LIVE On-line Course: Waiting to Exhale: Optimizing the diaphragm to support emotional regulation, anxiety and postural control


Shelley Mannell, BSc, BHScPT

Monday – March 18, 2024

Early $225.00* | Regular $250.00 USD
8:00 am – 3:00 pm EST

*Early registration must be received 14 days prior to webinar (Mar 4, 2024). GROUP DISCOUNT ALSO AVAILABLE! 

The nature of the pediatric rehabilitation caseload has changed in the last decade. Many clients present with sensory processing and  emotional regulation challenges as well as postural control and motor deficits. The research is informing us about the interrelationship between these phenomena and we recognize that emotional regulation is the foundation for learning any new skill. This one-day course delves into anxiety in children and explores the connections between anxiety, emotional regulation and postural control. Discussions regarding the neurology, chemistry and the anatomy of respiration will serve as the foundation for our  exploration of breath mechanics and alignment and their impact on anxiety and emotional regulation. An expanded assessment of respiration is introduced to highlight treatment options to improve function. Case presentations will highlight the integration of breathing in the management of children with various sensory and motor challenges.

Shelley receives a speaking fee for her presentation. She has no relevant non- financial relationships to disclose.

Print Brochure


Learning Objectives
Participants completing this course will be able to:

1. Discuss the emotional regulation difficulties encountered by children with motor and sensory challenges and their impact on learning.
2. Explain the rationale of treatment of breath to address emotional regulation and postural control.
3. Compare typical and disordered breath mechanics and their impact on emotional arousal and postural control.
4. Identify the role of alignment in emotional regulation, mature postural control and learning.
5. Discuss the rationale behind different interventions to improve breath mechanics.
6. Understand the clinical application of these concepts through case studies.

Target Audience

Physical Therapists, Occupational Therapists and Speech Language Pathologists

Course Level 



Shelley Mannell, BSc, BHScPT

Shelley Mannell is a Physical Therapist with over 30 years experience serving babies, children and adolescents across a spectrum of neurological and developmental disabilities. She integrates a broad range of clinical skills and research to provide innovative neurobiology-informed treatment of children with movement disorders. Shelley founded HeartSpace Physical Therapy for Children in order to support clients and families as they matured through the lifespan.
Shelley began teaching as a clinical faculty member in the Faculty of Rehabilitation Science at McMaster University and remains committed to improving the care for children through clinical education and research. Shelley is certified in both Neuro-Developmental Treatment and Sensory Integration. She is also a certified children’s yoga and meditation facilitator and the co-creator of Dynamic Core for Kids, an evidence-based approach to central stability for children with motor and sensory challenges. Shelley also provides mentoring to therapists world-wide through her blog and her online program. As a respected international speaker, Shelley discusses the dynamic systems nature of the development of postural control and its application to assessment and intervention for children with sensory and motor challenges.


LIVE On-Line Course

8:00 am – 3:00 pm EST

8:00 AM – Anxiety in children
8:30 – Typical development of emotional regulation
9:00 – Anxiety and learning
9:15 – Contemporary model of postural control – how many systems does anxiety impact?
10:00 – Break
10:15 – Research on postural control in client populations
10:45 – Recognizing anxiety
11:15  -Emotional regulation: primary interventions
11:45 – Lunch
12:30 PM – Anatomy of breathing
1:00 – Breath mechanics and autonomic nervous system function
1:30 – Supporting alignment to address breath mechanics for autonomic system function and postural control
2:15 – Breath interventions
2:30 – Case presentations
2:45 – Q & A
3:00 – End


Educational Credits

A Post-Test will be required at the end of the course.

6 contact hours

Approved for 6 contact hours by NYSED’s State Board for PT.

Application has been made to NJBPTE for CE credit approval.

AOTA-Approved Provider Program

TSI is an AOTA Approved Provider of Professional Development. PD activity approval ID# Pending. This Live PD is offered at .6 CEU’s, Intermediate level, Domain of OT: OT Service Delivery. AOTA does not endorse specific course content, products, or clinical procedures.

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This course is offered for .6 ASHA CEUs (Intermediate level, Professional area).


Early Discount

Group Discount

Early $225.00* | Regular $250.00 USD

*Early registration must be received 14 days prior to seminar
VALID UNTIL Mar 4, 2023

3 or more registrants – Early –  $212.94 | Regular – $236.60 (use code group3)

In order to qualify for the group discounted rate, registrations MUST all be received within 24 hours (of the first registration) if registering on-line, and in the same envelope if registering by mail.  PLEASE NOTE: Registrations received after a group has been processed will not be eligible for the discount.

To ensure that all group members receive the appropriate discount, choose a group name and be sure that each person registering adds the name in the “other notes” section at checkout.