Course Description

This 15-hour course is designed to equip pediatric rehabilitation professionals with the knowledge, clinical reasoning, and tools to apply systems based, neuromuscular central control framework to the specific needs of a variety of neurodiverse children: Autism Spectrum Disorder (ASD), Cerebral Palsy (CP), Developmental Coordination Disorder (DCD), hypotonia, and more. It was filmed live and has been edited to provide a valuable online learning experience. Primary course content is divided into 2 days. On Day 1 clinicians will be introduced to a neuromuscular, systems approach to central control (Core Strategy) that is distinct from traditional concepts of core strength. This integrative model uses the diaphragm and breathing mechanics as an access point for central control (aka core stability). This attainable and relevant starting point for pediatric populations impacts multiple intertwined systems including postural control, balance, sensory processing and emotional regulation as well as functional gross and fine motor skills. The development of and challenges to central control in neurotypical and neurodiverse populations are discussed. A specific assessment model of the elements of the central control system (diaphragm, abdominal wall, pelvic floor, and pressure system) is provided. An intertwined understanding of the influence of alignment and external support to optimize availability of the elements of this system is demonstrated. On day 2 participants will learn to integrate Core Strategy into treatment, movement, and functional activities that have immediate application to a variety of clinical settings (direct treatment, school, and home programs). Case presentations and small group learning will promote concept synthesis and clinical reasoning to implement Core Strategy in clients of differing ages (preschoolers age 2+, school age and teens) and diagnoses. Participants will also discuss how to integrate Core Strategy Techniques with Neuro-Developmental Treatment handling skills and sensory processing intervention to support a greater range of clients. $550 USD.

Continuing Education Units (CEUs)

This course is subcontracted to Redefine Health Education and has been approved for 15 CEUs. RHE is a registered CE approval agency of 42 states and counting. Find your state by clicking the "call to action" button below. If you have a specific question about CE credit for this course in your state, please direct your inquiry, including the course title in which you are interested, to [email protected].

Course curriculum

  • 1

    Dynamic Core for Kids: Stability in Action Pre-reading and Handouts

    • Pre-reading: Anatomy Review

    • Pre-reading article: Anatomic Connections of the Diaphragm

    • Pre-reading article: How do anterior/posterior translations of the thoracic cage affect the sagittal lumbar spine, pelvic tilt, and thoracic kyphosis?

    • Pre-reading: Core Stability in Babies vlogs

    • Pre-reading: Posture, breath and regulation vlog

    • Dynamic Core for Kids: Stability in Action handout

    • References

  • 2


    • Introduction to DC4K: Stability in Action online

  • 3

    Module 1

    • Foundational Concepts

  • 4

    Module 2

    • Developmental Considerations

  • 5

    Module 3

    • Alignment Concepts

  • 6

    Module 4

    • Diaphragm

    • 4b - Concept Review

  • 7

    Module 5

    • Pelvic Floor

  • 8

    Module 6

    • Connecting to Postural Synergists

  • 9

    Module 7

    • Rotation

  • 10

    Module 8

    • Introduction to clinical applications module

    • Clinical Applications

  • 11

    Module 9

    • Special Populations

  • 12

    DC4K: Stability in Action CEUs and Course Evaluation

    • Certificate of Completion for Canadian and All International Professionals Certification except US PT/PTA

    • US PT/PTA Pursuing CEUs

    • Post-Course Evaluation for CEUs

Course Objectives

On completion of the course, the participant will be able to:

  • Describe the difference between a neuromuscular, systems approach to dynamic central control (‘Core Strategy’) and the traditional musculoskeletal, strength-based concept of ‘core stability’.

  • Articulate the differences in the development of Core Strategy between neurotypical and neurodiverse children.

  • Identify the contribution of efficient and effective core strategy to the development of emotional regulation.

  • Evaluate the behavior and function of the diaphragm, transversus abdominis, pelvic floor, and intra-abdominal pressure system, both as individual components and collectively as an interconnected deep central control system.

  • Develop a well-reasoned thought process to individualize a treatment strategy that balances and encourages teamwork for elements of the deep central control system.

  • Provide alignment cueing and external support options to optimize availability of the elements of the deep central control system.

  • Utilize breath mechanics strategies as a pediatric-friendly entry point to access and encourage teamwork in the deep central control system and support movement and function.

  • Implement clinical strategies that integrate a deep to superficial framework of neuromuscular system integration as an underpinning for function, balance, gross and fine motor skills.

  • Synthesize assessment findings to develop a well-reasoned treatment plan for a variety of neurodiverse populations exhibiting challenges with core strategy in movement, balance, emotional regulation, sensory organization, functional motor skills and activities of daily living.

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