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SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION SANDTA SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER SANDTA NEC Chairperson: Dr Dorothy Russell 083 375 5058 [email protected] Vice Chairperson: Shelagh Hughes 084 6864571 s [email protected] Treasurer: Carol Brenner 083 2796443 [email protected] Secretary: Elisabeth Barry 083 3088373 [email protected] CPD Co-ordinator: Dr Dorothy Russell 083 375 5058 [email protected] Education Representative: Rina van der Walt [email protected] Branch Liaison: Andrea Fourie 0723686501 [email protected] Newsletter: Shelagh Hughes 084 6864571 s [email protected] Website: Shelley Broughton 082 4123310 [email protected] SANDTA OFFICE CONTACT DETAILS Lalique Smit Tel 051 436 8145 Fax 086 275 2869 Email [email protected] Website www.sandta.org.za CONTENTS SANDTA CONGRESS 2014......................................2 - INFORMATION AND REGISTRATION....................3 - REGISTRATION FORM..........................................5 - PRELIMINARY PROGRAMME................................6 - ACCOMMODATION & TRANSPORT ......................9 - POST CONGRESS WORKSHOP ..........................12 FEEDBACK: 4TH INTERNATIONAL CP CONFERENCE- GILLIAN SALOOJEE Why do children with spastic cerebral palsy develop muscle deformities?..........................13 WHO'S WHO: SANDTA HONORARY MEMBERS..........................15 SANDTA COURSES 2014.......................................20 - APPLICATION FORM............................................21 REMINDERS: - FINANCIAL ASSISTANCE - ADVERTISING VIA SANDTA - ADVERTISING SECOND HAND THERAPY EQUIPMENT ..........................................22 ONLINE CPD ARTICLES.........................................23 BRANCH CONTACTS & GENERAL INFORMATION..................................24

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SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION

SANDTA

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER

SANDTA NEC

Chairperson:Dr Dorothy Russell083 375 [email protected]

Vice Chairperson:Shelagh Hughes084 6864571s [email protected]

Treasurer:Carol Brenner 083 [email protected]

Secretary:Elisabeth Barry 083 [email protected]

CPD Co-ordinator:Dr Dorothy Russell083 375 [email protected]

Education Representative:Rina van der [email protected]

Branch Liaison:Andrea [email protected]

Newsletter:Shelagh Hughes084 6864571s [email protected]

Website:Shelley Broughton082 [email protected]

SANDTA OFFICE CONTACT DETAILSLalique SmitTel 051 436 8145Fax 086 275 2869Email [email protected] www.sandta.org.za

CONTENTS

SANDTA CONGRESS 2014......................................2- INFORMATION AND REGISTRATION....................3- REGISTRATION FORM..........................................5- PRELIMINARY PROGRAMME................................6- ACCOMMODATION & TRANSPORT......................9- POST CONGRESS WORKSHOP..........................12

FEEDBACK: 4TH INTERNATIONALCP CONFERENCE- GILLIAN SALOOJEEWhy do children with spastic cerebralpalsy develop muscle deformities?..........................13

WHO'S WHO:SANDTA HONORARY MEMBERS..........................15

SANDTA COURSES 2014.......................................20- APPLICATION FORM............................................21

REMINDERS:- FINANCIAL ASSISTANCE - ADVERTISING VIA SANDTA- ADVERTISING SECOND HANDTHERAPY EQUIPMENT..........................................22

ONLINE CPD ARTICLES.........................................23

BRANCH CONTACTS & GENERAL INFORMATION..................................24

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 2

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 3

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 4

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 5

PRELIMINARY SANDTA CONGRESS 2014 Programme

28 AUGUST 2014 DAY 1 (THURSDAY):

8 - 9:00: Registration9 - 9:30: Official opening- Local Organising Committee9:30 - 10:45: (Keynote address) Rina Van Der Walt (ST)-

An informative update on recent clinical trends in management of eating and drinking disorders in children with CP

10:45 - 11:15 TEA

Room 1 Room 2 Room 3

11:15 – 11:45 Brenda Morrow - Ways to optimize neurodevelopmental outcomes of long term PICU patients

Nelleke Langerek– HIV encephalopathy (HIVE) and gait

Linda Wood -Caregiver strain and quality of life following single event multilevel surgery on the spastic diplegic child.

