Cranio Facial Therapy Academy - Special Topics

Students will learn the mechanisms of cranio-cervical and vestibular-ocular (dys) function of postural control.

Description

During the CRAFTA-Special Topic Course (formerly known as CRAFTA-3), students will learn the mechanisms of cranio-cervical and vestibular-ocular (dys) function of postural control. Manual assessment of the cervical and oculomotor system will be demonstrated and practiced. Various primary and secondary headaches and the role of the neuromusculoskeletal assessment and therapy will be explained based on current external and clinical evidence.

Various pediatric headaches and associated issues will be reviewed with in-depth attention to the impact of orthodontics, balance and equilibrium, motor dysfunction and neuromusculoskeletal dysfunctions of the eyes, spine, peripheral nervous system, and craniofacial-mandibular region. Students will learn advanced clinical tests and treatment strategies.

NOTE: As of May 2019, the course numbering of the CRAFTA course program has been updated. This course is sometimes referred to as the "Ocular, Vestibular and Craniocervical Pain and Dysfunction course; Assessment and Management in Children and Adults."

Prerequisites

There are no pre-requisites for this course.

Course Objectives

Identify the anatomical differences of the cervical spine between adults and children (atlas paradox, growth and development of anatomical structures)

Demonstrate knowledge and skills for the assessment of the craniocervical region (including test for instability)

Discuss the anatomy and function of the posterior suboccipital neck muscles and their relationship to postural control and vertigo
 
Demonstrate evidence-informed treatment options for craniocervical dysfunctions
 
Demonstrate an evidence-informed assessment and treatment of the vestibular region
 
Demonstrate an evidence-informed assessment and treatment of the oculomotor function with vertigo and strabismus (including special visual- and oculomotor testing)
 
Discuss the function of the eye muscles and their relationship to orientation in space and vertigo
 
Demonstrate the clinical screening of the vestibular, oculomotor, and craniocervical region, postural control and their functional integration in everyday activities with a proposed 5x5 procedure
 
Identify clinical patterns in the vestibular region (benign paroxysmal vertigo) and oculomotor region (strabismus)
 
Discuss the difference between primary and secondary headaches of adults and children
 
Demonstrate applying the International Headache Classifications on patients
 
Demonstrate the manual assessment of contributing factors for primary and secondary headaches in children (craniomandibular, craniofacial, vestibular, scoliosis, ocular, neurodynamic and learning difficulties)
 
Discuss contributing factors for primary and secondary headaches in children (craniomandibular, vestibular, scoliosis, ocular, neurodynamic)
 
Plan short and long-term treatment and management strategies (hands-on and hands-off) for patients (children) with headaches and other craniofacial (tissue) dysfunctions

Course Schedule

CRAFTA-Special Topics Schedule

Note: The actual times may vary with each program at the discretion of the instructors. Refreshments are provided.

Day 1

08:00 - 08:30  Registration
08:30 - 09:30 Introduction, posture, balance, equilibrium - Fundamentals of an optimal somatosensory-vestibular and visual system
09:30 - 09:45 Questions & Answers
09:45 - 10:15 Revision Upper Cervical Anatomy and Function
10:15 - 11:15 Assessment of the Craniocervical Region 1 - Physiological intervertebral Movements
11:15 - 11:30 Questions & Answers
11:30 - 01:00 Assessment of the Craniocervical Region 2 - Instability Tests
01:00 - 02:00 Lunch
02:00 - 02:30 Assessment of the Craniocervical Region 3 - Accessory Movements
02:30 - 03:15 Assessment of the Craniocervical Region 4 - Trigger Points
03:15 - 03:30 Questions & Answers
03:30 - 04:00 Upper Cervical Posterior Muscles
04:00 - 04:30 Assessment of the Craniocervical Region 5 - Proprioception, Relocation and the Fly
04:30 - 05:00 Scientific Models of Clinical Testing
05:00 - 05:15 Questions & Answers
05:15 - 06:00 Introduction of the 5 x 5 Protocol
06:00 - 06:30Assessment of the Vestibular System 1 - Equilibrium Tests
06:30 - 07:00Assessment of the Vestibular System 2 - Evaluation
 

