N E U R O - D E V E L O P M E N TA L
                                                                     2010         NATIONAL CONFERENCE
                                                                                       HILTON AT THE BALLPARK

                                                                                            ST. LOUIS, MISSOURI

                                                                                                           MAY 21-23

           MEET ME IN ST. LOUIS
                                        Clinical Problem Solving in the Context of NDT:
                                        Thinking, Treating & Documenting Like a Master Clinician

                                                             You might come to St. Louis for the music
                                                             or the history—or because the people are
                                                            friendly, the climate is temperate and the
                                                            area is convenient and easily accessible.
                                                            But more likely, you’ll want to come for the
                                                            extraordinary education being offered
                                                            at the NDTA 2010 National Conference!

         CON F E R E N CE                                   Especially designed for the NDT practicing
                                                           clinician, this practical educational program

          BRO C HU R E
                                                           provides opportunities to improve your clinical
                                                           reasoning and handling skills.

                                                           The interactive program format includes case presenta-
                                                           tions and 16 hands-on facilitation labs presented
                                                           by an eminent faculty of NDTA Instructors.

                                                          Numerous networking events along with the Exhibitor
                                                          Showcase offer occasions for you to make new contacts,
                                                          renew acquaintances and connect with colleagues, faculty
                                                          and industry partners.

      Visit for additional conference information.
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                        WELCOME TO ST.LOUIS
  H I LT O N S T. L O U I S AT T H E B A L L PA R K                           COME EXPERIENCE ALL THAT
                          One South Broadway                                  ST. LOUIS HAS TO OFFER...
                          St. Louis, Missouri, 63102                          • Ride 630 feet high to the top of the Gateway Arch
                          1-800-445-8667                                      • See some of St. Louis’ world-class FREE attractions
                                                 including the Art Museum, Zoo, Science Center &
                                                                                History Museum
  Our host hotel is an urban retreat ideally located downtown next            • Marvel at the gardens and historic structures within
  to Busch Stadium and within walking distance to some of the                   the 79 acres of the Missouri Botanical Garden
  Gateway City’s most acclaimed attractions, historic landmarks,
                                                                              • Flirt with Lady Luck on one of the region’s five glit-
  entertainment and restaurants.                                                tering riverboat casinos

  Hilton At the Ballpark is a masterful architectural design with             • Be dazzled by the largest collection of mosaic art in
  soaring lobby, spectacular city views of the Busch Stadium and                the world at Cathedral Basilica of St. Louis
  Gateway Arch, stylish accommodations, luxurious facilities,                 • Take a seat in one of the live music clubs in this city
  oversized, state-of-the-art business center, concierge amenities              where the Blues were born
  and a first-rate array of food and beverage venues, including
                                                                              • Visit the heart of St. Louis – the friendly and historic
  Market Street Bistro, Imo’s Pizzeria, Mike Shannon’s                          neighborhoods, each with a style and charm all its own
  Steakhouse, Starbucks®, and outdoor patios with spectacular
  views of the downtown skyline.                                              • Dine in style at more than a thousand one-of-a-kind
                                                                                restaurants and ethnic eateries
  Special rates offered to NDTA guests are $115, plus tax,                    • Indulge in a shopping trip through St. Louis’ major
  single/double occupancy. Internet service in the guest rooms                  malls & antique and collectibles stores
  is complimentary. Reservations should
  be made before the cut-off                                                        FIND MORE DESTINATION INFORMATION AT
  date of Wednesday,
  April 28, 2010.                                                         
                                                                               Metrolink Light Rail: St. Louis’ light rail system,
                                                                                MetroLink ( has been called one of
                                                                                 the best mass-transit systems in the country. The clean,
                                                                                   efficient trains are a big hit with commuters and visi-
                                                                                     tors who want to see many of St. Louis’ attractions
                                                                                        without a car. Hilton At the Ballpark is within
                                                                                          walking distance of two MetroLink stations.

                                                                                                Trans Express: Trans Express offers
                                             TA K E M E O U T T O T H E                           round-trip service from Lambert – St. Louis
                                                                                                    International Airport to downtown for
                                          BALLGAME                                                    $15 one-way and $25 round trip.
                                                                                                        (Subject to fuel surcharge when
                                         Join your NDTA colleagues for a night
                                        out at the ballpark. On Friday, May 21st,                              1-800-844-1985
                                       we’ll walk across the street to                                            or 1-314-428-7799
                                     Busch Stadium to watch the
                                    St. Louis Cardinals play the
                                   Los Angeles Angels. We have
                                 arranged for group seating and
                                discounted tickets at $35 per person.
                              Be sure to reserve your ticket in
                             advance by signing up for this event
                            with your registration.

