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Postural Development and Very Low Tone

Postural Development and Very Low Tone

Postural Development and Very Low Tone

This course includes
1:08:52 of Course Material (View)
Lifetime access after purchase
Certificate of completion
This course was recorded in April 2023


Children with extremely low tone, from a variety of different diagnoses, are at high risk for spinal deformities and secondary adverse respiratory events.

We know this risk exists, yet too often the approach seems to be “wait and see if this becomes a problem.”

Mary Massery will argue that spinal collapse is a problem before you see scoliosis. She will suggest prophylactic management of the spine, starting in infancy, based on a model of managing trunk pressures (soda pop can model). She will apply the concepts to a child with cerebral palsy who was at high risk of consequential spinal deformity, watching his postural development from 1 - 10 years of age.

Join the Paediatric Division of the Canadian Physiotherapy Association for this online course 'Postural Development and Very Low Tone'.



This course is open to all healthcare professionals who are interested in better understanding postural development and tone. This includes physiotherapists, chiropractors, and kinesiologists. 

The instructors
Canadian Physiotherapy Association

As the vital partner for the profession, the Canadian Physiotherapy Association (CPA) leads, advocates, and inspires excellence and innovation to promote health. CPA’s goal is to provide exceptional service, valuable information and connections to the profession of physiotherapy, across Canada and around the world.

Paediatric Division of the CPA

The Paediatric Division is a special interest group within the Canadian Physiotherapy Association. Our membership consists of clinicians from all practice settings, students, educators, researchers, physiotherapy assistants and administrators all of whom have a passion for promoting participation and enhancing the lives of children and their families. We are dedicated to provide resources and information for paediatric patients and their families to promote participation and function independence in all aspects of life.

Paediatric physiotherapists employ clinical expertise in the early detection of health problems, treatment, education and management of congenital, developmental, neuromuscular, skeletal, cardiorespiratory or acquired disorders/diseases. Paediatric physiotherapists work with children of all ages, from infants through young adulthood to promote participation and functional independence. Paediatric physiotherapists have a unique role in that they not only work with the child, but also their families in the context of their daily home, school and recreational environment.

Paediatric physiotherapists use validated outcome measures to assess the level of strength, flexibility, gross-, and fine-motor coordination and overall functional capabilities to determine participation limitations or restrictions as a result of injury, disease or disability.

Through analysis of objective assessment findings, the paediatric physiotherapist uses evidence-based treatment interventions specifically tailored to the client and their family's goals. Treatment interventions focus on improving gross and fine motor skills, balance and coordination, strength and endurance, as well as cognitive and sensory processing/integration.

Course Material included in this course
  • Postural Development and Very Low Tone: Is it Possible to Avoid Disaster
  • Welcome!
  • Pain and Participation
  • 2 Big Questions
  • Focus on the Spine
  • The Long-Term Goal
  • Preventing and Minimizing Consequential Spinal and Chest Deformities
  • Conclusion
  • Questions
  • Feedback
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