#35: Cerebral Palsy and OT Evidence with Iona Novak (CE Course)

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Full Course Details: Public course page
Learn more about our guest: Iona Novak, OT, PhD

Read the article and discussion upon which this podcast is based.

Released July 4, 2022 from Aurora, NE

The research we are reviewing in this course showcases how far we’ve come in the prevention, early detection, and treatment of cerebral palsy (CP) in children. The authors also explore the strength of the evidence behind 182 interventions for CP, organizing them into an “evidence traffic light.”

This is an important paper for all OTs to read—not just because CP is one of the most common physical disabilities we see on our caseloads, but because the paper is so well written. The authors do a fantastic job of highlighting the general trends behind what works, what doesn’t work, and the progress that still needs to be made.

After reviewing the articleI am thrilled to welcome Dr. Iona Novak, OT, PhD., one of the article’s authors. Her and I will discuss the implications for your occupational therapy practice.

Primary Journal Article Explored

When you log in, be sure to check out the OT Potential Club’s written breakdown of the following research article. Then, share your questions and thoughts with fellow practitioners.

Novak, I., Morgan, C., Fahey, M., Finch-Edmondson, M., Galea, C., Hines, A., Langdon, K., Namara, M. M., Paton, M. C., Popat, H., Shore, B., Khamis, A., Stanton, E., Finemore, O. P., Tricks, A., Te Velde, A., Dark, L., Morton, N., & Badawi, N. (2020). State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy. Current neurology and neuroscience reports, 20(2), 3.

CP Resources Mentioned in Podcast

Supporting Research and Journal Articles

Hoare, B. J., Wallen, M. A., Thorley, M. N., Jackman, M. L., Carey, L. M., & Imms, C. (2019). Constraint-induced movement therapy in children with unilateral cerebral palsy. The Cochrane database of systematic reviews, 4(4), CD004149.

Anaby, D., Korner-Bitensky, N., Steven, E., Tremblay, S., Snider, L., Avery, L., & Law, M. (2017). Current Rehabilitation Practices for Children with Cerebral Palsy: Focus and Gaps. Physical & occupational therapy in pediatrics, 37(1), 1–15.

Novak, I., Morgan, C., Adde, L., Blackman, J., Boyd, R. N., Brunstrom-Hernandez, J., Cioni, G., Damiano, D., Darrah, J., Eliasson, A. C., de Vries, L. S., Einspieler, C., Fahey, M., Fehlings, D., Ferriero, D. M., Fetters, L., Fiori, S., Forssberg, H., Gordon, A. M., Greaves, S., … Badawi, N. (2017). Early, Accurate Diagnosis and Early Intervention in Cerebral Palsy: Advances in Diagnosis and Treatment. JAMA pediatrics, 171(9), 897–907.

Learning Objectives

  • You will be able to identify the common mechanisms that make CP interventions effective.
  • You will recognize evidence-based principles to guide your motor interventions for CP.

Agenda

Intro (5 minutes)

Breakdown and analysis of journal article (5 minutes)

  • Update on the progress in prevention and early detection:
  • Update on the progress in CP treatment:
  • What was the intent of this paper?
  • What were the methods?
  • What were the results?
  • Conclusions and discussion
  • Takeaways for OT practitioners

Discussion on practical implications for OTs (with Iona Novak) (50 minutes)

  • How did you first find OT?
  • Can you tell us how you became involved in Cerebral Palsy research?
  • Before we get into the traditional OT scope of practice, I wanted to ask about prevention and early detection, do you see OTs playing a role in these areas?
  • I was really excited to see some of the same neuroscience concepts that we’ve been seeing in adult neuro rehab research (like the importance of “experience dependent neuroplasticity.”) Can you speak to how you see big-picture neuroscience trends playing out in the green light interventions?
  • Child directed goals are a big shift for many of us. Why do you think they work?
  • I think many patients come to therapy expecting answers, quick-wins, and “hands on” treatment from their therapist. What are practical ways therapists can set the tone for a true active partnership—and explain its importance.
  • If a family member came to you interested in a red-light intervention or some questionable treatment they found online, how would you walk them through it?
  • I look back on treatments I’ve provided that I’m embarrassed of and now see as ineffective. WIth exponential amounts of research coming out, how can we, as therapists, prepare our hearts and minds for the reality that we may find out over our careers that things we’ve done in the past were ineffective or even harmful?
  • What OT assessments and treatments are you most excited about right now?
  • How does our profession need to change to provide more effective CP care?

