Treatment of Infants, Children and Teens with Obstetrical Brachial Plexus Injury

This seminar addresses all aspects of conservative and surgical management of Obstetrical Brachial Plexus Injury over the course of infancy, childhood, and teen years.

The number of infants with OBPI has been increasing posing new challenges to therapists working with this population. Participants in this seminar will be presented with a detailed overview of the anatomy of the initial nerve injury and the muscular and bony sequelae that often results in lifelong neuromuscular and orthopedic challenges.

Participants will gain a detailed understanding of surgical interventions, non-surgical medical interventions, and radiological tests enabling them to make appropriate medical referrals. Participants will learn comprehensive examination and intervention strategies for each stage of recovery throughout infancy, childhood, and teen years.

This lecture-based course includes video taped demonstrations of specific examination tools and intervention strategies including traditional interventions as well as the use of state-of-the art technology. Strategies for family support and intervention will be discussed as well. This course content is not intended for use by any participants outside the scope of their license or regulation.

Course Objectives:

Upon completing this course, the participant will be able to:

  • Participant will be able to identify the probable location and severity of a brachial plexus injury when presented with a newborn diagnosed with obstetric brachial plexus injury by a medical professional.
  • Participants will identify three complications of an obstetric brachial plexus injury on normal shoulder girdle anatomy
  • Participant will identify three developmental motor patterns that may result in worsening of the injury and should be adapted on children with an obstetric brachial plexus injury.
  • Participant will be able to develop a treatment plan for a newborn with an obstetric brachial plexus injury based on knowledge of shoulder girdle anatomy and developmental progressions.
  • Participant will identify and explain two surgical options for improving the self-care skills of a teen diagnosed with obstetric brachial plexus injury.
  • Given a case scenario of a specific aged child, participant will choose and justify an appropriate evaluation tool to assess levels of function in multiple areas.
  • Based on the course treatment paradigm in combination with results of assessment, participant will develop a treatment plan that would be appropriate for a child with an obstetric brachial plexus injury.
  • Given a case scenario of a child with obstetric brachial plexus injury, choose 3 treatment modalities.

CE Credits

15 contact hours

This course is accepted by many professional credentialing organizations and state professional regulatory boards. Rules and regulations change frequently without notification, and apply differently to live and online courses. Please check with your state board to confirm accuracy of this list and acceptance of contact hours. Certificate of Attendance will be issued to all participants upon completion of the course and may be used for CEU verification of credits. CE credits vary by state. Please check with your state board/certifying agency to confirm conversion of contact hours to CE. See links below.


California OT Board: This course and instructor have been approved by the CA Board of OT for 15 contact hours of post-professional education in the advanced practice area of hand therapy. Approval #22-H13.

Physical Therapy Board of California: The Physical Therapy Board of California recognizes Rehab Education, LLC as an approval agency to approve providers offering continuing competency courses for CA licensed PTs and PTAs. This course is approved for 15 contact hours.

Illinois State Board of Physical Therapy: Approved CE Sponsor by Illinois State Board of Physical Therapy, Division of Professional Regulations, Approval #216.000227. (Course must be taken prior to 09-30-2022)

New Jersey State Board of Physical Therapy Examiners: This course has been approved by the New Jersey State Board of Physical Therapy Examiners for 15 continuing education credits, Approval #1910-84. (Course must be taken between 01-31-2020 and 01-31-2022).

NY State Physical Therapy Board: Rehab Education, LLC is recognized as an approved provider of PT and PTA continuing education by the NY State Education Department Board of Physical Therapy. (Course must be taken prior to 05-10-2022)

PA State Board of Physical Therapy: Per PA rules and regulations, Pennsylvania Board of Physical Therapy now recognizes as approved any course certified by FSBPT’s ProCert or approved by another state PT Board, or approved by the APTA and its components which includes the state chapters, regional chapters, and sections.

