Orthopaedic Physiotherapy for Children with Cerebral PalsyA two day course covering the latest evidence in the orthopaedic physiotherapy management of children with cerebral palsy (CP). Areas of focus will include orthopaedic development and assessment, gait analysis, and pre-and post-surgical therapy. We will review hot topics such as stretching, when to initiate standing, and types of orthotics. We will dive into the latest research and encourage you to critically think about your practice in an evidence-based manner.
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The Years Top Articles for The Physiotherapy Management Of Children With Cerebral Palsy
JAN 31, 2025
CHUN KIM
Chun graduated with his degree in Physiotherapy from the University of Toronto (U of T) in 1998 after completing a Bachelor’s degree in Human Biology from U of T. Over the past 23 years, Chun has dedicated his career to pediatric rehabilitation focusing on children with cerebral palsy and other neuromotor conditions. Over this period, he has gathered a wealth of knowledge in the physiotherapy management and treatment of children with cerebral palsy, with a keen focus on orthopaedic management. Throughout much of his career, he has worked in close partnership with orthopedic surgeons to determine the ideal management strategies for orthopedic issues in children with cerebral palsy. With extensive experience in both the public and private health care setting, Chun has developed a holistic and unique understanding of the role health care professionals play in the lives of children and families with cerebral palsy and their impact on the client and family's quality of life. Chun is a senior physiotherapist at the Holland Bloorview Kids Rehabilitation Hospital in Toronto, Canada. He has been consulting in the Orthopaedic Clinics over the past 20 years to identify children with cerebral palsy who may benefit from orthopaedic surgery. His expertise has lead to the creation of the Orthopaedic Physiotherapy Clinic, a physiotherapist directed assessment clinic to monitor children with cerebral palsy with orthopaedic concerns. Chun co-leads the Gait Analysis Laboratory at Holland Bloorview, performing 3D Gait Analysis for children undergoing Selective Dorsal Rhizotomy. He is a co-creator of the Hip Surveillance Pathway for Children with Cerebral Palsy at the Holland Bloorview. Chun has been an invited speaker at a paediatric rehabilitation nursing conference and a paediatric development conference. He has also conducted multiple workshops and presented numerous posters at professional conferences, focusing on orthopaedics in cerebral palsy. Chun is a regular lecturer and clinical instructor for physiotherapy students at the University of Toronto along with a mentor to his physiotherapy colleagues, receiving numerous recognitions for his teaching. He is one of the co-founders of the Ontario Paediatric Hip Surveillance Working Group. In his quiet time, Chun enjoys spending time with his wife and two daughters, along with an occasional round of golf and pick up shinny when possible! |
KIM HESKETH
Kim graduated with her Masters in Physical Therapy from University of Toronto in 2004, after completing a Bachelor’s of Kinesiology with Honours (specialization in Athletic Therapy) from Acadia University. She also holds a Community Based Rehabilitation, Disability and International Development Certificate from Queens University and a certificate in Project Management through University of Waterloo. Kim has spent her career dedicated to paediatric rehabilitation in various areas including, acute care, community based services, and early intervention. She has held positions in Alberta, Hawaii, and British Columbia before settling in Barrie, Ontario in 2015. She is now the Lead of Clinical Modernization with the Children's Treatment Network (CTN). In her current role Kim is working with CTN partners to enhance services across Simcoe County, York Region, and Toronto. She leads the implementation of system wide initiatives such as the F-words for Child Development, Tiered School Based Rehabilitation, Hip surveillance pathways, and the SmartStart Hubs. In Vancouver and Toronto Kim has worked alongside orthopaedic surgeons and physicians to improve services for children with cerebral palsy. In, BC, she collaborated with her team in the development of the provincial Orthopaedic Cerebral Palsy Clinic. She has lead multiple projects including the creation of the BC Children’s Hospital Orthopaedic CP Clinic website and inter-agency and post-surgical pathways to improve communication and provide enhanced care. Kim has authored articles in peer reviewed journals and has presented work at several professional conferences (i.e. AACPDM, EACD, COA, POSNA, OACRS/EKO etc...). Kim is a co-chair of the Empowered Kids Ontario (EKO) Best Practice Committee and co-founded the Ontario Paediatric Hip Surveillance Working Group. In Vancouver, she was a member of the Paediatric Physiotherapy Council of BC, serving as chair in 2014-2015, a clinical associate at the University of British Columbia, and co-founder and executive of International Health Initiatives (an NGO whose mission is to promote the role of rehabilitation to optimize health and well-being in under served areas by building capacity and creating sustainable programs). Kim has been involved with a number of international initiatives and has taught in a various countries. Kim is now settled in Barrie with her family and two young sons. |
Publications
Hesketh, K., Leveille, L., & Mulpuri, K. (2016a). The Frequency of AVN Following Reconstructive Hip Surgery in Children With Cerebral Palsy: A Systematic Review. Journal of Pediatric Orthopedics, 36(2), e17–24. doi:10.1097/BPO.0000000000000485
Hesketh, K., Sankar, W., Joseph, B., Narayanan, U., & Mulpuri, K. (2016b). Inter-observer and intra-observer reliability in the radiographic diagnosis of avascular necrosis of the femoral head following reconstructive hip surgery in children with cerebral palsy. Journal of Children's Orthopaedics, 10(2), 143–147. doi:10.1007/s11832-016-0723-y
Miller, S. D., Juricic, M., Hesketh, K., Mclean, L., Magnuson, S., Gasior, S., et al. (2017). Prevention of hip displacement in children with cerebral palsy: a systematic review. Developmental Medicine & Child Neurology, 59(11), 1130–1138. doi:10.1111/dmcn.13480
Phillips L, Hesketh K, Schaeffer EK, Andrade J, Farr J, Mulpuri K. Avascular necrosis in children with cerebral palsy after reconstructive hip surgery. J Child Orthop 2017;11:326-333. DOI 10.1302/1863-2548.11.170078
Hesketh, K., Sankar, W., Joseph, B., Narayanan, U., & Mulpuri, K. (2016b). Inter-observer and intra-observer reliability in the radiographic diagnosis of avascular necrosis of the femoral head following reconstructive hip surgery in children with cerebral palsy. Journal of Children's Orthopaedics, 10(2), 143–147. doi:10.1007/s11832-016-0723-y
Miller, S. D., Juricic, M., Hesketh, K., Mclean, L., Magnuson, S., Gasior, S., et al. (2017). Prevention of hip displacement in children with cerebral palsy: a systematic review. Developmental Medicine & Child Neurology, 59(11), 1130–1138. doi:10.1111/dmcn.13480
Phillips L, Hesketh K, Schaeffer EK, Andrade J, Farr J, Mulpuri K. Avascular necrosis in children with cerebral palsy after reconstructive hip surgery. J Child Orthop 2017;11:326-333. DOI 10.1302/1863-2548.11.170078