Contact Hours

1 hour (0.1 AOTA CEUs)

Target Audience/Educational Level

Our target audience is occupational therapy practitioners who are looking to learn about Cerebral Palsy and OT Evidence. The educational level is introductory.

Instructional Methods/Registration/Special Needs Requests/Cancellation Policy

This course is an independent/self-study course delivered via podcast on iTunes, Spotify and Google Play. Explore your listening options on the OT Potential Podcast page.

If you need accommodations to take this course, please contact us and we will address your needs on an individual basis.

If this course were to be canceled, please see our cancellation policy on our terms page.

Course Completion Requirements

In order to receive a certificate for this course, you must first listen to the podcast in its entirety. Then, you will need to take the test (found at the top of this page) and earn 75% or higher. If you pass, a certificate will be automatically generated and sent to your email.

Financial and Non-financial Disclosures

It is the policy of OT Potential to disclose any financial and non-financial interest the provider or instructor may have in a product or service mentioned during an activity. This is to ensure that the audience is made aware of any bias of the speaker.

We here at OT Potential have no financial stake in this topic. Our guest, Dr. Novak also has no financial disclosures.

Speakers

Dr. Iona Novak, OT, PhD:

Dr. Iona Novak, OT, PhD
Professor Iona Novak is the Cerebral Palsy Alliance Chair of Allied Health, The University of Sydney, Australia. Iona is a Fulbright Scholar establishing “Xcellerate” – an American-Australian Cerebral Palsy Stem Cell Research Consortium that pools collective efforts to find a cure.

Driven by an internal belief that research and healthcare have the potential to change lives, Iona has pursued projects and roles with the greatest possible impact on children and families, including, co-founding the Australian Cerebral Palsy Register, and developing clinical practice guidelines to diagnose cerebral palsy early, define best practice early intervention and interventions to improve independence.

Sarah Lyon, OTR/L:

Sarah Lyon, OTR/L headshot

Sarah’s passion is helping fellow OT practitioners translate evidence into daily practice. Sarah earned her BA in religion from St. Olaf College, then earned her master’s degree in occupational therapy from New York University in 2011. Since then, she’s worked in numerous facilities, including a critical access hospital, an acute trauma hospital, and a state inpatient psychiatric hospital.

Sarah is the founder/owner of OT Potential. Read more about OT Potential here.

Ep35-AOTA-Badge

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Please share any other feedback below! Including, ideas for future programming, and most importantly, how you feel this podcast will impact your practice!

2 Likes

Thank you Sarah for inviting Dr. Novak to your podcast.
I have been asked by a PT collegue to assess a child with CP after they finish an intense PT training intervention program.
I will have my ears open to their experience with it and where I can take this child so the parents can be proud to see their child perform an unmet goal. I have been using top down brain to body interventions for two decades now and hope to contribute at least anecdotal evidence-based information in the future. I appreciate all that went into this systematic review of systematic reviewed studies on CP. I hope to connect to Dr. Novak in the future.

2 Likes

Thank you so much Sarah as we do have a family member who was diagnosed with cerebral palsy. This means a lot to me.

1 Like

Excellent content on up to date evidence for interventions for kids with CP. I can use this information right now in my classroom with students and share how to stay up to date on valuable OT practice information.

1 Like

I enjoyed this course through very informative

I’ve felt encouraged to involve the family more for best outcomes.

1 Like

I’m so happy to hear that!