        THURSDAY, MAY 20, 2010
    3:00 – 7:00 pm . . . . . . . . . Registration and Regions Welcome
                                                                                                               NATIONAL CONFERENCE
    7:00 – 8:00 pm . . . . . . . . Networking Get-Together
                                                                                                               MAY 21-23 • ST. LOUIS
        FRIDAY, MAY 21, 2010
    7:00 – 8:00 am . . . . . . . . . Registration & Continental Breakfast
    8:00 – 9:30 am . . . . . . . . . Keynote Speaker – Irene McEwen, PT, PhD, FAPTA
                                     Writing Case Reports to Document and Share Thinking and Treating
    9:30 – 10:30 am . . . . . . . . Exhibitor Showcase & Break
    10:30 am – 12:00 pm . . . . Keynote Address Continues
    12:00 – 1:00 pm . . . . . . . . Lunch in Exhibit Hall
    1:00 – 5:00 pm . . . . . . . . . CONCURRENT SESSIONS: Case Studies & Facilitation Labs
                                     • The Changing Faces of CP with the Changing Applications of NDT: A Case Report Across 25 Years
                                       Judith Bierman, PT, DPT, C/NDT
                                     • Integrating NDT Into the Classroom – Lezlie Adler, OTR/L, C/NDT
                                     • Use of the NDT Approach for More Effective Management of Drooling in the Child with Cerebral Palsy
                                       Therese McDermott-Winter, MHS, CCC-SLP, C/NDT
                                     • Feel It! Using NDT Handling to Enhance Clinical Problem Solving – Monica Diamond, PT, MS, C/NDT
    5:00 – 7:00 pm . . . . . . . . . Exhibitor Showcase, Reception, Auction, Staffed Poster Session

        SATURDAY, MAY 22, 2010
    7:00 – 8:00 am . . . . . . . . Continental Breakfast
    8:00 – 9:30 am . . . . . . . . CONCURRENT SESSIONS: Case Studies & Facilitation Labs
                                     • Can Physical Therapy Provided Under Unstable Conditions Improve Standing Balance? – Gay Girolami, PT, MS
                                     • Measuring NDT Outcomes from Case Studies – Kate Bain, OT, C/NDT
                                     • I Don’t Need My Jaw to Stand Up, But I Do Need My Jaw to Swallow – Gay Lloyd Pinder, PhD, CCC-SLP
                                     • How to Push A Pusher: Managing the Client with Contraversive Pushing – Cathy Hazzard, BSc, PT, C/NDT
    9:30 – 10:30 am . . . . . . . . Exhibitor Showcase and Break
    10:30 am – 12:00 pm . . . . CONCURRENT SESSIONS (Continued)
    12:00 – 1:45 pm . . . . . . . Award of Excellence Luncheon
    2:00 – 5:00 pm . . . . . . . . CONCURRENT SESSIONS: Case Studies & Facilitation Labs
                                     • Blending NDT & Modified CIMT to Improve Upper Limb Function in Young Children with Hemiplegic
                                       Cerebral Palsy – Margo Prim Haynes, PT, DPT, PCS, C/NDT
                                     • Treatment Intensive of a Seven-Year-Old Girl Diagnosed with Congenital Hemiplegia: Focus on Modified
                                       CIMT & Higher Level Gait Functions – Christine Cayo, OTR, C/NDT and Marcia Stamer, PT, C/NDT
                                     • Hyolaryngeal Elevation (HLE) And So Much More… – Marybeth Trapani-Hanasewych, CCC-SLP, C/NDT
                                     • The NDT Dance: Effectively Using Therapeutic Handling to Directly Impact Neuromotor System
                                       Impairments in the Adult Patient with Stroke – Kristin Gellert, OT
    5:15 – 6:30 pm . . . . . . . . . General Session Wrap-Up – Case Reports/Clinical Effectiveness: Share Your Intuition
                                     Mary Ann Sharkey, PhD, PT & Kathleen Ganley, PhD, PT

        SUNDAY, MAY 23, 2010
    8:00 – 9:00 am . . . . . . . . . Closing General Session & Breakfast – Research & the NDTA: 2010 and Beyond
                                     Janet Powell, PhD, OTR/L
    9:00 am – 12:00 pm . . . . . CONCURRENT SESSIONS: Case Studies & Facilitation Labs
                                     • Treating Asymmetry and Scoliosis with an NDT Approach – Judith Bierman, PT, DPT, C/NDT
                                     • Integrating NDT Into Educational Routines – Lezlie Adler, OTR/L, C/NDT
                                     • Don’t Rock the Boat! It’s Time to Eat! – Gay Lloyd Pinder, PhD, CCC-SLP; Therese McDermott, MHS,
                                       CCC-SLP, C/NDT and Marybeth Trapani-Hanasewych, CCC-SLP, C/NDT
                                     • John and Johnny: The Artist and the Athlete – Kay Folmar, PT, C/NDT

For conference details and to register visit or call 800-869-9295
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CONFERENCE EVENTS                                                                                  GENERAL INFO
EXHIBITOR SHOWCASE                                                                                 Conference Registration: Your registration fee includes
                                                                                                   admission to the educational sessions and exhibit hall
The exhibit hall is the setting for many of the exciting events taking
                                                                                                   events along with the program book and access to
place during this year’s conference. As always, our Exhibitor
                                                                                                   materials from all the sessions. Continental breakfasts, the
Showcase is an integral and important part of the conference program.
                                                                                                   Wine & Cheese Reception as well as the Exhibit Hall and
Our exhibitors understand the needs of therapists and are here to offer
                                                                                                   Awards Luncheon are also included.
the best products and services available in the marketplace today. You
won’t want to miss any of these opportunities to shop, socialize, take
                                                                                                   Daily Registrations are available for those able to
a break, have some fun and maybe even win a prize!
                                                                                                   attend only one day of the conference and include
FRIDAY, MAY 21                                                                                     materials and events taking place on that day only.
9:30 – 10:30 AM . . Exhibit Hall Opening & Break                                                   Please note that the Awards Luncheon is NOT included
12:00 – 1:00 PM. . . Exhibitor Showcase & Lunch                                                    with one-day Saturday only registration. Tickets to this
5:00 – 7:00 PM. . . . Exhibitor Hosted Wine & Cheese Reception                                     event are available for purchase at $35 per person.
                      Auction, Staffed Poster Session
SATURDAY, MAY 22                                                                                   Breakout Sessions: Please review the session descrip-
9:30 – 10:30 AM . . Exhibitor Showcase & Drawings                                                  tions in this brochure to make your selection from the
                                                                                                   various concurrent sessions being offered each day. We
                                                                                                   recommend you register early to ensure your place in the
NDTA AUCTION & RECEPTION                                                                           track of your choice. Please select carefully as space may
Fun & Fundraising • Friday, 5:00 – 7:00 pm                                                         not be available to accommodate any session changes.

