Explorez tous les épisodes du podcast Pushing Pediatrics

Priyanshi Domadia, PT, DPT, PCS, joins Pushing Pediatrics for Part 1 of a two-part series on pediatric orthotics. Drawing on her experience across early intervention, outpatient, home-based, school-based, and pediatric neurorehabilitation settings, as well as her previous work as a Lead Physical Therapist and Brace Clinic Coordinator, coordinating orthotic and adaptive-equipment services for children with complex neurological conditions, Priyanshi brings valuable insight into determining what a child actually needs. In this episode, we focus on lower extremity orthotics, including supportive footwear, inserts, SMOs, and AFOs, exploring the clinical reasoning behind choosing the right support for each child. Rather than memorizing which orthosis goes with a particular diagnosis, we discuss how to identify a child's specific movement challenges, understand the biomechanics contributing to functional limitations, and determine the least restrictive level of support needed to improve function. Be sure to join us for Part 2 next week, where we continue exploring orthotic management beyond the lower extremities.

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This week is our final episode in our four part series with Kyan Sahba, PT, DPT, PhD on clinical reasoning. Kyan is an assistant clinical professor and post-doctoral research fellow at Loma Linda University and the author of The Pediatric PT Playbook. Kyan’s clinical background spans early intervention, school-based, outpatient peds, acute care, and peds oncology. She felt passionate about creating a resource around frameworks that she wished she had had as a student, which led to her writing The Pediatric PT Playbook. Over the last three weeks we have been discussing these frameworks and how they can be utilized for clinical reasoning needed to excel on the PCS exam. If you haven’t listened to the last few episodes, please go back and do so before listening to today’s conclusion. Today, we’ll wrap up the series by exploring the advanced judgment and decision-making skills expected of Pediatric Clinical Specialists, focusing on asking not only ‘why?’ but also ‘what else?’

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Get Kyan’s book, The Pediatric PT Playbook: A Practical Guide to Clinical Reasoning for Students and New Clinicians in downloadable PDF from her website (use code PushingPediatrics for 25% off!), or on Amazon in hardcover, paperback, and kindle versions

Resources discussed in today’s episode can be found on our website

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This episode was brought to you by the Pivot Ball Change Network.

We are welcoming back Kyan Sahba, PT, DPT, PhD on today’s episode for Part 3 of our series on clinical reasoning. Kayan is an assistant clinical professor and post-doctoral research fellow at Loma Linda University and the author of The Pediatric PT Playbook. Kyan’s clinical background spans early intervention, school-based, outpatient peds, acute care, and peds oncology. She felt passionate about creating a resource around frameworks that she wished she had had as a student, which led to her writing The Pediatric PT Playbook. Over these four episodes, we will be diving into these frameworks and how they can be utilized for clinical reasoning needed to excel on the PCS exam.

In this episode, we explore how clinical reasoning changes across pediatric practice settings, including the NICU, early intervention, outpatient pediatrics, acute care, and pediatric oncology. Kyan discusses the first priorities and safety concerns clinicians should consider in each setting, common mistakes to avoid, and what distinguishes expert clinical reasoning from a more novice approach. She also shares strategies for shifting your thinking when moving between practice settings, the questions expert clinicians ask whenever they enter a new environment, and how to prepare for PCS exam content that falls outside your usual area of practice. This episode offers practical ways to hone your clinical reasoning skills and prepare to think like a pediatric clinical specialist. Be sure to tune in next week for the final installment of our series with Kyan!

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Check out Kyan’s website: www.BeingThePT.com

Get Kyan’s book, The Pediatric PT Playbook: A Practical Guide to Clinical Reasoning for Students and New Clinicians in downloadable PDF from her website (use code PushingPediatrics for 25% off!), or on Amazon in hardcover, paperback, and kindle versions

Resources discussed in today’s episode can be found on our website

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Kyan Sahba, PT, DPT, PhD is back on today’s episode for Part 2 of our series on clinical reasoning. Kyan is an assistant clinical professor and post-doctoral research fellow at Loma Linda University and the author of The Pediatric PT Playbook. Kyan’s clinical background spans early intervention, school-based, outpatient peds, acute care, and peds oncology. She felt passionate about creating a resource around frameworks that she wished she had had as a student, which led to her writing The Pediatric PT Playbook. Over these four episodes, we will be diving into these frameworks and how they can be utilized for clinical reasoning needed to excel on the PCS exam.

Today we are taking the conversation from last week and putting it into practice! Kyan will talk us through pediatric cases and highlight the things she notices first, what questions she would ask, what would change her clinical decision making, and how she uses the “QFF”, “ALERT”, “PARTNER”, “VOICE”, and “SAFE KIDS” frameworks from her book to help organize that process. We close with Kyan suggesting 3 things to help those striving to become stronger pediatric clinical reasoners.

Be sure to come back next week for Part 3 where we will take today’s introduction to these frameworks and dive deeper by applying them to setting specific situations. 

Follow Kyan on LinkedIn

Check out Kyan’s website: www.BeingThePT.com

Get Kyan’s book, The Pediatric PT Playbook: A Practical Guide to Clinical Reasoning for Students and New Clinicians in downloadable PDF from her website (use code PushingPediatrics for 25% off!), or on Amazon in hardcover, paperback, and kindle versions

Resources discussed in today’s episode can be found on our website

Use code PUSHINGPEDS for $150 off your Medbridge subscription! 

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This episode was brought to you by the Pivot Ball Change Network.

