Concurrent Workshops
Concurrent workshop sessions will be held throughout the program on:
Thursday 12 March 2020 | 4.00pm – 5.30pm
Workshop 1: Cerebral visual impairment in children with cerebral palsy: from evidence to best practice
Alison Salt, Andrea Guzzetta, Swetha Philip
Objectives:
- To understand the current evidence for diagnosis and assessment of cerebral visual impairment
- To understand the evidence for the relationship between cerebral visual impairment and neuroimaging, including reorganisation.
- To describe the role of the ophthalmologist in children with cerebral palsy
- To demonstrate how to identify cerebral visual impairment in children with cerebral palsy
- To provide practical approaches for clinicians to assess visual function in young and complex children with cerebral palsy
Workshop 2: Positive Language in Healthcare
Rachel Callander, TEDx Presenter, Speaker, Trainer, Artist and Author
Workshop 3: Exercise for EveryBODY: The What, How & Who of Exercise Prescription in Neurodevelopmental Medicine
Siobhan Reid, Sian Williams, Gaj Panagoda, Astrid Nyquist, Jan Willem Gorter, Claire Willis
Objectives:
- Participants will gain a comprehensive overview of WHAT the current exercise and activity recommendations are for optimal child health and development
- The workshop will establish HOW to develop exercise interventions for children with neurodevelopmental disabilities
- Following the workshop participants will be able determine WHO can assist children with neurodevelopmental disabilities and families to build exercise into their lives. Exercise is for everyBODY and everybody has a role in promoting exercise.
Workshop 4: Management of Spinal Deformity in Cerebral Palsy – Surveillance, Guidelines, and Innovations in Surgical Treatment
Giuliana Antolvich, Kirsty Stewart, Michael Johnson, Kerr Graham
Objectives:
- To discuss the aims, progress and current status of the Australian spinal surveillance working group and the Australian Spinal Surveillance Guidelines, and to consider how they will integrate with the Australian Hip Surveillance Guidelines
- To overview the new Bipolar spinal surgical technique and its impact on patient selection and outcomes
- To discuss the interrelated effects of hip and spine reconstruction, the effects of pelvic obliquity and what defines adequate hip status, prior to scoliosis surgery.
- To discuss integrated models of care for children with CP requiring hip and spine surveillance and referral for orthopaedic surgery.
Workshop 5: Live Traffic Report: State of the Prevention and Intervention Evidence for Children with Cerebral Palsy
Iona Novak, Megan Finch-Edmonson, Ashleigh Hines, Maria McNamara, Madison Paton, Emma Stanton
Objectives:
- Gained an understanding of the current best available intervention evidence for cerebral palsy.
- What is the evidence for each intervention and in what situation?
- What evidence has emerged in the last five years? And
- How might intervention fidelity be judged?
Workshop 6: Enabling Participation in Activities of Daily Living: Supporting Non-ambulant Children with Cerebral Palsy to be Involved in Daily Routines
Robyn Heesh, Christine Imms
Objectives:
- Use the family of Participation Related Constructs (fPRC) to describe key elements when evaluating transactional processes that enable participation;
- Describe the Child Active Routines (CAR) framework and how its use may support understanding of transactional outcomes in daily routines;
- Describe potential child, carer and contextual factors that may support or disrupt a child’s ability to contribute to daily routines;
- Identify actions that children with cerebral palsy (CP) at Gross Motor Function Classification (GMFCS IV and V) can use during daily routines, with the support of a carer, that enable their involvement.
Workshop 7: The Baby and the Bathwater: Response to Recent Concerns for Safety and Use of Botulinum Toxin A
Lisa Copeland, Mary-Clare Waugh, Stephen O’Flaherty
Objectives:
- Consider evidence regarding efficacy and long-term safety of Botulinum toxin A;
- Explore the role of botulinum toxin A for various groups of children with hypertonicity in context of appropriate goal setting and consideration of other treatments
- Explore ways of embedding appropriate quality and safety assurances into current clinical practices.
