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Professional Resources & Education

Comprehensive Pediatric Rehabilitation for the Neurologic Therapist

Pediatric gallery h 1TIRR Faculty:

Teresa Cramer, PT, DPT, PCS
Denise Cortes, PT, DPT, MBA, PCS
M. Cullen Gibbs, Ph.D
Stacey Hall, DO
Dawn McDonald, OTR, CLT
Anne Pare’, CO/LO
Claire Lewis, OTR
Carly Thom, OTR, MA

Guest Speaker:

Anne Pare, CO, LO

PT, PTA, OT, OTA

Course Date:*Postpone related to Hurricane Harvey, pending reschedule

Time: Registration at 7:30 am, Sat: 8:00 – 5:30pm & Sun: 8:00 – 1:00 pm

Location:

TIRR Memorial Hermann Inpatient Rehabilitation – MHHS Greater Heights Hospital
South Tower Conference Center
1635 North Loop West
Houston, TX 77008
(I-610 and Ella Blvd, The Heights)
Parking available in Garage 2
(713) 867-2000
http://tirr.memorialhermann.org/locations/inpatient-rehabilitation-greater-heights/.

Class size: Limited to 40 attendees

Target Audience

PT, PTA, OT, OTA Clinicians looking to advance their clinical expertise in Pediatric Neurological Rehabilitation.

Description

This comprehensive course is designed to expose neurologic therapists to pediatric diagnoses from birth to adulthood, including the unique role of the therapist in the Early Intervention, school and private therapy settings. It will take into special consideration the NICU, motor development, neuropsycholoigical development and behavioral considerations. The foundational information will be expanded to include an understanding of orthotic intervention, specialized equipment, and the complex nature of pediatric goal setting.

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

  1. Identify common diagnoses encountered in the neonatal ICU and correctly determine corrected gestational age
  2. Understand the Synactive Theory of Development and it’s implication for therapy services with infants in the neonatal ICU
  3. Compare contrast the 4 pre-dominate developmental theories: Neural-Maturationist, Cognitive- Behavioral, Cognitive- Piagetian, Dynamical Systems Theory
  4. Identify the stages of motor development and analyze how they relate to cognitive development
  5. Analyze how motor development is altered in children with disabilities
  6. Understand the types of orthotics and equipment commonly used in children with disabilities and effect on functional ability
  7. Describe the basic behavioral principles that support effective behavior modification strategies
  8. Identify common behavioral problems & disorders that may affect child compliance with interventions
  9. Summarize 2 key factors for medical management and specific considerations with the pediatric population.

Assessment of Learning Objectives: Course evaluation.

Speaker Information

TIRR Faculty Information

Teresa Cramer

Teresa Cramer, PT, DPT, PCS, graduated with her masters of Physical Therapy in 1992 from Texas Woman’s University and received her Doctorate of Physical Therapy from Temple University in 2010. Teresa began working at TIRR in 1993 and currently serves as the Pediatric Clinical Coordinator of Outpatient Services at TIRR Memorial Hermann Outpatient Rehabilitation. In 2008, Teresa was certified as a Pediatric Clinical Specialist. As a senior staff member, Teresa has served as a clinical instructor and peer mentor. Teresa has served as a lab instructor in the clinic for treating patients with SCI, BI and Stroke for Texas Woman’s University DPT program, is a lecturer/lab instructor for pediatric spasticity management series sponsored by Medtronic, and at HCC PTA program on the “Management of Cerebral Origin Spasticity in Children and Adults.”

Speaker Disclosures & Conflicts of Interest:

  • Financial: Teresa is a TIRR Memorial Hermann Employee
  • Non-financial: None reported
M Cullen Gibbs

Cullen Gibbs is a licensed Clinical Neuropsychologist at TIRR Memorial Hermann Adult and Pediatric Outpatient Rehabilitation. He completed a Ph.D. in School and Clinical Child Psychology at Texas A&M University. His pre-doctoral internship and post-doctoral fellowship in clinical neuropsychology were completed at the University of Minnesota Medical School. Dr. Gibbs previously worked at Children’s National Medical Center in Washington, D.C. and Texas Children’s Hospital in Houston. For the past five years he has worked at TIRR Memorial Hermann performing neuropsychological evaluations, cognitive rehabilitation, and clinical research with persons who have brain injury. His clinical and research interests include cognitive rehabilitation and the neurocognitive and neurobehavioral correlates of traumatic brain injury, stroke, sports concussion, and neurodevelopmental disorders.

