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Pushing Pediatrics

Author: Sheila Madden and Sara Bellanca Karman

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An educational podcast for pediatric physical therapists: created to help those studying for the pediatric certified specialist exam (PCS), and anyone else interested in learning more about pediatric physical therapy.
106 Episodes
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Join Sheila and special guest Emily Gaylord, PT, DPT, PCS this week as they cover all things related to school-based physical therapy. Emily has spent the last few years diving deep into educational law, making her uniquely qualified to help you prepare for the PCS exam! Make sure you are supplementing our conversation with charts, tables and pictures from the Campbell text referenced below - along with all of the other supplemental materials recommended by Emily and linked below. Cheers and happy listening! Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier. https://pediatricapta.org/fact-sheets/ https://www.fldoe.org/core/fileparse.php/13159/urlt/cert.pdf https://vota.wildapricot.org/resources/Documents/Handouts%20Cecere.pdf https://www.seekfreaks.com/index.php/2016/10/27/hefreak-says-shefreak-says-pt-counts-takeaways/ https://www.uky.edu/chs/physical-therapy/research/pt-counts
Join Sheila and Sara this week as they transition to adulthood and assistive technology. Make sure you are supplementing our conversation with charts, tables and pictures from the Campbell text referenced below! This is our final content episode this season! Cheers and happy listening! Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.
Join Sheila and special guest this week Emily Knell Spaeth, PT, DPT, IBCLC, LMT, NTMTC, CNT, RPYT as they cover all things related to the NICU. Dr. Emily Spaeth is an expert in all things pregnancy, birth, postpartum, and babies. She is the founder and CEO of Be Well Baby PDX. While supporting families as a doctor of physical therapy in the neonatal ICU, Emily saw a deep societal need for a more holistic approach to peripartum care, and decided to blend her background in yoga, massage, and lactation support with her expertise in physical therapy to create a full spectrum peripartum experience for her clients.  Emily offers a range of continuing education courses for professionals on the Lactation OT platform.  Additionally, her website offers an array of courses covering topics that help parents understand their baby's cues, infant massage techniques, newborn care essentials, and more.  Courses: www.bewellbabypdx.com/courses FREE GUIDE- Respectful Tummy Time for the Newborn:  www.bewellbabypdx.com/subscribe Follow her on Instagram and Facebook and Linked In @bewellbabypdx Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier. https://pediatricapta.org/fact-sheets/ Sweeney JK, Heriza CB, Blanchard Y; American Physical Therapy Association. Neonatal physical therapy. Part I: clinical competencies and neonatal intensive care unit clinical training models. Pediatr Phys Ther. 2009 Winter;21(4):296-307. doi: 10.1097/PEP.0b013e3181bf75ee. PMID: 19923969. Sweeney JK, Heriza CB, Blanchard Y, Dusing SC. Neonatal physical therapy. Part II: Practice frameworks and evidence-based practice guidelines. Pediatr Phys Ther. 2010 Spring;22(1):2-16. doi: 10.1097/PEP.0b013e3181cdba43. Erratum in: Pediatr Phys Ther. 2010 Winter;22(4):377. PMID: 20142700. https://neonataltherapists.com/ https://www.neonatalcertification.com/certification/ https://www.caringessentials.net/ https://www.liddlekidz.org/cimt-certification-advanced-level-2/ https://neonataltherapycertification.com/
Join Sheila and Sara this week as they cover cystic fibrosis, asthma and congenital heart defects. Make sure you are supplementing our conversation with charts, tables and pictures from the Campbell text referenced below and don't forget the Case Files book case studies. Cheers and happy listening! Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.
Season 3: Autism

Season 3: Autism

2024-01-2328:12

Join Sheila and Sara this week as they cover Autism. Make sure you are supplementing our conversation with charts, tables and pictures from the Campbell text referenced below. Cheers and happy listening! Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.
Join Sheila and Sara this week as they cover traumatic Brain Injury and Myelodysplasia (spina bifida). Make sure you are supplementing our conversation with charts, tables and pictures from the Campbell text referenced below and don't forget the Case Files book case study. Cheers and happy listening! Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.