American Occupational Therapy Association (AOTA) Approved Provider #6177: See states that currently recognize AOTA Approved Providers for OT

Federation of State Boards of Physical Therapy (FSBPT): Federation of State Boards of Physical Therapy (FSBPT): Federation of State Boards of Physical Therapy (FSBPT) / ProCert has awarded certification in the amount of 12 Continuing Competence Units (CCUs) to this activity. Approved CCUs are a unit of relative value of an activity based on its evaluation against a rigorous and comprehensive set of standards representing the quality of an activity. The CCU determination is a valuation applying many factors including, but not limited to, duration of the activity. No conclusion should be drawn that CCUs correlate to course hours. (Course must be taken between 09-30-2019 and 09-29-2021) Please check with your state physical therapy board to determine if they currently accept the Federation of State Boards of Physical Therapy (FSBPT) certification.

  • AOTA Approval States

    These states currently recognize AOTA Approved Providers for OT continuing education either in regulatory language or by formal written communication to AOTA:

    District of Columbia
    New Hampshire
    New Mexico
    New York
    North Carolina
    North Dakota
    Rhode Island
    South Carolina
    South Dakota

    *Disclaimer: Rehab Education LLC provides this list for your convenience. At the time of listing, the following state boards accept courses by virtue of approval by other organizations. It is the responsibility of the participant registering for a course to check with their state board to confirm rules and regulations regarding acceptance of contact hours for live and online courses.

    The following PT Boards accept courses approved by other state PT boards or APTA state associations*:

    North Carolina

    The following PT Boards accept courses approved by other APTA state associations*:

    Rhode Island

    The following PT Boards accept courses provided by AOTA approved providers*:

    District of Columbia
    Rhode Island

    *NBCOT…National Board for Certification of Occupational Therapy (view PDU requirements)

    +HTCC… Hand Therapy Certification Commission  (view recertification requirements)
    Hand Therapy Certification Commission (HTCC): This course is accepted by HTCC towards re-certification.

    State PT Boards
    State OT Boards



8:00-8:30 Registration
8:30-10:00 Overview of Obstetric Brachial Plexus Injury
10:00-11:00 Impact of Obstetric Brachial Plexus Injury on Shoulder Girdle Anatomy
11:00-11:15 Break
11:15-12:15 Developmental Apraxia related to Obstetric Brachial Plexus Injury
12:15-1:15 Lunch
1:15-2:30 Obstetric Brachial Plexus Injury in the Newborn (0-3 months)
2:30-4:00 Surgical Interventions for Obstetric Brachial Plexus Injury throughout Childhood
4:00-4:15 Break
4:15-5:15 Surgical Case Presentations
5:15 – 5:30 Questions, Answers, Review


7:30-8:00 Continental Breakfast
8:00-10:00 Therapeutic Examination and Evaluation
10:00-10:30 Live/Video Assessment
10:30-10:45 Break
10:45-12:30 Intervention Principles for Obstetric Brachial Plexus Injury (OBP)
12:30-1:30 Lunch
1:30-3:00 Application of Assessment and Intervention Principles in Children with Obstetric Brachial Plexus Injury
3:00-3:15 Break
3:15-4:15 Video Case Studies/Group Problem Solving
4:15-5:00 Discussions, Networking, etc.


Cindy Servello, MA, OTR

has been a practicing pediatric occupational therapist for the last thirty-five years. Over the last ten years, she has developed a specialty expertise in the treatment of infants and children with obstetric brachial plexus injuries.

In addition to being the primary therapist for The Neonatal Brachial Plexus Center in New Jersey with a group of pediatric neurologists, she serves as the national therapist consultant for the Texas Nerve and Paralysis Institute where her responsibilities include consultation to therapists, parents, and physicians, primary involvement in clinics nationally in coordination with top level surgeons and brachial plexus specialists, and participation in brachial plexus seminars which address state-of-the-art surgical and treatment interventions.

Classes taught by Cindy Servello:

The course was excellent….Cindy was a great presenter…I would recommend her class to anyone working with client’s who have BPI.

B.P. from CA