Welcome to Progressive GaitWays…

“…the current demand for ‘evidence’ as a justification for intervening overlooks the shortfall of evidence and discourages the emergence of clinical evaluation, skill building, and science-based innovation.”

The Tyranny of Evidence…

Beverly Cusick, PT, MS, NDT, COF/BOC pushes back on the current culture of dependence on single-focus, short-term clinical studies that ignore the complex morbidities of cerebral palsy – and the sciences that address them.

Read more…

The Cusick Center for Learning (CCL) is now offering online training – as only we can!

Now Available!

The W-Sitting Controversy: Evidence and Science

A growing number of physicians and orthopedists are advising parents to let their children W-sit because it is comfortable for them. In this 90-minute pre-recorded webinar, Beverly Cusick investigates the evidence and the science supporting both this and the more common practice of discouraging habitual w-sitting.

Pricing: $59 USD

The first program in the series The Golden Rule of Managing Pediatric Orthopedic and Motor Development is now available for your professional development – at your convenience, in a pre-recorded webinar!

Program 1: Early Postural Control Acquisition

In this hour-long webinar, Beverly (Billi) Cusick reviews key biomechanical and sensory-motor aspects of early postural control acquisition – the essential foundation for building competent limb use and movement skills. She then demonstrates her “golden rule” concept with two clinical cases, and provides a detailed Q&A segment based on the discussions from the original live webinar.

In conclusion, Ms. Cusick traces the timeline, mentors, and influences that led her to the development of the Golden Rule – a valuable review that ‘connects the dots’ between the contributions of numerous well-known pioneers in physical rehabilitation.

Pricing: $45 USD

Register Now | Download the course description

Kudos for Program 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.

Program 2: Expanding Postural Control into Movement

In Program 2, Ms. Cusick discusses the biomechanical and somatosensory aspects of the developing infant’s progress after stabilizing the body center of mass in prone and supine positions. In this next phase of early movement acquisition, lying leads to rolling and body weight is displaced in the frontal plane and elevated off the surface into quadruped position. The instructor’s golden rule is applied in suggested biomechanical and somatosensory strategies for remediating deficits.

Pricing: $45 USD

Golden Rule Bundle: Programs 1 & 2 – $83 USD

Program 1 is a prerequisite for Program 2. | Download Program 2 course description

Attendees gave Program 2 a ‘thumbs up’:

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 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.

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

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May
3
Mon
TENTATIVE • Pediatric Foot & Ankle Deformity Management with Serial Casting (Telluride CO) @ The River Club
May 3 – May 8 all-day

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

A PRIVATE TUTORIAL FOR SIX IN SENSATIONAL TELLURIDE, COLORADO

NOTE: For the Spring 2021 courses, we are collecting $500 deposits first, then once each course is considered a “go”, we’ll contact you for payment of the balance due.

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 beautiful 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 access to two pre-course webinars, a set of 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).

COVID-19 • PANDEMIC CONSIDERATIONS

Here are the factors we’re working with:

Per our usual practice, we have selected course dates in late April and early May – Telluride’s spring off-season – to keep your housing costs low. Off season is a time of peacefulness in Telluride – no summer crowds, no ski crowds… no crowds, period. All of which reduces the risk of COVID exposure from the community, or from the lower numbers of visitors from out of town.

We reserve 2 spacious condos – each with 3 bedrooms, and each bedroom with its own bathroom. Due to the off-season scheduling, the River Club facility is typically nearly vacant during our courses; we’re told that it will be at no more than 50% capacity this fall.

We hold the course in the largest condo in the facility, and can arrange seating to keep attendees apart. We know we cannot separate you during foot assessment and casting labs, but we will provide face masks and gloves, keep the space well-ventilated, and practice careful vigilance and cleaning protocols.

Telluride is located in San Miguel County – 8,000 residents spread over a 1,289 square miles region. The county’s public health team does an excellent job of reporting on COVID-19 test results, cases, and trends, and has been on top of things since February. The state, as well as the town of Telluride itself, is strict about wearing face masks and strongly supports social distancing practices.

Please do have a look at the 2 links on this government website: https://covid-19-sanmiguelco.hub.arcgis.com/ – the meter and the dashboard – so you can assess your risks regarding attending the course this spring.

To state the obvious, we honor all directives regarding protection, social distancing, and meeting practices. You even get a complimentary Respiro mask, courtesy of our sister company, TheraTogs, Inc.

