BIOSKETCH
Ginny Paleg, PT, MPT, DScPT, is a pediatric physiotherapist based in Silver Spring, Maryland, USA. With over 40 years of experience, she specializes in working with infants and young children (0-3 years) in home and childcare settings, focusing on the F-words framework to guide her practice. She is an associate of Can Child at McMaster in Canada and an Honorary Research Fellow in the School of Health Sciences, College of Health Sciences, University of Kwazulu-Natal, Westville Campus, Durban, South Africa.Dr. Paleg earned her Master’s in Physical Therapy from Emory University and her Doctorate in Physical Therapy from theUniversity of Maryland Baltimore. Her clinical expertise lies in assessing and intervening for children with severe motorimpairments, particularly those at GMFCS Levels IV and V. She is certified in the Prechtl General Movement Assessment (GMA)and the Hammersmith Infant Neurological Examination (HINE), and trained in Routines-Based Interventions and coachingmethodologies. Dr. Paleg is a prolific researcher with over 60 peer-reviewed publications focusing on standers, supported stepping devices, andpower mobility in children with complex needs. She is the lead author for the American Academy of Cerebral Palsy HypotoniaCare Pathway and has served in various leadership roles within the field, including Chair of the AACPDM CommunicationsCommittee, member of the Nominating Committee, and member of the Scientific Committees for both the AACPDM and theEuropean Academy of Child Neurology (EACD) in 2022. Currently, she serves on the AACPDM Care Pathway Council.
RESEARCH INTERESTS
CP, Early detection and intervention, assistive technology, F-words, GMFCS IV and V, supported standing and stepping, power mobility, postural management
LIST OF PUBLICATIONS
- Paleg GS, Hidalgo-Robles Á, Govender P, Ribeiro Leite H, Schomerus R, Abdullah P(D), Livingstone RW. Applying evidence-based interventions for a child with Down syndrome (age 0–3 years): A view through the F-words lens tool framework. Disabilities. 2026;6(2):28. Published March 18, 2026. doi:10.3390/disabilities6020028
- Schomerus, R., Paleg, G. S., Livingstone, R. W., Dawal, B., & Bächler, L. (2026). Promoting functional mobility in individuals with non-ambulatory cerebral palsy: A scoping review of the MOVE programme. Children, 13(2), Article 292. https://doi.org/10.3390/children13020292
- Paleg G, Pool D, Hidalgo-Robles Á, Frumberg D, Livingstone R, Damiano D. Where’s the evidence? Challenging therapists to stop legitimizing Dynamic Movement Intervention and Cuevas Medek Exercises. Pediatric Physical Therapy. 2026;38(1):138–143. doi:10.1097/PEP.0000000000001261. Epub 2025 Dec 30.
- Paleg G, Hidalgo Robles A, Govender P and R W Livingstone. Occupational and Physical Therapy Interventions for Young Children with Developmental Central Hypotonia: An Overview of Systematic Reviews. Disabilities 2025-01-31 DOI: 10.3390/disabilities5010014
- Livi Rodrigues de Sousa Junior R, Souto DO, Paleg G, Teplicky R, Hidalgo-Robles Á, de Campos AC, Chagas P, Longo E, Ribeiro Leite H. Promoting clinical reasoning: Clinical application of the “F-words Lens Tool” for children with disabilities. Pediatric Physical Therapy. 2026;38(1):144–149. doi:10.1097/PEP.0000000000001262. Epub 2025 Dec 30.
- Livingstone, R, Paleg, G and Erickson, D. Commentary on “Quantifying Parental Perceptions of Their Experiences with Their Young Children’s Use of Power Mobility Devices”. Pediatric Physical Therapy 37(1):p 56, January 2025.
- Saraiva Christovão I, Silva de Carvalho Chagas P, Costa Ferreira L, Paleg G, Ribeiro Leite H, Resende Camargos AC.The goal-oriented collaborative approach with postural management strategies intervention via telehealth for children with non-ambulant cerebral palsy: Feasibility randomized clinical trial protocol. Res Dev Disabil. 2024 Dec: 155:104869.