Today’s episode of Pushing Pediatrics is Part One of a four-part series on clinical reasoning with Kyan Sahba, PT, DPT, PhD. Kyan is an assistant clinical professor and post-doctoral research fellow at Loma Linda University and the author of The Pediatric PT Playbook. Kyan’s clinical background spans early intervention, school-based, outpatient peds, acute care, and peds oncology. She felt passionate about creating a resource around frameworks that she wished she had had as a student, which led to her writing The Pediatric PT Playbook. Over the next four episodes, we will be diving into these frameworks and how they can be utilized for clinical reasoning needed to excel on the PCS exam.

Kyan walks us through the difference between thinking as a pediatric physical therapist to thinking like a pediatric clinical specialist. She breaks down the difference between clinical knowledge and clinical reasoning and explains how a student, an experienced clinician, and a PCS-level specialist may approach the same child in very different ways. We discuss how experts develop pattern recognition and what they notice sooner. Kyan also explains why frameworks can help organize the overwhelming amount of information a pediatric PT needs to know, how it helps reduce cognitive load, and helps you be able to sort through the details of a PCS test question to find what actually matters.

Come back Friday for a framework style Test Question Friday, and be sure to tune in for the rest of our series with Kyan!

Follow Kyan on LinkedIn

Check out Kyan’s website: www.BeingThePT.com

Get Kyan’s book, The Pediatric PT Playbook: A Practical Guide to Clinical Reasoning for Students and New Clinicians in downloadable PDF from her website (use code PushingPediatrics for 25% off!), or on Amazon in hardcover, paperback, and kindle versions

Resources discussed in today’s episode can be found on our website

Use code PUSHINGPEDS for $150 off your Medbridge subscription! 

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This episode was brought to you by the Pivot Ball Change Network.

What happens when you have just three months to prepare for the PCS exam? In this episode, Sheila welcomes Anne Heinritz, PT, DPT, ATP, PCS, a former Pushing Pediatrics listener who became a PCS passer and is now joining as a podcast guest! Anne owns a mobile pediatric physical therapy practice in Reno, NV, and she shares exactly how she approached studying for the PCS over a three-month period while balancing a career, family, and the curveballs of life along the way. 

Anne walks us through her study timeline, the resources she used including textbooks, PCS Advantage, and AI, and how she prioritized the content that mattered most when her study time was limited. She also shares how she let go of perfectionism, pivoted from perfection to purpose, and managed the stress of a quickly approaching exam. Plus, Anne reflects on what she learned from the experience and what she would do differently if she had to prepare for the PCS all over again. If you’re studying for the PCS and wondering whether it’s possible to prepare in a shorter timeframe, this episode offers an honest, practical look at what worked for one successful test-taker.

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Ready To Roll Physical Therapy website

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Welcome back to Pushing Pediatrics for Part 2 of our conversation with Jessica Lewis and Helen Carey of PCS Advantage! Today we will be diving deeper into using Artificial Intelligence (AI) as a study tool and sharing real, detailed prompts and responses to help further your learning.

In Part 1 of this discussion, Helen and Jessica introduce the newest PCS Advantage study guide focused on using AI as a study tool which is available to download for free! If you haven’t listened to Part 1, which lays out the background and framework for using AI to study for the PCS, please go do so and then come back to listen to Part 2. Today Helen and Jessica share examples of source material you could upload into your chosen AI platform and how to create specific prompts using the C.R.A.F.T framework. We end the episode with two real prompts and the responses AI provided and judge them for their accuracy and depth of knowledge. 

Download the FREE PCS Advantage Study Guide - AI Assisted Learning

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Season 6 of Pushing Pediatrics kicks off with a special collaboration with PCS Advantage! Sheila and Sara welcome back Jessica Lewis, PT, DPT, PCS and Helen Carey, PT, DHSc, PCS, creators of PCS Advantage, to talk about a new tool that is becoming increasingly common in our everyday lives: artificial intelligence, or, AI. While AI can be a powerful resource for studying for the PCS exam, knowing how to use it effectively and critically is essential.

In Part 1 of this discussion, Helen and Jessica introduce the newest PCS Advantage study guide, focused entirely on using AI as a study tool. Now with 31 study guides available, PCS Advantage continues to provide practical resources for physical therapists preparing for the Pediatric Certified Specialist exam, and this newest guide is available to download for free! The conversation explores how to create effective AI prompts, what types of questions to ask, and more. They also discuss the importance of verifying AI-generated information and suggest feeding the chat bot primary source information. And remember that AI should supplement, not replace, your own clinical reasoning, thinking, and learning.

You’ll also learn about the C.R.A.F.T. framework, a helpful approach for creating more effective AI prompts and getting better results from your study sessions. Whether you are just beginning your PCS preparation or are deep into studying, this episode offers practical strategies for thoughtfully incorporating AI into your study routine while still keeping your own knowledge, reasoning, and learning at the center of the process. Join us next week for Part 2 with Jessica and Helen where we go deeper into study techniques utilizing AI!

Download the FREE PCS Advantage Study Guide - AI Assisted Learning

Resources discussed in today’s episode can be found on our website

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Today is the final episode of the 5th season of the Pushing Pediatrics podcast! Sheila and Sara are welcoming guests Jessica Lewis, PT, DPT, PCS and Helen Carey, PT, DHSc, PCS, creators of the PCS Advantage, to help those of you in the home stretch of studying for the PCS exam. PCS Advantage is a prep course and study tool for those clinicians studying for the PCS exam, providing full practice exams and comprehensive study guides. Through the work of Jessica and Helen and the creation of PCS Advantage, they have helped hundreds of clinicians pass their exam! Sheila and Sara ask Jessica and Helen some critical questions you’ll want to hear the answers to if you’re taking the PCS in a few weeks! Topics like where to focus your studies in these last weeks, things TO do and things NOT to do as the exam date approaches, and several critical exam taking strategies. Good luck to those of you taking your PCS exam, and regardless of the outcome, you are an amazing PT. We will be back next season with more great episodes. And remember, you’ve got this! 