Note: We require a minimum of four attendees per session; your registration in the Spring course will be pending – and we will not process payments – until we confirm the course.

Given the current circumstances, we STRONGLY recommend that you purchase refundable/changeable airfare, once your course registration is confirmed. We are not responsible for travel expenses in the event the course is cancelled or postponed.

 Interested? Read More…

 

Aug
22
Sun
LIVE WEBINAR: Developmental Orthopedics @ Cusick Center for Learning
Aug 22 @ 3:00 pm

Developmental Orthopedics

LIVE WEBINAR: A Review of Operating Processes with Implications for Management

Offered in LIVE four-hour sessions over two weekends:

August 22-23, 2021 • August 29-30, 2021
3:00 pm – 7:00 pm US Pacific Time

“I have been hearing how this course is one of the best in Orthopedics… and it is.
I am so glad I took this course!”
– PT attendee

This program features an overview of somatosensory function and development, the role of postural control in movement acquisition and physiologic adaptation, skeletal modeling mechanisms and influences, and ideal and pathomechanical features of orthopedic development of the trunk and selected aspects of the extremities.

Book Now!

Course FlyerCourse Description

BONUS!  – Support the San Francisco Public Health Foundation

5% of the proceeds from this course will go to the San Francisco Public Health Foundation to pay for healthcare expenses for low income families.

LIVE WEBINAR: OT Only Package – Developmental Orthopedics @ Cusick Center for Learning
Aug 22 @ 3:00 pm

Developmental Orthopedics

LIVE WEBINAR: A Review of Operating Processes with Implications for Management
Special 2-Day Package • OT’s ONLY

Offered in 2 LIVE four-hour sessions:

August 22-23, 2021
3:00 pm – 7:00 pm US Pacific Time

“Billi did an excellent job with pacing… Info was clear, concise,
well paced and reiterated with visual aids as appropriate…
What a gem — I learn from Billi every single time I hear her speak”
– Attendee

This program features an overview of somatosensory function and development, the role of postural control in movement acquisition and physiologic adaptation, skeletal modeling mechanisms and influences, and ideal and pathomechanical features of orthopedic development of the trunk and selected aspects of the extremities.

Book Now!

Course FlyerCourse Description

Looking for the full 4-day webinar?  Details here!

BONUS!  – Support the San Francisco Public Health Foundation

5% of the proceeds from this course will go to the San Francisco Public Health Foundation to pay for healthcare expenses for low income families.

Aug
23
Mon
LIVE WEBINAR: Developmental Orthopedics @ Cusick Center for Learning
Aug 23 @ 3:00 pm

Developmental Orthopedics

LIVE WEBINAR: A Review of Operating Processes with Implications for Management

Offered in LIVE four-hour sessions over two weekends:

August 22-23, 2021 • August 29-30, 2021
3:00 pm – 7:00 pm US Pacific Time

“I have been hearing how this course is one of the best in Orthopedics… and it is.
I am so glad I took this course!”
– PT attendee

This program features an overview of somatosensory function and development, the role of postural control in movement acquisition and physiologic adaptation, skeletal modeling mechanisms and influences, and ideal and pathomechanical features of orthopedic development of the trunk and selected aspects of the extremities.

Book Now!

Course FlyerCourse Description

BONUS!  – Support the San Francisco Public Health Foundation

5% of the proceeds from this course will go to the San Francisco Public Health Foundation to pay for healthcare expenses for low income families.

LIVE WEBINAR: OT Only Package – Developmental Orthopedics @ Cusick Center for Learning
Aug 23 @ 3:00 pm

Developmental Orthopedics

LIVE WEBINAR: A Review of Operating Processes with Implications for Management
Special 2-Day Package • OT’s ONLY

Offered in 2 LIVE four-hour sessions:

August 22-23, 2021
3:00 pm – 7:00 pm US Pacific Time

“Billi did an excellent job with pacing… Info was clear, concise,
well paced and reiterated with visual aids as appropriate…
What a gem — I learn from Billi every single time I hear her speak”
– Attendee

This program features an overview of somatosensory function and development, the role of postural control in movement acquisition and physiologic adaptation, skeletal modeling mechanisms and influences, and ideal and pathomechanical features of orthopedic development of the trunk and selected aspects of the extremities.

Book Now!

Course FlyerCourse Description

Looking for the full 4-day webinar?  Details here!

BONUS!  – Support the San Francisco Public Health Foundation

5% of the proceeds from this course will go to the San Francisco Public Health Foundation to pay for healthcare expenses for low income families.