11:45-12:15Gillian Ferguson – Intervention

approaches for children with

DCD

Graham Fieggen – Selectivedorsal rhizotomy

Corneli Strydom- A symbol is notjust a symbol: Not all symbols are created equal

12:20-12:40 Rodger Mellvile – Intrathecal Baclofen in the Management of Spasticity

Janine Victor - The Role of Physiotherapy in theDisabled Child

Maryam Bodhanya - The prevalance of HIV positive adult patients with neurologically acquired communication disorders

12:40 -13:00 Tracey Bulmar – Developmental Profile of Children seen at a Neonatal Follow Up Clinic

Giselé Pieterse - Participation in young adults

Dorothy Russell – The impact of Developmental resource on thechildren with Down’s Syndrome

13:00 – 14:00 LUNCH

14:00 – 16:30 Workshops

One: Katy Caynes (ST) with Karien Marais (ST)- The Communication Toolbox for Bobath NDT therapists

Two: Sarah Foley (PT) – Outcome measures in clinical practice – a reality check

Three: Jacqui Couper (OT) - Prematurity

Four: Estelle Brown (PT) – The Dyskinetic CP

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 6

29 AUGUST 2014 - DAY 2 (FRIDAY):

Parallel SessionsRoom 1 Room 2 Room 3

8:30 – 9:00 Elsja Scheffler - Policy implementation in wheelchair service deliveryin a rural South African setting

Jo Wilmhurst – Approach to the optimal Management of children with neuroMuscular disorders in resource poor settings

Faith Bischoff - Assessment of Pain In Non-verbal children with CP.

9 – 9:30 Marlette Burger – Prechtl'sMethod on the QualitativeAssessment of General Movements in YoungInfants: A diagnostic tool for the early identificationof Cerebral Palsy.

Clare Thompson -Outcomes of prematureinfants

Tarryn Stevens – The Early Language Development of infantsexposed to ARVs in utero

9:30 -9:50 James Butler – Epilepsy Surgery

Viv Magisner _ The infant neuromotor assessment (INA). A screening test for high risk infants in a hospital or community setting

Roshaan Salie – Eight week group exercise program can improve the gross motor skills of children with DCD

9:50 – 10:10 Dr Raban –Nutrition ofpremature infants

Nina Strydom – Outcome measures

Nicole Whitehead - Intensive blocks of therapy - do they work? A review of children seen by the Malamulele Onward Team.

10:10 – 10:35 TEA

10:35 – 11:20 Sarah Foley- Treadmill training: What, why, how and for who?

11-20 – 12:15 Katy Caynes- The Functional Communication Classification System (FCCS): Development and Application

12:15 – 13:00 SANDTA AGM

13:00 – 14:00 LUNCH

14:00 – 16:30 Workshops

One: Katy Caynes (ST) with Karien Marais (ST)- The Communication Toolbox for Bobath NDT therapists

Two: Mush Perrins (OT)- The interface between SI and NDT with a toddler

Three: Gillian Saloojee (PT) - Dyskinesia

Four: Elsje Scheffler (PT) – An Appropriate Wheelchair

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 7

30 AUGUST 2014 - DAY 3 (SATURDAY):

Parallel SessionsRoom 1 Room 2 Room 3

8:30 – 9:00 Joanne Potterton - Ann Bullen - Clinician to researcher-writer: applyingevidence in rehabilitationpractice and generating practice-based evidence

Faith Bischoff - Taking the Evidence Road

9-– 9:30 Quinette Louw – Currents trends in the VICON gait lab in CP gait and Surgery

Elsje Scheffler – The health care access inGugulethu

Christa Scholtz – Vision in CP

9:30 -9:50 Marianne Unger – Translational research

Kath Megaw – Cerebral Palsy nutrition

Zelda Mycroft - Experiences ofBeing a mother with a child with CP

9:50 – 10:10 Karien Marais – The use of the PROMPT technique to facilitate speech production in a child CP – a case study

Gillian Saloojee – Nqutu Outreach

Zelda Mycroft

10: 10 -10:35 TEA

10:35 – 11:35: Sarah Foley: How much therapy is enough? A review of the KIDS plus model

11:35 – 12:00: Hillary Lane: New York Marathan

12:00 – 13:00: Katy Caynes: Love Eat Pray – Supporting family mealtimes

13:00 – 13:15 CLOSING CEREMONY

13:15 – 14:15 LUNCH

14:15 – 16:30 Workshops

One: Elsje Scheffler (PT) – Cushions and Modifications for Postural support

Two: Sarah Foley (PT) – Outcome measures in clinical practice – a reality check

Three: Rina Van Der Walt (ST) - Management of breathing disorders in people with CP in terms of quality of life and speech production

Four: Corneli Strydom (ST)- Food as therapy: Diet modification to address feedingdisorders in young children with cerebral palsy.

