Lucy Jane Miller, PhD, OTR and Sarah A. Schoen, PhD, OTR explain how assessments are selected for identification, treatment planning and measuring progress of children with developmental concerns.

This three-part series is the first of many to come that focus on the flow from assessment to development of a treatment plan. Each series will highlight an assessment tool commonly used in clinic and school settings. Although intended primarily for occupational therapists, content may be beneficial to other professionals, including psychologists, physical therapists, and other childhood intervention specialists. This first series focuses on the M-FUN (Miller Function and Participation Scales).

Session 1: June 19, 12 PM-2 PM EST
Selecting the Right Tools for Conducting a Comprehensive Evaluation
Explore major assessment tools including DAP (Draw a Person), GOAL (Goal-Oriented Assessment of Lifeskills), BOT-2 (Bruininks-Oseretsky Test of Motor Proficiency), M-FUN (Miller Function and Participation Scales) and more.

Session 2: July 24, 12 PM-2 PM EST
Administration and Scoring of the M-FUN
Assessing Children Ages 3-8 in School and Clinic Settings
Focus on mastery in administration, scoring and basic interpretation of this standardized assessment.

Session 3: August 28, 12 PM-2 PM EST
Advanced Interpretation of M-FUN and How it Informs Treatment
Synthesize client’s information, document and communicate findings to parents and translate findings into a treatment plan.

Click here to visit the SPD University website for more details.

Obesity Epidemic

Obesity is an epidemic. It does not only affect a person’s physical appearance but also affects his or her overall health-related quality of life. It creates a complexity for doctors during surgeries and it also slows down the healing time.

The article below is taken from AAOS.org, “Obesity Epidemic has Impact on Specialty Care” by Mary Ann Porucznik:

The impact of obesity on surgical and nonsurgical treatment outcomes can be seen in every orthopaedic specialty. At the AAOS Now-sponsored forum on “Obesity, Orthopaedics, and Outcomes,” held March 18 in Chicago, orthopaedic surgeons and other experts noted that the problems associated with obesity can begin in childhood and last throughout a person’s life.

Although scales and skin fold calipers are easy to use, they may not be the best indicators of obesity. Courtesy of thinkstock

112 pounds, 4 years old
According to Steven L. Frick, MD, chair of the department of orthopaedic surgery at Nemours Children’s Hospital in Orlando, Fla., the effects of obesity on the growing skeleton can literally shape a child’s life. “Obese children become obese adults,” he said.

In many areas of the country, societal, economic, and cultural factors contribute to the increasing number of obese children, but, noted Dr. Frick, growth charts can be used to help differentiate between the big-boned, muscular child and the obese child.

He pointed out that obese children tend to have more fractures as well as conditions such as slipped capital femoral epiphysis (SCFE), Blount’s disease, and other medical complications and that their fractures are harder to treat and may require different implants.

Dr. Frick provided an example of a 4-year-old boy who weighed 112 pounds (Fig.1). The child had Blount’s disease with both varus and internal rotation deformities and required an oblique plane osteotomy—a “relatively large surgery for a biomechanical disorder.” He pointed out that flexible nailing may not be appropriate for children with femur fractures who weigh more than 100 pounds.

 

Fig. 1 This 4-year old boy, who weighed 112 lbs., required an oblique plane osteotomy to treat his Blount’s disease. Courtesy of Steven L. Frick, MD, and Nemours Children’s Hospital, Orlando, Fla.

Because tension accelerates and compression slows growth across the growth plate, progressive valgus or varus malalignment may develop in obese children. Left untreated, for example, Blount’s disease may lead to joint subluxation, end-stage arthrosis, and joint replacement before the age of 30 or 40.

“As physicians, we have an opportunity to do something, not only on a one-on-one basis with the patient before surgery, but also on a larger, public health basis,” said Dr. Frick. “As orthopaedic surgeons, we must remember that we are physicians for the whole patient. We need to educate all practitioners who treat children that knee pain equals hip pain. We need them to think about SCFE when an obese child complains of lower extremity pain. We need to talk to parents because most obesity isn’t due to endogenous causes such as Cushing syndrome but to exogenous causes, such as poor food choices and lack of exercise.”

The pediatric spine
Coming from the “biscuit and barbecue belt,” Jeffrey R. Sawyer, MD, who specializes in pediatric orthopaedics and spine surgery at the Campbell Clinic in Memphis, Tenn., noted that the pediatric obesity epidemic is worse in southern states and accounts for approximately 300,000 deaths each year.