Aug
29
Sun
LIVE WEBINAR: Developmental Orthopedics @ Cusick Center for Learning
Aug 29 @ 3:00 pm

Developmental Orthopedics

LIVE WEBINAR: A Review of Operating Processes with Implications for Management

Offered in LIVE four-hour sessions over two weekends:

August 22-23, 2021 • August 29-30, 2021
3:00 pm – 7:00 pm US Pacific Time

“I have been hearing how this course is one of the best in Orthopedics… and it is.
I am so glad I took this course!”
– PT attendee

This program features an overview of somatosensory function and development, the role of postural control in movement acquisition and physiologic adaptation, skeletal modeling mechanisms and influences, and ideal and pathomechanical features of orthopedic development of the trunk and selected aspects of the extremities.

Book Now!

Course FlyerCourse Description

BONUS!  – Support the San Francisco Public Health Foundation

5% of the proceeds from this course will go to the San Francisco Public Health Foundation to pay for healthcare expenses for low income families.

Aug
30
Mon
LIVE WEBINAR: Developmental Orthopedics @ Cusick Center for Learning
Aug 30 @ 3:00 pm

Developmental Orthopedics

LIVE WEBINAR: A Review of Operating Processes with Implications for Management

Offered in LIVE four-hour sessions over two weekends:

August 22-23, 2021 • August 29-30, 2021
3:00 pm – 7:00 pm US Pacific Time

“I have been hearing how this course is one of the best in Orthopedics… and it is.
I am so glad I took this course!”
– PT attendee

This program features an overview of somatosensory function and development, the role of postural control in movement acquisition and physiologic adaptation, skeletal modeling mechanisms and influences, and ideal and pathomechanical features of orthopedic development of the trunk and selected aspects of the extremities.

Book Now!

Course FlyerCourse Description

BONUS!  – Support the San Francisco Public Health Foundation

5% of the proceeds from this course will go to the San Francisco Public Health Foundation to pay for healthcare expenses for low income families.

Sep
10
Fri
AOPA Assembly 2021 – Muscle Tone and Hypertonus • Assessment & Relevance to Ankle-Foot Orthotic Management @ AOPA National Assembly
Sep 10 @ 10:30 am – 12:00 pm

Calling all orthotists!  Beverly Cusick will be presenting a live, in-person 90-minute presentation as part of the AOPA National Assembly 2021 national conference.

Clinical practitioners commonly use the term “muscle tone” to describe different conditions and use various methods to attempt to quantify it. In the didactic portion of this program, the facilitator clarifies the currently accepted definition of human resting lower limb muscle tone in terms of the length-tension relationship with particular attention to the hamstring and triceps surae muscles. She relates movement strategies to the development of typical ankle function and equinus deformity, and reviews  clinical assessment procedures for hamstrings length and ankle dorsiflexion (DF) range of motion (ROM) in detail with video recorded demonstrations. She introduces the DF end range at R1A in the hypertonic triceps surae muscle group and explains its relevance in standing and walking. She brings the assessment findings to a discussion of implications for setting the ankle angle in an AFO and for detecting and reporting orthotic management outcomes.

Sep
15
Wed
Developmental Orthopedics of the Trunk & Lower Extremity (2-Day, In Person) @ Ardboyne Hotel
Sep 15 – Sep 16 all-day
Developmental Orthopedics of the Trunk & Lower Extremity (2-Day, In Person) @ Ardboyne Hotel | Navan | County Meath | Ireland

Sponsored by…

Brain and Spine Physiotherapy Clinic-Children Services, Navan, County Meath, Ireland

This program features an overview of somatosensory function and development, the role of postural control in movement acquisition and physiologic adaptation, skeletal modeling mechanisms and influences, and ideal and pathomechanical features of orthopedic development of the trunk and lower extremity.

View the course description or download a copy for reference.

14.0 contact hours
LEVEL: Intermediate

Optional: Day 3 Hands-On Lab

Course Description • Full Course Details

 

Sep
17
Fri
LAB: Developmental Orthopedics – Assessment Skills Follow-Up (Ireland) @ Ardboyne Hotel
Sep 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 or two-day versions of the seminar program entitled: Developmental Orthopedics of the Trunk & Lower Extremity.

Course Schedule & Objectives

Enrollment is limited to 15 participants. After 15 are registered, additional interested attendees may place themselves on a wait list. 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.

For more information. View a more complete description of the course here.

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