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PSIG: Incorporating Resistance Training into Treatment Improves Function & Participation for Children with Cerebral Palsy & Other Neuromotor Diagnoses
Regis University
3333 Regis Blvd
Denver, CO 80221
Tuesday, June 11, 2019, 6:45 PM - 8:30 PM MDT
Category: SIG Events


Target Audience: 
Clinicians, families, and individuals impacted with neuromotor diagnoses

$10 for APTA members and $20 for non-members, student members are free

Continuing Education:
Category 1 - 1 point

Regis University
Peter Claver Hall Room 210
3333 Regis Blvd, Denver, CO 80221
Parking information: Lot 4 Lower Lot for $1/hour; $3/evening; Free parking on streets

Remote Participation connection information will be provided upon registration

Course Description:
Functional independence in youth with cerebral palsy (CP) is expected to plateau after the age of 7-8 years. This expectation is based on standard dosing of weekly therapy. Strength impairments in youth with CP have been shown to be a significant factor impacting function. The conventional rehabilitation approach does not provide appropriate stimulus to remediate strength impairments to alter function and participation. Recent evidence, however, has shown that power-based strengthening results in improved strength, function and participation. 

Children’s Hospital Colorado has successfully implemented new service delivery models targeting individualized patient goals and incorporating appropriately dosed resistance training and functional skill practice into intensive episodes of care. Evidence about the importance of strength for functional independence in youth with CP, the use of resistance training and other interventions delivered in an intensive format, dosing guided by current training guidelines and use of outcome measures across all domains of the ICF for patient and program surveillance will be reviewed. The process of program implementation across a large, pediatric hospital system will be discussed. Additionally, aggregated patient outcomes will be presented demonstrating improvements in impairment, function and participation. Case studies and family testimonials will also be presented.

Learning Objectives:

  • Upon completion, participants will be able to demonstrate understanding of the role of muscular strength in determining functional independence in youth with cerebral palsy.
  • Upon completion, participants will be able to complete a clinical assessment to select the most ideal training parameters to achieve a patient's specific functional goals.
  • Upon completion, participants will be able to design a resistance and functional skill training program using appropriate dosing and outcomes assessment to address individualized goals for youth with cerebral palsy.
  • Upon completion, participants will be able to develop a plan to initiate a resistance training program for youth with cerebral palsy in their practice or clinic.


Dr. Jim Hedgecock, PT, DPT, PCS completed his Doctor of Physical Therapy, Pediatric Residency, and Leadership Education in Neurodevelopmental Disability (LEND) Fellowship at the University of Colorado Physical Therapy Program. He was recognized as a board certified Pediatric Clinical Specialist in 2015. Currently, Dr. Hedgecock is a clinical pediatric physical therapist and serves as the Physical Therapy Program Coordinator for Neurodevelopmental Disabilities at Children’s Hospital Colorado. He additionally has led initiatives examining and instructing evidence based practice for physical and occupational therapists, and with his colleagues, has developed several effective intensive therapy interventions for people with neurodevelopmental disabilities. Dr. Hedgecock has clinical research interests in evidence based intervention dosing for people with neurodevelopmental disabilities and the importance of gross motor evaluation and intervention for children with autism spectrum disorders, and has published and presented at several local, national and international conferences about these topics. Jim spends his time exploring the mountains, rivers, and rocks of the American West with his family and dog, Trout.

Nicole Harris, PT, MPT, PCS, BOCO has been a pediatric physical therapist for 20 years and is the foot management program coordinator at Children’s Hospital Colorado (CHCO). She specializes in treating children with cerebral palsy as well as ITW, orthotics, splinting and casting for pediatric patients. Ms. Harris is a BOCO orthotist and a Pediatric Clinical Specialist. She initiated the successful intensive resistance training model currently used at CHCO. Ms. Harris has done multiple presentations regarding resistance training service delivery models, dynamic bracing, gastroc management and idiopathic toe walking for different organizations in Colorado as well as state, national and international conferences. Ms. Harris is dedicated to advancing clinical practice to improve outcomes for pediatric patients. Her free time is spent enjoying the adventures of life with her family in Colorado.





Contact: Kelsey Miller