1. CHILD WITH CEREBRAL PALSY

• What is CP? Definition

• Impairments – Primary, Secondary, and Associated

• Classification – GMFCS, MACS, 

• Classification - Clinical Presentation

• Activity limitations seen in child with CP

• Screening

• Examination – GMFM and GMPM

• Diagnosis

• Prognosis – motor growth curves, milestones for prognostic determination of                future walking ability and independent function

• Summary of evidence regarding management of impairments and activity                      limitation

• Medical management –overview of what is spasticity and its management

• Orthopedic surgical management techniques

• Gait deviations in spastic CP

2. CHILD WITH DOWN’S SYNDROME

• Hypertonia
• Classification
• General goals of PT
• Clinical presentation
  
• Activity limitation and participation
• Gross motor delays
• Sensory integration problems
• Screening in Down’s syndrome 
• AAI symptoms ages 3-5
• Prognosis – motor development guideline in Down’s syndrome
• Hypotonic and lung development
• Interventions in Downs’s syndrome 
• Ball training and treadmill training
• Postural control training
• Aerobic exercise
• Focus on obesity
• Foot pronation and orthotics – SMOS
• Communication/Learning style​
  

3. DEVELOPMENTAL COORDINATION DISORDER

• Definition/Diagnostic criteria
• Long-term prognosis
  
• Clinical manifestations in a child with DCD
• Primary impairments including motor control and motor learning deficits
• Secondary impairments
• Pathophysiology
• Activity limitations including fine and gross motor, personal factors, environmental factors
• Role of PT
• Clinical assessment
• Intervention – task specific approaches and cognitive approaches
• Consultation re: physical activity
  

4. MYELODYSPLASIA

• Types
• Patho-physiology and embryology
• Etiology
• Perinatal management
• Impairments – Primary and secondary
• International Myelodysplasia study group criteria for assigning motor levels
• Neuro-Dysfunction including seizures, neurogenic bowel/bladder
• Age-specific examination and PT intervention 
• Expected motor ability in Thoracic level Mylodysplasia, High lumbar level L1-L2, L3 level, L4 – L5 level, S1 level and S2-S3 levels
  

5. SPINAL CORD INJURY

• Epidemiology
• Advances in recovery
• Medical Diagnosis and acute management
• Medical complications, long-term medical management and prevention of secondary complication
• Spasticity and pain
• Skin breakdown/pressure ulcers
• Orthopedic management including impairments, classification, functional assessment, PT management, Bed Mobility/transfer, wheeled mobility and ambulation
  

6. BRACHIAL PLEXSUS INJURY

• Etiology/incidence
• Pathophysiology
• Impairments 
• Natural history/prognosis
• PT examination – ROM, muscle strength and motor function
• Mallet’s classification
• PT goals
• Medical management
• Indications for timing of neurosurgery
• Orthopedic concerns/surgery
  

7. ACQUIRED BRAIN INJUREIS: TRAUMA, NEAR-DROWNING AND TUMORS

• Traumatic brain injury – pathology
• Secondary brain injury
• Prognosis
• Near drowning – epidemiology, pathology and prognosis
• Brain Tumors – epidemiology, pathology and prognosis
• PT treatment/management for a child with ABI
• Rancho pediatric levels of consciousness and Rancho levels of cognitive functioning (RLCF)
• Examination based on RLCF – ROM, muscle strength, motor performance postural control and balance and gait
• PT goals/treatment strategies as related to RLCF levels

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