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Advancing Clinical Practice Series

Comprehensive Pediatric Rehabilitation for the Neurologic Therapist

Comprehensive Pediatric Rehabilitation for the Neurologic Therapist


Teresa Cramer, PT, DPT, PCS
M. Cullen Gibbs, PhD
Lindsay Beatty, OTR/L, PT
Denise Cortes, PT, DPT, MBA, PCS
Dawn McDonald, OTR, CLT
Stacey Hall, DO
Carly Thom, OTR, MA, PhD
Anne Paré, CO/LO
Ann Voss O.D. FCOVD, Diplomate ABO
Marcia Moore O.D., FCOVD, Diplomate ABO

Open to:

Course Date:
Saturday, August 25 and Sunday, August 26, 2018

Registration at 7:30 a.m.
Saturday: 8 a.m. - 6 p.m.
Sunday: 8 - 11:45 a.m. for PT and 8 a.m. - 2:30 p.m. for OT


TIRR Memorial Hermann Inpatient Rehabilitation - Greater Heights
South Tower Conference Center
1635 North Loop West
Houston, TX 77008
(I-610 and Ella Blvd, The Heights)

Parking: Parking available in Garage 2 and is $6 per visit.

Class size: Limited to 40 attendees.


This comprehensive course is designed to take the neurologic therapist and expose them 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, neuropsychological 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 3 common diagnoses encountered in the neonatal ICU and correctly determine corrected gestational age
  2. Report on the Synactive Theory of Development and interpret 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. Explain 2 accommodations important to helping students return to school
  6. Relate deficits and issues which can affect successful return to school and work.
  7. Identify 3 standard pieces of equipment to improve the longer term patient goals for mobility and functional ADL
  8. Debate development of treatment goals based on case studies
  9. Summarize 2 key factors for medical spasticity management and specific considerations with the pediatric population.
  10. Relate the indications, and risks and benefits of phenol motor point blocks/neurolysis and botulinum toxin injections to patients and families
  11. Use at an entry level the OT Pediatric standardized evaluations presented
  12. Categorize the types of orthotics and equipment commonly used in children with disabilities and analyze their effect on functional ability
  13. OTs will be able to describe and apply 2 treatment strategies for Vision Therapy in Pediatrics

Assessment of Learning Objectives: Discussion, Course evaluation

Speaker Information

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.

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Lindsay Beatty, OTR/L, PT, is currently a Level III Physical and Occupational Therapist working for TIRR Memorial Hermann in Sugar Land where she treats adult and pediatric patients with neurological conditions. Her specialties are pediatrics and aquatics.

She received her Doctorate in Physical Therapy in 2008 and her Master’s in Occupational Therapy in 2007, both from the University of St. Augustine in St. Augustine, FL as a student of their Dual Degree Program. She received her Bachelors of Science with emphasis in Kinesiotherapy in 2005 from the University of Southern Mississippi.

She began her OT career in Inpatient Rehab on weekends while she concluded her DPT studies. She then worked in a small town where she saw every patient under the sun – inpatient, post-surgery, outpatient ortho/neuro, pediatrics, school, etc. From there, she returned to her home state of Louisiana where she worked mainly in outpatient pediatrics with a dabble in wound care and some adult inpatient/outpatient. Then she came here to Houston where she started the physical therapy program for a local pediatric home health agency which then turned into a Regional management position. After 5 years there, she came to TIRR Memorial Hermann because she missed her passion – seeing patients!

She is a certified Infant Massage Instructor, and she is working on her Aquaticist certification through ATU.

Speaker Disclosures & Conflicts of Interest:

  • Financial: MHHS Employment relationship
  • 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

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

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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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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 Speakers

Ann Voss O.D. FCOVD, Diplomate ABO

Ann Voss O.D. FCOVD, Diplomate ABO is the Founder and Director of Bellaire Family Eye Care, and the Vision Learning Centers. Her daily commitment to serving her patients with quality eye care, innovative solutions, and a caring attitude distinguishes her in the eye care community. Her passion is helping people of all ages find the best visual solutions possible to address their vision and eye health needs.

As an expert in the area of vision and learning, Dr. Voss provides educational and training programs to educators, parents, and healthcare groups. Her programs help healthcare providers and teachers recognize vision problems that impact successful learning. She also consults with textbook publishers regarding graphics, fonts, and colors that impact ease of reading and learning of text through the visual system. She works closely with other health professionals, including ophthalmologists, pediatricians, speech and language specialists, occupational therapists, physical therapists, and psychologists, to provide the best all-around care for patients needing diverse services.

Dr. Voss lives near in Bellaire and has two awesome kids, Grace is a student at USC and Ben is a student at Xavier Academy.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Bellaire Family Eye Care team
  • Non-financial: None reported

Marcia Moore O.D., FCOVD, Diplomate ABO

Marcia Moore O.D., FCOVD, Diplomate ABO has been a valuable part of our team since 2008. She graduated Summa Cum Laude from the University Of Houston College Of Optometry. She graduated from The University of Texas at Austin, as a member of Phi Beta Kappa honors society, with a Bachelor of Science degree in Microbiology with High Honors, and has a fellowship in vision development.

