Diane Damiano, Ph.D, PT
10:25-11:05 GUEST LECTURER - PHYSICAL MEDICINE: APPROACHES TO TONE MANAGEMENT - Chris Lunsford, MD
11:10-11:20 Break and Vendor Visits
11:20-12:00 pm GUEST LECTURER - UPPER EXTREMITY DEFICITS IN CP: IMPLICATIONS FOR TREATMENT - Andrew Gordon, MD
12:10-12:40 OCCUPATIONAL THERAPY OPTIONS FOR CP - Ruth Goldeen, OTR
12:40-1:45 Lunch and Vendor Visits
1:45- 2:25 GUEST LECTURER - THE ROLE OF SURGERY FOR UPPER EXTREMITY FOR CP - Ann Van Heest, MD
2:35-3:15 UPPER EXTREMITY CASE DISCUSSIONS - Dr. Gordon, Dr. Van Heest, Ms. Goldeen, Dr. Stevenson
3:15-3:30 Break and Vendor Visits
3:30-4:00 LOWER EXTREMITY ORTHOTICS FOR CP - Kevin King, CPO and Patty Payne, PT
4:00-4:45 DISCUSSION & CASES
Dr. Romness, Dr. Damiano, Dr. Abel, Mr. King and Ms. Payne
5:15-6:00 Tour of Battle Building and Reception
Saturday – December 6, 2014
7:00-8:00 am Registration & Continental Breakfast
8:00-8:10 OPENING COMMENTS – Sharon Hostler, MD
8:10-8:50 GUEST LECTURER: RESEARCH UPDATE ON PREVENTIONS & TREATMENTS FOR CP –
James Blackman, MD
9:00-9:30 CONSIDERATIONS FOR MOTOR MANAGEMENT IN TRAUMATIC BRAIN INJURY – Ken Norwood, MD
9:35-9:55 Break and Vendor Visits
9:55-10:35 GUEST LECTURER: NEUROSURGICAL APPROACHES FOR TONE MANAGEMENT –Kelly Mahaney, MD
10:45-11:15 MANAGEMENT OF HIP IN CP & OTHER NEUROMUSCULAR CONDITIONS – Mark Romness, MD
11:15-11:20 Questions, Break and Vendor Viewing
11:20-11:40 Break and Vendor Visits
11:40-12:20 pm GUEST LECTURER: STANDING PROGRAMS FOR CP – Ginny Paleg, PT, DScPT, MPT
12:30-1:30 Lunch and Vendor Visits
1:30-2:10 PANEL DISCUSSION ON EVIDENCE FOR PT: HOW THEY SHOULD INFLUENCE PRACTICE
Dr. Damiano, Dr. Paleg, Dr. Blackman, Mr. Gilgannon, Dr. Romness and Dr. Abel
2:10-2:40 SPINAL DEFORMITY MANAGEMENT IN NEUROMUSCULAR CONDITIONS – Mark Abel, MD
2:45-3:00 Break and Vendor Visits
3:00-3:50 GUEST LECTURER: ORTHOPAEDIC SURGERY FOR CORRECTION OF LEVER ARM DYSFUNCTION– Bettina Gyr, MD
3:50-4:00 CLOSING REMARKS/ADJOURN