PCS Advantage: PCS Prep Course

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Thanks for joining us for part 2 of our discussion on pain with Dylan Gawinski Stern, PT, DPT, PCS. In this second half, Dylan will be going into more depth on AMPS (Amplified Musculoskeletal Pain Syndrome). She will share how her facility evaluates patients to be considered for admission to the AMPS program, what specialties make up the multidisciplinary team, and what treatment looks like for those AMPS patients. Sheila and Sara will share “PT pearls" and how this topic ties into PCS exam prep. 

Dougherty BL, Zelikovsky N, Miller KS, Rodriguez D, Armstrong SL, Sherry DD. Longitudinal Impact of Parental Catastrophizing on Child Functional Disability in Pediatric Amplified Pain. J Pediatr Psychol. 2021 Apr 16;46(4):474-484. doi: 10.1093/jpepsy/jsaa127. PMID: 33491076; PMCID: PMC8056213.

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Another incredible guest is on the Pushing Pediatrics Podcast this week! Dylan Gawinski Stern, PT, DPT, PCS joins the show to discuss pain, most specifically AMPS (Amplified Musculoskeletal Pain Syndrome). Persistent pain is a new “hot topic” that is testable material since hosts Sheila and Sara took their PCS exam, which is why they’ve invited an expert to review this topic. Dylan will share her experience working in the AMPS clinic, how to differentiate AMPS from CRPS (Complex Regional Pain Syndrome) as a provider, what the therapy evaluation process looks like for AMPS clinic patients, how to incorporate Trauma Informed Care, and more. This topic will be broken into two, digestible episodes, so be sure to tune in next week for the other half of our discussion on pain. 

Dougherty BL, Zelikovsky N, Miller KS, Rodriguez D, Armstrong SL, Sherry DD. Longitudinal Impact of Parental Catastrophizing on Child Functional Disability in Pediatric Amplified Pain. J Pediatr Psychol. 2021 Apr 16;46(4):474-484. doi: 10.1093/jpepsy/jsaa127. PMID: 33491076; PMCID: PMC8056213.

Resources discussed in today’s episode can be found on our website

Use code PUSHINGPEDS for $150 off your Medbridge subscription! 

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This episode was brought to you by the Pivot Ball Change Network.

SAFETY LISTENER NOTE:

This presentation will discuss aspects of trauma, its impact on children, families and practitioners. We acknowledge that the content in this discussion may trigger your previous experiences with trauma or the trauma that your patients have experienced. We encourage you to perform self-care practices even within this podcast; if you need to take a break and pause, please do so as you need.

Today’s episode is part 2 of this season’s Trauma Informed Care series with Katelyn McNamara-Kays PT, DPT, PCS and Bridget Griffin, PT, DPT, PCS. Kate and Bridget were on the show last season sharing their knowledge about TIC. If you haven’t listened to those episodes, they are linked down below - be sure to go and give those a listen, as well as last week’s part 1 of this series. Today Kate and Bridget share the other side of Trauma Informed Care known as Secondary Traumatic Stress and how we experience it as health care providers. Whether there is a big event at work or your role has heavy moments over time, Kate and Bridget will share why it’s important to be taking care of yourself in order to provide the best sessions for our patients. 

Season 4: Trauma Informed Care

Season 4: Trauma Informed Care Part 2 

Join the APTA Mighty Networks!

Resources discussed in today’s episode can be found on our website

Use code PUSHINGPEDS for $150 off your Medbridge subscription! 

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This episode was brought to you by the Pivot Ball Change Network.

SAFETY LISTENER NOTE:

This presentation will discuss aspects of trauma, its impact on children, families and practitioners. We acknowledge that the content in this discussion may trigger your previous experiences with trauma or the trauma that your patients have experienced. We encourage you to perform self-care practices even within this podcast; if you need to take a break and pause, please do so as you need.

Sheila and Sara are pleased to be welcoming back Katelyn McNamara-Kays PT, DPT, PCS and Bridget Griffin, PT, DPT, PCS, to discuss Trauma Informed Care. Kate and Bridget were on the show last season sharing their knowledge about TIC. If you haven’t listened to those episodes, they are linked down below - be sure to go and give those a listen. Today Kate and Bridget will be taking us on a deeper dive into Trauma Informed Care and also introduce their newest fact sheet releasing soon! This conversation is loaded with practical ways to incorporate TIC into your daily practice as well as how to translate this concept into PCS exam taking strategies. Be sure to tune in next week for part 2!

Season 4: Trauma Informed Care

Season 4: Trauma Informed Care Part 2 

Join the APTA Mighty Networks!

Resources discussed in today’s episode can be found on our website

Use code PUSHINGPEDS for $150 off your Medbridge subscription! 

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This episode was brought to you by the Pivot Ball Change Network.

Thanks for joining us for our final installment with Mike Studer. Today we will be wrapping things up and making connections from the concepts found in Mike’s book to our pediatric practices and PCS exam prep. This week is also our last episode of 2025. We hope you have a restful break and we look forward to you joining us in January, 2026 for more episodes!

