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Elisabeth Elliott
08-27-1997, 03:34 AM
You are invited to attend to Third Annual Conference on Gait and Gross Motor
Impairment in Cerebral Palsy: Evaluation and Treatment, in Charlottesville,
VA, December 5 and 6, 1997.

This conference is offered by the University of Virginia, Division of
Pediatric Orthopaedics.


Course Directors:

Mark Abel, MD, Associate Professor of Orthopaedics and Pediatrics
Medical Director Motion Analysis Laboratory
University of Virginia

Diane Damiano, Ph.D, PT, Assistant Professor of Orthopaedics
Research Director Motion Analysis Laboratory
University of Virginia

Course Coordinator:
Elisabeth Elliott, MPA,
Motion Analysis Laboratory Manager
(804) 982-0893
(804) 982-1551 (fax)
e-mail: ree6e@virignia.edu


Special Guest Speakers:

Robert Leshner, MD, Professor of Neurology and Pediatrics, Medical College of
Virginia.

Jean Shelton, MD, Chair, Physical Medicine and Rehab., Eastern Virginia
Medical School

Laura Tosi, MD, Associate Professor of Orthopaedics, Children's National
Medical Center, Wash., DC


University of Virginia Course Faculty:

John Blanco, MD, Associate Professor of Orthopaedics and Pediatrics
David Carmines, Ph.D, Motion Analysis Lab Research Engineer
Bryan Franke-Fuller, CPO, Assitant Professor Prosthetics and Orthotics
Kevin Granata, Ph.D, Motion Analysis Lab Engineering Director
Sharon Hostler, MD, Prof. Pediatrics, Med Dir Kluge Childrens' Rehab Center
Edward Laws, MD. Professor of Neurosurgery and Medicine
Virindir Nohria, MD Assistent Professor Neurology and Pediatrics
Patricia Payne, BS, Research Physical Therapist MAL
Mark Shaffrey, MD, Assistant Professor Neurosurgery
Richard Stevenson, MD, Associate Prof. of Pediatrics and Developmental Med.
Gwo-Jaw Wang, MD, Chair and Professor of Orthopaedics


Agenda:
December 5, 1997
Registration
Introduction
Opening Remarks
Functional Classification in CP
Growth and Development in Ambulatory CP
Normal Gait Development
Questions and discussions
Break
Gait Patterns in CP
Mesurement of Muscle Function in relationship to EMG
Strengthening to Optimize Muscle Function
Questions and discussion
Lunch
Tendon Transfer for Gait Deformities in CP
Orthotics Mgmt in CP
Aids for Ambulation
Questions and discussion
Break
Case Studies
Gait Lab Tour
December 6, 1997
Registration
Introduction
Opening Remarks
Neuropathology and the Relationship for Spasticity-Selective Dorsal Rhizotomy
Orthopaedic Surgery for Mgmt of CP
Questions and Discussions
Break
Neurosurgical Interventions for Spasticity-Baclofen Pump Infusion
Questions and discussions
Lunch
Botulinum Toxin for Management of Spasticity in CP
Therapeutic Electrical Stimulation
Medications for Mgmt in Spasticity
Questions and discussions
Break
Case Studies

To Register Contact:

Bebe Moore, CME registrar
Office of Continuing Medical Education
Box 368 HSC, Charlottesville, VA 22908
(804) 924-5310
(804) 982-1415 (fax)

For Questions Contact:
Elisabeth Elliott, MPA
Course Coordinator
Gait Lab. Manager
Kluge Children's Rehabilitation Center
University of Virginia
2270 Ivy Road
Charlottesville, VA 22903
(804)982-0893
(804)982-1551 (fax)
e-mail: ree6e@virginia.edu

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The University of Virginia
Division of Pediatric Orthopaedics presents

The Third Annual Conference

Gait and Gross Motor Impairment in Cerebral Palsy:
Evaluation and Treatment



December 5-6, 1997

Omni Hotel
Charlottesville, Virginia

Sponsored by the
Office of Continuing Medical Education
University of Virginia School of Medicine
December 5, 1997 - Omni Hotel

7:00 - 8:00 a.m. Registration

8:00 - 8:05 Introduction
Mark Abel, MD

8:05 - 8:15 Opening Remarks
Sharon Hostler, MD

8:15 - 8:45 Functional Classifications in Cerebral Palsy
Diane Damiano, PhD, PT

8:45 - 9:15 Growth and Development in Ambulatory Cerebral Palsy
Rich Stevenson, MD