- Masselink, C. E., Detterbeck, A., LaBerge, N. B., & Paleg, G. (2025). RESNA and CTF position on the application of supported standing devices: Current state of the literature. Assistive Technology, 37(4), 257–274. https://doi.org/10.1080/10400435.2024.2411560
- Livingstone RW, Paleg GS, Shrader MW, Miller F, Rodby-Bousquet E. Incidence of hip problems in developmental central hypotonia: A scoping review. Dev Med Child Neurol. 2024 Oct 21.
- Paleg G, Williams A and R Livingstone. Supported Standing and Supported Stepping Devices for Children with Non-Ambulant Cerebral Palsy: An Interdependence and F-Words Focus. Int. J. Environ. Res. Public Health 2024, 21(6), 669.
- Hornby B, Paleg G, Williams S, Hidalgo-Robles A, Livingstone R, Montufar Wright P, Taylor A and MW Shrader. Identifying Opportunities for Early Detection of Cerebral Palsy. Children 2024, 11(5), 515.
- Hidalgo Robles Á, Paleg GS, Livingstone RW. Identifying and Evaluating Young Children with Developmental Central Hypotonia: An Overview of Systematic Reviews and Tools. Healthcare (Basel). 2024 Feb 18;12(4):493.
- Livingstone R, Paleg G and D Field. Supported standing and stepping device use in young children with cerebral palsy, gross motor function classification system III, IV and V: a descriptive study. Assistive Technology. Received 19 Nov 2022, Accepted 08 Nov 2023, Accepted author version posted online: 21 Nov 2023
- Livingstone, R., Chin, A., and G. Paleg. Power Mobility, Supported Standing and Stepping Device Use in the First Two Years of Life: A Case Report of Twins Functioning at GMFCS V. Disabilities 2023, 3(4), 507-524.
- De Campos AC, Hidalgo-Robles Á, Longo E, Shrader C, Paleg G. F-words and early intervention ingredients for non-ambulant children with cerebral palsy: A scoping review. Dev Med Child Neurol. 2023 Jun 28. doi: 10.1111/dmcn.15682.
- Livingstone, R and G Paleg. Use of Overground Supported-Stepping Devices for Non-Ambulant Children, Adolescents, and Adults with Cerebral Palsy: A Scoping Review. Disabilities 2023, 3, 165–195.
- Longo E, Monteiro R, Hidalgo-Robles A, Paleg G, Shrader C, and De Campos AC. Intervention Ingredients and F-words in early intervention for children with cerebral palsy functioning at GMFCS IV and V: a scoping review protocol. Front. Rehabil. Sci. Sec. Pediatric Rehabilitation. Jan 2023. doi: 10.3389/fresc.2023.1110552
- Paleg, G. APTA Choose PT: Physical Therapy Guide to Down Syndrome. https://www.choosept.com/guide/physical-therapy-guide-down-syndrome
- Mclean LJ, Paleg GS, Livingstone RW. Supported-standing interventions for children and young adults with non-ambulant cerebral palsy: A scoping review. Dev Med Child Neurol. 2022. 65:6 p 754-772
- Gordon, AM, Magill, RA and G Paleg. Motor learning: Application of principles to pediatric rehabilitation, Chapter 5; 6th Edition p91-111. In S. Campbell, V. Linden, R Palisano, Physical Therapy for Children. Elsevier, St. Louis, MO USA
- Merino-Andrés J, Hidalgo-Robles A, Pérez-Nombela S, Williams S, Paleg G, and Francisco Javier Fernández-Rego. Tool Use for Early Detection of Cerebral Palsy: A Survey of Spanish Pediatric Physical Therapists. Pediatr Phys Ther. 2022 Apr 1;34(2):202-210. doi: 10.1097/PEP.0000000000000877.
- Paleg G, and R Livingstone. Evidence-informed clinical perspectives on postural management for hip health in children and adults with non-ambulant cerebral palsy. J Pediatr Rehabil Med . 2022;15(1):39-48. doi: 10.3233/PRM-220002.
- Paleg G, Altizer W, Malone R, Ballard K, Kreger A. Inclination, hip abduction, orientation, and tone affect weight-bearing in standing devices. J Pediatr Rehabil Med. 2021;14(3):433-441. doi: 10.3233/PRM-190660
- Livingstone, R.; Paleg, G. Enhancing Function, Fun and Participation with Assistive Devices, Adaptive Positioning, and Augmented Mobility for Young Children with Infantile-Onset Spinal Muscular Atrophy: A Scoping Review and Illustrative Case Report. Disabilities 2021, 1, 1–22.