Friday 13 March 2020 | 3.30pm – 5.00pm
Workshop 8: Let’s Ride! Enabling Cycling Across the Spectrum of Cerebral Palsy
Rachel Toovey, Ellen Armstrong
Objectives:
- Understand recent research in goal-directed cycling programs for children with cerebral palsy (CP) across the spectrum of gross motor function levels.
- Apply clinical reasoning skills to select appropriate training approaches and prescribe and modify cycling equipment, for children with CP.
- Apply evidence-based approaches for assessment, implementation and evaluation of adapted cycling programs into their clinical practice.
- Recognise potential barriers to participation in adapted cycling programs and understand pathways to promote safe and ongoing participation in community cycling.
Workshop 9: 2D4Me: Video Gait Assessment and Interpretation
Pam Thomason, Tandy Hastings-Ison, Jessie Mackay, Annette O’Donnell, Jessica Pascoe
Objectives:
- To develop an understanding of the requirements for normal gait, and gait analysis terminology
- To understand the requirements for capture of video assessment of gait, the practical considerations and limitations of video data
- To identify typical features associated with gait pathology in cerebral palsy and integration of physical examination findings to inform an impairment-focused approach to gait assessment
- To gain an understanding of the use of gait assessment in the post-operative period to document progress and optimise recovery.
Workshop 10: Clear as Mud Improving Motor Type Classification in Cerebral Palsy
Kirsty Stewart, James Rice, Adrienne Harvey, Sarah Love, Sarah McIntyre
Objectives:
- To provide an overview of motor type classification in CP and identify current gaps in motor sub-type classification and how this impacts intervention selection, clinician communication and research
- To discuss the benefits of clearer classification and quantification of motor sub types, in particular accounting for mixed tone presentations.
- To propose a practical way forward for clearer classification to enhance communication and data collection.
- To present a current project investigating trajectories in motor type over time, at set age points, in children with CP
Workshop 11: Participation: Applications of the Family of Participation Related Constructs (fPRC) Framework for Developmental Motor Disorders
Peter Wilson, Bert Steenbergen, Andrew Gordon, Christine Imms
Objectives:
- Gain knowledge of the range of factors – person-related, task-related and contextual – that can influence the participation of children in meaningful activities;
- Reflect on where ‘participation’ fits within their own thinking;
- Use the fPRC framework to explore how their interventions can influence participation outcomes;
- Apply fPRC to select the most appropriate participation outcome measure(s).
Workshop 12: Profession-led Guideline Workshop for the Prevention and Treatment of Respiratory Illness in Children with Cerebral Palsy
Noula Gibson, Monica Cooper, Katherine Langdon, Lisa Moshovis, Rachel Marpole
Objectives:
- To understand the process of the development of the guideline as it applies to all relevant clinical disciplines, consumers and service providers, including question selection, formulating recommendations from evidence mapping, and consensus building through the Delphi process.
- To present the final recommendations of the guideline and their rationale
- To understand the limitations of the evidence informing the guideline
- To gain practical application of the recommendations and practice pathways using clinical case examples
Workshop 13: Stem Cell Therapies for Cerebral Palsy: The What and How of Handling Difficult Questions
Madison Paton, Megan Finch-Edmondson, Michael Fahey, Iona Novak
Objectives:
- Understand the current landscape of stem cell therapies for cerebral palsy
- Identify the existing and emerging evidence
- Gain confidence addressing commonly asked questions from the public about stem cells
- Identify barriers and explore facilitators to implementation
Workshop 14: Implementing the Infant Monitor of Vocal Production (IMP) for Early Surveillance of Communication Impairment in Babies at-risk of Cerebral Palsy
Ros Ward, Robyn Cantle-Moore, Neville Hennessey, Elizabeth Barty
Objectives:
- Profile early infant communication development.
- Develop an awareness of the need for normed pre-linguistic vocal assessment, completed in collaboration with caregivers, to build capacity.
- Use pilot data to illustrate the developmental trajectory of babbling in babies identified at-risk of communication impairment associated with cerebral palsy.
- Develop an awareness of early intervention opportunities to capitalise on experience-expectant plasticity.