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 8

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 9

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 10

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 11

SANDTA WESTERN CAPE PRESENTS:

POST CONFERENCE ONE DAY WORKSHOP

EARLY INTERVENTION FOR BABIES

Presented by Sarah Foley (PT) & Katy Caynes (ST)

Date and time: Sunday 31 August 2014 8:30am – 3pm

Venue: Vista Nova School, Milner Road, Rondebosch

Cost: R400 members; R450 non-members

CPD: 5 CEUs have been applied for

Preference will be given to those participants who attended the full 3 days of the National SANDTA Congress.

Please apply directly to [email protected] to be made only once you have received written acceptance

Early Intervention for Babies- One day Workshop: Programme8.30 Registration

9.00 Early Intervention for Babies (1.5 hrs) Sarah Foley (Senior ABNDTA/Bobath Tutor)

− Evidence for Early Intervention in Infants− What’s the Dose? – An Algorithm for providing services

10.30 Morning Tea (15 minutes)

10.45 Early Feeding & Communication (1.5 hrs)Katy Caynes (ABNDTA/Bobath Speech Pathology Tutor)

− Attachment & Bonding – Foundations for Communication Development− Critical Periods and Transitions in Eating and Drinking Development

Lunch (45 minutes)

13.00 Holistic Approach to Supporting Babies and Families (1.75 hrs)Sarah and Katy

− Holistic/Team approach to establishing Developmental Foundations− Examples of Family Goals and Baby Outcomes (video examples with conceptual model

to facilitate discussion)− Planning ahead – Toddler Lifestage, Kindy & Preschool Entry

14.45 Questions and Close

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 12

Feedback: 4th International CP Conference- Italy, October 2012

Why do children with spastic cerebral palsy (CP) develop muscledeformities?

By Dr Gillian Saloojee

Way back in May last year, I promised to tell you more about the International CP Conference Iattended in Pisa in October 2012. I would like to thank you, the newsletter readers, as well asShelagh Hughes, for your patience in waiting for me to fulfil this promise.

In this feedback, I would like to tell you about skeletal muscle and the development of deformityin children with cerebral palsy. It is a long time since I have looked at muscle physiology andmuscle growth and I realize how little attention I pay to this when teaching. This symposiumwas presented by two very dynamic experts from the UK – Martin Gough and Adam Shortlandfrom the One Small Step Gait Analysis Laboratory at Guy’s Hospital in the UK.

The bottom line is that muscular deformities in children with CP is complex and involves anumber of interactive factors – growth, loading, adaptation, endocrine, nutritional and neuronal.

An understanding of normal (or typical) muscle growth and development is a useful startingpoint. Skeletal muscle growth appears to be influenced by neuronal, endocrinal, nutritional andmechanical factors. It involves a balance between the development of contractile andnon-contractile elements.

Muscle fibres exist in a three-dimensional connective tissue framework which provides support,allows the transmission of force and monitors muscle activity levels. There is a strong linkbetween muscle function and muscle metabolism (e.g. immobilization reduces protein synthesisi.e. stretch without active contraction does not result in protein synthesis). In a rat it is has beenshown that repeated passive stretching of the soleus leads to muscle atrophy! Muscle growthand function are strongly influenced by neuronal activation. If a muscle is not innervated,muscle volume and cross-sectional area decreases whilst muscle fat content increases.

Muscle fibres do not only grow in length, they also grow in diameter. In some muscles, such asgastrocnemius, the longitudinal fibre growth accounts for only 20% of the longitudinal growth ofthe muscle belly whilst the increase in the diameter of the muscle fibres contributes to theremaining 80%.

But it is not just the contractile elements (ie the muscle fibres themselves) that need to beunderstood – development of the contractile element is accompanied by the development of theconnective tissue framework and by the organized arrangement of the muscle fibres within themuscle.

Take home message here is that typical muscle fibre development and growth reflects theinterplay between neuronal, nutritional and hormonal factors together with the initial andsubsequent pattern of muscle use. Muscle fibre diameter is as important, if not more importantthan muscle fibre length.

