presented by Venita Lovelace-Chandler
How early should a child be placed in standing or encouraged to take steps? When should a child who is non-ambulatory be given a motorized car? All therapists working in pediatrics need to meet the developmental, postural, and movement needs of young children. This course provides the evidence-based interventions to foster upright postures, standing, and walking, when possible, and the use of other forms of independent mobility, including motorized devices, when the child is not starting to walk. All interventions utilize concepts of child motivation and interaction with the environment for cognitive growth, communication, and participation with family members and peers.
Dr. Lovelace-Chandler has been an educator in pediatric topics for over 30 years to professional and post-professional physical therapy students. She has over 40 years of experience in pediatrics, has recertified as a specialist two times, and still carries a small caseload. She taught numerous Advanced Clinical Practice courses in pediatrics for the APTA, has published articles and book chapters on pediatrics and has numerous presentations and workshops on pediatrics. She was named as the recipient of the 2011 Linda Crane Memorial Lecture awarded by the Pediatrics, Cardiopulmonary and Education Sections, won the Service Award for 30 years of Service awarded by the Section on Pediatrics in 2003, was the Featured speaker at Opening Ceremonies of the American Board of Physical Therapy Specialties at CSM in 1991, and won the CAPTE Distinguished Service Award in April of 2014, the TPTA President’s Award for Outstanding Service in 2016, the Commission on Accreditation in Physical Therapy Education Distinguished Service Award in 2014, the Service Award for 23 Years of Service to the Arkansas Chapter of the APTA in 2003, and the Outstanding Service Award of the Federation of State Boards of Physical Therapy in 2008. She holds a BS in PT from Southwestern Medical School (1971), an MA in college teaching from the University of North Carolina (1976), and a PhD in Academic Administration/Health Education from Texas A&M University (1989). She was Vice-Chair and Professor, Department of Physical Therapy, University of North Texas Health Science Center (UNTHSC) prior to retirement in 2014. She served as Chairperson for the University of Central Arkansas and Chapman University programs in physical therapy and as Associate Director in the School of Physical Therapy at Texas Woman’s University before joining UNTHSC. She has served in numerous APTA elected leadership positions, was the pediatric content expert for the APTA’s Move Forward public site for 4 years, ending in 2016, served as secretary of the TPTA from 2013-2015, and has served as a delegate to the APTA House of Delegates for Texas for the last 6 years.
This chapter provides the existing evidence that best practices in pediatric therapy include the avoidance of pain, opportunities for engagement and participation, and independent mobility.
What are the most important movement activities to foster in young children? This chapter presents the evidence supporting sitting, looking, reaching, and standing activities as important for cognitive development and social participation. Concepts of motor control, including repetition to learn a task, and strengthening are emphasized.
This chapter provides examples of interventions to promote standing, assuming standing, and upright mobility. Participants will be encouraged to practice the interventions with child or a doll.