- Paleg, G and W Altizer. Everyday with Emmitt. Directions Magazine. June 2020.
- AACPDM Hypotonia Carepathway Sept 2019 Lead Author (see https://www.aacpdm.org/publications/care-pathways/central-hypotonia)
- Capati V, Covert SY, Paleg G. Stander use for an adolescent with cerebral palsy at GMFCS level V with hip and knee contractures. Assist Technol. 2019 Apr 4:1-7.
- Paleg G, Rodby-Bousquet E. Commentary on “Early Intervention and Postural Adjustments During Reaching in Infants at Risk of Cerebral Palsy”. Pediatr Phys Ther. 2019 Apr;31(2):184.
- Paleg G, Romness M, Livingstone R. Interventions to improve sensory and motor outcomes for young children with central hypotonia: A systematic review. J Pediatr Rehabil Med. 2018;11(1):57-70.
- Altizer W, Noritz G, Paleg G. Use of a dynamic gait trainer for a child with thoracic level spinal cord injury. BMJ Case Rep. 2017 Oct 10;2017.
- Paleg, G. In Regard to Byrne et al. J Pediatrneurol. 2017. January 2018 Volume 78, Page 13.
- Rodby-Bousquet E, Paleg G, Casey J, Wizert A, Livingstone R. Physical risk factors influencing wheeled mobility in children with cerebral palsy: a cross-sectional study. BMC Pediatr. 2016 Oct 10;16(1):165.
- Paleg G, Livingstone R. Commentary on “Ride-On Car Training for Behavioral Changes in Mobility and Socialization Among Young Children with Disabilities”. Pediatr Phys Ther. 2017 Jul;29(3):214
- Livingstone R and Paleg G. Measuring Outcomes for Children with Cerebral Palsy Who Use Gait Trainers. Technologies 2016, 4(3), 22.
- Paleg G, Martin K Commentary on “Relationship Between Central Hypotonia and Motor Development in Infants Attending a High-Risk Neonatal Neurology Clinic”. Pediatr Phys Ther. 2016 fall;28(3):337
- Paleg, G and Livingstone R. Evidence-Informed Clinical Perspectives on Selection of Gait Trainer Features for Children with Cerebral Palsy. International Journal of Therapy and Rehabilitation. 2016 23 (9)
- Paleg G, Martin K. Commentary on “Relationship Between Central Hypotonia and Motor Development in Infants Attending a High-Risk Neonatal Neurology Clinic”. Pediatr Phys Ther. 2016 Fall;28(3):337
- Paleg G, Huang M, Vasquez Gabela SC, Sprigle S, Livingstone R. Comparison of the Inertial Properties and Forces Required to Initiate Movement for Three Gait Trainers. Assist Technol. 2016 Fall;28(3):137-43
- Paleg, G and Livingstone R. Systematic Review and Evidence-Based Clinical Recommendations for Dosage of Supported Standing Programs for Adults with Neuromotor Conditions. BMC Musculoskelet Disord. 2015 Nov 17; 16(1):358.
- Paleg G and Livingstone R. Outcomes of gait trainer use in home and school settings for children with motor impairments: A systematic review. Clin Rehabil. 2015 Jan 30.
- Livingstone, R and Paleg, G. Practice considerations for the introduction and use of power mobility for children. Dev Med Child Neurol. 2013 Sep 3.
- Casey J, Paleg, G, and Livingstone, R. (2013) Facilitating child participation through power mobility. British Journal of Occupational Therapy, 76 (3). pp. 157-159.
- Paleg, G, Smith BS, and Glickman LB. Systematic review and evidence-based clinical recommendations for dosing of pediatric supported-standing programs. Pediatr Phys Ther. 2013 Fall; 25(3):232-47.
- Paleg, G. Up to Speed. Advance for PT. April3, 2012, p26-28.
- Glickman L, Geigle P, Paleg G. A systematic review of supported standing programs. J of Ped Rehab Med Vol 3:3 2010 pp 197-213.