Get off to a great start on the evening’s social activities
                                                                                                   Going Green: NDTA will continue its
with this fabulous wine tasting event hosted by our
                                                                                                   “going green” efforts for this conference.
exhibitors. As you visit each booth you will be served a
                                                                                                   Session materials will be made available to
favored wine especially chosen by the vendor. An
                                                                                                   registered attendees on the NDTA website both prior
assortment of international and domestic cheeses will
                                                                                                   to and following the conference. You can download, save
be available for you to sample as you make your rounds of the
                                                                                                   and/or print these handouts at your convenience.
exhibit booths and the staffed poster displays.
  Our annual fundraiser will feature a live auctioneer who just might
                                                                                                   Recommended Dress: We suggest informal attire and
surprise you. Silent auction items will also be available for bid. The
                                                                                                   recommend bringing a jacket or sweater, as meeting room
funds from the auction are used to support the research efforts of
                                                                                                   temperatures and personal comfort levels vary widely.
NDTA as well as the education of qualified therapists from developing
and newly industrialized countries by offering full-scholarships to our
                                                                                                   Special Assistance: NDTA staff will be glad to help you
national conferences.
                                                                                                   with any special needs (i.e. physical, dietary, etc.) Please
  We encourage you to participate in this worthy endeavor. Make a
                                                                                                   indicate your request for assistance on the registration form.
donation to the auction by contacting NDTA headquarters, or bring
your items directly to the conference. Cash donations are welcome.
                                                                                                   Guest: As a conference participant you may be inviting
Oh… and don’t forget to bid.
                                                                                                   your spouse/significant other, friend, colleague, or an
                                                                                                   adult child over 18 to join you as a guest. Guests have
2010 AWARD OF EXCELLENCE LUNCHEON                                                                  the opportunity to attend the Friday night reception and
                                                                                                   the Saturday awards luncheon. Guest Registration Fee
Saturday, 12:00 – 1:45 pm                                                                          Required: $75 - Friday Reception. $35 Awards Luncheon.
Please join us as we honor the 2010 recipient of the NDTA Award of
Excellence. This award, the highest that NDTA bestows on an individual,                            Continuing Education Credits: Continuing Education
will be presented during the very special Saturday luncheon event.                                 Units have been applied for and will be available to
Watch for the announcement of this year’s award winner.                                            Physical Therapists, Occupational Therapists and Speech-
Event Ticket Required! This event is included in your registration fee. However, you MUST          Language Pathologists for attendance at this conference.
sign-up in advance on your conference registration form. Luncheon tickets for those not            Further information will be available on the conference site
registered for the conference are available for advance purchase at $35 per person.                at as CEUs are granted by the various
                                                                                                   accrediting agencies.
Thursday, 7:00 – 8:00 pm • Hotel Lounge (No-Host Cocktails)                                           Neuro-Developmental Treatment Association (NDTA™)
Meet colleagues from your region of the country in a relaxed social                                  1540 S. Coast Hwy, Ste 203, Laguna Beach, CA 92651
atmosphere.                                                                                             Phone (800) 869-9295 • Fax (949) 376-3456

     F R I D AY K E Y N O T E S E S S I O N                          • Describe key changes in the contextual factors that
                                                                       impact the clinical presentation
                                                                     • Develop a treatment plan based on the interactions of
       Writing Case Reports to Document                                system integrities and impairments, posture and movement,
     and Share Thinking and Treating                                   and functional abilities or limitations during infancy,
                                                                       the preschool age, school age, adolescence and
     Irene McEwen, PT, PhD, FAPTA                                      young adulthood
     8:00am – 9:30am and 10:30am – 12:00pm                           • Demonstrate at least three treatment strategies to
     In this session, Dr. McEwen, guest speaker and author of          address specific impairments at each age range
     Writing Case Reports: A How-To Manual for Clinicians, will
     cover the essentials of writing case reports. Discover the
     unique contribution you as a clinician can make to the             Integrating NDT into the Classroom
     professional literature.                                        Lezlie Adler, OTR/L, C/NDT
     OBJECTIVES:                                                     This presentation will focus on the principles of integrating
     • Recognize the contribution of case reports to the             therapy into a classroom setting. A case study of a preschool
       professional literature                                       child with cerebral palsy will be discussed and accompa-
     • Distinguish types of case reports                             nied by laboratory experiences. Classroom routines that are
     • Identify the components of a case report                      barriers to full inclusion of children with neuro-motor
     • Use the International Classification of Functioning,          challenges will be identified. Assessment methodology, goal
       Disability and Health as a framework for measurement          setting, followed by direct intervention strategies to address
     • Understand the publication process                            primary impairments, consultative services to classroom staff,
     • Identify 10 things case report writers can do to ensure a     and mechanisms for embedding therapy into the classroom
       successful review                                             will be discussed.
                                                                     • Identify classroom routines related to mobility, seating,
                                                                       daily living skills, and tool usage
                                                                     • Identify multi systemic impairments and strengths in
     1:00pm – 5:00pm                                                   participating in the classroom
                                                                     • Learn effective strategies for embedding therapy into
       The Changing Faces of CP with the                               the classroom

