Treating Torticollis

Kim Lephart, PT, DPT, MBA, PCS

Online Course

Includes all course content in digital format

Prerequisites Required
6 hours - Provided by Summit Professional Education

Item: physi-ONDEMANDCTORKL1

Description

Congenital muscular torticollis (CMT) is the third most common congenital musculoskeletal anomaly in infants. Positional plagiocephaly may contribute to torticollis and there has been an increase in occurrence since the 1992 American Academy of Pediatrics' Back-to-Sleep campaign. Early intervention professionals are on the front line of treating children with torticollis and plagiocephaly, whether in the neonatal intensive care unit, the baby nursery at hospitals, and especially when visiting homes in the early intervention setting; early identification and appropriate treatment can improve outcomes for these infants.

This interactive workshop provides resources and education to understand the etiology, evaluation, and treatment of infants with CMT. The Section of Pediatrics of the APTA's Clinical Practice Guideline (CPG) is discussed and applied to determine appropriate interventions, guide referrals to other specialists, and determine when discharge is appropriate. Participants will discuss cases, group problem solve, and practice use of tools for evaluating this population. Upon completion of this workshop, participants will be familiar with the CMT Clinical Practice Guidelines and have the proper tools for evaluating and treating infants with CMT.

Highlights

  • Hands-on labs on safe and effective manual stretching, positioning, and documentation of neck range of motion via arthrodial protractor
  • Alternative interventions such as Kinesiology taping fortorticollis
  • Effective infant sleep practices to reduce the risk of plagiocephaly, torticollis, and SIDS
  • Latest research and evidence-based interventions for torticollis
  • Apply new skills and knowledge with interactive case studies and group discussion
  • Immediately improve your ability to document baseline, prognosis, and efficacy of treatment of CMT using the clinical practice guide (CPG)

Learning Objectives

  1. Discuss the three types of Congenital Muscular Torticollis (CMT).
  2. Determine the severity of CMT using the CMT classification grades and decision tree.
  3. Demonstrate examination techniques for the assessment of torticollis.
  4. Develop a plan of care using at least five components in the Clinical Practice Guide (CPG) as the first choice interventions.
  5. Identify which strategies and interventions for CMT are supported by evidence.
  6. Produce optimal outcomes by integrating the use of CMTCPG within a clinician's practice.

Course Content

Treating Torticollis
SCORM Package
Next Steps
Module
  1. Properly Understand the Impact of Torticollis in a Child's Development
    1. Differential diagnosis
    2. Types of CMT
    3. Plagiocephaly
    4. SIDS research
  2. Introduction to Clinical Practice Guideline (CPG)
    1. Review levels of evidence
  3. Confidently Examine the Signs of Torticollis
    1. Referral flow diagram
    2. Hands on Lab
    3. Red Flags
    4. Arthrodial Protractor
    5. Hands on Lab
    6. Classification of Severity
    7. Case Studies
    8. Prognosis
  4. First-Choice Manual Therapy and Stretching Interventions
    1. Motor impact
    2. Occupational impact
    3. Plan of care
    4. Positioning
      1. Hands-on lab
    5. Supplemental intervention
  5. Alternative Toolbox Interventions
    1. Microcurrent
    2. Myokinetic stretching
    3. Effective taping strategies: How to get around thescreaming
    4. TAMO therapy
    5. Tot collar: When does this make sense?
    6. Helmets
    7. Surgery/botox
  6. Discharge and Documentation Guidelines to Diminish
    1. Functional gains in movement and occupation
    2. No progress
    3. Document outcomes
Kim Lephart, PT, DPT, MBA, PCS is a Board Certified Clinical Specialist in Pediatric Physical Therapy with 20 years of experience in a variety of clinical settings: private clinics, school systems, home health, outpatient rehabilitation, aquatics, and early intervention programs. She owns School-based Therapy and Resources (STARs) which specializes in treating children and is distinguished for its pediatric clinical expertise. Dr. Lephart is a guest lecturer and adjunct clinical lecturer at UMFlint, providing an independent pediatric residency through STARs. In 2013, she completed the Specialized Training for Occupational and Physical Therapists in Early Intervention and Related Services (STAIRS) Program at UTMB. Dr. Lephart is VPTA's Pediatric Special Interest Group (PSIG) President. She is a dedicated member of Virginia's Part C Integrated Training Collaborative (ITC), which coordinates Virginia's Comprehensive System of Personnel Development (CSPD) for early interventionists. She is also a working member of Virginia's Department of Education Committee on the Revision of the Handbook for Occupational and Physical Therapist. Dr. Lephart is published in Pediatric Physical Therapy, APTA's Section on Pediatrics Early Intervention SIG Newsletter and VCU's Virginia Early Intervention Professional Development Blog.

DISCLOSURES

FINANCIAL: Kim Lephart is compensated by Summit as an instructor.

NONFINANCIAL: Kim Lephart has no nonfinancial relationships to disclose.

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