Welcome to Progressive GaitWays…

The Cusick Center for Learning (CCL) has opened its doors!

Our first two Live Webinars in the series The Golden Rule of Managing Pediatric Orthopedic and Motor Development have been presented by Beverly (Billi) Cusick. Attendees liked what they saw..

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Or, download the PGW Order Form to place your order offline.

From Session 1:

I took a course from Billi over 20 years ago (Biomechanics) and it transformed my practice.  Love how she integrated  all the  approaches (NDT, Sahrmann, Tschnarter etc..). Excellent information with clear application, and the science behind the art of postural control facilitation.

It was concise, easy to follow, and packed full of golden nuggets. I actually bought Kathleen Porters book and will be sharing it with coworkers at the clinic including office staff!

Enjoyed the historical approach with references to the scientific basis behind the techniques. Good reminder of finding the balance between stability and mobility in order to enhance function.

…And Session 2:

It’s very difficult to get clear, concise information regarding infant motor development and I really appreciate the quality of information as well as the convenience of the presentation type.

Billi is a wealth of knowledge which she shares in a clear, concise and clinically applicable way. The webinar feels intimate and allows interaction at the end through questions and comments in real time. The webinar allows learning in 1 hours chunks of time, with the opportunity to watch again for the week that follows. The handout follows the slides exactly and can be downloaded ahead of time to maximize learning.

And the best assessment of all: 95% of all attendees indicated that they would recommend both sessions to their professional colleagues.

What’s Next

The on-demand versions are being edited now and will soon be available via the CCL:

Let us know if you’d like to be notified when those sessions are available for on-demand (24/7) viewing! (Or give us a Like on Facebook to receive notice when we post up the details.)

Come on in!

 

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.
BilliSig_75

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

Calendar of Events

Mar
11
Mon
Developmental Orthopedics of the Trunk & Lower Extremity @ Hotel Pennsylvania
Mar 11 @ 8:00 am – 5:30 pm
Developmental Orthopedics of the Trunk & Lower Extremity @ Hotel Pennsylvania | New York | New York | United States

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.

Download a full Course Description for reference.

NOTE: Attendees who complete this course are eligible for the one-day Certified TheraTogs Fitter labs which are now being scheduled March 14-18. Contact us for more information!

7.5 contact hours
LEVEL: Intermediate

Mar
12
Tue
Developmental Orthopedics of the Trunk & Lower Extremity @ Long Island Marriott
Mar 12 @ 8:00 am – 5:30 pm
Developmental Orthopedics of the Trunk & Lower Extremity @ Long Island Marriott | New York | New York | United States

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.

Download a full Course Description for reference.

NOTE: Attendees who complete this course are eligible for the one-day Certified TheraTogs Fitter labs which are now being scheduled March 14-18. Contact us for more information!

7.5 contact hours
LEVEL: Intermediate

Mar
13
Wed
Developmental Orthopedics of the Trunk & Lower Extremity @ Hilton Garden Inn
Mar 13 @ 8:00 am – 5:30 pm
Developmental Orthopedics of the Trunk & Lower Extremity @ Hilton Garden Inn | New York | New York | United States

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.

Download a full Course Description for reference.

NOTE: Attendees who complete this course are eligible for the one-day Certified TheraTogs Fitter labs which are now being scheduled March 14-18. Contact us for more information!

7.5 contact hours
LEVEL: Intermediate

Apr
6
Sat
Shining a Light on the Role of Spasticity in Children with Diplegic CP @ Instytut Terapii Funkcjonalnej Dzielny Mis sp. z.o.o. [Warsaw]
Apr 6 all-day
Shining a Light on the Role of Spasticity in Children with Diplegic CP @ Instytut Terapii Funkcjonalnej Dzielny Mis sp. z.o.o. [Warsaw]

In children born premature and those with diplegic cerebral palsy (CP), findings obtained with diffusion tensor imaging (DTI) have brought significant challenges to the common definition of CP as “a motor disorder caused by a static lesion to the upper motor neurons resulting in spasticity”. Ms. Cusick discusses findings by researchers that question the definition and challenge the common notion that spasticity is present, that it causes contracture formation and gait pathology in children with diplegia, and that it is a suitable target for “spasticity reducing” interventions.