     Changing Applications of NDT:
     A Case Report Across 25 Years                                      Use of the NDT Approach for More
     Judith Bierman, PT, DPT, C/NDT                                  Effective Management of Drooling in
     A case report following one child, Catherine, from infancy      the Child with Cerebral Palsy
     to young adulthood will examine the changes in the clinical     Therese McDermott-Winter, MHS, CCC-SLP, C/NDT
     presentation of CP. Changes in focus, strategies and
     adjuncts will be presented as Catherine was followed            Within the pediatric population, reduced effectiveness in
     across the years by one therapist.                              the management of saliva (resulting in drooling) is a
      While the approach was always an NDT approach, the             commonly indicated functional limitation with significant
                                                                     activity/participation implications. Current research indicates
     emphasis changed as the family’s goals and objectives as well
                                                                     that in children with cerebral palsy, drooling is primarily
     as the key impairments changed. Treatment was modified to
                                                                     associated with impairments in the oral phase of the
     meet these needs. The report is exemplary of the “living
                                                                     swallow. Speech/language therapy is often the first line of
     concept” of NDT. Specific treatment strategies from each
                                                                     treatment, with strategies directed to improving jaw stability
     stage of development will be taught in movement labs with
                                                                     and closure, increasing tongue mobility, strength, and posi-
     course participants practicing with each other.
                                                                     tioning, and improving lip closure (especially during the
     OBJECTIVES:                                                     oral phase of swallow), with often described minimal
     • Identify the changing impairments, posture and movements      success. The focus of this case study is to demonstrate the
       related to growth and development in a child diagnosed        increased effectiveness of use of oral motor strategies for
       with ataxia with spastic diplegia                             improvement in the oral phase of the swallow to clear

For conference details and to register visit or call 800-869-9295
N D TA   2 0 1 0     N AT I O N A L       C O N F E R E N C E        •    M AY     2 1 - 2 3    •   S T.    L O U I S ,   M I S S O U R I

  secretions when these strategies are implemented within an               complement the clinical problem solving process
  NDT framework of treatment. This includes preparation                  • Demonstrate treatment strategies, using NDT Handling
  strategies for increased postural, shoulder girdle and oral              to address specific faulty movement patterns
  stability, simulation, practice/repetition and functional              • Demonstrate strategies to facilitate the integration and
  carryover strategies. This session will include case presen-             coordination of all body segments (head, trunk, arm
  tation, discussion of physiology, the swallow and system                 and leg) during movement
  requirements for effective management of secretions, and               • Discuss the benefits of incorporating transitional
  video of treatment strategies employed with this patient.                movements and rotational components of movement
  Lab sessions that follow include demonstrating and practicing            into an individual’s treatment plan to enhance motor
  strategies most effective in this treatment.                             control for the highest possible level of function
  • Discuss three current strategies employed in the
                                                                         SATURDAY MORNING CONCURRENT SESSIONS
    management of drooling in pediatric patients with
                                                                         & FACILITATION LABS
    cerebral palsy
  • Describe physiology of swallow and differences                       8:00am – 9:30am and 10:30am – 12:00pm
    between swallow for management of secretions and
    swallow of foods
  • Identify multi-system impairments typically resulting in
                                                                           Can Physical Therapy Provided
    reduced management of secretions/drooling                            Under Unstable Conditions Improve
  • Discuss advantages of use of the NDT approach in the
    management of secretions in the child with cerebral palsy
                                                                         Standing Balance?
  • Demonstrate at least three NDT-based strategies to facilitate        Gay Girolami, PT, MS
    improved management of secretions and decreased                      This presentation will explore changes in standing balance
    severity of drooling in the child with cerebral palsy                following an NDT physical therapy intervention incorporating
                                                                         a variety of unstable surfaces and conditions for balance
                                                                         training. The question to be studied is whether instability
    Feel It! Using NDT Handling to                                       can be used to effect a change in balance. Pre and post
  Enhance Clinical Problem Solving                                       testing and Goal Attainment Scaling will be used to answer
                                                                         this question.
  Monica Diamond, PT, C/NDT
  Therapists make clinical decisions throughout the day as they          OBJECTIVES:
  interact with their adult patients. The experienced clinician          • Distinguish differences in postural control between typically
  recognizes subtle variations in performance. These variations            developing children and children with cerebral palsy
  are critical to determining specific problems to be                    • Identify clinically relevant pre- and post-testing measures
  addressed, and may predict future problems or progress.                  to assess standing balance in children with cerebral palsy
  Although all therapists learn to use their hands to assess             • Demonstrate treatment strategies to enhance standing
  movement and provide input, the use of visual observation                balance in children with cerebral palsy
  still predominates in most therapists’ assessments.
     The case study introducing this session will demonstrate the
  use of NDT Handling to enhance clinical problem solving for              Measuring NDT Outcomes from
  assessment and treatment. In the lab segment of this
  session, you will learn strategies for using NDT
                                                                         Case Studies: Examples from an
  Handling to assess and facilitate the subtle variations of             NDT Pilot Study
  movement that can make the critical difference in achieving            Kate Bain, OT, C/NDT
  functional outcomes.
                                                                         This session relates to the presenter’s Doctoral studies
  OBJECTIVES:                                                            through Sydney University, Australia. The research project,
  • Describe the use and benefits of NDT Handling to                     “What is the Effect of NDT on the Performance of Daily
    assess subtle variations of movement                                 Living Skills by Children Who Have Cerebral Palsy,”
  • Discuss the relationship of faulty movement patterns to              consisted of a literature review followed by a number of
    functional activity limitations and participation restrictions       pilot studies. Classification systems, outcome measure-
  • Demonstrate the use of handling during assessment to                 ments and examples of case studies will be described from