Since joining the Bellaire Family Eye Care team as one of our eye doctors, Dr. Moore also set up an office in Weimar, Texas to provide diagnostic testing and vision therapy similar to our own clinic in Bellaire. Dr. Moore has a passion for vision development and helping patients use their vision to its fullest potential.

Dr. Moore and her family live in Bellaire, Texas. They have two young children and enjoy spending every second with them. They also enjoy any activity that gets them outside, including gardening and playing with their dog, Chip.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Bellaire Family Eye Care team
  • Non-financial: None reported

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: Paid employee of Dienen Company which is the parent company of both Surestep and Hope Orthotics which I founded in 1996. Does research and teach education courses for Surestep as a regular part of job duties. I see patients locally at Hope Orthotics for specialty gait clinics; and I am minority owner in all 16 clinical O&P practices owned by Dienen Company across the United States, including Hope Orthotics in the Houston area.
  • Non-financial: None reported

Saturday, August 25, 2018

TimeTopic & Activity
7:30 - 8 a.m.Registration & Light Refreshments
8 - 10 a.m.

NICU Environment and Treatment

Denise Cortez, PT, DPT, MBA, PCS

10 - 10:15 a.m.Break
10:15 a.m. - 12 p.m.

Developmental Sequence: Emphasize Clinical Pearls from pre-work


Treatment Philosophies

Teresa Cramer, PT, DPT, PCS

12 - 1 p.m.Lunch Provided
1 - 2:30 p.m.


M. Cullen Gibbs, Ph.D.Clinical Neuropsychologist

2:30 - 3:15 p.m.

ECI & School Based Therapy

Dawn McDonald, OT

3:15 - 3:30 p.m.


3:30 - 5 p.m.

Pediatric Equipment: including bathing, walkers, standers, BWS, gait trainers, wheelchairs, seating, feeder seats

Teresa Cramer, PT
Carly Thom, OT

5 - 6 p.m.

Goal setting, case studies (including return to school), group discussions, Q&A

Teresa Cramer, PT
Carly Thom, OT

Sunday, August 26, 2018

TimePT - Topic & ActivityOT - Topic & Activity
7:30 - 8 a.m.Registration & Light RefreshmentsRegistration & Light Refreshments
8 - 9 a.m.

Spasticity Management in the Pediatric Population

Dr. Stacey Hall

Spasticity Management in the Pediatric Population

Dr. Stacey Hall

9 - 10 a.m.

Treatment applications

Teresa Cramer, PT

Evaluations: What to do and When

Lindsay Beaty, OTR/L, PT

10 - 10:15 a.m.BreakBreak
10:15 - 11:45 a.m.

Orthotics, Wearable Strapping

Anne Pare’ (Orthotist)

Orthotics, Wearable Strapping

Anne Pare’ (Orthotist)

11:45 a.m. - 12:30 p.m.


Feedback forms, sign out, and certificates


12:30 - 2:30 p.m. 

Pediatric Visual Skills: OT Evaluation, interventions, and when to refer to a specialist

Dr. Ann Voss

2:30 p.m. 


Feedback forms, sign out, and certificates

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


Attendance: 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 Approved CE

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 CEUs: 1.4 CEUs or 14 contact hours
AOTA Classification Code: Occupational Therapy Process - Intervention
AOTA Instructional Level: Intermediate
No partial credits will be given.


TPTA 2017

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: 12.0 CCUs
No partial credits will be given.


Registration limited to: 40, Registration closes at capacity or by Monday, August 20, 2018

MHHS employees must register with their MHHS email to receive the employee benefit.

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 Fee
Refunds, minus 25% administrative fee, will be granted if cancellation notice is received in writing according to the stated cancellation policy below.

Cancellations Policy
If you register and do not attend, or do not fulfill the requirements of the class, your course and all other associated fees will not be refunded. All cancellations must be in writing 14 days prior to the course start date to 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.

Cancellation by the Sponsor/Instructor will result in a full refund of the tuition. Sponsor/Instructor is not responsible for additional expenses incurred by registrants.

TIRR Memorial Hermann reserves the right to cancel or change any programs for due cause. Cancellation of the event by TIRR Memorial Hermann will result in a full registration refund of monies received. TIRR Memorial Hermann is not responsible for the refund of travel or hotel expenses under any circumstances. In the event of a course cancellation, participants will be notified via email & contact phone number on the registration form below. Please fill out all information in registration form.

All participants in Memorial Hermann Continuing Education Courses are entitled to an accessible, accommodating, and supportive teaching and learning environment. Please email or note on registration any specific needs we can work to assist you with.

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.

Contact at (713) 797-7432 or email

Registration is now closed.