Speaker Disclosures & Conflicts of Interest:

  • Financial: TIRR Memorial Hermann Employee; He is Primary Investigator for research project: “Progressive Cardiovascular Intervention for the Treatment of Persistent Physical and Neurocognitive Symptoms in Sports Concussion” supported by the TIRR Rehabilitation Innovation Grant, January 2013-present.
  • Non-financial: None reported
Denise Cortes 2017

Denise Cortes, PT, DPT, MBA, PCS received her entry level degree in physical therapy in 1991 from the University of Texas Medical Branch in Galveston, TX. She completed a Masters of Business Administration in 2009 and a Doctor of Physical Therapy in 2014. Dr. Cortes is a Pediatric Clinical Specialist with certification in 2000 and recertification in 2010. Dr. Cortes is active in the American Board of Physical Therapy Specialties program where she served as an item writer for the pediatric certification exam and a member of the Pediatric Specialty Council. In 2016, she will serve on the Committee of Content Experts. Dr. Cortes is currently the Manager of Rehabilitation Services at Memorial Hermann Memorial City Medical Center. Her management interests include staff development, process improvement and improving employee engagement. In addition to her management responsibilities, Dr. Cortes currently provides direct patient care in the Neonatal Intensive Care with clinical interests in neonatal therapy, acute care and oncology. She presented education courses at national and state conferences, hospitals and local physical therapy schools. In additional to professional roles, she is involved in her community as a Girl Scout troop leader and a volunteer for Boy Scouts, youth sports, her local school and church.

Speaker Disclosures & Conflicts of Interest:

  • Financial: MHHS Employee
  • Non-financial: None reported
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Dawn McDonald, OTR, CLT has been an Occupational Therapist (OT) since 1984. She began her career at TIRR Memorial Hermann working with patients who have had either a stroke or brain injury on both the inpatient and out-patient teams. Also, Dawn was involved with program development for a post-acute Brain Injury program focused on return to work, school and independent living.

Next in her career, Dawn worked with the Klein ISD for 23 years in school based practice. She held positions within Klein ISD focused on program development, staffing, and management of OT Services for students receiving OT services and for other students receiving Assistive Technology (AT) Services. Dawn also focused on implementing system wide AT throughout the Klein ISD after she received 3 years of training with Region 4 Education Service Center for Systemic AT Training. Dawn was the district representative to the OT/PT Advisory Committee at Region 4 Education Service Center.

Dawn returned to TIRR Memorial Hermann-The Woodlands in 2015, where she has the absolute pleasure of working with the pediatric program and lymphedema patients.

Speaker Disclosures & Conflicts of Interest:

  • Financial: TIRR Memorial Hermann employment relationship
  • Non-financial: None reported
Stacey Hall 2017

Stacey Hall, DO, is a clinical assistant professor of pediatric rehabilitation medicine at McGovern Medical School at UTHealth (UTHealth). She completed her residency in Physical Medicine and Rehabilitation at Loyola University Medical Center in Chicago in 2012. She then did a two year Pediatric Rehabilitation Medicine Fellowship at Gillette Children’s Specialty Healthcare in St. Paul, Minnesota, completing this in 2014. She received her medical degree in osteopathic medicine from Michigan State University College of Osteopathic Medicine in 2008.

Her hospital affiliations include TIRR Memorial Hermann, Shriner’s Children’s Hospital, and Children’s Memorial Hermann. Dr. Hall is also a member of the American Academy for Cerebral Palsy and Developmental Medicine and the International Society of Physical and Rehabilitation Medicine. She is board certified in physical medicine and rehabilitation and pediatric rehabilitation medicine.

Her clinical and research interests include tone management, cerebral palsy, and myelomeningocele.

Inpatient and outpatient pediatric rehabilitation consultative services:

  • Pediatric rehabilitation medicine; Cerebral palsy; Spasticity and dystonia management, including oral medications, botulinum toxin and phenol injections, and intrathecal baclofen pumps; Myelomeningocele; Muscular dystrophies; Medically complex children with physical disabilities

Speaker Disclosures & Conflicts of Interest:

  • Financial: Affiliations TIRR Memorial Hermann, Shriner’s Children’s Hospital, and Children’s Memorial Hermann
  • Non-financial: None reported
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Diana W Arnold, OTR, MOT received her MOT from TWU in 1994, where she received the Mary Joyce Newsom Award. She is NDT trained and has worked in a variety of settings over the course of her career. Those settings include Home Health, Inpatient and Outpatient. She works across the spectrum of pediatrics to adult. Diana has been part of a Low Vision Specialty team, Vision rehab programs, pre-driving assessments, equestrian therapy, and focused on setting up functional ADL/IADL environments within the outpatient therapy setting. She currently is an OT at TIRR Memorial Hermann in Sugarland where her roles include patient evaluation and treatment, clinical education coordinator (CCCE), and acts as a Customer Experience Ambassador for TIRR Memorial Hermann.