     the final pilot study in 2009—a ‘Pre and Post Tested               How to Push a Pusher: Managing
     Outcome Pilot Study, with Blinded Rating’. Labs will relate
     to the development of an ‘NDT Measurement Model’ as              the Client with Contraversive Pushing
     used in this study with examples of the NDT treatment            Cathy Hazzard, B.Sc, PT, MBA, C/NDT
     strategies that were directed toward the recorded functional
                                                                      Clients who present with contraversive pushing after a stroke
     outcomes for the children involved.
                                                                      are some of the most challenging clients to work with.
     OBJECTIVES:                                                      However, the research tells us that they can achieve the same
     • Recognize the contribution of NDT therapists to the            positive outcomes as our other clients who have non-pushing
       research literature                                            strokes…it just takes more time and different intervention
     • Discuss the development of an ‘NDT Measurement                 strategies. This session will present the case of a client who
       Model’                                                         suffered a dense stroke with strong contraversive pushing
     • Identify the application of the model to case studies in       tendencies. She was sent home in a wheelchair from her
       the pilot study described                                      conventional rehab unit stay to live a very dependent life.
     • Demonstrate examples of NDT treatment strategies as            Helping her find her middle and getting her on her feet
       used with the children in the case studies                     through functional practice in her home has been a long but
                                                                      positive journey. Practical strategies for managing this client
                                                                      population will be discussed, demonstrated, and practiced.
       Case Study: I Don’t Need My Jaw to
     Stand Up, But I Do Need My Jaw to                                • Describe the characteristics of the client who presents
     Swallow                                                            with contraversive pushing
                                                                      • Discuss the typical impairments and how to document
     Gay Lloyd Pinder, PhD, CCC-SLP                                     outcomes that measure progress for this client population
     Postural stability is the foundation for oral function and can   • Develop an intervention plan for the contraversive
     impact G-I function as well. This case study focuses on a          pushing client
     young child who had three cardiac surgeries by 3 months          • Demonstrate intervention strategies that are effective
     of age. He was fitted with a gastrostomy feeding tube at           for the contraversive pushing client
     3 months because he was unable to establish a functional         • Review the current research related to contraversive
     suck for bottle feeding AND also was unable to tolerate            pushing
     volume due to severe GERD (gastro-esophageal reflux
     disease). Using the NDT problem-solving process, we will
     explore the ongoing assessment and treatment strategies          SATURDAY AFTERNOON CONCURRENT
     used as this child developed in the different and connected      SESSIONS & FACILITATION LABS
     domains of gross motor and oral motor function related to        2:00pm – 5:00pm
     both feeding and sound production.
                                                                        Blending NDT and Modified CIMT to
     • Identify issues of postural stability that are impacting
       G-I function                                                   Improve Upper Limb Function in Young
     • Identify possible compensatory strategies used to              Children with Hemiplegic Cerebral
       substitute for postural stability
     • Describe the subsequent impact on the ongoing                  Palsy: Case Reports
       development of feeding skills                                  Margo Prim Haynes, PT, DPT, MA, PCS, C/NDT
     • Demonstrate at least two techniques that could be used
                                                                      Traditionally, Modified Constraint Movement Therapy
       to facilitate more functional oral movement for both
                                                                      (mCIMT) programs have not focused on the quality of the
       feeding and sound production
                                                                      desired upper limb movements in children with posture
                                                                      and movement dysfunction. The purpose of this clinical
                                                                      study was to examine the impact on short and long-term
                                                                      outcomes with the addition of NDT-based therapeutic
                                                                      handling strategies as part of a two-month mCIMT
                                                                      program. Two children, ages 9-months and 28-months,
                                                                      with left-sided hemiplegia were followed for six months.

