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) has opened its doors!

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.

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.

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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Progressive GaitWays online store!

 

 

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

Mar
2
Sat
Wearable Therapy: TheraTogs™ Systems, Uses, & Scientific Foundations
Mar 2 – Mar 5 all-day

Wearable Therapy: TheraTogs™ Systems, Uses, & Scientific Foundations

A 3.5-Day Didactic Program

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

Day 1 of this program features an overview of sciences of neuromotor and orthopedic development including established principles of kinesiology and biomechanics, physiologic adaptation of body tissues to routine use, new developments in motor learning, and the role of the somatosensory system in this process. The instructor demonstrates the implementation of the sciences in an introduction to TheraTogs Orthotic Garment and Strapping Systems as a modality for expanding successes in therapy sessions into daily life to optimize functioning alignment and stability, and reviews published research.

Day 2 of this program expands upon the introductory content presented on Day 1 with a discussion of skeletal modeling mechanisms and the achievement of postural control as a foundation for movement acquisition. She explores the nature of muscle tone and the relationship of muscle tone to routine use, both typical and pathologic. The program ends with suggestions for using TheraTogs in early intervention to optimize resting postures and the acquisition of essential ingredients for postural control.

Day 3 of this program applies the content from Days 1 and 2 and delves into functioning alignment issues related to the spine, the ankles, and unequal limb length. After demonstrating the Dragonfly TLSO and the molding and fitting process, the instructor reviews the assessment of ankle dorsiflexion range of motion as an important component of optimizing the support base with orthotics. She brings ankle ROM to discussions of postural control deficits and functioning malalignment as they occur in children with idiopathic toe walking, equinus deformity, hemiplegic cerebral palsy, and scissor gait. The program ends with a discussion of the typical development of the hip joint and femur in the transverse plane with a lab session devoted to distinguishing between femoral anteversion and antetorsion.

Day 4 is a half-day program that applies the content from Days 1-3 and is devoted to the biomechanical and developmental factors inherent in intoed and out-toed gait. Instructor reviews the related – and refined – musculoskeletal assessment procedures of hip rotation ROM, modified Ryder’s Test for femoral torsion, and the Thigh-Foot Angle and applies the findings to the safe use of TheraTogs strapping applications. The didactic program ends with suggestions for further research.

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.

 

 

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
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.

 

 

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.

 

 

Oct
21
Mon
SOLD OUT • Pediatric Foot & Ankle Deformity Management with Serial Casting @ The River Club
Oct 21 – Oct 26 all-day
SOLD OUT • Pediatric Foot & Ankle Deformity Management with Serial Casting @ The River Club | Telluride | Colorado | United States

SOLD OUT  • October 21 – 26, 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…

 

Oct
28
Mon
SOLD OUT • Pediatric Foot & Ankle Deformity Management with Serial Casting @ The River Club
Oct 28 – Nov 2 all-day
SOLD OUT • Pediatric Foot & Ankle Deformity Management with Serial Casting @ The River Club | Telluride | Colorado | United States

October 28 – November 2, 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…

 

Feb
21
Fri
Pediatric Trunk Posture – The Significance of Extension @ NAPA Center
Feb 21 @ 6:30 pm – 8:30 pm

Sponsored by:

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

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

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

The lecture runs from 6:30 – 8:30 pm. 2.0 contact hours; CEU credits are pending.

Instructor: Deborah Stack, PT DPT PCS

Course Description & Registration

Apr
20
Mon
SOLD OUT • Pediatric Foot & Ankle Deformity Management with Serial Casting (Telluride, CO) @ The River Club
Apr 20 – Apr 25 all-day
SOLD OUT • Pediatric Foot & Ankle Deformity Management with Serial Casting (Telluride, CO) @ The River Club | Telluride | Colorado | United States

April 20 – 25, 2020

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 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).

 Interested? Read More…

 

Apr
27
Mon
3 SEATS LEFT • Pediatric Foot & Ankle Deformity Management with Serial Casting (Telluride CO) @ The River Club
Apr 27 – May 2 all-day
3 SEATS LEFT • Pediatric Foot & Ankle Deformity Management with Serial Casting (Telluride CO) @ The River Club | Telluride | Colorado | United States

April 27 – May 2, 2020

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 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).

 Interested? Read More…

 

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