For more information, please download the Course Description.

 

 

Apr
7
Sun
New Paradigms in Foot & Ankle Deformity Management @ Instytut Terapii Funkcjonalnej Dzielny Mis sp. z.o.o. [Warsaw]
Apr 7 all-day
New Paradigms in Foot & Ankle Deformity Management @ Instytut Terapii Funkcjonalnej Dzielny Mis sp. z.o.o. [Warsaw] | Manchester | New Hampshire | United States

This course is designed for the practitioner who has experience in working with children or adults with CNS neuromotor dysfunction, including physical therapists, orthotists, pediatric orthopedists, and physical medicine and rehabilitation physicians. The content covered in this program includes the following topics:

  • Foot and ankle anatomy, biomechanics, development, and pathomechanics in relation to body weight orientation over the base of support and to designing orthotic modifications to optimize foot development and function.
  • Characteristics of and factors contributing to healthy foot development.
  • Elements of gait development that relate to and support foot development.
  • The kinesiology and pathokinesiology related to – and in support of – the safe and effective use of below-knee casts and orthotic interventions designed to improve postural alignment and control and to reduce developmental, flexible foot and ankle deformities that commonly occur in the presence of central nervous system dysfunction, hypotonia, and ligament laxity in childhood. Discussion of orthotic options includes Elaine Owen’s Tuned AFO/Footwear Combinations, heel lifting and weight-line training, and orthotic posting and foot packaging principles and strategies.

Common developmental foot deformities are identified and described in terms of plane-based anatomical components. Musculoskeletal assessment procedures are reviewed as the findings lead the clinician to a systematic clinical decision-making process regarding orthotic design in terms of desired load-bearing foot and limb joint alignment, magnitude of segment enclosure, degrees of freedom provided or restrained, and posting options. Soft-tissue extensibility findings are also used in the documentation of the effects of assorted orthotic intervention strategies.

Full Course Description

Apr
9
Tue
Shining a Light on the Role of Spasticity in Children with Diplegic CP @ Instytut Terapii Funkcjonalnej Dzielny Mis sp. z.o.o. [Warsaw]
Apr 9 all-day
Shining a Light on the Role of Spasticity in Children with Diplegic CP @ Instytut Terapii Funkcjonalnej Dzielny Mis sp. z.o.o. [Warsaw]

In children born premature and those with diplegic cerebral palsy (CP), findings obtained with diffusion tensor imaging (DTI) have brought significant challenges to the common definition of CP as “a motor disorder caused by a static lesion to the upper motor neurons resulting in spasticity”. Ms. Cusick discusses findings by researchers that question the definition and challenge the common notion that spasticity is present, that it causes contracture formation and gait pathology in children with diplegia, and that it is a suitable target for “spasticity reducing” interventions.

For more information, please download the Course Description.

 

 

Apr
10
Wed
New Paradigms in Foot & Ankle Deformity Management @ Instytut Terapii Funkcjonalnej Dzielny Mis sp. z.o.o. [Warsaw]
Apr 10 all-day
New Paradigms in Foot & Ankle Deformity Management @ Instytut Terapii Funkcjonalnej Dzielny Mis sp. z.o.o. [Warsaw] | Manchester | New Hampshire | United States

This course is designed for the practitioner who has experience in working with children or adults with CNS neuromotor dysfunction, including physical therapists, orthotists, pediatric orthopedists, and physical medicine and rehabilitation physicians. The content covered in this program includes the following topics:

  • Foot and ankle anatomy, biomechanics, development, and pathomechanics in relation to body weight orientation over the base of support and to designing orthotic modifications to optimize foot development and function.
  • Characteristics of and factors contributing to healthy foot development.
  • Elements of gait development that relate to and support foot development.
  • The kinesiology and pathokinesiology related to – and in support of – the safe and effective use of below-knee casts and orthotic interventions designed to improve postural alignment and control and to reduce developmental, flexible foot and ankle deformities that commonly occur in the presence of central nervous system dysfunction, hypotonia, and ligament laxity in childhood. Discussion of orthotic options includes Elaine Owen’s Tuned AFO/Footwear Combinations, heel lifting and weight-line training, and orthotic posting and foot packaging principles and strategies.