For conference details and to register visit or call 800-869-9295
N D TA   2 0 1 0    N AT I O N A L     C O N F E R E N C E       •    M AY     2 1 - 2 3    •    S T.   L O U I S ,    M I S S O U R I

  Analysis of video recordings chronicle changes for each              Treatment Intensive of a Seven-Year-
  child, highlighting their ability to participate in age
  appropriate play and self-care activities. Specific NDT-           Old Girl Diagnosed with Congenital
  based handling strategies utilized within the study will be        Hemiplegia: Focus on Modified CIMT
  presented: active symmetry, trunk strength, functional
  range of motion, sensory awareness of upper limb, acti-            and Higher Level Gait Functions
  vating, and guiding of the upper limb for reach and                Christine Cayo, OTR, C/NDT
  grasp. The clinical decision-making guidelines that                & Marcia Stamer, PT, C/NDT
  governed the selection, modification, and fading of NDT-           This three-hour program focuses on a case study of a seven-
  based handling strategies during the intervention phase            year-old girl diagnosed with congenital hemiplegia that
  of the study are included in the discussion. The corre-            attended an intensive treatment week for OT and PT co-treat-
  sponding lab sessions will provide participants a “hands-on”       ment. Focus of assessment and program planning included
  opportunity to master clinical handling strategies utilized        modified CIMT using an NDT approach for upper extremity
  within this study.                                                 functional skills and higher-level gait skills in a community
  OBJECTIVES:                                                        ambulatory child. The lab will focus on practicing many of
  • Discuss the benefits of an NDT-based therapeutic                 the treatment techniques used with this child and their expla-
    handling program utilized in conjunction with mCIMT              nations from an NDT framework. Participants should be
    for children with hemiplegia                                     prepared to work with an adult lab partner during the lab.
  • Compare and contrast the theoretical constructs                  OBJECTIVES:
    underlying NDT and mCIMT intervention programs for               • List functional abilities and limitations, effective and inef-
    young children with hemiplegia                                     fective posture and movement strategies and system
  • Describe the categories of structured, child-friendly              impairments of the child viewed in this presentation
    play found in this mCIMT – NDT program                           • Demonstrate at least two treatment techniques with a lab
  • Describe NDT-based handling strategies to enhance                  partner in each of the following areas:
    upper limb function in young children with hemiplegia              • Trunk mobility and stability
  • Demonstrate NDT-based handling strategies to enhance               • Fractionated movement, orientation & timing of
    upper limb function in young children with hemiplegia                 reach and assisting hand function

        • Hip extension for early stance phase of gait, plantar              and ineffective postures and movements in an adult
          flexion and toe extension for late stance of gait                  patient with stroke
        • Improved timing of whole body movements for                      • Generate a list of potential neurological or body system
          running, jumping, stair climbing and negotiation of                impairments that may contribute to these movement patterns
          playground equipment.                                            • Demonstrate at least two facilitation strategies to change
                                                                             potential ineffective posture and movement patterns

       Hyolaryngeal Elevation (HLE) and
     So Much More: Case Study                                              SATURDAY WRAP-UP GENERAL SESSION
     Marybeth Trapani-Hanasewech, CCC-SLP, C/NDT                           5:15pm – 6:30pm
     Pediatric swallowing treatment must always extrapolate from
     the adult literature. This case study of a 2-year-old child             Case Reports/ Clinical Effectiveness:
     presenting with dysphagia was challenging in assessment. It
     required the knowledge found in the literature regarding              Share your intuition
     hyolaryngeal elevation. It illustrates via swallow studies pre        Mary Ann Sharkey, PhD, PT and Kathleen Ganley, PhD, PT
     and post skills. Videos will demonstrate typical functioning.         Case reports are an effective way for a clinician’s intuition
     You will be guided through the NDT problem-solving process            of intervention effectiveness to be shared with the larger
     of assessment and treatment. This life-long issue was resolved        community of therapists. Case reports from clinicians point
     in four treatment sessions. The strategies implemented will be        the researcher toward relevant questions and interventions
     demonstrated and practiced. Additional strategies related to
                                                                           to answer in more complex research paradigms. This
     the facilitation of the swallow will also be practiced.
                                                                           session will focus on a practical way to address your own
     OBJECTIVES:                                                           or your colleagues “expert intuition” through roundtable
     • Identify the biomechanics of HLE within the whole child             discussions with a small group of peers and facilitated by
     • Demonstrate a variety of strategies to facilitate HLE               an NDT instructor or leader. Explore the world of research
       and the swallow                                                     at a fundamental clinical level. Did the intervention with my
                                                                           patient make a difference today?

       The NDT Dance: Effectively Using                                    OBJECTIVES:
                                                                           • Recognize that case reports are part of your clinical
     Therapeutic Handling to Directly Impact                                 practice whenever treatment is assessed for effectiveness
     Neuromotor System Impairments in the                                  • Describe interventions that make a difference and
                                                                             define them operationally
     Adult Patient with Stroke                                             • Compare and contrast potential outcome measures
     Kristin Gellert, OT                                                     towards the functional goal for a specific patient
     This session will consist of a one-hour case report and discussion,
     followed by a two-hour hands-on, interactive lab activity to
                                                                           SUNDAY GENERAL SESSION
     practice facilitation techniques aimed at changing posture
     and movements in the adult patient with stroke.                       8:00am – 9:00am
        The presentation will utilize the NDT Enablement Model to
     determine how neuromotor system impairments can lead to
     both effective and ineffective postures and movements and
                                                                             Research and the NDTA:
     analyze how these patterns of movement impact a patient’s             2010 and Beyond
     functional abilities.
                                                                           Janet Powell, PhD, OTR/L
        Participants will observe a videotaped patient treatment as
     part of the case report and then immediately practice various         This presentation will provide an overview of the research
     facilitation techniques shown. The facilitation techniques will       activities of the NDTA.
     address neuromotor system impairments such as atypical                OBJECTIVES:
     timing and sequencing and inability to sustain sufficient             • Describe the research-related services and supports
     muscle activity for a task.
                                                                             currently provided by the NDTA
     OBJECTIVES:                                                           • Discuss the purpose and anticipated benefits of the
     • Implement the NDT Enablement Model to identify effective              upcoming Research Consultation Initiative