“The Brain That Chooses Itself” by Mike Studer

Wulf G, Lewthwaite R. Optimizing performance through intrinsic motivation and attention for learning: The OPTIMAL theory of motor learning. Psychon Bull Rev. 2016;23(5):1382-1414. doi:10.3758/s13423-015-0999-9

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Welcome back for part 2 of our discussion with Mike Studer where we will be diving even further into the concepts of learning and neuroplasticity and how it applies to our pediatric patients and the PCS exam. Specifically, today, we discuss motivators and the difference between infinite games and other types of play. Mike also shares his list of other readings he considered while writing his new book and would recommend for those looking to take their learning on these concepts a step further! These episodes are full of so many “PT pearls” that will apply clinically and personally, you will not want to miss any of this content! Don’t forget to come back next week for the final episode of our trilogy with Mike. 

“The Brain That Chooses Itself” by Mike Studer

"Thinking, Fast and Slow" by Daniel Kahneman

“The Infinite Game” by Simon Sinek

“Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones” by James Clear

“Grit: The Power of Passion and Perseverance" by Angela Duckworth 

Katy Milkman’s book, “How to Change: The Science of Getting Where You Are to Where You Want to Be” and her podcast, Choiceology

“Nudge” by Richard Thaler

Other authors mentioned in today's episode: Jane McGonigal, Ellen Langer, Alia Crum and more listed in Mike Studer’s book

Wulf G, Lewthwaite R. Optimizing performance through intrinsic motivation and attention for learning: The OPTIMAL theory of motor learning. Psychon Bull Rev. 2016;23(5):1382-1414. doi:10.3758/s13423-015-0999-9

Resources discussed in today’s episode can be found on our website

Use code PUSHINGPEDS for $150 off your Medbridge subscription! 

Check out our website, and subscribe for our subscription only episodes

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This episode was brought to you by the Pivot Ball Change Network.

This week kicks off a very special three-part conversation with our friend and returning guest Mike Studer. Over the next three episodes, we will be diving into concepts from Mike’s new book, “The Brain That Chooses Itself”, like learning and neuroplasticity. These concepts thoroughly apply to how we clinically treat our pediatric patients, but also how we parent, how we teach and coach friends and family, and how we prepare for the PCS exam. These episodes are full of so many “PT pearls” that will apply clinically and personally, you will not want to miss these episodes! And of course, we will be connecting all of this incredible information to PCS exam prep strategies. 

“The Brain That Chooses Itself” by Mike Studer

"Thinking, Fast and Slow" by Daniel Kahneman

Wulf G, Lewthwaite R. Optimizing performance through intrinsic motivation and attention for learning: The OPTIMAL theory of motor learning. Psychon Bull Rev. 2016;23(5):1382-1414. doi:10.3758/s13423-015-0999-9

Resources discussed in today’s episode can be found on our website

Use code PUSHINGPEDS for $150 off your Medbridge subscription! 

Check out our website, and subscribe for our subscription only episodes

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This episode was brought to you by the Pivot Ball Change Network.

Welcome back to Pushing Pediatrics! We have another guest episode this week to bring you knowledge on a topic that has been widely gaining popularity and is now testable material, pediatric pelvic floor. Maggie Abbott, PT, DPT will join us to discuss why PT can make a big difference for children with bladder and bowel dysfunction. We’ll cover age and diagnoses Maggie typically treats, what her initial evaluation includes, interventions of pelvic floor therapy, and more. We will highlight how this subject translates to PCS prep with our “PT pearls” and walk through exam taking techniques. Remember, you’ve got this! 

Calvo-Sanz, J., Bouallalene Jaramillo, K., et al. (2025). Electrotherapy in pediatric patients with non-neurological pelvic-floor dysfunction: TENS, biofeedback, and behavioural therapies applied individually or in combination. Journal of Pediatric Urology. Advance online publication. https://doi.org/10.1016/j.jpurol.2025.03.158

Wegh, C. A. M., Baaleman, D. F., Tabbers, M. M., Smidt, H., & Benninga, M. A. (2022). Non-pharmacologic treatment for children with functional constipation: A systematic review and meta-analysis. Journal of Pediatrics, 240, 136-149.e5. https://doi.org/10.1016/j.jpeds.2021.09.010

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Thanks for joining us today at the Pushing Pediatrics podcast! Sara is solo today to share some valuable additional clinical insight about Scoliosis. This additional material may or may not be testable information, however it is great to know when treating children with scoliosis in real-world situations. While today’s episode is focusing on scoliosis, if you need a review of other spinal conditions, please see the link below to our episode from Season 3. Background and basics of the different types of scoliosis, evaluating these different types utilizing the Sosort guidelines, non-surgical interventions, and surgical interventions of scoliosis will be discussed in today’s review. 

Pushing Pediatrics Season 3: Juvenile Idiopathic Arthritis (JIA) and Spinal Conditions

https://scoliosisjournal.biomedcentral.com/articles/10.1186/s13013-017-0145-8

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Welcome back to part two of our discussion with CCC-SLPs Marissa Peters and Maggie Muzio about Augmentative and Alternative Communication. As we continue our conversation, Marissa and Maggie go into detail on AAC devices and how PT can play a role in helping children utilize these devices during treatment sessions. We’ll hear what makes for a good co-treat session from an SLP’s point of view and why treating the child as a whole in every session is a key to their success. More “PT Pearls” will be shared along the way plus a bonus exam practice question! The episode closes with main takeaways to apply to your PCS exam preparations. 