- Arva J, Paleg G, Lange M, Lieberman J, Schmeler M, Dicianno B, Babinec M, Rosen L. RESNA position on the application of wheelchair standing devices. Assist Technol. 2009 Fall; 21(3):161-8; quiz 169-71.
- Paleg, G. Moving Forward. Rehab Management. June 2008.
- Paleg, G. Case Challenge. Rehab Management. March 2008.
- Paleg, G. A proper position. Determining the appropriate seating and positioning for transporting the pediatric client. Rehab Management. Aug-Sept 2007.
- Paleg, G. The Cost of Doing Business. Rehab Management. June 2007.
- Paleg, G. Not a Lightweight Decision. Rehab Management. April 2007.
- Paleg, G. What’s New in Mobility Accessories. Rehab Management. March 2007.
- Paleg, G. Subject to approval. Making sense of the new power mobility codes. Rehab Management. Jan-Feb 2007
- Paleg, G. A position of strength. Rehab Management. Dec 2006
- Paleg, G. Let’s get walking: Body Weight Support Gait Therapy for Kids. Rehab and Community Care Medicine. Fall 2006 p23.
- Paleg, G. Mobilizing Youngsters. Rehab Management. Oct 2006. p26-29
- Paleg, G. Teaching a Basic Function. Rehab Management. Aug/Sept 2006 p 26-29 · Said, M. Tiny Patients, Big Hearts. Physical Therapy Products Magazine. July/Aug 2006 p10 (article features Ginny’s practice)
- Paleg, G. Push, propel or stroll? Rehab Management. June 2006 p40-45
- Paleg, G. Proof Positive: Clinicians should advocate for access to clinically proven durable medical devices. Advance for Directors in Rehab. Feb 2006 p 21-24.
- Paleg, G. Pediatric Seating and Support. Rehab Management. Jan/Feb 2006 p55-56
- Paleg, G. A Simpler Solution: Percutaneous Lengthening. Advance for PT. Jan 9, 2006, p38-39. ·
- Paleg, G. Equipment Recycling Programs: Can PTs Be Liable? Advance for PT. Nov 21, 2005 p5. ·
- Paleg, G. Pardon Me, Is that Seat Paid For? Physical Therapy Products Magazine. July/Aug 2005 p 36-39.
- Paleg, G. Seating the SCI Patient. Physical Therapy Products Magazine. June 2005 p34-37.
- Paleg, G. Standing Strong. Advance for PT. April 11, 2005 p39.
- Paleg, G. Intervening Care. Rehab Management. April 2005. p30
- Paleg, G. Pediatric Marfan Syndrome. Advance for PT Oct 11, 2004 p66.
- Paleg, G. The Evidence Basis of Using Gait Trainers. Exceptional Parent Magazine May 2004 p40.
- Paleg, G. Transportation Safety. NRRTS News Vol 2 2004 p4
- Paleg, G. Positive Change: Stem cell transplant gives patient a new chance at life. Advance for PT. April 12, 2004 p40
- Paleg, G. Gateway to Gait. Rehab Management Mar 2004. p 28-29
- Paleg, G. On Their Feet. The Advance for Physical Therapy. Nov 24, 2003. p39 · Rosen, L and G. Paleg, Have a Seat. The Advance for Physical Therapy. Nov 10, 2003. p39-40
- Paleg, G. Different Approach. PT for a child with CHARGE Syndrome. The Advance for Physical Therapy. Nov 10, 2003. p45-46
- Paleg, G. On the Move. Should PTs teach Children with Disabilities to Crawl? The Advance for Physical Therapy. June 9, 2003. p50-52
- Paleg, G. Focus on Gait Trainers. Physical Therapy Products Magazine. Jan/Feb 2003 p46-48.
- Paleg, G. Setting Goals: What’s In and What’s Out in Pediatric PT. The Advance for Physical Therapy. April, 14, 2003. p40
- Paleg, G. Understanding WC-19. The Advance for Physical Therapy. March 3, 2003. p35-36
- Paleg, G. The Right Fit: Dependent Mobility Systems. Rehab Management Mar 2003.
- Paleg, G. Worth Writing For. The Advance for Physical Therapy. Nov 11, 2002 p37-38.
- Paleg, G. The Prevention Struggle. Rehab Management Nov 2002.
- Paleg, G. and J. Fisher. Craig Gets Mobile. Rehab Management. April 2002. Pp32-35.
