Concurrent workshop sessions will be held throughout the program on:
Thursday 22 March 2018 | 4.00pm – 5.30pm
Concurrent Workshop 1
Botox & spastic equinus: Primum non nocere – Tandy Hastings-Ison
BoNT-A injections have become the standard of care for young children with spastic equinus, despite modest and short-lived effects. Strong evidence exists for decreases in muscle tone, but not objective improvements in gait function e.g. small improvements in ankle dorsiflexion (foot-flat) may be offset by deterioration at the knee; especially in children with bilateral involvement.
This workshop will evaluate the evidence, and debate both the merits and shortcomings of BoNT-A protocols for spastic equinus.
Concurrent Workshop 2
Practical Tips for Developing a GRADE & AGREE II Compliant Clinical Practice Guideline: Functional Therapy for CP Exemplar – Iona Novak
This workshop session will outline the processes involved in developing a GRADE and AGREE II compliant Clinical Practice Guideline, using Functional Therapy for children with cerebral palsy as an exemplar. The presenters have all published summaries of best-available evidence for functional therapy in cerebral palsy and will lead the participants in: 1) grading the quality of best-available evidence; and 2) forming recommendations.
Concurrent Workshop 3
Academic Researchers and Family Stakeholders: A dance that needs both partners – Laura Miller
The tides are changing and a new wave of conducting children’s health research is here. This workshop will share lessons learned as an integrated research team. We will 1) describe project development phases; 2) identify processes and strategies used to facilitate collaborative working environments; 3) highlight roles and responsibilities of researchers and families; 4) share researchers’ and parents’ perspectives on the importance of collaborative approaches and its potential impact.
Concurrent Workshop 4
Transforming healthcare for women with disabilities – Rachel Byrne
This course will present the results of surveys distributed to women with disabilities and providers. Data from four pilot interventions will be presented as well as patient and provider materials. Disparities, best practices and interventions will be discussed on gynecological care, reproductive life planning, adolescent health and transition and mammography.
Concurrent Workshop 5
Assessing UL function in children with bilateral CP – Megan Thorley
While there is significant evidence for a range of upper limb treatments for children with unilateral cerebral palsy, the same does not apply for children with bilateral cerebral palsy. The Assisting Hand Assessment (AHA) has changed the way that assessment and treatment for unilateral upper limb impairment is conceptualised and performed. A new assessment by the AHA test developers, the Both Hands Assessment (BOHA) has the potential to have the same influence on upper limb assessment and outcome measurement for children with bilateral cerebral palsy. Administration and scoring of the BOHA requires training and accreditation with the test developers, but this workshop will introduce the BOHA and will enable participants to observe test processes and case study examples of the BOHA being used in clinical practice within a framework of comprehensive bilateral upper limb function assessment.
Concurrent Workshop 6
Optimising Outcomes After Orthopaedic Surgery in CP – Pearls, Pitfalls and Protocols – Benjamin Shore and Sue Stott
Orthopaedic surgery continues to play an important in the management of children with cerebral palsy but can be seen as a ‘last resort’ intervention due to failure of rehabilitation. Performed well, at the correct time and based on sound biomechanical principles, results can be gratifying. However, If performed less than optimally and without correct post-operative supports, the results can be disappointing and, at worst, can lead to loss of personal and ambulatory function.
This workshop will focus on optimisation of outcomes following orthopaedic surgery in CP with emphasis on enhancing quality at all steps of the process from the decision to operate through to the typical post-operative trajectory, illustrated by cases and learning points. The importance of appropriate up-front goal setting, medical perioperative clearance, prompt recognition and management of complications and identifying barriers to discharge will be emphasised.
Friday 23 March 2018 | 3.30pm – 5.00pm
Concurrent Workshop 7
Intro to General movements assessment for clinicians and researchers – Alicia Spittle
This session is intended for clinicians and researchers with the goal of understanding the current evidence and concepts surrounding analysis of infant spontaneous movement and the prediction of outcome. Video examples of normal and abnormal infant general movements will be presented. The session is not intended as a General Movement Assessment course, but as an introduction to current concepts and research. Participants will be encouraged to discuss barriers and strategies for implementation.
Concurrent Workshop 8
When spasticity & dystonia coexist: rethinking CP motor classification – Adrienne Harvey
This workshop will cover issues commonly encountered when both spasticity and dystonia are identified in children with CP and the dilemma this poses in terms of motor classification and decision-making regarding treatment. It will help attendees to identify and classify motor types, particularly in the presence of “mixed” motor types. Classification of motor subtypes in CP is important as it promotes an accurate description of the child’s neuromotor impairments, leading to appropriate and effective treatment choices.
