2019 AACPDM Annual Meeting

Knowledge Without Borders 2019 banner graphic

Shriners Hospitals for Children – Northern California physicians and therapists have been invited as faculty to present lectures, instructional courses, and posters at the 73rd meeting of the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) and the 2nd International Alliance of Academies of Childhood Disability (IAACD) in Anaheim from September 18-21, 2019. The full course materials and poster presentations can be downloaded below. We hope you find them beneficial and share them widely!

Invited Lectures

ORTHOPEDIC DAY: International Perspectives on Hip Surveillance in Children with Cerebral Palsy: USA

Faculty: Jon Davids, M.D.
Course Materials: ORTHO DAY

Presidential Guest Lecture Rationale and Evolution of the Application of Quantitative Gait Analysis to the Management of Gait Disorders in Children with Cerebral Palsy

Faculty: Jon R. Davids, M.D.
Course Materials: PRESIDENTIAL Lecture

Breakfast Courses

BRK06: Postoperative Urinary Retention In Children With Cerebral Palsy Undergoing Musculoskeletal Surgery: Prevalence, Risk Factors, and Management

Faculty: Mohan Belthur, M.D.; Jon R. Davids, M.D.; Loren Davidson, M.D.
Course Materials: Shriners Post-Operative Urinary Retention Protocol Experience: Davids Management of POUR SHCNC Experience

BRK 14: Interpreting Hip Surveillance X-Rays With the HipScreen App– A Primer for the Radiology Novice

Faculty: Vedant A. Kulkarni, M.D; Jon R. Davids, M.D.; Pam Thomason, B Phty, M Physio*; Lisa Wiedeman, MPT
*Royal Children’s Hospital, Melbourne, Australia

Course Overview: This seminar will introduce participants without formal training in radiology to the fundamentals of interpretation of hip surveillance radiographs. Participants will be tutored on identifying important radiographic landmarks for the measurement of migration percentage, and will also learn radiographic signs of poor positioning that could limit the accuracy of the measurement. The majority of the seminar will be spent on actual measurement of hip surveillance radiographs using the award-winning HipScreen App with the coaching of experienced clinicians.

Course Materials:

Focused Symposia

SYMP27: Gait Analysis without a Gait Lab: Using Technology to Enhance Observational Gait Assessment in Resource-Challenged Environments

Faculty: Vedant A. Kulkarni, M.D; Jon R. Davids, M.D.; Abhay Khot, MBBS,FRACS*; Alaric Aroojis, MS, D’Ortho, DNB**
*Royal Children’s Hospital, Melbourne, Australia
** Bai Jerbai Wadia Hospital for Children, Mumbai, India

Course Overview: Optimizing and improving gait for children with cerebral palsy and other neuromuscular disorders requires careful observational gait analysis. Advances in mobile device technology and videography have made frame-by-frame analysis available at our fingertips, allowing for improved evaluation of gait in resource-challenged environments where 3D motion analysis may not be available. Systematic analysis of these mobile device videos using the validated Edinburgh Visual Gait Score (EVGS) can provide important data to inform treatment and evaluate outcomes. In this session, we will review normal gait and kinematics as well as the most common gait deviations seen in children with cerebral palsy. We will provide an in-depth overview to structured observation gait analysis using the EVGS and demonstrate its utility through case-based examples. Finally, we will highlight emerging low-cost wearable technology for evaluating temporospatial parameters, ankle kinematics, and foot pressures.

Course Materials: 

SYMP38: Optimization of Outcomes following Single Event Multi-level Surgery (SEMLS): International Perspectives on a “Team Approach” to Improve Gait in Children with Cerebral Palsy

Faculty: Vedant A. Kulkarni, M.D; Jon R. Davids, M.D.; Pam Thomason, B Phty, M Physio*; Alaric Aroojis, MS, D’Ortho, DNB**; H. Kerr Graham, MD, FRCS (Ed), FRACS

*Royal Children’s Hospital, Melbourne, Australia
** Bai Jerbai Wadia Hospital for Children, Mumbai, India

Course Overview: Single-Event Multi-Level Surgery (SEMLS) has emerged as the standard of care for improving gait in children with cerebral palsy at high-volume centers using instrumented gait analysis. A successful outcome requires not only appropriately indicated and executed surgeries, but also effective post-operative pain management, orthotics, and rehabilitation. This symposium will provide the attendee with a variety of evidence-based methods for optimizing the experience and outcome in the first year after SEMLS. An international panel of presenters will give details on their local practices of preoperative assessment, inpatient pain management, manufacturing and timing of braces, coordination, and implementation of physical therapy, and outcome assessment. The emphasis of the
presentations will be on the roles of members of the SEMLS Team methods of communication between team members at each phase of recovery, and context-specific considerations for optimizing outcomes. The audience will be encouraged to participate and discuss through case-based examples.

