Pushing Pediatrics

By Sheila Madden and Sara Bellanca KarmanEducation Courses

Pushing Pediatrics episodes

November 10, 2023 Special Friday Episode: Practice test question with PCS Advantage!
Join Sheila and Sara, along with Helen Carey, PT, DHSc, PCS, and Jessica Lewis, PT, DPT, PCS as we come together to dissect a case-style question from the PCS Advantage Case-Based exam! This unique opportunity not only allows you to practice a question but also provides a glimpse into the incredible benefits the PCS Advantage program has to offer in terms of test preparation. In this episode, we delve into a comprehensive vignette featuring multiple questions, providing invaluable insights for all participants. Best of all, this episode is available to everyone!

Affiliate Codes:
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Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics
Medbridge Affiliate Code: PUSHINGPEDS
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Resources:
PCS Advantage: https://rehabknowledge.com/products/pcs-advantage/
Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.
20 min
November 07, 2023 Season 3: Osteogenesis Imperfecta and Neuromuscular Diseases (with a primary focus on DMD)
Join Sheila and Sara this week as they cover Osteogenesis Imperfecta and Neuromuscular Diseases (with a primary focus on DMD). We also touch on Becker MD, congenital MD, facioscapulohumeral muscular dystrophy, Myotonic dystrophy, Emery-Dreifuss MD and SMA. Please note, the content for SMA is from Campbell, but we recognize the quickly evolving presentation of that disease with the introduction of Spinraza and other medications. Please be mindful of this during the episode. Enjoy.
Affiliate Codes:
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Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics
Medbridge Affiliate Code: PUSHINGPEDS
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Resources:
Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.
51 min
October 31, 2023 Season 3: Torticollis, Cranial Deformity and Arthrogryposis
Boo! This week join Sheila and Sara as they cover torticollis, cranial deformity and arthrogryposis. They start off this episode with torticollis and cranial deformity. Last season, they did an entire episode covering the torticollis CPG. That was the most comprehensive episode we have done and we definitely feel that it covers the full depth of torticollis. The book chapter leans heavily on the CPG so a lot of this information will be repetitive with that, but that is ok! Repetition is good. They then move on to cover arthrogryposis through the life span.

Affiliate Codes:
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Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics
Medbridge Affiliate Code: PUSHINGPEDS
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Resources:
Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.
Kaplan, Sandra L. PT, DPT, PhD; Coulter, Colleen PT, DPT, PhD, PCS; Sargent, Barbara PT, PhD, PCS. Physical Therapy Management of Congenital Muscular Torticollis: A 2018 Evidence-Based Clinical Practice Guideline From the APTA Academy of Pediatric Physical Therapy. Pediatric Physical Therapy 30(4):p 240-290, October 2018. | DOI: 10.1097/PEP.0000000000000544
43 min
October 24, 2023 Season 3: Juvenile Idiopathic Arthritis (JIA) and Spinal Conditions
Join Sheila and Sara this week as they cover juvenile idiopathic arthritis (JIA) and spinal conditions.
Affiliate Codes:
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Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics
Medbridge Affiliate Code: PUSHINGPEDS
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Resources:
Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.
van Brussel M, van der Net J, Hulzebos E, Helders PJ, Takken T. The Utrecht approach to exercise in chronic childhood conditions: the decade in review. Pediatr Phys Ther. 2011 Spring;23(1):2-14. doi: 10.1097/PEP.0b013e318208cb22. PMID: 21304338.
https://pubmed.ncbi.nlm.nih.gov/21304338/
Cavallo, S., Brosseau, L., Toupin-April, K., Wells, G., Smith, C., Pugh, A., … & Bigford, S. (2017). Ottawa Panel Evidence-based Clinical Practice Guidelines For Structured Physical Activity In the Management Of Juvenile Idiopathic Arthritis. Archives of Physical Medicine and Rehabilitation, 5(98), 1018-1041.
https://doi.org/10.1016/j.apmr.2016.09.135
52 min
October 17, 2023 Season 3: Physical Fitness and Gait (with special guest Jessica Lewis, PT, DPT, PCS and gait lab expert)
Join Sheila and Sara this week as they first dive into the world of physical fitness in childhood. They are then joined by the incredible Jessica Lewis, PT, DPT, PCS, and gait lab expert, who will take you on a journey into the intricacies of gait. Get ready for a jam-packed episode filled with valuable information and gain invaluable insights into the world of gait!
Jessica Lewis, PT, DPT, is a developmental pediatric physical therapist and the biomechanical coordinator of the Honda Center for Gait and Motion Enhancement. She completed a post-doctoral pediatric residency program at The Ohio State University and she is a board-certified pediatric clinical specialist.

