He started and directed the Gait Analysis Lab at the Association for Assistance to the Disabled Children AACD in Sao Paulo Brazil in 1996. He also worked with the establishment of the Gait laboratory at the Children's Hospital at Westmead in Sydney where he worked for nearly 10 years. He has worked at the Royal Children's Hospital in Melbourne since 2001 when he moved to Australia. Paulo has trained and worked in 6 gait analysis laboratories in the last 20 years. Paulo trained in Brazil with Drs James Gage and Luciano Dias in the USA, who pioneered the use of modern gait analysis in cerebral palsy and spina bifida.