Pediatric Orthotics: Team Problem-solving for Optimal Outcomes
Orthotic management in the pediatric population serves many therapeutic purposes, with the essential function to assist with optimal alignment for function. Pediatric orthotic management requires an interdisciplinary team approach to maximize each child’s outcome. The team of OT, PT and orthotist needs to consider appropriate materials, fit, flexibility of the device, and the functional goals of the child and family. This two day interdisciplinary course will introduce clinicians to evaluation techniques to assist in determining the most appropriate orthotic device for the child and will focus on current trends in orthotic management including assessment and problem solving.
- At the end of this course, participants will be able to:
- Identify developmental biomechanics and anatomy relevant for orthotic intervention in the pediatric population.
- Describe biomechanical consequences of weakness and spasticity based upon the Graham/Rodda classification system.
- Describe the basic principles of orthotic evaluation and appropriate intervention using an interdisciplinary approach.
- Discuss the variety and range of pediatric orthoses available.
- Identify the purpose of specific orthotic devices as related to alignment, biomechanics, and function including common bracing problems and their solutions.
- Discuss a coordinated team approach between therapist and orthotists to develop an appropriate orthotic management plan.
- Provide therapists and orthotists with hands-on experience in assessment and cast fabrication.
Texas Children's Hospital
1102 Bates, 1st floor conference room
Houston, Texas 77030
14 contact hours or CCU’s through TPTA and TOTA
Tom DiBello, CO, FAAOP, Director, Clinical and Scientific Affairs, Hanger Clinic
Mr. DiBello holds a Bachelors of Pharmacy Degree from Duquesne University and
Certificates in Orthotics and Prosthetics from Northwestern University. He has lectured extensively throughout the United States and Mexico as well as Italy, Australia, Southeast Asia and Africa and has authored chapters in two textbooks and two chapters for the new Atlas of Orthotics. He is a past President of the American Academy of Orthotists and Prosthetists and currently serves as the President of the American Orthotic and Prosthetic Association. Tom is Clinical Assistant Professor at the Baylor College of Medicine, Honorary Adjunct Faculty at Texas Women’s University and Chairman of the Advisory Committee of the Baylor College of Medicine Master’s Program on Orthotics and Prosthetics.
Patricia Martin, PT, C/NDT, CKTI
Patricia Martin, PT, Certified Kinesio Taping Instructor, is currently Director of Therapy Services at The Cleveland Clinic Children’s Hospital for Rehabilitation. She specializes in lower extremity biomechanics, splint fabrication, and taping in the treatment of children with orthopedic and neurological involvement. She has over thirty years of experience in private practice, hospital and clinic settings. She has experience in treatment of adults and children with neurological and musculoskeletal issues, as well as athletes. She co-authored the book Kinesio Taping in Pediatrics and has written articles on the use of Kinesio Tape in the pediatric population. She is pediatric NDT trained. She has taught pediatric taping and gait courses internationally.
Audrey Yasukawa, OTR, CKTI
Audrey Yasukawa, OT, Certified Kinesio Tape Instructor, is currently Chief of Occupational Therapy at La Rabida Children’s Hospital in Chicago. Audrey served as a pediatric resource clinician at The Rehabilitation Institute of Chicago. While at RIC, she assisted in the Upper Extremity Botox Clinic, piloted several pediatric research projects and published numerous articles as well as several research studies on casting and taping. She coauthored the book Kinesio Taping in Pediatrics. She is pediatric and adult NDT Trained. Audrey has over 25 years’ experience working with adult and pediatric patients with a variety of neurological and musculoskeletal diagnoses. She has taught upper extremity casting and taping courses internationally.
Anjali Gupta, PT, MS, CKTP
Anjali Gupta, PT, MS, CKTP, has been a pediatric physical therapist for more than 15 years specializing in treatment of children with cerebral palsy, torticollis, and level 4 NICU. She currently works at Texas Children’s Hospital as a Clinical Education and Performance Specialist and provides education, mentoring, and develops training programs for therapy staff. She is co-chair of programming committee for the Academy of Pediatric Physical Therapy for the national Combined Sections Meeting.
Case presentation challenge: Case presentations: hemiplegia, diplegia or triplegia
Assessment of ROM, muscle strength, gait (Class discussion on orthotic interventions)
Developmental Biomechanics and implications for orthotic intervention (Upper extremity • Trunk • Lower extremity)
Interdisciplinary team approach to pediatric orthotics to facilitate rehabilitation outcomes (family/patient goals)
Current Concepts in Upper and Lower Extremity Orthotics
Break Out Sessions:
Upper Extremity Casting and Splinting
Fabrication of Delta Cast Conformable UE splint and use of soft cast
Lower Extremity Splinting
Fabrication of Delta cast Conformable short leg ankle night splint
Fabrication of foot inserts
Casting for a lower extremity mold/ foot alignment/ R1/ R2 assessment
Casting for an upper extremity mold/ hand alignment/ R1/R2 assessment
Continue Break Out Labs
Bracing the Infant (Arthogryposis, Brachial Plexus Injury, Club Foot)
Graham/Rodda classification system: biomechanical consequences of weakness and spasticity
Patient Assessment and determination of intervention/ orthotic recommendation using team approach: Demo
Group Case Studies: Multidisciplinary groups review video case studies and discuss treatment options (including assessments, orthotics, therapeutic interventions)
Presentation of Group Case Studies
Parent/Child Panel: (Compliance, Instructions, Communication)
Insurance Issues/ Billing Options, Medical Necessity letters
Case presentations: hemiplegia, diplegia or triplegia
Assessment of ROM, muscle strength, gait
(Class discussion on orthotic interventions)
Questions/ Wrap Up
Wyndham Medical Center
Houston, Texas 77030
Nightly rate: $105.00 (price varies based on room availability)
Contact: Jade LeBeauf