Clinical Approach to the Evaluation & Treatment of Congenital Muscular Torticollis

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March 25-26, 2011

Clinical Approach to the Evaluation & Treatment of Congenital

MUSCULAR TORTICOLLIS 12.4 NEW YORK STATE PHYSICAL THERAPY CONTINUING EDUCATION HOURS LOCATION: HOSPITAL FOR SPECIAL SURGERY | NEW YORK, NEW YORK

Programs Promoting Musculoskeletal Health

www.hss.edu/cme

212.606.1057

535 East 70th Street New York, NY 10021

HSS Education Division Programs Promoting Musculoskeletal Health www.hss.edu/cme

Activity Faculty ACTIVITY CO-DIRECTORS Magda Oledzka, PT, MBA, PCS Section Manager Pediatric Rehabilitation Rehabilitation Department Hospital for Special Surgery Maureen Suhr, PT, DPT Assistant Section Manager Pediatric Rehabilitation Rehabilitation Department Hospital for Special Surgery HSS FACULTY Frances Baratta-Ziska, PT, MS, PCS Advanced Clinician I Pediatric Rehabilitation Rehabilitation Department Melanie Buckland, PT, DPT, ATP Advanced Clinician I Pediatric Rehabilitation Rehabilitation Department

Jennifer Crane, PT, DPT, C/NDT, PCS Staff Physical Therapist Pediatric Rehabilitation Rehabilitation Department

Michelle Leach, MS, OTR/L Staff Occupational Therapist Pediatric Rehabilitation Rehabilitation Department

Shevaun M. Doyle, MD Assistant Attending Orthopaedic Surgeon Associate Professor of Orthopaedic Surgery Weill Cornell Medical College

Corinne Slevin, PT, DPT, MS Advanced Clinician I Pediatric Rehabilitation Rehabilitation Department

Lisa Drefus, PT, DPT Staff Physical Therapist Pediatric Rehabilitation Rehabilitation Department Meghan Featherston, OTR/L Advanced Clinician I Pediatric Rehabilitation Rehabilitation Department Kristin Flynn, PT, DPT Staff Physical Therapist Pediatric Rehabilitation Rehabilitation Department

Special Needs: Hospital for Special Surgery is accessible for individuals with disabilities or special needs. Participants with special needs are requested to contact the Office of CME at 212.606.1812.

Hospital for Special Surgery is a participating organization of the Bone and Joint Decade. Hospital for Special Surgery is an affiliate of NewYork-Presbyterian Healthcare System and Weill Cornell Medical College. All rights reserved. ©2011 Hospital for Special Surgery Design: Education Publications & Communications


Clinical Approach to the Evaluation & Treatment of Congenital Muscular Torticollis LOCATION: RICHARD L. MENSCHEL EDUCATION CENTER ■ HOSPITAL FOR SPECIAL SURGERY ■ 535 EAST 70TH STREET, NEW YORK, NY

Overview This program will discuss etiology, incidence, differential diagnosis, therapeutic and surgical interventions for children with torticollis. Guidelines for examination and progression of treatment, as well as discharge will be discussed. Day 2 will be a laboratory component and live demonstration focusing on therapeutic handling for infants of various ages.

Statement of Need Muscular torticollis affects between 0.4 to 2 percent of newborn children. It is the third most common congenital deformity after hip dislocation and clubfoot. With the implementation of the back to sleep program by the American Academy of Pediatrics, therapists are noting increased incidence of children with positional torticollis and plagiocephally (flattening of the head). An understanding of the anatomy, etiology and presentation of torticollis is important for early diagnosis and subsequent treatment. Nonsurgical treatment of torticollis can be extremely successful but it requires education of therapists providing services in homes, clinics and the community. This program will teach therapists how to successfully examine and treat

patients with torticollis, using current evidence and accepted treatment strategies.

Target Audience This activity is targeted at physical therapists, physical therapist assistants, occupational therapists and certified occupational therapist assistants.

