ADVANCED REHABILITATION TECHNIQUES FOR LIMB LENGTHENING AND DEFORMITY CORRECTION COURSE•MARCH 11-12, 2023 PALEY ORTHOPEDIC & SPINE INSTITUTE at St. Mary’s Medical Center, West Palm Beach, Florida

CONTACT INFORMATION: Fran Guardo (561) 602-6429•Meenakshi Sundriyal (914)409-7797•Dayle Federico (561) 299-6426 COURSE OBJECTIVES 2023

1. Participants will have an understanding of a variety of deformities appropriate for deformity correction and limb lengthening. 2. Participants will have a basic understanding of treatment options for pediatric and adult orthopedic deformities. 3. Participants will be able to identify precautions to observe when treating a patient undergoing limb lengthening. 4. Participants will familiar with basic treatment protocols for the following: • patient undergoing femoral lengthening (internal vs external fixation). • patient undergoing tibial lengthening (internal vs external fixation). • patient undergoing humeral lengthening (internal vs external fixation). 5. Participants will have a basic understanding of the Pitfalls of Limb Lengthening and prevention strategies.

DAY 1: SATURDAY, MARCH 11 ,2023

DAY 2: SUNDAY MARCH 12, 2023

Cypress Room St Mary’s Hospital

Cypress Room St Mary’s Hospital

7:30-8:00 8:00-9:00

7:30-8:00 8:00-9:15

Arrive and Sign-in (In person/virtual) The History of Limb Lengthening/Update on Stryde/Precice Nai - Dr Claire Shannon 9:00-10:30 Introduction to Common Diagnosis Treated with Deformity Correction and Limb Lengthening Fran Guardo MEd, MPT, DPT 10:30-10:45 Break 10:45 -11:30 Nursing Care TBA 11:30-12:00 Child Life TBA 12:00-1:00 Lunch Provided: Introduction of Attendees/ Panel Discussion 1:00-2:00 Rules of the Road for Limb Lengthening and Deformity Correction Rehabilitation Fran Guardo, MEd, MPT, DPT 2:00-2:30 Out-Patient Management of CFD s/p SUPER hip, SUPER knee, SUPER ankle, SHORDT Dayle Federico, PT 2:30-2:45 Break 2:45-4:00 Femoral Lengthening Rehabilitation Mike Thompson MSPT 4:00-5:00 Open discussion Question and Answer Case Study presentation from Audience

Arrive and Sign-in Surgical Management of Lower Leg Deformities Dr. Aaron Huser 9:15-10:00 Tibial and Fibular Lengthening and Deformity Correction Dayle Federico, PT 10:00-10:15 Break 10:15-11:00 Splinting for Upper Extremity and Lower Leg Limb Lengthening - Mary Beck OTR 11:00-11:45 Splinting Lab 11:45-12:15 Management of Upper Extremity Lengthening and Deformity Correction - TBA 12:15-12:30 Break and Serve Lunch 12:30-1:15 Novel Bracing for Clubfoot: Hanger Clinic 1:15-1:45 Aquatic PT and Limb Lengthening Katy Crane MPT 1:45-2:00 Break 2:00-2:30 Paley Prosthetics and Orthotics Bracing considerations in Lengthening and Deformity Patients - TBA 2:30-4:30 Managing Pitfalls of Limb Lengthening Fran Guardo, MEd, MPT, DPT 4:30-5:00 Discussion/Adjourn

ADVANCED REHABILITATION TECHNIQUES FOR LIMB LENGTHENING AND DEFORMITY CORRECTION PRECEPTORSHIP•MARCH 13-15, 2023 PRECEPTORSHIP OBJECTIVES 2023

1. Participants will have the opportunity to observe live, and in-person, Physical and Occupational Therapy sessions geared toward their target patient population. 2. Participants will have the opportunity to participate in problem solving sessions to discuss cases observed, or cases that they present, with the experienced Paley Rehabilitation Therapists. 3. Participants will have the opportunity to participate is Labs targeted to their needs (Stretch Lab for Lengthening, Splinting Lab, ASTYM demonstration). 4. Participants will have the opportunity to attend an Ad Hoc meeting on developing a Limb Lengthening Deformity Correction Rehabilitation Program at their facility.

DAY 1: MONDAY, MARCH 13,2023

DAY 3: WEDNESDAY, MARCH 15, 2022

Paley Rehabilitation Clinic at Ranes Pavillion

Paley Rehabilitation Clinic at Ranes Pavillion

8:00-9:00 9:00-12:00

9:00-12:00

12:00-1:00 1:00-3:00 3:00-5:00

Orientation: Presentation of Patients Observation of Therapy: Congenital Femoral Deficiency, Tibial and Fibular Hemimelia, Stature Lengthening, Perthes, Achondroplasia, Arthogryposis, Clubfoot, Vertical Talus, etc. Lunch Break (Independent) Observation of Therapy Lab: Stretching Techniques for Deformity Correction Patients

DAY 2: TUESDAY, MARCH 14, 2022 Paley Rehabilitation Clinic at Ranes Pavillion 9:00-12:00

Observation of Therapy: Congenital Femoral Deficiency, Tibial and Fibular Hemimelia, Stature Lengthening, Perthes, Achondroplasia, Arthogryposis, Clubfoot, Vertical Talus, etc. 12:00-1:00 Lunch (Independent) 1:00-3:00 Observation of Therapy 3:00-4:30:(+) Lab: Astym Demonstration: Problem Solving Session 4:30-5:00 Discussion 500 Adjourn

12:00-1:00 1:00-2:00 or until 4:00 2:00-4:00 (+) 4:00-5:30:

Observation of Therapy: Congenital Femoral Deficiency, Tibial and Fibular Hemimelia, Stature Lengthening, Perthes, Achondroplasia, Arthogryposis, Clubfoot, Vertical Talus, etc. Lunch (Independent) Observation of Therapy (option to attend splint lab) Lab: Splinting Demonstration and Lab: Problem Solving Session Developing a Limb Lengthening Deformity Correction Rehabilitation Program – Group Discussion