During the CRAFTA-Special Topic Course (formerly known as CRAFTA-3), students will learn the mechanisms of cranio-cervical and vestibular-ocular (dys) function of postural control. Manual assessment of the cervical and oculomotor system will be demonstrated and practiced. Various primary and secondary headaches and the role of the neuromusculoskeletal assessment and therapy will be explained based on current external and clinical evidence.
Various pediatric headaches and associated issues will be reviewed with in-depth attention to the impact of orthodontics, balance and equilibrium, motor dysfunction and neuromusculoskeletal dysfunctions of the eyes, spine, peripheral nervous system, and craniofacial-mandibular region. Students will learn advanced clinical tests and treatment strategies.
NOTE: As of May 2019, the course numbering of the CRAFTA course program has been updated. This course is sometimes referred to as the "Ocular, Vestibular and Craniocervical Pain and Dysfunction course; Assessment and Management in Children and Adults."
There are no pre-requisites for this course.
Identify the anatomical differences of the cervical spine between adults and children (atlas paradox, growth and development of anatomical structures)
Demonstrate knowledge and skills for the assessment of the craniocervical region (including test for instability)
Discuss the anatomy and function of the posterior suboccipital neck muscles and their relationship to postural control and vertigo
Demonstrate evidence-informed treatment options for craniocervical dysfunctions
Demonstrate an evidence-informed assessment and treatment of the vestibular region
Demonstrate an evidence-informed assessment and treatment of the oculomotor function with vertigo and strabismus (including special visual- and oculomotor testing)
Discuss the function of the eye muscles and their relationship to orientation in space and vertigo
Demonstrate the clinical screening of the vestibular, oculomotor, and craniocervical region, postural control and their functional integration in everyday activities with a proposed 5x5 procedure
Identify clinical patterns in the vestibular region (benign paroxysmal vertigo) and oculomotor region (strabismus)
Discuss the difference between primary and secondary headaches of adults and children
Demonstrate applying the International Headache Classifications on patients
Demonstrate the manual assessment of contributing factors for primary and secondary headaches in children (craniomandibular, craniofacial, vestibular, scoliosis, ocular, neurodynamic and learning difficulties)
Discuss contributing factors for primary and secondary headaches in children (craniomandibular, vestibular, scoliosis, ocular, neurodynamic)
Plan short and long-term treatment and management strategies (hands-on and hands-off) for patients (children) with headaches and other craniofacial (tissue) dysfunctions
CRAFTA-Special Topics Schedule
Note: The actual times may vary with each program at the discretion of the instructors. Refreshments are provided; meals are on your own
07:30 - 08:00 Registration
08:00 - 08:30 Introduction
08:30 - 09:30 Posture, Balance, Equilibrium - Fundamentals of an optimal somatosensory-vestibular and visual system
09:30 - 09:45 Questions & Answers
09:45 - 10:15 Revision Upper Cervical Anatomy and Function
10:15 - 11:15 Assessment of the Craniocervical Region 1 - Physiological intervertebral Movements
11:15 - 11:30 Questions & Answers
11:30 - 01:00 Assessment of the Craniocervical Region 2 - Instability Tests
01:00 - 01:45 Lunch
01:45 - 02:30 Assessment of the Craniocervical Region 3 - Accessory Movements
02:30 - 03:15 Assessment of the Craniocervical Region 4 - Trigger Points
03:15 - 03:30 Questions & Answers
03:30 - 04:00 Upper Cervical Posterior Muscles
04:00 - 04:30 Assessment of the Craniocervical Region 5 - Proprioception, Relocation and the Fly
