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Achieving Optimal Functional Outcomes and the Implications for You as the Therapist

As pediatric therapists, we strive to develop clinical skills that enable us to help our clients achieve positive functional outcomes. Over the years, I have developed strategies that allow me to help parents and caregivers achieve this goal with most of the infants and toddlers I treat in a very efficient and timely manner. These are the three strategies that I find to be critical in achieving optimal outcomes in a timely manner: [Read more...]

NDT & The Analytical Process

Hi, .

We edited this half-day class video into 6 smaller chunks to make it easier for you to follow along at your own pace, pause to take notes or even post questions at the bottom of the page. Be sure to watch all the videos from this class because some of your questions may already be answered in the videos.

Enjoy.

Part 1

Part 2

Part 3

Part 4

Part 5

Part 6

Minimizing the Problem of Learned Helplessness Revisited: What Can Parents Do to Help?

By Kristen Birkmeier, MSPT

I am using the term learned helplessness to refer to those children who did not need to, but end up totally dependent on others for all their daily physical needs. In the practice of pediatric therapy, therapists treat some children who are so physically involved that their ability to perform or participate in daily activities will always be extremely limited. There are others who have the potential to function with some independence even though they may require assistance for some activities. Many children can become [Read more...]

Workshop: Using Balls & Bolster In Your Pediatric Practice

I’ll be leading an interactive workshop on how to effectively use balls and bolsters in your pediatric therapy practice in Texas on Saturday the 25th. Details below.

Date: February 25, 2012

Sponsored by: www.kidsdevelopmentalclinic.com

Kids Developmental Clinic – West
11777 Katy Freeway, Suite 260
Houston, Texas   77079

I look forward to seeing everyone there. If you can’t make it then feel free to contact me about scheduling a workshop in your area.

Thanks,
Kristen

Treating the School-age Child: Assessing and Gaining Spinal Mobility

Checking spinal mobility with a 13 year old child with CP spastic quadriplegia in the school environment….

Utilizing a bolster that allows the child to sit with hips and knees flexed at 90 degrees is very helpful in that the equipment will fully support the child’s weight while you assess their spinal flexion curve by having them flex forward against the bolster.

Fig. 1

Spread your hands and place them in the apex of the spinal flexion curvature on the child’s back being careful not to cross over their spine with your hands.  Lean into the child’s back with your shoulders over your hands and use intermittent firm pressure downward to gently decrease the flexion curve by gaining flattening of the spinal curve under your hands.  Gradually move upward and downward from the apex of the curvature with 4-5x downward pressure through your hands. [Read more...]

Continuing Education Coordinator Lana Phillips Recommends Kristen Birkmeier

Continuing Education Coordinator Lana Phillips recommends that anyone who is looking to bring in a great speaker and trainer for workshops should hire Kristen Birkmeier. She’s easy to work with and always provides great hands-on instruction during the labs. Attendees always have favorable reviews for Kristen’s training sessions.

Pediatric Therapists Balance Challenge with Fun

Effective treatment with children who demonstrate neuro-motor dysfunction other neurological involvement requires that as pediatric therapists, we engage them in meaningful activities that are fun, motivating, and challenging. Hitting the target and finding a “happy medium” requires that we have established trust and rapport with both the child and his caregivers, and have come to know what delights, challenges, and motivates the child. [Read more...]

Lynn Rupert Recommends Pediatric Therapy Training by Kristen Birkmeier

Physical Therapist Lynn Rupert tells other Physical Therapists why they should get training by Kristen Birkmeier of Pediatric Therapy Training.com

Fabricating Shoe Inserts for a Young Child

Presented by
Kristen Birkmeier, MSPT

Hi, .

In this video presentation, I will introduce you to a 2½ year old little boy named Henry. I met him and his mother during a workshop demonstration. Henry has bilateral flat feet with forefoot pronation. You will learn how to assess and fabricate shoe inserts to correct the malalignment of his feet.

The casting material I use and recommend is J&J Delta-Lite FlashCast Elite® casting tape (2” rolls) with the Teddy Bear pattern. See below a listing of all materials used, as well as some of the many websites where you can purchase the materials used in the video.

RehabMart.com
Dema Grip Compression Stockinette
2” Size A Natural
Item No. NC-42500 $43.39

Roylan Latex-Free Moleskin
9” x 4 yds. Beige
Item No. SP-5545721 $58.76

Extra Soft Splint Padding
¼” x 8” x 12” – Pack of 5
Item No. SP-55320205 $44.16

eGeneralMedical.com
J&J (Fiberglass Free casting tape)
FlashCast Elite® Teddy Bears
2” x 4 yds. 10 rolls/box
Item No. CEP-JJ4082 $143.99

KVsupply.com
Lister Bandage Scissors (floor grade)
Stainless Steel 4½”
Item No. 81637 $4.49

Northerntool.com
Gerber Folding mini Utility Knife
Model No. 22-00804 $8.99

Amazon.com
EMT First Aid Trauma Utility Shears
Bandage Scissors $5.80

Additional Supplies Needed:

  • 1 adult aluminum finger splints – 12 inch length (cut in half lengthwise and widthwise)
  • ½” silk tape (available at most pharmacies)
  • latex-free gloves (available at most pharmacies)
  • 2” ace bandage (available at most pharmacies)
  • crayon
  • plastic container for water (approximately 6” wide and 6“ deep)
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