Academy of Pediatric Physical Therapy American Physical Therapy Association
Innovations in School-Based Physical Therapy Practice 2018
July 27-28, 2018 (Friday-Saturday)
University of Washington; Seattle, Washington
This will be the Academy of Pediatric Physical Therapy (APPT)’s 13th annual school-based course. It highlights advanced practice issues, in addition to the foundational information provided in previous years. Sessions will provide information on decision making and the delivery of physical therapy services to support the educational program for all students with disabilities. Nationally recognized speakers will address federal laws, the provision of school-based services, and innovations in practice.
Providing School-Based Physical Therapy under IDEA & Section 504
This session will provide an overview of key federal laws that influence the delivery of physical therapy for children with disabilities in schools. We will discuss the primary requirements for educating all children under IDEA, regardless of the nature or severity of their disability, as well as highlighting the similarities and differences between IDEA and Section 504, related to eligibility, service delivery, and the provision of a free, appropriate public education. The session also will address the relationship between the scope of practice under each state’s Physical Therapist Practice Act and the requirements of providing physical therapy as a related service provider under IDEA.
Clinical Reasoning and Supporting Decisions in School-Based Practice
As school-based therapists, we work within a variety of frameworks including evidence-based practice, legal requirements of IDEA, the ICF Model, and the Guide to Physical Therapist Practice. This session will present important concepts from these frameworks that guide our clinical reasoning and decision making. Strategies for using data and for documenting clinical reasoning will also be discussed. Case studies will highlight how these frameworks, our knowledge and expertise, and student and family priorities work together to guide decision making.
Ecological and Authentic School-Based Assessment
This presentation will describe best-practice assessment strategies for students with disabilities in school settings. Beyond state practice act requirements for a PT evaluation, this session will speak to the advantages of using an ecological and authentic assessment approach to support educational programming and educationally relevant strengths and needs of each student. The session will engage participants using video and discussion on this assessment approach and its influence on IEP development, as well as the PT plan of care, to promote participation in school activities in the least restrictive environment.
Everything's Measurable! School-Based Tests & Measures in 15 Minutes or Less
This highly interactive workshop will bridge the gap between tests and measures and their applicability in the schools. The speaker will present pediatric tests of mobility, balance and endurance which are functional, require minimal materials, and can be completed in 15 minutes or less. A variety of tests will be discussed, covering a wide range of motor disabilities, from mild to severe. The most current literature will be presented to ensure reliable administration of these tests, provide statistical norms or small-group averages, and guide interpretation of test results.
Evaluation and Intervention for Students with Autism Spectrum Disorder
This session will provide an overview of the motor characteristics associated with ASD and review physical therapy assessment guidelines for students with ASD in the school setting. A variety of intervention strategies will be explored to address participation restrictions and activity limitations for these students from preschool age through high school. Perspectives will be shared from both a school-based physical therapist and parent of a son with autism.
Physical Therapist’s Role in Assistive Technology
The presentation will cover the legal mandates of assistive technology (AT) under IDEA, decision-making frameworks to guide assessment and implementation, the range of AT options, and the role of the school-based physical therapist in exploring those options. We also will discuss funding options for securing AT devices for students.
Preparing Adolescents & Young Adults for Transition from School to Adulthood
We will discuss how the transition mandates of IDEA 2004 apply to school-based physical therapists. Participants will learn how to use available evidence to become integral team members and improve post-secondary outcomes of students with disabilities by exploring issues of student-centered transition planning, interagency collaboration, the role of the physical therapist, evaluation procedures, and community-based intervention within the IEP process.
Breathing & Postural Control: Why Is This Relationship So Important for the School-Based Physical Therapist to Understand?
School practitioners will be challenged to make a paradigm shift, acknowledging the importance of the cardiopulmonary system as an integral component of postural control for their students. Through a postural-control model (Soda-Pop Can Model), the speaker will demonstrate how breathing mechanics are linked to motor and physiologic behaviors. Multiple clinical cases will be used to illustrate the theoretical concepts and apply to school-based populations.
Evidence-Based School Practice: Implications from the Literature & PT COUNTS Study
This session will discuss the evidence to support the interventions physical therapists use in school-based practice. Participants will learn about the available literature addressing participation, activities, and impairments. The state of intervention evidence for children with cerebral palsy will be highlighted. We will review the findings regarding service delivery from the national study of school-based physical therapy practice, PT COUNTS.
Data-Driven Practice for School-Based Physical Therapists
This session will focus on best practices and practical strategies for data collection in collaboration with all team members to improve student function throughout the school day. A growing, critical responsibility of our practice is efficient use of data (planning, collection, analysis, and application) to improve our individual performance, delivery of physical therapy within our programs, and student outcomes. We will explore how student data should improve collaboration and shape our interventions and service delivery (dosage, location/setting, routine/activity, least restrictive environment) making them more effective, rather than just suffering an additional burden due to the latest educational trend.
Bus Seating, Positioning & Evacuation Plans for Students with Special Needs
Proper seating and positioning on the school bus is vital to a safe ride but takes interdisciplinary teamwork to ensure that it is provided within, and is compatible with, effective vehicle occupant restraint systems. This session will explore the therapist’s role in the selection, modification, and training in the use of child safety restraints and seating, while considering common problems and medical issues of students with special needs. We will review the process of designing individualized transportation plans, with a special focus on emergency evacuation.
School-based Physical Therapists: Leaders and Advocates
School-based physical therapy practice is influenced by federal and state legislation, as well as district policies and procedures. The most effective advocacy often occurs at the local level, so school-based physical therapists must stay informed of current education trends and legislative discussions that can impact practice, including available services and supports, as well as our workflow. In this session, we will discuss resources available through the APTA and APPT and how to access and use the resources. Examples will be provided with suggestions for developing a plan to take action at the most appropriate levels to assist in being an effective leader and advocate.