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Course Overview

This course will focus on evidence-based practices in the treatment of pediatric hemiplegia secondary to stroke. It will provide a neurological, sensory motor and behavioral theoretical-based course of treatment for a specialized population. Participants will learn the concepts and practice multi-component approaches and clinical reasoning for the selection of traditional and contemporary interventions. They will also learn how to measure efficacy using Goal Attainment Scaling and Abilhand-Kids.

Course Objectives

Upon completion of this course, participants will be able to:

  • Explore the integration of evidence-based practice using a multi-component approach to treatment of pediatric hemiplegia using a client/family centered approach. Therapists will examine traditional and contemporary interventions for the treatment of hemiplegia.
  • Experience the effects of knowledge translation (Petzold et al., 2010) by critically examining evidence-based practice for application into clinical practice
  • Classify the types of Cerebral Palsy and its impact on function using the Manual Ability Classification Scales (MACS) and the former International Classification of Functioning, Disability and Health (World Health Organization, 2001).

Continuing Education Credits

Occupational therapy
The Program in Occupational Therapy at Washington University School of Medicine in St. Louis is an AOTA Approved Provider of continuing education. This course is offered for .80 AOTA CEUs. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

Program Agenda

7:30 am   Registration
8:00-8:45   Introduction and background on Cerebral Palsy: Classification of CP
8:45-9:30   Understanding the need for evidence-based research (EVR) and knowledge translation
9:30-9:45   Break
9:45-10:30   Review of traditional clinical interventions (rehab, biomedical, client-centered) Assessment using traditional interventions ROM, tone and postural alignment
Video examples and small groups to practice
10:30-11:15   Contemporary rehabilitative therapy interventions/ Assessment using contemporary interventions: Child-arm use test, Abilhand-Kids, PACS, COPM, PEDI
Video examples and case studies

11:15 - 12:00   Functional Measurable outcome: Goal Attainment Scaling for client centered rehabilitative therapy/ (case study and video examples)
12:00-1:00 pm   Lunch (on your own)
1:00-1:45   Small group: video of case and practice GAS scaling for two goals
1:45-2:30   Understanding Constraint Induced Movement Therapy: home, clinic setting and camp setting
2:30-2:45   Break
2:45-3:00   Review of theories: Motor learning, task specific, repetitive practice for bilateral and unilateral treatment
3:00-3:45   Small group: casting on adult attendees or live demo if possible
3:45-4:45     Presentation of videos and case studies using pCIMT and using a multi-component approach to treating  
4:45-5:30 pm   Wrap up; final questions; adjourn

Course Presenter

Shelley Dean Portaro, OTD, OTR/L is the owner and founder of Crossway Pediatric Therapy established 2004 and Crossway Academy established 2011. Dr. Dean Portaro completed her Post Professional Doctorate in Occupational Therapy in May 2015 from Quinnipiac University and Master of Science in Occupational Therapy from Washington University in St. Louis in 1999.She has been specializing in the pediatric population for over 16 years. 

Since 2000, Dr. Dean Portaro has been trained in and implemented traditional and contemporary neuromotor rehabilitation interventions to treat children with hemiparesis secondary to stroke. These include examples such as modalities, robotics, myofascial release, kinesiotaping, Saebo, Constraint Induced Movement Therapy and Musgatova Neuro Reflexive Integration. Since 2009, she has hosted an annual CIMT camp at her clinic each summer. Dr. Dean Portaro is focused on providing evidenced-based practices with supporting data using a client-family approach, goal attainment scaling and multi-component interventions.


Registration Fees

  • $150 - Registration fee
  • $120 - AOTA member fee
  • $90 - WU faculty/staff/alumni/fieldwork educator registration fee
  • $30 - Student registration fee
  • Click here to register online

Course Location

Multiple rooms will be used for this course. The lecture will take place in the OT conference room on the first floor, and the hands-on casting portion will take place in Room 509 on the lower level. Registration will take place in our main lobby, adjacent to the conference room. We are located at 4444 Forest Park Ave., St. Louis, MO 63108.
Click here for directions.

Course Cancellations, Special Accommodations, and Disclosure Policy

Contact Us

Please contact us at (314) 286-1600 with any questions or for more information.

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