For conference details and to register visit or call 800-869-9295
N D TA   2 0 1 0     N AT I O N A L        C O N F E R E N C E         •    M AY      2 1 - 2 3    •   S T.    L O U I S ,    M I S S O U R I

  SUNDAY CONCURRENT SESSIONS:                                                 Don’t Rock the Boat! It’s Time to Eat!
                                                                           Therese McDermott, MHS, CCC-SLP, C/NDT;
  9:00am – 12:00pm
                                                                           Gay Lloyd Pinder, PhD, CCC-SLP;
                                                                           Marybeth Trapani-Hanasewych, CCC-SLP, C/NDT
    Treating Asymmetry and Scoliosis                                       The entire therapeutic team—PT, OT, and Speech—work
  with an NDT Approach                                                     together, each contributing their expertise to successful
                                                                           outcomes with the child with feeding/communication impair-
  Judith Bierman, PT, DPT, C/NDT
                                                                           ments. The three case studies presented by SLP’s during this
  Dr. Bierman will continue with the case report on Catherine              conference all emphasized the importance of postural stability
  presented on Friday. The focus will shift to the specific                as the foundation for change in the area of oral motor skills as
  handling strategies that were utilized in the treatment and              they relate to feeding, swallowing and sound production. This
  management of Catherine’s asymmetry and scoliosis.                       session will continue that focus, expanding on the importance
  Catherine began demonstrating definite asymmetry when she                of dynamic positioning through expanded lab work. We will
  was school-aged. The asymmetry was more evident in her                   share ideas for direct intervention to increase stability needed
  lower extremities initially. She was then diagnosed with a               for improved feeding, swallowing and speech production.
  scoliosis in her early teen years. The family was told she
  would require a spinal stabilization. However, with the
                                                                           • Identify connections between postural stability and oral
  family’s management and intensive therapy, surgery has
                                                                             motor function
  never been needed. Specific handling, positioning and
                                                                           • Problem-solve the impact of poor postural stability and
  treatment strategies will be demonstrated through slides and
                                                                             alignment on feeding, swallowing and sound production
  videos and then practiced with other course participants.
                                                                           • Demonstrate at least three strategies that could be used
  OBJECTIVES:                                                                to facilitate and enhance postural stability for improved
  • Identify the impairments and ineffective posture and                     feeding, swallowing and sound production
    movements related to asymmetry and scoliosis                           • Discuss measurable session outcomes to reflect functional
  • Discuss the current evidence concerning the effectiveness                change in feeding, swallowing and sound production
    of physical therapy related to treating scoliosis in
    cerebral palsy
  • Discuss medical management of asymmetry and scoliosis                    JOHN AND JOHNNY:
  • Demonstrate at least 10 strategies to treat the impairments
    and ineffective posture and movements associated with
                                                                           THE ARTIST AND THE ATHLETE
    asymmetry and scoliosis                                                Kay Folmar, PT, C/NDT
                                                                           The NDT/Bobath approach to therapy has long been associated
                                                                           with function and functional retraining. As more evidence
    Integrating NDT into Educational                                       emerges about the importance of training in the task, it is crit-
  Routines                                                                 ical that we create therapy interventions that capitalize on
                                                                           this knowledge. In this session two very different men with
  Lezlie Adler, OTR/L, C/NDT
                                                                           very similar arm impairments will be presented. The lab
  This presentation will focus on the challenges in daily routines         session will focus on how each man’s unique talents and
  that students with neuro-motor impairments manage every                  interests can be exploited for his own personal gain as they
  day at school. The mobility, seating, tool use, and daily living         both face the challenge of the dangling, inactive arm.
  routines that are critical to their capacity to access education
  will be discussed. The laboratory session will focus on strategies
                                                                           • Select functional tasks to create a therapeutic environment
  to optimize posture and movement control that can be
                                                                           • Establish support responses and progressive loading of
  embedded in an educational environment.
                                                                             the arm in a real task
  OBJECTIVES:                                                              • Create transitions to open the chain and initiate reach
  • Identify the foundations of posture and movement control               • Commingle horizontal and vertical surfaces and
    that are core to engaging in an educational environment                  postures to manage challenges for the arm
  • Learn to problem-solve posture and movement priorities                 • Identify specific tools and actions to shape the hand
    necessary to close the gap between typical and atypical                  for its target use
  • Practice handling strategies to optimize mobility, seating,
    access to academic tools, and participation in school
    based self care activities

                            2010 CONFERENCE REGISTRATION
    Register today at or return this form with full payment to:
    Neuro-Developmental Treatment Association
    1540 S. Coast Hwy, Suite 203 • Laguna Beach, CA 92651 • (800) 869-9295 • Fax (949) 376-3456

        ATTENDEE INFORMATION                      Member # _______________

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    Discipline: ❍ PT ❍ OT ❍ SLP ❍ Other ___________                        ❍ NDT Certified (C/NDT)                                Specialty: ❍ Pediatrics ❍ Adult Hemi
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    Description:                                                     On or before 4/16/10 After 4/16/10   On-Site (Subject to availability)
    NDTA Member. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $450 . . . . . . . $550 . . . . . . . . $650 . . . . . . . . $__________
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    Daily Registration (select only one) ❏ Fri ❏ Sat ❏ Sun . . . $225 . . . . . . . $250 . . . . . . . . $300 . . . . . . . . $__________