Most studies on the impact of obesity in the pediatric spine focus on adolescent idiopathic scoliosis (AIS) patients. In one study on bracing, for example, obese patients had higher complication rates and lower success rates; the progression to surgery was almost double among overweight patients than among normal weight patients. “Bracing compliance for obese patients is difficult, as with any AIS patient,” said Dr. Sawyer, “and some centers see obesity as a contraindication for bracing.”

Results for AIS patients who are treated surgically are mixed. Although one study found “no differences,” a closer look at complications, noted Dr. Sawyer, showed that overweight patients had higher rates of implant failure, pseudarthrosis, and surgical revision. The increased weight on open growth plates may be one reason for a higher incidence of kyphosis among overweight AIS patients.

A recent study found that obese patients who underwent surgery for AIS had longer surgical times and greater blood loss than normal weight patients; they also had a higher risk of surgical site infections. “If we’re not using weight-based antibiotic dosing, we may be underdosing these patients,” he suggested.

Level 1 – A Three Part Treatment Plan For Oral Placement & Feeding Skill Development
Date: 23 & 24 April 2014 (Wed/Thu)
Speaker: Ms Renee Roy Hills

Learn why feeding is important to an Oral Placement Therapy Program as well as techniques to improve the oral phase of swallowing while reducing the risk of choking and gagging.

Click here to view the brochure for this course.

Oral Placement Therapy – Assessment & Program Planning
Date: 25 & 26 April 2014 (Fri/Sat)
Speaker: Ms Renee Roy Hills

Learn how to perform a comprehensive evaluation for clients with sensory, feeding &/or speech disorders following the principles of Sara Rosenfeld-Johnson’s hierarchical approach to oral-motor assessment & treatment using the
techniques learned in “A Three Part Treatment Plan to Oral Placement Therapy”.

Click here to view the brochure for this course.

Course Objectives
At the end of the seminar, participants will be able to:
1. To describe the features of commonly used diagnostic procedures such as X-ray & MRI
2. To describe the details of a normal result of X-ray & MRI
3. To describe the details of a pathologic result of an X-ray & MRI
4. To train the participants in spotting pathologic readings of an X-ray & MRI

Course Fee
A. Early Bird Rate: (on or before June 08, 2013)
Professionals – 950 Php
Students – 750 Php

B. Late Registration: (on or before June 25, 2013)
Professionals – 1, 350 Php
Students – 1, 050 Php

For more details, contact Rehab Trends via:
Mobile phone – +639178684353
Email – rehabtrends.inc@gmail.com
Facebook – http://www.facebook.com/events/157811457726850

Click here to view the course brochure.

Although brain concussions usually are caused by a blow to the head, they can also occur when the head and upper body are violently shaken. These injuries can cause a loss of consciousness, but most concussions do not. Because of this, some people have concussions and don’t realize it.

Brain concussions are very common, more particularly if you play a contact sport, such as football. But every incident of brain concussion injures your brain to some degree. This injury needs time and rest to heal properly. Luckily, most concussive traumatic brain injuries are mild, and people usually recover fully.

Symptoms

The signs and symptoms of a concussion can be subtle and may not be immediately apparent. Symptoms can last for days, weeks or even longer.

The most common symptoms after a concussive traumatic brain injury are headache, amnesia and confusion. The amnesia, which may or may not be preceded by a loss of consciousness, almost always involves the loss of memory of the impact that caused the concussion.

Common signs and symptoms of a brain concussion may include:

• Headache or a feeling of pressure in the head
• Temporary loss of consciousness
• Confusion or feeling as if in a fog
• Amnesia surrounding the traumatic event
• Dizziness or “seeing stars”
• Ringing in the ears
• Nausea or vomiting
• Slurred speech
• Fatigue

Some symptoms of concussions may be immediate or delayed in onset by hours or days after injury:

• Concentration and memory complaints
• Irritability and other personality changes
• Sensitivity to light and noise
• Sleep disturbances
• Psychological adjustment problems and depression
• Disorders of taste and smell
• Symptoms in children

Head trauma is very common in young children. But concussions can be difficult to recognize in infants and toddlers because they can’t readily communicate how they feel. Nonverbal clues of a concussion may include:

• Listlessness, tiring easily
• Irritability, crankiness
• Change in eating or sleeping patterns
• Lack of interest in favorite toys
• Loss of balance, unsteady walking

Risk Factors

Factors that may increase your risk of a concussion include:

• Participating in a high risk sport, such as football, hockey, soccer or other contact sport; the risk is further increased if there’s a lack of proper safety equipment and supervision
• Being involved in a motor vehicle collision
• Being a soldier involved in combat
• Being a victim of physical abuse
• Falling, especially in young children and older adults
• Having had a previous concussion

Complications

Potential complications of brain concussion include:

• Epilepsy. People who have had a concussion double their risk of developing epilepsy within the first five years after the injury.
• Cumulative effects of multiple brain injuries. Evidence exists indicating that people who have had multiple concussive brain injuries over the course of their lives may acquire lasting, and even progressive, cognitive impairment that limits functional ability.
• Second impact syndrome. Sometimes, experiencing a second concussion before signs and symptoms of a first concussion have resolved may result in rapid and typically fatal brain swelling. After a concussion, the levels of brain chemicals are altered. It usually takes about a week for these levels to stabilize again. However, the time it takes to recover from a concussion is variable, and it is important for athletes never to return to sports while they’re still experiencing signs and symptoms of concussion.

Diagnosis

If a blow to the head, neck or upper body has caused symptoms such as a headache, dizziness, nausea or loss of consciousness, you’ve had a concussion. Signs and symptoms of these injuries may not appear until hours or days after the injury. Brain imaging may be required to determine whether the injury is severe and has caused bleeding or swelling in the skull.

Tests that the doctor may perform or recommend include:

Neurological exam
After the doctor asks detailed questions about the injury, he or she may perform a neurological exam. This evaluation includes checking the:

• Memory and concentration
• Vision
• Hearing
• Strength and sensation
• Balance
• Coordination
• Reflexes

Imaging tests
A cranial computerized tomography (CT) scan is the standard test to assess the brain right after injury. A CT scanner takes multiple cross-sectional X-rays and combines all the resulting images to produce detailed, two-dimensional images of the patient’s skull and brain. During the procedure, the patient lie still on a table that slides through a large, doughnut-shaped X-ray machine. The scan is painless and generally takes less than 10 minutes.

Brain imaging isn’t always required after a concussive traumatic brain injury. The patients will more likely to need a scan if they:

• Are an older adult
• Fell from a height of more than 3 feet (1 meter)
• Were hit by a car or ejected from your car seat in a motor vehicle accident
• Are under the influence of alcohol or drugs
• Are unable to recall the accident for at least 30 minutes after it occurred
• Have persistent trouble with short-term memory — that is, retaining new information — after you’ve completely regained consciousness
• Vomited multiple times
• Had a seizure
• Suffered bruises, scrapes or cuts on your head and neck
• Are confused or have any other neurological symptoms, especially if the symptoms are getting worse

A new study shows that the number of adults under 55 who suffered a stroke climbed significantly over the past decade. The findings suggest many adults may want to start monitoring their heart health at earlier ages.

Researchers reviewed a database of 1.3 million adults living in the Greater Cincinnati/Northern Kentucky regions, looking to see the number of adults who suffered strokes between 1993 and 1994, and the 1999 and 2005 calendar years. They looked specifically at adults between the ages of 20 and 54, to see how stroke trends changed among this age group over the course of the study.

They found the average age people suffered a stroke fell from 71 between 1993-1994 to age 69 during 2005. A closer look showed that 13 percent of stroke sufferers were adults ages 20-54 during 1993-1994, but that number shot up to 19 percent for that age group during the 2005 calendar year.

The study also found the stroke rate in young adults increased in African-Americans from 83 strokes per 100,000 people in 1993-94 to 128 strokes per 100,000 in 2005. In Caucasians, the stroke rate climbed from 26 strokes per 100,000 people in 1993-94 to 48 per 100,000 in 2005.

“The reasons for this trend could be a rise in risk factors such as diabetes, obesity and high cholesterol,” study author Dr. Brett Kissela, a professor of neurology at the University of Cincinnati College of Medicine in Ohio, said in a written statement. He also said that increased use of MRI machines has led to better diagnosis of strokes. “Regardless, the rising trend found in our study is of great concern for public health,” he noted.

“If patients start having their strokes younger, they will be left with many more years of having disability,” Dr. Aviva Lubin, director of the stroke division at Lenox Hill Hospital in New York City who was not involved in the study, told CBS News.

The researchers say modifying potential risk factors for stroke could curb risk among younger adults. Risk for stroke can be increased by high blood pressure, cigarette smoking, high cholesterol, diabetes, being overweight and obese, physical inactivity, heavy drinking and illicit drug use, according to The Mayo Clinic.

