Dosing Rehabilitation Interventions for Children with Cerebral Palsy: Linking Structural and Functional Changes for the Musculoskeletal System

was presented by: Mary Gannotti, PT, PhD on Tuesday, April 7, 2015

Mary Gannotti, PT, PhD is a physical therapist and medical anthropologist who studies the inter-relationships among personal and environmental characteristics and disability status.

Children with cerebral palsy are at greater risk than their peers without disability for health problems in adulthood as a result of their lack of movement in childhood and adolescence. There is inconclusive evidence to support the effectiveness of rehabilitation interventions such as strengthening, stretching, and skeletal loading to effect change at both the structural and functional level. We propose that this is in part a result of inadequate dosing (frequency, volume, velocity, time) of interventions. We synthesize emerging evidence, bench science, and standards for typically developing children. We propose a systems model to guide clinical decision-making and dosing guidelines for the musculoskeletal system for children with cerebral palsy. A case study demonstrates applications of guidelines to clinical practice.

After attending, participants will be able to:

1. Identify the dosing parameters for different types of interventions for the musculoskeletal system;
2. Identify the inconsistencies in published evidence concerning changes at the level of body structures and function, activity, and participation;
3. Using a systems model, develop intervention programs designed to promote structural and behavioral change for children with different levels of severity and for different ages.

A follow up networking call was held Monday April 13th at
2:00 pm EST, 1:00 pm CST, 12:00 pm MST, 11:00 am PST

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