Day 2

08:30 - 09:00 Anatomy and Function of the Eye
09:00 - 09:30 Assessment of the Oculomotor System 1 - Coordination, (Un-) cover, Accommodation Tests
09:30 - 10:00 Assessment of the Oculomotor System 2 -Evaluation of the Ocular Dysfunction in the 5 x 5- Protocol
10:00 - 10:15 Questions & Answers
10:15 - 10:45 Assessment of the Oculomotor System 3 - Neurodynamic Tests of the Oculomotor Nerves
10:45 - 11:30Assessment of the oculomotor system 4 - Direct muscle tests, incl. trigger points, of the oculomotor muscles
11:30 - 12:15 Functional Integration Tests (FIT)
12:15 - 01:00 Evaluation FIT with Respect to the 5 x 5 Protocol
01:00 - 02:00 Lunch
02:00 - 02:30 Postural and Equilibrium Tests (PET)
02:30 - 03:15 Evaluation PET with Respect to the 5 x 5 Protocol
03:15 - 03:30 Questions & Answers
03:30 - 05:00 Oculomotor Dysfunctions (Theory)
05:00 - 05:15 Questions & Answers
05:15 - 06:00 Treatment of Oculomotor Dysfunction in Adults
06:00 - 07:00 Implementation of the 5 x 5- protocol (Practical)

Day 3 

08:30 - 09:00 Classification of Headaches according to the International Headache Society
09:00 - 09:30 Headaches and Neuromusculoskeletal Dysfunction in Children
09:30 - 09:45 Questions & Answers
09:45 - 10:30 Pain Measurements in Children
10:30 - 11:15 Red Flags for Pediatric Headaches
11:15 - 11:30 Questions & Answers
11:30 - 12:15 Anatomical and Biomechanical Qualities of the Craniocervical Region in Children
12:15 - 01:00 Physical Examination of the Craniocervical Region in Children
01:00 - 02:00 Lunch
02:00 - 02:30 Craniofacial Growth & Dysfunctions; Basis for Assessment and Treatment
02:30 - 03:15 Assessment the Craniofacial Region in Children
03:15 - 03:30 Questions & Answers
03:30 - 04:00 Assessment of the Orofacial Region, incl. TMJ in Children
04:00 - 04:30 The Pediatric Nervous System
04:30 - 05:00 Assessment of the Long Sit Slump and Neck Flexion
05:00 - 05:15 Questions & Answers
05:15 - 06:00 Oculomotor Dysfunction in Children
06:00 - 07:00 Assessment of Pediatric Oculomotor Dysfunction

Day 4

08:30 - 10:30 Vestibular Dysfunctions and Postural Changes in Children
10:30 - 10:45 Questions & Answers
10:45 - 11:30 Management of Headache and Neuromusculoskeletal Dysfunction in Children (Guideline Proposals)
11:30 - 12:15 Manual Treatment of the Craniocervical Region
12:15 - 01:00 Manual Treatment of the Craniofacial Region
01:00 - 02:00 Lunch
02:00 - 02:30 Treatment of the Nervous System
02:30 - 03:15 Oculomotor Treatment in Children - 1
03:15 - 03:30 Questions & Answers
03:20 - 04:30 Oculomotor Treatment in Children - 2
04:30 - 05:00 Summary

Who Should Attend

Physical therapists
Dentists
Speech Pathologists
Physicians

Course CEUs

Maryland Board of Physical Therapy Examiners - 3.8 CEU's

NOTE: Many states, such as Connecticut, Georgia, New Hampshire, North Carolina, Kansas, Kentucky, South Carolina, Virginia, and Wisconsin, among many others, accept the CEUs approved by the Maryland Board of Physical Therapy Examiners.

If you are not sure about another state, check out your state board's website and look for language like (from South Carolina - https://www.llr.sc.gov/pt/ce.aspx): 

At least fifteen (15) of the required thirty (30) contact hours shall be from Certified Activities. Certified Activities include [...] attendance at conferences and completion of continuing competency activities provided by the American Physical Therapy Association (APTA), South Carolina Chapter of the American Physical Therapy Association (SCAPTA), other chapters and sections of the APTA, as well as other state boards of physical therapy

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