“The good news is that some of the possible contributing factors to these strokes can be modified with lifestyle changes, such as diet and exercise,” said Kissela. “However, given the increase in stroke among those younger than 55, younger adults should see a doctor regularly to monitor their overall health and risk for stroke and heart disease.”

Stroke is the fourth-leading cause of death in the United States, taking 137 ,000 lives each year. About 795,000 Americans will suffer a new or recurrent stroke in 2012, according to the American Stroke Association – about one stroke every 40 seconds.

According to the association, people should call 911 immediately at any signs of a stroke. Signs include the face drooping on one side, one arm drifting downward when trying to raise both, and slurred or strange speech.

Source: CBSNews

Also known as Forestier’s disease, diffuse idiopathic skeletal hyperostosis causes stiffness in your upper back and may also affect your neck and lower back. Some people experience diffuse idiopathic skeletal hyperostosis beyond the spine in areas such as their heels, ankles, knees, hips, shoulders, elbows and hands.

Diffuse idiopathic skeletal hyperostosis often causes no symptoms, though stiffness and pain along affected ligaments can occur. You may not need treatment for diffuse idiopathic skeletal hyperostosis if you don’t have symptoms, though physical therapy may help you maintain range of motion in your affected joints.

Diffuse idiopathic skeletal hyperostosis (DISH) facts

• DISH is characterized by unique, flowing calcification along the sides of the contiguous vertebrae of the spine.
• Symptoms of DISH include intermittent pains and stiffness in the areas of the bony changes of the spine and inflamed tendons.
• DISH is diagnosed when the characteristic flowing calcifications are detected with images of the spine, such as in plain film X-ray methods.
• Nonsteroidal anti-inflammatory medications (NSAIDs) can be helpful in both relieving pain and inflammation of DISH.

Signs and Symptoms

The signs and symptoms you experience depend on which part of your body is affected by diffuse idiopathic skeletal hyperostosis. The upper portion of your back (thoracic spine) is most commonly affected. Signs and symptoms may include:

• Stiffness. Stiffness may be most noticeable in the morning.
• Pain. You may feel pain when someone presses on the affected area. Not everyone with diffuse idiopathic skeletal hyperostosis experiences pain.
• Loss of range of motion. Loss of lateral range of motion may be most noticeable. You flex your spine laterally when you do side stretches, for example.
• Difficulty swallowing or a hoarse voice. You may experience these symptoms if you have diffuse idiopathic skeletal hyperostosis in your neck (cervical spine).

When to see a doctor
Make an appointment with your doctor if you have persistent pain or stiffness in any joint or in your back.

Common Risk Factors

It isn’t clear what causes diffuse idiopathic skeletal hyperostosis, but doctors have some idea of what can increase your risk of the condition. Risk factors include:

Certain medications. Long-term use of medications called retinoids, such as isotretinoin (Accutane, others), that are similar to vitamin A can increase your risk of diffuse idiopathic skeletal hyperostosis. It isn’t clear whether high intake of vitamin A increases your risk, however.

• Sex. Men are much more likely to develop diffuse idiopathic skeletal hyperostosis.
• Older age. Diffuse idiopathic skeletal hyperostosis is most common in older adults, especially in people older than 50.
• Diabetes and other conditions. People with type 2 diabetes may be more likely to develop diffuse idiopathic skeletal hyperostosis than are those who don’t have diabetes. Other conditions that may raise insulin levels in your body may also increase your risk, including hyperinsulinemia, prediabetes and obesity.

Complications

People with diffuse idiopathic skeletal hyperostosis are at risk of certain complications, such as:

• Disability. Loss of range of motion in the affected joint can make it difficult to use that joint. For instance, diffuse idiopathic skeletal hyperostosis in your shoulder can make it difficult and painful to use your arm.
• Difficulty swallowing. Bone spurs associated with diffuse idiopathic skeletal hyperostosis in the neck (cervical spine) can put pressure on your esophagus, making it difficult to swallow. The pressure from bone spurs can also cause a hoarse voice or difficulty breathing while you’re asleep (sleep apnea). In rare circumstances this can become serious and may require surgery to remove the bone spurs.
• Paralysis. Diffuse idiopathic skeletal hyperostosis that affects the ligament running up the outside of your spine (posterior longitudinal ligament) can put pressure on your spinal cord. Spinal cord compression may result in a loss of feeling and paralysis.

Complications

If you have signs and symptoms common to diffuse idiopathic skeletal hyperostosis, make an appointment with your family doctor or a general practitioner. After an initial evaluation, your doctor may refer you to a specialist such as a rheumatologist, physiatrist, orthopedic surgeon or neurologist.

