Welcome to Progressive GaitWays…

An Open Letter to Caretakers and Therapists for Children with Diplegic CP

BCusick_OutsideProgressive GaitWays president and founder Beverly (Billi) Cusick writes:

“I’ve seen hundreds of families of children with diplegia, in consultation sessions in which I routinely undertake an orthopedic assessment and evaluate postural control, movement strategies, and existing orthoses. Common denominators have emerged that appear to operate to contribute to common problems of contracture development and recurrence, and to diminishing movement skills so often seen with advancing age in children with diplegia.

“I’ve composed the attached letter for caretakers and therapists of children with diplegia to bring them together in their understanding of the sources of many common musculoskeletal problems, and of the fundamental skills and strategies that are needed for effective remediation.”

Clinicians are welcome to download and share this letter with their colleagues, clients, and prescribing physicians.
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Training & Events Calendar

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¡Ahora disponible en español! (Translated by Ursula Ivancic, Kinesióloga Fisiatra Neurorehabilitación Pediátrica Buenos Aires, Argentina)

Jun
12
Fri
Developmental Orthopedics of the Trunk & Lower Extremity @ Hampton Inn - Tarrytown/Elmsford
Jun 12 all-day
Developmental Orthopedics of the Trunk & Lower Extremity @ Hampton Inn - Tarrytown/Elmsford | Elmsford | New York | United States

Developmental Orthopedics of the Trunk & Lower Extremity

This introductory program features an overview of the processes and principles that contribute to pediatric orthopedic development. These principles are applied to pathomechanics commonly observed in children with hypotonia, cerebral palsy, excessive foot pronation, and intoed gait. The content presented in this program is considered fundamental to any (future) discussion of the specific features of orthopedic trunk and lower extremity development.

Save $20 – Bring a colleague along!

Download a full Course Description for reference.

7.0 contact hours
CEUs for PT’s & Orthotists
LEVEL: Intermediate

See Also: One-Day Developmental Orthopedics Assessment Skills Lab immediately following this course!

Jun
13
Sat
LAB: Developmental Orthopedics – Assessment Skills Follow-Up @ Hampton Inn - Tarrytown/Elmsford
Jun 13 all-day

BevLab_160Developmental Orthopedics – Assessment Skills Lab Session

Lab participants will execute 14 musculoskeletal assessments on each other under supervision. These participants will complete the program by participating in a case presentation in which they will be asked at random to execute an assessment procedure.

Prerequisites. This lab program is open only to clinicians who have completed the one-day seminar program entitled: Developmental Orthopedics of the Trunk & Lower Extremity.

Enrollment is limited to 15 participants. After 15 are registered, additional interested attendees may place themselves on a wait list. If there is sufficient interest, we will offer an additional lab session the following day. Enrollment status is determined on a first-come, first-served basis.

This is an intermediate-level course; prerequisite training is required as noted above, and pre-course review materials are issued.

Dress for Lab. Lab enrollees should come dressed to undergo LE assessments requiring skin marking and palpation of the greater trochanter and fibula head.

 

Jul
17
Fri
LAB: Developmental Orthopedics – Assessment Skills Follow-Up @ Long Beach, CA
Jul 17 all-day

BevLab_160Developmental Orthopedics – Assessment Skills Lab Session

Lab participants will execute 14 musculoskeletal assessments on each other under supervision. These participants will complete the program by participating in a live case presentation in which they will be asked at random to execute an assessment procedure.

Prerequisites. This lab program is open only to clinicians who have completed the one-day seminar program entitled: Developmental Orthopedics of the Trunk & Lower Extremity.

Enrollment is limited to 15 participants. After 15 are registered, additional interested attendees may place themselves on a wait list. If there is sufficient interest, we will offer an additional lab session the following day. Enrollment status is determined on a first-come, first-served basis.

This is an intermediate-level course; prerequisite training is required as noted above, and pre-course review materials are issued.

Dress for Lab. Lab enrollees should come dressed to undergo LE assessments requiring skin marking and palpation of the greater trochanter and fibula head.

Sep
17
Thu
Developmental Orthopedics of the Trunk & Lower Extremity @ Baltimore MD
Sep 17 all-day

This introductory program features an overview of the processes and principles that contribute to pediatric orthopedic development. These principles are applied to pathomechanics commonly observed in children with hypotonia, cerebral palsy, excessive foot pronation, and intoed gait. The content presented in this program is considered fundamental to any (future) discussion of the specific features of orthopedic trunk and lower extremity development.

Save $20 – Bring a colleague along!

Download a full Course Description for reference.

7.0 contact hours
CEUs for PT’s & Orthotists
LEVEL: Intermediate

Sep
18
Fri
Introduction to New Paradigms in Pediatric Equinus Deformity Management @ Baltimore MD
Sep 18 all-day
Introduction to New Paradigms in Pediatric Equinus Deformity Management @ Baltimore MD | Atlanta | Georgia | United States

A One-Day Review of Sciences & Strategies for Optimizing AFO’s

The landscape of considerations of ankle function in balance and gait, and of strategies for managing ankle plantarflexion contracture – i.e., equinus deformity – is changing to embrace the roles of the somatosensory system and postural control both as causative factors and intervention strategies. Instructor Beverly Cusick, PT, MS, COF, C/NDT reviews the relevance of ankle function in postural control, and discusses the physiology of muscle transformation and the role of spasticity in contracture formation.

The content features challenges to the rationale and effectiveness of common equinus deformity intervention paradigms including stretching, blocking ankle plantarflexion at 0° with orthoses, injecting the gastrocnemius muscle with toxin, and surgically lengthening any aspect of the triceps surae muscle-tendon unit. The course presents new orthotic and training strategies, based upon the work of Shirley Sahrmann, Mary Weck, and Elaine Owen, with emphasis on children with pyramidal-types of cerebral palsy.