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This week on Pushing Pediatrics experts Marissa Peters and Maggie Muzio, Certified Speech Language Pathologists, are here to cover Augmentative and Alternative Communication. This topic will be 2 episodes worth of information - so be sure to tune in next week for the second half of our discussion! Today Marissa and Maggie will cover the 3 categories of AAC, how to incorporate AAC into PT therapy sessions, how we as PTs can help identify children needing SLP referrals, and how we can educate parents on AAC within a PT scope of practice. Sara and Shelia add in some “PT Pearls” to help transfer this topic into our pediatric physical therapy realm and how AAC may come up in questions on the PCS exam. 

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We are honored to be hosting two of the authors, Carol de Campos and Ginny Paleg, of the 2023 article titled “F-words and early intervention ingredients for non-ambulant children with cerebral palsy: a scoping review” on today’s episode. This article is not only exam relevant for those preparing for the PCS exam, it is also a clinically impactful article. This review gives great insight into how we can competently care for GMFCS IV and V children with the 6 F’s in mind - functioning, fitness, family, fun, friends, and future. Carol and Ginny will elaborate how the F-words of this article translate into PCS prep and exam taking strategies, and also how this article is a roadmap for all PTs to provide thoughtful, evidence-informed decisions for one of the most underserved populations. 

De Campos AC, Hidalgo-Robles Á, Longo E, Shrader C, Paleg G. F-words and early intervention ingredients for non-ambulant children with cerebral palsy: A scoping review. Dev Med Child Neurol. 2024 Jan;66(1):41-51. doi: 10.1111/dmcn.15682. Epub 2023 Jun 28. PMID: 37381598.

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Today we are diving into the 2004 article by Joanne Valvano, “Activity-focused motor interventions for children with neurological conditions”. While it is an older article, this article contains a lot of great concepts that continue to influence the way we shape care for pediatric patients with neurological conditions. This article is a must read whether you are new to pediatrics, prepping for the PCS, or revisiting the theory behind pediatric physical therapy! 

Valvano, J. (2004). Activity-Focused Motor Interventions for Children with Neurological Conditions. Physical & Occupational Therapy In Pediatrics, 24(1–2), 79–107. https://doi-org.ezproxylocal.library.nova.edu/10.1300/J006v24n01_04

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We know that research and statistics may seem intimidating sometimes, which is why we are tackling this topic together! Understanding statistics is not only important for your board exam prep, but for your clinical practice too. Knowing how to interpret these concepts makes a huge difference when reading studies and applying evidence-based practices. Today we will cover statistical significance, sample size, p-value, and more. Thanks for joining us today, and remember, you’ve got this!

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Welcome to the first Journal Club of Season 5! We are diving into a really interesting article for today’s episode. While new, from 2025, we felt it was an important article to cover because it is a great example of how VR can be incorporated with treating autistic patients and is a great example for us to review how to critique study design aspects and outcomes, which you will need to know how to do to be successful on your PCS exam. Thanks for joining us!

Abdel Ghafar, M. A., Abdelraouf, O. R., Harraz, E. M., Seyam, M. K., Morsy, W. E., Amin, W. M., & Abd-Elfattah, H. M. (2025). Virtual Reality Rehabilitation Helps to Improve Postural Balance in Children with Autism Spectrum Disorder: A Randomized Control Trial. Physical & Occupational Therapy In Pediatrics, 45(4), 423–436. https://doi.org/10.1080/01942638.2025.2466555

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If you listened to last week’s episode, we talked about our grouping strategy for genetic syndromes that you’ll need to know for the PCS exam. We had many of our listeners ask for a more in depth review too, so today’s episode will be a deep dive into the 2023 article about 22q11.2 Deletion Syndrome. We’ll be reviewing things to know for each system and bring all that knowledge together to discuss how you could see questions about this syndrome on the PCS exam and where it fits into our genetic syndrome grouping method. 

Óskarsdóttir, S., Boot, E., Crowley, T. B., Loo, J. C. Y., Arganbright, J. M., Armando, M., Baylis, A. L., Breetvelt, E. J., Castelein, R. M., Chadehumbe, M., Cielo, C. M., de Reuver, S., Eliez, S., Fiksinski, A. M., Forbes, B. J., Gallagher, E., Hopkins, S. E., Jackson, O. A., Levitz-Katz, L., Klingberg, G., … McDonald-McGinn, D. M. (2023). Updated clinical practice recommendations for managing children with 22q11.2 deletion syndrome. Genetics in medicine : official journal of the American College of Medical Genetics, 25(3), 100338. https://doi.org/10.1016/j.gim.2022.11.006

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Today’s episode of Pushing Pediatrics is a reference guide to understanding common genetic syndromes you’ll likely see in practice. Instead of memorizing every genetic syndrome while studying, group syndromes with similar clinical themes together. This will not only be easier to study, but will help you think about these syndromes with regards to their functional status and apply them clinically. We’ll be going over some example patient clusters and sharing our “PT pearls” for these groups you should be thinking about while studying for the PCS exam.

Catalino, T., Bloyer, M., Shamus, E., & Miles, C. (Eds.). (2024). Guide to pediatric physical therapy: A clinical approach (1st ed.). McGraw‑Hill Education. 

Valvano, J. (2004). Activity-Focused Motor Interventions for Children with Neurological Conditions. Physical & Occupational Therapy In Pediatrics, 24(1–2), 79–107. 

Resources discussed in today’s episode can be found on our website.

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Welcome back to Pushing Pediatrics - your favorite study supplementation for the PCS exam! We have had 4 successful seasons thanks to you all, our listeners! And a special thank you to those of you who subscribe to our Friday episodes. We are so excited to be bringing you Season 5 of the Pushing Pediatrics Podcast and plan to make it our best season yet.