Because appointments can be brief, and there’s often a lot of ground to cover, it’s a good idea to be well prepared for your appointment. Here’s some information to help you get ready for your appointment, and what to expect from your doctor.

Preparing for your Appointment

What you can do

• Write down any symptoms you’ve been experiencing, and for how long.
• Write down your key medical information, including any other conditions with which you’ve been diagnosed as well as the names of all medications, vitamins or supplements that you’re taking.
• Write down any possible causes of injury to the affected area.
• Write down questions to ask your doctor.

Preparing a list of questions ahead of time will help you make the most of your appointment. For diffuse idiopathic skeletal hyperostosis, some basic questions to ask your doctor include:

• What’s the most likely cause of my symptoms?
• Are there any other possible causes for my symptoms?
• What tests do I need?
• Which treatment approach do you recommend?
• What self-care steps can help me manage this condition?
• Do I need to follow any activity restrictions?
• How often will you see me for follow-up visits?
• If the first treatment approach doesn’t work, what will you recommend next?
• I have these other health conditions. How can I best manage them together?
• Are there any brochures or other printed material that I can take home with me? What Web sites do you recommend visiting?

In addition to the questions that you’ve prepared to ask your doctor, don’t hesitate to ask questions during your appointment at any time that you don’t understand something.

What to expect from your doctor

A doctor who sees you for signs and symptoms common to diffuse idiopathic skeletal hyperostosis is likely to ask you a number of questions, including:

• What are your symptoms, and when did you first notice them?
• Have your symptoms gotten worse over time?
• Are your symptoms worse in the morning?
• Do you have any difficulty moving the affected joint?
• Do your symptoms include difficulty swallowing?
• What, if anything, seems to improve your symptoms?
• Have you been diagnosed with any other medical conditions?
• What medications are you currently taking, including prescription and over-the-counter drugs as well as vitamins and supplements?
• Have you previously taken any long-term, prescribed medications, such as for acne or other skin conditions?
• Have you ever had an accident or injury that might have caused trauma to the affected area?

What you can do in the meantime

If you’re in pain, try applying heating pads or cold packs. Over-the-counter pain relievers also may help. Acetaminophen (Tylenol, others) or nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin, others) or naproxen (Aleve, others), may work well. But avoid NSAIDs if you have a history of allergy to these medications or a history of gastrointestinal bleeding.

Tests and Diagnosis

To determine whether you have diffuse idiopathic skeletal hyperostosis, your doctor may begin with a physical examination. He or she will press lightly on your spine and joints to feel for abnormalities. Any pain you experience from the pressure on your spine may be a clue to the diagnosis. Diffuse idiopathic skeletal hyperostosis may cause pain at the point where the affected tendon or ligament attaches to a bone. Your doctor may be able to detect bone spurs.

Your doctor also will order imaging tests to help with the diagnosis. Tests that may be used include:

• X-rays. Your doctor will order X-rays to confirm a diagnosis of diffuse idiopathic skeletal hyperostosis.
• X-rays may show calcification along the bones that make up your spine (vertebrae). The calcification has a distinct appearance that doctors sometimes refer to as cascading or flowing. Some compare the appearance to that of candle wax dripping and oozing down your spine.
• Computerized tomography (CT) and magnetic resonance imaging (MRI). These tests can rule out conditions that may cause similar signs and symptoms, such as ankylosing spondylitis.

Lifestyle and Home Remedies

To help you manage any pain and stiffness you experience with diffuse idiopathic skeletal hyperostosis, try these self-care measures:

• Exercise regularly. Regular aerobic exercise, such as walking or swimming, can increase your endurance, keep your body more nimble and help you cope with diffuse idiopathic skeletal hyperostosis. Talk with your doctor before you start an exercise program.
• Apply heat. Use a heating pad on areas of your body that are affected by diffuse idiopathic skeletal hyperostosis to reduce pain. Set the heating pad at a low setting so that it’s warm, not hot, to reduce the risk of burns.
• Apply cold packs. For some people, cold packs relieve pain more effectively than heating pads. Alternating heat and cold can be effective for others.

Source: MayoClinic

It is a water workout that is good for your heart and easy on your joints. Aqua Aerobic is a low-impact aquatic bodywork that combines a variety of exercises in thermal water:

• Walking or running backward and forward, along with various limbs movements.
• The Aqua Aerobic exercise may also incorporate equipment such as flotation devices.
• Submersion in water to the neck depth increases cardiac output, 32% at rest, making water exercise aerobically efficient.