9:15 - 9:45 Normal Gait Development
Mark Abel, MD

9:45 - 10:00 Questions and Discussion

10:00 - 10:15 Break

10:15 - 10:45 Gait Patterns in Cerebral Palsy
Mark Abel, MD

10:45 - 11:15 Measurement of Muscle Function in Relationship to EMG
Kevin Granata, PhD

11:15 - 12:00 Strengthening to Optimize Muscle Function
Diane Damiano, PhD, PT

12:00 - 12:15 Questions and Discussion

12:15 - 1:15 p.m. LUNCH

1:15 - 1:45 Tendon Transfers for Gait Deformities in Cerebral Palsy
John Blanco, MD

1:45 - 2:30 . Orthotics Management in Cerebral Palsy
Mark Abel, MD/ Bryan Franke-Fuller, BS, CPO

2:30 - 3:00 Aids for Ambulation
Patty Payne, BS, PT

3:00 - 3:15 Questions and Discussion

3:15 - 3:30 Break

3:30 - 4:30 Case Studies

4:45 Gait Lab. Tour by David Carmines, PhD Engineer
Patty Payne, BS, PT

December 6, 1997 - Omni Hotel

7:00 - 8:00 a.m. Registration

8:00 - 8:05 a.m. Introduction
Diane Damiano, PhD, PT

8:05 - 8:15 a.m. Opening Remarks
Gwo-Jaw Wang, MD

8:15 - 9:00 a.m. Neuropathology and the Relationship to Motor Function in Cerebral Palsy
Robert Leshner, MD

9:00- 9:45 p.m. Orthopaedic Surgery for Management of Cerebral Palsy
Mark Abel, MD

9:45 - 10:00 Questions and Discussion

10:15 - 10:30 Break

10:30 - 11:00 a.m. Neurosurgical Interventions for Spasticity - Selective Dorsal Rhizotomy
Edward Laws Jr., MD

11:00 - 11:30 a.m. Neurosurgical Interventions for Spasticity - Baclofen Pump Infusion
Mark Shaffrey, MD

11:45 - 12:00 Questions and Discussion

12:00 - 1:00 p.m. LUNCH

1:00 - 1:45 Botulinum Toxin for Management of Spasticity in Cerebral Palsy
Jean Shelton, MD

1:45 - 2:30 Therapeutic Electrical Stimulation
Laura Tosi, MD

2:30 - 3:00 Medications for Management in Spasticity
Virinder Nohria, MD

3:00 - 3:15 Questions and Discussion

3:15 - 3:30 Break

3:30 - 4:30 Case Studies









Goals

To provide an update on the major therapeutic interventions aimed at improving motor function, particularly ambulation, in individuals with cerebral palsy.

Purpose

A multi-disciplinary team of experts will discuss their unique perspectives on the pathophysiology, evaluation, and clinical management of cerebral palsy to aid clinicians in their roles as advisors, decision-makers, and caretakers.

Course Description

This course will review the current epidemiology of cerebral palsy including the causes and the relationship between the brain injury and motor prognosis. The evolution of classifications used for cerebral palsy will be presented including the newly devised Gross Motor Disability Classification System. Growth and motor development in normal children and children with CP will be contrasted to illustrate the effects of the central nervous system lesion and spasticity. Finally, experienced clinicians will present their ideas for management of spasticity, contractures and weakness. The presentations will include current review of the literature with an emphasis on functional changes. Specifically, the functional outcomes of orthopaedic surgery in the form of muscle lengthening, tendon transfers, and bony rotational procedures will be discussed. The risks and benefits of neurosurgical interventions that alleviate spasticity such as baclofen pump infusion and selective dorsal rhizotomy will also be described in detail. Less invasive therapies such as the use of orthotics, botulinum injections, ambulatory assistive devices, therapeutic electrical stimulation, isotonic and isokinetic strengthening, and medical treatment of spasticity will also be explored. The didactic presentations will be reinforced with case presentations as well as question-answer sessions.

Educational Objectives

On completion of this course, participants will be able to:
1. Better understand the pathophysiology of CP and its relationship to growth, motor development, and ambulatory prognosis.
2. Distinguish abnormal gait patterns in patients with CP from those seen in normally developing children. This includes recognizing peripheral manifestations such as spasticity, contractures, and weakness.
3. Understand the mechanism and scientific rationale behind popular treatments such as botulinum injections, therapeutic electrical stimulation, strength training, and baclofen pump implantation.
4. Appreciate the magnitude and type of functional change that can be expected from different treatments in CP.
5. Comprehend the role of evaluation instruments such as gait analysis in pre-and post-intervention assessment of surgical and non-surgical interventions.
6. Differentiate among treatment choices in cerebral palsy based on patient assessment factors and specific goals for intervention.

