Welcome to Progressive GaitWays…

Cusick Center for Learning has opened its doors!

You can now register for our 1st Live Webinar – The Golden Rule of Managing Pediatric Orthopedic and  Motor Development, featuring Beverly (Billi) Cusick

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

Aug
14
Mon
Pediatric Foot & Ankle Deformity Management with Serial Casting @ Telluride - Cimarron Lodge #6
Aug 14 @ 11:00 am – Aug 19 @ 5:00 pm
Pediatric Foot & Ankle Deformity Management with Serial Casting @ Telluride - Cimarron Lodge #6 | Telluride | Colorado | United States

New Dates! August 14-19, 2017

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.)

Maximum Enrollment: 6

Location: Telluride, Colorado • www.visittelluride.com

Collect 39.25 contact hours!

Tuition: Early Registration – $1350 • After July 1 = $1450. See Course Brochure and Registration Info for payment options.

Housing: Shared condo lodging for up to 7 nights – $675 total per person (see details below).

(Line Dance Training Optional!)

TUITION INCLUDES THE FOLLOWING:

  • A small instructor-attendee ratio of 1:6
  • 2 DVDs for precourse review: Legs & Feet: A Review of Musculoskeletal Assessments (2005)
    and Foot Talk (2009) – a 2-hour lecture with PPT CD on functional anatomy of the foot and ankle.
  • A 5-piece tool kit
  • An illustrated handout of lectures and supplemental readings: >400 pages in a ring binder
  • An illustrated handout of assessment procedures, posting instructions, and cast fabrication procedures
  • A memory stick loaded with relevant, topic-specific reference lists and readings
  • Supplies for casting and posting labs
  • Food and beverages for breakfast and 2 breaks/day – lunch is on your own
  • An on-site library of related texts and articles, and an on-site museum of below-knee casts and orthoses
  • Administrative support for obtaining CEUs
  • On-site attendee discounts on purchase of posting supplies to take home and get started.
Jan
21
Sun
Sparking Change in the Treatment of Children with Diplegic Cerebral Palsy @ Hotel Pennsylvania
Jan 21 @ 8:30 am – 5:30 pm
Sparking Change in the Treatment of Children with Diplegic Cerebral Palsy @ Hotel Pennsylvania | 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).

Read more…

Jan
22
Mon
Lab: Functional Electrical Stimulation for the Child with Cerebral Palsy (Hastings) @ Touro College
Jan 22 @ 8:30 am – 5:30 pm
Lab: Functional Electrical Stimulation for the Child with Cerebral Palsy (Hastings) @ Touro College | New York | New York | United States

Functional E-Stim Lab by Susan Hastings, PT, DPT, PCS

With the goal of simplifying electrical stimulation as a treatment modality and helping participants to gain confidence in its use, participants will use the Empi Continuum unit (provided) in teams of two. They will learn to set the unit parameters at different therapeutic levels and apply stimulation to their partner. Each participant will see and feel the differences between different settings, and between letting the unit cycle on and off (NMES) and using a hand switch to augment functional movement (FES).

Registration is limited to 20 participants who have taken the Sparking Change pre-requisite course. 

Feb
14
Wed
Reconsidering Spasticity as a Management Target in Children with Diplegic Cerebral Palsy @ Hyatt Regency New Orleans
Feb 14 – Feb 17 all-day
Reconsidering Spasticity as a Management Target in Children with Diplegic Cerebral Palsy @ Hyatt Regency New Orleans | New Orleans | Louisiana | United States

44th Academy Annual Meeting & Scientific Symposium – AAOP

Beverly Cusick, PT, MS, NDT, COF will be presenting her latest practice-changing bombshell: spasticity isn’t what you think it is.

Lecture details and schedule to be updated soon – stay tuned!

