Orthopedic Examination of the Pediatric Patient, presented Dr. David Piskulic, provides an overview of pediatric growth and development. Dr. Piskulic highlights orthopedic development, reflex integration, gross motor control and development of movement. Participants will learn common observational and assessment measures for analysis of pediatric growth and development, as well as how to perform common assessment measures for pediatric patients. Dr. Piskulic demonstrates how to recognize development time period for learned skills, such as crawling to walking, jumping, skipping, hopping, and running.
David Piskulic, DPT, SCS, ATC, is a Pediatric Physical Therapist for St. Louis Children’s Hospital in St. Louis, MO. He received his BS in Exercise Science and Athletic Training at Truman State University in Kirksville, MO and his Doctorate in Physical Therapy at Washington University in St. Louis, MO. He is an NATA board certified Athletic Trainer and is also an APTA board certified Sports Clinical Specialist. He has over a decade of experience in both athletic training and physical therapy working with young and professional athletes. Previous experiences include serving as an athletic training intern with the Kansas City Chiefs and providing medical care and sports performance training for high school, DI, DII, and Olympic Level athletes. In the past, David has worked extensively with St. Louis Children’s Hospital as well as experience with Seattle Children’s Hospital in developing throwing programs and return to sports protocols to return young athletes to competitive play. He is a team member of the Young Athlete Center, a multidisciplinary treatment approach working in collaboration with multiple clinicians at Washington University and St. Louis Children’s Hospital to provide comprehensive care to pediatric and adolescent athletes. He is a lab assistant with the Washington University Program in Physical Therapy and is an active speaker, lecturer, and blogger on topics related to sports pediatric physical therapy, overhead throwing injuries, and return to sports testing for pediatric athletes.
In the first chapter of this course, Dr. Piskulic discusses skeletal, musculo-tendinous, and ligamentous development. Participants will review the stages of growth, early stages of Osteogenesis, and ossification sites of growth plates.
Dr. Piskulic begins this chapter by examining postural assessments, including posture alignment through the growth progression with a focus on foot and knee alignment changes. He then demonstrates range of motion testing and joint mobility vs. laxity.
This chapter looks at strength assessment and pain in the pediatric patient. Dr. Piskulic begins the chapter with a discussion of musculo-tendinous growth. He demonstrates strength assessments, assessments of pain, and special tests.
Chapter 4 reviews the sequence of learned movement, including gross to fine motor development and learned movement from head to toe (neck control to walking). Dr. Piskulic discusses reflex development, common pediatric reflexes, and the time of onset and integration of reflexes. Gross motor development is also reviewed, including the occurrence and timeline of gross motor skills.
Radiology and imaging are used not only for analysis of injury, but also for tracking progression of growth and skeletal development. Dr. Piskulic reviews these types of imaging for measurements of growth, as well as the stages of skeletal growth.
In the final chapter of this course, Dr. Piskulic presents rates of injury, risk factors in sports, and injury prevention strategies.