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Professional Resources & Education

Comprehensive Pediatric Rehabilitation for the Neurologic Therapist

ACP Pedi CourseTIRR Faculty:

Teresa Cramer, PT, DPT, PCS
M. Cullen Gibbs, Ph.D
Denise Cortes, PT, DPT, MBA, PCS

Guest Speaker:

Anne Pare, CO, LO


Course Date: Saturday, August 27, 2016

Time: Registration at 7:30 am, Course from 8:00 am to 5:00 pm


TIRR Memorial Hermann Hospital
1333 Moursund, Houston, TX 77030
2nd floor Research Conference Center

Class size: Limited to 40 attendees

Target Audience

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


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, 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. Understand & apply 2-3 behavioral strategies within everyday clinical practice settings

Assessment of Learning Objectives: Course evaluation, Pre and post test questions.

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

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

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 27, 2016

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

NICU Environment and Treatment

10:00 - 10:15amBreak
10:15am - 12:00pm

Developmental Theory, Lifespan, Treatment Philosophies

12:00 - 1:00pmLunch Provided
1:00- 2:30pm


2:30 - 3:30pmOrthotics, Wearable Strapping
3:30 - 3:45pm


3:45 - 4:30pmPediatric Equipment including bathing, walkers, standers, BWS, gait trainers
4:30 - 5:30

Goal setting, case studies, group discussions, Q&A

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



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. This course is offered for 0.80 AOTA CEU’s. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products, or clinical procedures from AOTA. OT Classification Code: Occupational Therapy Process- Evaluation and Intervention

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 for 8.0 CCUs.

OT Approved CE
TPTA 2015


Course MHHS AttendeeNon-MHHS Employee
Any Course Day 1$75$175
Any 2 Day Course $150$300
Register for any 3 or more courses at the same timeReceive a $75 discountReceive a $100 discount
Register for all 8 courses at the same time (*discount no longer applies)Receive a $150 discount for registering for all 8 classes. Total price when registering for all 8 classes, with discount applied, is $750.Receive a $250 discount when registering for all 8 classes. Total Price when registering for all 8 classes, with discount applied, is $1650.

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 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: Please refer to 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.