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Check Out The Expert Exchange

As physical, occupational and speech therapists working with children with complex needs (and too often) exhausted families and disconnected teams that don't always see eye-to-eye, we recognised the need for clinical discussions that go beyond what we can gather from textbook and published guidelines.

Ginny Paleg: Moving, Standing, Walking with Cerebral Palsy

Ginny Paleg: Moving, Standing and Walking with Cerebral Palsy with Wired ON Development

Scroll down for the podcast and links to all good things discussed in the interview

Ginny Paleg, PT, MPT, PScPT is a physical therapist who is a master at making research applicable and meaningful in clinical practice. Ginny's published papers are key resources for anyone wanting to answer questions on the whys, whats, how often and how much with gait trainers, standing frames, powered mobility and compression garments - and we get into it in this interview.

Ginny's energy, enthusiasm, knowledge and contributions to pediatric therapy are awe-inspiring! Scroll down to the podcast player to listen or find us on iTunes or Stitcher.

There was so many things we covered in this interview that we couldn't cover everything in depth. If you'd like to dig a bit deeper into these topics, scroll down to the Resources Section to find the links

and if you'd like to be inspired with weekly with snippets of brilliance from this interview and others, sign up for Seriously Smart Snippets here



The Podcast: Listen, enjoy, share...

If you have a slow internet connection, you may need to download the podcast first by clicking on the download symbol (the little down arrow) in the player below or find us on iTunes or Stitcher

Time Stamps (drag the cursor along the sound wave - might only work on desktop)

  • Getting started with MOVE 4:37

  • Failing NDT 6:51

  • It’s not evidence based and we shouldn’t be using it 09:08

  • Funky but functional - when alignment is not the main objective 10:17

  • 24 Hour Postural Management: An essential piece and a 2 hour goal 11:58

  • Problem Solving Standing - Abduction, rotation and a novel x-ray approach 13:40

  • Dealing with barriers to standing frame use 20:37

  • Prone vs Supine 22:34

  • Knee blocks 25:05

  • Robotics and the future 26:23

  • Overhead harnesses 30:27

  • Orthotics 32:48

  • Hip health and scissoring 34:00

  • Questions

  • Hypotonia 38:02

  • Predicting the need for early adaptive equipment 39:02

  • Standing times and postures 41:40

  • Standing and hip dislocation 43:47

  • Scoliosis -> TLSOs and DMOs 45:10

  • Who's note worthy 50:22

  • Using the HINE for early predictions51:35

  • Stability of the GMFCS levels 52:56

  • Best Resources 55:02

  • Advice for new therapists 55:15

  • Developing excellence 55:50


Wired ON Development clickable links to great resources

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