What are the changes seen in children with CP?Muscle deformity in children with spastic CP is related primarily to an impairment of musclegrowth as well as adaptive changes to chronic overload. It is not just muscle fibre size that is

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 13

different in spastic muscles, but more importantly there is a reduced muscle fibre diameterleading to reduced size and volume of spastic muscles. Basically, spastic muscles are smallerthan typical muscles and have a greater component of connective tissue or fat.

The muscles of children with spastic or hypertonic CP are weak because of impaired muscleactivation and co-contraction of antagonist muscles and they also may have prolongedactivation and relaxation times. In addition, they have a higher collagen and fat content whencompared to typically developing muscles. The increased collagen content makes the musclesstiffer whilst the sarcomere lengths are increased at rest, especially when there is an increasingdeformity and decreasing function.

The main cause of impaired muscle growth is likely to be the impaired development of muscleinnervation postnatally. The development of tonic activation is necessary to promote thedevelopment of slow muscle fibres which are essential to the development of posture andambulation.

What this all means is that the adaptive changes in the muscle of children with CP reflect acombination of altered development and altered loading. Loading, especially eccentric loading,may lead to an enhancement of the connective tissue network of a muscle and possiblesuppression of muscle fibre growth. Altered loading leads to muscle injury resulting in fibrosisand the replacement of muscles fibres by fat.

Gough and Shortland thus postulate that overuse may be the main cause of fibrosis and fattychange in the muscles of ambulant children (think of the diplegics and hemiplegis who walk ontheir toes) whilst reduced innervation may be more important in non-ambulant children. So thequestion posed to the audience was – are children damaging their gastrocs by walking on theirtoes (because of repeated eccentric muscle action and loading)?

What about intervention? • Studies in mice have shown that bo tox reduces the growth of muscle fibres and

promotes fibrosis or fatty change within the muscle. Bo Tox may also adversely affectthe metabolic capacity of the muscle.

• Immobilisation or prolonged stretch of muscle may suppress muscle proteinsynthesis and promote the atrophy of muscle fibres.

• There is evidence that muscle strengthening improves gastrocnemius muscle volumein children with CP and may also influence the oxidative metabolic capacity of themuscle. There is little evidence that strengthening has any effect on function.

• Surgery to lengthen a tendon may allow sarcomeres to work at an optimal length, but ifthe underlying muscle growth is impaired, as it is in CP, then the deformity is likely torecur.

In summary then, there has been a shift in thinking regarding muscle deformities in childrenwith CP – from the view that it results from a reduced stretch (or resistance to passive stretch)related to spasticity to the concept that it is most likely the result of a combination of impairedmuscle growth and the subsequent altered muscle adaptation. This then implies that we need tofind ways to make skeletal muscles grow and function more effectively. As Gough and Shortlandpointed out, we are the custodians of the children as they get older and become adults - asthey grow, their muscles do not get longer. For me, this reinforced the view that the facilitation ofactive movement i.e. making active movement possible remains key to our intervention asBobath / NDT therapists.

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 14

Who's who:

SANDTA Honorary Members

SANDTA is pleased to introduce our current Honorary Members. We thank them for the supportthat they have offered the Association and for their ongoing interest and involvement. It is safeto say that the Association would not be what it is today without them!

SANDTA Honorary Members

Estelle BrownHannah EvansPam Hansford

Sheena Irwin-CarruthersJean-Pierre Maes

Angela PuginStephanie Kemp

Eunice KonigMaryanne van der Velde

Jean­Pierre Maes (MCSP)

Consultant Neurodevelopmental PhysiotherapistNDT-Bobath Senior Tutor & Course LeaderHalliwick Senior LecturerDirector, MAES Therapy

Jean-Pierre Maes, Director of MAES Therapy is renowned internationally for his excellent clinical skills, mentoring of therapists and leading courses related to Cerebral Palsy and a variety of other neurodevelopmental conditions.

He is an experienced consultant physiotherapist with a special interest in movementdisorders.

He graduated as a physiotherapist in 1989 in Brussels and early in his career, hespecialised in the field of adult and child neurology. He is an international lecturer andalso leads MAES Therapy private practises for children with movement disorders.

Jean-Pierre is a Senior Halliwick Lecturer and is internationally recognised for his application of the Halliwick Concept (Hydrotherapy for people with disability) in a recreational and therapeutic context for children with neurological conditions.