Join Sheila this week, with special guest Marissa Slate, PT, DPT, PCS, as they dive into the world of early intervention. Get ready for a jam-packed episode filled with valuable information and gain invaluable insights into the world of early intervention and IDEA Part C! Marissa is an experienced early intervention therapist who opened her own practice in 2020 to continue serving patients in the underserved county she lives in. She works PRN for the local children's hospital and teaches didactic content for two different pediatric residency programs. She mentors in early intervention, both for the pediatric residency in Charleston, SC, but also to APTA pediatric section members. She holds many leadership roles within her state physical therapy association and the APPT, and is passionate about improving access to care for patients and increasing reimbursement rates for clinicians. Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier. Early Childhood Technical Assistance Center (ECTA) - https://ectacenter.org/ DEC (Division of Early Childhood) - https://www.dec-sped.org/ Early Childhood Personnel Center - https://ecpcta.org/ APTA Fact Sheets - https://pediatricapta.org/fact-sheets/
Join Sheila this week as she covers brachial plexus injury and spinal cord injury. Make sure you are supplementing our conversation with charts, tables and pictures from the Campbell text referenced below and the CPG referenced below. Cheers and happy listening! Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier. Coroneos CJ, Voineskos SH, Christakis MK on behalf of The Canadian OBPI Working Group, et alObstetrical brachial plexus injury (OBPI): Canada's national clinical practice guidelineBMJ Open 2017;7:e014141. doi: 10.1136/bmjopen-2016-014141
Join Sheila and Sara this week as they cover Developmental Coordination Disorder (DCD) and Intellectual Disabilities. They also touch on some genetic conditions. Make sure you are supplementing our conversation with charts, tables and pictures from the Campbell text referenced below and don't forget the DCD CPG. Cheers and happy listening! Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier. Dannemiller, Lisa PT, DSc, PCS; Mueller, Melinda PT, DPT, PCS; Leitner, Adrah PT, DPT, PCS; Iverson, Erin PT, DPT, PCS; Kaplan, Sandra L. PT, DPT, PhD, FAPTA. Physical Therapy Management of Children With Developmental Coordination Disorder: An Evidence-Based Clinical Practice Guideline From the Academy of Pediatric Physical Therapy of the American Physical Therapy Association. Pediatric Physical Therapy 32(4):p 278-313, October 2020. | DOI: 10.1097/PEP.0000000000000753
Join Sheila and Sara this week as they cover sports injuries and pediatric cancer. This is a longer episode with some repetition from orthopedic conditions and a lot of material to cover. Make sure you are supplementing our conversation with charts, tables and pictures from the Campbell text referenced below. Cheers and happy listening! Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.
Join Sheila and Sara this week as they cover limb deficiencies and amputations as well as orthopedic conditions. This is a longer episode with a lot of material to cover. Make sure you are supplementing our conversation with charts, tables and pictures from the Campbell text referenced below. Cheers and happy listening! Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.
Join Sheila and Sara, along with Helen Carey, PT, DHSc, PCS, and Jessica Lewis, PT, DPT, PCS as we come together to dissect a case-style question from the PCS Advantage Case-Based exam! This unique opportunity not only allows you to practice a question but also provides a glimpse into the incredible benefits the PCS Advantage program has to offer in terms of test preparation. In this episode, we delve into a comprehensive vignette featuring multiple questions, providing invaluable insights for all participants. Best of all, this episode is available to everyone! Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Resources: PCS Advantage: https://rehabknowledge.com/products/pcs-advantage/ Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.
Join Sheila and Sara this week as they cover Osteogenesis Imperfecta and Neuromuscular Diseases (with a primary focus on DMD). We also touch on Becker MD, congenital MD, facioscapulohumeral muscular dystrophy, Myotonic dystrophy, Emery-Dreifuss MD and SMA. Please note, the content for SMA is from Campbell, but we recognize the quickly evolving presentation of that disease with the introduction of Spinraza and other medications. Please be mindful of this during the episode. Enjoy. Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.
