Upper Limb Management of Children with CP (MACS Level 1-3)

Purpose

To develop Paediatric Occupational Therapists knowledge and skills in the assessment and treatment of upper limb with children with CP/neurological impairment (MACS level 1-3)

Learning Outcomes

Characteristics and prevalence of unilateral CP and effect on hand use and function

• Classification of manual ability; Medical and therapeutic approaches to upper limb management in children with neurological conditions. Evidence based practice review and interpretation; UL contracture development in children with CP; Partnership working to improve activity and participation

Spasticity/dystonia, medical /therapy, neural plasticity-medical management

• Medical management; Botulinum Toxin and Occupational Therapy; Assessment for upper limb Botulinum Toxin injection

Anatomy and Neuro orthopaedic examination of the upper limb

• Applied UL anatomy in relation to function, activity /participation achieving functional goals.

Appreciate the clinical reasoning when differentiating between therapeutic modalities

• Explore and consider options for implementing evidence based practice interventions; Upper Limb Treatment Tool/ Prevention Pathway - transitions throughout childhood; Early diagnosis and intervention

UL development in the first year of life

• Assessment of the UL and functional hand use in bimanual hand performance; Motor learning

Distributed models of care

• Task specific training in infants; Modified constraint induced movement therapy; Bimanual therapy, Goal directed therapy; Participation

Parental support, coaching and education

• Home therapy programmes, partnership working, managing expectations

Objective evaluation of outcomes of intervention

• Goal setting and treatment planning, Multidisciplinary team

Audience

For Occupational Therapists, band 6 and above, working with children with Hemiplegia MACS Level 1-3

Method

Face to face lecture with practical session

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