- Paleg, G. Ask the Expert. Exceptional Parent Magazine. April 2002 p 67-69…
- Paleg, G. Water Ways. Physical Therapy Products Magazine. March/April 2002 p18-22.
- Paleg, G. Walking the Walk. The Advance for Physical Therapy. March 4, 2002 p41-42.
- Paleg, G and J Fisher. Beyond the Basics. Physical Therapy Products Magazine. Oct/Nov 2001 pp42-44.
- Paleg, G. Beyond Wheelchairs. Rehab Management. Nov 2001 pp60-68.
- Paleg, G. Treadmill Training for Tots. The Advance for Physical Therapy. Aug 13, 2001 p39-41.
- Dnatch, M and G. Paleg. Scoliosis. Physical Therapy Products Magazine. April 2001.
- Paleg, G. Nuts and Bolts of Seating Systems. Exceptional Parent Magazine. April 2001.
- Paleg, G. Ask The Therapist – AFO’s and other foot braces. Exceptional Parent Magazine. Dec 2000.
- Paleg, G, McHugh, A. and C. Jackson. Toilet Training. Exceptional Parent Magazine. Nov 2000.
- Paleg, G. Car Seats for Children with Special Needs. The Advance for Physical Therapy. Oct 2000.
- Paleg, G. and S. Marino. Stand and Deliver: A Comparison of Self-Propelled Standers. Exceptional Parent Magazine. April 2000 p44-46.
- Paleg, G. Choosing a Gait Trainer. Physical Therapy Products. Oct 2000
- Paleg, G. Ask The Therapist- Hip Stability and Learning to Stand. Exceptional Parent Magazine. March 2000 p68. Oct 26, 1998
- Paleg, G. What’s New in Gait Trainers? Team Rehab Report. Aug 1999 p14-19.
- Paleg, G., Hubbard, S., Brite, E. and K. O’Donnell. Dynamic Trunk Splints and Hypotonia. Physical Therapy Case Reports vol2 No. 3 May 1999 pp122-4.
- Paleg, G. Holoprosencephaly. The Advance for Physical Therapy. Oct 26, 1998
- Paleg, G. MOVE and Conductive Education. Physical Therapy Products. September 1998. p40-43.
- Paleg, G. Schizencephaly. The Advance for Physical Therapy. Sept 1998.
- Paleg, G. Opisthotonus. The Advance for Physical Therapy Aug 10, 1998 p32-33.
- Yunes, D. and G. Paleg. CDGS. The Advance for Physical Therapy July 6, 1998 p34-5.
- Paleg, G. Suit Brings Support Down to Earth: Russian Space Suit Helping Children with Cerebral Palsy. PT- OT-Speech Today. March 30, 1998 p.13.
- Paleg, G. New Classification System for Severity of Cerebral Palsy. The Advance for Physical Therapy March 23, 1998 p82.
- Paleg, G. Therapists Can Help in National SBS Campaign. The Advance for Physical Therapy Jan 5, 1998 p33
- Paleg, G. Hyperbaric Oxygen Therapy for Individuals with Neurologic Dysfunction. The Advance for Physical Therapy Dec 8 1997 p30-31.
- Paleg, G. Improving Function with Dynamic Trunk Splints. The Advance for Physical Therapy Dec 1, 1997 p34&90
- Paleg, G. Teaching Older Children with CP to Sit, Stand and Walk. Dev Med & Child Neuro. Abstract C:3 1997
- Paleg, G and L. Bidabe. MOVE Forward. PT and OT Today. July 7, 1997 p.22-25.
- Paleg, G. Made for Walking: A Comparison of Gait Trainers. Team Rehab Report. July 1997 p41-45.
- Paleg, G. Getting Stronger While You Sleep. The Advance for Physical Therapy. Jun 16, 1997 p5.
- Paleg, G. The MOVE Story. Tomorrow’s PT. Spring 1997 p10-11.
- Paleg, G and M. Lambert. Conductive Education and MOVE: A Descriptive Comparison. The Advance for Physical Therapy. March 17, 1997 p6&23.
- Paleg, G. Using Standing Aids as Tools for Non Weight-Bearing Treatments. The Advance for Physical Therapy. Oct. 28, 1996 p17.