Today we are going to dive into the DSP, the Description of Specialty Practice in Pediatric Physical Therapy and how to utilize it as the anchor to your PCS test prep. We’ll be covering tips and strategies on how to be thinking of different aspects of the DSP while studying, a little about what test questions may be like on the PCS exam, and how to integrate your previous clinical knowledge with info from the DSP to think like a pediatric specialist. 

Resources discussed in today’s episode can be found on our website.

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We know it’s getting close to crunch time, which is why we will be going over a couple of case studies today to further help you prepare to take the PCS! We are going to break down these case studies into ways you may see questions presented on the PCS exam, but also to help you apply the knowledge you already have and utilize your memory recall. Do your best to follow along with today’s episodes without your notes! Head over to our Instagram page to see these case studies with prompts listed out, but we will only be going through them in detail on today’s episode!

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This week Sheila and Sara will be going over the equipment available and used for our pediatric patients. This episode will be more general, covering the main types of equipment detailed in Campbell. However, if you are looking for a deep dive, please review the chapter on Assistive Technology in Campbell’s 6th edition. We also have episodes in previous seasons covering the Assistive Technology chapter as well as the information in Campbell’s 5th edition. We bring you this episode knowing some of you have a large experience with equipment and some of you have none. Hopefully this episode will help you along your studying journey! You got this!

Glickman LB, Geigle PR, Paleg GS. A systematic review of supported standing programs. J Pediatr Rehabil Med. 2010;3(3):197-213. doi: 10.3233/PRM-2010-0129. PMID: 21791851.

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Welcome back to Pushing Pediatrics! Today we will be going over the use of orthotics in the pediatric population. While we have discussed orthotics at some length in previous episodes (episode 30 - Down Syndrome and episodes 8 & 10 - Pathological Gait), we feel this subject deserves its own episode too! Please reference today’s episode in conjunction with your copy of Campbell’s 6th edition and those listed previous episodes for a complete review. We will also be discussing orthotics as it pertains to our own personal practice experiences. We hope you find today’s episode helpful!

Weber A, Martin K. A systematic review of the efficacy of orthoses for children with hypotonia. Pediatr Phys Ther. 2014;26:38-47.

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We have another article review to bring to you on today’s episode! As there is yet to be a clinical practice guideline (CPG) for this patient population, this article gives a great insight into how current PTs manage children with down syndrome, what assessment tools they utilize, and interventions they prioritize. Sheila and Sara will explore the contents of this paper and discuss the implications for clinical practice as well as board exam preparation. 

“Johnson R, Looper J, Fiss A. Current Trends in Pediatric Physical Therapy Practice for Children With Down Syndrome. Pediatric Physical Therapy. 2021;33(2):74-81. doi:10.1097/PEP.0000000000000781”

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Thanks for joining today for another episode of Pushing Pediatrics. Today Sara and Sheila will be reviewing an article you can find below in the show notes on the effectiveness of serial casting and ankle foot orthosis for toe walking children with Autism Spectrum Disorder. We will be discussing the methodology, results, and implications for practice as Pediatric Physical Therapists. Our intent for this review is to provide some actionable insights for practicing PTs but also to cover some board exam prep as this is a newer article that could be testable material. We hope you find today’s episode helpful! 

“Barkocy M, Schilz J, Heimerl S, Chee M, Valdez M, Redmond K. The Effectiveness of Serial Casting and Ankle Foot Orthoses in Treating Toe Walking in Children With Autism Spectrum Disorder. Pediatric Physical Therapy. 2021;33(2):83-90. doi:10.1097/PEP.0000000000000784”

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Sheila and Sara are back from holiday break with a new episode! Today we will be breaking down the different classifications of Myelomeningocele from the article listed below in the show notes and discussing why it is so relevant for Pediatric PTs. Don’t forget to join us for our subscription only episode on Friday to test your knowledge from this episode!

“Rojas AM, Karakostas T. Myelomeningocele: a new functional classification. J Child ­ Orthop 2021;15:1-5. DOI: 10.1302/1863-2548.15.200248”

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Today on the podcast we are welcoming back a familiar face, Helen Carey, PT, DHSc, PCS, assistant professor at South College in Knoxville, TN. Before dedicating herself fully to the academic field, she previously developed and directed the pediatric physical therapy residency program at Ohio State University and worked in research labs and other pediatric physical therapy settings. Having held her certification in pediatric physical therapy since 1999, Helen has a wealth of knowledge in this field and is going to discuss outcome measures with us in today’s episode. 

Check out Rehab Knowledge PCS Advantage for study guides and practice exams!

Resources discussed in today’s episode can be found on our website

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We have the pleasure of welcoming Cameron Brown, PT, DPT, PCS back to the podcast this week! She previously was on to discuss her process of taking the PCS exam. She currently teaches at West Coast University assistant teaching their DPT program and works in outpatient early intervention pediatric PT.  Cameron is going to be sharing with us and breaking down Hypothesis-Oriented Pediatric Focused Algorithm on today’s episode and its special considerations for our pediatric populations.

Lisa K. Kenyon, The Hypothesis-Oriented Pediatric Focused Algorithm: A Framework for Clinical Reasoning in Pediatric Physical Therapist Practice, Physical Therapy, Volume 93, Issue 3, 1 March 2013, Pages 413–420

Resources discussed in today’s episode can be found on our website

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SAFETY LISTENER NOTE:

This presentation will discuss aspects of trauma, its impact on children, families and practitioners. We acknowledge that the content in this discussion may trigger your previous experiences with trauma or the trauma that your patient’s have experienced. We encourage you to perform self-care practices even within this podcast; if you need to take a break and pause, please do so as you need.