Speaker Disclosures & Conflicts of Interest:

  • Financial: MHHS Employee
  • Non-financial: None reported
Clair Lewis

Claire Lewis, OTR, has been working at the TIRR outpatient facility in Sugar Land, where she treats children and adults with a variety of diagnosis’. She earned her B.S. in Nutritional Sciences from Texas A&M University in 2012 and her Master’s of Occupational Therapy from University of Texas Health Sciences Center at San Antonio in 2015. Claire has taken a special interest in treating children with underlying sensory needs that must be met to enable them to learn and function in a school setting, including those with Autism and Sensory Processing Disorder. In addition to addressing each child’s unique sensory needs, Claire focuses on feeding with those with oral and food aversions. Outside of work, Claire enjoys getting together with her friends and family in Houston, traveling and hanging out with her two new kittens.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with TIRR Memorial Hermann
  • Non-financial: None reported
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Carly Thom, OTR, MA, is the Occupational Therapy Clinical Coordinator for TIRR Memorial Hermann Outpatient Adult and Pediatric Rehabilitation at Kirby Glen location. Ms. Thom is a PhD candidate at Texas Woman’s University (degree completion in August 2017). She received her MA in Occupational Therapy from the University of Southern California, and her BA in Psychology from the University of Nebraska. She has over 12 years of experience, specializing in pediatric neurological disorders. Ms. Thom’s research focuses on optimizing occupational therapy service provision for children and their families. Clinically, she has a special interest in working with children aged birth to two years.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with TIRR Memorial Hermann
  • Non-financial: None reported

Guest Speaker

Anne Pare

Anne Paré, CO/LOCertified Orthotist is currently a practicing orthotist specializing in pediatrics in Houston, Texas. She is the founder and part owner of Hope Orthotics, an ABC accredited facility and member of AOPA. Anne graduated from University of Texas Southwestern Allied Health Sciences School in 1993 and completed a pediatric internship at Texas Scottish Rite Hospital in Dallas in 1994. She worked as a staff orthotist at The Institute for Rehabilitation and Research in Houston, Texas before opening Hope Orthotics. For over 20 years, Anne has specialized in pediatrics, spinal cord and brain injury, working closely with many therapists and healthcare professions to provide superior service and quality care to the Greater Houston area. Anne has been active in both Texas and National Conferences in Orthotics and Prosthetics and has spoken on the subjects of the orthotic management of the pediatric patient on multiple occasions. Anne’s current clinical focus is on improving the quality and efficiency of her patient’s gait through analysis using the GAITrite and ZENO Gait Electronic Walkways and the Protokinetics Movement Analysis Software in conjunction with orthotic intervention.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employee for Surestep Hope Orthotics. Ann Paré does research as part of her employment from Surestep; She is on a Speakers Bureau for Surestep and Hope Orthotics; She has Stock Holdings in Midwest Orthotics Services, the parent company of Hope Orthotics.
  • Non-financial: None reported

Speaker Disclosures & Conflicts of Interest:
Policy & Procedures exist whereby all speakers must disclose any relationships which may cause a conflict of interest. Any relevant financial and non-financial relationships will be disclosed via speaker agreement, written notification after agreement, and prior to presentation.

Saturday, August 26, 2016

TimeTopic & Activity
7:30 - 8:00amRegistration & Light Refreshments
8:00 - 10:00am

NICU Environment and Treatment

  • Denise Cortez, PT, DPT, MBA, PCS
    Memorial Hermann
10:00 - 10:15amBreak
10:15am - 12:00pm

Developmental Sequence

Treatment Philosophies

  • Teresa Cramer, PT, DPT, PCS
    TIRR Memorial Hermann
12:00 - 1:00pmLunch Provided
1:00- 2:30pm

Neuropsychology

  • M. Cullen Gibbs, Ph.D.
    Clinical Neuropsychologist
    Pediatric Service Line Leader
    TIRR Memorial Hermann
2:30 - 3:15pm

