Motion Analysis

Rehabilitation and Use of Motion Analysis for Single Event Multi-Level Surgery

Course Chairs: Christina Bickley, PT, PhD, BOCO, C/NDT and
Melissa Howard, PT, DPT, NCS

Target Audience: Clinicians who evaluate and provide treatment for ambulatory children and youth with cerebral palsy and other movement disorders will benefit from this symposium. Prior experience analyzing and interpreting motion analysis data is beneficial, but not required.

Course Summary:
This course will provide an extensive review of Single Event Multi-level Surgery (SEMLS) in ambulatory children with Cerebral Palsy. The content will cover a wide range of SEMLS topics from assessment to rehabilitation, common outcome measures, and short term as well as long-term outcomes. Emphasis will be placed on the use and benefit of Motion Analysis data as this is considered the gold standard of care for patients being considered for SEMLS. Review of the benefits of Motion Analysis to determine appropriate candidacy and procedure selection will be reviewed. Types of outcome measures and their respective meaning as well as relationship to other outcome measures will also be discussed with emphasis on newly developed measures. Since the rehabilitation process and success a patient has after undergoing a SEMLS are directly linked, the Post-SEMLS rehabilitation guidelines are crucial for optimizing surgical outcomes. The various post-SEMLS rehabilitation programs will be discussed with an emphasis on the benefits of early mobilization and how this can be applied. One major factor that appears to be related to post-operative success during the rehabilitative period is initiation of weightbearing. Historically, protocols waited 6 to 8 weeks to initiate weightbearing, especially if a SEMLS procedure included a rotational osteotomy to the femur or the tibia. A recent survey of the literature and various SEMLS programs revealed that institutions widely vary in protocols for initiation of weightbearing. A discussion of guidelines for intensity and length of stay for rehabilitation will be included. An in-depth review of the pharmacologic management post-SEMLS will be presented. Recent research using Motion Analysis data in children and adolescent having undergone SEMLS will be reviewed.

Learning Objectives:

At the end of the symposium, participants will be able to: 

  1. Describe SEMLS and the assessment process using Motion Analysis to determine surgical candidacy 
  2. Become familiar with patient interventions included in the stages of rehabilitation after SEMLS intervention 
  3. Understand the benefits of early postoperative mobilization for children following SEMLS and the research supporting early mobilization 
  4. Understand orthotic management and rational for orthotic prescription in the post-operative period. 
  5. Understand which SEMLS procedures and hardware selections are candidates for an early mobilization rehabilitation program and which procedures still require a period non-weightbearing 
  6. Gain understanding of the pharmacological management (pain and spasm management) associated with an early mobilization rehabilitation SEMLS program 
  7. Become familiar with the use of Motion Analysis and the various measures used for outcome assessment 
  8. Review of recent research, including short and long-term outcomes, that has utilized Motion Analysis to support and assist in determining best practices in the care of children and adolescent undergoing or who have undergone a SEMLS

Important Dates

  • May 2019
    Registration Opens
  • July 10, 2019
    Exhibit Booth Application Deadline
  • August 7, 2019
    Early Bird Registration Discount Ends
  • August 18, 2019
    Hotel Room Block Reservation Deadline
  • August 21, 2019
    Online Registration Deadline
  • August 22, 2019
    Presentation Handout Deadline
  • September 18-21, 2019
    73rd Annual Meeting!