Today is the continuation of Sheila and Sara discussing Trauma Informed Care with Katelyn McNamara-Kays PT, DPT, PCS and Bridget Griffin, PT, DPT, PCS. Kate works at a level 1 pediatric trauma center in Louisville, Kentucky and Bridget works at a large children’s hospital in the pediatric ICU in Cincinnati, Ohio. If you have not listened to last week’s episode, please go back and listen to part 1 and then come back to today’s episode for part 2 as we wrap up our discussion of Trauma Informed Care.

Links and Resources: 

Trauma-Informed Care Fact sheet 1 

Trauma-Informed Care Fact sheet 2

 “Trauma-Informed Care in Pediatric Physical Therapy as a Standard Precaution: The Time Is Here”

“What Happened To You” by Dr. Bruce D. Perry, MD, PHD, and Oprah Winfrey 

“In Shock: My Journey from Death to Recovery and the Redemptive Power of Hope” by Dr. Rana Awdish

Use code PUSHING PEDS for $150 off your Medbridge subscription! 

Check out our website for resources discussed in today’s episode, and subscribe for our subscription only episodes.

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This episode was brought to you by the Pivot Ball Change Network.

SAFETY LISTENER NOTE:

This presentation will discuss aspects of trauma, its impact on children, families and practitioners. We acknowledge that the content in this discussion may trigger your previous experiences with trauma or the trauma that your patient’s have experienced. We encourage you to perform self-care practices even within this podcast; if you need to take a break and pause, please do so as you need.

Sheila and Sara will be discussing Trauma Informed Care with Katelyn McNamara-Kays PT, DPT, PCS and Bridget Griffin, PT, DPT, PCS, who are both highly qualified to tackle this topic today. Kate works at a level 1 trauma center in Louisville, Kentucky and Bridget works in Cincinnati, Ohio. Today we will be breaking down exactly what Trauma Informed Care is, why it is important to consider when interacting with pediatric patients, considerations for different ages of children, and how to apply it to your practice. Come back next week for part two of this topic!

Links and Resources: 

Trauma-Informed Care Fact sheet 1 

Trauma-Informed Care Fact sheet 2

 “Trauma-Informed Care in Pediatric Physical Therapy as a Standard Precaution: The Time Is Here”

“What Happened To You” by Dr. Bruce D. Perry, MD, PHD, and Oprah Winfrey 

“In Shock: My Journey from Death to Recovery and the Redemptive Power of Hope” by Dr. Rana Awdish

Use code PUSHING PEDS for $150 off your Medbridge subscription! 

Check out our website for resources discussed in today’s episode, and subscribe for our subscription only episodes.

Follow us on Instagram

This episode was brought to you by the Pivot Ball Change Network.

Katie Powers, DPT, splits her time between the classroom and the clinic. She teaches in the DPT program at St Ambrose University and has 15 years of experience in pediatric physical therapy in an outpatient setting. Today Sara and Katie will be discussing how a journal club can be a beneficial study tool for those students studying for the PCS exam as well as a key tool to stay up-to-date with the newest research in professional practice. We end the episode with our own journal club discussion! You can find the article linked below in the show notes to join us.

Today’s journal club article: “Clinical Practice Guidelines for Children and Youth with Down’s Syndrome: A Survey of Key Partners” 

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Nicolette “Niki” Standera PT, DPT, is back on the podcast to finish our two part conversation about Oncology and Complex Care. Niki works in the acute care hospital setting in upstate New York and has specifically worked with the pediatric population in several units including the oncology and complex care units for the last 5 years. Today is part two of our interview with Niki and we will be covering complex care in the acute setting as it pertains to the pediatric physical therapist. 

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Our special guest today is Niki Standera PT, DPT who works in the acute care hospital setting in upstate New York. While having worked with the adult population in the past, she has specifically worked with the pediatric population for the last 5 years on a variety of acute care units. Our interview with Niki will be two parts; today’s part one will be covering oncology and next week’s part two will cover complex care. 

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Jessica Lewis, PT, DPT, PCS, is on the show again for this two part discussion on pathological gait with Sara and Sheila. Jessica is one of the co-creators of PCS Advantage, currently working on her PhD, and works in a gait and motion analysis lab at a children’s hospital in Ohio. If you have not listened to part 1 of our conversation, please go back and listen to Season 4 Episode 8. Today is part two, the continuation of our discussion on pathological gait in the pediatric population. 

“The Toe Walking Tool: A novel method for assessing idiopathic toe walking children”

Gait Patterns Reference Photo 1

Gait Patterns Reference Photo 2

Check out PCS Advantage

Primary resources can be found on our website

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This episode was brought to you by the Pivot Ball Change Network.

Jessica Lewis, PT, DPT, PCS, is back on the show for this two part discussion on pathological gait with Sara and Sheila. Jessica is one of the co-creators of PCS Advantage, currently working on her PhD, and works in a gait and motion analysis lab at a children’s hospital in Ohio. In today’s part one we will cover normal gait development and then start dissecting the different types of pathological gaits. Come back next week for part two of this discussion!

“The Toe Walking Tool: A novel method for assessing idiopathic toe walking children”

Gait Patterns Reference Photo 1

Gait Patterns Reference Photo 2

Resources discussed in today’s episode can be found on our website

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This episode was brought to you by the Pivot Ball Change Network.

