Course Sponsor: Cascade Dafo, Inc. Address: 1360 Sunset Avenue Ferndale, WA 98248 Contact: Lauren Fritzen Business Development and Education Resources Telephone: 800.848.7332 ext. 285 Fax: 360.384.4558 Email: laurenf@dafo.com Name/Title of Program Using DAFOs in Treatment Plans for Patients with Cerebral Palsy Includes: Lesson 1: Using DAFOs in Treatment Plans for Patients with Cerebral Palsy (concludes with a quiz)

Lesson 2: Using DAFOs in Treatment Plans for Patients with Cerebral Palsy (concludes with a quiz) Final Test **This course may be reviewed by visiting www.cascadeinstitute.com. To access the course, register as a new user and complete the available lessons in “Using DAFOs in Treatment Plans for Patients with Cerebral Palsy”** Intended Audience This course is designed for practitioners who work with pediatric patients in need of lower extremity orthotic solutions. It is open to all members of the clinical team – including orthotists, physiotherapists, and physicians. Special emphasis on treating patients with cerebral palsy. Course Content Lesson 1 (approximately one hour in length, concludes with a quiz)

Part 1:

Intro and what makes bracing patients with CP so challenging

Brace planning for patients with CP— Bracing goals o Correct foot position

Three “check for understanding” questions

Part 2:

Bracing goals continued

o Increase range of motion

o Decrease spasticity

o Improve base of support

o Improve functional alignment

o Decrease energy expenditure

Two “check for understanding” questions

Part 3:

Applying bracing goals in a case study

When it’s time to look at other interventions

Building the professional medical team

Brace planning post- intervention

One “check for understanding” question

Lesson 2 (approximately one hour in length, concludes with a quiz) Part 4:

Detailed facts and information about CP

Understanding the motor disorders of CP

Classification of CP

Spasticity vs. Dystonia

Three “check for understanding” questions

Part 5:

Gross motor function classification system

Big-picture goals —how can we help them?

o Basic health concerns

o Stand them up and get them moving

o Using assistive technology

Medical and surgical interventions to manage movement

Three “check for understanding” questions

Concludes with Final Test, taking approximately 15 minutes. Learning Outcomes Upon completion of this course, participants will:

Know about the common challenges of bracing patients with CP.

Know the most common bracing goals for many patients with CP and how to plan braces accordingly.

Know when to suggest that a patient consult for surgical or neurological interventions to increase

range of motion.

o Botox

o Heel cord release

o Selective dorsal rhizotomy

o Muscle fascia release

o Serial casting

Learn to develop relationships with other medical professionals who become part of the patient’s care

team.

Learn to plan bracing that will support a patient who is undergoing surgical or neurological

interventions to maintain gained range of motion.

Be able to identify when bracing solution reassessment is appropriate after the intervention.

Learn more about CP and its associated sensory, cognitive, behavioral, and general health

impairments.

Know the difference between the motor disorders associated with patients with CP.

Know the different ways to classify patients with cerebral palsy:

o Diplegia, hemiplegia, quadriplegia

o Tardieu scale

o Gross motor function classification system

Understand the big-picture goals for helping patients with CP:

o Start with the basics:

Nutrition

Sleep

Prevent and treat pain

Vision and hearing

Communication

o Stand them up and get them moving

o Use assistive technology

Speaker Qualifications Keith Smith Keith M. Smith CO, LO, FAAOP is a practicing orthotist at the Orthotic and Prosthetic Lab, Inc. in St. Louis, Missouri, where he attends numerous clinics that range from pediatrics with idiopathic scoliosis, cerebral palsy, CVA, TBI, SCI, spina bifida and spasticity, as well as adults with neurologic involvement. Keith works with patients from head to toe by measuring, designing and fitting all orthosis, from foot orthoses all the way up to HALOs.

Keith participated and published with the Academy’s first State of the Science Conference on the Orthotic Treatment of Idiopathic Scoliosis and Scheuermann’s Kyphosis. He has been actively involved in research in

the field, publishing numerous times with the Journal of Prosthetics and Orthotics as well as lecturing all over the U.S. and internationally, including numerous Academy, AOPA, ACPOC, AACPDM and BAPO meetings. Keith won the Thranhardt Honorarium at the Academy meeting in 2004 for his presentation on “A New Design for Scoliosis and its Coronal Plane Deviations.” In 2012, Keith was also awarded the Academy’s prestigious Clinical Creativity Award. Currently, Keith is also working with a committee within AOPA on the Best Clinical Practice Statement for the management of Stroke, and he also has designed the Apello scoliosis TLSO for Adolescent Idiopathic Scoliosis.

Keith served on the Academy of Orthotists and Prosthetists Board of Directors for six years and was President of the Academy from 2009-10.

Dr. Janice E. Brunstrom-Hernandez Janice E. Brunstrom-Hernandez, MD earned her Bachelor of Science degree in biology from Pacific Lutheran University in Tacoma, Washington, and her medical degree from the Medical College of Virginia at Virginia Commonwealth University in Richmond, Virginia. She completed her pediatric neurology training (1992) at St. Louis Children's Hospital and Barnes-Jewish Hospital. She went on to complete a post doctoral research fellowship in Developmental Neurobiology under the mentorship of Dr. Alan Pearlman MD before joining the faculty at Washington University School of Medicine in St. Louis, Missouri in 1995.

In June of 1998, Dr. Brunstrom-Hernandez founded the Pediatric Neurology Cerebral Palsy Center at St. Louis Children's Hospital and Washington University School of Medicine (a Center she directed until she moved to Texas in December of 2014). Under her leadership, the Cerebral Palsy Center has treated more than 2,000 patients from all over the United States and around the world. Dr. Brunstrom-Hernandez has also established several adaptive sports programs for her patients including martial arts, swimming and basketball.

Dr. Brunstrom-Hernandez is certified by the American Board of Psychiatry and Neurology. She is actively involved in clinical research. She was a member of the NIH Taskforce on Childhood Motor Disorders. She recently directed a large NICHD-Best Pharmaceuticals for Children Act multicenter study of oral baclofen for the treatment of spasticity in children with cerebral palsy. She is a steering committee member of the International Multidisciplinary Prevention and Cure Team for cerebral palsy (IMPACT for CP) established 2013, and a member of the Child Neurology Foundation board of directors.

Content Methodology Students may log in to take the course at any time. The course is a video recording of a live presentation, and each one-hour lesson features curriculum presented via audio, video, illustration and text. At the completion of each lesson, students take a quiz to assess their learning. At the conclusion of the course, students take a final test, which takes approximately 15 minutes. The course, quizzes and final test can be retaken multiple times. A copy of the final test questions is attached. Sponsor Program Evaluation Participants are encouraged to provide feedback and are given an opportunity to do so at the end of each lesson within the course. We also provide contact information for the Cascade Dafo Education Team so that participants can ask questions and contribute suggestions and comments.

Using DAFOs in Treatment Plans for Patients with Cerebral Palsy Final Test (11 questions)