ISS 2017 Program


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IC54: To Abduct or Not Abduct: That is the Question

This lively and interactive debate will highlight research on postural management programs for children.  Specifically we will discuss the evidence and practicality of abduction in sitting, standing and lying. There are new papers suggesting 60 degrees of abduction is ideal. One teams will support the position that 60 degrees bilaterally is necessary for hip health and contracture prevention, while the other team will argue that less is more practical and might be just as effective.  Robes and wigs optional for attendees, but all must vote, clap, cheer, boo and generally have fun.


Learning Objectives:

Upon completion of this session, attendees will be able to;



Ginny Paleg, DScPT, MPT, PT
Montgomery County Schools
Silver Spring, Maryland
United States

Ginny Paleg (  is a pediatric PT from Silver Spring, Maryland. Ginny earned her Masters Degree in Physical Therapy at Emory University and her DScPT at the University of Maryland Baltimore.  Recently, she has published two journal articles on standing programs, four on gait trainers and one on wheeled mobility.

Lynore McLean, PT
Sunny Hill
Vancouver, BC

Thomas R Hetzel, PT, ATP
Ride Designs
Littleton, Colorado
United States

Tom has been involved in virtually all levels of the seating and mobility industry for over 30 years. He supports clinical practice at Aspen Seating and leads education and product design at Ride Designs. Tom holds multiple patents in the wheelchair seating and mobility industry. When Tom is not working he tries to hide in the mountains, camping, hiking, biking and simply hanging out with his family.

Erin Pope, PT
Perlman Center Cincinatti Children's Hospital
Cincinatti, OH
United States

Melissa Tally, PT
Perlman Center Cincinatti Children's
Cincinatti, OH
United States



    1. Martinsson, C., & Himmelmann, K. (2011). Effect of Weight-Bearing in Abduction and Extension on Hip Stability in Children With Cerebral Palsy. Pediatric Physical Therapy, 23(2), 150-157.
    2. Macias-Merlo, L., Bagur-Calafat, C., Girabent-Farras, M., & Stuberg, W. A. (2015). Effects of the standing program with hip abduction on hip acetabular development in children with spastic diplegia cerebral palsy. Disability and Rehabilitation, 38(11), 1075-1081.
    3. Positioning for children in GMFCS levels IV and V: Focus on Hip Health (2014).  Retrieved from

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