Common developmental foot deformities are identified and described in terms of plane-based anatomical components. Musculoskeletal assessment procedures are reviewed as the findings lead the clinician to a systematic clinical decision-making process regarding orthotic design in terms of desired load-bearing foot and limb joint alignment, magnitude of segment enclosure, degrees of freedom provided or restrained, and posting options. Soft-tissue extensibility findings are also used in the documentation of the effects of assorted orthotic intervention strategies.

Full Course Description

Apr
22
Mon
SOLD OUT. Pediatric Foot & Ankle Deformity Management with Serial Casting @ The River Club
Apr 22 – Apr 27 all-day
SOLD OUT. Pediatric Foot & Ankle Deformity Management with Serial Casting @ The River Club | Telluride | Colorado | United States

SOLD OUT! April 22-27, 2019

Instructor: Beverly Cusick, PT, MS, NDT, COF/BOC

A PRIVATE TUTORIAL FOR SIX IN SENSATIONAL TELLURIDE, COLORADO

Who Should Attend: Physical therapists, certified orthotists, physicians in physical medicine & rehabilitation, and pediatric orthopedists. (Sorry, no PTAs or ortho techs.)

Six days, six colleagues, world-renowned instructor, practice-changing content, hands-on labs… and a killer location at off-season rates. How could you miss it?

In a collegial living-room setting, Beverly (Billi) Cusick relates the role of postural alignment and control to developing foot alignment and function, equinus deformity development, and management strategies using tuned AFOs and casts. In lab sessions, participants assess the ankle and foot, optimize postural alignment and function from the foot up, and fabricate below-knee casts that support neuromotor training.

Go home with a solid introduction to pediatric foot & ankle development, normal and pathomechanical foot function, and novice-level skills in: a) assessing the foot and ankle; b) posting orthoses to optimize postural control and foot function; and c) fabricating 3 types of below-knee cast used progressively.

Bonus: You receive two training DVD’s, fully-referenced handout materials, and an assessment tool kit.

Double-Bonus: Get trained for TheraTogs Fitter Certification Level-I, Posture and Torso Alignment, at no additional cost (optional).

 Interested? Read More…

 

Jun
14
Fri
Sparking Change in the Treatment of Children with Diplegic Cerebral Palsy @ CCS Santa Clara County
Jun 14 – Jun 18 all-day
Sparking Change in the Treatment of Children with Diplegic Cerebral Palsy @ CCS Santa Clara County | New York | New York | United States

New Course from Beverly Cusick PT, MS, C/NDT, COF & Susan Hastings PT, DPT, PCS!

In children born premature and those with diplegic cerebral palsy (CP), findings obtained with diffusion tensor imaging (DTI) have brought significant challenges to the common definition of CP as “a motor disorder caused by a static lesion to the upper motor neurons resulting in spasticity”.

Beverly Cusick, PT, MS, NDT, COF, discusses findings by researchers that question the definition and challenge the common notion that spasticity is present and that it causes contracture formation and gait pathology in children with diplegia. She discusses the confusion over the difference between increased tone and hyperreflexia and introduces some new thinking regarding EMG activity in tissues under stretch. She concludes by proposing an alternative to “spasticity reducing” interventions by addressing postural control deficits and remediation.

Susan Hastings, PT, DPT, PCS, discusses requirements for motor learning to occur, and introduces functional electrical stimulation (FES) and whole body vibration (WBV) as treatment-augmenting interventions along with supporting research.

This one-day course is a pre-requisite for either of the two follow-up lab sessions:

  • Functional Electrical Stimulation for the Child with Cerebral Palsy (Hastings)
  • Bringing Orthopedic Assessment Findings to Management Planning (Cusick)

Flyer & Registration

Read more…

Jun
29
Sat
REHABILITACIÓN EN PACIENTES CON LESION MEDULAR @ CINER
Jun 29 – Jun 30 all-day

Este curso teórico-práctico está diseñado para brindar herramientas de evaluación, actualización de tratamientos, resolución de problemas y sugerencias deequipamiento para unamejor funcionalidad dela persona con lesión medular.

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