He is a long-serving member of the Education and Research Committee of theInternational Halliwick Association (IHA).

For 7 years from 1991 to 1998 he worked first at the Belgian Bobath Society, then at theBelgium Bobath Centre, Brussels. For the next 15 years from 1998 to 2013 he wasbased at The Bobath Centre (London) as a Consultant NeurodevelopmentalPhysiotherapist, Senior Tutor and regular Course Leader. He continues his closerelationship with The Bobath Centre as an occasional Course Leader.

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 15

He has a specific interest in children and babies with Cerebral Palsy and neuromotordisabilities. Jean-Pierre is one of the most experienced international NDT-Bobath SeniorTutors, leading and teaching a variety of Basic, Refresher and Advanced Courses aboutthe NDT-Bobath Concept and treatment principles.

For over 20 years he has been teaching and treating in different cultures, having workednot only in London and the UK, but also having taught extensively worldwide, giving himunparalleled experience and insight into neuro-paediatrics.

During his private time, he enjoys the countryside, gardening, snowboarding, swimmingand horse riding.

Jean-Pierre Maes is a Member of:Chartered Society of Physiotherapy, UKHCPC – Health and Care Professions Council, UK

EBTA - European Bobath Tutor Association, SANDTA – South African Neurodevelopmental AssociationEACD - European Academy of Childhood Disability,International Halliwick Association (IHA)

For more information, visit his website: www.maestherapy.com

Movement Analysis & Education Strategies – M.A.E.S. Therapy

Stephanie Kemp

Profession: Physiotherapist

When and where you graduated with your primary degree:

University of Cape Town, 1963

When and with whome you completed your Basic NDT course:

1975 with Mrs Bobath as the Bobath Centre, Wellington, LondonSecond course becoming a tutor under Jenny Bryce, Bobath Centre, Hampstead, London, 1988- 1990

Other degrees or qualifications:

Roles you fulfilled or support you offered SANDTA:

Offered 10 x 8 week courses in South Africa in various under resourced areas until retirement in 2002

Where you live: Johannesburg

The organisation where you're currently working:

Retired

Other organistions or roles you fill as a therapist:

Family: Became a grandmother when Mahlasedi was born in October 2013

Other hobbies and interests:

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 16

Eunice Konig

Profession: Physiotherapist

When and where you graduated with your primary degree:

WITS Bsc. (Physiotherapy)

When and with whome you completed your Basic NDT course:

1977 with Sheena Irwin-Carruthers

Other degrees or qualifications: Diploma for Therapists in Special Education (Unisa)

Roles you fulfilled or support you offered SANDTA:

SANDTA Tutor (1994-2011) SANDTA Newsletter Editor (2005-2012)

Where you live and work: Worked and live in Cape Town, now retired. Courses taught in other provinces as well

The organisation where you're currently working:

Retired

Other organistions or roles you fill as a therapist:

Family: Husband, daughter and son & 3 grandchildren

Other hobbies and interests: Gardening, travel, reading, bird watcing, scrabble

Mary Anne van der VeldeProfession: Physiotherapist

When and where you graduated with your primary degree:

University of Witwatersrand: BSc (Physiotherapy), 1969

When and with whome you completed your Basic NDT course:

1) Basic Paediatric NDT : Dr M Hochleitner (Paed) + Frau Helmute Richard (Physio) + Frau Rosemarie Kaier (Physio) Universiteit Kinderklinik ,Innsbruck, Austria- 1972 (12 wks)2) Basic Paediatric NDT : Dr E Koeng (Paed) + Ms Mary Quinton (Physio); Berne, Switzerland- 1979 (12 wks) 3) Advanced NDT Baby Course : Dr E Koeng + Ms Mary Quinton Cape Town – 1978 (2 wks)4) I subsequently assisted on : a. Basic Paediatric Course and an Advanced Baby Course with Ms Mary Quinton at Johannesburg Hospital 1984 (10 wks + 3 wks) respectively b. Basic Paediatric Course with Joan Mohr at Forest Town

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 17

School for Cerebral Palsy Children, Joburg, 1985 (10 wks) c. Advanced Paediatric Refresher Course, Forest Town Johannesburg - 1996This qualified me to become a Co-ordinator Instructor for the Basic and Adv. Baby NDT Courses, making me the second NDT Instructor with Sheena Irwin- Carruthers in South Africa.5) I attended : a. Advanced NDT Refresher Courses - Lois Bly 1996 Paarl School, Western Cape. b. Advanced Baby Refresher Course in Slovenia 1996. c. Advanced NDT OT Refresher Course with Diane Fritts (USA) at Francis Vorweg School, Johannesburg 1994 d. Advanced Paediatric Refresher Course – Renee Leimgruber + Sheena Irwin-Carruthers at Vista Nova School, Cape Town 2000.