04:30 - 05:00 Scientific Models of Clinical Testing
05:00 - 05:15 Questions & Answers
05:15 - 06:00 Introduction of the 5 x 5 Protocol
06:00 - 06:30Assessment of the Vestibular System 1 - Equilibrium Tests
06:30 - 07:00Assessment of the Vestibular System 2 - Evaluation
07:30 - 08:00 Registration 08:00 - 08:30 Anatomy and Function of the Eye 08:30 - 09:00 Assessment of the Oculomotor System 1 - Coordination, (Un-) cover, Accommodation Tests 09:00 - 09:30 Assessment of the Oculomotor System 2 -Evaluation of the Ocular Dysfunction in the 5 x 5- Protocol 09:30 - 09:45 Questions & Answers 09:45 - 10:30 Assessment of the Oculomotor System 3 - Neurodynamic Tests of the Oculomotor Nerves 10:30 - 11:15 Assessment of the oculomotor system 4 - Direct muscle tests, incl. trigger points, of the oculomotor muscles 11:15 - 11:30 Questions & Answers 11:30 - 12:15 Functional Integration Tests (FIT) 12:15 - 01:00 Evaluation FIT with Respect to the 5 x 5 Protocol 01:00 - 01:45 Lunch 01:45 - 02:30 Postural and Equilibrium Tests (PET) 02:30 - 03:15 Evaluation PET with Respect to the 5 x 5 Protocol 03:15 - 03:30 Questions & Answers 03:30 - 05:00 Oculomotor Dysfunctions (Theory) 05:00 - 05:15 Questions & Answers 05:15 - 06:00 Treatment of Oculomotor Dysfunction in Adults 06:00 - 07:00 Implementation of the 5 x 5- protocol (Practical)
07:30 - 08:00 Registration 08:00 - 08:45 Classification of Headaches according to the International Headache Society 08:45 - 09:30 Headaches and Neuromusculoskeletal Dysfunction in Children 09:30 - 09:45 Questions & Answers 09:45 - 10:30 Pain Measurements in Children 10:30 - 11:15 Red Flags for Pediatric Headaches 11:15 - 11:30 Questions & Answers 11:30 - 12:15 Anatomical and Biomechanical Qualities of the Craniocervical Region in Children 12:15 - 01:00 Physical Examination of the Craniocervical Region in Children 01:00 - 01:45 Lunch 01:45 - 02:30 Craniofacial Growth & Dysfunctions; Basis for Assessment and Treatment 02:30 - 03:15 Assessment the Craniofacial Region in Children 03:15 - 03:30 Questions & Answers 03:30 - 04:00 Assessment of the Orofacial Region, incl. TMJ in Children 04:00 - 04:30 The Pediatric Nervous System 04:30 - 05:00 Assessment of the Long Sit Slump and Neck Flexion 05:00 - 05:15 Questions & Answers 05:15 - 06:00 Oculomotor Dysfunction in Children 06:00 - 07:00 Assessment of Pediatric Oculomotor Dysfunction
07:30 - 08:00 Registration 08:00 - 09:30 Vestibular Dysfunctions and Postural Changes in Children 09:30 - 09:45 Questions & Answers 09:45 - 11:15 Management of Headache and Neuromusculoskeletal Dysfunction in Children (Guideline Proposals) 11:15 - 11:30 Questions & Answers 11:30 - 12:15 Manual Treatment of the Craniocervical Region 12:15 - 01:00 Manual Treatment of the Craniofacial Region 01:00 - 01:45 Lunch 01:45 - 02:30 Treatment of the Nervous System 02:30 - 03:15 Oculomotor Treatment in Children - 1 03:15 - 03:30 Questions & Answers 03:20 - 04:30 Oculomotor Treatment in Children - 2 04:30 - 05:00 Summary
CRAFTA - Special Topics has been approved by the Maryland Board of Physical Therapy Examiners for 4.1 CEUs.
NOTE: Many states, such as Connecticut, Georgia, New Hampshire, North Carolina, Kansas, Kentucky, South Carolina, Virginia, and Wisconsin, among many others, accept the CEUs approved by the Maryland Board of Physical Therapy Examiners.
If you are not sure about another state, check out your state board's website and look for language like (from South Carolina - https://www.llr.sc.gov/pt/ce.aspx):
At least fifteen (15) of the required thirty (30) contact hours shall be from Certified Activities. Certified Activities include [...] attendance at conferences and completion of continuing competency activities provided by the American Physical Therapy Association (APTA), South Carolina Chapter of the American Physical Therapy Association (SCAPTA), other chapters and sections of the APTA, as well as other state boards of physical therapy.