Affiliate Codes:
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Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics
Medbridge Affiliate Code: PUSHINGPEDS
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Resources:
PCS Advantage: https://rehabknowledge.com/products/pcs-advantage/

Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.

Hip Surveillance Guidelines:
https://www.aacpdm.org/publications/care-pathways/hip-surveillance-in-cerebral-palsy

Dias LS, Swaroop VT, de Angeli LRA, Larson JE, Rojas AM, Karakostas T. Myelomeningocele: a new functional classification. J Child Orthop. 2021 Feb 1;15(1):1-5. doi: 10.1302/1863-2548.15.200248. PMID: 33643452; PMCID: PMC7907765.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7907765/#:~:text=The%20four%20levels%20in%20this,walker%20to%20achieve%20some%20ambulation.
1 hr 6 min
October 10, 2023 Season 3: Motor Learning and Musculoskeletal Development in Pediatric Rehabilitation
Join Sheila and Sara this week as they explore the principles of motor learning and how they apply to pediatric rehabilitation. They discuss the importance of active learning and the contextual factors necessary for children to acquire age-appropriate skills. They discuss the two types of knowledge involved in motor skill acquisition, explicit and implicit, and the benefits of external focus instructions. They also emphasize the role of feedback in the motor learning process, highlighting the importance of addressing errors and providing guidance on critical components of performance. They discuss the optimal frequency of feedback and the value of random practice schedules for enhanced learning. Sheila and Sara then shift their focus to musculoskeletal development and adaptation. They explore the effects of immobilization, spasticity, and bone development on motor function. They also provide insights into the changes seen in lower extremity bone development as children grow, as well as the always confusing topics of hip torsion and version. Gain valuable insights and practical tips that will support your test-taking and clinical practice. Tune in now to enhance your understanding of motor learning and musculoskeletal development in pediatric rehabilitation!

