OBJECTIVES

To provide the ESSENTIAL scientific and clinical osteopathic information

to optimize osteopathic intervention strategies and treatment outcomes

• To recognize Non Synostotic Plagiocephaly (NSP)* and torticollis clinical signs (differential diagnosis), to understand the primary causes, risk factors and associated conditions;
• To assess evolution, develop competencies in anthropometry (digital calliper, explore new technology devices…);
• To promote interprofessional collaboration, to provide information to the medical team and to the parents, to complement files with accurate measurements ;
• To improve given care based on the treatment key factors and scientific reviews;
• To develop competencies in clinical methodology and treatment strategies;
• To work on palpation with specific techniques;
• To understand the 3D global reality of NSP and torticollis in relation with motor development.

*NSP:  Non Synostotic Plagiocephaly

 Program

• Lectures
• Measurement practical worshops
• Guided palpation and refining key osteopathic techniques
• Treatments of infant(s) by Sylvie and/or videos and cases studies-Masterclass

Literature review

Assessments plagiocephaly and torticolis

• New Technology (Ipad, smart phone)
• NSP severity assessment
• Screening limitation and asymmetry of mobility, flexibility and strenght

Measurement workshop

• Anthropometrics measurements (calliper)
• Clinical Adaptation of Plagiocephalometry (PCM)

Ostepathic treatments

• Prevention
• NSP osteopathic treatment goals and priorities
• Osteopathic essential techniques

Key factors for establishing optimal treatment

Synostosis

• Clinical signs for early screenig
• Case-studies

Osteopath : interprofessional collaboration

• Medical-Osteopathic files and reports
• Key to develop colaboration with medical team

Impact on global posture and motor development

• Plagiocephaly-torticollis influence on neuromotor development

• Conclusion

Program overview, objectives and learning outcomes

This course is already frequently taught with a great succes (Paris, Bordeaux, Toulouse, Lille, Dijon, Switzerland, Belgium, Danemark, Germany, Montreal…). It is a synthesis from thousands of hours invested over the last 15 years. The learners will develop clinical skills and experience through practical workshops, videos and masterclass. They will also develop medical language and a scientific insight through an exhaustive literature review.

In other word it’s a unic opportunity to gain competencies to optimize osteopathic interventions and outcomes. The course objectives focus on the clinical utility in each section.

Plagiocephaly incidence can reach 48% (Mawji 2012)¹. Plagiocephaly and torticollis is known as the first primary reason for peadiatric consultation in osteopathy (Morin and Aubin 2014)². Furthermore, osteopaths face the challenge to achieve the best results with as few interventions as possible (to be cost and time effective).

This course includes pratical workshop to enhance and specialized their palpation skills through specific techniques. Using case studies (follow up from the last 10 years) and hundred of pictures, we will address the complexity of plagiocephaly, torticollis and associated conditions in relation to neuromotor development. We believe that cranial asymmetries are the consequences of so many forces applied to the whole infant before, during and after birth and therefore we emphasize the need to treat the infant in its globality  to harmonize bodyworkshop offersd literature systems and promote optimal well being.

Participant will develop skill to achieve objective measurements through severity assessment scales, experiencing reliable measurement tools³ such as antrhropometry and learning about plagiocephalometry… exploring new technologies avenues such as 3D scanner. In addition, accurate measurements and note-taking strategies will facilitate early diagnosis and tracking of cranial asymmetries evolution. Measurements will also guide decision making through an objective view of the global condition promoting sharing information with parents and medical team.

This course will support clinical management and treatment plan strategies with awareness to medical referrals (peadiatrics red flags), leading to optimal peadiatrics cares.

workshop offers literature

• Mawji Aliyah, Ardene Robinson Vollman, Jennifer Hatfield, Deborah A. McNeil and Réginal Sauvé,The incidience of positional plagiocephaly a cohort study, Pediatrics 2013;132;298; DOI: 10.1542/peds.2012-3438 originally published online July 8, 2013
• Reasons for Osteopathic Consultation: A Prospective Survey in Quebec. PLoS ONE 9(9): e106259. doi:10.1371/journal.pone.0106259

http://journals.plos.org/plosone/article?id=info:doi/10.1371/journal.pone.0106259

• Van Vlimmeren L.A. et al., Validation of a Simple Method for Measuring Cranial

Deformities (Plagiocephalometry). Journal of Craniofacial Surgery, vol. 19, number 1, 2008.

Biography

Mrs. Sylvie Lessard, DO (Can).

Sylvie graduated in 2007 from the Collège d’Études Ostéopathiques de Montréal (CEO) and has a Bachelor’s degree from Laval University (Quebec) in physiotherapy (2000). She was awarded the CEO William Garner Sutherland recognition for the most representative clinical research for osteopathic advancement (2007) and the Andrew Taylor Still  recognition (2014) and named after the « Compagnon de l’Ostéopathie » (2015). Member of the committee for research development at Osteopathie Quebec (2017). Internat Italie Neo-Training, COME Collaboration-Cerritelli (2017), member of Canada Neo-Projet.

She copublished scientific articles about plagiocephaly^{1, 2} and was a member of the scientific committee board for Rendez-Vous 2015 (World Conference on Pediatric Osteopathy). She also shares her expertise by directing student thesis In 2013, she was a speaker for the Quebec College of Family Physicians at their Assemblée Scientifique Annuelle. She gives conferences on osteopathy and physical therapy to pediatricians, family physicians. Member of research development committee for Osteopathy Quebec (2017).

Over the last 10 years, she gave post-graduate courses and lectures on treatment of plagiocephaly, cranio-facial asymmetry, torticollis, neuromotor development, interprofessional collaboration,  plagiocephalometry and anthropometric workshops: Danemark, Bordeaux (FROP), Paris, Dijon, Lille, Toulouse (CFPCO), Rendez-Vous 2015 (Montréal),  Belgium (SCOM), Lausanne (CHUV and Symposium Internationnal d’Ostéopathie: Occlusion et Orthodontie précoce) (FSO-SVO), Berlin, 12^th International and Interdisciplinary Symposium of Osteopathy “Peadiatrics and Osteopathy”. Montreal International Osteopathic Symposium, CEO in Montreal and Quebec City, the Readaptation Department of Laval University, the Swiss International College of Osteopathy.

Sylvie developed an interprofessional collaborative network with physicians while working in her pediatric clinic in Quebec City and teaches workshop and conference in peadiatrics and Interprofessionel Collaboration in many countries.

¹ EXPLORING THE IMPACT OF OSTEOPATHIC TREATMENT ON CRANIAL ASYMMETRIES ASSOCIATED WITH NONSYNOSTOTIC PLAGIOCEPHALY IN INFANTS. Complementary Therapies in Clinical Practice, 2011. Lessard S, Isabelle Gagnon I b,c,*, Trottier N.  http://www.ctcpjournal.com/article/S1744-3881(11)00020-X/abstract

² USE OF THE 3D SURFACE SCANNER FOR DEFORMATIONAL PLAGIOCEPHALY MEASUREMENT. Journal of Physical Therapy. 2013. Trottier N, Gagnon I, Wiley P, Graham H, Lessard S, Emery CA. Provisionally accepted for publication 2014.