# 309 Innovations in Pediatric Rehabilitation: Positioning and Posture Concepts


The bodies of children with chronic motor impairments often distort as they grow, developing joint contractures and dislocations, scoliosis and kyphosis. The problems start early – often related to habitual postures assumed both day and night – and can worsen quickly during growth spurts. Human beings spend their lives in three orientations - lying, sitting and standing - and for children with limited movement this can become complicated! Too often, the foundational orientation of lying is overlooked, as we work toward upright orientation goals. 24-hour posture care management (24-7 PCM) analyzes and addresses postures that can become destructive over time. Non-invasive strategies are used to protect growing bodies from distorting, in some cases restoring them to better alignment without surgery.


In the United States this approach is novel but becoming recognized for its potential to protect and improve body alignment, support restful sleep, safeguard respiratory and digestive functions and reduce pain. 24-7 PCM builds a foundation of body symmetry and stable posture that will support therapeutic goals in all areas of development. 24-7 PCM promotes the support of healthy posture in all orientations as crucial for children with limited movement repertoire who cannot change their positions easily, often and with variety. Lying postures with poor body alignment may be noted, but are often not routinely addressed in treatment planning – to the detriment of growing kids.


This course provides an evidence based overview of theory and practice with visual examples, longitudinal case studies and hands-on practice to illustrate concepts underpinning 24-7 PCM. The importance of early therapeutic positioning, seating and lying assessments, learning to predict likely distortions early on and how to effectively create and implement 24-7 PCM plans is emphasized.


Instructor:  Tamara Kittelson-Aldred, MS, OTR/L


Course Cities and Dates:

No Live Dates At This Time



“Tamara is a WEALTH of information. I have used the principles from her course with great success.”


# 309 Innovations in Pediatric Rehabilitation: Positioning and Posture Concepts

Course Type
CEU Credits
CE Approved Provider

    Consortium rate:
    Register your facility
    or groups of 5 or more


    Association rate:
    Members of APTA, AOTA, ASHA, NATA


    Individual rate:
    Single registration



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