The Child, The Parent and the Goal -- Prematurity -- Congenital malformation -- Infections -- Congenital Metabolic -- In utero Stroke -- Problem during delivery -- Post natal encephalopathy -- Over-view of the past 50 Years -- American experience -- European Experience -- Asian experience -- African experience -- Physical pathology -- Current Imaging -PET -- Muscle changes at the cellular level -- Gross Anatomic Muscle changes in CP -- Neuro-motor junction changes -- Bone Alterations in CP -- Over view of when and how to evaluate -- Who should get Imaging -- Indications for metabolic work up -- Indications for full genetic work up -- Prognosis assessment - role of PE -Pathologic Reflexes -- Classification Terminology -- Over view of Normal Natural history -- The Irritable Child with CP -- Pain in The Non-communicative Patient -- Post-operative Pain Management -- Seizures - Diagnosis, Natural History -- Seizures - Medical Management -- Seizures - Ketogenic Diet - Indication and Description -- Seizures - Role of VNS -- Seizures - Role of Surgical Removal -- Seizure Surgery - Workup and technique Description -- Pseudo-seizures - Diagnosis and Treatment -- Hydrocephalus Diagnosis and treatment indications -- Shunting for Hydrocephalus -- Surgical Ventriculostomy for Hydrocephalus -- Attention Deficient associated with CP -- Autism and CP as Comorbidities -- Family Stress Secondary to Disability -- Impact on Siblings -- Depression associated with CP -- Mood disorders (Bipolar and CP) -- Thought disorder and CP -- Overview and natural of feeding issues with growth and development -- Aspiration - risks, work up, when is it a problem -- Gastrostomy feeding - when indicated -- Tracheostomy or diversion - When indicated and how done -- Weight and growth in the child with CP -- Feeding Therapy - Indications how long -- GE reflux - Work up and medical Management -- GE Reflux - Work up and Surgical Management -- Poor Intestinal Motility -- Constipation - Implications long term and treatment -- Toilet training and bladder control -- Neurogenic Bladder -- Renal stones - risks, prevention and management -- Undescended Testicles -- Drooling - diagnosis, measurement and medical management -- Drooling - management with local injections - Botulinum -- Drooling - Surgical treatment options and outcomes -- Hearing Evaluation - When and How -- Cochlear Implant Indication and role in CP -- Upper Airway Obstruction - Indication for adenoid and tonsillectomy -- Bronchopulmonary Dysplasia - Natural History, etiology and outcome -- Bronchopulmonary Dysplasia - Medical management -- Reactive airways - Chronic aspiration -- Airway obstruction - Work up and medical management -- Airway obstruction - Indication and options for surgical management -- Pitutary-hypohoseal dysfunction -- Adrenal insufficency -- Short Stature - Work up and treatment indications -- Pillow angel treatment - indication ethics approach -- Glucose intolerance due to intramuscular fat -- Premature or Delayed Sexual Maturation -- Testing Sight - how when and the outcome -- Strabismus -- Cortical blindness -- Routine hygiene, When and how for child with CP -- Dental Caries - When to treat, how often to check outcome -- Gum Hypertrophy - etiology, and management and outcome -- Malignments - when to treat and expected outcome -- Bruxism - Management and long term outcome -- Lip biting - Management and long term outcome -- Neurologic Control of the Muscluosketal System -- Muscle tone - Spasticity - Assessment -- Movement disorders - Description and assessment -- Medical Management of Spasticity -- Medical Management of Movement disorders -- Local treatment - Botulinum, Phenol, Neurectomy -- Inthrathecal Baclofen Therapy -- Dorsal Rhizotomy -- Deep Brain Stimulation -- Ataxia - Disorder of Balance, Description and Assessment -- Assessing dynamic Balance -- Normal Gait -- Overview and Natural history of CP Gait -- Use of Diagnostic Gait Analysis to Guide Treatment -- Using Gait Analysis as an Outcome Assessment -- Managing Hemiplegic Gait -- Diplegic Gait -- Torsional Malignments -- Stance phase - Crouch and Back Kneeing -- Swing Phase - Toe drag -- Gait with Movement Disorders -- Gait in Ataxia -- Complications of Gait Management and Gait Analysis -- Overview of Natural History and Outcome -- Assessment of the Upper Extremity for Diagnostic Assessment -- Assessment of the Upper Extremity for Outcome Evaluation -- Tone Management - Botulinum, Neurectomy, Rhizotomy -- Single Event Multi-level Surgery Approach -- Shoulder -- Elbow -- Forearm and Wrist -- Thumb -- Fingers -- Overview and Natural History -- Non-operative Management of CP scoliosis -- Surgical Planning - Medical Evaluation Pre-op -- Role and Response to Spinal Cord Monitoring -- Anesthesia for CP Spinal Fusion -- Surgical Management of Scoliosis (operative Procedure) -- Surgical Management of Kyphosis and Lordosis -- Post-operative Management -- Managing Early Onset Scoliosis in CP -- Managing Complications related to Spinal Fusion -- Cervical Spinal Problems in CP -- Lumbar Spondolethesis -- Ambulatory child CP and Scoliosis -- Scoliosis and Hip dislocation - Management considerations -- Summary Overview -- Etiology and Natural History -- Screening and Surveillance -- Prophalactic Treatment -- Reconstruction of Common Posterior Lateral Displacement -- Reconstruction of the Atypical- Anterior or Inferior Displacement -- Palliative or Salvage Treatment -- Complications of CP hip Management -- Summary of Knee problems -- Patella-femoral instability -- Apophositis and stress fractures -- Rotatory or torsion Instability -- Fixed knee flexion Contracture -- Hyper-extension knee deformity -- Knee extension Contracture and Stiff Knee Gait -- Tibial Torsion and Bowing -- Over view of the FOOT in CP -- Natural History of Foot posture in Children with CP -- Equinus -- Ankle Varus and Valgus -- Planovalgus -- Varus -- Calcaneovalgus -- Hallux -- Claw toes, Over Lap, and Crossing Toes -- Toe Nail Problems -- Complications of Managing Foot Problems -- Over view and history of therapy for CP -- Early Intervention - techniques and outcome -- Habilation therapy - in middle childhood - role and outcome -- Short High Intensity VS Long-term Low frequency -- Rehabilitation Therapy -(Post op) Frequency and Approach -- Role of Therapy in Teenagers to prevent function loss -- Educational Therapy - Technique outcome, how not medical therapy -- Therapy Theories - NDT ECT outcome expectations -- Hydrotherapy -- Strength Training -- Cardiovascular Endurance training -- Hippotherapy -- Robotic training, Suspended Treadmill training -- Over view theories and expectations -- Early intervention expectations and outcome -- UE Habilation techniques - Outcomes -- Constrained use - Enforced use Therapy Techniques and expected outcome -- UE splinting VS use encouragement -- Evaluation for Driver Training and adaptations -- Over view of ST and expect outcome -- Feeding Therapy Indications, techniques, outcome -- Speech therapy, When techniques and expected outcome -- Augmentative communication, When and expected outcome how to evaluate -- Training oral control for Drooling - Techniques and outcome -- Overview of the wide range -- Swimming with Dolphins -- Hyperbaric Oxygen -- Acupuncture -- Pressure suits and vests -- Elastic Space suits -- Votja Technique -- ECT ECT ECT -- Standers - Which, when how long, who and what is the benefit -- Reclining - Side Lyers, wedges, beds - Benefit for who and when -- Gait trainers - Who when how long - Benefit -- Walkers - WHO WHEN how long and what is the benefit -- Crutches, and canes and sticks -- UE - Self feeders - WHO W WH outcome -- General Over view of issues to be considered -- Wheel chair VS stroller - difference and why and when and outcome -- Power Wheel chair - WHEN WHO outcome -- Early power wheeled toy mobility - Benefit outcome -- Consideration of the appropriate WHEEL chair for permanent use -- One arm drive chair for who and when -- General Overview when indicated benefits and risks -- Control Foot posture - Arch supports, UCBL and SMO -- Ankle control -- Knee control options -- Hip control -- UE orthotics.