Today’s episode is part 2 of our conversation with Mike Studer, PT, MHS, NCS, CEEAA, CWT, CSST on concussion. If you haven’t listened to part 1 in episode 4, please review that episode before continuing. Today we are going to be furthering our knowledge of concussion in the pediatric population.

Mike Studer’s website

Mike’s 2020 TEDx Talk

“Physical Therapy Evaluation and Treatment…” article in the JOSPT

“Consensus statement on concussion in sport…” article in the BJSM

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Join us for a special free Friday episode where we delve into the details of the MOSC process! Sheila and Sara recently completed their first cycle, and they're here to share their firsthand experiences. In this episode, Sara breaks down the intricacies of the process and offers invaluable tips for preparing for your recertification. Spoiler alert: starting early, diversifying your experiences, and strategic planning are key! Tune in for expert advice that can help streamline your journey!

Use code PUSHING PEDS for $150 off your ⁠⁠Medbridge⁠⁠ subscription! 

Check out our ⁠⁠website⁠⁠, and ⁠⁠subscribe⁠⁠ for our subscription only episodes

⁠Resources⁠ discussed in today’s episode can be found on our ⁠website⁠

Follow us on ⁠Instagram⁠

Join Sheila and Sara this week with special guest Mike Studer, DPT, PT, MHS, NCS, CEEAA, CWT, CSST, FAPT to discuss concussion. Mike has been a physical therapist for 33 years and is an expert in his field. He is a worldwide invited speaker on all things neurologic PT, adjunct professor for several DPT programs, and often authors chapters and other research. Mike brings us so much valuable information in this episode, we had to split it into two parts. So be sure to join us next week for part 2 of this conversation in episode 6!

Links & Resources

“Consensus statement on concussion in sport…” article in BJSM

Use code PUSHINGPEDS for $150 off your Medbridge subscription! 

Check out our website, and subscribe for our subscription only episodes

Follow us on Instagram

This episode was brought to you by the Pivot Ball Change Network.

Join Sheila as she introduces some evidenced-based learning strategies to help you in your preparation! Remember to rate, review, and subscribe to the podcast.

Affiliate Codes:

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Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics

Medbridge Affiliate Code: PUSHINGPEDS

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Resources:

Brown, Peter C. Make It Stick : the Science of Successful Learning. Cambridge, Massachusetts :The Belknap Press of Harvard University Press, 2014.

Welcome back everyone for the first episode of season 4! We’ve gone through a lot of resources over the course of the last 3 seasons, so today we thought it would be great to open the new season by providing you with an updated list of our favorite primary and secondary resources.

Resources discussed in today’s episode:

Primary resources

APTA fact sheets

Rehab Knowledge PCS Advantage: Prep Course

Quizlet

Anki Flashcards

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This episode was brought to you by the Pivot Ball Change Network.

Join Sheila and Sara this week as they transition to adulthood and assistive technology. Make sure you are supplementing our conversation with charts, tables and pictures from the Campbell text referenced below! This is our final content episode this season! Cheers and happy listening!

Affiliate Codes:

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Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics

Medbridge Affiliate Code: PUSHINGPEDS

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Resources:

Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.

Join Sheila and special guest this week Emily Knell Spaeth, PT, DPT, IBCLC, LMT, NTMTC, CNT, RPYT as they cover all things related to the NICU. Dr. Emily Spaeth is an expert in all things pregnancy, birth, postpartum, and babies. She is the founder and CEO of Be Well Baby PDX. While supporting families as a doctor of physical therapy in the neonatal ICU, Emily saw a deep societal need for a more holistic approach to peripartum care, and decided to blend her background in yoga, massage, and lactation support with her expertise in physical therapy to create a full spectrum peripartum experience for her clients. 

Emily offers a range of continuing education courses for professionals on the Lactation OT platform.  Additionally, her website offers an array of courses covering topics that help parents understand their baby's cues, infant massage techniques, newborn care essentials, and more. 

Courses: www.bewellbabypdx.com/courses

FREE GUIDE- Respectful Tummy Time for the Newborn:  www.bewellbabypdx.com/subscribe

Follow her on Instagram and Facebook and Linked In @bewellbabypdx

Affiliate Codes:

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Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics

Medbridge Affiliate Code: PUSHINGPEDS

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Resources:

Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.

https://pediatricapta.org/fact-sheets/

Sweeney JK, Heriza CB, Blanchard Y; American Physical Therapy Association. Neonatal physical therapy. Part I: clinical competencies and neonatal intensive care unit clinical training models. Pediatr Phys Ther. 2009 Winter;21(4):296-307. doi: 10.1097/PEP.0b013e3181bf75ee. PMID: 19923969.

Sweeney JK, Heriza CB, Blanchard Y, Dusing SC. Neonatal physical therapy. Part II: Practice frameworks and evidence-based practice guidelines. Pediatr Phys Ther. 2010 Spring;22(1):2-16. doi: 10.1097/PEP.0b013e3181cdba43. Erratum in: Pediatr Phys Ther. 2010 Winter;22(4):377. PMID: 20142700.

https://neonataltherapists.com/

https://www.neonatalcertification.com/certification/

https://www.caringessentials.net/

https://www.liddlekidz.org/cimt-certification-advanced-level-2/

https://neonataltherapycertification.com/

Join Sheila and Sara this week as they cover cystic fibrosis, asthma and congenital heart defects. Make sure you are supplementing our conversation with charts, tables and pictures from the Campbell text referenced below and don't forget the Case Files book case studies. Cheers and happy listening!

Affiliate Codes:

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Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics

Medbridge Affiliate Code: PUSHINGPEDS

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Resources:

Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell’s physical therapy for children. Elsevier.