Affiliate Codes:
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Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics
Medbridge Affiliate Code: PUSHINGPEDS
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Resources:
Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.
31 min
October 03, 2023 Season 3: Measuring Success: Exploring Outcome Measures and Motor Development in Pediatric Physical Therapy
In this episode of "Pushing Pediatrics," Sheila and Sara explore the critical role of standardized outcome measures in pediatric physical therapy. They discuss how these measures shape clinical decisions, including eligibility, intervention strategies, goals, and service intensity. The hosts emphasize the importance of understanding the purpose of testing and considering the goals of the child and their family when selecting appropriate outcome measures. They delve into the two critical types of standardized tests: norm-referenced and criterion-referenced, highlighting their differences and applications. Sheila and Sara also touch on psychometric properties, validity, and the importance of adhering to test administration guidelines. They provide insights into the use of outcome measures for screening, prediction, determining differences, and evaluating change. The hosts recommend utilizing the ICF model and the APTA fact sheet on outcome measures for comprehensive understanding. They then dive into motor development and control. They emphasize that the chapter is crucial for understanding foundational concepts. The hosts recommend reading the chapter in full and utilizing bonus content, such as videos and developmental milestones offered in the e-book version. They discuss various developmental theories, including neural-maturationist theory, cognitive-behavioral theory, cognitive: Piagetian theory, motor-learning theory, and dynamical systems theory. Sheila and Sara highlight the importance of internal and external factors in development and provide insights into postural control and reflexes. Listeners are encouraged to dive deeper into these concepts and refer to additional resources for a thorough grasp of the subject matter.
Affiliate Codes:
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Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics
Medbridge Affiliate Code: PUSHINGPEDS
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Don't let outdated research hold you back. Embrace the future of pediatric physical therapy with scite.ai. Sign up today and experience the power of evidence-based practice at your fingertips.
https://scite.ai/?=sheila
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Resources:
Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.
https://pediatricapta.org/includes/fact-sheets/pdfs/FactSheet_ListofPediatricAssessmentToolsCategorizedbyICFModel_2013.pdf
40 min
September 26, 2023 Season 3: Exploring the Foundations of Pediatric Physical Therapy Healthcare: Evidence-Based Decision Making, Social Determinants, and Equitable Care
In this enlightening episode of "Pushing Pediatrics," hosts Sheila and Sara delve into a wide range of crucial topics that form the bedrock of evidence-based pediatric healthcare. Join them as they explore the intricacies of evidence-based decision making, the PICO format, the 6S pyramid, the GRADE system, the ICF model, the bioecological framework of child development, the ecobiodevelopmental framework (EBD), social determinants of health, health equity and disparities, family-centered care, trauma-informed care, cultural competency, and the Knowledge to Action (KTA) cycle.
By tuning in to this episode, you will gain a comprehensive understanding of how to approach questions and dissect them effectively. Sheila and Sara provide invaluable insights into the importance of research evidence, child and family preferences, home and community factors, and practice knowledge in making informed decisions. They guide you through the process of formulating clinical questions using the PICO format, ensuring that you can gather knowledge efficiently.
The hosts also shed light on the 6S pyramid, which categorizes evidence based on its level of synthesis, and the GRADE system, which helps assess the quality of evidence in systematic reviews and clinical practice guidelines. With their guidance, you will learn how to navigate through the vast landscape of evidence and identify the most reliable sources.
Furthermore, Sheila and Sara introduce the ICF model, which takes a holistic approach to pediatric healthcare by considering the interplay between functioning and disability, as well as contextual factors. They illustrate how this model can be applied in a specific example, to provide comprehensive care that addresses the unique needs of each child.
The hosts also emphasize the significance of social determinants of health, health equity, and disparities in pediatric healthcare. They discuss the importance of family-centered care, trauma-informed care, and cultural competency in promoting inclusive and effective healthcare practices. By exploring these topics, you will gain a deeper understanding of the factors that influence health outcomes and learn how to provide equitable care to diverse populations.
To further enhance your knowledge, Sheila and Sara introduce the Knowledge to Action (KTA) cycle, a framework that facilitates the translation of research findings into practical action. They outline the steps involved in this cycle and provide a real-life example of how it can be applied to implement a new treatment method.
By the end of this episode, you will have a solid foundation in evidence-based decision making and a comprehensive understanding of the various frameworks and models that underpin pediatric healthcare. Join Sheila and Sara as they equip you with the tools and knowledge necessary to dissect questions and arrive at the correct answers, ensuring that you can provide the best possible care to your young patients.

Affiliate Codes:
------------------------------------------
Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics
Medbridge Affiliate Code: PUSHINGPEDS
-----------------------------------------
Don't let outdated research hold you back. Embrace the future of pediatric physical therapy with scite.ai. Sign up today and experience the power of evidence-based practice at your fingertips.
https://scite.ai/?=sheila
-----------------------------------------
Resources:
Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.
50 min
September 04, 2023 PCS Advantage Giveaway!
Attention all pediatric physical therapy professionals preparing for the 2024 exam cycle! We have an exciting collaboration between Pushing Pediatrics and PCS Advantage just for you. We are giving away a PCS Advantage subscription, valued at $250, to one lucky winner. Even if you've already purchased the subscription, don't worry - you're still eligible and will receive a reimbursement. The contest dates are from September 4th to September 8th, so mark your calendars! For full details and to enter, head over to our Instagram page. Don't miss out on this incredible opportunity to enhance your exam preparation. Good luck!
3 min
August 04, 2023 Season 3 - Navigating the Road to Success: Exploring the Journey of Pediatric Clinical Specialization with Cameron Brown, PT, DPT
Join hosts Sheila and Sara in this captivating episode as they delve into the remarkable journey of Cameron Brown, PT, DPT, a Board Certified Pediatric Clinical Specialist. Discover the secrets behind her success and gain valuable insights that are simply unmissable for all aspiring candidates preparing for their exams. In this information-packed conversation, we'll uncover crucial dos and don'ts for your study process, providing you with insider tips to optimize your preparation. Don't miss out on this essential episode that will revolutionize how you approach your preparation and setting yourself up for success in the world of pediatric clinical specialization.
Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics
Medbridge Affiliate Code: PUSHINGPEDS
1 hr