Course Materials:

Physical Therapy Perspectives

International Perspectives on Team Approach after Multilevel Surgery


Comparison of Patient-reported Outcomes Measurement Information System (PROMIS) Scores for Children with Cerebral Palsy to a Typically Developing Cohort: Effect of Age and GMFCS [Poster T-P-SP03]

Madeline Ball, BA; Donald Kephart, MD; Anita Bagley, Ph.D., MPH; Jon R. Davids, MD; and Vedant A. Kulkarni. MD

  • Significance of Study: Children with cerebral palsy have reduced PROMIS scores in mobility and upper extremity function that is strongly associated with younger age, increasing Gross Motor Function Classification System impairment, and quadriplegic topographic class
  • Download Poster

A New Radiographic Measurement for Quantitative Assessment of Forefoot Splay in Children with Persistent Idiopathic Toe Walking [Poster T-A-SP08]

Donald T. Kephart, M.D.; Janet Phan, BA; Arash Calafi, M.D.; Sean Brown, M.A.; Anita M. Bagley, Ph.D.; Vedant A. Kulkarni, M.D.; and Jon R. Davids, M.D.

  • Significance of Study: Forefoot splay is common in children with persistent idiopathic toe walking, can reliably be quantified with the Forefoot Splay Index (FSI), and does not improve in the first 2 years following surgery to improve gait.
  • Download Poster

Neuraxial Anesthesia for Hip Surgery in Children with Cerebral Palsy with Pre-existing Intra-thecal Baclofen Pumps: Indwelling Epidural Catheter and a Novel Pump-delivered Spinal Anesthetic Method Are Effective [Poster T-I-SP09]

Madeleine Ball, B.S.; Donald T. Kephart, M.D.; Alisha Othieno, B.A.; Sundeep Tumber, DO; Jon R. Davids, M.D.; Vedant A. Kulkarni, M.D.

  • Significance of Study: Neuraxial anesthesia is effective in treating post-operative pain following hip surgery in children with pre-existing baclofen pumps.
  • Download Poster

Effectiveness of Video-based Training on Mobile App Measurement of Migration Percentage: Is Community-based Hip Surveillance Feasible? [Poster T-C-SP10]

Vedant A. Kulkarni, M.D.; Nina Cung, BA, BS; Anita Bagley, Ph.D., MPH; and Jon R. Davids, M.D.

  • Significance of Study: With video-based training, the HipScreen app has acceptable accuracy and reliability, supporting its use in community-based hip surveillance programs.
  • Download Poster 

Skeletal Age Assessment using the Calcaneal Apophysis in Children with Cerebral Palsy [Poster T-A-SP11]

Donald Kephart, MD; S. Reed Laing, BA; Vincent Tang, BS; Anita Bagley, Ph.D., MPH; Jon R. Davids, M.D.; and Vedant A. Kulkarni, M.D.

  • Significance of Study: Children with cerebral palsy who can walk have skeletal maturity that is similar to their typically developing peers. Skeletal maturity assessment with the calcaneal apophysis is accurate and reliable in children with cerebral palsy.
  • Download Poster

Post-Operative Immobilization Following Hip Reconstruction in Children with Cerebral Palsy: Practice Patterns and Associated Complications from a Prospective Multi-Center International Cohort Study [Poster T-I-SP12]

Vedant A. Kulkarni, M.D.; Jon R. Davids, M.D.; Ashley Ferkul, B.A. *; S. Reed Laing, B.A.; Anita Bagley, Ph.D., MPH; Unni G. Narayanan, MBBS, MSc, FRCS(C) *
* Hospital for Sick Children and Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada

  • Significance of Study: Removable hip immobilization can effectively protect bony hip reconstructive surgery in medically complex children with CP with a low rate of minor complications.
  • Download Poster

Make an Appointment

Please call our Referral Center to schedule an appointment, call (916) 453-2191 or via email at ncal.info@shrinenet.org. A Referral Coordinator will partner with you to gather the necessary information to allow our physician leadership to evaluate the best path for your child.
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