Boo! This week join Sheila and Sara as they cover torticollis, cranial deformity and arthrogryposis. They start off this episode with torticollis and cranial deformity.  Last season, they did an entire episode covering the torticollis CPG.  That was the most comprehensive episode we have done and we definitely feel that it covers the full depth of torticollis. The book chapter leans heavily on the CPG so a lot of this information will be repetitive with that, but that is ok! Repetition is good. They then move on to cover arthrogryposis through the life span. Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier. Kaplan, Sandra L. PT, DPT, PhD; Coulter, Colleen PT, DPT, PhD, PCS; Sargent, Barbara PT, PhD, PCS. Physical Therapy Management of Congenital Muscular Torticollis: A 2018 Evidence-Based Clinical Practice Guideline From the APTA Academy of Pediatric Physical Therapy. Pediatric Physical Therapy 30(4):p 240-290, October 2018. | DOI: 10.1097/PEP.0000000000000544
Join Sheila and Sara this week as they cover juvenile idiopathic arthritis (JIA) and spinal conditions. Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier. van Brussel M, van der Net J, Hulzebos E, Helders PJ, Takken T. The Utrecht approach to exercise in chronic childhood conditions: the decade in review. Pediatr Phys Ther. 2011 Spring;23(1):2-14. doi: 10.1097/PEP.0b013e318208cb22. PMID: 21304338. https://pubmed.ncbi.nlm.nih.gov/21304338/ Cavallo, S., Brosseau, L., Toupin-April, K., Wells, G., Smith, C., Pugh, A., … & Bigford, S. (2017). Ottawa Panel Evidence-based Clinical Practice Guidelines For Structured Physical Activity In the Management Of Juvenile Idiopathic Arthritis. Archives of Physical Medicine and Rehabilitation, 5(98), 1018-1041. https://doi.org/10.1016/j.apmr.2016.09.135
Join Sheila and Sara this week as they first dive into the world of physical fitness in childhood. They are then joined by the incredible Jessica Lewis, PT, DPT, PCS, and gait lab expert, who will take you on a journey into the intricacies of gait. Get ready for a jam-packed episode filled with valuable information and gain invaluable insights into the world of gait! Jessica Lewis, PT, DPT, is a developmental pediatric physical therapist and the biomechanical coordinator of the Honda Center for Gait and Motion Enhancement. She completed a post-doctoral pediatric residency program at The Ohio State University and she is a board-certified pediatric clinical specialist. Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Resources: PCS Advantage: https://rehabknowledge.com/products/pcs-advantage/ Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier. Hip Surveillance Guidelines: https://www.aacpdm.org/publications/care-pathways/hip-surveillance-in-cerebral-palsy Dias LS, Swaroop VT, de Angeli LRA, Larson JE, Rojas AM, Karakostas T. Myelomeningocele: a new functional classification. J Child Orthop. 2021 Feb 1;15(1):1-5. doi: 10.1302/1863-2548.15.200248. PMID: 33643452; PMCID: PMC7907765. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7907765/#:~:text=The%20four%20levels%20in%20this,walker%20to%20achieve%20some%20ambulation.
Join Sheila and Sara this week as they explore the principles of motor learning and how they apply to pediatric rehabilitation. They discuss the importance of active learning and the contextual factors necessary for children to acquire age-appropriate skills. They discuss the two types of knowledge involved in motor skill acquisition, explicit and implicit, and the benefits of external focus instructions. They also emphasize the role of feedback in the motor learning process, highlighting the importance of addressing errors and providing guidance on critical components of performance. They discuss the optimal frequency of feedback and the value of random practice schedules for enhanced learning. Sheila and Sara then shift their focus to musculoskeletal development and adaptation. They explore the effects of immobilization, spasticity, and bone development on motor function. They also provide insights into the changes seen in lower extremity bone development as children grow, as well as the always confusing topics of hip torsion and version. Gain valuable insights and practical tips that will support your test-taking and clinical practice. Tune in now to enhance your understanding of motor learning and musculoskeletal development in pediatric rehabilitation! Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.