     Friday (SELECT ONE)                                                           Saturday Afternoon (SELECT ONE)
     ❍ Changing Faces of CP – Judith Bierman, PT, DPT, C/NDT                       ❍ Blending NDT & Modified CIMT – Margo Haynes, PT, DPT, PCS, C/NDT
     ❍ Integrating NDT Into the Classroom – Leslie Adler, OTR/L, C/NDT             ❍ Treatment Intensive – Christine Cayo, OTR, C/NDT & Marcia Stamer, PT, C/NDT
     ❍ Use of NDT Approach – Therese McDermott, MHS, CCC-SLP, C/NDT                ❍ Hyolaryngeal Elevation – Marybeth Trapani Hanasewych, CCC-SLP, C/NDT
     ❍ Feel It – Monica Diamond, PT, MS, C/NDT                                     ❍ The NDT Dance – Kristin Gellert, OT
     Saturday Morning (SELECT ONE)                                                 Sunday (SELECT ONE)
     ❍ Can Physical Therapy Improve Standing Balance – Gay Girolami, PT, MS        ❍ Treating Asymmetry and Scoliosis – Judith Bierman, PT, DPT, C/NDT
     ❍ Measuring NDT Outcomes from Case Studies – Kate Bain, OT, C/NDT             ❍ Integrating NDT into Educational Routines – Leslie Adler, OTR/L, C/NDT
     ❍ I Need My Jaw to Swallow – Gay Lloyd Pinder, PhD, CCC-SLP                   ❍ Don’t Rock the Boat! – Therese McDermott, MHS, CCC-SLP, C/NDT;
     ❍ How to Push a Pusher – Cathy Hazzard, BSc, PT, C/NDT                          Gay Lloyd Pinder, PhD, CCC-SLP; Marybeth Trapani-Hanasewych, CCC-SLP, C/NDT
                                                                                   ❍ John and Johnny – Kay Folmar, PT, C/NDT
    ❏   Friday Lunch in Exhibit Hall . . . . . . . . . . . . . . . . . . . . . . . . . .   .   .   .   .   .   .   .   Included. . . . . . . . . . .   .   .   .   .   .   .       N/C
    ❏   Friday Reception & Auction . . . . . . . . . . . . . . . . . . . . . . . . . .     .   .   .   .   .   .   .   Included. . . . . . . . . . .   .   .   .   .   .   .       N/C
    ❏   Tickets for Cardinals Baseball Game . . . . . . . . . . . . . . . . . . .          .   .   .   .   .   .   .   _____ @ $35 each . . .          .   .   .   .   .   .   $__________
    ❏   Saturday Awards Luncheon . . . . . . . . . . . . . . . . . . . . . . . . . .       .   .   .   .   .   .   .   Included for Attendees .        .   .   .   .   .   .       N/C
    ❏   Saturday Awards Luncheon (Saturday-Only Registratants) . . . . .                   .   .   .   .   .   .   .   @ $35 each . . . . . . . .      .   .   .   .   .   .   $__________
    ❏   Guest Registration for (name) ______________________________ .                     .   .   .   .   .   .   .   Reception $75 . . . . . .       .   .   .   .   .   .   $__________
    ❏   Guest Registration for (name) ______________________________ .                     .   .   .   .   .   .   .   Awards Luncheon $35             .   .   .   .   .   .   $__________
    ❏       I have special needs, including dietary. Please contact me.

    ❏ Check. Make Check Payable to NDTA: Check# ______________ Amount Paid $ ____________
    ❏ Visa          ❏ MasterCard          ❏ American Express

    Credit Card# _____________________________________________________________________________ Exp. Date ___________

    Authorized Signature (required) _____________________________________________________________ Date ________________

         Cancellation Policy: Full refund, less a $50 administrative fee, will be granted only if written cancellation notice
                   is received by NDTA on or before April 16, 2010. No refund will be made for no-shows.
Neuro-Developmental Treatment Association
1540 S. Coast Hwy, Suite 203
Laguna Beach, CA 92651

                                             N E U R O - D E V E L O P M E N TA L
                                             T R E AT M E N T A S S O C I AT I O N

                                                                                      NATIONAL CONFERENCE

                                      Clinical Problem Solving in the Context of NDT:
                                      Thinking, Treating & Documenting Like a Master Clinician

                                  Join us for a meeting experience that will broaden your understanding of science
                                  and research while expanding your knowledge of clinical interventions.

                                  •   Two-and-a-half days of Focused Educational Sessions

  MAY 21-23                       •
                                      Interactive Format Including Case Presentations & 16 Hands-on Facilitation Labs
                                      Distinguished Faculty of Renowned Researchers & Clinicians
HILTON AT THE BALLPARK            •   Exhibitor Showcase & Poster Displays
                                  •   Special Events Including the Auction, Reception & Awards Luncheon
                                  •   An Abundance of Social & Networking Opportunities

                                  S AV E !         REGISTER                          BEFORE   APRIL   16,   2010

       R E G I S T E R T O D AY ! S PA C E I S L I M I T E D .

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