Other degrees or qualifications: 6) Attended Basic Counselling Skills workshops under Sharon Hochstadter7) Attended 2 Low Vision Workshops in Pretoria in 1989 + 1991(2 wks each)

Roles you fulfilled or support you offered SANDTA:

8) Presented several papers and Workshops on Physiotherapy for Visually Impaired Infants and young children, based on my NDT experience : a. International Congress for Visually Impaired Infants and Young Children Edinburgh, Scotland - 1988 b. Under the auspice of the Orientation and Mobility Centre Johannesburg for Mobility Instructors – 1988 +1989 c. South African Society of Physiotherapy Congresses d. NDT Congresses e. Pioneer School for Visually Impaired Children in Worcester9) Presented several Workshops and papers on Principles of Normal Development, Analysis of Normal Movement, Principles of Early Intervention on behalf of SANDTA10) Presented Basic Analysis of Normal Movement, Development and NDT approaches to facilitation for : a. Physiotherapy Undergraduate Students in 2nd, 3rd + 4th year (6 years) b. Occupational Therapy Post-graduate Students as part of their Masters Degrees (6 times)11) Presented 2 Basic Paediatric Courses as Course Co-ordinator Instructor a. Johannesburg Hospital 1986 b. Westrand School for Physiotherapy 1992I helped train 2 Physiotherapy NDT Co-ordinator Instructors.12) Presented Advanced Baby Courses as Course Co-ordinator a. New Hope School, Pretoria – 1990 b. Muriel Brand School, Brakpan 1991 c. Sunshine Centre, Craighall, Johannesburg 1995 d. Brown’s School Durban 199513) Presented Advanced Paediatric Refresher Courses as Course Co-Coordinator Instructor a. Johannesburg Hospital, 1985 b. Ezebilini School, Natalspruit , 1987 c. Eros School Cape Town, 1993 d. Martie Du Plessis School, 199314) Assisted SANDTA to organize and present Workshops on :

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 18

a. The first NDT National Congress at Forest Town School, Johannesburg - 1990 b. The SI – NDT Congress in Cape Town 1995 c. Presented Workshops on other NDT Congresses15) Helped to establish the Southern Transvaal SANDTA Branch in 1985, continued as a member for several years.16) Became a member of the SANDTA Educational Committee 1985 and the National Executive Committee of SANDTA in 1990. As a member of these Committees I was elected as SANDTA’s representative at South African Society of Physiotherapy. I took over Chairmanship of the Education Committee from Sheena Irwin-Carruthers in 1990 and continued until 200117) As Chairman of the Education Committee I instituted an annual combined training and sharing for all Instructors in South Africa.

Where you live: Johannesburg

The organisation where you're currently working:

I worked at: a. J G Strydom Hospital, Johannesburg b. Dundee Royal Infirmary in Scotland c. Children Rehabilitation Centre, Hermagor, Austria d. Forest Town School,Johannesburg e.Johannesburg Hospital in Paediatrics Department, (Where I helped establish and worked in the Centre for Visually Impaired Children) f. Sunshine Pre-school Centre, Craighall, Johannesburg g. My own Private Practice until I retired in June 2013

Other organistions or roles you fill as a therapist:

a. Orientation and Mobility School for the Visually Impaired Training teachers at Clamber Club in Normal Development. b. In-service training for the Nursing Staff in NICU on basic development and handling of very premature babies. c. I have worked closely with the South African Society of Physiotherapy d. Workshops for Mutiple Birth Association and Downs Association

Family: I am a Mother of one daughter, Son in Law and two grandchildren, I have 2 brothers and a sister. The 4 of us have10 children between us and then there are 22 children of the next generation.

Other hobbies and interests: I enjoy singing in our Church Choir, photography and bird watching. I love walking in the mountains.

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 19

SANDTA COURSES 2014

INTRODUCTION TO THE ASSESSMENT AND TREATMENT OF CHILDREN WITH CP

This is a five day course. The course was developed by the SANDTA – EducationSub-committee and certified by SANDTA.

