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I Survived, Now What?

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Treating the Musculoskeletal Consequences of Maturing with a Chronic Pediatric Health Condition

Children with complex medical problems are surviving to adulthood. Unfortunately, many reach adulthood with adverse musculoskeletal consequences such as spinal deformities (thoracic kyphosis, scoliosis, tightness), rib cage restrictions (pectus deformities, rib flares, asymmetry, tightness), which in turn, limits shoulder, trunk, and hip/pelvis mobility. Repetitive stresses due to atypical movements/compensations predispose these individuals to the development of chronic pain conditions. This 3-day course will look specifically at why these limitations tend to occur and what can be done to minimize their development. The goal is to improve therapists’ knowledge and confidence in using musculoskeletal techniques that affect both quality, and potentially quantity of life. Participants will spend most of the course in lab. The focus will be on the rib cage, trunk, and spine. The target audience is pediatric PTs and OTs and adult PTs and OTs as well, as they will be treating this population as adults. Other disciplines are invited to attend as they see the need.


Course Objectives:  At the conclusion of the course, participants should be able to:

1. Screen for musculoskeletal abnormalities, inadequate core stabilization strategies and compensatory breathing patterns that may contribute to the abnormal development of the rib cage, trunk, and/or spine across the lifespan secondary to pediatric chronic health conditions and/or survival of prematurity.

2. Develop and demonstrate musculoskeletal mobilization and soft tissue techniques to correct or minimize these deformities with a focus on the rib cage and spine.

3. Develop subsequent treatment plans for neuromuscular retraining that is focused on simultaneously optimizing breathing, core stabilization and postural development across the lifespan in order to minimize long term postural impairments that develop secondary to these chronic conditions.



This three day course includes multiple lab components which will require appropriate lab attire. 

For further details please call 509-473-6877 or email biboj@st-lukes.org with specific program questions.




Course Hrs. 20.0
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