Learning Objectives Hospital for Special Surgery professional education activities are intended to improve knowledge, competence and performance of our learners and to lead to better patient care. At the conclusion of the course, the participant should be able to: ■ Describe the etiology of torticollis ■ Demonstrate an understanding of anatomy, kinesiology and infant development as affected by torticollis ■ Identify examination techniques for assessment of torticollis ■ Differentiate the principles of treatment progression ■ Apply appropriate handling techniques for infants with congenital muscular torticollis.

Accreditation Hospital for Special Surgery is a New York State Education Department approved provider for physical therapy continuing education. Hospital for Special Surgery designates this activity for a maximum of 12.4 contact hours in New York. Approval for 10.3 continuing education credits in New Jersey is pending.

Faculty Disclosure In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support, all CME providers are required to disclose to the activity audience the relevant financial relationships of the planners, teachers, and authors involved in the development of CME content. An individual has a relevant financial relationship if he or she has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control. It is the policy of Hospital for Special Surgery to disclose all financial relationships that planners, teachers, and authors have with commercial interests.

Program Agenda Day 1 • Friday, March 25 8:30 am Registration and Breakfast 9:00 am Opening Remarks Session Moderator: Maureen Suhr, PT, DPT 9:05 am Congenital Muscular Torticollis Overview Melanie Buckland, PT, DPT, ATP 9:35 am Differential Diagnosis–Surgical Intervention Shevaun M. Doyle, MD 10:05 am Panel Discussion 10:20 am Break Session Moderator: Frances Barrata-Ziska, PT, MS, PCS 10:35 am Examination and Assessment – Part I Magda Oledzka, PT, MBA, PCS and Jennifer Crane, PT, DPT, C/NDT, PCS 11:35 am Examination and Assessment – Part II Corinne Slevin, PT, DPT, MS

12:00 pm 12:20 pm 12:30 pm

Current Literature Review Kristin Flynn, PT, DPT Panel Discussion Lunch (on your own)

Day 2 • Saturday, March 26 Taught by HSS Faculty 8:30 am 9:00 am

Session Moderator: Corinne Slevin, PT, DPT, MS 1:30 pm Treatment Guidelines Frances Baratta-Ziska, PT, MS, PCS 2:45 pm Bracing and Post-Surgical Treatment Maureen Suhr, PT, DPT 3:10 pm Break 3:30 pm Sensory, Vestibular and Oral Motor Implications Meghan Featherston, OTR/L and Michelle Leach, MS, OTR/L 4:00 pm Guidelines for Progression Towards Discharge Lisa Drefus, PT, DPT 4:20 pm Panel Discussion 4:30 pm Adjourn

9:30 am 10:15 am 10:30 am 11:15 am 11:45 am 12:30 pm 1:00 pm 1:45 pm 2:00 pm 2:30 pm

Sign-in and Breakfast Warmup Exercises and Basic Stretches Therapeutic Handling of the Infant 0-6 Months Break Treatment Demo (Infant 0-6 Months)/Discussion Therapeutic Handling of the Infant 6-9 Months Lunch (on your own) Therapeutic Handling of the Infant 9-12 Months Treatment Demo (Infant 6-12 Months) TOT Collar Fitting Challenging Cases/Discussion, Questions and Answers Adjourn

Register online at www.hss.edu/cme — Space is limited to 36 participants. FEES EARLY BIRD (ends 2/25) STANDARD ■ Standard $395 $435 ■ HSS Rehab Network $315 $350 ■ On Site Registration Fee ADD $ 25 TWO EASY WAYS TO REGISTER 1. Register and pay online at www.hss.edu/cme. 2. Register by mail using the registration form. PAYMENT BY MAIL Make check payable to Hospital for Special Surgery. Mail registration form to: Hospital for Special Surgery Professional Education Department Education Division 535 East 70th Street, New York, NY 10021

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REFUND POLICY A handling fee of $25 is deducted for cancellation. Refund requests must be received by mail one week prior to the course. No refund will be made thereafter.

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FOR MORE INFORMATION, PLEASE CONTACT Casey Reisner Professional Education Events Coordinator Education Division tel: 212.606.1812 email: reisnerc@hss.edu

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