A full Course Description is available for download.

7.0 contact hours
CEUs for PT’s & Orthotists
LEVEL: Intermediate

Evaluation & Management of Pediatric Toe Walking from PT & OT Perspectives @ San Diego, CA
Sep 18 – Sep 19 all-day
Evaluation & Management of Pediatric Toe Walking from PT & OT Perspectives @ San Diego, CA | Rochester | New York | United States

This exciting workshop covers therapeutic evaluation & treatment of pediatric equinus gait (“toe walking”) – offering a new, structured approach to evaluation and management of this common pediatric indication.

It is common for the practitioner to feel lost when a child presents with a toe walking gait pattern. Both evaluation and treatment of these children are often frustrating for all involved and frequently results in inaccurate evaluation with ineffective intervention and poor achievement of results. Long term results are rarely achieved with either resultant surgical intervention and/or a re-occurrence of the problem.

However, if the clinician asks the right questions and follows a deliberate approach, she or he can address toe walking with better outcomes and less frustration. This excellent course is designed to alleviate the chaotic approach to the treatment of pediatric toe walking by giving attendees exactly what they need – the right questions to ask, and a deliberate, organized approach to intervention.

Download a detailed Course Description for reference.

15 contact hours
CEUs available for PT’s & Orthotists

Sep
25
Fri
Evaluation & Management of Pediatric Toe Walking from PT & OT Perspectives @ Cleveland, OH
Sep 25 – Sep 26 all-day
Evaluation & Management of Pediatric Toe Walking from PT & OT Perspectives @ Cleveland, OH | Baltimore | Maryland | United States

This exciting workshop covers therapeutic evaluation & treatment of pediatric equinus gait (“toe walking”) – offering a new, structured approach to evaluation and management of this common pediatric indication.

It is common for the practitioner to feel lost when a child presents with a toe walking gait pattern. Both evaluation and treatment of these children are often frustrating for all involved and frequently results in inaccurate evaluation with ineffective intervention and poor achievement of results. Long term results are rarely achieved with either resultant surgical intervention and/or a re-occurrence of the problem.

However, if the clinician asks the right questions and follows a deliberate approach, she or he can address toe walking with better outcomes and less frustration. This excellent course is designed to alleviate the chaotic approach to the treatment of pediatric toe walking by giving attendees exactly what they need – the right questions to ask, and a deliberate, organized approach to intervention.

Download a detailed Course Description for reference.

15 contact hours
CEUs available for PT’s & Orthotists

Oct
9
Fri
Evaluation & Management of Pediatric Toe Walking from PT & OT Perspectives @ University of Minnesota Conference Center
Oct 9 – Oct 10 all-day
Evaluation & Management of Pediatric Toe Walking from PT & OT Perspectives @ University of Minnesota Conference Center | Saint Paul | Minnesota | United States

This exciting workshop covers therapeutic evaluation & treatment of pediatric equinus gait (“toe walking”) – offering a new, structured approach to evaluation and management of this common pediatric indication.

It is common for the practitioner to feel lost when a child presents with a toe walking gait pattern. Both evaluation and treatment of these children are often frustrating for all involved and frequently results in inaccurate evaluation with ineffective intervention and poor achievement of results. Long term results are rarely achieved with either resultant surgical intervention and/or a re-occurrence of the problem.

However, if the clinician asks the right questions and follows a deliberate approach, she or he can address toe walking with better outcomes and less frustration. This excellent course is designed to alleviate the chaotic approach to the treatment of pediatric toe walking by giving attendees exactly what they need – the right questions to ask, and a deliberate, organized approach to intervention.

Download a detailed Course Description for reference.

15 contact hours
CEUs available for PT’s & Orthotists

Oct
16
Fri
Posture & Torso Alignment for Pediatric Neuromotor Training (CTF Level I ) @ Mercy Children’s Hospital St. Louis
Oct 16 all-day
Posture & Torso Alignment for Pediatric Neuromotor Training (CTF Level I ) @ Mercy Children’s Hospital St. Louis | Saint Louis | Missouri | United States

This introductory program features a review of relevant pediatric orthopedic issues and sciences pursuant to neuromotor re-education for posture and torso alignment, including:

  • Skeletal modeling mechanisms and influences
  • The role of the somatosensory system in postural control acquisition and movement
  • Fundamentals of S.A. Sahrmann’s muscle balance theory
  • Practice-related skills acquisition

Save $20 – Bring a colleague with you!

A full Course Description is available for download.

8.0 contact hours
CEUs for PT’s & Orthotists
LEVEL: Intermediate

Oct
17
Sat
Pediatric In-toeing & Out-Toeing Management (CTF Level 2) @ Mercy Children’s Hospital St. Louis
Oct 17 all-day
Pediatric In-toeing & Out-Toeing Management (CTF Level 2) @ Mercy Children’s Hospital St. Louis | Saint Louis | Missouri | United States

This program builds upon the foundation laid in the Posture & Torso Alignment (CTF Level I) workshop. It features a brief review of pediatric orthopedic lower-extremity (LE) skeletal and joint development as it occurs in the transverse plane – i.e. medial and lateral joint rotation and medial and lateral long bone torsion – and in relation to deviations in foot progression angle (FPA) – i.e. in-toeing and out-toeing.

Save $20 – Bring a colleague along!

Download a full Course Description for reference.

7.75 contact hours
CEUs for PT’s & Orthotists
LEVEL: Intermediate
PREREQUISITE: Posture & Torso Alignment (CTF Level I)

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