Concurrent Workshop 9
Healthy Mothers Healthy Families: How an evidence-based program for mothers of a child with a disability was created and evaluated – Helen Bourke-Taylor
Innovation in research and practice is needed for all carers, but particularly for unpaid family carers such as parents of children with a disability. Healthy Mothers Healthy Families (HMHF) is a health education, empowerment and lifestyle redesign program that targets the unique needs of mothers in this life situation who rarely self-identify as carers. This workshop describes HMHF and how it addresses some of the needs of mothers who are carers. Attendees will be experience and have access to the primary measurement tools used in the workshops.
Concurrent Workshop 10
2D4ME! Video gait analysis in clinical practice – Pam Thomason
Three dimensional gait analysis (3DGA) is time consuming and expensive. Not everyone has access to a gait laboratory nor can everyone complete a 3DGA. This workshop aims to give a practical guide how best to capture video gait data and how to, using 3DGA terminology, systematically evaluate two-dimensional gait data. Using video and physical examination data, interactive cases will illustrate typical gait features associated with gait pathology in children with CP and other conditions.
Concurrent Workshop 11
Research in CP: Options for design & analysis (without a formula in sight!) – Natasha Bear
In order to generate meaningful research, we need to consider what is the appropriate design and analysis. We aim to discuss common challenges that arise when conducting research in the heterogeneous CP population. Potential pitfalls and misconceptions will be highlighted from best-available statistical analysis evidence. We will cover study design and analysis options for overcoming common challenges in CP research, such as single subject research design/ n-of-1, pilot studies and randomisation techniques.
Concurrent Workshop 12
Robotic technologies for the improvement of functional outcome in youth with neurological disabilities – Remo Russo
Children with neurological disabilities often have significant impairments that can respond to intensive therapy to assist in recovery/skill acquisition. Robotic technology can assist in providing therapy to improve functional outcome, but further work is required to demonstrate it’s potential. To illustrate the advances several robotic technologies will be presented. The available evidence and theoretical rationale in support of robotic technology in paediatric rehabilitation will be reviewed. Specific application principles will be illustrated. This workshop will be interactive and include an update on the applicability of robotic technology for children with neurological disability seeking methods to improve functional outcome.
Saturday 24 March 2018 | 10.45am – 12.15pm
Concurrent Workshop 13
Using the Hammersmith Infant Neurological Examination for infants at high risk of CP – Cathy Morgan
The Hammersmith Infant Neurological Examination (HINE) is a standardised and scoreable clinical neurological examination that can be used to assess infants from 2-24 months of age. This workshop session will provide standardized training in the Hammersmith Infant Neurological Assessment by three trainers whom have undertaken training in the HINE with the original authors.
Concurrent Workshop 14
A multi-disciplinary approach to managing hip displacement in CP: Pathways from surveillance to surgery and beyond – Kate Willoughby
This workshop will focus on a practical and evidence-based approach to the surveillance and management of hip displacement in children with CP, with the goal of achieving good ‘hip health’ beyond adolescence and throughout adulthood. It will guide participants in the surveillance continuum from the initiation of a first x-ray and identifying displacement, to monitoring response to intervention and long-term outcomes. Evidence of the experiences of parents and health professionals when engaging in hip surveillance will be discussed, including the identification of potential barriers to surveillance.
Concurrent Workshop 15
The Cognitive Orientation to daily Occupational Performance (CO-OP) Approach- who should we be using this with: Application across diagnostic groups – Michelle Jackman
The Cognitive Orientation to daily Occupational Performance (CO-OP) approach is a goal-focused, task specific treatment option grounded in learning theory. CO-OP was originally designed for use with children with developmental coordination disorder aged 7-12 years. The expert panel will present the current evidence, including a discussion of the characteristics of children who are most appropriate for CO-OP, through case study discussions and video examples. Delegates will work in small groups to apply the goal-plan-do-check strategy to their own new motor task in this fun, interactive workshop.
Concurrent Workshop 16
Enhancing caregiver engagement and improving participation for children with CP using Occupational Performance Coaching – Fiona Graham
Occupational Performance Coaching (OPC) is a way of working with caregivers (e.g., parents, teachers) toward achievement of goals for children. ). OPC draws from strengths-based and adult-education principals to ensure that: therapists and families are working to achieve change in what families’ value most and; families are highly involved in identifying strategies that are effective and sustainable.
Concurrent Workshop 17
Diagnosis and management of hyperkinetic movement disorders of childhood – Michael Kruer
Concurrent Workshop 18
We Like to Move-it, Move-it… Exercise Prescription for Children with Neurodevelopment Disorders – Siobhan Reid
The team will outline the current evidence for best practice exercise prescription for children with movement difficulties, with reference to appropriate developmental progressions. At each stage the team will engage the audience with current literature, and emphasize the translation pathways from evidence into clinical practice. The team will provide real life examples from their clinical practice and the outcomes of exercise interventions for children with movement difficulties.