Saturday 14 March 2020 | 10.50am – 12.20pm
Workshop 15: Supporting Lifelong Physical Activity Participation and Chronic Disease Prevention Among Individuals with Cerebral Palsy: International Perspectives
Mark Peterson, Jan Willem Gorter, Elisabet Rotby Bousquet, Sarah Reedman
Objectives:
- Understand the prevalence and incidence rates of noncommunicable disease including mental health outcomes in adults with CP.
- Describe the age-related cardiovascular and musculoskeletal disease burden and mortality in adults with CP.
- Define issues pertaining to unmet rehabilitation and medical needs in adults with CP globally.
- Understand the modifiable risk factors for cardiovascular disease, musculoskeletal disorders, and multi-morbidity risk in adults with CP, and physical activity intervention strategies to combat disease onset/progression.
- Explain the efficacy of participation-focused therapy on performance of physical activity participation goals and habitual physical activity in children and adults with CP.
Workshop 16: Non-invasive Brain-computer Interfaces for Access to Augmentative and Alternative Communication, Computers, and Cognitive Assessment for People with Cerebral Palsy
Jane Huggins, Petra Karlson, Seth Warchausky
Objectives:
- Describe the P300 design of a brain-computer interface (BCI) and its use for communication, computer access, and cognitive assessment;
- Describe the cognitive abilities required for BCI use; and
- Describe how people with cerebral palsy (CP) experience BCI-facilitated receptive vocabulary testing;
- Describe their own observations of setup and calibration of a BCI for communication
Workshop 17: Implementation of an Evidence-based, Distributed Model of Early Upper Limb Intervention for Infants with Unilateral Cerebral Palsy
Brian Hoare, Emma Taylor, Susan Greaves
Objectives:
- To interpret the current evidence for upper limb interventions for children with unilateral cerebral palsy (CP).
- To define the differences between intensive and distributed models of upper limb intervention.
- To examine data on the cumulative and longitudinal effects of multiple blocks of evidence-based therapy in a clinical cohort of pre-school children with unilateral CP across a 5-year period.
- To define the key principles for implementation of an evidence-based, distributed model of early upper limb intervention for children with unilateral CP.
Workshop 18: Hope, Evidence or Phone a Friend, What is Most Helpful in Complex Paediatric Brain Injury Rehabilitation?
Neil Wimalasundera, Adam Scheinberg, Belinda Kinna, Ai-Lynn Wong
Objectives
- Review the evidence available for rehabilitation in moderate to severe paediatric acquired brain injury (ABI)
- Understand the team structure necessary for the management of complex paediatric brain injury
- Understand the physical environment needed to safely manage complex paediatric brain injury
- Review the barriers and enablers to evidence informed decision making in paediatric ABI
Workshop 19: Single Subject Research Designs in Disability and Developmental Medicine
Natasha Bear, Brooke Adair, Robyn Ward
Objectives:
- To gain an understanding of single subject research designs (SSRDs) and how they can be used when conducting research in the field of disability/developmental medicine
- To develop an understanding of how to graph and analyse data from SSRDs
- To become aware of some of the challenges involved when conducting a SSRD
Workshop 20: Understanding Pain in Children with Cerebral Palsy: Pain Mechanisms and Assessment Incorporating the ICF Framework
Adrienne Harvey, Simon Paget, Nadean Smith
Objectives:
- Describe the mechanisms contributing to pain in children with cerebral palsy
- Outline the domains important to include when assessing pain in cerebral palsy
- Review currently available pain measures used in cerebral palsy
- Present a core set of reliable and valid pain tools for use in clinical practice
Workshop 21: What Interventions Improve Function in Cerebral Palsy? Implementation of a New Clinical Practice Guideline
Iona Novak, Michelle Jackman, Leanne Sakzewski, Cathy Morgan, Ros Boyd
Objectives:
- Gain an understanding of the key findings of a new Clinical Practice Guideline for improving function in children with cerebral palsy
- Gain an understanding of the GRADE and AGREE II framework used to assess the body of evidence included within the guideline.
- Identify local barriers to implementation of the guideline.
- Identify solutions to redressing the barriers for implementation.