 

Apr
16
Mon
SOLD OUT! Pediatric Foot & Ankle Deformity Management with Serial Casting @ Telluride - Cimarron Lodge #6
Apr 16 @ 11:00 am – Apr 21 @ 5:00 pm
SOLD OUT! Pediatric Foot & Ankle Deformity Management with Serial Casting @ Telluride - Cimarron Lodge #6 | Telluride | Colorado | United States

SOLD OUT! April 16-21, 2018

(Stay tuned for August date announcement…)

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…

 

Apr
29
Sun
Understanding the Pediatric Foot: Implications for Children with Cerebral Palsy & Hypotonia (Part 1)
Apr 29 – Apr 30 all-day
Understanding the Pediatric Foot: Implications for Children with Cerebral Palsy & Hypotonia (Part 1) @ Spring Valley | New York | United States

Instructor: Beverly (Billi) Cusick, PT, MS, NDT, COF

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.

May
6
Sun
Understanding the Pediatric Foot: Implications for Children with Cerebral Palsy & Hypotonia (Part 2)
May 6 – May 7 all-day
Understanding the Pediatric Foot: Implications for Children with Cerebral Palsy & Hypotonia (Part 2) @ Spring Valley | New York | United States

Instructor: Beverly (Billi) Cusick, PT, MS, NDT, COF

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.

LAB CONTENT

Labs feature closely-supervised trials of several ankle and foot assessment procedures, with findings applied to orthotic posting and design. Assessment tools and materials will be provided for undertaking posting trials to preview effects of proposed orthotic modifications.

May
17
Thu
Pediatric Trunk Posture – The Significance of Extension @ Winding Walk Clubhouse
May 17 @ 6:00 pm – 8:00 pm

Hosted by:

Course Description (PDF) • OR • Registration

REGISTRATION CLOSES ON MAY 10th

Instructor: Deborah Stack, PT, DPT, PCS

This FREE after-hours program details the scientific and clinical evidence which supports the well-known pediatric management principle: “proximal stability precedes distal mobility.”

Presenter Deborah Stack describes the ideal sequence of neuromotor acquisition and resting postures, and documents the relationship of faulty trunk control to limb muscle contracture in children with diplegic CP. She explores a number of management strategies that include positioning and orthotic aids.

Finally, Ms. Stack introduces the new, code-verified, TherAlign DragonFly™  TLSO System as an example of a modality that can effectively address postural management issues.

A light dinner is provided, starting at 5:30 pm; the lecture runs from 6:00 – 8:00 pm. 2.0 contact hours; CEU credits for orthotists and NC physical therapists are pending.

Target Audience: Rehabilitation team members, including physical therapists, occupational therapists, orthotists, physical medicine and rehabilitation physicians, and pediatric orthopedists.

Read more…

Continuing professional education programs offered by TheraTogs, Inc. are available to all qualified physical therapists on a nondiscriminatory basis. Information provided should be used within scope of practice.

 

May
19
Sat
Posture & Torso Alignment for Pediatric Neuromotor Training (CTF 1) @ Four Points by Sheraton Pleasanton
May 19 all-day

Sponsored by

Course Summary

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

Attendees will validate their understanding of these principles and issues in the afternoon lab session, using the TheraTogs Posture & Torso Alignment system. Grouped in teams of three, attendees will be guided through a series of donning and strapping applications that demonstrate the biomechanical principles and management techniques reviewed in the morning session.

ProCert has awarded certification to Certified TheraTogs Fitter Level 1 (CTF 1).

Approval pending through FSBPT for Certified TheraTogs Fitter Level 2 (CTF 2).

May
20
Sun
Pediatric In-toeing & Out-Toeing Management for Neuromotor Training (CTF 2) @ Four Points by Sheraton Pleasanton
May 20 all-day

Course Summary

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.

Lecture content includes these topics:

  • Transverse-plane (TP) LE skeletal and joint modeling events with rotation strapping precautions
  • A review of elements of postural control acquisition and maintenance that pertain to TP LE bone and joint development and alignment
  • An implementation of SA Sahrmann’s muscle balance theory in the context of the kinesiology of LE rotation strapping applications
  • A review of three musculoskeletal assessment procedures used to identify sources of deviations in FPA and to document changes in a replicable manner.

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