Who should attend?The course is specifically targeted at community service therapists and newly qualifiedtherapists. However, it is open to any therapist or mid level worker who works with individualswith Cerebral Palsy and related conditions.

Course Aims This five day course focuses on a functional approach to the assessment, treatment andmanagement of children with Cerebral Palsy and related conditions based on the conceptualframework of the International Classification of Functioning (ICF) and the Bobath/NDTapproach.

FormatThis unique course is presented by a multidisciplinary team of SANDTA tutors. Lectures, clinicalpractical sessions, treatment demonstrations, group work, and videos.

CPD Accreditation SANDTA Education Committee has applied for 30 General CEU’s and 5 Ethical CEU’s.

Course FeeSouth African and Africa participants: R 2 650-00; International Participants: R 3 650-00

DATE, LOCATION AND COURSE LEADER:INTRO Course Venue

Date of course Course Leader Presenters Closing date for applications

Cape Town- Red Cross Hospital * FULL *

12-16 May 2014 Doris Mbuyu PT: Doris MbuyuOT: Ingrid VriendST: Karien Marais

15 March 2014

JohannesburgChildrens’ Memorial Institute * FULL *

26-30 May 2014 Dianne Zeller PT: Dianne ZellerOT: Ingrid VriendST: Naina Modi-Patel

15 March 2014

JohannesburgBaragwanath Hospital * FULL *

07 – 11 July 2014 Doris Mbuyu PT: Doris MbuyuOT: Christa ScholtzST: Naina Modi-Patel

08 May 2014

Pietermaritzburg- Edendale hospital

11-15 August 2014 Christa Scholtz PT: Estelle BrownOT: Christa ScholtzST: Rina van der Walt

11 June 2014

Port Elizabeth- Aurora 8-12 September 2014 Karien Marais PT: Estelle BrownOT: Christa ScholtzST: Karien Marais

8 July 2014

Bloemfontein 15 - 19 September 2014

Christa Scholtz PT: Estelle BrownOT: Christa ScholtzST: Rina van der Walt

8 July 2014

For more information contact:

Lalique Janse van Rensburg : Tel: 051 436 8145 , Email: [email protected]

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 20

Application form to attend an Introductory Course on the Assessment and Treatmentof Children with Cerebral Palsy and Related Conditions

Please complete the details:Surname: ______________________________ Name: ______________________________

Postal Address: ____ _______________________________________________________________________________________________________________________________________________________

Email address: ________________________________________________________________________

Work number: ____________________________________ Cell nr:_____________________________

Are you a member of SANDTA? Membership number: ___________________ __

CURRENT EMPLOYMENTInstitution / Hospital: __________________________________________ Town: ____________________

CP case load:__________________________________________________________________________

Profession: _____________________________ HPCSA: ______________________________________

Province: ____________________________________ Country:_________________________________

Your name as you want it printed on the certificate: (Please write clearly)_____________________________________________________________________________________

Please indicate for which Introductory Course you want to apply

INTRO CourseVenue

INTRO CourseCourse Code

Date of course Tick if Applicable

Cape Town INTRO C1 12-16 May 2014 * FULL *Johannesburg INTRO J1 26-30 May 2014 * FULL *Johannesburg INTRO J2 7-11 July 2014 * FULL *Pietermaritzburg INTRO P1 11-15 August 2014

Port Elizabeth INTRO PE1 8-12 September 2014Bloemfontein INTRO B1 15 - 19 September

2014

Thank you for your application, we will be contact in due course.

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 21

YES NO

Send completed form to Lalique van RensburgTel: 051 436 8145Fax: 086 275 2869Email: [email protected]: PO Box 13073Noordstad, Bloemfontein, 9305

Reminders:

Financial assistance offered to SANDTA members

SANDTA offers members the opportunity to apply for financial assistance for attending continuing professional development events (such as congresses and other national or international events associated with Bobath/NDT) or for funding towards research projects as a part of postgraduate degrees.

Deadlines for applications are the last Friday of February, May, August and November.The financial assistance application process can be found on www.sandta.org.za- 'Member's section'- 'Protocols and procedures'.

Advertising via SANDTA

For details of advertising via SANDTA please see www.sandta.org.za- 'Member's section'- 'Protocols and procedures' or contact [email protected].