In this episode of "Pushing Pediatrics," Sheila and Sara explore the critical role of standardized outcome measures in pediatric physical therapy. They discuss how these measures shape clinical decisions, including eligibility, intervention strategies, goals, and service intensity. The hosts emphasize the importance of understanding the purpose of testing and considering the goals of the child and their family when selecting appropriate outcome measures. They delve into the two critical types of standardized tests: norm-referenced and criterion-referenced, highlighting their differences and applications. Sheila and Sara also touch on psychometric properties, validity, and the importance of adhering to test administration guidelines. They provide insights into the use of outcome measures for screening, prediction, determining differences, and evaluating change. The hosts recommend utilizing the ICF model and the APTA fact sheet on outcome measures for comprehensive understanding. They then dive into motor development and control. They emphasize that the chapter is crucial for understanding foundational concepts. The hosts recommend reading the chapter in full and utilizing bonus content, such as videos and developmental milestones offered in the e-book version. They discuss various developmental theories, including neural-maturationist theory, cognitive-behavioral theory, cognitive: Piagetian theory, motor-learning theory, and dynamical systems theory. Sheila and Sara highlight the importance of internal and external factors in development and provide insights into postural control and reflexes. Listeners are encouraged to dive deeper into these concepts and refer to additional resources for a thorough grasp of the subject matter. Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Don't let outdated research hold you back. Embrace the future of pediatric physical therapy with scite.ai. Sign up today and experience the power of evidence-based practice at your fingertips. https://scite.ai/?=sheila ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier. https://pediatricapta.org/includes/fact-sheets/pdfs/FactSheet_ListofPediatricAssessmentToolsCategorizedbyICFModel_2013.pdf
In this enlightening episode of "Pushing Pediatrics," hosts Sheila and Sara delve into a wide range of crucial topics that form the bedrock of evidence-based pediatric healthcare. Join them as they explore the intricacies of evidence-based decision making, the PICO format, the 6S pyramid, the GRADE system, the ICF model, the bioecological framework of child development, the ecobiodevelopmental framework (EBD), social determinants of health, health equity and disparities, family-centered care, trauma-informed care, cultural competency, and the Knowledge to Action (KTA) cycle. By tuning in to this episode, you will gain a comprehensive understanding of how to approach questions and dissect them effectively. Sheila and Sara provide invaluable insights into the importance of research evidence, child and family preferences, home and community factors, and practice knowledge in making informed decisions. They guide you through the process of formulating clinical questions using the PICO format, ensuring that you can gather knowledge efficiently. The hosts also shed light on the 6S pyramid, which categorizes evidence based on its level of synthesis, and the GRADE system, which helps assess the quality of evidence in systematic reviews and clinical practice guidelines. With their guidance, you will learn how to navigate through the vast landscape of evidence and identify the most reliable sources. Furthermore, Sheila and Sara introduce the ICF model, which takes a holistic approach to pediatric healthcare by considering the interplay between functioning and disability, as well as contextual factors. They illustrate how this model can be applied in a specific example, to provide comprehensive care that addresses the unique needs of each child. The hosts also emphasize the significance of social determinants of health, health equity, and disparities in pediatric healthcare. They discuss the importance of family-centered care, trauma-informed care, and cultural competency in promoting inclusive and effective healthcare practices. By exploring these topics, you will gain a deeper understanding of the factors that influence health outcomes and learn how to provide equitable care to diverse populations. To further enhance your knowledge, Sheila and Sara introduce the Knowledge to Action (KTA) cycle, a framework that facilitates the translation of research findings into practical action. They outline the steps involved in this cycle and provide a real-life example of how it can be applied to implement a new treatment method. By the end of this episode, you will have a solid foundation in evidence-based decision making and a comprehensive understanding of the various frameworks and models that underpin pediatric healthcare. Join Sheila and Sara as they equip you with the tools and knowledge necessary to dissect questions and arrive at the correct answers, ensuring that you can provide the best possible care to your young patients. Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Don't let outdated research hold you back. Embrace the future of pediatric physical therapy with scite.ai. Sign up today and experience the power of evidence-based practice at your fingertips. https://scite.ai/?=sheila ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.
Join hosts Sheila and Sara in this captivating episode as they delve into the remarkable journey of Cameron Brown, PT, DPT, a Board Certified Pediatric Clinical Specialist. Discover the secrets behind her success and gain valuable insights that are simply unmissable for all aspiring candidates preparing for their exams. In this information-packed conversation, we'll uncover crucial dos and don'ts for your study process, providing you with insider tips to optimize your preparation. Don't miss out on this essential episode that will revolutionize how you approach your preparation and setting yourself up for success in the world of pediatric clinical specialization. Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS
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