Exercise in thermal water can help in a number of ways:

• Begin to restore lost function in some people
• Improve sleep
• Releases endorphins – natural painkillers and mood lifting substances
• Relieve depression
• Raise pain threshold – better tolerate pain
• Help losing weight

Low impact Aqua Aerobic exercise has been found to be very beneficial.

• The cardiovascular training involved with aerobic exercise has been shown to significantly reduce the degree of pain and stiffness experienced by sufferers.
• Submersion in water to the neck depth increases cardiac output, 32% at rest. Therefore water exercise is aerobically efficient. In fact, it may be the ideal cardiovascular conditioning medium.
• Water makes the body weightless and so any form of swimming or aerobic activity in water greatly benefits people with painful muscles and joints.

This non-impact form of exercise takes all of the strain off the joints meaning that for a time they don’t have to bear the weight of the body. This is perfect for Fibromyalgia sufferers with very tender body areas who get excruciating waves of pain with every jolt.

We combine a variety of Aqua Aerobic exercise: walking or running backward and forward, along with various limb movements.

• You will have warm ups, stretching and cool downs.
• You will receive a really easy and good exercise that will leave you energetic and feeling wonderful.
• The Aqua Aerobic exercise also may incorporate equipment such as flotation devices.

In addition to the standard benefits of any exercise, the use of water in aqua aerobics supports the body and reduces the risk of muscle or joint injury.

• The mitigation of gravity by flotation stretching can allow a greater range of motion.
• The mitigation of gravity also makes aqua aerobics safe for any individual able to keep their head out of water.
• Exercise in water can also prevent overheating through continuous cooling of the body.

Aquatic activities in general expend more energy than many land-based activities performed at the same pace due to the increased resistance of water, the speed with which movements can be performed is greatly reduced.

• Aqua aerobic exercise is the easiest workout.
• Body temperature water can be very comforting.
• The exercise gets blood flow to muscles and tendons.
• In the water, your joints are not being stressed during exercise.
• Water offers resistance, which helps muscles get stronger.
• You don’t need to know how to swim for an Aqua Aerobic exercise session.
• The natural buoyancy of water helps you move so you can do exercises that would otherwise be painful.

Low impact Aqua Aerobic exercises don’t make you feel so sore and drained of energy like high impact aerobics do. Some parts of the low impact water aerobics are very similar to other programs.

If done correctly low impact Aqua Aerobic exercise can be very beneficial. They will help your body burn calories and help you to lose weight and feel better. They are much easier to perform and help to improve the cardiovascular muscles.

These bodywork exercises are done in chest deep water and really do help to strengthen your muscles. Your muscles will become more flexible while you are building up their strength. The resistance that the water provides helps out in this area but does not put pressure on your body that can cause you to become sore.

Source: Aqua4Balance

Driving is a complex task involving physical, cognitive, visual and psychosocial skills. For an aging population, any loss of function in these areas can pose a risk to community safety as well as individual well-being.

Pearson Clinical invites you to attend our complimentary webinar, providing information and insights on factors health professionals should look out for when assessing fitness to drive.

If you are an Occupational Therapist and/or work with adults in aged care, rehabilitation, or where cognitive ability may be in question, please join this webinar to learn more.

Presented by Lynnette Kay and Beth Cheal, this webinar will cover:

• Common medical conditions affecting cognition and the potential impact on driving
• Identifying but not over-identifying ‘at risk’ drivers (sensitivity and specificity)
• A critical review of cognitive screening tests
• Licensing policies & procedures / medico-legal implications (what to do with results of testing / implications / when to refer on and how)
• Case studies

Click here to register for this free webinar

Speaker
Mr. Jung Sun Hong, PT, MPH
Vice Chairman, Asian Bobath Pediatric Instructors Association
Former Vice Director, Bobath Children’s Hospital, Bundang, South Korea

Fees
Limited slots only!
250 US Dollars (or the equivalent in Philippine Pesos)
Reservation fee of 50% must be deposited by September 2, 2012
Full payment must be made by September 20, 2012

For reservations, please send your name and contact number to bobath_philippines@yahoo.com. Due to the limited slots, priority is given to those currently working with kids with cerebral palsy so please include current work information and also of previous seminars/trainings attended related to the management of the child with cerebral palsy.

You may also contact Bobath Philippines at:
Landline – +63 2 6310492
Mobile – +63 917 8065301