There are the following options with the associated costs:

Advert Option Cost- Member Cost- Non-member NGOs & centres supporting CP

Advert posted on SANDTA website

R210 R315 R100

Advert as sms/email R265 R380 R155

Advert on website andsent as sms/email

R410 R620 R200

Advertising second hand therapy equipment

We would like to offer parents and therapists the opportunity to advertise second hand therapyequipment on our website. The idea is to create a platform for items for sale and items needed.

Therapy equipment should be in good working order and may not include AFOs and other itemsspecifically fitted for an individual.

There will be no cost for this service. The adverts will be posted on the SANDTA website butSANDTA will not act as an agent in the transfer of goods or money.

Contact: [email protected] if you are interested.

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 22

CPD articles on the SANDTA website

We encourage you to access the CPD articles available to SANDTA members on the website(www.sandta.org.za). By reading an article and answering the multiple choice questions you canearn 3 CPD points. New articles will be loaded soon can be accessed until the end of the year:

1) The bodily experience of apraxia in everyday activities: a phenomenological studyAuthor: Arntzen C & Elstad I (2013) Source: Disability Rehabilitation 35(1) 63-72

2) Intelligence assessment for children with cerebral palsy: a systematic review Author: Yin Foo R, Guppy M & Johnston LM (2013) Source: Developmental Medicine and child neurology, DOI 10.11111/dmcn. 12157

3) Functional strength training in child with cerebral palsy GMFCS IV: Case report Author: Dos Santos AN et al. (2012) Source: Development Neurorehabilitation 1-7

4) The accommodative process in children with cerebral palsy: different strategies to obtain clear vision at a short distance Author: Pansell T et al. (2013) Source: Developmental Medicine and Child Neurology, DOI 10.11111/dmcn. 12166 1-7

5) NeuroGame Therapy to improve wrist control in children with cerebral palsy: A case series Author: Rios DC et al. (2013) Source: Developmental Neurorehabilitation, informahealthcare.com.

6) Clinical tools to assess balance in children and adults with cerebral palsy: a systematic review Author: Saether R, Helbostad J, Riphagen I & Torstein V (2013) Source: Developmental Medicine and Child Neurology, DOI 10.11111/dmcn. 12162

7) Differences in habitual physical activity levels of young people with cerebral palsy and theirtypically developing peers: a systematic review Author: Stacey, L et al (2012) Source: Disability and Rehabilitation, Informahealthcare.com.

8) Predicting health related quality of life 6 months after stroke: the role of anxiety and upper limb dysfunction Author: Morris JH, van Wijck F, Joice S & Donaghy M (2013) Source: Disability and Rehabilitation (35, 4), 291-299

Online CPD ProcedureThe current set of eight academic articles are available until the end of December. The websitefeatures online submission of CPD article answers with instant scoring of your multiple choiceanswers. Each article is accredited with 3 CPD points.

Steps to follow:– Go to www.sandta.org.za – Go to the 'member's section' and log in with your SANDTA membership number and

password.– Select the CPD article by clicking the 'more' button associated with the article you wish

to access.– Download or open the article by clicking the 'view article' or 'download article' button. – Read the article. – Answer the articles questions displayed on that article's page and submit.Please ensure that your email address on your SANDTA website profile is correct.

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 23

SOUTH AFRICAN NEURODEVELOPMENTAL THERAPY ASSOCIATION NEWSLETTER 24

Newsletter deadline

Submissions for the newsletter must reach the editor by

30 July 2014

Please email submissions [email protected]

Contact details for all National SANDTA administration queries:email- [email protected] 051 436 8145fax- 051 436636fax to email: 086 275 2869

Please let the office know of any changes to your contact details. Kindly also send a copy to your local branch.

Members are reminded to log on towww.sandta.org.za to update your profile. This is a useful way of contacting other NDT professionals and making referrals. It also allows theassociation to communicate regularly with members.

Submissions for theSANDTA newsletter

To simplify editing please use Worddocuments or plain text

Paper size – A4.Font: Arial

Font size: Titles 14 pt.Body of document: 11 pt.

Any photos/pictures to be sentseparately from the text with a labelledtext box in the document at insertion

point.

BRANCH CONTACTS

SOUTHERN GAUTENGPam [email protected]

NORTHERN GAUTENGEsedra [email protected]

KWAZULU-NATALVanessa [email protected]

WESTERN CAPEBronwen [email protected]

EASTERN CAPESarita [email protected]

FREE STATEMarieta [email protected]

FREE STATE GOLDFIELDS(interest group)Rina van [email protected]