Symposium

Brain Injury

Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)

Measurement

Pediatric Rehabilitation

Stroke

Imaging: Assessment Strategies to Guide Occupational and Physical Therapy Interventions After Pediatric Brain Injury: Considering Individual Goals and Transition into Adulthood (837866)

Presenter(s)

• 

  Trish Domi, PhD

  Research Fellow
  Hospital for Sick Children
  Toronto, Ontario

  Presentation Slides Presentation + Audio

Moderator(s)

• 

  Todd J. Levy, MS, OTR/L, CBIST

  Clinical Specialist, Occupational Therapy
  Children's Hospital of Philadelphia
  Wyncote, Pennsylvania

The CDC estimates that 5 million Americans live with disability from brain injury. Many acquire their injury perinatally or during childhood. Pediatric stroke is a major cause of death and disability, with an overall incidence for all stroke subtypes of 4-12/100,00/year, and lasting functional sequelae in most survivors (Ferriero 2019). Our team will share expertise in pediatric stroke to guide clinicians in assessing the ever-changing needs of families coping with the aftereffects of brain injury sustained perinatally or in childhood.  We will present strategies to prioritize the family’s goals and how to select relevant and valid assessment tools that can be used across development and into adulthood. We will discuss how to partner with the family to recognize and address any potential barriers including neurocognitive or neurobehavioral barriers, with the aim to help the child maximize his or her participation and engagement in therapy goals and life activities.

Learning Objectives:

• Discuss findings from imaging relevant to severity and recovery from pediatric stroke.
• Prioritize assessment(s) based on age, clinical scenario, and family-centered needs.
• Describe assessment strategies for the occupational and physical therapist to help the family achieve goals at various levels of the ICF.
• Describe strategies for the physical and occupational therapist to assess neurocognitive and neurobehavioral barriers to achieving activity-level and participation-level goals.
• Consider specific assessment tools and strategies for the lifespan.