ECI & School Based Therapy

  • Dawn McDonald, OT
3:15 - 3:30pm

Break

3:30 - 4:15pm

Spasticity Management in the Pediatric Population

  • Dr. Stacey Hall
4:15 - 5:30

Spasticity Management in the Pediatric Population

  • PT Treatment applications
    Teresa Cramer, PT
  • Sensory Treatment applications
    Claire Lewis, OT
    Diana Arnold, OT

Sunday, August 27, 2016

TimeTopic & Activity
7:30 - 8:00amRegistration & Light Refreshments
8:00 - 10:00am

Orthotics, Wearable Strapping

  • Anne Pare’ (Orthotist)
10:00 - 10:15amBreak
10:15am - 12:00pm

Pediatric Equipment: including bathing, walkers, standers, BWS, gait trainers

  • Teresa Cramer, PT
  • Carly Thom, OT
12:00 - 1:00pmGoal setting, case studies (including return to school), group discussions, Q&A
  • Teresa Cramer, PT
  • Carly Thom, OT

Instructional Methods Used: PowerPoint, lecture, video, group discussion, equipment demonstration

Class Size: Registration is open to 40 participants.

Education

Participants must attend the entire course in order to receive CEU’s/CCU’s and course certificate. No partial credits will be given.
Instructional Level: Intermediate

OT: Memorial Hermann Health System is an AOTA Approved Provider of continuing education. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures from AOTA.
AOTA CEU: 1.2 CEUs
AOTA Classification Code: Occupational Therapy Process- Evaluation and Intervention.
No partial credits will be given.

PT: Memorial Hermann Health System is TPTA Approved Provider of continuing education. This course meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas.

TPTA CCUs: 12.25 CCUs

No partial credits will be given.

OT Approved CETPTA 2017

Registration

*Course will close registration on Monday, August 21st at 4 p.m.

Course MHHS AttendeeNon-MHHS Employee
Any Course Day 1$75$175
Any 2 day course $150$325
Register for any 3 or more courses at the same timeReceive a $75 discountReceive a $75 discount
Register for all 8 courses at the same time (*other discounts no longer apply)Receive a $150 discount for registering for all 8 classes. Total price when registering for all 8 classes, with discount applied, is $825.Receive a $250 discount when registering for all 8 classes. Total Price when registering for all 8 classes, with discount applied, is $1900.

Discounts applied when you register for 3 course or more, or when you register for all 8 courses.
Discounts automatically applied as courses are selected on registration.

Course MHHS AttendeeNon-MHHS Employee
Any Course Day 1$75$175
Any 2 day course $150$325
Register for any 3 or more courses at the same timeReceive a $75 discountReceive a $75 discount
Register for all 8 courses at the same time (*other discounts no longer apply)Receive a $150 discount for registering for all 8 classes. Total price when registering for all 8 classes, with discount applied, is $825.Receive a $250 discount when registering for all 8 classes. Total Price when registering for all 8 classes, with discount applied, is $1900.

Discounts applied when you register for 3 course or more, or when you register for all 8 courses.
Discounts automatically applied as courses are selected on registration.

 

Cancellation policy: All cancellations must be in writing 14 calendar days prior to the course start date to ContinuingEducationRegistration@memorialhermann.org. Refunds will not be granted past this date. Cancellation of the event by TIRR Memorial Hermann will result in a full refund of monies received. TIRR Memorial Hermann is not responsible for the refund of travel or hotel expenses under any circumstances. TIRR Memorial Hermann reserves the right to cancel or change any programs for due cause.

Conflicts of Interest: Policy & Procedures exist whereby all speakers must disclose any relationships which may cause a conflict of interest. Any relevant financial and non-financial relationships will be disclosed via speaker agreement, written notification after agreement, and prior to presentation. Dr. Ivanhoe and Dr. Francisco have both served on multiple advisory boards and had have participated in paid and unpaid research activities involving spasticity management medications, treatment interventions, and device trials.

Complaints: Complaints of faculty and participants are handled with dignity and respect by the course coordinator and/or Director of Rehabilitation with resolution of the complaint communicated to all involved parties. All participants in Memorial Hermann Continuing Education Courses are entitled to an accessible, accommodating, and supportive teaching and learning environment.

Parking: Parking available in Garage 2 for $6 daily. http://tirr.memorialhermann.org/locations/inpatient-rehabilitation-greater-heights/ for information on parking. The closest parking is available in Garage 6 and is next to TIRR Memorial Hermann. We ask that you please reserve the surface lot directly in front of TIRR for patients and their visitors.

All participants in Memorial Hermann Continuing Education Courses are entitled to an accessible, accommodating, and supportive teaching and learning environment.