Who Should Attend

This course is designed for physical therapists, pediatricians, family practice and physical medicine physicians, orthopaedic surgeons, neurosurgeons and neurologists, pediatric nurses and nurse practitioners, engineers and kinesiologists and other professionals and individuals who are interested in motion analysis and in the medical care of persons with cerebral palsy.

Special Needs

The American Disabilities Act of 1992 requires that all individuals, regardless of their disabilities, have equal access. The Office of Continuing Medical Education is pleased to assist participants with special needs. Requests need to be made in writing by November 5, 1997.

Credit

The University of Virginia School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to approve continuing medical education programs for physicians.

The University of Virginia School of Medicine designated this educational activity for up to ??? hours in Category 1 credit towards the AMA PhysicianТs Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity.

The University of Virginia will award Continuing Education Unit credit to qualifying registrants who participate in all academic sessions of this program. Eligible registrants will receive one CEU for every 10 hours of organized instruction. The registrar of the University of Virginia will maintain a permanent record of CEUs awarded.

Accommodations

A block of rooms has been reserved for course participants at the Omni Hotel in Charlottesville, Virginia. Please call the Omni before November 5, 1997 at (804) 971-5500 or at 1-800-THE-OMNI to make reservations. In order to receive the special rate, please inform the staff that you are attending this course. The Omni will accept reservations made after November 5 on a space and rate available basis only. Lodging rates (prior to November 5, 1997) are as follows:
Single occupancy $72/night Double occupancy $87/night

These rates are subject to state and local taxes that total 8.5% The Omni Hotel has a 48 hour cancellation policy for guaranteed rooms.


Registration Fee

Registration includes lectures, refreshments, lunches, syllabus materials and CME/CEU accreditation hours

Physicians $175 Nonphysicians $150 UVA faculty/staff $100

Refunds will be granted if the request is received in writing by November 16, 1997. A 15% processing fee will be charged for refunds.

To register for this course, please contact Bebe Moore, CME Registrar at:
The Office of Continuing Medical Education
Box 368 Health Sciences Center
Charlottesville, Virginia 22908
(804) 924-5310
(804) 982-1415FAX
uvacme@virginia.edu
Course Directors

Mark F. Abel, MD Diane L. Damiano, PhD PT
Associate Professor of Orthopaedics Assistant Professor of Orthopaedics
and Pediatrics Research Director, Motion Analysis
Medical Director, Motion Analysis Laboratory Laboratory
University of Virginia University of Virginia

Conference Coordinator
Elisabeth Elliott, MPA
Motion Analysis Manager
(804) 982-0893
e-mail: ree6e@virginia.edu

University of Virginia Course Faculty

John Blanco, MD
Associate Professor of Orthopaedics and Pediatrics
Chief, Division of Pediatric Orthopaedics

David Carmines, PhD
Research Engineer, Motion Analysis Laboratory

Bryan Franke-Fuller, CPO
Assistant Director, Prosthetics and Orthotics

Kevin P. Granata, PhD
Assistant Professor of Orthopaedics and Biomedical Engineering
Engineering Director, Motion Analysis Laboratory

Sharon Hostler, MD
McLemore Birdsong Chair and Professor of Pediatrics
Medical Director of the Kluge ChildrenТs Rehabilitation Center

Edward R. Laws, Jr.
Professor of Neurosurgery and Medicine

Virinder Nohria, MD
Assistant Professor of Neurology and Pediatrics

Patricia Payne, BS PT
Research Physical Therapist, Motion Analysis Laboratory

Mark Shaffrey, MD
Assistant Professor of Neurosurgery

Richard Stevenson, MD
Associate Professor of Pediatrics and Developmental Medicine
Kluge ChildrenТs Rehabilitation Center

Gwo-Jaw Wang, MD
Lillian T. Pratt Chair and Professor of Orthopaedics

Special Guest Faculty

Robert Leshner, MD
Professor of Neurology and Pediatrics, Medical College of Virginia, Richmond, VA

Jean Shelton, MD
Chair Physical Medicine and Rehabilitation, Eastern Virginia Medical School, Norfolk, VA

Laura Tosi, MD
Associate Professor of Orthopaedics, Children's National Medical Center, Washington, DC



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